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Malawi Newborn Health Program Final Evaluation Report
Malawi Newborn Health Program Final Evaluation Report National Level - Expanded Impact Project (with learning activities in the districts of Chitipa, Dowa, Thyolo, Mzimba, Mchinji) Cooperative Agreement No.: GHS-A-00-06-00016-00 30 September 2006 – 30 September 2011 Submitted to USAID/GH/HIDN/NUT/CSHGP December 31, 2011 by: Save the Children Federation, Inc. 54 Wilton Road, Westport, CT 06880 Telephone: (203) 221-4000 - Fax: (203) 221-4056 Contact Persons: Eric A. Swedberg, Senior Director, Child Health and Nutrition Carmen Weder, Associate Director, Department of Health & Nutrition Principal writers and editors: John Murray, External Team Leader; Karen Z. Waltensperger, Senior Advisor, Health-Africa Region; Nathalie Gamache, Associate Director, Country Support & Coordination, Saving Newborn Lives; Evelyn Zimba, Malawi Newborn Health Program Manager; Joby George, Senior Health Program Manager; Sharon Lake-Post, Editorial Consultant This report is made possible by the generous support of the American people through the United States Agency for International Development USAID). The contents are the responsibility of Save the Children and do not necessarily reflect the views of USAID or the United States Government. Page Acronyms 3 A. PRELIMINARY INFORMATION 5 B. OVERVIEW OF THE PROJECT STRUCTURE AND IMPLEMENTATION 9 C. EVALUATION ASSESSMENT METHODOLOGY AND LIMITATIONS 13 D. DATA QUALITY AND USE 14 E. PRESENTATION OF PROJECT RESULTS 17 F. DISCUSSION OF THE RESULTS 20 G. DISCUSSION OF POTENTIAL FOR SUSTAINED OUTCOMES, CONTRIBUTION TO SCALE, -
Nitrogen Budgets in Legume Based Cropping Systems in Northern Malawi
NITROGEN BUDGETS IN LEGUME BASED CROPPING SYSTEMS IN NORTHERN MALAWI By Wezi Grace Mhango A DISSERTATION Submitted to Michigan State University In partial fulfillment of the requirements for the degree of DOCTOR OF PHILOSOPHY Crop and Soil Sciences 2011 ABSTRACT NITROGEN BUDGETS IN LEGUME BASED CROPPING SYSTEMS IN NORTHERN MALAWI By Wezi G. Mhango Smallholder farmers in sub Saharan Africa (SSA) operate in a risky environment characterized by low soil fertility, unpredictable weather and markets. Identification of technologies that optimize crop yields in a variable climate, while building soil fertility, can contribute to sustainable cropping systems. Participatory on-farm trials were conducted in Ekwendeni of northern Malawi to evaluate performance and yield of legume diversified cropping systems. Prior to implementation of trials, household and farm field surveys were conducted to characterize cropping systems and soils. Soil fertility among farms was highly variable and -1 largely coarse textured with very low organic matter (12±3.7 g kg ). There was no evidence of cropping systems effect on nutrient levels except for inorganic P which was lower in legume diversified fields than in maize fields. A survey showed that farmers valued a wide range of legume traits that included food, yield, maturity period, post harvest handling, soil fertility, market potential and pest resistance. On-farm trials evaluated maize-based cropping with a range of legume growth types and planting arrangements (groundnut representing an annual grain legume and pigeonpea representing a semi-perennial grain legume, planted as sole and intercrop systems rotated with maize). The trials were conducted over two years and showed that interspecific competition, inorganic P and plant density markedly influenced crop growth and biological nitrogen fixation (BNF). -
Map District Site Balaka Balaka District Hospital Balaka Balaka Opd
