UCL Institute for Global Health
Improving essential maternal and newborn care in poor rural communities in Mchinji District, Malawi
Karmuzu Central Hospital, MaiMwana
In rural Malawi primary and secondary care for mothers and their infants is poor because of variable service quality, high turnover of service providers, lack of drugs and supplies, and lack of ownership of health programmes by local communities. According to the DHS survey report for 2005, maternal mortality is 984 per 100,000 live births. Neonatal mortality accounts for almost half of all infant deaths.
What we are doing
The MaiMwana project was the first in this programme to take place in Africa, where health issues such as HIV/AIDS and malaria have an impact on maternal and child health.
Community mobilisation was provided by
trained female facilitators who were identified by the local
communities. In addition, volunteer counsellors were trained in
nutrition and breastfeeding counselling. They provided advice and
support on breastfeeding, family planning, PMTCT, nutrition and