Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 9263
Country/Region: Malawi
Year: 2010
Main Partner: Elizabeth Glaser Pediatric AIDS Foundation
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $0

With PEPFAR funding, the EGPAF program will continue supporting comprehensive PMTCT/ANC/MCH services and referrals, linking HIV-positive mothers, male partners, exposed infants and children to HIV care and treatment services, and will also continue to support the training of PMTCT service providers. Comprehensive services provided in clinics entail HIV/PMTCT education to communities; routine counseling and testing (CT) for all pregnant women and their partners; CD4 testing for all HIV-positive women; early infant diagnosis (EID) for HIV-exposed infants; infant feeding counseling; provision of comprehensive antenatal, obstetric, and postnatal care; provision of antiretroviral (ARV) prophylaxis to mother and infant pairs; Cotrimoxazole prophylaxis (CPT) for all HIV-exposed children and their mothers; and the provision of psychosocial support for HIV-infected and lactating mothers through clinic-based support groups.

Pregnant women, their children and male partners are the target populations for EGPAF and the Lilongwe Medical Relief Fund Trust/UNC, EGPAF's sub-grantee partner.

MTCT — Prevention EGPAF, in partnership with MOH and other partners, intends to focus its support on improving the quality and impact of services by strengthening linkages and patient monitoring across PMTCT and care and treatment, increasing implementation of combination ARV regimen, and improving infant feeding practices.

EGPAF supports clinical training in PMTCT service delivery and provides TA at the district and site level to support the provision of comprehensive PMTCT services in ANC clinics and maternity. Currently EGPAF provides TA in Lilongwe District through our sub-grantee, the Lilongwe Medical Relief Fund Trust/UNC. EGPAF will expand technical support to Dedza and Ntcheu Districts in the coming months through direct provision of TA in close collaboration with District PMTCT Coordinators and District Health Officers. EGPAF will also continue providing TA to the MOH to support national PMTCT program implementation through active participation in the zonal mentorship program, technical working groups and the development of policy, guideline and training materials.

HBHC — Adult Care and Support EGPAF will contribute to the implementation of a national pre-ART program in ANC by supporting the roll- out of a basic care package of prioritized essential interventions, including increased access to HTC for pregnant women and male partners, and improved linkages to family planning and staging for ART

eligibility, including CD4 testing, CPT and referrals.

In addition to PMTCT clinical capacity building at ANC facilities, EGPAF currently supports the provision of psychosocial support for HIV-affected women and families. Support groups are led by trained lay counselors and HIV-positive mothers trained as mother mentors. Areas of emphasis include lactation support, infant feeding options, nutrition counseling, and the importance of EPI vaccines and well-child visits.

PDCS — Pediatric Care and Support EGPAF aims to increase access to CPT and EID among HIV-exposed children through several technical support mechanisms. EGPAF will participate in technical working groups and committees to support the roll-out of a national plan for EID. Additionally, EGPAF will support integration of EID into under-five/EPI vaccination programs through HSA community outreach and through active identification of HIV-exposed children using mother and child health passports. HSAs are MOH-employed non-clinicians currently working in the community and clinics providing HTC, EPI, FP, health education

All activities will be conducted in close collaboration with the MOH, District Coordinators and other partners in order to enable them to take over and own the program. EGPAF will also support the establishment of a transport mechanism for dried blood spot sampling (DBS) for EID to ensure families get results in a timely matter, reducing loss to follow-up.

Cross-cutting Human Resources for Health EGPAF will continue to support training of clinicians to provide quality PMTCT services. EGPAF and its sub-grantee, LMRFT/UNC, trains approximately 360 clinicians annually in PMTCT service delivery, which will continue in FY 10. Additionally, EGPAF will mentor PMTCT Coordinators for improved site supervision and mentorship. HSAs will also be oriented in PMTCT, EID and mother-baby follow-up through a pilot on-the-job training program.

Gender Increasing the number of male partners of pregnant women being counseled and tested is a priority area for EGPAF. The Male Championship program encourages HIV-positive women to bring spouses/partners to be counseled and tested at PMTCT sites to enhance support for wives/partners, reduce stigma, and accord individuals/couples the opportunity to make informed decisions on accessing care and treatment services.

PFIP Year 1 Funds - $420,000 PFIP Year 2 Funds - $0

Subpartners Total: $0
Lilongwe Medical Relief Fund Trust: NA
Key Issues Identified in Mechanism
Addressing male norms and behaviors
Increasing gender equity in HIV/AIDS activities and services