For 19 years, MSF has worked with the health ministry to support HIV patients in Chiradzulu, Malawi. The focus is now on hard-to-reach groups, including adolescents.
MALAWI 2017 © Luca Sola
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This information is excerpted from MSF’s 2016 International Activity Report.

In Malawi, where an estimated 980,000 people live with HIV/AIDS, Doctors Without Borders/Médecins Sans Frontières (MSF) runs projects to combat the virus. In Nsanje District, MSF supported the district management team in running a fully decentralized HIV and TB program and supported care for patients with advanced HIV in the district hospital and health care for truck drivers and sex workers. 

MSF worked with the health ministry to support HIV patients in Chiradzulu and began a four-year handover process to ensure high-quality management of stable HIV patients. MSF is shifting its focus to hard-to-reach groups, like adolescents with HIV and patients whose treatment has failed. MSF also worked to improve access to viral load testing in five district health centers and provided screening and preventive treatment for cervical cancer.

MSF provided HIV, TB, and primary health care services in Maula and Chichiri central prisons, where 97 percent of inmates were tested for HIV during the year. Of those who tested positive, 94 percent were started on treatment and 93 percent achieved an undetectable viral load. MSF extended similar services to two district prisons where inmates had limited access to health care. MSF continued development of its transnational “corridor project,” providing health care for high-risk groups including sex workers, truck drivers, and men who have sex with men.

After a major cholera outbreak on Lake Chilwa in early 2016, MSF launched a mass vaccination campaign that reached 108,400 people. An innovative two-dose strategy was used for 5,863 hard-to-reach people, with the second dose self-administered two weeks after the first. MSF concluded a nine-month emergency intervention in Kapise, where around 10,000 Mozambicans sought refuge from conflict in their country in December 2015.