Map District Site Balaka Balaka District Hospital Balaka Balaka Opd Health Centre Balaka Chiendausiku Health Centre Balaka Kalembo Health Centre Balaka Kankao Health Centre Balaka Kwitanda Health Centre Balaka Mbera Health Centre Balaka Namanolo Health Centre Balaka Namdumbo Health Centre Balaka Phalula Health Centre Balaka Phimbi Health Centre Balaka Utale 1 Health Centre Balaka Utale 2 Health Centre Blantyre Bangwe Health Centre Blantyre Blantyre Adventist Hospital Blantyre Blantyre City Assembly Clinic Blantyre Chavala Health Centre Blantyre Chichiri Prison Clinic Blantyre Chikowa Health Centre Blantyre Chileka Health Centre Blantyre Blantyre Chilomoni Health Centre Blantyre Chimembe Health Centre Blantyre Chirimba Health Centre Blantyre Dziwe Health Centre Blantyre Kadidi Health Centre Blantyre Limbe Health Centre Blantyre Lirangwe Health Centre Blantyre Lundu Health Centre Blantyre Macro Blantyre Blantyre Madziabango Health Centre Blantyre Makata Health Centre Lunzu Blantyre Makhetha Clinic Blantyre Masm Medi Clinic Limbe Blantyre Mdeka Health Centre Blantyre Mlambe Mission Hospital Blantyre Mpemba Health Centre Blantyre Ndirande Health Centre Blantyre Queen Elizabeth Central Hospital Blantyre South Lunzu Health Centre Blantyre Zingwangwa Health Centre Chikwawa Chapananga Health Centre Chikwawa Chikwawa District Hospital Chikwawa Chipwaila Health Centre Chikwawa Dolo Health Centre Chikwawa Kakoma Health Centre Map District Site Chikwawa Kalulu Health Centre, Chikwawa Chikwawa Makhwira Health Centre Chikwawa Mapelera Health Centre -
Adolescent Sexual and Reproductive Health in Malawi: a Synthesis of Research Evidence
Adolescent Sexual and Reproductive Health in Malawi: A Synthesis of Research Evidence Alister C. Munthali, Agnes Chimbiri and Eliya Zulu Occasional Report No. 15 December 2004 Acknowledgments Adolescent Sexual and Reproductive Health in technic, College of Medicine and our own documenta- Malawi: A Synthesis of Research Evidence was written tion center at the Centre for Social Research. We would by Alister C. Munthali (Centre for Social Research, like to thank the staff in these libraries for all the sup- University of Malawi, Malawi), Agnes Chimbiri port they gave us. (Centre for Reproductive Health, College of Medicine, The research for this report was conducted under Malawi) and Eliya Zulu (African Population and The Alan Guttmacher Institute's project Protecting the Health Research Centre, Kenya). Next Generation: Understanding HIV Risk Among This synthesis report is a result of the support that Youth, which is supported by the Bill & Melinda Gates we received from many people. At The Alan Foundation. Guttmacher Institute, we are very grateful to Akinri- Suggested citation: Munthali AC, Chimbiri A and nola Bankole, Ann Biddlecom and Susheela Singh, Zulu E, Adolescent Sexual and Reproductive Health in who thoroughly read the report and provided very use- Malawi: A Synthesis of Research Evidence, Occasion- ful and constructive comments. We would also like to al Report, New York: The Alan Guttmacher Institute, thank Dixie Maluwa-Banda of the University of 2004, No. 15. Malawi and Nyovani Madise of the University of Southampton for having -
Malawi Orientation Manual
Full Name of Republic of Malawi Country Population Malawi is home to roughly 19 million people. 84% of the population lives in rural areas. The life expectancy is 61 years, and the median age is 16.4 years (one of the lowest median ages in the world). Roughly 50.7% (2014 est.) live below the international poverty line. Time Zone GMT +2 (7 hours ahead of EST in the winter, 6 hours ahead in summer) Capital Lilongwe Ethnic Groups The African peoples in Malawi are all of Bantu origin. The main ethnic groups ('tribes') are the Chewa, dominant in the central and southern parts of the country; the Yao, also found in the south; and the Tumbuka in the north. There are very small populations of Asian (Indian, Pakistani, Korean and Chinese), white Africans and European people living mainly in the cities. Major Languages The official language of Malawi is Chichewa and English. English is widely spoken, particularly in main towns. The different ethnic groups in Malawi each have their own language or dialect. Major Religions Most people in Malawi are Christian (82.6%), usually members of one of the Catholic or Protestant churches founded by missionaries in the late 19th century. There are Muslims populations primarily in the south and central region (13%), especially along Lake Malawi - a legacy of the Arab slave traders who operated in this area. Alongside the established religions, many Malawians also hold traditional animist beliefs (2%). President’s Name In 2014, Peter Mutharika of the DPP followed his older brother Bingu wa Mutharika’s footsteps to become the current Malawian president. -
