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Extending beyond Policy: Reaching UNAIDS' Three "90"s in Malawi
Zengani Chirwa1, Florence Kayambo1, Lolade Oseni1
1Jhpiego Malawi, Lilongwe, Malawi.
Frontiers in Public Health
|March 31, 2018
Summary
Malawi is increasing HIV testing and care retention through innovative programs. Lay testers and HIV-positive peers are key to reaching UNAIDS 90-90-90 targets in the generalized HIV epidemic.
Area of Science:
- Public Health
- Epidemiology
- Health Policy
Background:
- Malawi faces a generalized HIV epidemic, aiming for UNAIDS 90-90-90 targets.
- Progressive HIV/AIDS policies exist, but innovative service delivery is needed to fill policy gaps.
Purpose of the Study:
- To describe innovative program approaches for HIV service delivery in Malawi.
- To analyze the policy framework surrounding these innovations.
Main Methods:
- Description of a program utilizing layperson testers and HIV-positive peers.
- Analysis of program impact on HIV testing, viral load testing, and retention in care.
- Policy framework analysis of program innovations.
Main Results:
- Increased HIV testing rates.
- Increased viral load testing rates.
- Improved retention in HIV care.
Conclusions:
- Innovative program approaches, particularly lay testers and peer support, are crucial for Malawi to achieve HIV targets.
- These strategies help bridge policy gaps in HIV service delivery.
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