Bridging Health and Heritage: IOM's Impact at Zambia's Nc’wala Ceremony

The International Organization for Migration (IOM), with support from the Kingdom of the Netherlands, has been instrumental in addressing the health needs of these vulnerable populations through the SRHR-HIV Knows No Borders (KNB) Programme.

During the 2025 Nc’wala Traditional Ceremony in Chipata, Eastern Province, IOM's presence was both impactful and transformative. The ceremony, known for its vibrant Ngoni dances and cultural significance, provided a unique platform for IOM to engage with the community on critical health issues. Chief Madzimawe of the Ngoni speaking people of Kasenengwa District praised IOM's efforts, noting, "My subjects have benefited immensely from the SRHR programmes. We've seen a significant reduction in teenage pregnancies and child marriages." However, he also highlighted ongoing challenges such as the restrictive age of consent when a young person under the age of 16 wishes to access SRH services and commodities.”

Gift (pseudonym), a 20-year-old migrant sex worker from Malawi, shared her positive experience, "Since arriving in December 2024, I regularly visit Mchenjeza health post in Vubwi District to access male condoms for protection and contraception." Her story underscores the importance of accessible reproductive health services for all, regardless of migration status. Akuya Sobana, Nurse In-Charge at Chikoma Rural Health Centre, emphasized the program's impact, stating, "Since 2021, the KNB program has benefited over 6,000 clients, including migrants, sex workers, and young vulnerable people." She noted that all 14 health facilities in Vubwi district now offer essential services to targeted clients, including those from neighboring countries.

During the three-day Nc’wala ceremony, IOM reached out to 9,119 clients with key health messages, distributed 58,840 male condoms, and referred 4,267 clients to health centers. Additionally, 3,267 individuals received various services, including family planning, HIV testing, and STI screening. Gracious Mulenga, an ART Nurse and Adolescent Focal Point Person from Chipata District Hospital, observed, "IOM’s participation in the Nc’wala ceremony yielded a remarkable response, particularly from male attendees. Many men eagerly accepted condoms, demonstrating a growing awareness of safe sexual practices."

The statistics from the event are telling: 357 family planning strips of tablets were given to female clients, 54 individuals received Pre-Exposure Prophylaxis (PreP), 2,900 were screened for Hematocrit (HCT), 20 females were counseled for Gender-Based Violence, and 15 received mental health and psychosocial support. IOM's engagement at the Nc’wala ceremony not only highlighted the Organization's commitment to promoting sexual and reproductive health but also fostered a deeper understanding of the socio-economic dynamics related to migration. By integrating cultural heritage with health initiatives, IOM is making significant strides in empowering marginalized communities and ensuring access to essential healthcare services.

Emmanuel Sinkala, Migration, Health and Gender Assistant at IOM, remarked, "N’cwala aligns well with IOM’s mission to support communities affected by migration and to foster understanding of the socio-economic dynamics related to migration." Through its unwavering commitment, the Knows No Borders program continues to transcend migration status and geographical boundaries, empowering communities and promoting a comprehensive approach to health and well-being.