Abstract

A successful program response to the HIV/AIDS pandemic requires the targeting of high-risk groups. However, when HIV prevalence is high throughout the population—as it is in Malawi—the need exists to cover the entire country. The authors examine the ability of the Malawi program to achieve national coverage. A major obstacle is that very few civil society groups, which are the main implementation agents, factor coverage into their programming. Rather than expanding their coverage, they extend their activities within their traditional catchment area to serve as many people as possible. Thus, it is necessary to clarify the division of labor between government and civil society, so that together they can respond in a coverage-sensitive manner.

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