Facility-Based Innovations Improve Linkage To HIV Treatment And Care


HIV has been a global challenge over the past several decades, particularly in developing countries such as Malawi, where adult HIV prevalence is about 10.6%.

This technical brief describes this Plan, Do, Study, Act (PDSA) approach as implemented by the District Health System Strengthening and Quality Improvement for Service Delivery (DHSS) Project to assist health facilities in strengthening the HIV continuum of care.

In an effort to end the epidemic by 2030, Malawi adopted the 90-90-90 strategy in 2015 as an integrated part of the National Strategic Plan for HIV/AIDS. The 90-90-90 strategy refers to: identifying 90% of people living with HIV (PLHIV); initiating and retaining on antiretroviral therapy (ART) 90% of PLHIV identified; and achieving 90% viral suppression for ART patients.

While Malawi has made significant progress toward achieving these goals, major challenges remain in identifying PLHIV and linking them to HIV treatment and care services.