Malawi

Featured Projects

The PEPFAR Gender Initiative on Girls’ Vulnerability to HIV (GIGV), the first award under the HIV/AIDS Research Sector TASC 3 IQC, was funded by USAID. Known as the Go Girls! Initiative (GGI), the project was led by CCP in partnership with Macro International. The Initiative shifted the focus from individual risk-taking to contextual factors that render girls vulnerable. The purpose of GGI was to develop, implement and test social, gender and behavior change communication approaches, in an effort to reduce adolescent girls’ susceptibility to HIV infection. Approaches included: addressing contextual factors that present barriers to accessing education; increasing girls resilience through building life-skills; strengthening parents’ and other adults ‘ability to communicate with and support girls; and community dialogue and action. The CCP teams in Mozambique, Malawi and Botswana combined quantitative and qualitative data collection methods to develop a deeper understanding of girls’ vulnerability, evaluate the initiative and disseminate and discuss results with communities and national and international partners.

Malawi’s BRIDGE II is the next generation of prevention programming designed to scale up and deepen HIV/AIDS prevention activities in Malawi by removing barriers to individual action and confronting drivers of behavior at the normative/society level.

The BRIDGE II Project is a five-year USAID funded HIV prevention program aimed at promoting normative behavior change and increasing HIV preventive behavior among the adult population in Malawi. The program is implemented by Johns Hopkins Bloomberg School of Public Health Center for Communication Programs (CCP) in partnership with Save the Children Federation (SC), Pact Malawi and The International HIV/AIDS Alliance (Alliance). Local partners include Corporate Graphics, Youth Net and Counseling (YONECO), Galaxy Media Consultants, Story Workshop, and National People Living with HIV/AIDS in Malawi (NAPHAM).

The overall program objective is to contribute towards the reduction of new HIV infections among the adult population in Malawi. By 2014, we envision BRIDGE II will achieve the following outcomes:

  • Men and women will have personalized understandings of their HIV risk, and believe they have the skills, knowledge, and motivation necessary to prevent infection.
  • Supported by normative change, proactive services, and dynamic institutions, individuals are using available HIV services and adopting safer sexual behaviors, particularly those related to a key driver of the epidemic, Multiple Concurrent Partnership (MCP). Their behavior change is deep and lasting, and an inspiration to others.
  • Norms are redefined to recognize, value, and reward couple communication about prevention and sero-status, compassion for those with HIV and AIDS, protection of self and others, gender equity, and rejection of cross-generational sex, alcohol/substance abuse, and harmful traditional practices.
  • HIV and other health care providers never miss an opportunity to provide both HIV negative and positive clients with proactive information, counseling, and referral. They will do this through traditional venues, such as client visits, and new approaches, such phone hotlines, cell phone technology, and community events.
  • Malawian institutions are taking the lead in HIV prevention in an atmosphere of coordination and collaboration, with a vibrant exchange of ideas, information, and best practices.

BRIDGE II is a strategic, evidence-based communication program that builds on the Nditha! (“I can”) brand developed under BRIDGE I, a USAID funded HIV Prevention project that was led by CCP from 2001-2008. Through the combination of proven community methodologies, interpersonal communication and innovative approaches, BRIDGE II is scaling-up BRIDGE I’s successes while confronting specific drivers of HIV such as multiple concurrent partnerships (MCPs), alcohol/substance abuse, women’s vulnerability, and male norms, and promoting collective efficacy and normative change. In addition, BRIDGE II is linking prevention and referral systems with other HIV/AIDS-related services through existing networks while using m-health to increase access while strengthening forums for exchange of ideas, research, and strategy harmonization, and building capacity of local institutions to lead a coordinated and sustained HIV prevention effort.

The Malawi BRIDGE Project, a six-year project funded by USAID, was an HIV/AIDS prevention project targeting males and females of reproductive age. Led by CCP, in partnership with Save the Children US, Population Services International (PSI), the Malawi Network of Service Organizations (MANSO), Public Affairs Committee and other local organizations, the goal of the project was to change the way Malawians think and speak about HIV/AIDS, and to encourage adoption of behaviors that prevent HIV transmission. BRIDGE worked at the national, district/community and individual levels in eight intervention districts. CCP used results from formative research to develop a multi-media campaign, called Nditha! (I Can!), to reinforce feelings of confidence and self-efficacy among Malawians in their ability to prevent HIV and AIDS. The follow-on to this project is the Malawi BRIDGE II Project .

Research to Prevention (R2P) is a five-year HIV prevention project funded by USAID. R2P is led by the Johns Hopkins Center for Global Health and managed by CCP. R2Ppartners with faculty throughout the Johns Hopkins Schools of Public Health, Medicine and Nursing, as well as Tulane University, the Medical University of South Carolina, and the University of North Carolina. R2P seeks to answer the question: What are the most effective interventions for preventing the spread of HIV? R2P aims to promote greater use of evidence in the design and implementation of HIV prevention programs in countries most affected by the HIV epidemic. In partnership with organizations in developing countries, R2P will conduct research to identify the most effective interventions for preventing HIV, promote increased use of data to guide programs and policies, and build capacity for applied research among health professionals.

Support for Service Delivering Integration (SSDI-Communication) is a social and behavior change communication (SBCC) project that promotes normative and behavior change in several health areas. The Johns Hopkins Bloomberg School of Public Health Center for Communication Programs (JHU•CCP) implements the program in partnership with Save the Children in Malawi and several local organizations. An important feature of the SBCC program is that it is one among three allied projects that collectively form USAID’s SSDI-Communication program.

By 2015, SSDI-Communication envisions a Malawi where families are better able to advocate for their own health, are practicing positive health behaviors, including timely use of EHP services, and are engaging with a responsive health care system. The goal of SSDI-Communication is to contribute to progress in three critical areas: reducing fertility and population growth, which are essential for attaining broad based economic growth; lowering the risk of HIV/AIDS to mitigate the enormous impact on human resources and productivity; and, lowering maternal and infant and under-five mortality rates.

The project will have both broad national coverage through mass media, campaigns, and capacity building, as well as intensive implementation through that project’s local partners. The focal districts include: Mangochi, Machinga, Phalombe, Nsanje, Chikhwawa, Kasungu, Dowa, Salima, Lilongwe (urban and rural), Chitipa and Karonga.