Tracy MorseUniversity of

Strathclyde/Malawi

Background of the relationship between Scotland and Malawi in Environmental Health

Example of the Scotland Chikwawa Health Initiative

Environmental health departmental link since 1997

Link has developed to include other Malawian and Scottish institutions and organisations

SCOTLAND

University of Strathclyde

REHIS Scottish Parasite

Diagnostic Laboratory ACU DWQRS British Council Scottish Government

(IDF)

MALAWI

University of Malawi Polytechnic, College of

Medicine and Kamuzu College of Nursing, WASHTED

Environmental Health Association

Ministry of Health Ministry of Irrigation

and Water Development

Local Government British Council/DfID

Culmination of 9 years of linked research and development with Chikwawa District Health Office

Postgraduate and undergraduate research in water and sanitation linked with University of Malawi

Stepping up to implementation of policy and development of interventions based on research

Involving key partners Communities Chikwawa District Health Office Ministry of Health University of Malawi University of Strathclyde

Identifying District needs

Basis of proposal Achieve measurable reductions in major causes

of disease and death in target communities Improving the hospital environment for the

good of both staff and patients. Implementation of the new safe motherhood

policy in Chikwawa District

Funding SG – IDF grant 2006 – 2009

Capital Investment Staff housing Improved patient facilities

Community development Essential Health Package &

Healthy Village Initiative Training Provision of items to improve

health and health access

Additional support

6 staff houses, 4 community clinics, nutrition rehabilitation ward

Reduction in neonatal and maternal mortality and diarrhoea

Increase in monthly growth monitoring and child immunisation

Improved access to health services Increase in sanitation and

mosquito net coverage Improved household hygiene

standards 8 active voluntary committees

promoting good hygiene practice and maintaining water supplies at community level.

Ensuring the programme is in line with Government policy and fits with the District Implementation Plan (EHP)

Adapt to changes in policy

Collaborative implementation with District Health office

Constant referral and communication with relevant Government Ministries

Collaborative implementation with relevant stakeholders (e.g. NGOs, community leaders)

Completion of the current round of SG-IDF fund concentrating on safe motherhood

Identification of further funding to role out the programme with the DHO through peer education

Continue to add value to the initiative through links with other programmes

What are the needs?

Per diems and allowances

Boundaries of projects▪ Memorandum of Understanding

Overloaded health system

NGO collaboration

Dr Tracy Morse tracythomson@africa-online.net (+265) 99 9945779

Further information Scotland Chikwawa Health Initiative (UoS MMP)

www.strath.ac.uk/malawi

WASHTED - www.poly.ac.mw/centres/washted

ACU – www.acu.ac.uk

DelPHE - www.britishcouncil.org/delphe