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Statement on Unlicensed Recruitment
The Centre for Policy and Reform in Health and Law (CPR) raises grave concerns about the recent recruitment and promotion of unlicensed or unqualified nurses and midwives by Malawi’s Ministry of Health.
- Health Threat: These actions endanger public health and Malawi’s healthcare system integrity.
- Mission Conflict: Recruitment without legal registration and qualifications violates CPR’s mission for justice, accountability, and equitable healthcare.
- Unqualified Hires: Individuals failing the June 2025 licensure exams or lacking relevant qualifications, including those with unrelated backgrounds, were appointed to nursing and midwifery roles.
THE KABAZA CONUNDRUM
Centre for Policy and Reform in Health and Law (CPR) raises urgent concern over the escalating kabaza crisis, which now constitutes a critical public health and human rights emergency in Malawi.
- Public Health Threat: Kabaza-related accidents claim thousands of lives, cause permanent injuries, and cost the public health system an estimated MK3.3 billion annually.
- Rising Fatalities: Between 2022 and 2023, over 1,800 deaths were recorded, with a 14% increase in accidents in early 2025, according to the Malawi Police Service.
- Systemic Failures: The crisis is driven by unlicensed operators, underage riders, overloading, lack of protective gear, inadequate training, poor road infrastructure, and weak enforcement of traffic laws.
- Human Rights Impact: Kabaza accidents directly threaten constitutional rights, including the right to life, health, human dignity, work, and non-discrimination.
- Urgent Policy Action Needed: CPR calls for a multi-stakeholder national framework involving regulation, licensing, health screening, insurance coverage, road safety reforms, and strengthened enforcement.