Authors: Janelli Vallin, Martha Kamanga, Phillips B, Mandayachepa Nyando, Tamanda Jumbe, Innocencia Mtalimanja, Address Malata, Alfred Maluwa, Jenny X Liu, Holt K
Health Surveillance Assistants (HSAs) in Malawi play a key role in expanding contraceptive access in rural areas. The Ndingathe intervention was designed to improve outreach by addressing HSA workflow challenges and enhancing self-injection counseling through a mnemonic and peer support from experienced users. During a six-month pilot, Ndingathe increased outreach clinic frequency, reduced HSA workload stress, and improved service accessibility. Clients valued flexible clinic hours and peer reassurance, which helped reduce fear of self-injection. While challenges like delayed lunch allowances affected morale, the intervention was well received and shows potential for strengthening rural contraception services.
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Resource Topic: CHW Role, Contraception, Family Planning
Resource Type: Qualitative
Year: 2025
Region: Sub-Saharan Africa (SSA)
Country: Malawi
Publisher May Restrict Access: No