As part of the ongoing learning and adaptation process, the research team introduced an additional improvement at Chimwankhunda Primary School: the installation of doors on the school toilets. This enhancement followed feedback from key stakeholders particularly school management and learners who raised concerns about unrestricted community access to the school sanitation facilities. Such access was found to affect both the effective implementation and the long-term sustainability of the TIPs activities. Importantly, learners also highlighted the need for improved privacy while using the toilets.

In the spirit of this year’s International Women’s Day themes; from “Rights. Justice. Action. For ALL Women and Girls” to the call to “Give to Gain” – their journeys remind us that progress is built through collaboration, mentorship, and the sharing of knowledge and opportunities. By investing in women researchers today, we help strengthen the evidence, leadership, and partnerships needed to improve the health and wellbeing of adolescents and communities tomorrow. With that, we thank all the phenomenal women Early Career Researchers across the project for sharing their experiences and for the important contributions they continue to make to global health research.

When a group of learners and teachers came together at a primary school in Mchinji, something powerful happened: young people were given the space to speak and adults truly listened. In this co‑planning meeting, adolescents shared practical ideas to improve how water is refilled at school handwashing stations, offering thoughtful solutions that surprised everyone. Their voices shaped the way forward, showing just how much can change when young people are invited into the conversation and given agency.

This World Toilet Day, we’re tackling one of the most overlooked challenges in education: safe, clean, and welcoming toilets for learners. Through the NIHR-GHRG initiative in Malawi, schools are co-creating practical solutions, from vibrant murals and sanitation-themed games to improved facilities and hygiene messaging. These changes go beyond cleanliness, they foster dignity, comfort, and wellbeing, ensuring every learner feels respected and supported.
Join us in making sanitation a priority. Share this message, support local initiatives, and help create environments where every child can learn with dignity. Together, we can turn neglected spaces into places of care and pride.

As the world observes Global Handwashing Day, the NIHR Global Health Research Group highlights ongoing efforts in Malawi to improve handwashing with soap among adolescents—where less than 1% of observed handwashing opportunities currently include soap use. Using the COM-B behaviour change approach, researchers are co-developing a participatory hand hygiene intervention with students and teachers in rural Mchinji to make handwashing easier, more appealing, and consistent. Through hands-on experiments testing soap types, dispensing methods, and behavioural nudges, the study revealed key preferences and practical challenges. These insights are now guiding a Trial of Improved Practices (TIPs) to create a sustainable, evidence-based solution that empowers young people to make handwashing with soap a lasting habit, truly putting “our future is at hand.”

As the world marked World Mental Health Day on 10th October, the NIHR Global Health Research Group’s ‘Inspiring Adolescent Wellbeing’ Work Strand in Blantyre, Malawi, celebrated the power of creative storytelling in nurturing young people’s joy, resilience, and belonging. Using the Scottish Storyline methodology, children expressed their emotions and ideas through drawings, drama, and poems – creating safe, inclusive spaces where their voices were heard and valued. The workshops reminded us that mental wellbeing flourishes not only through addressing challenges but also by celebrating creativity, play, and the joy of connection.

One of our Early Career Researchers Shadrick Masulani has just given his first national conference presentations and here are some of his insights a reflections!"This year marked a special milestone in my research journey as I had the opportunity to present at two...

REFLECTIONS ON MY FIRST INTERNATIONAL CONFERENCE: ICN CONGRESS 2025 IN HELSINKI, FINLAND Attending an international scientific conference for the first time is a defining moment in any academic journey. As a PhD student based in Malawi, I had the privilege of...

I had the privilege of attending and presenting at the African Health Economics and Policy Association (AfHEA) Conference in Kigali, Rwanda. Under the theme “Resilient and Strong African Health Systems: Contributions of Health Economics and Health Policy,” the...

'So far my classes are progressing very well' remarks Joseph Manthalu, 'we have completed three modules for the first year and we will now be going into the second year'. Joseph D. Manthalu - Rural Mchinji, Malawi District Youth Officer In my role as a Youth...