The African Constituency Bureau (ACB) was established in 2012 to support African representatives on the Global Fund Board in advancing the fight against AIDS, Tuberculosis, and Malaria. Representing 46 countries from East & Southern Africa (ESA) and West & Central Africa (WCA), ACB plays a central role in policy engagement, advocacy, and technical coordination.
BACKUP Health, commissioned by the German Federal Ministry for Economic Cooperation and Development (BMZ) and co-financed by FCDO, SDC, and the EU, is implemented by GIZ. It provides technical assistance to Global Health Financing Mechanisms, primarily the Global Fund and its Country Coordinating Mechanisms (CCMs). BACKUP supports countries across the funding cycle, ensuring resources strengthen national health systems and promote resilient, sustainable systems for health (RSSH).
Malawi Context: PMTCT
Malawi has achieved remarkable progress in reducing vertical HIV transmission to below 5%, largely by integrating Prevention of Mother-to-Child Transmission (PMTCT) services into maternal and child health (MCH) platforms. However, with declining donor financing (including anticipated PEPFAR reductions), the sustainability of these achievements is at risk.
An analysis of Malawi’s PMTCT approach—its cost-effectiveness, enabling factors, and sustainability—is critical to safeguard progress, inform policy, and guide Global Fund Grant Cycle 8 (GC8) investments.
Objectives
The consultancy will:
Identify enabling factors and bottlenecks affecting PMTCT integration and sustainability.
Assess measures taken to maintain low vertical transmission amid reduced donor funding.
Analyse the cost-effectiveness of integrating PMTCT into routine MCH services.
Generate evidence-based, actionable recommendations for Malawi’s health policies and GC8 funding application.
Scope of Work
The consultant will:
Conduct a desk review of national policies, program evaluations, routine data, and existing cost-effectiveness studies.
Assess service coverage, costs, health outcomes (with focus on vertical transmission), institutional capacity, and financial sustainability.
Conduct key informant interviews with policymakers, implementing partners, and facility managers.
Deliverables:
Analytical report (20–25 pages) with executive summary.
Policy brief (4–5 pages).
Presentation slide deck of findings and recommendations.
Technical assistance recommendation memo for GIZ, Global Fund, and national stakeholders.
Consultant Profile
Graduate degree in public health, social sciences, economics, international development, or related field.
Minimum 7 years’ professional experience in Malawi’s health sector, with proven collaboration with government, health providers, and community stakeholders.
Demonstrated knowledge of service integration debates within the Global Fund funding cycle and African constituencies’ positions.
Strong analytical and writing skills; business fluency in English required.
Based in Malawi (essential due to tight timeline and need for local stakeholder engagement).
Deliverables & Timeline
Draft report and deliverables submitted by 25 October 2025.