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Malawi: Placing Community Engagement at the Centre of Service Delivery

Malawi has experienced a steady decline in HIV prevalence, which is currently estimated at 10 per cent among 15-49 year olds. Although the  country’s maternal mortality ratio (MMR) has declined slightly, it remains very high at 574 deaths per 100,000 live births.

Given that most HIV infections are sexually transmitted—or are associated with pregnancy, childbirth, and breastfeeding—and the presence of certain sexually transmitted infections (STIs) further increases the risk of HIV transmission, linking SRH and HIV services simply makes sense.

With support from the SRHR (Sexual and Reproductive Health and Rights) and HIV Linkages Project funded by the European Union, and the Governments of Sweden and Norway, Malawi has effectively supported community-level integration interventions and empowered community  members to take an active role in monitoring integration efforts.