Country Spotlight: Malawi

Country Overview

According to UNAIDS, in 2013, only 51% of adults living with HIV in Malawi were receiving life-saving antiretroviral therapy (ART). In this country, 170,000 children, under the age of 15, are living with HIV. Approximately 58,000 HIV-positive women giving birth annually, and without any intervention, an estimated 17,400 infants will be born with HIV each year.

Our Work in Malawi

The Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) began collaborating with local partners in 2001 to initiate one of Malawi’s first programs to provide prevention of mother-to-child HIV transmission (PMTCT) services. Currently, EGPAF-Malawi provides technical assistance in the provision of adult and pediatric HIV prevention, care and treatment services to more than 150 Malawian Ministry of Health and faith-based facilities including 78 priority sites, district-level health teams, and community-based organizations (CBOs).

EGPAF-Malawi also participates in numerous national technical working groups focused on PMTCT, HIV care and treatment, tuberculosis, human resources for health, sexual and reproductive health, program monitoring and evaluation, and quality assurance. EGPAF continually promotes solutions to reduce the pediatric HIV treatment gap through participation in a pediatric treatment technical working group.

Additionally, EGPAF-Malawi conducts operations research to better understand patient perceptions of HIV programs and increase opportunities to improve early infant HIV diagnosis, and use of PMTCT and HIV care and treatment services. Completed studies have focused on utilizing early infant HIV testing and diagnosis to enhance pediatric care and treatment; the acceptability of Option B+ among HIV-positive pregnant and lactating women and feasibility of its implementation among heath care workers; and on retention of women and children in the entire PMTCT cascade.


Key Projects in Malawi

Accelerating Children’s HIV/AIDS Treatment (ACT) Initiative 

(2014 - 2016) This joint PEPFAR/Children’s Investment Fund Foundation (CIFF) initiative galvanizes global focus to improve pediatric care and treatment and aims to double the number of children on life-saving ART over two years in high-prevalence settings. EGPAF-Malawi implements the ACT Initiative with funding from CIFF. This project complements EGPAF-Malawi’s HIV Service Delivery, Quality Improvement, and Health Systems Strengthening program, serving the same seven districts, and emphasizes pediatric HIV case detection, linkage of HIV-positive children to care and treatment services, and strong retention in care and treatment among HIV-positive children. Through this initiative, EGPAF expects to initiate over 3,000 HIV-positive children on ART.

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Technical Assistance to Community-Based Organizations 

(2011 - 2016) Through funding from ViiV’s Positive Action for Children Fund, EGPAF-Malawi provides technical assistance and capacity building to six CBOs in four districts (Rumphi, Nkhotakota, Lilongwe, and Blantyre), focusing on organizational development, financial management, building partnerships and networks, monitoring and evaluation, and technical capacity. As of February 2015, EGPAF-supported CBOs had referred 3,806 women to health facilities for PMTCT services; provided 10,244 HIV-positive women with support services including peer education and support groups, nutritional supplements, and access to village savings and loans; and reached 106,616 people with education or awareness messages about HIV/AIDS and HIV/AIDS-related services.

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HIV Service Delivery, Quality Improvement and Health Systems Strengthening

(2012 - 2018) EGPAF is one of the major U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) HIV service delivery implementing partners in Malawi. Through this project, EGPAF-Malawi increases access to high-quality HIV prevention, care and treatment services, tuberculosis (TB) and HIV co-management services and treatment of sexually transmitted infections. EGPAF provides both financial and programmatic support to health facilities including clinic renovations, purchasing medical supplies, clinical mentorship, and quality improvement initiatives. Through this program, which serves a population of almost three million people in the seven EGPAF-supported districts, 58,338 individuals have accessed ART, as of June 2015, including 9,196 HIV-positive children.

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EGPAF Country Fact Sheet: Malawi

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Haba Na Haba: Spotlight on Pediatric Care and Treatment (2015)

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Journal Article: Lessons learned from early implementation of B+: The Elizabeth Glaser Pediatric AIDS Foundation experience (2014)

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ViiV Healthcare's Positive Action For Children Fund in Malawi (2015)

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HIV-Positive Pregnant and Postpartum Women’s Perspectives about Option B (2016)

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Barriers, facilitators and recommendations for the early infant diagnosis and treatment (EIDT) cascade: A qualitative study in Malawi

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