Project HOPE’s One Community Project began in 2015 as a five-year USAID funded program through Johns Hopkins University that aims to mitigate the impact of HIV and prevent new infections among targeted Malawian priority populations.

In 2016, HOPE also began a two-year TB project funded by Global Fund through ActionAid Malawi. This program is community focused, targeting 16 districts. The project aims to increase access to TB diagnosis by setting community structures like community Collection Points where community members can deposit sputum samples for transportation to the nearest examining center. It also focuses on improving TB treatment outcomes by conducting treatment adherence support through home visits by trained volunteers who also conduct awareness meetings with local leaders and community members. The project will conduct advocacy meetings with prison officials for isolation of TB infected prisoners and general screening of all prison inmates. Health care workers are trained in active TB case finding in rural health facilities.


Project HOPE first arrived in Malawi in 1989 offering HIV/AIDS prevention in collaboration with the Private Hospital Association of Malawi.

Project HOPE has since continued to create HIV/AIDS prevention and education programs as well as expanded some programs by addressing HIV/AIDS tuberculosis (TB) co-infection and the prevention of other sexually transmitted infections. Initiatives in Malawi have included a Malaria Control project, Cervical Cancer Screening, a child survival program, anemia prevention, a breastfeeding education project to help reduce the infant morbidity and mortality rate, a village health bank initiative to strengthen family units caring for orphans, and community health partnerships in the districts of Mulanje, Phalombe and many others to strengthen service delivery and build human and institutional capacity.

Always working at the community level to increase knowledge and reduce the stigma associated with TB/HIV, Project HOPE has also initiated projects to support the National TB Program and improve case management and treatment outcomes. These programs seek to better control TB by providing evidence-based experiences to guide improvement of National TB Guidelines and improve the quality of lab networks, as well as setting up a national Gene Expert training center to improve skills of laboratory personnel in Malawi.

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