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.
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.