Since 1999, ensuring quality health services for Malawian women, men and children.
- More than 2.4 million clients have learned of their HIV status through Jhpiego-supported HIV testing services.
- More than 318,000 Malawian men have received voluntary medical male circumcision services for HIV prevention, thereby benefiting from this procedure’s protective effect against HIV.
- More than 1.2 million deliveries took place with a skilled birth attendant at Jhpiego-supported health care facilities.
- From 2012 to 2016, the percentage of pregnant women attending antenatal care who received at least two doses of intermittent preventive treatment for malaria increased from 12% to 64% at Jhpiego-supported health facilities.
Our Work in Malawi
Gateway: Addressing Unmet Need in HIV Testing Services through Effective Delivery Models
With funding from the U.S. Centers for Disease Control and Prevention, Jhpiego is collaborating with the Malawian Ministry of Health to increase access and demand for HIV testing services (HTS), improve linkages to other HIV services and improve the quality of HTS. This five-year project is working to meet these goals by: 1) working with district health management teams and facilities to improve the quality of services and strengthen community- and facility-based HTS; 2) conducting activities that increase linkages to enroll a higher proportion of people into care and treatment; 3) strengthening current and new high-yield practices, and introducing HTS campaigns; 4) identifying and targeting key and priority populations most at risk of contracting HIV; and 5) implementing the Determined, Resilient, Empowered, AIDS-free, Mentored and Safe (DREAMS) initiative in Blantyre to target services to adolescent girls and young women.
Fighting COVID-19 Under the Gateway Project
With additional funding from the U.S. Centers for Disease Control and Prevention under the Gateway Project (see above), Jhpiego is working in Malawi to address the COVID-19 pandemic. The Gateway team is providing support in four districts (Blantyre, Lilongwe, Thyolo and Mzimba) to the Ministry of Health to saturate possible hotspots for COVID-19 transmission using mobile response teams. Gateway staff make up the mobile health brigades and work closely with the Public Health Institute of Malawi and their district counterparts to increase community awareness of COVID-19, as well as supporting contact tracing and testing efforts.
Expanding Malawi HIV/AIDS Prevention with Local Organizations Working for an Effective Epidemic Response (EMPOWER)
EMPOWER is a five-year program, funded by the U.S. Agency for International Development, with the goal of preventing new HIV infections in targeted populations in priority districts in Malawi. Jhpiego is leading a consortium to implement EMPOWER’s voluntary medical male circumcision (VMMC) component in Chikwawa, Thyolo and Zomba. Building on Jhpiego’s previous experience supporting VMMC services in these districts, the consortium is collaborating with stakeholders to increase uptake of high-quality VMMC services among males aged 15–29 in these districts, with a goal of achieving 80% coverage and linking those testing HIV-positive to care and treatment. To reach this goal, the consortium is: 1) increasing availability of and access to VMMC services; 2) increasing demand for VMMC among the targeted age groups; 3) improving the quality of VMMC services; and 4) strengthening linkages between VMMC and other services.
This five-year project, funded by the U.S. Centers for Disease Control and Prevention (CDC), supports the government of Malawi (GOM) to: 1) provide high-quality, high-volume, cost-efficient voluntary medical male circumcision (VMMC) services to males aged 15 years and above; 2) increase VMMC uptake through empathy-driven demand generation; 3) improve referral and linkages between VMMC and other health services; and 4) monitor quality and performance. Under this project, Jhpiego is bolstering existing infrastructure (e.g., established sites, VMMC/HIV expert staff and partnerships in Lilongwe) to accelerate VMMC uptake. Working closely with the GOM, CDC/the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), civil society, traditional and religious leaders, private sector and other key stakeholders, Jhpiego is strategically scaling up high-quality, cost-efficient VMMC services—integrated with other male wellness services—to men aged 15 and above in Lilongwe district. Jhpiego is using data-driven approaches to target populations with limited access through insightful demand generation, and expanding VMMC availability through inventive service delivery models and venues, while maintaining a focus on safety and quality. At the same time, Jhpiego is also transferring capacity to the Ministry of Health, in consultation with GOM and PEPFAR, by the end of the project.
