When Malawi launched its national treatment program in 2004 in Global Fund round one, only 3,000 people were on treatment. Optimizing limited human resources for health, Malawi authorized treatment initiation by nurses and clinical officers.

By 2016, with PEPFAR and Global Fund support, 91% of people aware of their HIV status accessed ART and voluntary medical male circumcision (VMMC) programs reached over 100,000 men annually. In 2016, Malawi moved to universal test and treat, and in 2017, it established PrEP guidelines. PrEP scale-up will be critical to reducing new infections—particularly in young women.

Citations

Jahn A et al. Scaling-up antiretroviral therapy in Malawi. Bulletin of the World Health Organization. 2016; 94:772-776.

amfAR. PEPFAR Monitoring, Evaluation, and Reporting Database. https://mer.amfar.org. Accessed July 8, 2019. Global Fund. Data Explorer. https://data.theglobalfund.org. Accessed July 8, 2019.

amfAR. PEPFAR Country and Regional Operational Plan Database. https://copsdata.amfar.org. Accessed July 8, 2019.

UNAIDS. AIDSInfo. http://aidsinfo.unaids.org. Accessed July 8, 2019.