The vision of the Malawi Ministry of Health (MoH) is to achieve access to health for all the people of Malawi that would enable them to live a quality and productive life. One of the strategies to achieve this is the identification of a prioritised list of health interventions provided free of charge to the population – “the essential health package”. However, available resources are not adequate to cover the cost of delivering the essential health package. In 2014-15 financial year, for example, the cost of funding health care provision was approximately two times higher than the available resources. This policy brief looks at the status of the Malawi Health system and discusses the policy options that could offset some of the inefficiencies that bedevil the health system. From this discussion, the brief concludes with some recommendations.