4CHILDREN – Malawi

Coordinating Comprehensive Care for Children (4Children) Malawi is a USAID/ PEPFAR-‐funded consortium of organizations led by Catholic Relief Services (CRS) with partners Lilongwe Catholic Health Commission; Maestral; Pact; and Plan International. The project is intended to improve health and wellbeing of orphans and vulnerable children (OVC) affected by HIV and AIDS and other adversities in 10 Traditional Authorities of Lilongwe. 4Children draws on global evidence that illustrates that HIV and other adversities are best prevented and addressed when families and children have access to both high quality health and social welfare services.

PROJECT GOAL: 4Children goal is to mitigate the impact of HIV and prevent new infections among the children in Lilongwe. The program’s activities are designed based on the hypothesis that:
“if priority populations, including vulnerable children/adolescents, their families and people living with HIV (PLHIV) adopt positive health behaviors, are protected from violence, and are linked to and use high quality, accessible, and comprehensive HIV testing, prevention, care, treatment and mitigation services, then new HIV infections will be prevented and quality of life will be improved.”
Strategic Objective 1: Improved utilization of high quality HIV testing, prevention, care and support, and related mitigation interventions, as well as reciprocal referral and linkages to ensure continuity of care across the continuum.
Strategic Objective 2: Increased adoption of behaviors that reduce HIV transmission and acquisition, and mitigate impact among adolescents.
Strategic Objective 3: Strengthened capacity of Malawian structures to lead, coordinate and implement comprehensive HIV testing, prevention, care and impact mitigation responses.

First level priority
• Children living with HIV
• Children exposed to HIV
• Adolescent living with HIV
• Children and Adolescent on ART
• Children and/or adolescent with a caregiver living with HIV
• Children victim of abuse and/or GBV
• Child at risk of early marriage
• Pregnant adolescent girl and adolescents with babies
• Children from CSW
• Not adhering to treatment
Second level priority
• Children of households with a member living with HIV, or chronically ill,
• Children who have lost one or both parents
• Children who are neglected,
• Children subjected to child labour
• Child headed households
• Children from elderly headed households
• Disability and genetic differences

The 4Children Four Domains

The project areas focus on 4 domains that comprise improved HEALTH among household members; household STABILITY; child and adolescent EDUCATION; and SAFETY of children
Notable benchmarks include higher confirmed virally suppression among people living with HIV; better child food and nutrition security; improved school enrollment – CBCC, primary, secondary and vocational; improved child and social protection services; and enhanced statutory and other health and chil

4Children is targeting 16 health facilities in Lilongwe and working in 10 TAs

Traditional Authorities:

Malili; Kalolo; Chitukula; Chimutu; Kalumbu; Kalumba; Chadza; Chiseka; Mazengela and Tsabango


Health Facilities:

Lumbadzi; Area 18; Daeyang Luke; Mitundu; Mlale; Dzenza; Chileka; Nthondo; Mtenthera; St. Gabriel; Kangoma; Chitedze; Likuni; City Assembly; Chinsapo; Nathenje; and  Nkhoma;