NU2GGH002460
Cooperative Agreement
Overview
Grant Description
Intensifying Malawi's priority and key populations' access to community HIV testing services and treatment (IMPACT) - Malawi's HIV prevalence is one of the highest in the world with 10.6% of the adult population (ages 15-49) living with HIV (MPHIA, 2016). An estimated 1 million Malawians were living with HIV in 2016, with 350,000 undiagnosed and 24,000 deaths from AIDS-related illnesses in the same year.
Malawi's national HIV program has made great strides from obtaining 73-90-91 in 2016 to achieving 88-98-97 in 2020 (MPHIA, 2020) – positioning Malawi to achieve 95-95-95 targets in the next five years if programming is targeted and evidence-based.
Historically, Malawi has been a leader in the HIV response through fast adoption of evidence-based, high-impact interventions. Malawi's bold HIV response, however, is under significant threat because high unmet need in HIV testing services (HTS) and linkage to HIV prevention and treatment in certain segments of its citizens: (1) priority populations (PP) including men (especially 15-34 years old) and adolescent girls and young women (AGYW, 15-24 years old); and (2) key populations (KP) including men who have sex with men (MSM), female sex workers (FSW), male sex workers (MSW), and transgender persons (TG).
Specific planning, resource allocations, and program tailoring are needed with greater precision and data-guided efficiencies – to align trained community resources such as peer educators (PEs) and HIV diagnosis assistants (HDAs) in testing and linking, intensify community-level mentors and supervision, and institutionalize the use of quality real-time data towards continuously adapting and guiding KP epidemic responses.
To safeguard Malawi's path to attain HIV epidemic, the Malawi AIDS Counseling and Resource Organization (MACRO) and the University of Maryland, Baltimore (UMB) are pleased to offer the U.S. Centers for Disease Control and Prevention (CDC) a proposal for intensifying Malawi's priority and key populations' access to community HIV testing services and treatment (IMPACT).
As CDC's credible partner for 21 years, MACRO pioneered HIV testing services in Malawi and has unparalleled community engagements with KP/PP civil society organizations and community-based organizations (CSOs/CBOs). UMB in Malawi leads laboratory strengthening and information management and integration and is a global leader in implementing high-yield testing strategies and prevention and treatment services for KP and PP.
To bring transformative solutions for CDC Malawi, IMPACT will champion community leadership, equity of access, and system efficiency. Designed with deep-rooted knowledge and experience in community programs across 6 priority districts – Blantyre and Lilongwe (for PP) and Chikwawa, Chiradzulu, Mwanza, and Mzimba (for KP), IMPACT's implementation strategies will be underpinned by three priorities: (1) people-centered programming; (2) an integrated data-driven community engagement platform; and (3) adaptive systems.
We will drive mentorship and supervision through district ownership of programming, community-based HTS, fast-track pathways for ART initiation and continuity of care for KP; prevention and mitigation against COVID-19; and data demand and use. These three priorities will help to achieve IMPACT's purpose to strengthen effective measures to address unmet needs for HTS among PP/KP and HIV services for KP in CDC supported towards the attainment of 95-95-95 goals.
IMPACT's purpose and priorities will enable achievement of direct long-term outcomes of increasing country capacity to implement innovative and targeted community-based HTS and linkage for men, AGYW, and KP; sustainable, appropriate, and non-discriminatory HIV service delivery for KP, as well as indirect long-term outcomes of decreasing new HIV infections among PP and KP and morbidity and mortality associated with HIV.
Malawi's national HIV program has made great strides from obtaining 73-90-91 in 2016 to achieving 88-98-97 in 2020 (MPHIA, 2020) – positioning Malawi to achieve 95-95-95 targets in the next five years if programming is targeted and evidence-based.
Historically, Malawi has been a leader in the HIV response through fast adoption of evidence-based, high-impact interventions. Malawi's bold HIV response, however, is under significant threat because high unmet need in HIV testing services (HTS) and linkage to HIV prevention and treatment in certain segments of its citizens: (1) priority populations (PP) including men (especially 15-34 years old) and adolescent girls and young women (AGYW, 15-24 years old); and (2) key populations (KP) including men who have sex with men (MSM), female sex workers (FSW), male sex workers (MSW), and transgender persons (TG).
