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Malawi

Date Started:

2008

Locations (incl. clinics and nearby communities):

121

New Clients Enrolled (2018):

584,375

Frontline Staff (2018):

348

Our work in Malawi

mothers2mothers (m2m) Malawi is our largest country programme. We provide our full range of family-centred services spanning pregnancy, birth, childhood, and adolescence in the country. This includes prevention of mother-to-child transmission of HIV (PMTCT), reproductive, maternal, newborn, child, and adolescent health (RMNCAH), early childhood development (ECD), and paediatric care and support.

In direct response to the government’s strategy to reach everyone with HIV testing and treatment services, m2m Malawi is the first country that recruits and employs HIV-positive men as Expert Clients as part of our family-centred approach. Currently,

270 male and female Expert Clients are working in 98 clinics to support other men in their community to access health services in order to stay healthy and reduce their partner’s risk of infection. m2m Malawi is also the birthplace of our Community Mentor Mother (CMM) programme, in which Mentor Mothers work door-to-door in local communities, linking women and families to nearby health centres for medical care. The programme was created to enhance the need for retention and adherence support after Malawi became the first country to recommend all HIV-positive pregnant women and new mothers be placed on antiretrovirals (ARVs) for life.

Stevenson H. Tsoyo, Group Village Headman, Chiswe, Malawi.

Our Impact in Malawi

Virtual elimination of mother-to- child transmission of HIV among m2m’s enrolled clients, according to UNAIDS guidelines:

98%

of HIV-positive women enrolled at m2m were initiated on antiretroviral therapy (ART) for life.

86%

of HIV-exposed infants of enrolled m2m clients were given ART to protect them from infection.

91%

of these HIV-exposed infants were tested for HIV at 6-8 weeks.

6 – Our MTCT rate is comparable to the UNAIDS MTCT Indicator, as outlined in their guidelines available here: https://www.unaids.org/sites/default/files/media_asset/2017-Global-AIDS-Monitoring_en.pdf. National benchmark is based on the latest available UNAIDS data, published here: https://www.unaids.org/sites/default/files/media_asset/20190722_UNAIDS_SFSFAF_2019_en.pdf

Success Story

Femia Mangani, a Community Mentor Mother in Bvumbwe, Malawi, was three months pregnant when she tested HIV-positive—she wasn’t even 20 years old.

When I was three months pregnant, I was visited by an m2m Mentor Mother. I told her I had not started antenatal care yet and she explained to me the benefits of going for an HIV test. I tested HIV-positive. I accepted my status with difficulties. The Mentor Mother explained some things to me and I started to feel free. I tested my son Blessings when he was six weeks old and he tested HIV-negative. Now he is just learning to stand. I applied for this job as a Mentor Mother because of what I went through. I tested positive before I was 20 years old so I saw that a lot of young people are going astray because they don’t have any guidance. Through my work, I help people in my community access the medical care they need, including adolescent girls and young mothers, HIV-positive and -exposed children, and other members of a family. Everything in my life has changed. My health has improved, even the way I think has changed. I see my future to be bright.

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