Malawi Country Operational Plan 2017 Strategic Direction Summary
Malawi Country Operational Plan 2017 Strategic Direction Summary April 26, 2017 1 1.0 Goal Statement While there has been significant progress in the fight against HIV, Malawi still has 980,000 people living with HIV (PLHIV), including 350,000 undiagnosed. The Malawi Population-Based HIV Impact Assessment (MPHIA) showed significant progress toward the globally endorsed targets of 90-90-90. The number of new adult infections each year continues to decline (28,000/year in 2016), coinciding with an increase in ART coverage. With the number of annual HIV-related deaths reduced to 27,000/year in 2016, Malawi continues making progress toward epidemic control. However, MPHIA also highlights a disproportionately high HIV incidence among adolescent girls and young women (AGYW) with point estimates for HIV incidence 8 times higher among females aged 15-24 than males. Therefore, the overarching goal of COP17 is to interrupt HIV transmission by reducing incidence among AGYW through testing and treatment of potential sexual partners (men 15-40) and primary prevention (e.g., expansion of DREAMS and AGYW targeted interventions), thereby interrupting the lifecycle of HIV transmission and accelerating progress to epidemic control. The 1st 90 remains the greatest challenge and requires a number of key strategy shifts: Targeting testing and treatment strategies: Increased focus on targeting men and youth with the most efficient testing modalities (e.g., index case testing) and treatment strategies (e.g., same-day ART initiation) to achieve saturation across all age and gender bands in scale-up districts by the end of FY18. Increasing focus in five “acceleration” districts: Per the MPHIA, the epidemic is most intense in population-dense regions of Southern Malawi, especially Blantyre; therefore, PEPFAR will focus on Blantyre and four other high burden, scale up districts (deemed “acceleration” districts) that include 70% of the national gap to saturation. -
Connectivity Solutions for 752 PEPFAR Supported MOH Clinics
REQUEST FOR PROPOSALS (RFP) #MAL-122019-EMR Connectivity Solutions for 752 PEPFAR Supported MOH Clinics ELIZABETH GLASER PEDIATRIC AIDS FOUNDATION (EGPAF) NED BANK House, City Centre, P.O. Box 2543, Lilongwe, Malawi FIRM DEADLINE: Friday, 17 January 2020 at 11am INTRODUCTION Elizabeth Glaser Pediatric AIDS Foundation (“EGPAF” or “Foundation”), a non-profit organization, is a world leader in the fight to eliminate pediatric AIDS. Our mission is to prevent pediatric HIV infection and to eliminate pediatric AIDS through research, advocacy, and prevention and treatment programs. For more information, please visit http://www.pedaids.org. OBJECTIVE OF THE ASSIGNMENT | SCOPE OF WORK | EXPECTED DELIVERABLES EGPAF seeks to contract with a reputable Vendor to immediately meet our current connectivity needs (with the possibility of fulfilling future needs as they arise) in support of an ambitious national Electronic Medical Records (EMR) initiative. It is anticipated that the selected Vendor can assess our requirements, develop a comprehensive and effective solution to implement at all 752 PEPFAR-supported MOH Clinics throughout Malawi (see Attachment 1), and eventually implement and install, in coordination with the necessary Foundation staff, all necessary infrastructure at each site to reflect its proposed solution(s). More specifically, the selected Contractor is expected to offer a fast and affordable Carrier Backbone network services to cover 752 clinics across the 28 Districts in Malawi to support regular and incremental data transmission from the Clinics/health facilities to a Central Data Repository hosted at the Ministry of Health. The winning Contractor will be responsible for installation of last mile connection to connect each health facility to the backbone network, including configuring Point-to-Point connections between the health facility and the Central Data Repository. -
MALAWI Main Health Facilities and Population Density March 2020
