PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
Years of mechanism: 2008 2009
NOTICE - Per the recommendation from OGAC that Malawi as an FY2008 Compact Country, submit a mini
-COP (i.e. program area level narratives only), this activity level narrative has not been updated prior to the
submission of the FY09 Full COP. The Malawi country team anticipates updating narratives upon
completion and final approval of the negotiated 5-year Compact between the United States Government
and the Government of Malawi.
Summary
Implementation of the USG plan in Malawi is a model of excellent partnership and collaboration, with
sharing of tools and approaches at all levels. In this activity, DoD is expanding its role as a provider of
prevention services to the Malawi Defense Force (MDF) by strengthening the PMTCT programs at 6 MDF
bases, through partner University of North Carolina (UNC). PMTCT is a key linkage to DoD's AB and other
prevention activities. USG FY 2008 funding is to train MDF counselors in PMTCT. This is a new activity.
Background
According to statistics provided through UNC, 98% of Malawian women attending their first antenatal care
visit accept HIV testing. 15% are HIV-positive and all accept nevirapine prophylaxis (NVP). UNC provides
services to over 20,000 women a year and is estimated to prevent transmission of HIV to over 2,500 babies
per year. All exposed infants are given NVP prophylaxis and are followed up for 18 months. UNC's PMTCT
program provides almost half of all PMTCT services offered in Malawi.
UNC's primary mission is to identify innovative, culturally acceptable and relatively inexpensive methods of
reducing the risk of HIV and STD transmission through research, strengthen the local research capacity
through training and technology transfers, and to improve patient care for people living with HIV and AIDS.
In addition, PMTCT training will address issues of intergenerational and transactional sex as well as DoD's
Other Prevention activities and Abstinence and Being Faithful activities.
The MDF has two sites providing antenatal and delivery services, Cobbe Barracks in Zomba and Kamuzu
Barracks in Lilongwe. In addition, MDF provides antenatal services only at Chilumba garrison in Karonga,
the Marine Unit in Mangochi, the Combat Support Battalion in Dowa, and the Malawi Armed Forces College
(MAFCO) in Salima. MDF has plans to establish labor wards at the MAFCO and Combat Support Battalion
clinics. All these sites are serving large civilian populations surrounding the facilities because government
hospitals are not within reach. Since the MDF supports civilians in the surrounding communities, Ministry of
Health (MoH) assigns at least one nurse or clinical officer in clinics that provide such services.
Activity 1: PMTCT Training for MDF Personnel
With FY 2008 funds, UNC will assist the MDF with building a PMTCT program by training 12 medical
personnel (nurses and clinicians) identified by the MDF, in PMTCT services over a period of two weeks.
These personnel will oversee the 6 antenatal sites noted above. This training will help MDF's PMTCT
providers assist soldiers' spouses and the surrounding community to stem the problem of HIV transmission
during child birth.
UNC's PMTCT training will further enable MDF personnel to generate dialogue and positive support among
MDF soldiers and their spouses, and surrounding communities for a spectrum of behaviors, including
assessing information to understand the risk of contracting HIV, encouraging young women and their
spouses to know their HIV status, and supporting HIV testing during pregnancy. Discordant couples will be
counseled appropriately and provided condoms. UNC will train the medical personnel in counseling and
testing for pregnant women, and administration of nevirapine prevention therapy.
Activity 2: PMTCT Service Delivery
UNC project staff will provide standard antenatal care services to PMTCT clients seen at the MDF clinics.
UNC will provide free clinical care to MDF PMTCT clients every week that will go to Kamuzu Central
Hospital (KCH) through the STD Clinic, the Lighthouse HIV Clinic, the adult medicine ward at KCH, and the
family planning clinic and through VCT.
New/Continuing Activity: Continuing Activity
Continuing Activity: 15427
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
15427 15427.08 Department of University of North 7137 7137.08 UNC PMTCT $30,000
Defense Carolina
Table 3.3.01:
