Malawi

Overview

According to the Joint United Nations Programme on HIV and AIDS in 2020, an estimated 1.1 million individuals, including 65,000 children in Malawi are living with HIV. Of those, only 79% of adults living with HIV and just 74% of HIV-positive children were receiving life-saving antiretroviral therapy (ART).
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Key Program Accomplishments

Currently, EGPAF-Malawi:

Supports the testing of over 800,000 individuals per year

Provides ART to over 270,000 individuals living with HIV, including over 14,000 children

Provided PMTCT services to over 14,000 women this year to date

Annually gives over 21,000 HIV-exposed infants a virologic HIV test within their first year of life

Our Work

The Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) began collaborating with local partners in 2001 to initiate one of Malawi’s first programs to provide PMTCT services and has been a partner to MOH in the virtual elimination of MTCT. Currently, EGPAF-Malawi provides technical assistance and support for service delivery  of adult and pediatric HIV prevention, care and treatment services to 179 public health facilities EGPAF-Malawi participates in numerous national technical working groups focused on PMTCT, HIV care and treatment, TB, human resources for health, sexual and reproductive health, evaluation, and quality assurance. EGPAF continually promotes solutions to reduce the pediatric HIV treatment gap. EGPAF supports Malawi’s national Health Information System in 747 clinics and 35 laboratories across all 28 districts of the country. Through this work, EGPAF aims to improve quality of care through innovative systems and technologies. In collaboration with Malawi Government and CDC, EGPAF will continue to ensure clinics providing HIV services are adequately supported to manage patient care and provide data to inform program planning and implementation. Currently, EGPAF-Malawi is strengthening health facility and health program management of COVID-19. We have equipped sites with supplies (including wash basins, soaps, thermo guns, N-95 masks, aprons and face shields), and trained clinicians and health facility staff (2,329 individuals, to date) on triage patients to reduce spread of SARS-CoV-2.  EGPAF also developed an electronic application allowing clinicians and surveillance teams to test for COVID-19 and share lab results instantly (creating faster support, with limited physical interactions). The U.S. Centers for Disease Control and Prevention (CDC) and Malawi’s Ministry of Health in collaboration with EGPAF developed and activated a national phone-based syndromic surveillance survey to monitor trends of signs and symptoms for COVID- 19 and its impact to health care access for both HIV-positive population groups and the general population. EGPAF also supporting nine prisons across Malawi with support for infection prevention. Additionally, EGPAF-Malawi conducts research to better understand patient perceptions of HIV programs and increase opportunities to improve HIV service delivery in resource constrained environments. EGPAF supports implementation science evaluation on topics including but not limited to drug transitions, drug resistance, advanced HIV, and viral load testing and coverage.  

Projects