MALAWI Main Health Facilities and Population Density March 2020 Chitipa Chitipa District CHITIPA Hospital Karonga District Karonga old Hospital Hospital KARONGA Chilumba UNITED REPUBLIC OF TANZANIA RUMPHI Rumphi Rumphi District Hospital ZAMBIA NORTHERN MZUZU CITY Mzuzu Central MZUZU Hospital Nkhata Bay NKHATA BAY Nkhata Bay MZIMBA District Hospital Mzimba District Hospital LIKOMA LILONGWE CITY Lake Malawi MOZAMBIQUE Lilongwe Central Hospital Bwaila/Bottom Hospital NKHOTAKOTA KASUNGU Nkhotakota District Hospital Kasungu Kasungu District Hospital NTCHISI ZOMBA CITY Ntchisi District CENTRAL Hospital DOWA Dzaleka Refugee Camp (44,385) MCHINJI Dowa SALIMA Dowa District Salima District Mchinji District Hospital Hospital ZOMBA Hospital LILONGWE CITY ZOMBA CITY Zomba Central Hospital DEDZA LILONGWE Dedza Dedza District BLANTYRE CITY Hospital Mangoche Mangochi District ZOMBA MANGOCHI Hospital NTCHEU Ntcheu Ntcheu District Hospital BLANTYRE CITY Capital City MACHINGA CHIRADZULU Balaka District Liwonde BLANTYRE Queen Elizabeth Central Hospital Hospital Major town MOZAMBIQUE Machinga District Hospital BALAKA Refugee camp / settlement Machinga LIMBE Lake (Number of refugees) ZOMBA CITY Chilwa NENO Road Zomba Central Hospital Mwanza District Hospital SOUTHERN ZOMBA District BLANTYRE PHALOMBE THYOLO BLANTYRE Region MWANZA Chiradzulu District Hospital CHIRADZULU International border BLANTYRE CITY MULANJE Chikwawa District Health facility Hospital Thyolo District Mulanje District Hospital Hospital Central Hospital District Hospital CHIKWAWA THYOLO Population density (People per Sq. Km) < 100 Bangula 101 - 250 NSANJE 251 - 500 ZIMBABWE Nsanje District Hospital 501 - 1,000 > 1,000 The boundaries and names shown and the designations used on this map do not imply official endorsement or acceptance by the United Nations. Creation date: 3 Apr 2020 Sources: OSM, UNCS, UNOCHA, Camps: UNHCR, Health Facilities: HDX/WHO-CDC, Population Density: Malawi NSO Feedback: [email protected] | Twitter: @UNOCHA_ROSEA | www.unocha.org/rosea | www.reliefweb.int. -
Geographic Accessibility Analysis for Emergency Obstetric Care Services in Malawi
Investing the Marginal Dollar for Maternal and Newborn Health: Geographic Accessibility Analysis for Emergency Obstetric Care services in Malawi Steeve Ebener, PhD 1 and Karin Stenberg, MSc 2 1 Consultant, Gaia GeoSystems, The Philippines 2 Technical Officer, Department of Health Systems Governance and Financing, World Health Organization, Geneva, Switzerland Geographic Accessibility Analysis for Emergency Obstetric Care services in Malawi © World Health Organization 2016 All rights reserved. Publications of the World Health Organization are available on the WHO website (http://www.who.int) or can be purchased from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; email: [email protected]). Requests for permission to reproduce or translate WHO publications –whether for sale or for non-commercial distribution– should be addressed to WHO Press through the WHO website (http://www.who.int/about/licensing/copyright_form/index.html). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted and dashed lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. -
PLACE REPORT Malawi September 2018
PLACE REPORT Malawi September 2018 Table of Contents Table of Contents 2 List of Figures And Tables 7 1. EXECUTIVE SUMMARY 10 1.1 Background and Objectives ............................................................................................................................ 10 1.2 Funding and Districts ...................................................................................................................................... 10 1.3 Methods ............................................................................................................................................................. 11 1.4 Results ............................................................................................................................................................... 13 1.4.1 Over 3500 Community Informants Identified Venues 13 1.4.2 Bars were the most common type of venue reported 13 1.4.3 Over 4000 Venues were Visited and Found to be Operational 13 1.4.4 Venue Type Differed by District 13 1.4.5 Key Populations Visit Venues 14 1.4.6 Female Sex Workers Live Onsite at Some Venues 14 1.4.7 Availability of Prevention Services at Venues 14 1.4.8 2,635 FSW Interviewed 15 1.4.9 Many FSW use cell phones but do not meet partners online 15 1.4.10 Receptive anal sex among women 15 1.4.11. Injecting drug use 15 1.4. 