DOCSLIB.ORG

HEALTH POLICY Family Planning and HIV Integration in Malawi: a Policy and Systems-Level Analysis PROJECT

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
HEALTH POLICY Family Planning and HIV Integration in Malawi: a Policy and Systems-Level Analysis PROJECT HEALTH POLICY Family Planning and HIV Integration in Malawi: A Policy and Systems-level Analysis PROJECT Introduction Policy Analysis Stakeholder Interviews ■ In 2014, USAID requested that the Health Policy ■ Nineteen government documents were reviewed and ■ Semi-structured interviews were conducted with representatives of the HIV, reproductive health Project undertake an assessment of the status and summarized: five on HIV/AIDS, eight on FP/sexual and (RH), and health management information system (HMIS) departments of the Ministry of Health Malawi has a high unmet need for family planning extent of FP-HIV integration in Malawi. reproductive health (SRH), and eight general health (MOH). Interviews were also conducted with representatives of the National AIDS Commission, policies, strategies, and guidelines. donors, implementing partners, civil society organizations, medical training and licensing (FP), and grapples with high HIV prevalence. institutions, and Central Medical Stores. ■ This included three different components: ■ This policy analysis found that all RH and HIV policies, ■ A policy analysis to determine the level of FP-HIV strategies, and guidelines discussed integration of FP/SRH ■ Interviews focused on understanding institutional relationships at the national and decentralized integration that appears in government policy and HIV services to some degree. levels, and how integrated services were provided at the facility level, with a special focus on documents, and explore the extent to which the integration of routine monitoring, training of providers, and addressing the special needs of policies outline and address the integration of ■ There was much discussion on the need to integrate FP adolescents and youth. services. services into HIV services, for example through antiretroviral Poster prepared by: UNMET NEED FOR HIV PREVALENCE therapy (ART) clinics. ■ Stakeholders agreed that communication and collaboration between HIV and RH departments of CONTRACEPTION FOR AMONG ADULTS ■ Discussions with national- and district-level the MOH can be strengthened during policy development, implementation, and monitoring. AGES 15–49 stakeholders to ascertain the policy and program WOMEN AGES 15–49* ■ Information on how these policies should be monitored in a Laili Irani environment for integration and how policies are harmonized manner is lacking. ■ Various health systems-related challenges impede integration. These include being implemented on the ground. *Rounded to the nearest whole Only slightly lower than the 12% Pierre Dindi number reported in 2004 ■ Lack of training among healthcare workers to provide integrated services MDHS, 2010 ■ A mixed-method descriptive case study ■ An implementation and monitoring plan is needed to documenting the type and quality of FP and HIV consolidate individual plans and efforts for integration noted in the policy documents; roles and responsibilities of ■ Segregated services at the facility level across various clinics and days of the week Erin McGinn Integrating FP and HIV services is seen as a integrated services across various categories of health facilities. individual entities should be highlighted. promising practice to address unmet need for ■ FP and HIV commodities being transported, stored, and accessed through different systems Olive Mtema contraception as well as reduce HIV transmission. ■ Further collaboration and monitoring across HIV and RH departments will ensure stronger implementation of ■ Separate registers and monitoring tools for FP and HIV services integration activities. ■ Better planning, reporting, and use of data will ensure improved collaboration. ■ Analysis is ongoing and more results will be shared in September 2015. Facility Surveys ■ Data were collected from 41 facilities across the nine ■ In addition, nine mystery clients were deployed to 20 Categories of facilities randomly selected districts: Nkhata Bay, Mzimba North facilities to get a better understanding of how services are and South in the Northern Region; Lilongwe, Mchinji, and disseminated and