A healthy and fulfilled life for every child and their family.
To provide high-quality family-centered pediatric health care, education and child research in Malawi and worldwide
Baylor-Malawi operates the Baylor College of Medicine-Abbott Fund Children's Clinical Centre of Excellence (COE) in Lilongwe. It provides staff to support the pediatric ward at Kamuzu Central Hospital in Lilongwe, works in four busy government health centers in other areas of Lilongwe and performs outreach across the country. The team also supplies technical expertise to various HIV technical working groups of the Ministry of Health as they consider various policy issues and management guidelines related to pediatric HIV.
- Location: Lilongwe
- Years in operation: 10
- Services: HIV/AIDS, malnutrition, tuberculosis, hematology & oncology, surgery & anesthesia, pediatric emergency medicine, OB/GYN
- Patients in care: 3,146
- Total employees: 617
- Total GHC doctors: 6
- Total national outreach sites: 50
- Total budget: $9.9 million (USD)
- The COE serves as the outpatient pediatric HIV clinic for Kamuzu Central Hospital (KCH) and a pediatric referral center for the entire country. It is also staffs the pediatric oncology inpatient and outpatient clinic at KCH.
- Baylor-Malawi supports government health facilities with physician services and mentorship as part of the Tingathe/PMTCT and MPHATSO outreach programs. Other special projects include Teen Club, the Grassroots Soccer initiative, an emergency care and triage project at the KCH under-5 clinic and a provider initiated testing and counseling program on the pediatric wards.
The program also supports an outreach program that yields approximately 800-1,200 patient encounters each month.
Baylor-Malawi has a robust adolescent program that helps focus on the psychosocial needs of adolescents living with HIV to include Teen Club, Camp Hope and a Transition Training. These programs give young people the tools they need to overcome issues such as medication adherence, stigma and career skills. Through Teen Club, Baylor-Malawi provides services to 800 adolescents across 25 districts in the country. Baylor-Malawi has four main adolescent programs that focus on providing psycho-social and care and treatment support:
- Teen Club provides a monthly opportunity for adolescents to receive medical care and participate in activities that address common issues faced by adolescents including: medication adherence, stigma and discrimination, sexual and reproductive health, disclosure and mental health issues.
- Teen Club began at the COE and since 2010 has expanded to operate 45 Teen Clubs across 25 districts in Malawi reaching 800 teens.
- In partnership with World Camp and Serious Fun Children’s Network, Camp Hope Malawi is a program for youth in Malawi living with HIV. Camp offers an opportunity for young people to meet other youths living with HIV and engage in educational programs to help focus on positive living.
Teen Support Line
- The Teen Support Line is a toll-free hotline for adolescents living with HIV to talk or text with a trained call taker to discuss issues around sexual and reproductive health, disclosure, stigma and depression. In 2014 the hotline received over 500 calls and the program has been expanded outside of the Baylor Teen Club.
Transition Training (T2) Program
- As young people are graduating from Teen Clubs, there was a need to develop a program to help them transition from pediatric to adult care. The program creates a safe space for young adults to learn how to balance career advancement while addressing concerns around stigma, discrimination and disclosure. The pilot program enrolled 25 young people who attended an eight-week session.
Training & Education
Training and education is a large component of the work carried out by Baylor-Malawi, with over 500 health care professionals, students and volunteers educated in 2014. Projects such as Tingathe, a community outreach program that aims to prevent mother to child transmission of HIV, and EQUIP, train doctors, community health workers (CHWs), nurses and clinical staff in topics such as HIV prevention, diagnosis and treatment.
Baylor-Malawi is the largest provider of pediatric HIV care and treatment services in the country. The COE in Lilongwe has an active case-load of approximately 3,100 patients with over 2,600 on ART. The average enrollment is 40 new patients per month. Baylor-Malawi also helps the government with national scale-up of pediatric HIV services and serves as the primary consultant to the Ministry of Health for issues related to pediatric HIV. BIPAI pediatricians are actively involved in a number of Technical Working Groups within the Ministry of Health and have been able to help guide and inform national policy.
The program has provided in-depth technical consultation on a number of projects including:
- A national pre-antiretroviral therapy program
- An early infant diagnosis program
- Expansion of prevention of mother-to-child HIV transmission programs
- Pediatric treatment guidelines
- Testing and counseling guidelines
- Expansion of provider initiated testing and counseling programs
- Development of malnutrition and TB/HIV guidelines
The program also is one of three centers recruiting patients for the Trioped clinical trial. This research will provide the Malawi Ministry of Health with important operational data about real-life efficacy of the first-line antiretroviral therapy regimen in Malawi. These high-level activities represent a strong ongoing collaboration with our partners in government and other NGOs.
Tingathe is a community outreach program initiated in 2008 by Baylor-Malawi in partnership with the Malawi Ministry of Health and the Lilongwe District Health office with funding from USAID. The program focuses on using community health workers (CHWs) to improve PMTCT, EID and pediatric HIV care and treatment services. The program now exists in six districts and 21 health facilities in the Central region along with mentorship support in the Northern region of the country. Currently there are over 14,800 active patients in the program with more than 5,226 infected children of whom more than 90% are on ART.
In collaboration with Partners in Hope (PIH) Baylor-Malawi provides clinical mentorship, and systems strengthening in the Northern region of Malawi. To provide pediatric technical assistance and promote excellence in HIV care, monthly pediatric supervision visits are performed by a Baylor-Malawi pediatrician to coach providers on general pediatrics and pediatric HIV care.
Building capacity of health care providers in pediatric HIV care and treatment throughout Malawi continues to be a large focus of the Baylor-Malawi mandate. This has been achieved through clinical mentorship, didactic training, lectures, workshops, student rotations and clinical attachments to the COE. In addition, training of providers to manage pediatric hematology and oncology also occurs at Kamuzu Central Hospital with faculty from Texas Children’s Hospital. Baylor-Malawi continues to provide educational opportunities to international visiting scholars, medical interns for the University of Malawi and other health professionals.