12. FSW who lived at the venue had more sexual partners 16 1.4.13 Among FSW: Self-Reported HIV Infection and ART 16 1.4.14 Access to services 17 1.4.15 638 MSM Interviewed 17 1.4.16 Frequency of Cell Phone and Social Media Use by MSM 17 1.4.17 Many MSM Report Sex with Women 17 1.4.18 MSM: Self-Reported HIV Infection and ART 18 1.4.20 PLACE I: Zomba Special Study: Viral Suppression among FSW & MSM 19 1.4.21 Results Size Estimates: FSW 19 1.4.22 Results Size Estimates: MSM 20 2 2. -
Custodians of Tradition” Promote Positive Changes for the Health of Newborns
“Custodians of Tradition” Promote Positive Changes for the Health of Newborns Rapid Qualitative Assessment of Ekwendeni Agogo Strategy, Malawi Grandmothers sing and dance to a song about the danger signs of pregnancy and delivery Judi Aubel, PhD, MPH The Grandmother Project With: Kistone Mhango, Rose Gondwe, Maggie Munthali, Agness Hara, (Ekwendeni Mission Hospital); and Evelyn Zimba (Save the Children/Malawi) December 2006 Save the Children/Malawi & The Grandmother Project Funded by USAID/GH/HIDN/NUT/CSHGP, Cooperative Agreement No. GHS-A-00-06-00016-00 This study and report are made possible by the generous support of the American people through the United States Agency for International Development (USAID). The contents are the responsibility of Save the Children and do not necessarily reflect the views of USAID or the United States Government. Table of Contents Abbreviations I. Introduction A. Overview of the agogo strategy B. Background to the agogo strategy C. Goal and objectives of the rapid assessment II. Methodology A. Data collection: instruments and sample of interviewees B. Data collection team C. Data analysis III. Findings A. Results of agogo strategy 1. Increased knowledge, improved advice and practices related to maternal and neonatal health 2. Improved communication and collaboration between elders and youth B. Factors that have contributed to the results of the agogo strategy 1. Basis for the strategy are culturally-defined roles and relationships 2. Inherent motivation of agogos to learn 3. Training of agogos at Ekwendeni 4. Community organization and leadership in Ekwendeni catchment area 5. VHC collaboration with and support for agogos 6. Drama performances on SNL topics 7. -
E2747 Public Disclosure Authorized
E2747 Public Disclosure Authorized REPUBLIC OF MALAWI MINISTRY OF IRRIGATION AND WATER DEVELOPMENT NATIONAL WATER DEVELOPMENT PROGRAMME (NWDP) Public Disclosure Authorized ENVIRONMENTAL AND SOCIAL MANAGEMENT Public Disclosure Authorized FRAMEWORK Public Disclosure Authorized Revised March 2011 ACKNOWLEDGEMENTS This Environmental and Social Management Framework has been prepared with the support and consultations of many people to whom the Ministry of Irrigation and Water Development is very grateful. The people consulted include workers and communities in the proposed programme districts, cities and towns of Mzimba, Mzuzu, Kasungu, Lilongwe, Mangochi, Liwonde, Zomba and Blantyre. District officials including District Commissioners, members of District Executive Committees and Town and Country Planning Committees, Environmental District Officers, Chiefs and the general public provided valuable input to this study. In addition, a number of senior officers in the Ministry of Irrigation and Water Development, the Environmental Affairs Department, the Energy Department, the Forestry Department, and other stakeholder ministries of Local Government and Rural Development, and Transport and Pubic Works ministry, provided considerable administrative and logistical support during the assignment which deserve sincere acknowledgement for the support. National Water Development Programme March 2011 i TABLE OF CONTENTS LIST OF ABBREVIATIONS USED IN THE FRAMEWORK......................................................................... IV PREFACE ................................................................................................................................................V