Malawi’s health care system is “facing major setbacks” after the U.K.’s Department for International Development (DFID) made its final aid disbursement to the country in March and decided not to renew a six-year spending commitment that ends this month, IRIN reports. DFID, which provided approximately $122 million to Malawi annually, was the country’s largest donor.

With foreign aid covering about 90 percent of the cost of all medicines in Malawi, drug stock-outs are becoming more common and physicians are frustrated they are unable to prescribe medicines, leading to low morale, IRIN notes (6/3).