1. REACH Reaching men and young people in Malawi with HIV services
Rose Nyirenda
Department of HIV
MOH, Malawi

2. Reaching men with HIV testing services
Mobilization
Testing
Linkage
WHEN
- Up to 2 weeks before first Male Friendly Clinic
Until one month after first MFC Clinic
Everyday notices on boards
- Every Saturday from 08:00 to 12:00
Day identified by community
Moonlighting
- ART offered same day at MFC
- Referral to ART Clinic if community outreach within 7 days or at clients convenience
WHERE
- Surrounding Communities
- Workplaces (estates)
-Markets and hot spots frequented by men
- Mobile outreach in identified communities
- VMMC static and outreaches
- Standard health facility
- Hot spots & Drop in Centres (DICs)
- In the MFC clinic
- Nearest health facility
- DIC
WHO
- Community leaders
- Church leaders
- Village Health Committees
- Community health workers (lay cadre)
- Male HTC service providers
- Male nurse or clinician
- Male HTC providers
- Male champion (navigators)
WHAT
HTC and men’s health messages at
- Community meetings
Church gatherings
Other formal gathering
Use of PA system
HIV testing and counselling
Primary care clinic services (BP, Blood Sugar, Malaria, STI etc.
- ART readiness assessment - ART initiation
Male friendly Clinics
Objective to Increase uptake of health services including HIV testing by men
Target Men who are asymptomatic and who prefer a more male conducive envt. For seeking care .
Intervention Design - Clinics staffed by all Male Providers

3. Men waiting to be tested at a rural primary school

4. Reaching young people with HIV testing
Mobilization
Testing
Linkage
WHEN
- Special designated days
- Everyday through board notices at schools
- Designated period of messaging on youth
- Radios
- Special designated days in some communities
- Working days at youth friendly clinics & tertiary institutions
- Weekends
- After school hours
- Same day
- Within 1 week
WHERE
Communities
Youth drop in centers
Schools
Youth and community radios
- Youth centers
- Youth friendly clinics
- Tertiary institution clinics
MFC
Youth friendly clinic
Standard clinic
WHO
Youth leaders
Youth peer groups
Community leaders
Health promotion officers
- Youth HTC providers
- Standard HTC providers
HTC providers
Peer educators
Nurses and Clinicians
WHAT
Benefits of HIV testing
Importance of accessing SRH services
Understanding Gender based violence messaging
Risk assessment
HIV testing
- Service provision (other RH and GBV services)
Access to ART
Access to prevention services (condoms, VMMC, Family planning, STI)

5. HIV testing yield All ages groups and sex
5.5 Districts (June )

6. Community Index Testing: Low Volume, High Yield
Targeted mobile strategies are reaching AGYW & Youth,
but testing strategies need to be refined
Community Index Testing:
Low Volume, High Yield
Targeted Mobile Testing:
High Volume, Low Yield

7. Linking men and young people to ART
5.5 Districts (June )

8. Youth clinic

9. Summary
Men and youth are accessing services at public health facilities
Differentiated services are available in selected districts, sites, specific days and time
Community and youth participation are key in mobilization
Age and sex: key variables for men and youth service providers

10. Next steps
Scale up differentiated services for men & youths (high burden districts)
Prioritize targeted testing strategies for better yield and cost effectiveness
Scale up promising mobilization strategies
Consider service provider age and sex in differentiated services for men and youths

11. Acknowledgements