integrated. Government Hospitals Health Center/Post CHAM Mission Hospitals/Health Centers Dedza in the Central Region; and Mangochi, Mulanje, and District Name of Facility District Name of Facility District Name of Facility Blantyre in the Southern Region. ■ Three focus group discussions were held with HIV-positive Chintheche Rural Hospital Mpherembe Health Centre Mabiri Health Centre clients participating in HIV support groups. Nkhata-Bay Mzimba South ■ A range of healthcare facility types were included to Nkhata-Bay District Hospital Mzimba North Engucwini Health Post Katete Community Hospital understand the feasibility of recommending different Monkey-Bay Community Hospital Thunduwike Health Centre Nkhoma Mission Hospital ■ Data entry was completed in July 2015 and analysis is Mangochi Dedza integration models for the different types of facilities, ranging ongoing. Results will be available in September 2015. Mangochi District Hospital Mzimba South Manyamula Health Centre Bembeke Health Centre from large, high-volume sites (rural or urban hospitals) where Mchinji Mchinji District Hospital Lighthouse Clinic Lumbira Health Centre HIV and FP services may be offered by different providers in Blantyre different spaces (vertical services) but on the same grounds, ■ The findings from this study will be useful for RHD, HIV Dedza Dedza District Hospital Lilongwe Lumbadzi Health Centre Mlambe Mission Hospital to small sites (dispensary/clinic) staffed by one or two Department, USAID and other donors, and service delivery Mulanje Mulanje District Hospital Malingunde Health Centre Mulanje Mulanje Mission Hospital providers, which clients may frequent for a variety of primary projects/organizations to identify ways to improve Mzimba North Mzuzu Central Hospital Nkanda Health Centre integration of FP and HIV services. healthcare needs. Blantyre Queen Elizabeth Central Hospital Kochilira Health Centre Michinji Kapanga Health Centre ■ In each facility, several data collection methods were Nkhwazi Health Centre employed, such as a facility audit, a quantitative survey Integrated Health Services Dedza Golomoti Health Centre with the hospital facility in-charge, three health service CONTACT US providers, and ten clients attending ART clinics. District Name of Facility Blantyre Madziabango Health Centre Mpamba Health Centre Mimosa Health Centre Health Policy Project Mzenga Health Centre Mulanje Lujeri Health Centre Nkhata-Bay 1331 Pennsylvania Avenue, NW Kande Health Centre Chisitu Health Centre References Nkhata-Bay BLM Asaalam Clinic Suite 600 1. MSH. 2010. Community-Based Family Planning and HIV & AIDS Services in Malawi: A Study of Integration of Family Planning and HIV and AIDS Services in Malawi. Lilongwe, Malawi: Management Sciences for Health. Ntakataka Health Centre Mangochi Namwera Health Centre Washington, DC 20004 2. FHI360. 2010. Integrating Family Planning into HIV Programs: Evidence-Based Practices. Durham, NC: FHI360. Dedza 3. Ministry of Health, UNAIDS, EU, UNFPA. 2013. “Measuring integration of SRH, HIV and Rights in Malawi.” PPT presented at 3rd RPSC meeting, 23 September. Lobi Health Centre Phirilongwe Health Centre www.healthpolicyproject.com 4. National Statistical Office (NSO) and ICF Macro. 2011.Malawi Demographic and Health Survey 2010. Zomba, Malawi, and Calverton, Maryland, USA: NSO and ICF Macro. email: [email protected] 5. IPPF, UNFPA, WHO, UNAIDS. Rapid Assessment on SRH-HIV Linkages in Malawi. 2011. Blantyre, Malawi: IPPF, UNFPA, WHO, UNAIDS. Tel: +1.202.775.9680 The Health Policy Project is a five-year cooperative agreement funded by the U.S. Agency for International Development under Agreement No. AID-OAA-A-10-00067, beginning September 30, 2010. The project’s HIV activities are supported by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR). HPP is implemented by Futures Fax: +1.202.775.9684 Group, in collaboration with Plan International USA, Avenir Health (formerly Futures Institute), Partners in Population and Development, Africa Regional Office (PPD ARO), HEALTH Population Reference Bureau (PRB), RTI International, and the White Ribbon Alliance for Safe Motherhood (WRA). POLICY The information provided in this document is not official U.S. Government information and does not necessarily represent the views or positions of the U.S. Agency for PROJECT International Development..
