Ndidza Chisanu

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I am a communications specialist with expertise in advocacy, facilitation of training for both young adolescents and other age groups. A trained woman leader in family planning and sexual reproductive health and a gender advocate. A graduate of African Bible College in Malawi with more than 10 years experience working in the development sector

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Implementation of postpartum intrauterine device (PPIUD) services across 10 districts in Malawi

Malawi Medical Journal, Sep 30, 2018

Background Malawi has a high maternal mortality and unmet need for family planning, which could b... more Background Malawi has a high maternal mortality and unmet need for family planning, which could be reduced by improving access to postpartum intrauterine device (PPIUD) insertion. Our objective is to describe the implementation of PPIUD services by 4 local organizations at 14 government health services across 10 districts in Malawi. Methods This program was a collaborative effort between the Malawi Ministry of Health's Reproductive Health Directorate and 4 supporting organizations. Training, educational, and monitoring and evaluation materials for PPIUD insertion were developed between December 2013 and April 2014. Each organization was then responsible for PPIUD community sensitization, provider training, and tracking of PPIUD insertions (via PPIUD register books) at their targeted health facilities. Community sensitization activities included Open Day campaigns, which were organized by local leaders to sensitize their communities, and Population Weekends, which were organized by religious leaders to target their congregations. Results Community sensitization activities, provider trainings, and mentoring occurred from January 2014 to June 2015, and monitoring and evaluation continued until December 2016 at some sites. One national Radio Discussion Panel with religious leaders was broadcast, 20 Open Day campaigns and 2 Population Weekends were held, 429 providers were trained during 27 trainings, and 249 PPIUD insertions occurred. Conclusions PPIUD can be safely offered in Malawi. However, the biggest challenge with program implementation was with encouraging providers to take the extra time and effort to insert an IUD within 48 hours of delivery. In addition, frequent rotation of trained labour ward staff to other clinical areas hindered the program's sustainability since new trainings had to be held whenever staff members were rotated. Further research should be done to determine the best strategies to motivate busy providers to insert PPIUD, and PPIUD should be integrated into both medical and nursing curriculums to reduce the number of postgraduate trainings required to sustain PPIUD services.

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Effect of family planning interventions on couple years of protection in Malawi

International Journal of Gynecology & Obstetrics

Objective: The primary objective was to assess the effect of family planning interventions at two... more Objective: The primary objective was to assess the effect of family planning interventions at two health facilities in Malawi on couple years of protection (CYP). Methods: A prospective quasi-experimental design was used to compare CYP and uptake of long-acting reversible contraception (LARC) between two intervention facilities (Area

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Implementation of postpartum intrauterine device (PPIUD) services across 10 districts in Malawi

Malawi Medical Journal, Sep 30, 2018

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Effect of family planning interventions on couple years of protection in Malawi

International Journal of Gynecology & Obstetrics

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Ndidza Chisanu

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