Through this partnership, launched in 2016, Blood:Water is committed to supporting Partners in Hope as they contribute to the national efforts to improve HIV/AIDS care and treatment delivery in Malawi by providing the best possible care and support services and health outcomes for the HIV population they serve.


The goal of the current project (2016-2018) is to achieve a high rate of patient retention for all of the HIV-positive patients enrolled in services with Partners in Hope through high-quality, clinic-based services and home-based, follow-up care at patients’ homes. Specifically, the current project will:

  • Provide community care and support to at least 1,000 HIV-positive adults and 200 orphans and vulnerable children (OVC) who are living with HIV/AIDS or are HIV-exposed.

  • Provide combination services to 1,000 HIV-positive adults and 200 HIV-positive children.

  • Actively address issues of stigma and discrimination in the community by providing knowledge about HIV/AIDS, and building skills through the care and support of people living with HIV/AIDS.

  • Ensure the qualified delivery of health services and enhance the competency of the Tigwirane Manja team through ongoing training, supervision, and skills development.

  • Establish community extension structures to reinforce patient retention.




Partners in Hope is a Malawian nonprofit organization focused on providing a holistic approach to HIV/AIDS. Since 2001, Partners in Hope has served a catchment area of more than 250,000 people where the HIV prevalence is greater than 20 percent, or double the current national prevalence.

Partners in Hope plays an important role in Malawi’s Ministry of Health public sector ARV scale-up plan by serving people at their medical center, which is equipped with two clinics, a counseling center, laboratory, pharmacy, X-ray and ultrasound machines, and an inpatient facility, An average of 100 new patients are enrolled in services each month, and the clinic serves more than 5,177 individuals with ART care and treatment services.

In addition, Partners in Hope started Tigwirane Manja in 2011 to integrate the clinical care with comprehensive community-based psychosocial services. This is a community-based HIV support program that enhances patient health outcomes and strengthens the clinical care of HIV-positive patients by extending the care provided at the facility to the surrounding communities where the patients live.





African nationalism in Malawi began in the early 1950s in opposition to British colonization. However, it did not gain momentum until after 1958 under Hastings Kamuzu Banda’s leadership, who led the country to independence in 1963. Not many years later Malawi was declared a Republic, and Banda was made president for life. After years of operation under a single-party government, the Alliance for Democracy and the United Democratic Front (UDF) emerged, eventually leading to the first free election in over 30 years. In 1994, Banda was defeated by Bakili Muluzi of the UDF.

Through the rule of Muluzi and his predecessors, including Bingu wa Mutharika, Joyce Banda, and Peter Mutharika, who is now president, the country has continuously struggled with economic and social progress, food shortage, and the HIV/AIDS crisis. In addition, fluctuations of government corruption have decreased the country’s ability to maintain incoming international aid.

Country Population: 19 million

National Language: English

Source: Encyclopedia Britannica, CIA Factbook 2017