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This article reviews the role of guidance and counselling in Malawi in reducing dropout and easing the transition of students to tertiary education, as well as in helping them during their time in tertiary education. It begins by identifying key success factors in guidance and counselling services for learners in both developed and developing countries. The article argues that the provision of viable secondary school careers guidance and changes to the university counselling programme could reduce the dropout rate and create a smoother transition for students during tertiary education with a positive impact on learning progression. The rationale for integrating guidance and counselling between school and tertiary provision is then explored. Drawing on case-study research carried out at Mzuzu University (MZUNI), the article presents findings on the preparation of students at secondary school for university education, the relationship of subjects offered at secondary school to courses pursued at university and the challenges faced by students as they start university and progress through the levels. The article concludes with some recommendations for enabling smoother transitions through the integration of school guidance and counselling in learning institutions.