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Malawi is a land-locked country located in Southern-Central Africa, sharing borders with Tanzania, Zambia, and Mozambique. It has a land area of about 118,484 km2, with a projected population of about 16.4 million. The country is divided into three geographical regions (north, central, and south). There are 28 districts organized into five health zones (Northern Zone, Central Eastern Zone, Central Western Zone, South Eastern Zone, and South Western Zone).

TB remains a major public health problem in Malawi. According to a 2014 WHO report, there were an estimated 16,267 new cases of TB (all forms) in the year 2014, and approximately 54% of these were HIV positive. The prevalence of TB (all forms) in the country was estimated at 334 per 100,000.

The TB CARE II Malawi Project is a coordinated effort led by URC in collaboration with Project HOPE and Partners in Health. The project aims to:

  1. work with the government of Malawi to reach and sustain global and national targets for case detection and treatment success through DOTS expansion and strengthening;
  2. scale up universal access to TB diagnosis and treatment, especially in women and vulnerable populations, utilizing community-based approaches;
  3. improve TB/HIV integration at all levels, particularly at the health facility level, and offer high quality DOTS through a wider range of service delivery outlets, especially for PLHIV;
  4. increase access to drug-resistant TB prevention and treatment through community-based approaches and improved diagnostic capacity for drug susceptible and drug resistant TB.

The major project interventions are focused on both the national and district levels, in close collaboration with the National Tuberculosis Program (NTP) and the Ministry of Health. At the national level this includes strengthening the laboratory network and improving the Central Reference Laboratory (CRL) capacity, supporting the nascent drug-resistant TB (DRTB) treatment program, piloting novel diagnostics, and strengthening the NTP centrally. Activities in target districts are focused on implementing a comprehensive package that includes: emphasis on DOTS expansion and enhancement, integration of TB/HIV services, improved services for DRTB and health system strengthening through the decentralization of services, improvement of the laboratory network, and involvement of community structures in diagnosis and patient follow-up. TB CARE II works in Machinga, Mangochi, Mulanje, Neno, Ntcheu, Phlalombe, Nsanje, Nkhotakota, Mzimba, Balaka, Zomba, Lilongwe, and Chikwawa.


               USAID TB CARE II project works to improve TB patient care and treatment.

USAID TB CARE II project works to improve TB patient care and treatment


News Related to TB and Malawi

TB CARE II at the 45th Union World Conference on Lung Health

TB CARE II is excited to announce we will once again have a significant presence at this year's conference on International Lung Health in Barcelona, Spain from October 28 – November 1, 2014.  We look forward to seeing you at the Booth #27, where information and resources from TB CARE II programs in Bangladesh, Malawi, South Africa, and Vietnam will be on display.  TB CARE II’s focus on building local capacity to implement and scale up quality TB prevention, control, care, and treatment services ties nicely to theme of this year’s event - Community-Driven Solutions for the Next more

“Better Safe Than Sorry”: TB CARE II Malawi Promotes Active TB Screening among HIV-Positive Teachers and Learners

In an effort to improve TB/HIV integration in the country, TB CARE II Malawi is collaborating with the Ministries of Health and Education to increase TB screening among HIV-positive school teachers and learners.   Working under the motto, “Better Safe than Sorry”, the campaign is encouraging HIV positive individuals to be screened routinely for TB – in order to identify and treat the disease early, rather than risk waiting to develop advanced TB disease. TB CARE II held sensitization and awareness sessions in Balaka, Machinga, and Ntcheu districts earlier this year. Participants in more

Promoting Integrated TB/HIV Services Through One-Stop-Shop Model in Malawi

Malawi has an HIV prevalence rate of 10.3% and a TB incidence rate of 163 per 100,000. Nearly 60% of TB patients are co-infected with HIV. TB is the leading cause of death among people living with HIV/AIDS. HIV-positive TB patients have worse treatment outcomes than HIV-negative TB patients, and TB-related mortality among TB/HIV co-infected patients is particularly high during the first two to three months of TB treatment. Early initiation of ART during TB treatment has been shown to improve survival. Despite high levels of TB/HIV co-infection in Malawi and Southern Africa in general, more

TB/HIV Implementation and Integration – Formation of TB/HIV Structures at District level

Following successful formation of three District TB/HIV committees in Nsanje, Phalombe and Machinga in November, TB CARE II facilitated establishment of four more committees in Mzimba, Mangochi, Neno and Zomba districts. A total of 61 Health Care Workers (45 males, 16 females) participated in the orientation and formation of these committees in the four districts. In Machinga and Balaka the TB/HIV committees conducted their first meetings where they agreed to cascade TB/HIV integration efforts in TB registration centres in these districts. Currently, in Machinga, there are 5 more

URC Participates in the 44th World Conference on Lung Health

URC will again have a significant presence at this year’s Union World Conference on Lung Health from October 30–November 3 in Paris, France. In many of the 22 countries that account for more than 80% of TB cases worldwide, we are supporting national TB programs through innovative approaches to address systemic barriers to effective prevention and treatment. The conference provides an opportunity to share our TB work more