​

​

The Friendship Bench program, launched in Malawi since 2016, has over the years been adapted for adults and adolescents, pregnant mothers, and patients with non-communicable diseases. The program has expanded to over 12 districts across Malawi's three regions. The aim of Friendship Bench in Malawi is to expand access to mental health support through trained lay counsellors.

 

The Friendship Bench initiative started as a small program at just two facilities in Lilongwe, with only twelve trained counsellors. Over the years, it has expanded to various programs and locations, becoming a vital intervention for treating common mental health disorders. The program has successfully reached hundreds of individuals, providing essential services to those who might otherwise lack access to mental health care. Feedback from participants has shown notable improvements in their well-being, with many reporting reduced symptoms of depression and anxiety.

 

The UNC Project Malawi has partnered with the Malawi Ministry of Health to implement the Friendship Bench program and conduct research aimed at increasing its utilisation. The ministry seeks to integrate mental health services into primary healthcare, and the Friendship Bench has proven to be an acceptable and feasible evidence-based intervention. The Malawi Epidemiology and Intervention Research Unit is another partner that has utilised Friendship Bench in various programs.

​

Friendship Bench has helped reduce stigma around mental health and make these services more accessible to the community. One client shared his story with me during a supervision visit:

“I have been struggling for quite a long time since I lost my wife in a tragic road accident. My life felt crushed, and everything came to a halt. I saw no reason to continue living and even contemplated taking my own life to find some peace. My brother, aware of my struggles, decided to take me to the hospital. At that time, I honestly didn’t believe that the hospital could help me.

 

Upon arriving, I met a nurse who asked me many questions about my life. She later informed me that I was suffering from depression. I didn't believe her; I had no idea that depression was a condition that required seeking help. The nurse introduced me to a young man, a counsellor at the facility, and mentioned that I would have about six sessions with him. Initially, I thought it was just a waste of time.

 

However, after talking to this young man for just two sessions, everything changed. I realised that my life still had purpose. He helped me identify my problems and find solutions. We completed all six sessions and got my life back. Now, we are very good friends, and I visit him from time to time just to thank him for being there for me. He is my hero”

 

Since its inception, we have trained and supervised more than 160 delivering agents. These agents have played a crucial role in assisting clients with common mental disorders and providing psychoeducation to various communities. They help communities understand the importance of seeking mental health care during emotional crises.

 

Currently, the program has 85 active delivering agents and supervisors. It reaches over 100 clients each month. Through the Friendship Bench program, we have witnessed significant positive outcomes, with individuals returning to share how it has helped them navigate their difficult moments. Many have transformed their feelings of hopelessness and helplessness into a sense of hope. Clients often express their satisfaction with the program, noting that it provides a safe and non-judgmental space.

 

One client who went through FB shared: “I can talk normally, and I do not have any anxiety/depression. I am now able to chat with my friends, just like the way life should be”

 

The Friendship Bench program in Malawi continues to demonstrate the transformative power of accessible mental health support. The program has provided thousands of individuals with a safe, non-judgmental space to heal, and regain hope. Friendship Bench is not only improving mental well-being but also reducing stigma and strengthening communities. The stories and feedback from clients shows us that even small, empathetic interventions have life-changing effects. As the program grows, it continues to inspire confidence that community-based mental health care can reach those who need it most, transforming lives one conversation at a time.

(Text: Steven Mphonda - UNC Lilong)

​