Malawi has central hospitals, regional and private facilities. The public sector offers free health services and medicines, while non-government organizations offers services and medicines for fees. Private doctors offer fee-based services and medicines. Health insurance schemes have been established since 2000. The country has a pharmaceutical manufacturing industry consisting of four privately owned pharmaceutical companies. Malawi's healthcare goal is for "promoting health, preventing, reducing and curing disease, and reducing the occurrence of premature death in the population".