National Association for People living with HIV/AIDS in Malawi (NAPHAM) in collaboration with Journalists Association Against AIDS (JournAIDS) is implementing a project entitled Positive Voices against Gender Based Violence in Malawi funded by European Union (EU) in the four districts of Dowa, Ntchisi, Nkhotakota and Salima.

Below are some of the activities that have been implemented
Conducted four (4) inception meetings with DEC members in the impact districts in which 193 DEC members (141 males, 52 females) participated in the meetings.
The baseline survey has been conducted on gender based violence issues, human rights and HIV and AIDS by the consultant, Evidence for Change (E4C) Solutions, and the consultant is yet to produce and submit a report to NAPHAM.
Conducted one monitoring and evaluation visit; it was done to appreciate the data collection methodologies of the baseline survey by consultant and provide some technical guidance to the survey team.
Developed messages to be placed on IEC materials; waiting for the survey report so that they can be pretested and refined in reference to the findings of the survey

The Integrated HIV (Effect Mitigation) and Positive Action for Community Transformation (IMPACT) Project
IMPACT project is another new project within NAPHAM. The project is funded by USAID through Catholic Relief Services (CRS). The project aims at improving the well-being of 58,017 OVCs and mitigates the negative impact of HIV on 41,505 PLHIV. The project is implemented in 9 districts namely Chikhwawa, Mulanje, Thyolo, Chiradzulu, Zomba, Machinga, Balaka, Ntcheu, and Lilongwe.
The project is implemented by a consortium hence, other implementing partners in the project are Africare, CRS/Malawi and Chikwawa Diocese, Dedza Catholic Health commission, Emmanuel International, Save the Children; Project Concern International, World Vision; Zomba Catholic Health Commission. The project identifies its beneficiaries through existing community structures such as OVC committees and PLHIV support groups.

NAPHAM Bridge Project
This is a USAID funded project, which NAPHAM has been implementing since 2009. The project is funded through Johns Hopkins University. It is aimed at promoting normative behaviour changes that would see the halt of further spread of HIV .It also promotes positive living among the PLHIV. The project is being implemented in four districts in the Southern region namely Phalombe, Chiradzulu and Thyolo and Nsanje. Currently 20 Support Groups are implementing the project’s interventions.

The National Association for People Living with HIV and AIDS in Malawi (NAPHAM) is one of the local partners implementing activities under Bridge II supported project. NAPHAM started implementing Bridge II interventions in 2009. NAPHAM is implementing the project in 4 districts namely, Phalombe, Thyolo, Chiradzulu and Nsanje. This report therefore, highlights project activities NAPHAM undertook in FY 2014, thus from October 2013 to March 2014 in the districts where the project is being implemented. Currently 24 support groups are implementing the interventions.

In the just ended semi-annual, NAPHAM continued with the implementation of four activities namely;

  1. Hope kit sessions
  2. Radio listening sessions
  3. Positive prevention sessions
  4. Tasankha Discussion Guide

Project expansion: In 2009, NAPHAM started with 6 support groups, to date the project activities are being implemented in 24 support groups in 4 districts of Thyolo, Phalombe, Chiradzulu and Nsanje.

  1. Radio Listening Sessions
  2. Tasankha Discussion Guide in Small Groups
  3. Positive Prevention Sessions in Small Groups
  4. Hope Kit Sessions in Small Groups
  5. Training of African Transformation Facilitators
  6. Leadership Review Meeting

Actually, the interventions have since been integrated into the support group activities, targeted with the project. Additionally, in the period under review, Hope Kit (HP) and Positive Prevention (PP) facilitators continued with outreach sessions in the wider community. Positive Prevention tool kit is taken to the nearest Support Group, while Hope Kit is conducted in the wider community.
Furthermore, in February 2014, NAPHAM trained 17 support group members from Thyolo districts as facilitators for African Transformation Tool kit. Hence, 2014 will see NAPHAM implementing AT in 6 Support groups in Thyolo.

Since NAPHAM began implementing Bridge II supported interventions in 2009, the following are the major accomplishments since its inception.
To date, capacity-building has been done both at institutional level and at support group (community) levels.

Members from the 105 small groups in 24 Support Groups in the 4 impact districts continued to meet and participate in radio listening sessions in the period under review. Accordingly, a total number of 2,070members (575 males: 1,498 females) attended the radio listening sessions in the small groups.
Members from the 60 small groups (from 6 Support Groups in all the3impact areas of Thyolo, Phalombe and Chiradzulu) began to meet and participate in Tasankha discussion sessions in the period under review. Accordingly, in the period under review 1,938members (374males: 1,564 females) participated in Tasankha sessions
Members are also been encouraged to adopt and maintain behaviors, which support their own health as well as the health of their sexual partners, unborn babies and infants, families and wider community. In the last 2 quarters, 6,386 people (2,460M: 3,926 F) participated in positive prevention sessions.
In the period under review, Support Group members have been conducting sessions on Hope Kit. The practical techniques and games in Hope Kit have gone a long way to help Support Group members adapt their behaviour to stay healthy and avoid HIV re-infection and AIDS. Additionally, some Hope Kit facilitators managed to take Hope kit activities to the wider community. In the last 2 quarters, 7,942 people (2, 218 M: 5,724F) participated in HP sessions.
In February 2014, NAPHAM conducted training for 17-support group as AT facilitators. The facilitators were drawn from 6 support groups from Thyolo districts, where the intervention will be implemented. The training was conducted by 2 TOTs from NAPHAM namely Mr Mkutu and Mr Majawa with technical support from Mrs Josephine Mkandawire from JHU/CCP.
In the period under review, MAPHAM held a leadership review meeting. The meeting was held in Luchenza and it was aimed at preparing the leaders from 24 SG about the phasing out of the project.

Conduct a meeting with all the leaders from the 24 support groups. The meeting will take place in Thyolo and the focus will be on how the support groups are fairing with the implementation of activities.
Train support group members from 24 Support Groups in Community Referral.
Re-orient facilitators for Transformative Tools (PP, Hope Kit, and Tasankha)
Mentoring and Monitoring Visit by Secretariat
Mentorship and Monitoring Visits to Support Groups by the District Co-ordinators:
Documentation of success stories on all the interventions in the support groups
Mentoring and Monitoring visits to support groups by the Project Officer, M & E and Project Manager.
As of 31st March, 2014, NAPHAM had achieved the following PEPFAR Target

In the period under review M & E, and Finance officers from Secretariat conducted a monitoring and mentoring visit to the districts of Chiradzulu and Phalombe.
The District Co-ordinators in all the four districts continued to work more closely with the facilitators in the support group as part of the mentoring process in readiness for the phasing of Bridge II project.

As the Bridge II Project is coming to an end on 30th June, 2014, the focus of most of the activities to be implemented during this period will focus on sustainability. Furthermore, NAPHAM intends to integrate the project activities into its project portfolio as the project phases over as part of sustainability. We hope come 30th June 2014, NAPHAM will have met its target.


Strengthening quality care and support services for people living with HIV and their dependents
The National AIDS Commission (NAC) funds this project and its aim is to prevent further transmission of HIV in the communities. It also promotes quality life for people infected by the virus. The project is implemented in all the districts of across the country including Likoma Island. This project remains the biggest and backbone for NAPHAM. The project focuses on HIV prevention, and impact mitigation.