A variety of methods were used including:

• Personal delivery by hand within the MOH or by project vehicle to health institutions, etc. within close proximity to Lilongwe;

• Distribution by Central Medical Stores (CMS) transport to regional medical stores (RMS) for collection by stores’ clients or for onward distribution to regional health offices or health institutions near the stores;

• Delivery to the Lilongwe headquarters of the Christian Hospitals Association of Malawi (CHAM) for onward distribution to mission hospitals and health centres in the central and northern regions and to the CHAM pharmacist based at RMS (South) for distribution in the southern region;

• Distribution from regional health offices of pre-packed and pre-addressed copies for each district’s hospital and its health centres;

• Distribution from district hospitals to individuals and wards/departments within the hospitals and to each of the health centres served by the hospital. Distribution of copies for the latter was arranged by the District Health Officer though the pharmacy assistant who sent copies along with monthly drug supplies in the drug box;

• By WHO pouch to WHO/DAP and anglophile African countries (through the relevant WHO Representative in each country);

• By direct mailing to selected international agencies and individuals and to certain local organizations and individuals, e.g. private sector pharmacists and pharmacy companies;

• Through the Malawi Medical Council to all registered private sector clinicians;

• Collection of copies from the MEDP offices.