U.S. Department of Defense HIV/AIDS Prevention Program (DHAPP) and Malawi Defense Force (MDF) Partnership for Sustainable HIV Epidemic Control
Funded by the U.S. Department of Defense, this project aims to strengthen HIV prevention, care and treatment services for MDF personnel, their families and civilian communities served by MDF. These efforts are expected to contribute to attainment of Malawi’s 95-95-95 targets (95% of people living with HIV know their status; of whom 95% are on treatment; of whom 95% are virally suppressed). With MDF and DOD/DHAPP, Jhpiego is supporting HIV services in 13 high-priority MDF health facilities for aggressive strengthening of prevention services, including voluntary medical male circumcision; targeted HIV testing services; active linkage of HIV-positive clients to antiretroviral treatment; adherence support to ensure retention and viral suppression; strengthened laboratory capacity and viral load testing; and installation of electronic medical records and expansion of the health information system. To sustain this work beyond the end of the project, Jhpiego is also building MDF capacity to implement comprehensive HIV services.
Reaching Impact, Saturation, and Epidemic Control (RISE)
RISE is a five-year global project funded by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and the U.S. Agency for International Development (USAID). RISE works with countries to achieve a shared vision of attaining and maintaining epidemic control, with stronger local partners capable of managing and achieving results through sustainable, self-reliant and resilient health systems by 2024. RISE’s contributions to this work will lead to fewer new HIV infections, decreased HIV-related morbidity and mortality, and increased quality of life for people living with HIV. With USAID PEPFAR investments, RISE supports countries to achieve and maintain epidemic control by providing strategic technical assistance and direct service delivery to improve HIV prevention, case finding, treatment programming and viral load suppression. The primary objectives of the RISE project are to: 1) attain and maintain HIV epidemic control among at-risk adult men, women and priority populations; 2) attain and maintain HIV epidemic control among key populations; 3) strengthen health systems including improved program management, health information systems, human resources for health and financial systems to ensure attainment and maintenance of epidemic control; and 4) support the transition of direct funding and implementation to capable local partners to meet the PEPFAR goal of 70% of funding to local partners by 2020. The project is led by Jhpiego with the following partners: ICAP at Columbia University, Management Sciences for Health, Anova, BAO Systems, Johns Hopkins University Center for Public Health and Human Rights and Mann Global Health. RISE is currently active in several countries, including Malawi.
Antenatal Care/Postnatal Care (ANC/PNC) Innovations and Implementation Research Platform (ANC/PNC Collective)
With funding from the Bill & Melinda Gates Foundation, Jhpiego is developing an ANC/PNC innovations and implementation research platform. This initiative is designed to strengthen ANC/PNC service delivery through implementation research in Ethiopia, Malawi and Mali, and to disseminate learnings globally. The primary expected outcomes include earlier entry by pregnant women into ANC/PNC care; increased continuity of care; improved quality of care; and an improved understanding of key risk factors, vulnerabilities and morbidity/mortality outcomes. The research collective unifies multiple teams under a single collective, comprised of the following partners: Jhpiego, Harvard School of Public Health, Child Health and Mortality Prevention Surveillance (CHAMPS), RTI International, Christian Medical College Vellore, DAI, the World Health Organization, CARE/India and the University of Manitoba. As part of this collective, Jhpiego is: 1) conducting implementation research on innovative service delivery models and tools in three countries; 2) serving as technical advocacy lead by synthesizing data and findings across the collective to inform an evidence package; and 3) providing technical assistance, as needed, as collective partners conceptualize, design, implement and test new service delivery models. Jhpiego is also partnering with the Johns Hopkins School of Public Health Biostatistics Center and Department of International Health for support with statistical analysis, data management and implementation research design.
Technical Assistance to Provide High-Quality Voluntary Medical Male Circumcision
Under this multi-country award from the U.S. Centers for Disease Control and Prevention, Jhpiego provides technical assistance as needed to guarantee the safety, effectiveness, efficiency, accountability and client/provider satisfaction in implementation and scale-up of voluntary medical male circumcision. The project targets 14 countries that are priorities of the President’s Emergency Plan for AIDS Relief, including Malawi.