Chipatala cha pa Foni, Malawi’s "Health Center by Phone," improving information given about pregnancy-related symptoms

The initiative aimed to improve maternal health outcomes by increasing access to free, timely, and quality health information. Chipatala cha pa Foni (CCPF), a community-based hotline, was identified as a potential resource for providing information on pregnancy-related complications, including postpartum hemorrhage (PPH). The hotline was staffed by trained workers who provided detailed information on a range of symptoms, including fever, headache, vaginal bleeding, and swelling of hands, face, or feet. However, the study found that no callers in the sample called the hotline for advice on PPH, and few callers requested information on other obstetric complications. The majority of calls were related to pregnancy-related symptoms or seeking another opinion after pregnancy-related care from a facility. Hotline workers provided comprehensive advice, including self-care and referral to facilities, but some callers were frustrated by their treatment at a health facility. One woman was denied services because she had not started attending the antenatal clinic. The study highlighted the need for hotline workers to receive updates on maternal danger signs and symptoms to maintain their knowledge and provide accurate information to callers. The study also found that hotline workers used simple language and took time to elaborate on issues, but some callers were not satisfied with the advice provided. The study recommended that hotline workers be reminded of the importance of addressing caller requests with a positive attitude, even if the caller's confusion or requests are difficult to manage. Additionally, the study suggested that hotline workers be provided with training on respectful care, including confidentiality and dignity. The study's findings have implications for improving maternal health outcomes in Malawi. The initiative aimed to increase access to free, timely, and quality health information, but the study found that the hotline was not being utilized for its intended purpose. The study recommended that the hotline be promoted as a resource for providing information on pregnancy-related complications, including PPH. The study also highlighted the need for hotline workers to receive updates on maternal danger signs and symptoms to maintain their knowledge and provide accurate information to callers. The study suggested that hotline workers be provided with training on respectful care, including confidentiality and dignity. The study's recommendations aim to improve the quality of care provided by the hotline and increase access to free, timely, and quality health information for pregnant women in Malawi.