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Tigwirane Manja
(We Should Hold Hands):
Community Outreach for
HIV/ AIDS in Lilongwe, Malawi
Mike Master; Elizabeth Koleski, RN;
Jon Fielder, MD; Jerry Koleski, MD
University of Arizona
Lilongwe, Malawi
Malawi – 16.4 million
Lilongwe – 1.1 million
Doctors – 459 licensed
- 257 serving
Nurses/ Midwives – 4,600 licensed
Clinical Officers – can’t find number
HIV Statistics
Adult HIV positive rate
was 18% (2008)
now 10% (2012)
Life expectancy at birth
Was 43 years (2007)
Now 59 years (2013)
Partners in Hope Medical Centre
Why We Started TM
Patients come back sick
inconsistent adherence
resistance developed
• Photo of the guys
• Hand diagram
I came that they
may have life, and
have it abundantly.
John 10:10
Learn from each other
• Photo of Innocent & pt
• Picture of Luka or TM group
Get OUT of the Building
Statistics 2014
Activity Attendees
Support Groups 526
Teen Clubs 149
Kids Clubs 331
Community Events 814
Counseling Sessions 1116
Sputum Collections 101
Statistics 2014
Year Admissions from
Moyo Clinic
2011 339
2012 278
2013 145
2014 190
Zikomo Kwambiri
(Thank you very much)

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