FAMILY PLANNING AND SEXUAL HEALTH IN MALAWI, AFRICA
We’re raising awareness with couples, community groups and schools about the effects of large families on natural resources.
Family Planning in Malawi, Africa
Achievements and Future Plans
We are helping to change peoples’ views on family size, which not only directly impacts the health and well-being of families, but also contributes to better conservation of natural resources, so that the environment benefits as a result. We are educating couples about the contraceptive choices available to them, how they work and the side effects to each one, and we are helping couples to build stronger partnerships and work together more. We hope to extend the reach of the project to a wider area and test whether the methods we are using can be replicated and establish whether more communities are keen to adopt a change for a better future.
How We Work
We are working in local schools and with different community groups to highlight the problems arising from having large families and the impact on Malawi, its resources and on financial security.
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Why It Is So Important
With all of the projects that Ripple Africa is involved with in Malawi – fish conservation, forest conservation, education or healthcare – the major problems arise because of the rapid population growth. If Malawians can be encouraged to reduce the size of their families, then their natural resources will last a lot longer.
What We Have Achieved
Khumbo and Watson have been talking with couples to understand their current struggles and their aspirations for the future. Typically, in Malawi, women carry out all of the household work including fetching water, collecting wood, washing the clothes, cooking and caring for the children. From September 2019, a number of couples have been challenged to share these job roles, and they all found that by helping one another, they each had more time. Couples were then encouraged to think about what they can do with that extra time. They mentioned setting up small businesses, helping their children with school work and also relaxing with their partner and talking about what they want from their relationship. This included discussing the number of children they wanted and how they could manage their money better. It is these conversations that Ripple Africa believes are the key to couples deciding how to improve their futures, and most of the couples agreed that smaller families would mean that they could have a better quality of life. This naturally leads them to access and use family planning.
In schools, Khumbo and Watson have continued to run and support Life Skills lessons at six primary schools and a secondary school. The teachers have been really keen to involve them in these classes as it gives the students the opportunity to have their questions answered by healthcare professionals. The primary school sessions are with pupils in Standards Five to Eight and with all year groups at secondary level, and each class meets with the team twice a month. In 2019 we worked with 1,048 students.
From initially starting as an opportunity to gather information about the students’ knowledge of sexual health and family planning, etc., the sessions now also include topics on peer pressure, drug and substance abuse, HIV/AIDS and antiretroviral drugs as well as gender, sexuality and child abuse – all of which appear in the Life Skills course.
How We Work
Khumbo and Watson run sports events and attend Under 5 clinics to reach people who might be reluctant to discuss contraceptives and family planning in a clinical setting.
We are also encouraging husbands and wives to work in partnership to make decisions about family size. Education is clearly key but we are also working in partnership with local government health centres who provide the contraceptive methods to measure the impact of the project.
The Project's Future
We are keen to further develop our education programme with parents and the community to highlight the benefits of accessing contraceptives for girls who are already sexually active to reduce teenage pregnancies. In Malawi, when a girl gets pregnant, she has to drop out of school whilst the boy can continue his education. We also hope to encourage more boys to use condoms to avoid the potential spread of HIV and other STIs.
The team will continue to work with couples individually and through community events to encourage more equal partnerships so that both men and women feel that they can discuss family planning and sex openly together.
In order to maximise the potential of this project, we are therefore seeking funding to continue and to expand the team and the area we cover. Read our latest report here.
This project addresses the following Sustainable Development Goals: