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Mothers and children queue for a health clinic in Freetown, Sierra Leone

Improving maternal and child health in Malawi

A three-year project helping communities hold duty bearers to account for the delivery of maternal and child health in Balaka district, Southern Malawi.

The Increasing Citizen's Demand for Accountability and Transparency in Maternal and Child Health (InCiDAnt) programme works with community groups to improve the quality of maternal and child health services and decrease maternal and child mortality.

Through training and facilitation, the communities are empowered to identify and advocate for their health rights and priorities. Engaging in frequent dialogues with duty bearers including health providers, traditional and administrative leaders and policy makers, to ensure their priorities are reflected in the allocation and management of budgets. 


Key information


Increasing Citizen's Demand for Accountability and Transparency in Maternal and Child Health (InCiDAnt)


Balaka district, southern Malawi.


April 2015- March 2018

Programme value


Target population

Women, poor and marginalised communities. 

Implementing partners

Foundation for Community Support Services (FOCUS)

Malawi Health Equity Network (MHEN)

Funded by

Scottish Government

Our approach

The project has been establishing and strengthening existing community groups, such as women corner groups, youth groups, men as partners and community leaders, to increase awareness of maternal health issues to develop increased levels of knowledge, attitudes and practices relating to maternal and child health (MCH).

By working with women and men, girls and boys, the socio-cultural barriers to accessing health services are challenged. Enabling families to make more informed choices regarding access to MCH services.

Community Action Groups (CAGs) are helping citizens to engage in dialogue with duty bearers about the health services in their community. Communities use scorecards to rate the quality of the services and are trained in monitoring health service delivery and budget tracking to hold their government accountable for the services while also influencing better financial and resource management and accountability.

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Improving maternal and child health in Malawi
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