Load more

Recommended publications
  • Rp13110rp0v10p06b0afr0rp
    Public Disclosure Authorized Government of Malawi World Bank Irrigation, Rural Livelihoods and Agriculture Development Project Public Disclosure Authorized Public Disclosure Authorized Resettlement Policy Framework Volume 1: Social Impact Assessment Final Report March 2005 Public Disclosure Authorized Ministry of Agriculture Capital City, Lilongwe 3 Irrigation, Rural Livelihoods and Agriculture Development Project Resettlement Policy Framework Volume 1: Social Impact Assessment Final Report Proponent: The Principal Secretary Ministry of Agriculture P.O. Box 30134 Capital City Lilongwe 3 Tel: (265) 1789033 (265) 1789252 Fax: (265) 1789218 (265) 1788738 Consultant: Kempton Consultancy Services Plot No. 4/354D Shire Limited Building P.O. Box 1048 Lilongwe. Malawi. Mobile: (265) 9958136 ii Table of Contents Table of Contents----------------------------------------------------------------------------------------------------------------- iii EXECUTIVE SUMMARY------------------------------------------------------------------------------------------------------- vi ACKNOWLEDGEMENTS ---------------------------------------------------------------------------------------------------- x LIST OF ACRONYMS ----------------------------------------------------------------------------------------------------------xi LIST OF TABLES ---------------------------------------------------------------------------------------------------------------xii 1.0 Introduction -------------------------------------------------------------------------------------------------------------
    [Show full text]
  • Public Expenditure Review of the WASH Sector in Malawi
    PUBLIC EXPENDITURE REVIEW OF THE Water, Sanitation, and Hygiene Sector of Malawi February 2020 WATER, SANITATION AND HYGIENE SECTOR MALAWI FEBRUARY 2020 i PUBLIC EXPENDITURE REVIEW © UNICEF/2016/Sebastian Rich © UNICEF/2016/Sebastian ACKNOWLEDGEMENTS Appreciation goes to all individuals and institutions that Muchabaiwa, Patrick Okuni, Nkandu David Chilombo, Alessandro contributed to the development of this PER. The Government Ramella Pezza, Kelvin Tapiwa Mutambirwa and Chimwemwe would like to thank staff from several Ministries, Departments Nyimba for the technical and logistical support. and Agencies (MDAs) who were involved in this PER. Specifically, appreciation goes to staff from the M&E Division under the The Government would also like to deeply thank the Oxford Economic Planning and Development (EP&D) of the Ministry of Policy Management (OPM) consultancy team – comprising of Finance; the Water Supplies Department under the Ministry of Nick Hall (team leader), Zach White (project manager), Tuntufye Agriculture, Irrigation and Water Development (MoAIWD); and Mwalyambwire, and Tim Cammack for providing technical the Environmental Health Department under the Ministry of support that enabled the production of this PER. Also the OPM Health and Population (MoHP). staff that worked in the background to make this exercise a success are appreciated. Sincere gratitude goes to the following Government staff – Sophie Kang’oma, Victoria Geresomo, Richard Jack Kajombo, Gringoster The analysis in this PER draws on scores of interviews with Kajomba and Stevier Kaiyatsa from the EP&D; Emma Mbalame, district staff, with a list of those interviewed or consulted Bibo Charles Yatina and Gertrude Makuti Botomani from the provided in Annex I. The Government is extremely thankful to all MoAIWD; Allone Ganizani, Holystone Kafanikhale, Samuel district for their inputs.
