Key Activities and Accomplishments
Test and Start: CDC provided TA to the MOH to update National Guidelines to include Test and Start; revisions to the training curriculum, funded training, and provided support to monitoring the rollout. By the beginning of 2017, all priority sites were offering Test and Start.
Completed First Population-based HIV Impact Assessment: Data collection for the Malawi Population-based HIV Impact Assessment was completed in 2016, and preliminary data presented in 2017 demonstrate progress towards the 90-90-90 goals in Malawi and the great strides the national HIV program has made in responding to the HIV epidemic. Data have been used to better characterize the epidemic in Malawi, including informing program planning and supporting national HIV estimates.
Improved HIV Prevention through Voluntary Medical Male Circumcision: CDC continues to play a critical role in supporting scale up of the VMMC program in Malawi. CDC supports VMMC in Lilongwe district with 2017 program data showing an achievement of 30,136 and a cumulative achievement of 105,513 VMMC procedures since the program started in 2012.
Strengthened Health Systems: CDC has supported the establishment of Malawi’s first obstetrics residency program, and in 2017, 20 resident physicians were enrolled in the program. To strengthen HIV testing services at the facility level, CDC supported the hiring of 733 HIV diagnostic assistants across 207 facilities. CDC also launched a Field Epidemiology Training Program (FETP) in Malawi, a three month in-service training for health professionals who provide surveillance and monitoring services to the MOH and Ministry of Agriculture. Trainees ‘learn by doing’ with 75% of time spent in the field conducting data quality audits and assisting in disease surveillance and outbreak investigation. 15 trainees graduated from FETP Frontline in 2017; a total of 38 trainees have graduated since the start of the program in 2016.
Electronic Medical Records: CDC supports Baobab Health Trust in the expansion of Electronic Medical Records Systems. By the end of 2017, the National ART module was implemented in 120 health facilities through CDC assistance. CDC also supports the MOH National Quarterly Monitoring and Evaluation System and the national Laboratory Information Management System.