World Toilet Day

World Day of Social Justice 2026

On World Day of Social Justice, we’re reminded that too many adolescents still face futures shaped by inequality.
At NIHR-GHRG on Adolescent Health & Wellbeing in Malawi, we’re working to change this by elevating young people’s voices and examining how policies impact their lives.
Our research tackles gaps in education, health, protection, and representation, ensuring no adolescent is left behind.
Learn how we’re advancing fairer, more inclusive systems for young people worldwide.

Adolescents have a voice if we create a space to listen to them – co-planning a water refilling approach with adolescents and teachers

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.

Our future is at hand, let’s move forward together – learning from what works

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.”

Celebrating Mental Wellbeing in Young People Using Creative Storytelling in Blantyre, Malawi

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.

“Mental Health Effects of WASH Conditions on Adolescents in Primary Schools in Malawi.”

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

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...

Adolescent Wellbeing and the Future of African Health Systems: Reflections from the African Health Economics and Policy Association 7th Scientific Conference, 10-14th March 2025, Kigali, Rwanda

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...

Bridging Theory and Practice: Malawi Youth Officers’ Journeys Through the CYC Masters Programme

'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...

World Wellbeing Week 24 – 30th June 2025: Understanding Adolescent Wellbeing in Malawi

In recognition of World Wellbeing Week, our Global Health Research Group shares insights into what wellbeing actually means to adolescents in Malawi.
Through in-depth interviews and group discussions, young people described wellbeing as feeling emotionally safe, respected, supported by family and peers, and having their basic needs met. But they also highlighted the realities of poverty, domestic stress, and limited opportunities that continue to impact their emotional and social wellbeing.
These perspectives are shaping our approach to designing youth-led, contextually relevant interventions.
Read our blog to learn more on these initial findings

Engineering a fresh path: my PhD journey to exploring adolescent health and behaviour science.

From water pumps to wellbeing, I never imagined my engineering journey would lead me here.
Chasing a long-standing passion for WASH, I stepped into the world of adolescent health – armed with technical skills, a curious mind, and a growing desire to drive real change.
Starting a PhD remotely from Tanzania, disconnected from peers in Glasgow and Malawi, left me wondering: how would I fit in?
Between parenting, packing, and pivoting into behavioural science, I found myself learning not just how to research – but how to listen, adapt, and connect.
This is not just a story about water or sanitation – it’s about finding my place in global health, and why centring adolescents is reshaping everything I thought I knew.

December 12, 2025

This year World Toilet Day on 19 November, recognises the need for sanitation in a changing world, and our teams at Centre for Water, Sanitation, Health and Appropriate Technology Development (WASHTED)and Civil Engineering Strathclyde have been working together to co-develop and test ways for schools to make the journey to better sanitation, more accessible and more resilient sanitation.

The NIHR-GHRG on Adolescent Health & Wellbeing in Malawi is undertaking a Trial of Improved Practices (TIPs) designed to make school toilets cleaner, safer, and more welcoming for learners.

The project addresses a sensitive, but critical challenge: the smearing of faeces on toilet walls and defaecating beside latrine drop holes. These behaviours go beyond hygiene concern, they point to deeper issues of awareness, comfort, dignity, and access to appropriate sanitation resources.

This initiative demonstrates how schools can adapt and innovate to meet the evolving sanitation needs of learners. As environments change, so must the approaches that support healthy behaviours, dignity, and wellbeing.
Among the exciting activities being co-developed, introduced and tested with school partners are:
🖼️ Murals painted on walls around the school, carrying bright messages of
sanitation.
🧻 Anal cleansing material collection and dispensing points, ensuring cleanliness and dignity for every learner.
📢 Sanitation messages shared during assemblies and class discussions, keeping hygiene at the heart of daily school life.
🖌️ Toilet repainting and beautification, making the facilities inviting and easier to maintain.
🎯 Sanitation themed games

Step by step, learners are embracing these changes, turning once-neglected spaces into clean, cared-for environments. Teachers and sanitation club members are playing a key role too, guiding discussions and encouraging everyone to take responsibility for better sanitation.



Tara Beattie Tracy Morse Kondwani Chidziwisano Monica Nzanga Rossanie Daudi Malolo Shadrick Masulani
Malawi University of Business and Applied Sciences- MUBAS
NIHR (National Institute for Health and Care Research)

#World Toilet Day

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World Day of Social Justice 2026
World Day of Social Justice 2026

Empowering inclusion and addressing systemic inequalities through inclusive policies and social protection  Every year on 20 February, World Day of Social Justice reminds us that a young person’s future should never be determined by where they are born, their gender,...