Integration and Coordination: Malaria


Many of the countries in the President's Malaria Initiative (PMI) - Angola, Ethiopia, Ghana, Kenya, Malawi, Mozambique, Rwanda, Tanzania, Uganda, and Zambia - are countries in which PEPFAR is currently operating. Given the significant USG investments in both of these initiatives, PEPFAR is integrating and coordinating its services with PMI where feasible. Doing so leverages the expertise of both programs, allows for a broader reach to specific populations, and maximizes the impact of USG investments.

In its next phase, PEPFAR is collaborating with PMI to achieve the following:

Ensuring that families impacted by HIV are able to access malaria prevention and treatment

In countries with high prevalence of both HIV and malaria, country teams are linking services to improve malaria prevention for families with HIV by establishing basic care packages, co-locating services, and ensuring that linkages to referrals are accessible. In addition, community health workers providing basic malaria commodities also provide education and information about HIV.

Increasing integration of health systems functions

Certain functions of both PEPFAR and PMI contribute not only to overall health systems strengthening, but to better functioning of both programs. For example, laboratory strengthening helps labs perform both HIV testing and malaria diagnostics. As part of the GHI, both PEPFAR and PMI will explore additional ways to integrate activities to support health systems at the country level. PEPFAR and PMI should also support co-location of clinical services in the same facility, in order to reduce administrative redundancies and contribute to more efficient procurement and human resources.


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