Reaching Families through Index Case Testing in Malawi

An innovative testing strategy helps more people living with HIV learn their status

Image for post
Image for post
Violet and Godfrey Justin meet with an HIV counselor during a visit to Bvumbwe Health Center in Malawi. Photo credit: Moving Minds, Malawi.
Image for post
Image for post
Image for post
Image for post
Gift Chitukula, an HIV diagnostic assistant (HDA) for Makhetha Health Center, talks with a client about the importance of partner and family testing. Photo Credit: Henry Nyaka/MSH.
Image for post
Image for post
MSH’s supportive initiatives — such as HDAs dedicated to testing, family referral slips that positively reinforce the decision to be tested, lay counselors (expert clients) who encourage contacting partners, and family testing days that make testing more accessible — maximize the impact of the index case testing strategy.
Image for post
Image for post
To create additional spaces specifically for HIV testing services, DHSS provided refurbished shipping containers to high-burden facilities, enabling 10 to 20 additional people to be tested each day. Photo credit: Moving Minds, Malawi.
Image for post
Image for post
Image for post
Image for post
Left: After the introduction of index case testing by DHSS in June 2016, the number of people tested by project-supported facilities nearly doubled. Right: Of the HIV testing methods employed by DHSS, index case testing proved most effective in identifying new cases of HIV. *Provider-initiated testing and counseling (PITC)

>> Watch the Justin Family’s Story: Family Testing Changes Lives

>> Learn about MSH’s approach to implementing index case testing in Malawi, Angola, and Ethiopia: Reaching the First 90: A Webinar on Index Case Testing

Written by

Management Sciences for Health helps leaders, health managers & communities build stronger health systems for greater health impact. More at www.msh.org

Get the Medium app

A button that says 'Download on the App Store', and if clicked it will lead you to the iOS App store
A button that says 'Get it on, Google Play', and if clicked it will lead you to the Google Play store