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: 14
- Services: HIV/AIDS, malnutrition, tuberculosis, hematology & oncology, surgery & anesthesia, pediatric emergency medicine, OB/GYN
- Patients in care: 3,067
- Total COE and SCOE employees: 106
- Total outreach site employees: 1170
- Total national outreach sites: 120
- Total budget: $7.4 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.
- 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
- 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
Baylor-Malawi Annual Reports