Sustaining HIV Epidemic Control through Efficient Case Finding and Quality Care and Treatment Services in Malawi under the President’s Emergency Plan for AIDS Relief (PEPFAR)

The Award Ceiling for Year 1 is 0 (none). CDC anticipates an Approximate Total Fiscal Year Funding amount of $8,000,000 for Year 1, subject to the availability of funds.This NOFO aims to sustain the achievements Malawi has made towards the UN 90-90-90 epidemic control goals and continue to grow the cohort of clients on antiretroviral therapy (ART). Despite good progress, men, youth and children remain behind. The recipient(s) will develop a well-defined, tailored, integrated approach for comprehensive HIV services mentorship and direct service delivery to support the Ministry of Health (MOH) at site-level in the following areas:(1) HIV testing services (HTS): implementation of efficient, targeted case finding approaches.(2) Care and Treatment services (ART, elimination of mother-to-child transmission of HIV [eMTCT], opportunistic infections/Advanced HIV Disease [OIs/AHD], differentiated service delivery models [DSDM]): Linking and retaining clients to maintain the growth of the cohort while providing comprehensive high-quality care and treatment services including for eMTCT with effective treatment adherence and back-to-care strategies and client-centered DSDM.(3) HIV Prevention services: Linking HIV-negative clients to preventive services including pre-exposure prophylaxis (PrEP) through appropriate approaches among high-risk groups, particularly men and young women.The anticipated outcome is progress towards UN 95-95-95 goals across all age/sex groups with continued growth in the ART cohort, improved quality of care, improved access to client-centered DSDM, and reduced HIV incidence particularly among men and young women.