Chiradzulu: HIV care for adolescents

Malawi

In Malawi, where an estimated 980,000 people are living with HIV, we run projects to support efforts to combat the virus.

Malawi’s massive budget deficit has hit the health system hard. In addition, international donors have withheld budget support since 2014 due to corruption scandals.

In Nsanje district, we support the severely underfunded district management team in running a fully decentralised HIV and tuberculosis (TB) programme that includes infants newly diagnosed with HIV. We also support in providing care for patients with advanced HIV in the district hospital, and healthcare for truck drivers and sex workers.

We are also developing a comprehensive programme to screen, diagnose and treat cervical cancer, which accounts for 40 per cent of all cancers among women in Malawi and kills an estimated 2,314 a year.

MSF teams are currently responding to the COVID-19 pandemic in Malawi.

Our activities in 2020 in Malawi

Data and information from the International Activity Report 2020.

MSF in Malawi in 2020 In Malawi, MSF continues to run programmes to improve care for people living with HIV, the leading cause of death in the country, and for women with cervical cancer.
Map of MSF activities in 2020 in Malawi

Malawi is making progress in tackling HIV, but prevalence is still high at almost nine per cent. In Chiradzulu, where the rate is 17 per cent, MSF has been supporting HIV care for 15 years. Our focus is on vulnerable groups, such as children, adolescents and patients whose first- and second-line anti-retroviral (ARV) treatments are failing.

In Blantyre, MSF works with Queen Elizabeth Central Hospital to treat cervical cancer, a major public health issue due to high rates of HIV co-infection and inadequate screening and care. The programme includes health promotion, screening, surgery, chemotherapy and palliative care for advanced-stage cancer.

In 2020, COVID-19 forced reductions in our activity, although Malawi did not see a significant number of cases until the end of the year, when a second wave hit. MSF supported the national response to the pandemic by assisting with infection prevention and control, triage, health promotion and patient care at Nsanje district hospital.

In 2020, we closed or handed over to local authorities and community organisations three projects dedicated to specific groups: the advanced HIV project in rural Nsanje district to improve detection and treatment at community level, hospital care and follow-up; our Chichiri prison project, which offered preventive tuberculosis (TB) treatment to over 1,000 patients through regular screenings, treatment and management of co-infections; and a female sex worker project, which implemented an innovative, peer-led approach, allowing almost 7,000 women to access HIV, TB and sexual and reproductive health services in the community, and one-stop clinics in Neno, Dedza and Nsanje districts.

 

in 2020
 
SW project Malawi MWANZA
Photo Story

The sex workers on the frontlines of the HIV response

6 May 2019
Photo Story
 
Emergency mobile clinic outside Beira, Mozambique
Cyclone Idai & Southern Africa flooding

MSF emergency response to Cyclone Idai and flooding

Crisis Update 26 Apr 2019
 
Response to flooding in Southern Africa - Malawi
Cyclone Idai & Southern Africa flooding

Malawi: “This time, the flooding has destroyed houses, not lives”

Voices from the Field 29 Mar 2019
 
الفياضانات في بيرا في موزمبيق
Cyclone Idai & Southern Africa flooding

Humanitarian response in wake of devastating Cyclone Idai

Project Update 19 Mar 2019
 
Key populations, peer-led HIV and SRH services
HIV/AIDS

Towards Peer-Led HIV and SRH Services for Sex Workers and Men Having Sex with Men

Report 23 Jul 2018
 
Key populations, peer-led HIV and SRH services
HIV/AIDS

Meeting the specific needs of key populations living with HIV

Project Update 23 Jul 2018