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AID FOR AIDS: HOW DO
COMMUNITY GROUPS NEGOTIATE THE NEW
FINANCIAL ARCHITECTURE?
The past decade has
witnessed a change in the public health funding
landscape with the
rise of global health initiatives as well as increases in
bilateral funding for
health sector development.

Home Management
Of Malaria In
MALAWI
Malaria is a major public
health problem in Malawi. Evidence
shows that fifty percent (50%) of malaria cases in Malawi
are treated
at home
inappropriately due
to poor access to public health facilities. Quality of
treatment
is often inadequate and could lead to serious
complications. I
t is also shown that only 23% of people suffering
from malaria illness have access to
prompt treatment within 24 hours at onset of signs and
symptoms.
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Sustainability
Of Community Home Based Care
(CHBC) Activities In
MALAWI
The CHBC activities carried out by different community based
organizations (CBOs) are indispensable at the moment considering
the acute shortage of health care workers that
Malawi is currently facing. The study set out to understand
challenges which could impact on the sustainability of
CHBC activities as anticipatedin the CHBC Policy. The study
focused on challenges to do with coordination, funding,
involvement of men and people living with HIV and AIDS (PLHA) as well as
monitoring and evaluation of CHBC activities at district level.

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Policy Brief
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Linking Civil Society Policy Brief
Action on HIV/AIDS has been associated with high
profile programmes such
as the Global Fund to
Fight AIDS, TB and
Malaria and the US President’s
Emergency Plan for AIDS
Relief as well as large
philanthropic initiatives
such as the Bill and Melinda
Gates Foundation.
To find out more about
the project contact:
Hayley MacGregor.

Malawi has over the years intensified its fight against AIDS, through
policies, guidelines, services and programmes. Some policies explicitly
mention the need for focus on services for commercial sex workers because of
their susceptibility to HIV infection and the potential risk they have of
spreading the virus. The National AIDS Commission highlights commercial sex
workers (CSW) as a high risk group, and a key group for access to treatment.
The challenge remains to translate these policy
commitments into practice, especially
given the illegal nature of commercial sex
work. Of concern CSWs themselves are
not included in developing the design,
implementation and evaluation of
policies and programmes affecting them.
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''The outcomes of Home Rations for. . . in Malawi.''
There is ample evidence that school feeding in addition to the removal of school fees can greatly improve school participation (enrolment and attendance) and that many categories of orphans and vulnerable children (OVC) are particularly vulnerable to the impacts of poverty and food insecurity, including being withdrawn from school. There is specific evidence that the combination of take-home food rations with in-school feeding and other progressive education policies can further enhance results. What is less well understood, however, is how such interventions work at the household level and how they may be further improved to achieve sustainable results.
This research project was developed to answer the question of whether and how take-home food rations, delivered through schools and conditional on school attendance, can improve the lives and prospects for vulnerable children, their carers and other household members in communities heavily affected by AIDS.
Jerker Edström, Henry Lucas, Rachel Sabates-Wheeler and Bertha Simwaka
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