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  MALAWI - Country Profile Updated: Feb 2005  

AIDS Programmes

National Strategic Framework
Status

Completed (2000-2004)

National policies
  • National Health Plan and Policy incorporates HIV prevention and mitigation.
  • Strategy for Comprehensive Management of HIV/AIDS newly completed.
  • National policy on HIV/AIDS finalised June 2003 for parliament's approval by end of year.

Ministry of Health and Population
P.O. Box 30377, Lilongwe 3, Malawi
Tel: +265 1 789 400 / +265 1 788 849 / +265 1 789 195
Fax: +265 1 789 431
Email:

National AIDS Commission of Malawi
Contact person: Dr Bizwick Mwale, Executive Director / Dr Owen Kalua, Director of Programmes
P.O. Box 30622
Lilongwe, Malawi
Tel: +265 1 727 900
Fax: +265 1 843 363 / +265 1 727 398
Email: /
Website: www.aidsmalawi.org.mw

  • Prevention work; strengthen the capacity of institutions, communities and individuals to stop the spread of the epidemic and mitigate its impact.
  • HIV/AIDS Organisations:

    1. Actionaid - Malawi
      P.O. Box 30735, Lilongwe
      Tel: +265 1 757500/04/08
      Fax: +265 1 771 349
      Email:
      Website: www.actionaid.org
      Prevention; care and support, advocacy, outreach; education; counselling.

  • Family Health International (FHI)
    Contact person: Dr Margaret Kaseje - Country Director
    House City Center
    Arwa House, 3rd Floor/ North Wing
    Lilongwe 3, Malawi
    Tel: +265 1 775 106
    Email:
    Website: www.fhi.org
    Diversified programme of research, education, and services in family health and HIV/AIDS prevention and care.
  • Malawi AIDS Counselling & Resource Organisation (MACRO)
    Contact person: Katawa Hsowoya
    Tel: +265 835 390
    Fax: +265 624 980
    Email:
    Prevention; outreach; education; counselling.
  • Malawi Network of AIDS Service Organisations (MANASO)
    P.O. Box 2916
    Blantrye
    Tel: +265 01 835 018/46
    Email:
    Networking; information sharing, training workshops; grants management aimed at building the capacities of community based organisations.
  • Malawi Network of People Living with HIV/AIDS
    Contact person: Victor Kamanga / George Kampango
    Private Bag 377
    Lilongwe 3, Malawi
    Tel: +265 1 773 727
    Fax: +265 1 770 194
    Email: / /
    Website: www.sanaso.org.zw
    Support groups; information; training programmes; conferences.
  • National Association of People with HIV/AIDS in Malawi (NAPHAM)
    Contact person: Kumbakani Black
    Private Bag 355
    Lilongwe, Malawi
    Tel: +265 1 791 943/ 770 641 / 776343
    Fax: +265 1 791 939
    Email:
    Home-based care; counselling; education; condom promotion; information; support; advocacy.
  • Partners in Hope
    P.O.Box 302
    Lilongwe
    Tel: +265 01 727 155
    Email:
    Clinic with programmes for ARVs; HIV prevention; prevention of mother to child transmission; home-based care.
  • Policy Project Office
    Contact person: Shawn Aldridge / Rita Chilongozi
    Amina House, 1st Floor, East, Chilambula Road, Plot 6/14
    Private Bag B404
    Lilongwe, Malawi
    Tel: +265 1 754 130
    Mobile: +265 9 222 984
    Fax: +265 1 754 127
    Email: / /
    Website: www.policyproject.com
    Mobilization of government and communities to prevent HIV/AIDS.
  • Population Services International (PSI)
    P.O. Box 529
    16 Leslie Road
    Blantyre, Malawi
    Tel: +265 1 677 345
    Fax: +265 1 674 138
    Email: /
    Website: www.psi.org
    Uses social marketing to deliver health products, services and information that enable low-income and other vulnerable people to lead healthier lives.
  • Southern African AIDS Training Programme (SAT)
    Contact person: Dixon Ngwende - SAT Country Program Manager
    Private Bag B325, Lilongwe 3, Malawi
    Tel: +265 1 774 422 / +265 1 774 427
    Fax: +265 1 775 351
    Email: /
    Website: www.satregional.org
    Supports community responses to HIV and AIDS through in-depth partnership; networking; skills exchange; lesson sharing in HIV prevention, HIV and AIDS care and support throughout the region.
  • Salima HIV-AIDS Support Organization (SASO)
    Contact person: George Kanyemba
    PL Bag 18
    Salima, Malawi
    Tel: +265 262 821
    Networking; information sharing, training workshops; grants management aimed at building the capacities of community-based organisations
  • Umoyo Network
    Private Bag 254
    Blantyre, Malawi
    Tel: +265 621 022 / +265 621 348
    Fax: +265 624 980
    Email:
    Website: www.umoyonetwork.org
    Capacity building in reproductive health and HIV/AIDS of local NGOs in Malawi
  • UN Theme Group on HIV/AIDS, Chair
    Contact person: Esperance Fundira
    UNFPA Representative
    P.O. Box 30135, Lilongwe 3
    Malawi
    Tel: +265 1 771 444/ 474/ 828
    Mobile: +265 8 828 154
    Fax: +265 1 771 402
    Email:
    Website: www.unfpa.org
    Supports an expanded response and policy advice on preventing transmission of HIV, providing care and support, reducing the vulnerability of individuals and communities to HIV/AIDS.
  • UNAIDS
    Country Programme Adviser
    Contact person: Mr Erasmus Morah
    P.O. Box 30135, Lilongwe 3
    Malawi
    Tel: +265 1 773 329/927
    Mobile: +265 9 960 130
    Fax: +265 1 773 992
    Email:
    Website: www.unaids.org
    UNAIDS leads, strengthens and supports an expanded response aimed at preventing transmission of HIV, providing care and support, reducing the vulnerability of individuals and communities to HIV/AIDS.
Country Indicators
Demographic data Year Estimate Source
Total population (thousands) 2004 12,337 UN population division database
Female population aged 15-24 (thousands) 2004 1212 UN population division database
Population aged 15-49 (thousands) 2004 5356 UN population division database
Annual population growth rate (%) 1992-2002 1.9 UN population division database
% of urban population 2003 16.1 UN population division database
Average annual growth rate of urban population 2000-2005 4.58 UN population division database
Crude birth rate (births per 1,000 pop.) 2004 43.6 UN population division database
Crude death rate (deaths per 1,000 pop.) 24.2 UN population division database
Maternal mortality rate (per 100,000 live births) 2000 1800 WHO (WHR2004)/UNICEF
Life expectancy at birth (years)/td> 2002 40.2 World Health Report 2004, WHO
Total fertility rate 2002 6.1 World Health Report 2004, WHO
Infant mortality rate (per 1,000 live births) 2000 117 World Health Report 2004, WHO
Under 5 mortality rate (per 1,000 live births) 2000 197 World Health Report 2004, WHO
For consistency reasons the data used in the above table are taken from official UN publications
Socio-economic data Year Estimate Source
Gross national income, ppp, per capita (Int.$) 2002 570 UN population division database
Gross domestic product, per capita % growth 2001-2002 -0.3 World Bank
Per capita total expenditure on health (Int.$) 2001 39 World Health Report 2004, WHO
General government expenditure on health as % of total expenditure on health 2001 35 World Health Report 2004, WHO
Total adult illiteracy rate 2000 39.9 UNESCO
Adult male illiteracy rate 2000 25.5 UNESCO
Adult female illiteracy rate 2000 53.5 UNESCO
Gross primary school enrolment ratio, male 2000/2001 not available UNESCO
Gross primary school enrolment ratio, female 1995 not available UNESCO
Gross secondary school enrolment ratio, male 1995 40 UNESCO
Gross secondary school enrolment ratio, female 1995 31 UNESCO
For consistency reasons the data used in the above table are taken from official UN publications

