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Government and FBO Partnership in HIV Treatment

Government and FBO Partnership in HIV Treatment . Malawi Experience Lusaka – Zambia 28.02.2013. Introduction . Malawi have developed the EMTCT plan Vision: HIV free generation High level targets to be achieved by 2015 Addressing un met need for Family Planning

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Government and FBO Partnership in HIV Treatment

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  1. Government and FBO Partnership in HIV Treatment Malawi Experience Lusaka – Zambia 28.02.2013

  2. Introduction • Malawi have developed the EMTCT plan • Vision: HIV free generation • High level targets to be achieved by 2015 • Addressing un met need for Family Planning • Raising Contraceptive Prevalence Rate (CPR) • Increasing coverage of PMTCT/ART (Option B+) • Increasing coverage of pediatric ART • Reducing new pediatric HIV infections

  3. What will it take • Political will • Leadership • Policy decisions • Monitoring and reporting • Collaboration/partnerships • Advocacy • Demand creation/community engagement • Early ANC attendance and focused ANC care • Hospital delivery • Follow up care (retention and adherence,) • Male participation ( couple testing, disclosure • Resources • Finances • Drugs and supplies • Infrastructure ( health facilities, transport ) • Human resources

  4. Health systems in Malawi • Health system • Public • CHAM • Private • Major sources of funding • SWaP (pool funding) • GF • USAID/PEPFAR

  5. Government and FBO partnership (1) • National level • Human Resource development • CHAM • Training of : • Nurses • Clinicians • Laboratory, Pharmacy and Dental technicians • Government contribution • Supports deployment of tutors in training schools • Salary of staff in CHAM facilities • Deployment of community workers • Supplies and commodities of selected items

  6. Government and FBO partnership (2) • Local level • Curative and preventive services • Public is free • CHAM cost recovery fee • Service level agreement • Main areas • Immunizations • TB services • HIV and AIDS services • MCH services (ANC and delivery)

  7. FBO support to HIV treatment (1) • There are 620 health facilities • Government - 60% • FBO (CHAM) - 40% • Almost all facilities are in rural areas • Some instances the only source of health services • CHAM facilities provides: • Preventive • Curative • Human resource development

  8. FBO support to HIV treatment (2) • HTC • The general population • Pregnant women • PMTCT • ARV for mothers and infants option • Mother Infant Pair follow up • EID services • Treatment care and support • Pre-ART clinic • ART for adults and children • Follow up care

  9. FBO support to HIV treatment (3) • Government support • Supply of commodities • HIV test kits and DBS bundles • ARVs ,STI and OI drugs • Training materials, guidelines • Monitoring tools • Training of HCW • Supervision and mentorship

  10. Collaboration between government and FBO • Financial support • Human resource • Service delivery • Management of projects • Management of government programs • Technical working groups • HIV and AIDS working groups • Communication TWG

  11. Successes • Good collaboration between government and CHAM • FBO (CHAM) contributing highly towards training of health care workers • Main partner in health service delivery especially in rural areas • Supporting government effort in reaching development goals

  12. Challenges • Maintaining service level agreements • Commodity security • Cost recovery fees • High staff turn over in CHAM facilities • Career development

  13. Recommendations • Strengthening of commodity security • Timely allocation resources

  14. Thank you

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