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Improving Contraception Outreach through Human-Centered Design: A Pilot Study of the Ndingathe (“I Can”) Intervention in Rural Malawi

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Authors: Janelli Vallin, Martha Kamanga, Beth Phillips, Mandayachepa Nyando, Tamanda Jumbe, Innocencia Mtalimanja, Address Malata, Alfred Maluwa, Katherine Greenberg, Jenny X Liu, Kelsey Holt

This study in rural Malawi tested a program called Ndingathe (“I Can”) to help community health workers, known as Health Surveillance Assistants (HSAs), improve access to contraception; especially self-injectable options. The program gave HSAs tools like bicycles, lunch allowances, and better planning materials, which helped them hold more and longer outreach clinics. Both HSAs and clients liked the training aids and peer support for self-injection, which reduced fear and improved confidence. Despite small challenges like delayed allowances, the program proved practical, well-received, and promising for expanding contraceptive access in rural areas.

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Resource Topic: CHW Role, Contraception

Resource Type: Evaluation

Year: 2025

Region: Sub-Saharan Africa (SSA)

Country: Malawi

Publisher May Restrict Access: No

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