The Joint TB/HIV Grant

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Implementer: World Vision Malawi  |  Funding: USD   413795310

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This TB/HIV program is based on the strategic objectives of the new National Strategic Plan for HIV and AIDS 2020–2025 and the National Strategic Plan for TB 2021-2025. The program is implemented by the Ministry of Health, responsible for interventions at primary, secondary and tertiary health facilities with a total grant amount of US$413,795,310.

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2. Goals:

• Reduce TB incidence to 102/100,000 population by 2025
• Reduce TB mortality to 18/100,000 population by 2025
• Contribute towards ending HIV and AIDS as a public health threat in Malawi by 2030

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3. Target Group/Beneficiaries:

• People living with HIV/AIDS and TB patients;
• Young people aged 15-24;
• Adolescent Girls and Young Women;
• Key populations (Men who have Sex with Men, Sex Workers); and
• General population.

 

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4. Strategies:

• Ensure uninterrupted supply of ARVs and other basic HIV commodities at all service delivery points;
• Scale-up of testing and counseling (differentiated) to increase the proportion of PLHIV who know their status;
• Improve ART uptake, retention and adherence through focused public and patient education and national scale-up of peer-support groups;
• Ensure continuation of DOTs in all districts as the main TB management strategy;
• Expand TB case detection through multiple strategies, including active case finding in health facilities, communities and other settings such as prisons and mines;
• Improve diagnosis and treatment of MDR-TB cases;
• Strengthen the TB laboratory network, including through expanded use of GeneXpert for early detection and treatment; expansion of microscopy services; and improvement in sample transportation systems;
• Pursue scale-up of viral load monitoring for people living with HIV to improve quality of care, detect treatment failure and support timely switch to 2nd line ART;
• Support communities through CSOs to participate in the HIV/TB response and to play a role in community systems, strengthening advocacy for removal of legal barriers and developing capacity to address needs of males, females, key populations and vulnerable groups in TB/HIV interventions.

 

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5. Planned Activities:

• Procuring HIV commodities including ARVs, male condoms, Rapid Diagnostic Tests, as well as Opportunistic Infections and STI medicines;
• Procuring first and second-line anti-TB drugs;
• Procuring laboratory supplies for HIV and TB programs, including microscopes and other
• health equipment for TB and MDR-TB case detection and diagnosis;
• Building health workers capacity through trainings, including on TB/HIV, management of STIs,
• TB screening and active case finding;
• Strengthening TB laboratory network to provide comprehensive quality services for timely detection of TB and DR TB;
• Expanding TB testing and diagnosis including GeneXperts sites;
• Monitoring and evaluating the national response at national, district and community levels;
• Conducting active TB case finding among populations at risk through use of mobile equipment, door-to-door screening, contact investigation, and targeted strategies in specific settings;
• Strengthening of health information systems and M&E.
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The Joint TB/HIV Grant New Fund Model 3 – World Vision Malawi

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1. Summary:

This TB/HIV program is based on the strategic objectives of the new National Strategic Plan for HIV and AIDS 2020–2025 and the National Strategic Plan for TB 2021-2025. The program

is also implemented by World Vision Malawi responsible for supporting interventions at community level with a total grant amount of US$20,058,104.

 

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2. Goals:

• Reduce TB incidence to 102/100,000 population by 2025
• Reduce TB mortality to 18/100,000 population by 2025
• Contribute towards ending HIV and AIDS as a public health threat in Malawi by 2030

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3. Target Group/Beneficiaries:

• People living with TB patients and the families;
• Adolescent Girls and Young Women;
• Key populations (Men who have Sex with Men, Sex Workers); and

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4. Strategies

• Expand provision of YFHS, SGBV package for AGYW and KPs at community level
• Scale up programs to improve treatment retention and adherence for adolescents and key populations
• Last mile condom distribution
• Promote use of service outreach activities for KPs
• Improve ART uptake, retention and adherence through focused public and patient education and national scale-up of peer-support groups;
• Ensure continuation of DOTs in all districts as the main TB management strategy;
• Expand TB case detection through multiple strategies, including active case finding in health facilities, communities and other settings such as prisons and mines;
• Support communities through CSOs to participate in the HIV/TB response and to play a role in community systems, strengthening advocacy for removal of legal barriers and developing capacity to address needs of males, females, key populations and vulnerable groups in TB/HIV interventions.
  

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5. Planned activities

• Prevention programs for Key Affected Population (Men who have Sex with Men, Sex Workers);
• Prevention programs for Adolescents and Youth in and out of schools;
• Community responses and system strengthening including monitoring, capacity and linkages building and advocacy;
• Community TB care delivery.