Specific planning, resource allocations, and program tailoring are needed with greater precision and data-guided efficiencies – to align trained community resources such as peer educators (PEs) and HIV diagnosis assistants (HDAs) in testing and linking, intensify community-level mentors and supervision, and institutionalize the use of quality real-time data towards continuously adapting and guiding KP epidemic responses.
To safeguard Malawi's path to attain HIV epidemic, the Malawi AIDS Counseling and Resource Organization (MACRO) and the University of Maryland, Baltimore (UMB) are pleased to offer the U.S. Centers for Disease Control and Prevention (CDC) a proposal for intensifying Malawi's priority and key populations' access to community HIV testing services and treatment (IMPACT).
As CDC's credible partner for 21 years, MACRO pioneered HIV testing services in Malawi and has unparalleled community engagements with KP/PP civil society organizations and community-based organizations (CSOs/CBOs). UMB in Malawi leads laboratory strengthening and information management and integration and is a global leader in implementing high-yield testing strategies and prevention and treatment services for KP and PP.
To bring transformative solutions for CDC Malawi, IMPACT will champion community leadership, equity of access, and system efficiency. Designed with deep-rooted knowledge and experience in community programs across 6 priority districts – Blantyre and Lilongwe (for PP) and Chikwawa, Chiradzulu, Mwanza, and Mzimba (for KP), IMPACT's implementation strategies will be underpinned by three priorities: (1) people-centered programming; (2) an integrated data-driven community engagement platform; and (3) adaptive systems.
We will drive mentorship and supervision through district ownership of programming, community-based HTS, fast-track pathways for ART initiation and continuity of care for KP; prevention and mitigation against COVID-19; and data demand and use. These three priorities will help to achieve IMPACT's purpose to strengthen effective measures to address unmet needs for HTS among PP/KP and HIV services for KP in CDC supported towards the attainment of 95-95-95 goals.
IMPACT's purpose and priorities will enable achievement of direct long-term outcomes of increasing country capacity to implement innovative and targeted community-based HTS and linkage for men, AGYW, and KP; sustainable, appropriate, and non-discriminatory HIV service delivery for KP, as well as indirect long-term outcomes of decreasing new HIV infections among PP and KP and morbidity and mortality associated with HIV.
Funding Goals
NOT APPLICABLE
Grant Program (CFDA)
Awarding Agency
Funding Agency
Place of Performance
Malawi
Geographic Scope
Foreign
Analysis Notes
Amendment Since initial award the total obligations have increased 581% from $650,200 to $4,428,700.
Malawi Aids Counselling And Resource Organization was awarded
Enhancing Malawi's HIV Testing & Treatment Priority & Key Populations
Cooperative Agreement NU2GGH002460
worth $4,428,700
from Center for Global Health in February 2023 with work to be completed primarily in Malawi.
The grant
has a duration of 4 years 7 months and
was awarded through assistance program 93.283 Centers for Disease Control and Prevention Investigations and Technical Assistance.
The Cooperative Agreement was awarded through grant opportunity Addressing Unmet Need in HIV Testing Services (HTS) for Priority Populations and HIV/AIDS Services for Key Populations Through Effective Delivery Models in Malawi under the President’s Emergency Plan for AIDS Relief (PEPFAR).
Status
(Ongoing)
Last Modified 8/20/25
Period of Performance
2/15/23
Start Date
9/29/27
End Date
Funding Split
$4.4M
Federal Obligation
$0.0
Non-Federal Obligation
$4.4M
Total Obligated
Activity Timeline
Transaction History
Modifications to NU2GGH002460
Additional Detail
Award ID FAIN
NU2GGH002460
SAI Number
NU2GGH002460-911467899
Award ID URI
SAI UNAVAILABLE
Awardee Classifications
For-Profit Organization (Other Than Small Business)
Awarding Office
75CDC1 CDC Office of Financial Resources
Funding Office
75CW00 CDC CENTER FOR GLOBAL HEALTH
Awardee UEI
M3PJV63KNDK9
Awardee CAGE
SQC15
Performance District
Not Applicable
Budget Funding
| Federal Account | Budget Subfunction | Object Class | Total | Percentage |
|---|---|---|---|---|
| Global Health Programs, State (019-1031) | International development and humanitarian assistance | Grants, subsidies, and contributions (41.0) | $1,315,100 | 100% |
Modified: 8/20/25