Malawi GiZ Malawi – Health Program – HiV activities

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Malawi
GIZ Malawi – Health Program – HIV Activities
Program
The aim of the Program “Health system strengthening with a
focus on reproductive health” of the Malawi-German Cooperation is that the Ministry of Health (MoH) in cooperation
with non-state actors ensures effective and efficient health
care of appropriate quality, with special consideration for the
health of mothers and newborns. Three program components
contribute to the attainment of this aim, in accordance with
the national Health Sector Strategic Plan: Quality assurance;
HR management and development; Partnership with non-state
actors.
In response to the risks and impacts, GIZ supported in a first
program phase in Malawi the implementation of the National
Care of the Carer HIV and AIDS Workplace Policy (2005). This
document represents the Ministry of Health’s HIV and AIDS
workplace policy for all health sector institutions. It strives
for the creation of a safe working environment for health
care workers with regard to HIV and AIDS, Hepatitis B and
other infectious diseases. The Policy addresses the following
strategic objectives: to prevent the transmission of HIV and
other infectious diseases in the health care setting; to provide
support for health care workers caring for AIDS patients as
well as to support health care workers who are infected with
the virus (including the provision of post exposure prophylaxis - PEP). In this respect, the German Technical Cooperation
used the multilevel approach to reach the national (Ministry of
Health, National AIDS Commission), zonal (Zonal Health Support Offices - ZHSOs) and decentralized (central and district
hospitals) level. At national level, the Program supported
Project name
Malawian German Health Program “Strengthening
of Quality Management Structures in the Malawian
healthcare system with a focus on Reproductive
Health
Client
Malawian population
Country
Malawi
Co-funded
NA
Partner
organisations
UNICEF, Private sector, African Institute for
Corporate Citizenship (AICC), College of Medicine,
Blantyre, College of Nursing , Ngoma, College of
Nursing, Kamuzu Central Hospita
Political
executing
agency
MoH
Duration
31.09.2016
the formulation, review and distribution of the Care of the
Carer Policy as well as the Guidelines on the allocation of 2%
of “Other Recurrent Transactions” to HIV & AIDS workplace
programs.
Impact
There has been important progress made in implementing the
Care of the Carer Policy in the institutions supported by the GIZ
Program in particular concerning behaviour change among health
care workers and workplace-based responses to HIV in hospitals
which lead to the prevention of new HIV infections. The attitude
towards HIV testing and accessing HIV services is changing in
Quailty of service provision, MGHP
Photos: © Arwen van de Merjwe
Photos: © Arwen van de Merjwe
Fotos: © / GIZ
Quailty of service provision, MGHP
health care facilities although stigma and discrimination continue
to be strong forces and barriers to service uptake. The Program has
supported the four central hospitals as well as a number of district
hospitals through ZHSOs in the elaboration of HIV and AIDS
workplace programs (WPP) and the creation of HIV and AIDS support committees through trained focal persons. The committees
established “staff clinics” which provide health care workers with
PEP whenever necessary. Moreover, the Program supported the
establishment of a network of peer educators in health care settings to sensitize and support their workmates.
It is anticipated that these measures will contribute to the
mitigation of new HIV infections within the health care workforce therefore reducing absenteeism, creating a healthier work
environment and increasing employee satisfaction.
and where required the ARV treatment and the prescription of
PMTCT drugs to pregnant women and newborns are promoted
and enhanced. Access to essential HIV services is improved
through stronger engagement of private commercial organizations and other non-state actors.
Contact
Dr. Andrea Knigge
Teamleader
GIZ-Health Malawi
Tel: +265 1773595
e_mail: [email protected]
Present Phase
The GIZ Health program continues to mainstream HIV and AIDS
response measures into its activities, following the respective
BMZ policy 2010. Moreover, in line with the BMZ policy “Linking
SRHR and HIV & AIDS: Possible GDC contributions for improving
maternal and child health” (2011), the present second phase follows a more integrated approach to combat the adverse effects
of the HIV pandemic. The program operates at several levels in
order to improve the quality of health service delivery in collaboration with the Ministry of Health. Through the implementation
of quality assurance measures, clinical expert advice, on-the-job
training of health personnel and strengthening referral systems
the coverage and quality of HIV counselling and testing (HTC)
Published by
Deutsche Gesellschaft für
Internationale Zusammenarbeit (GIZ) GmbH
On behalf of
Federal Ministry for Economic
Cooperation and Development (BMZ)
Registered offices Bonn and Eschborn, Germany
Division
Referat 305, Südliches Afrika
Addresses of the
BMZ offices
BMZ Bonn
Dahlmannstraße 4
53113 Bonn, Germany
T +49 228 99 535 - 0
F +49 228 99 535 - 3500
Sustainable Structures for Health Service Delivery
Area 11/69
Po Box 31602
Lilongwe 3, Malawi
T +265 (0) 1773 585
I www.giz.de
Author
Elena Zanardi
Layout
Iris Christmann, cmuk
As at
August 2013
GIZ is responsible for the content of this publication.
[email protected]
www.bmz.de
BMZ Berlin
Stresemannstraße 94
10963 Berlin, Germany
T +49 30 18 535 - 0
F +49 30 18 535 - 2501