Health: Fighting HIV, AIDS and TB with TCE
DAPP began its work to tackle the HIV/AIDS epidemic in 1998 when its first HOPE project was launched. HOPE established community HIV facilities which served as resource hubs and activity centers for everyone in a given community. Building on this work, DAPP has worked closely with the Malawi Government since 2007 to combat and prevent the spread of HIV/AIDS, tuberculosis (TB), and malaria through its innovative program, Total Control of the Epidemic (TCE). TCE is a comprehensive and systematic HIV/AIDS prevention and care model that combines counseling, field-testing, education, and community mobilization. The program utilizes a door-to-door and interpersonal campaign that encourages lifestyle changes and preventive behavior, reaching every individual and household within a prescribed area over a three-year period.
The TCE program reached more than 1.400.000 people with HIV information and tested 500.000 people for HIV since inception.
The TCE approach is being utilized in the ongoing project namely Total Control – Tuberculosis (TC – TB) which is working with 140.000 people in 14 Traditional Authorities in Thyolo district to reduce new TB infections in order to further mitigate the burden and impact of TB and TB/HIV co-infection. The project aims to reduce the spread of TB by raising awareness, community mobilization and increasing both access and demand to TB and HIV testing in the district. TC – TB Thyolo works with 670 Volunteers and 24 DAPP Community Health Workers (CHWs).
DAPP is also implementing the TC – TB in the Mining Sector in 3 districts; Chiradzulu, Phalombe and Neno. The TIMS project sets out to prevent the spread of Tuberculosis amongst key population namely; miners, ex–miners, their families and communities. The project aims at increasing TB case finding amongst 15.000 mining sector key population and access to information on TB/ HIV and AIDS prevention, testing and counselling, care and treatment to presumptive TB patients.
The project will in 2017 conduct awareness and sensitization campaigns, TB screening, “Active Case Findings” and Contact Tracing using the door-to-door approach; realization of workshops at workplace and mining sites; use of Peer Educators and Local Radio for information dissemination.
Malnutrition is a widespread problem in Malawi, particularly amongst pregnant and lactating mothers and their infants (under two years old). This stunts growth amongst children and results in child and maternal anemia.
DAPP supports the Government’s efforts to reduce child stunting and; maternal and child anemia in Blantyre and Chiradzulu districts. This is achieved through enhancing maternal and child nutrition service delivery at community level and by strengthening existing local development committees.
Since 2013, DAPP’s nutrition efforts have reached 910,000 people with information about food, nutrition and child feeding practices. DAPP also established 5,500 backyard gardens for pregnant women and people living with HIV AIDS patients to grow fruits and vegetables.
The nutrition projects in Blantyre and Chiradzulu districts implementing the Support for Nutrition Improvement Component (SNIC) A Project are working with 510,000 people. Through the 4,570 volunteers in the projects, DAPP Malawi has conducted 11,694 cooking demonstrations and helped establish 13,252 backyard gardens.