For a long time, government has centralised aspects such as drug budget management to the extent that district hospitals have had human made drug stock-outs and shortages of essential medical supplies
Kwa nthawi yayitali, boma lakhala likuyika pamodzi ndalama zogulira mankhwala mpaka kufikira kuti mzipatala zina ma vuto akusowa kwa mankhwala ofunika kwambiri amakhala ochita kupangidwa.