Single Eligibility Justification (SEJ)

Sustaining HIV Epidemic Control

Project Manager

Name: Keith Mwitiwa - Project Officer

Role: Overseeing implementation of the SEJ Project across five referral hospitals and prototype facilities in Malawi

Expertise: HIV testing services, case identification, linkage to care

Name of the Project: Single Eligibility Justification (SEJ)

Project Goal & Objectives

Project Goal:

To optimize the HIV case identification to meet the 1st 95% and protect uninfected persons, and improve linkage to care, retention and VL monitoring of HIV-infected persons to achieve the 2nd and 3rd 95%.

Project Objectives:

  • To deliver comprehensive integrated, differentiated, and equitable high-quality people-centered HIV care and generate evidence-based interventions on active case finding and continuity of care at COEs in five referral hospitals and prototype facilities in Malawi
  • To strengthen site and community-level monitoring and reporting systems

Scope of Work

SEJ project is being implemented to optimise HIV case identification using a facility-based approach in Lilongwe, Blantyre, Mzuzu and Zomba. The project supports HIV testing services in five HIV Management Centres of Excellence (COEs) including:

  • Bwaila Martin Preuss Centre
  • Kamuzu Central Hospital-Lighthouse
  • Zomba Tisungane Clinic
  • Mzuzu Central Hospital Rainbow Clinic
  • Queen Elizabeth Central Hospital Umodzi Family Centre

Additionally, the project supports eight prototype facilities in Lilongwe (Kawale, Area 18, Nathenje, Chitedze, Chileka, Lumbadzi, Mitundu Community Hospital and Kamuzu Central Hospital) as well as two prisons (Maula and Kachere).

Through the provision of targeted interventions such as provider-initiated testing (PITC), Voluntary Counselling and Testing (VCT), Index testing and Social Network Testing, the project focuses on reaching:

  • Men
  • Women
  • Children
  • Adolescents
  • Adolescent girls and young women
  • Orphans and Vulnerable children
  • Key populations (including prisoners)

Since November 2022, the project has conducted HIV tests on 687,497 clients, identifying 15,719 positive cases and linking them to lifelong care and treatment.

Target Population

  • Men
  • Women
  • Children
  • Key populations (including prisoners)

Key Achievements

HIV Tests Conducted

687,497

Positive Cases Identified

15,719

Facilities Supported

15

Prisons Supported

2

Project information

  • Name: Single Eligibility Justification (SEJ)
  • Donor: Centre for Disease Control (CDC) through Light House Trust (LHT) Grant Number: 05
  • Project Duration: October 2024 to September 2025
  • Geographic Coverage: Lilongwe, Blantyre, Mzuzu and Zomba
  • Health Facilities: 5 COEs + 8 prototype facilities + 2 prisons

Project Description

The SEJ project implements facility-based HIV testing services in Centers of Excellence and prototype facilities across Malawi. The project focuses on optimizing HIV case identification and improving linkage to care through various testing approaches.

MACRO provides oversight to ensure that the project is implemented according to protocols and achieves its goals of identifying HIV cases and linking them to care.