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
Malawi AIDS Counseling and Resource Organization (MACRO) started in 1992 as a VCT service provider
in Blantyre city. With financial and technical support from USG it has evolved to become the leading non-
governmental (NGO) provider of VCT in Malawi, operating two service outlets in each of the three regions of
the country. In 2005, MACRO was certified by the Ministry of Health (MoH) to provide National training in
CT and to provide ART at three of its VCT sites located in Blantyre, Lilongwe and Mzuzu. With USG funds
and technical support, MACRO has established a national CT training center whose operations will be
expanded using FY 2008 funds. MACRO's program of national training in CT is linked to direct CT service
provision funded through Pact.
MACRO's national training activities in CT are part of a logically cohesive program that provides VCT
through a network of testing sites in all the regions of Malawi and provides treatment and care services at
three model comprehensive care centers. Training activities are funded through USG funding while ART
and direct CT service provision are funded through Global Funds programmed through the National AIDS
Commission (NAC). Additional funding for direct CT service provision is through Pact which is a USG-
supported umbrella grant mechanism.
As a national training institution and leading provider of comprehensive HIV prevention and care services,
MACRO works closely with MoH and NAC in developing guidelines, training packages, quality assurance
and monitoring systems.
Activity 1: Support for a National CT Training and Post-training Mentoring Center
MACRO established National CT training and post training mentoring center and trained 129 CT counselors
in CY 2006 using FY 2005 EP funds. By the end of the third quarter of CY 2007 the center had trained an
additional 120 VCT counselors. With FY 2008 EP funding, this center will continue its close linkage with the
direct services outlets operated by MACRO and will provide training to 160 country nationals using a
revised CT curriculum that has reduced the training duration from 5 to 3 weeks.
Each course will be limited to a maximum of 20 participants and deliberate efforts will be made to ensure
fair representation of males and females in each course. The training center will collaborate with district CT
supervisors to mentor newly qualified CT counselors and give feedback on their performance using
standard tools developed for this purpose. In districts with no structures for decentralized mentoring,
trainers from MACRO will visit each newly trained counselor at least once within the first 6 post-training
months.
MACRO trainers employed with USG EP funding played a key role in the revision of National CT training
curriculum that resulted in a shorter National CT training. With ongoing USG support, the number of
counselors trained will increase from 120 in FY 2007 to 200 per year by September 2009. MACRO will also
monitor and evaluate the performance of counselors trained using the revised curriculum and give
appropriate feedback to the MoH and other stakeholders. The Training Center will continue to conduct
courses for trainees from the Southern and Northern regions. Trainings for the Central region will be
conducted by Lighthouse, a USG partner implementing comprehensive HIV programs and training services
in Lilongwe city and its environs.
The MACRO training team will interact closely with and support the MoH in an environment of changing
national CT training needs. MACRO will use FY 2008 funds to diversify the scope of its training program to
include additional special courses such as couple counseling, pediatric counseling, provider-initiated CT
and ART to ensure greater responsiveness to evolving national training needs. These additional topics will
be covered initially in short refresher trainings but will be integrated into the existing standard course in
subsequent years.
In order to ensure sustainability of the training program MACRO, has already initiated a flexible cost
recovery program for VCT training with subsidies that target organizations unable to meet full cost of
training. FY 2008 funds will be used to subsidize trainings for resource constrained organizations and for
jump starting new courses required to support scale-up of anti-retroviral therapy (ART) in Malawi.
Through FY 2008 Funding, MACRO will broaden the scope of its national CT training program to cover
specialized areas such as pediatric counseling, couple counseling and provider initiated CT while training
increased numbers of service providers.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14452
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14452 5958.08 HHS/Centers for Malawi AIDS 6844 3881.08 MACRO GHAI $191,000
Disease Control & Counseling
Prevention Resource
Organization
9960 5958.07 HHS/Centers for Malawi AIDS 5350 3881.07 MACRO GHAI $216,900
5958 5958.06 HHS/Centers for Malawi AIDS 3881 3881.06 $191,000
Table 3.3.14:
