PEPFAR Health Care Worker Salary Support in Malawi

Human Resources for Health in 2030 (HRH2030)

In 2017, the President’s Emergency Plan for AIDS Relief (PEPFAR) in Malawi received funding for the recruitment and deployment of health workers to 63 selected PEPFAR priority sites located in areas with the highest HIV/AIDS burden in the districts of Lilongwe and Zomba. The health workers included antiretroviral therapy (ART) providers, testers (lab cadres), and pharmacy cadres. As a result of this deployment, HIV/AIDS care and treatment was expected to increase, thereby improving the availability, utilization, and quality of HIV/AIDS services in the supported sites and enhancing HIV/AIDS and health outcomes overall.

This 2019 impact assessment reveals several positive and statistically significant impacts of the PEPFAR salary support activity on site staffing and HIV/AIDS services. The deployment of these health workers increased the number of health workers providing ART services by 49 percent. It was associated with statistically significant increases in the number of sites providing adult ART, prevention of mother-to-child transmission, and TB screening, at least five times a week. It was also associated with an increase in the number of sites that run ART clinics at least five times a week or more, as well as the percentage of sites using the six-month multi-month dispensing model. The benefits reported by facility and health care workers themselves included reduced work pressure, enhanced teamwork, timely provision of care to clients, and reduced waiting time.

This report also documents the lessons learned and best practices for future considerations for donor-supported salary interventions, including the need to complement these interventions with other, wider human resources for health and health system strengthening interventions in order to enhance and sustain the continued delivery of HIV/AIDS services.

November 10, 2020
Year of publication
Resource types
Briefs, Reports and Fact sheets
Human Resources for Health (HRH), impact assessment, health systems strengthening (HSS)

Similar Resources

This document includes:
  • A Strategic Development Summary (SDS) narrative communicating the epidemiologic and country/regional context; methods used for programmatic design; findings of integrated data analysis; and strategic direction for the investments and programs…

The scale-up of antiretroviral therapy (ART) in Malawi was based on a public health approach adapted to its resource-poor setting, with principles and practices borrowed from the successful tuberculosis control framework.

DREAMS is an ambitious $385 million partnership to reduce HIV infections among adolescent girls and young women in 10 sub-Saharan African countries. The goal of DREAMS is to help girls develop into Determined, Resilient, Empowered, AIDS-free, Mentored, and Safe women.

This report presents progress made after two years of implementation of the ESA Commitment (2013-2015). Significant progress has already been made thanks to concerted action by governments, civil society, and development partners at national and regional level.

In late 2015, the Linkages Across the Continuum of HIV Services for Key Populations (LINKAGES) project established a global acceleration initiative to fast-track and strengthen delivery of a comprehensive package of health services for key populations (KPs) at scale. In this context, “…

Timely access to antiretroviral treatment (ART) is vital to ensuring safe motherhood and reducing vertical transmission. Treatment guidance and programming has changed dramatically in recent years.

One of the most prominent priorities during the COVID-19 pandemic is sustaining the gains toward HIV epidemic control and ensuring continuity of treatment and support for viral suppression among people living with HIV (PLHIV), including members of key populations (KPs).
A brief report on protecting human rights and adopting a community-focused approach for the COVID-19 pandemic response

COVID-19 is a serious disease and all people living with HIV should take all recommended preventive measures to minimize exposure to, and prevent infection by, the virus that causes COVID-19.