This document summarizes the results of support provided to district planning, monitoring and evaluation, and district-level partner coordination in Malawi's health sector. Key achievements included supporting national and district-level planning workshops, reviewing district implementation plans, and improving data quality and use for decision making. As a result, new planning guidelines were developed, data quality indicators doubled or increased, and partner coordination improved in several districts. Moving forward, successful district practices could be shared, and greater focus on gender is still needed in planning.