1.0 Executive Summary

This report covers the activities that have been accomplished, achievements, successes and challenges faced in the month of March

This month, The NAPHAM District Leaders Committee (NADLC) meeting happened on 14 th March. About 25 out of the 64 Support Groups came for the meeting. NADLC is a Committee that is comprised of 1 leader from each of the Support Groups in the district that has been registered with NAPHAM, it meets monthly at NAPHAM office. Some of the functions of the NADLC include Planning for community/district advocacy meeting in relation to an issue and or problem that affect member’s wellbeing, development of district policies that govern the operations of district activities, a forum for capacity building (mini trainings) conducted by the district staff to NADLC, a forum where NADLC members share best practices, experiences in the implementation of programmes, a forum for communications by the office and support groups, and a forum for bringing reports to the office. A challenge that is being faced by the members is lack of transportation, the members complain of having limited or no transport money.

2.0 Introduction

The National Association for People Living with HIV/AIDS (NAPHAM) exists to provide quality care and support services to people infected and affected with HIV/AIDS in Malawi. It is a Non Governmental organisation which was established in 1993. It covers all the 28 districts of Malawi.

Dowa is one of the districts where NAPHAM is new. Dowa lies roughly between 33° 20’ east and 34° 10’ east and between 13° 20’ south and 13°40’ south in the Central part of Malawi. It is bordered by Lilongwe in the South and SouthWest, Kasungu in the North West, Ntchisi in the North, and Salima in the East, The total land area is roughly 3041 Km2.

The district has 7 Traditional Authorities and 2 sub Traditional Authorities. The T/As are T/A Chiwere, T/A Msakambewa, T/A Mkukula, T/A Dzoole, T/A Kayembe, STA Chakhaza and STA Mponela.

Dowa has a population of 558, 470, and a population density of 184 persons per square kilometre. 4, 765 of the population live in the urban areas while 553,705 live in the rural areas.

The administrative centre is situated at the northern base of Dowa Hills and is 52Km north of Lilongwe city. The boma is about 26Km from Kamuzu International Airport in Lilongwe.

Dowa has been affected by HIV/AIDS and the numbers are increasing every time. About 76% of TB cases admitted at the District Hospital are HIV positive. 67 % of all inpatients are due to HIV related diseases. The number of sexually transmitted infections at the OPD has also increased by 99% in 2006.

There are 21 health facilities that offer ARVs in Dowa and 4 of these health facilities offer CD4 Count in the district; these are at Dowa boma hospital, Madisi hospital, Mponela hospital, and Mtengowanthenga hospital.

The impact of HIV/AIDS in Dowa is the loss of the district’s economically productive population. About 57% of all the HIV/AIDS related deaths have occurred among the sexually active people of between 15 and 49 years of age. This has resulted in low production. Also there has been an increase in the number of orphans, most of whom have nowhere to go and no one to depend on. The social implications of HIV/AIDS on both patients as well as orphans are enormous.