Malawi Standard Treatment Guidelines (MSTG) - Sixth Edition

Oct 6, 2026

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The Malawi Standard Treatment Guidelines (MSTG) incorporate the Malawi Essential Medicines List (MEML) to standardize prescribing patterns and support consistent, uniform medicine availability across different levels of care. The sixth edition expands conditions and provides detailed clinical descriptions to help prescribers select and prescribe the right medicines for the right conditions. It also strengthens rational medicine use, informs quantification and procurement, and addresses antimicrobial resistance through stewardship and AWaRe antibiotic categorization. The guidelines emphasize adherence in clinical practice while encouraging professional judgment and supplementation with specialized references when needed.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages559

Reading Time23 h 29 min

AccessFree to download

Foreword

References

List of Core Contributors to the 6th Edition of MSTG/MEML

Prescribing Guidelines

Chapter 1: Management of Emergencies

Chapter 2: Cardiovascular Diseases

Chapter 3: Central Nervous System Conditions

Chapter 4: Ear, Nose and Throat Conditions

Chapter 5: Blood and Haematoogical Conditions

Chapter 6: Endocrine Disorders

Chapter 7: Gatro-Intestinal Conditions

Chapter 8: Hepatic Disorders

Chapter 9: Infectious Diseases

Chapter 10: Oncology

Chapter 11: Musculoskeletal Disorders

Chapter 12: Sexual and Reproductive Health

Chapter 13: Ophthalmic Conditions

Chapter 14: Oral and Maxillo-Facial Conditions

Chapter 15: Parasitic Conditions

Chapter 16: Respiratory Conditions

Chapter 17: Sexually Transmitted Infections (STI’s)

Chapter 18: Skin Conditions

Chapter 19: Vaccinations

Chapter 20: Wounds, Bites, Stings, and Burns

Chapter 21: Renal Conditions

Chapter 22: Poisoning

Chapter 23: Nutritional Disorders

Chapter 24: Psychiatric Conditions

Chapter 25: Palliative Care

Chapter 26: Anaesthesia and Critical Care

MEML Index

Malawi Standard Treatment Guidelines(MSTG) Incorporating Malawi Essential Medicines List (MEML) Ministry of Health First edition 1990 Second edition 1993 Third edition 1998 Fourth edition 2009 Fifth edition 2015 Sixth edition 2023 Recommended Citation MoH, 2023, Malawi Standard Treatment Guidelines, sixth Edition. This publication may be reproduced provided no commercial gain is involved and permission is granted from the Secretary for Health at the Ministry of Health, Malawi Copies may be obtained through: The Secretary for Health PO Box 30377, Lilongwe 3, Malawi Tel : {265} 01 788 371 Fax : {265} 01 788 502 FOREWORD .............................................................................................................................. 4 REFERENCES ............................................................................................................................ 5 LIST OF CORE CONTRIBUTORS TO THE 6TH EDITION OF MSTG/MEML ................................... 6 PRESCRIBING GUIDELINES ..................................................................................................... 11 CHAPTER 1: MANAGEMENT OF EMERGENCIES ..................................................................... 21 CHAPTER 2: CARDIOVASCULAR DISEASES ............................................................................. 38 CHAPTER 3: CENTRAL NERVOUS SYSTEM CONDITIONS......................................................... 63 CHAPTER 4: EAR, NOSE AND THROAT CONDITIONS .............................................................. 95 CHAPTER 5: BLOOD AND HAEMATOLOGICAL CONDITIONS ................................................ 107 CHAPTER 6: ENDOCRINE DISORDERS................................................................................... 131 CHAPTER 7: GATRO-INTESTINAL CONDITIONS .................................................................... 147 C HA PTER 8 : HEPATIC D IS ORDERS ............................................................................... 165 CHAPTER 9: INFECTIOUS DISEASES ...................................................................................... 170 CHAPTER 10: ONCOLOGY .................................................................................................... 201 CHAPTER 11: MUSCULOSKELETAL DISORDERS.................................................................... 220 CHAPTER 12: SEXUAL AND REPRODUCTIVE HEALTH ........................................................... 240 CHAPTER 13: OPHTHALMIC CONDITIONS............................................................................ 283 CHAPTER 14: ORAL AND MAXILLOFACIAL CONDITIONS ...................................................... 310 CHAPTER 15: PARASITIC CONDITIONS ................................................................................. 332 CHAPTER 16: RESPIRATORY CONDITIONS............................................................................ 349 C HA PTER 17 : S EXUAL LY TRA NS MITTED IN FECTI ONS (STI ’S ) ................................ 388 CHAPTER 18: SKIN CONDITIONS .......................................................................................... 409 CHAPTER 19: VACCINATIONS............................................................................................... 427 CHAPTER 20: WOUNDS, BITES, STINGS, AND BURNS .......................................................... 430 CHAPTER 21: RENAL CONDITIONS ....................................................................................... 440 CHAPTER 22: POISONING .................................................................................................... 457 CHAPTER 23: NUTRITIONAL DISORDERS.............................................................................. 464 CHAPTER 24: PSYCHIATRIC CONDITIONS ............................................................................. 478 CHAPTER 25: PALLIATIVE CARE..............................

FAQs

What is the purpose of the Malawi Standard Treatment Guidelines (MSTG)?

To provide standardized guidance for prescribers to select and prescribe the right medicines for the right conditions, supporting rational medicine use across levels of care.

How does the MSTG relate to the Malawi Essential Medicines List (MEML)?

The MSTG incorporates the MEML to standardize prescribing patterns and enable a consistent, uniform range of available medicines at different levels of care.

How does the 6th edition address antimicrobial resistance (AMR) in Malawi?

It emphasizes optimizing antimicrobial use through stewardship approaches and incorporates the AWaRe categorization of antibiotics through the essential medicines list.

Oct 6, 2026

Uploaded by Melati