Addressing Unmet Need in HIV Testing Services (HTS) for Priority Populations and HIV/AIDS Services for Key Populations Through Effective Delivery Models in Malawi under the President’s Emergency Plan for AIDS Relief (PEPFAR)

Description

The Award Ceiling for Year 1 is 0 (none). CDC anticipates an Approximate Total Fiscal Year Funding amount of $3,500,000 for Year 1, subject to the availability of funds. As Malawi is approaching HIV epidemic control, there are still gaps in reaching men with HIV testing services. Men, especially those under 40 years of age, lag in case finding & treatment performance. As per the National HIV Strategic Plan (NSP) 2020-2025, adolescent girls and young women (AGYW) aged 15-24 years account for 25% of new HIV infections in Malawi and HIV incidence is eight times higher among AGYW at 0.40% than adolescent boys and young men at 0.05%. A strategic mix of effective HTS modalities at community levels is key to improve case identification among underserved and high-risk populations. Based on successful community-based HTS programs, PEPFAR Malawi will continue its targeted HTS support by deploying trained human resources, intensified site-level program mentorship and supervision, strengthening data analysis and use, and timely remediation. Key populations (KP) such as female sex workers (FSW) and men who have sex with men (MSM) have high HIV prevalence in Malawi and continued HIV & AIDS service provision is key to effectively control the epidemic. This NOFO’s expected outcomes include increased access and demand for targeted community HTS for men, AGYW, and key populations; improved linkages to HIV prevention, treatment, and care services including referrals of exploited girls to relevant social services; and ensured access to comprehensive HIV prevention, care, and treatment services for KP, specifically, FSW, transgender persons (TG), and MSM.

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