Reproductive Health at Mbando Village: Dispelling Myths

Making informed choices regarding reproductive health is something that is taken for granted in developed countries with good access to health services. This is often not the case in developing countries, and particularly so at Mbando village which is located by the shores of Lake Chilwa, in Machinga District, southern Malawi. Being one of the poorest countries in the world, Malawi faces a number of challenges, including poor access to reproductive health services and inadequate awareness. Mbando is a small village with 95 households consisting of mostly subsistence farmers and fishermen. It is vulnerable due to being prone to droughts and having few livelihood options. However, there is a vibrant youth community at the village. They have organized themselves into a club called “Wonderful Youth Club”. Being concerned about the high number of teenage pregnancies and many misconceptions regarding reproductive health, this club requested Abundance to hold a training session to discuss sexual and reproductive health.

Stewart Paul, Secretary of Abundance and a person of multiple talents, offered to undertake the training and was the right choice, being a youth himself (22 years old). On the 22nd of July 2017, Stewart joined Ruth Mumba (Director of Abundance) and others to Mbando village to meet with the youth to discuss this important yet often neglected topic. The youth face many challenges including poor access to contraceptives. They said that the nearest clinic was 3 km away and contraceptives were often unavailable and when it is available they were distributed to more established youth clubs in surrounding villages. Youth could not access any “counselling” or knowledge on sexual and reproductive health. Often girls were uncomfortable approaching older women to request for contraceptives at the clinic because they feared being judged immoral.

Stewart Paul talks to the youth, as Ruth Mumba (left) looks on.

It was surprising for Stewart to hear about the myths and misconceptions regarding this topic from the youth:

Artificial contraception methods lead such as using pills lead to sterility or infertility.”

 “When boys use contraception, over a given period of time they lack sexual prowess and stamina”.

 Through the training Stewart dispelled some of the myths and provided much needed information to youth about sexual and reproductive health and how contraceptives work. The need for family planning was emphasized and he explained that good sexual and reproductive health is a state of complete physical, mental and social well-being in all matters relating to the reproductive system. The importance of taking care of the reproductive system to avoid injuries and infection was also emphasized.

The session was only for a few hours and the youth requested for more such sessions to be organized for continued awareness raising on these matters. The access to contraceptives remains a challenge to be overcome. Abundance hopes to collaborate with organizations that provide these services and work towards improving access for youth at Mbando village. We envision a Malawi where all youth will be free to take informed decisions regarding reproductive health. This training was a small step towards that vision, but many more needs to be taken.

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