Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013

Details for Mechanism ID: 12112
Country/Region: Malawi
Year: 2012
Main Partner: Johns Hopkins University
Main Partner Program: JHPIEGO
Organizational Type: University
Funding Agency: USAID
Total Funding: $1,647,550

In 2009 Malawi made remarkable progress towards the use of Voluntary Medical Male Circumcision as a nationally endorsed HIV prevention intervention by including MC in the National Action Framework and the National Prevention Strategy Operational Plan. This was further strengthened in 2010 when the Malawi National Guidelines for MC were developed. In early 2011, the National AIDS Commission declared that Malawi will adopt MC as part of its comprehensive prevention portfolio. USAID/Malawi is developing a comprehensive set of MC activities as part of its broader prevention portfolio. USAID/Malawi will be operating in 4 high HIV prevalence districts in the south including Blantyre city, involving two service providers who will be responsible for providing immediate MC services to respond to demand of the outreach campaigns (PSI and BLM). MCHIP will support the GOM to provide and sustain MC service delivery by building the capacity of GOM and Christian Health Association of Malawi sites to provide MC services. By strengthening MC service delivery in fixed sites we will build some sustainability into the MC service delivery system and increase access for older men to MC service delivery as it is known that outreach campaigns are not always successful in reaching this target group. MCHIP will also provide specific support to CHAM for MC specific trainings, facility based and outreach service provision, and strengthening CHAMs M&E systems. USAID/Malawi will procure the essential commodities for all partners, including reusable and disposable MC kits. USAID/Malawi is also ensuring that all partners are supported by our community prevention partners who will develop a brand for the national campaign, raise community awareness, create demand and design communications materials

Funding for Biomedical Prevention: Voluntary Medical Male Circumcision (CIRC): $1,647,550

This activity will support the implementation of male circumcision services. Malawi is scaling up our male circumcision program. We will have four partners, including MCHIP, provide MC services in five districts (one CDC partner in one district in the central region). MCHIP's MC program will serve two main objectives: to support CHAM (Christian Health Association of Malawi) to implement MC services in one district in Southern Malawi and to build the capacity of fixed-site continous service delivery to target adult males. USG has been advised that adult males do no make themselves available to outreach campaigns (which the other three partners will undertake) therefore we would like MCHIP to focus on building the capacity of fixed sites, both government and private, in the four focus districts in the South, and target adult males.

The overarching goal in FY12 will be to increase access to MC services by ensuring that focus districts in the Southern region in Malawi have the training, service delivery models for both youth and adult men, human resources and other systems needed to implement this key intervention as part of the comprehensive HIV prevention portfolio. In 2011, MCHIP spearheaded a successful 4-week pilot VMMC campaign in Mulanje district in Southern Malawi, resulting in 4,348 men circumcised with 98% uptake of HTC. Building off of this success, in FY12 MCHIP will provide support to specific GOM and CHAM sites to strengthen the fixed-site service delivery. Additionally, MCHIP will support CHAM to implement service delivery by training their staff/institutions and building their capacity to do MC service delivery. CHAM provides about 40% of all health services in Malawi and is an important component of the health infrastructure. However, CHAM has limited capacity and budget vis-à-vis MC and need MCHIPs overarching technical support to implement quality services; they will provide about 5000 circumcisions in parts of one district. CHAM/MCHIP will receive commodities from the central USG partner SCMS and will be supported by USAIDs social prevention partner, BRIDGE II, which will be responsible for undertaking community mobilization, demand creation and other MC related communications.

Cross Cutting Budget Categories and Known Amounts Total: $100,000
Human Resources for Health $100,000
Key Issues Identified in Mechanism
Addressing male norms and behaviors