Support for Service Delivery Integration-Services ( SSDI-S )

The SSDI-Services project set out to improve the health and well-being of the population of Malawi by implementing an integrated service delivery program that sought to significantly expand and improve quality of priority Essential Health Package (EHP) services at the community and referral (health centers and hospitals) levels in order to achieve the following results: 1. Increased access and utilization of EHP services for women and children that could make a difference in their health and engage men in care. 2. Improved quality of health services at community and facility level in 15 districts. 3. Improved health-seeking behavior by individuals, families and communities. 4. Strengthened health care delivery system through development, testing, and scale up of innovative and sustainable community-based service delivery approaches.

Activity Description

SSDI-Services works at the national level, and in 15 districts in all the five health zones of Malawi. At the national level the project assists the development and review of national policies, strategies, protocols and guidelines. At the zonal, district and health facility level, the project provides direct technical support to implementing high impact EHP interventions.


At the community level, SSD-I Services supports improvements in the coverage and provision of quality high impact EHP interventions through Health Surveillance Assistants (HSAs), outreach clinics and community volunteers (community Action Groups, Community Care Groups and Community Based Distribution Agents). These interventions are supported by both formal and on-the-job-training, mentoring, and supervision using an integrated approach. The project holds regular update and joint review meetings for health workers to encourage greater peer-to-peer support and utilization of data for decision-making. An important aspect of this work is support to community volunteers and promotion of linkages between the community and the health facilities using the community score card approach.

Expected Outcomes
  • Address delay in the decision to seek care and in arrival at a health facility through promotion of accurate MNCH health information disseminated at the community level by health surveillance assistants and procurement of modes of transportation to enable women to access essential services
  • Conduct additional community MNH trainings for health surveillance assistants
  • Procure and distribute essential equipment to facilities for BEmONC, including “Mama Kits”
  • Renovate maternity wards and improve water access in the facilities within the MNCH districts
Actual Outcomes
  • A total of 136,555 children have been reached with nutrition-supported programs.