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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 Project Overview

The USAID TB CARE II Project, a five-year project implemented by a wide consortium of health and development organizations including and led by University Research Co., LLC (URC), began in 2010 with the aim of complementing and building upon existing and planned projects in the Bureau for Global Health to provide global leadership and support to National TB Programs and other in-country partners. Since then, the project team has grown as a key global resource for the development of innovative tools and approaches to combat TB, multi-drug resistant (MDR) TB, and TB/HIV. Our team members more

USAID TB CARE II Project Saves Lives of Communities in Mangochi

Access to health care services among rural, resource-poor people in low-income countries remains a major obstacle to TB control efforts. A critical factor is the need to improve access to diagnostic facilities, which in many rural areas double as TB treatment initiation and registration centres for TB patients. It is common for patients to travel over 50 kilometers to access TB treatment initiation services. Thanks to the USAID TB CARE II project, more than 31, 558 people living near the Chilipa Health Centre can now access TB diagnosis and treatment close to their communities. One more