Source: WHO/UNAIDS epidemiological fact sheets on HIV/AIDS and Sexually Transmitted Infections, 2004 Update.
Email:
Epidemiological Fact Sheet
Estimated number of adults and children living with HIV/AIDS, end of 2003
These estimates include all people with HIV infection, whether or not they have developed symptoms of AIDS, alive at the end of 2003:
Adults and children 900,000  
Adults (15-49) 810,000 Adult rate(%) 14.2
Women (15-49) 460,000  
Children (0-15) 83,000  
Estimated number of deaths due to AIDS
Estimated number of adults and children who died of AIDS during 2003:
Deaths in 2003 84,000  
Estimated number of orphans
Estimated number of children who have lost their mother or father or both parents to AIDS and who were alive and under age 17 at the end of 2003:
Current living orphans 500,000  

Assessment of the epidemiological situation (2004)

HIV seroprevalence information among antenatal clinic attendees is available since the mid-1980s from Malawi. In Malawi, Lilongwe, Blantyre and Mzuzu are the major urban areas. From 1985 to 1993, HIV seroprevalence among antenatal women increased from 2 percent to 30 percent. In 1998, 26 percent of antenatal clinic attendees tested HIV positive. By 2001, HIV prevalence had fallen to 20 percent and remained around 21 percent in 2003.

Outside of major urban areas, HIV prevalence among antenatal women tested increased from 6 percent in 1992 to 22 percent in 1999. HIV prevalence among antenatal women tested in 16 sites in 1999 ranged from 3 percent in Kasungu to 36 percent in Mulanje. In 2001, median HIV prevalence outside major urban areas fell to 16 percent and was 17.5 percent in 2003.

In 1999, 23 percent of the women less than 15-24 years of age were HIV positive. By 2001 prevalence in this age group had fallen to 17. In 2003, 18 percent of women aged 15-24 attending antenatal clinics tested HIV positive.

In 1986, 56 percent of sex workers tested in Blantyre were HIV positive. In 1994, 70 percent of sex workers tested in Lilongwe were HIV positive.

Over 50 percent of STD clinic patients tested in the major urban areas between 1989 and 1996 were HIV positive. In 1995, 46 percent of STD clinic patients tested at seven sites outside of the major urban areas were HIV positive.



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