Malawi: Distribution of DMPA at the community level -- Lessons learned.

In 2008 Malawi piloted the distribution of DMPA to the community by Health Surveillance Assistants. This report presents lessons learned during the initial implementation -- from gaining stakeholder buy-in to curriculum development -- and the initial three months after the training and implementation roll-out. The report presents lessons learned that will be valuable for other countries considering similar community-based distribution with particular attention paid to the supply chain implications of distributing family planning commodities to the last mile.