    [Show full text]
  • The Local Governance Performance Index (LGPI) in Malawi: Selected Findings on Health
    The Program on Governance and Local Development The Local Governance Performance Index (LGPI) in Malawi: Selected Findings on Health Report November 2016 SERIES 2016:7 Acknowledgements This project reflects fruitful collaboration of researchers at the Christian Michelson Institute, including Ragnhild Muriaas, Lise Rakner and Vibeke Wang; the Institute for Public Opinion and Research, including Asiyati Chiweza, Boniface Dulani, Happy Kayuni, Hannah Swila and Atusaye Zgambo; and the Program on Governance and Local Development, including Adam Harris, Kristen Kao, Ellen Lust, Maria Thorson, Jens Ewald, Petter Holmgren, Pierre Landry and Lindsay Benstead during implementation, and in addition Ruth Carlitz, Sebastian Nickel, Benjamin Akinyemi, Laura Lungu and Tove Wikehult in the process of data cleaning and analysis. We gratefully recognize the hard work of colleagues at the Institute for Public Opinion and Research who lead the survey research teams. These include, Ellasy Chimimba, Grace Gundula, Steve Liwera, Shonduri Manda, Alfred Mangani, Razak Mussa, Bernard Nyirenda, Charles Sisya and Elizabeth Tizola. We also thank Jane Steinberg, who provided excellent and timely editing of this report. Finally, we reserve special recognition for Laura Lungu and Kristen Kao, who led this report. This project has been made possible with the financial support of the Moulay Hicham Foundation, the Carnegie Corporation of New York, The World Bank and Yale University, which funded development of the Local Governance Performance Index, and the Swedish Research Council and the Research Council of Norway, which funded implementation in Norway. We are grateful for their support. Executive Summary Malawi is one of the poorest countries in the world. Gross national income per capita is just $747 U.S.,1 and nearly 51 percent of the population resides below the national poverty line.2 As such, much of the population suffers from health ailments.
    [Show full text]
  • Master Plan Study on Rural Electrification in Malawi Final Report
    No. JAPAN INTERNATIONAL COOPERATION AGENCY (JICA) MINISTRY OF NATURAL RESOURCES AND ENVIRONMENTAL AFFAIRS (MONREA) DEPARTMENT OF ENERGY AFFAIRS (DOE) REPUBLIC OF MALAWI MASTER PLAN STUDY ON RURAL ELECTRIFICATION IN MALAWI FINAL REPORT MAIN REPORT MARCH 2003 TOKYO ELECTRIC POWER SERVICES CO., LTD. MPN NOMURA RESEARCH INSTITUTE, LTD. JR 03-023 Contents 0 Executive Summary .................................................................................................................... 1 1 Background and Objectives ........................................................................................................ 4 1.1 Background ......................................................................................................................... 4 1.2 Objectives............................................................................................................................ 8 2 Process of Master Plan................................................................................................................ 9 2.1 Basic guidelines .................................................................................................................. 9 2.2 Identification of electrification sites ................................................................................. 10 2.3 Data and information collection........................................................................................ 10 2.4 Prioritization of electrification sites.................................................................................
    [Show full text]
  • Connectivity Solutions for 752 PEPFAR Supported MOH Clinics
    REQUEST FOR PROPOSALS (RFP) #MAL-122019-EMR Connectivity Solutions for 752 PEPFAR Supported MOH Clinics ELIZABETH GLASER PEDIATRIC AIDS FOUNDATION (EGPAF) NED BANK House, City Centre, P.O. Box 2543, Lilongwe, Malawi FIRM DEADLINE: Friday, 17 January 2020 at 11am INTRODUCTION Elizabeth Glaser Pediatric AIDS Foundation (“EGPAF” or “Foundation”), a non-profit organization, is a world leader in the fight to eliminate pediatric AIDS. Our mission is to prevent pediatric HIV infection and to eliminate pediatric AIDS through research, advocacy, and prevention and treatment programs. For more information, please visit http://www.pedaids.org. OBJECTIVE OF THE ASSIGNMENT | SCOPE OF WORK | EXPECTED DELIVERABLES EGPAF seeks to contract with a reputable Vendor to immediately meet our current connectivity needs (with the possibility of fulfilling future needs as they arise) in support of an ambitious national Electronic Medical Records (EMR) initiative. It is anticipated that the selected Vendor can assess our requirements, develop a comprehensive and effective solution to implement at all 752 PEPFAR-supported MOH Clinics throughout Malawi (see Attachment 1), and eventually implement and install, in coordination with the necessary Foundation staff, all necessary infrastructure at each site to reflect its proposed solution(s). More specifically, the selected Contractor is expected to offer a fast and affordable Carrier Backbone network services to cover 752 clinics across the 28 Districts in Malawi to support regular and incremental data transmission from the Clinics/health facilities to a Central Data Repository hosted at the Ministry of Health. The winning Contractor will be responsible for installation of last mile connection to connect each health facility to the backbone network, including configuring Point-to-Point connections between the health facility and the Central Data Repository.
