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.

The goal of Baylor College of Medicine (Malawi)'s Tingathe program is to support PMTCT, Early Infant Diagnosis (EID), and HIV treatment services at health facilities, and facilitate prompt entry of infected children and adults into continuum of care for optimal treatment outcomes. Tingathe strengthens systems to improve the quality and utilization of PMTCT, EID, and adult and Pediatric HIV care services thereby contributing to the reduction of mortality and morbidity and, ultimately, the reduction of new HIV infections. These targeted interventions are priority areas of USG support under the Malawi partnership framework and GHI strategy.

Currently Tingathe operates in 20 sites in 6 districts.In COP14, Tingathe will expand to 126 sites in the South East Zone (SEZ) to strengthen pediatric HIV care and treatment services. Tingathe will continue to support 6 sites in Lilongwe and 6 sites in Salima but will drop off sites in Dowa, Kasungu, Mchinji and Ntcheu (priority sites in these 4 districts will be supported through other USG mechanisms). In these 12 sites, the Tingathe program will support adult and pediatric HIV clinical care and treatment services including PMTCT. Tingathe will conduct operations research to identify service delivery barriers and to develop strategies to overcome them. Building capacity of MoH staff is both a short and long term strategy for Baylor to ensure quality health services as well as continuity and sustainability of interventions even long after the Tingathe project closes out.

Through its robust monitoring and evaluation system, Baylor will improve adherence supervision and defaulter tracking activities. Baylor will implement high intensity standardized package of interventions (including HRH support) in all relevant technical areas.

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.