1. “Comprehensive Sexuality Education and Family
Planning for Protection and Empowerment of
Adolescents and Women in Malawi”
(SRH Project)
”

2. Outline
• Introduction
• Objectives
• Strategies
• Result Areas
• Activities linked to each result area
• Current status

3. Introduction
• 5 year project
• 5.4 M Euros
• Commenced1st February, 2015 to 31 January, 2020
• Funded by European Commission through Save the
Children Italy
• Save the Children International is lead organization
• Implemented with three other partners BLM, CHAM and
KCN

4. Introduction-Human resources
Project
Manager
District
Coordinator
District
Coordinator
District
coordinator
Community
Facilitator
Community
Facilitator
MEAL
Coordinator
Grants
Officer

5. Introduction: Target Districts
Rumphi
Nkhata Bay
Ntchisi
Neno
Mwanza

6. EC-SRH Targets by District
Mwanza Neno Ntchisi Nkhata Bay Rumphi Total
Population 43998 80801 117460 125,497 110806 478562
Percent 9.2 16.9 24.5 26.2 23.2 100
Target Population 14710 27015 39271 41,958 37046 160000
TAs 2 3 5 4 4 18
ADCs 2 3 5 6 6 22
Health Facilities 2 7 5 7 9 30
Schools 47 45 90 44 113 339
Hard to
reach/underserved
areas 15 15 21 21 64 136

7. Introduction-Target group
• 160,000 adolescents and women aged 10-24 years, including
2,440 teen mothers and 2,440 people living with HIV/AIDS
• (i) Early adolescents (aged 10-14), in-school boys and girls and out-
of-school children
• (ii) Late adolescents (15-19), with focus on in-school vulnerable
sexually active girls at risk of drop-out due to pregnancy and out-of-
school single young mothers;
• (iii) Young adults (20-24), including out of school married women or
single women that are sexually active or have started child bearing

8. Project Goal & Objective
• Goal: To secure the improved well being of vulnerable boys and girls,
men and women and their families through improved reproductive
health (SRH) in hard-to-reach and underserved areas of Malawi.
• Specific Objective: To reduce teenage pregnancies and early
motherhood among adolescents (10 to 19 years old) and unplanned
and high risk child bearing among sexually active women (15 to 24
years old) in the hard-to-reach areas through a supporting social
environment and voluntary and informed choice of family planning (FP)

9. Strategies
1. Making existing SRHR services accessible and affordable, by
training community-based health workers, forging diverse partnerships
within the private sector (CHAM and BLM),
2. Offering youth-centered care, by promoting the interaction and
communication between youth and health service providers and by
building capacities of health staff and health providers accordingly.
3. Integrating FP/SRH with HIV/AIDS services, to give to young people
with HIV/AIDS greater continuity of care, better access to services and
fewer missed opportunities to address their comprehensive SRH needs.

10. Strategies continue
4. Enhancing the demand for quality and youth-
friendly services, by developing effective messages
sensitive to local norms and grounded on the
behavioural approach with the support of civil society
5. Developing evidence-based technical guidance for
scaling up with the support of Kamuzu College of
Nursing (KCN) who will document best practices and
will develop new standards and guidelines.

11. Result areas

12. Result 1; Increase availability and accessibility of SRH
services through increased number of outlets;
– Conduct Outreach clinics where many options
of FP and SRH services are offered
– Train Community based distributing
Agents(youth CBDAs) and HSAs in Depo
Provera and counselling
– Established Youth clubs/centres

13. Result 2: Quality of SRH services improved
• Train and Mentor health staff and health providers on
SRH with focus on youth friendly health services
• Develop and adapt evidenced based standards and
practices for outreach and facility based services
• Develop client support or follow up protocols to ensure
effective referrals
• Facilitate placement of interns in targeted facilities
• Introduce performance based incentives for facilities

14. Result 3

15. Result 3 Continues

16. Result 3 continues
• Conduct a FP practices and barriers survey to inform
communication and advocacy strategy
• Train and mentor local authorities(councillors, Chiefs or religious
leaders), youth ambassadors, male peers, sports personalities to
positively influence their communities
• Support Open days (World AIDs Day, Population) SRH issues
• Youths(aged 15-24) will be offered an opportunity to join youth
focused VSL groups(at least one under each TA)
• Sub grantee 5 CBOs in community based awareness activities

17. Activities linked to result 4
• Build the capacities of youth for each age group for demand creation and
involve them in discussions at the TA and district level
• Select and train 50 District based youth NGOs on SRHR and rights-based
approach, networking and advocacy skills
• Conduct advocacy initiatives at the district level for a greater allocation of
budget to SRHR and for District Investment Plans which take into
considerations the recommendations of youth
• Build the capacities of relevant actors at the district level (i.e. District
Council, members of Parliament, DHMTs, ADC and VHC) to make the
specific SRHR and FP needs of the district heard at the national level

18.  BLM Dedicated Outreach
Teams (DOTs): 2 DOTs
recruited in Northern &
Southern districts.
 Open Days: 22 open days
integrated with SRH
services conducted in
collaboration with District
Health Officers (DHOs).
• 2114 accessed SRH
services during these Open
days
Result 1: Accompolishments
Result 1
0
200
400
600
800
1000
1200
HTC
services
Condom Implants Injectables Pills IUD
Number of People Utilizing SRH
Services at Open Days (Feb 2015-July
2016)
1041
928
33 111
15 1

19. Outreach Clinics
• 144 clinics conducted
• 10,072 people attended
outreach clinics. 82% youth
(10-24 years)
• 13 referrals were made to
the nearest health facility.
Result 1: Accomplishments Continued
Result 1
4602
3700
1757

20. HTC Week - Ntchisi
• Held in 22 out 54 sites
identified by the district
council.
• 9 people tested positive and
were referred to the health
facility (2 were youth).
• 6546 clients accessed HTC
services.
Result 1: Accomplishments Continued
Result 1
6546
4672
1977

21. Health Workers Trainings (HSAs, medical assistants, nurses,
clinicians):
 21 HSAs trained in DMPA out of the 165- 12.7%
 DOTs – Trained 8 people including clinicians, nurses, HTC providers,
and nurses aid.
Result 1: Key accomplishments
Result 1

22. Youth Friendly Health Services (YFHS):
 Developed and adapted evidence based standards and practices for
outreach and health facility based services.
 SCI has oriented on YFHS 392 health workers in the 30 targeted
health facilities across the five participating districts.
 133 out of 180 health workers trained in YFHS across five districts.
This is 100% of available health facility employees
Result 2: Key accomplishments
Result 2

23. Result 3: key accomplishments
Communications Strategy
 Conducted a FP practices and barriers survey.
• Report produced and ready for dissemination
• Developed the communication and advocacy strategy- ready for
dissemination
 Pre-tested communication materials- being reviewed by Health Education
Unit
Result 3

24. Result 3: Key accomplishments
 Life Skills: 437 primary and secondary teachers trained (surpassed the
targeted 360 teachers).
 Trained patrons and matrons in all schools- this means that we have 2-4
teachers per school with SRH Knowledge and competencies
 Male Championship TOT: 7 community facilitators (6 male, 1 Female)
trained.
 CBOs: 25 CBOs have been assessed , being trained in financial
management and reporting and processing contracts.
 Open Days: Through the 22 open days held across the 5 participating
districts, 23,867 people with SRH information.
Result 3

25. Result 4: Key accomplishment
first part of our work focused on the first three result areas.
 Orientation of DHMT and DEC members
 Done mapping of youth clubs that will act as focal point for SRH at
community level
 Developed the Community Action Circle (CAC) and is being reviewed
internally
Result 4

29. Pre-testing of communication materials

30. Key Challenges
• Experienced significant delay in signing contracts
especially BLM-affected both programme delivery and
resource utilization
• Delayed orientation of DEC in Nkhata Bay
• HSAs demanding allowances when involved in the
project activities and how sister projects are dealing with
this issue?
• Limited coordination with other sister projects- TWG is
one way forward

31. Thank you