By Rahim Abdul
The Society of Medical Doctors in Malawi (SMDM) has strongly opposed a directive issued by President Peter Mutharika banning public health workers from owning private clinics or pharmacies, describing the move as a violation of their constitutional right to engage in legitimate business.
The directive, announced on February 16, 2026, is part of government efforts to combat corruption and drug shortages in public hospitals. However, doctors argue that the decision could create more problems than it solves.
Speaking on behalf of the association, Dr. Steve Mlangiza warned that the restriction risks discouraging highly skilled professionals from continuing to serve in public hospitals.
He said many government health facilities are already grappling with severe staff shortages, with doctors working long hours under intense pressure to meet overwhelming patient demand.

According to Mlangiza, preventing doctors from supplementing their income through private ventures may push some to resign from public service altogether in search of better financial stability.
He cautioned that such an exodus would disproportionately affect vulnerable citizens who depend on free or subsidized medical care in government hospitals.
The doctors’ body further argued that tackling theft of medicines and corruption requires a deeper examination of systemic weaknesses rather than focusing solely on health workers.
Mlangiza emphasized that corruption in hospitals cannot be addressed through blanket bans alone but through stronger accountability systems and improved oversight mechanisms.
Despite their objections, the association acknowledged the government’s commitment to fighting corruption in the health sector.
They commended authorities for recognizing the urgency of addressing drug shortages and mismanagement in public facilities.
However, the group urged the government to ensure that anti corruption measures are fair, balanced and applied consistently across all sectors of public service.
They also called for dialogue between policymakers and medical professionals to find sustainable solutions that protect both public resources and workers’ rights.
The directive has since sparked widespread debate within the health community, with many observers questioning whether the policy will strengthen or further strain Malawi’s fragile healthcare system.


