Trends in Life Expectancy and the Macroeconomy in Malawi

This paper studies the trends in life expectancy in Malawi since independence and offers possible explanations regarding inter-temporal variations. Descriptive analysis reveals that the life expectancy in Malawi has trailed below the Sub Saharan African average. From the 1960s through to the early 1980s life expectancy improved driven mainly by rising incomes and the absence of HIV/AIDS. In the mid 1980s life expectancy declined tremendously and never improved due to the spread of HIV/AIDS, the economic slump that followed the World Bank’s Structural Adjustment programmes (SAP) and widespread corruption and poor governance in the era of democracy. At the turn of the new millennium, Malawians were no healthier than their ancestors at the dawn of independence though this improved after 2004. If Malawi is to meet its health Millennium Development Goals by 2015, good governance, improved agricultural performance and an increase in health expenditure should be at the heart of its development policies.