Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020

Details for Mechanism ID: 10427
Country/Region: Malawi
Year: 2014
Main Partner: Malawi Blood Transfusion Service
Main Partner Program: NA
Organizational Type: Parastatal
Funding Agency: HHS/CDC
Total Funding: $1,760,868 Additional Pipeline Funding: N/A

NOTE: The following is taken from summaries released by PEPFAR on the PEPFAR Data Dashboard. They are incomplete summary paragraphs only and do not contain the full mechanism details. When the full narratives are released, we will update the mechanism pages accordingly.

IMPACT: Prevent new HIV infections due to HIV in blood products, by strengthening the national safe blood system and expanding it to national reach. MBTS Trust was established by the MOH in 2004 as Malawi’s national blood service. MBTS receives core operating support from MOH and NAC. Start-up funding was provided by the EU, and PEPFAR provided $1 million in funding since FY06 to develop capacity in hospital blood banks, train health workers in the safe clinical use of blood, and develop a national QA scheme and guidelines. A new PEPFAR co-ag (FY11) supports expansion of MBTS’ reach to meet all national blood needs and develop comprehensive quality systems. MBTS’ overall objective is to reduce the incidence of HIV and other diseases, through a safe, adequate and accessible supply of blood products and its appropriate clinical use. Blood is collected from voluntary non-remunerated donors, screened for infections, processed into components and supplied to hospitals for transfusion to patients. MBTS’ safe blood supplies have increased 10 fold since 2004 to about 50,000 blood units annually. Despite completion of a national network of MBTS centers in 2010, challenges remain, including inadequate donor supply and high prevalence of TTIs in donated blood. There is a need to strengthen blood testing, M&E, and the QA system. MBTS must also address new objectives, including hemovigilance and national disaster management. Evidence based approaches will support MBTS to develop sustainable capacity to make safe blood supplies readily available to all in need. Expected outputs include 100% quality assured testing of donated blood nationally, safe blood supply reaching WHO standards, and an MBTS quality system accredited under international standards.

Mechanism Allocation by Budget Code for Selected Year
Biomedical Prevention: Blood Safety (HMBL) $1,760,868
Mechanism Target Information

Since COP2014, PEPFAR no longer produces narratives for every mechanism it funds. However, PEPFAR has now included performance targets or indicator information for each mechanism based on the Monitoring, Evaluation, and Reporting (MER) system. The MER guidance is available on PEPFAR's website https://www.pepfar.gov/reports/guidance/. Note that COP years 2014-2015 were under a previous version of the MER system and the indicators and definitions may have changed as of the new 2.0 guidance.

MER Indicator MER description Target Fiscal Year Target
BS_COLL By: Number of whole blood donations screened for HIV in an NBTS ne2rk laboratory 2015 70,000
BS_COLL By: Number of whole blood donations screened for HIV in an NBTS ne2rk laboratory that are identified as reactive for HIV 2015 3,500
BS_COLL Number of whole blood collections each year by the NBTS ne2rk 2015 70,000
SITE_SUPP By program area/support type: General Population Prevention Direct Service Delivery (DSD) 2015 35
SITE_SUPP By program area/support type: Lab Direct Service Delivery (DSD) 2015 35
SITE_SUPP Number of unique sites supported by PEPFAR 2015 35
Cross Cutting Budget Categories and Known Amounts Total: $255,000
Human Resources for Health $50,000
Motor Vehicles: Purchased $205,000