    [Show full text]
  • Government of Malawi/Unfpa Seventh Country Programme: [2012-2018]
    Government of Malawi United Nations Population Fund GOVERNMENT OF MALAWI/UNFPA SEVENTH COUNTRY PROGRAMME: [2012-2018] FINAL REPORT DATE: FEBRUARY, 2018 Map of Malawi ii Evaluation Team UNFPA Country Office Evaluation Manager: Bernard MIJONI Academic Experience Position/ Titles Names qualifications and in/knowledge of the thematic expert professional courses region and country PhD, Advanced Clifford O Team Leader/expert in all Prof Certificate in 25 years Odimegwu the thematic areas International Health, Benjamin Population and PhD [Population Dr 20 years Kaneka Development Studies] Martha Dr SRH/HIV PhD [Nursing Science] 15 years Kananga Chikondi M.Sc. Land and Mrs Gender/Adolescents/Youth 15 years Pasani Agrarian Studies Evaluation Management Committee Rogaia. Abdelrahim – Deputy Country Representative Dorothy Nyasulu - Assistant Country Representative Bernard Mijoni – UNFPA CO Monitoring and Evaluation Officer Cliff Phiri - UNFPA Monitoring and Evaluation Officer Acknowledgements The Evaluation Team would like to thank UNFPA for the opportunity to undertake the GovM/UNFPA 7th Country Programme Evaluation. Our appreciation goes to all the Malawi CO staff for the generosity of their time for the interviews and providing documents for our desk reviews, and answering several questions to validate our field findings. Their support and guidance are highly appreciated. We appreciate the logistics support provided by the administrative staff, especially the drivers. We thank the Evaluation Reference Group, Evaluation Management Committee and national stakeholders from government ministries and development partners in Lilongwe. Their readiness to grant interviews and share ideas with us, provided additional documents and insights is highly appreciated. Finally we also appreciate the UNFPA Regional Office in Johannesburg for all the support during this evaluation exercise.
    [Show full text]
  • Lightning Fatalities in Malawi: a Retrospective Study from 2010 to 2017
    Lightning Fatalities in Malawi: A retrospective study from 2010 to 2017 Leonard Kalindekafe Steven Gondwe Vincent Katonda Tamara Kamanga Nthara Chikondi Chisenga Patricia Gomani Thokozani Kapichi Malazi Mkandawire Malawi University of Science and Technology Limbe, Malawi Ronald L. Holle Holle Meteorology & Photography Oro Valley, Arizona, United States Abstract—There is a scarcity of information on lightning • Wet season: November to April (rain may linger fatalities in many regions of the world, despite the need to have longer in northern and eastern mountains). such information for decision-making and policy formulation • Cool season: May to August. to address this risk. This retrospective study covers the period • Hot season: September and October. of 2010-2017 and uses data from both online and hard copies of • Post-rainy season: April to May. newspapers. The results show a fluctuation in both lightning deaths and injuries in the period, but with a general increase in Lightning fatality rates are higher in developing the number of these incidents from 2010 to 2017. Lightning countries than in developed nations [2, 3]. This difference in fatalities only occurred from November to February with fatality rates can be attributed to 1) a lack of substantial December being the highest at 15 fatalities. More males are lightning-safe buildings where people stay, work and attend injured and killed by lightning than females, mainly due to men being exposed to risky outdoor activities more than school, 2) a larger proportion of the population is involved females. In terms of age, the older population is less vulnerable in high-risk activities such as labor-intensive agricultural to lightning.
    [Show full text]
  • A Planning Survey of the Northern Region, Malawi
    A PLANNING SURVEY OF THE NORTHERN REGION, MALAWI Leo de Haan Jan de Jong Jan Sterkenburg Department of Geography of Developing Countries University of Utrecht, The Netherlands February, 1975 INTRODUCTION This regional planning survey of the Northern Region has been written at the request of the Town Planning Department of the Ministry of Works and Supplies. Initially, it was intended to restrict the sur- vey to the physical aspects of planning, the aspects of settlements, services, service centres and infrastructure in particular. Under an agreement between the Town Planning Department and the University of Utrecht, the authors were assigned the task of surveying the existing pattern of resources of the Northern Region of Malawi with a view to making recommendations for the improved Organisation of physical de- velopment through plans and policies aimed at securing greater co- ordination of development effort, at strengthening and relationalizing infrastructural services, at identifying rural-urban relationships and generally at providing a basic framework for integral planning of the region's land uses. Regional physical planning is, however, closely related to the economie and social development of an area. For the Northern Region agriculture is the basis of the economy and the source of employment for more than 90 % of its population. Consequently, aspects of physi- cal planning cannot be dealt with without paying adequate attention to the agricultural sector, the existing constraints for raising productivity and the attempts of the Malawi government to improve this sector. An expanding agricultural sector earns foreign exchange, provides food for the non-agricultural population, and may increase rural incomes and provide a growing market for manufactured products.
    [Show full text]
  • Nkhata Bay Community Acquires Skills in Food Preparation
    “Let them (children) develop to their full potential” This is what Afi kepo means in Chichewa, Malawi’s local language. One in every four children in Malawi are stunted due to poor dietary habits. The Afi kepo Nutrition Programme aims at reducing stunting in children under 5 through Nutrition Sensitive Agriculture and improved feeding and nutrition and to enhance nutrition security of all Malawians especially women of child bearing age, adolescent girls, infants and young children. AFIKEPO NUTRITION SENSITIVE Issue 1/ January- April 2019 AGRICULTURE (NSA) NEWSLETTER Nkhata Bay community acquires skills in food preparation for improved household nutrition Interactive drama, food tasting and nutrition education were the focus of the fi rst Afi kepo cooking demonstration held at Mgolozera Village in TA Mkumbira in NkhataBay. Cooking demonstrations give the community improved methods of food preparation and hygiene, equipping them with the skills to prepare balanced, nutritious meals. They also provide information on how to avoid becoming malnourished. Speaking during the function, the village headman urged his community to remember the simple cooking techniques and improve the quality of food they prepare in their homes. He emphasized the need for households to eat nutritious foods Doris Phiri health surveillance assistant for Nkhata-Bay, encouraged A care group member participates in a cooking demonstration in Kasungu Continued on page 5 Nkhotakota commits Chiradzulu Care Mzimba North benefi ting Learning new to District wide promoters drilled in SUN from improved nutrition nutrition skills improvement in nutrition Education for better through backyard gardens through care groups and food security nutrition Pregnant with hope and new knowledge on healthy eating – th e stor y of Gertrude Wisik Gertrude Wisik ,23, has learned to diversify food in her household and now prepares various foods including maize, rice, fi sh, meat, vegetables, beans and fruits, depending on season.
    [Show full text]
  • A Study of Corbelled Pit Latrines in 15 Districts of Malawi
    sustainability Article Adopters and Non-Adopters of Low-Cost Household Latrines: A Study of Corbelled Pit Latrines in 15 Districts of Malawi Rochelle Holm 1,*, Mavuto Tembo 2, Dalo Njera 3, Victor Kasulo 4, Mphatso Malota 5, Willy Chipeta 1, Wales Singini 6 and Joshua Mchenga 1 1 Centre of Excellence in Water and Sanitation, Mzuzu University, P/Bag 201, Mzuzu 2, Malawi; [email protected] (W.C.); [email protected] (J.M.) 2 Department of Land Management, Mzuzu University, P/Bag 201, Mzuzu 2, Malawi; [email protected] 3 Department of Forestry, Mzuzu University, P/Bag 201, Mzuzu 2, Malawi; [email protected] 4 Directorate of Research, Mzuzu University, P/Bag 201, Mzuzu 2, Malawi; [email protected] 5 Department of Water Resource Management and Development, Mzuzu University, P/Bag 201, Mzuzu 2, Malawi; [email protected] 6 Department of Fisheries, Mzuzu University, P/Bag 201, Mzuzu 2, Malawi; [email protected] * Correspondence: [email protected]; Tel.: +265-99-215-9079 Academic Editor: Christian Zurbrügg Received: 19 July 2016; Accepted: 5 September 2016; Published: 27 September 2016 Abstract: The Sustainable Development Goals will challenge low- and middle-income settings to look at new approaches for rural sanitation. In 2013, Mzuzu University, in partnership with United Nations Children’s Fund (UNICEF) Malawi, started a low-cost latrine program in rural areas using the corbelled latrine design supported by locally owned sustainable businesses. The objective of this work was to trace customers (early household adopters) and non-customers through field observations and interviews in 15 districts of Malawi. The research team spent 193 personnel work days in data collection and found 21 households as adopters in 7 districts.
