During the Government to Government negotiations in June 1995, the German and the Malawi Governments agreed to extend the then ongoing Social Marketing Campaign of Chisango Condoms (Social Marketing, Phase I), financed under German Financial Cooperation, to oral contraceptives and depo-provera and to implement a "Social Marketing of Contraceptives Campaign, Phase II". An amount of DM 3.0 million was allocated for this purpose. In order to discuss the proposal with the Ministry of Health and Population (MOHP) and other stakeholders, and to facilitate the preparation of documents to enable KfW to appraise the project, it was agreed that a team of consultants assist the MOHP in further investigations.
The objective of the study was to collect information about the reproductive health subsector in Malawi and supply details and suggest mechanisms on how the individual programme components could be carried out and be financed. In the design of the programme, the consultant team had to consider the plans and ongoing activities of other multi- and bilateral donors, in particular WHO, World Bank, UNFPA, UNICEF and GTZ as well as of the main non-governmental organisations, such as Marie Stopes and others to avoid overlapping and to ensure complementarity. The consultant team, composed of a social marketing expert and an expert in reproductive health, in close cooperation with Malawian partners, covered the tasks outlined below. The mission organised a meeting with key stakeholders for discussion and consensus building concerning the main study results, planned strategies, project activities and implementation mechanisms proposed by the consultants. - Compilation of data regarding the health situation - Analyses of data on population and contraceptive use - Analyses of reproductive health policies and services - Analysis of health sector financing - Assessment of needs and potential for contraceptive social marketing - Description of a proposed financial cooperation programme, objectives and strategy - Cost and financing - Programme impacts, risks and sustainability.