EQUIP-Malawi: Extending Quality Improvement for HIV/AIDS in Malawi


EQUIP-Malawi is a collaboration among UCLA PGH; the Partners in Hope clinic in Lilongwe, Malawi; the Malawi Ministry of Health; the Christian Health Association of Malawi; Elizabeth Glaser Pediatric AIDS Foundation; and Baylor International Pediatric AIDS Initiative. EQUIP-Malawi is funded by PEPFAR through USAID-Malawi, and the goal is to improve the capacity of health care systems in central Malawi to deliver HIV/AIDS care by improving the continuum of HIV care, the quality and efficiency of care, and workforce training and development, and to evaluate the delivery of this care system to serve as a model for scale-up across Malawi.


This 5-year project will:


  1. Strengthen the continuum of care between different health services and between facilities and communities, and develop a model for care that involves integration of services. The continuum will also include expanding access to key labs (CD4) and TB identification and care, and HIV prevention and prevention for positives programming. The model will include the strengthening of home‐based care and community networks with a focus on improving adherence and loss to follow‐up, and upgrading and strengthening of existing ART sites to provide adult and pediatric ART.


  1. Develop Zonal Mentoring Teams. Individuals within hospitals will be identified and trained in clinical and program management. The intent is that these individuals will ultimately serve as mentors at other sites in their regions. A “train‐the‐trainer program” will provide the clinicians, public health personnel, and administrators the necessary tools and skills to teach in their respective areas of expertise, including: clinical training, facilitating the continuity of care, administration, monitoring and evaluation, and operational research.


  1. Create a consortium of sites for operational research to improve the quality of HIV care and training. We plan to undertake operational research to address critical questions of priority to the Malawi Ministry of Health that can inform the direction of the Malawi National HIV/ART Program. Questions will range from clinical areas of ART to health service quality and systems issues such as access and equitability.