    [Show full text]
  • Region District Testing Sites Southern Region Blantyre Blantyre Dream
    BMJ Publishing Group Limited (BMJ) disclaims all liability and responsibility arising from any reliance Supplemental material placed on this supplemental material which has been supplied by the author(s) BMJ Global Health Table of COVID-19 Laboratory Testing Sites in Malawi on 31st August 2020 Region District Testing Sites Southern Region Blantyre Blantyre Dream Blantyre Light House College of Medicine Malamulo Adventist Malawi Liverpool Wellcome Trust Queen Elizabeth Central Hospital Mwanza Mwanza District Hospital Mangochi Mangochi District Hospital Zomba Zomba Central Hospital Balaka Balaka Dream Balaka District Hospital Thyolo Thyolo District Hospital Neno Neno District Hospital Phalombe Phalombe District Hospital Chiradzulu Chiradzulu District Hospital Mulanje Mulanje District Hospital Chikwawa Chikwawa District Hospital Nsanje Nsanje District Hospital Machinga Machinga District Hospital Central Region Lilongwe Bwaila Hospital Kamuzu Central Hospital Kamuzu Barracks Lilongwe Light House Partners in Health UNC Project Lilongwe Salima Salima District Hospital Mchinji Mchinji District Hospital Dowa Dowa District Hospital Kasungu Kasungu District Hospital Nkhotakota Nkhotakota District Hospital Dedza Dedza District Hospital Nkhoma Mission Ntcheu Ntcheu District Hospital Ntchisi Ntchisi District Hospital Northern Region Mzimba Mzuzu Central Hospital Mzimba South District Hospital Wezi Medical Centre Nkhata Bay Nkhata Bay District Hospital Karonga Karonga District Hospital Karonga MEIRU Chitipa Chitipa District Hospital Likoma Likoma Rumphi Rumphi District Hospital MEIRU: Malawi Epidemiology and Intervention Research Unit Mzumara GW, et al. BMJ Global Health 2021; 6:e006035. doi: 10.1136/bmjgh-2021-006035.
    [Show full text]
  • RIPPLE Africa
    RIPPLE Africa Ripple Africa is a UK registered charity (1103256 and A LITTLE BIT SC043082) focused on conservation, education and healthcare in northern Malawi, Africa. Founded in 2003, ABOUT US our mission is: To preserve and sustainably develop the environment To create opportunities for local communities To improve the standard of education and healthcare near our base in Nkhata Bay District Ripple Africa’s ethos is “providing a hand UP and not a hand out,” and we work by finding simple solutions to locally identified problems. We are the catalyst helping Malawians to sustainably manage their natural resources community by community. 0 1 THE TEAM In the UK, co-founders, Geoff and Liz Furber (right), have continued to work for the Charity for no pay. Pam Haigh, the UK General Manager reduced her working time to four days a week in December 2019, Nikki Luxford is full time volunteer and Project Coordinator and Claire Battersby is part time Administrator. In Malawi, our Country Director is Force Ngwira. At the end of the year, 138 Malawian staff were employed by Ripple Africa, and about 8,000 local people worked with us on a voluntary basis on our environmental projects. FORCE NGWIRA , COUNTRY DIRECTOR AND SOME OF THE ENVIRONMENT TEAM 0 2 FISH CONSERVATION THERE IS STILL ENTHUSIASM FROM THE DEPARTMENT OF FISHERIES TO SEE OUR APPROACH INTRODUCED IN ALL DISTRICTS ALONG LAKE MALAWI ’ S SHORELINE . Despite being unsuccessful in our bid to be a delivery partner in the USAID funded REFRESH project, we will cooperate with the successful bidders to ensure consistency of approach where we can.
    [Show full text]