Multi-Sectoral AIDS Project (MAP)

Abstract*

The development objective of the national HIV/AIDS program, supported by the Multi-Sectoral HIV/AIDS Project, is to reduce the transmission of HIV, improve the quality of life of those infected and affected by AIDS, and mitigate the impact of HIV/AIDS in all sectors, and at all levels of Malawian society. The various project components follow. Prevention and advocacy aims at behavioral change, and the prevention of HIV transmission. To this end, a... Show More

Development Objective

To increase access to prevention, treatment, and mitigation services, with a focus on behavioral change interventions and addressing the needs of highly vulnerable populations, including those affected and infected by the epidemic.

Key Details

Project Details

Project ID
P073821
Status
Closed
Team Leader
John Paul Clark
Borrower 2
N/A

Country
Malawi
Disclosure Date
December 27, 2002
Approval Date
(as of board presentation)
July 29, 2003
Effective Date
February 6, 2004

Total Project Cost 1
US$ 274.74 million
Implementing Agency
N/A
Region
Eastern and Southern Africa
Fiscal Year 3
2004

Commitment Amount
US$ 264.74 million
Environmental Category
B
Environmental and Social Risk
Not Applicable
Closing Date
September 30, 2012

Last Stage Reached
BANK APPROVED
Last Update Date
April 11, 2013

Associated Projects
P107545

Notes
1. Total project cost includes funding from World Bank and non-bank sources in US$ millions. Active and Closed projects show current commitments. Proposed (pipeline) and dropped projects show the forecast amount. The commitment amount for projects in the pipeline is indicative and may be modified during the project preparation.
2. Borrower refers to the Borrower of a Loan or Recipient of a Grant.
3. ”Fiscal Year” is the fiscal year in which the project was approved (or dropped if the status is dropped). The World Bank's fiscal year is from July 1 - June 30. For example, a fiscal year of 1996 corresponds to July 1, 1995 - June 30, 1996.

Sectors

Themes

FY17 - Human Development and Gender

FY17 - Disease Control28%
- FY17 - HIV/AIDS28%
FY17 - Health Systems and Policies14%
- FY17 - Reproductive and Maternal Health14%

FY17 - Private Sector Development

FY17 - Jobs4%
- FY17 - Job Creation4%

FY17 - Public Sector Management

FY17 - Data Development and Capacity Building4%
- FY17 - Data production, accessibility and use4%

FY17 - Social Development and Protection

FY17 - Social Inclusion18%
- FY17 - Other Excluded Groups4%
- FY17 - Participation and Civic Engagement14%
FY17 - Social Protection33%
- FY17 - Social Insurance and Pensions28%
- FY17 - Social Safety Nets4%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
NORWAY: Norwegian Agency for Dev. Coop. (NORAD)	10.00
CANADA: Canadian International Development Agency (CIDA)	10.00
US, Govt. of	2.00
UN Development Programme	3.80
Borrower/Recipient	10.00
IDA GRANT FOR HIV/AIDS	35.00
UK: British Department for International Development (DFID)	7.20
African Development Bank	0.60
The Global Fund to Fight AIDS, Tuberculosis & Malaria	196.14

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	N/A
IDA Commitment	35.00
IBRD + IDA Commitment	35.00

Lending Instrument
Grant Amount	229.74
Total Project Cost**	274.74

Summary Status of World Bank Financing (US$ Millions) as of July 31, 2025

No data available.

Detailed Financial Activity as of July 31, 2025

Download:

Period	Financier	Transaction Type	Amount (US$)
Sep 5, 2017	IDA-H4910	Loan Cancel	24,305.01
Sep 5, 2017	IDA-H4910	Loan Disb	-24,305.01
Jul 29, 2003	IDA-H0620	Loan Commitment	35,000,000.00
Aug 27, 2009	IDA-H4910	Loan Commitment	30,000,000.00

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Procurement	Satisfactory	2012-09-29
Project Management	Satisfactory	2012-09-29
Progress towards achievement of PDO	Satisfactory	2012-09-29
Monitoring and Evaluation	Satisfactory	2012-09-29
Overall Implementation Progress (IP)	Satisfactory	2012-09-29
Financial Management	Moderately Satisfactory	2012-09-29
Counterpart Funding	Satisfactory	2012-09-29

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 04-16-2013
Outcomes	Moderately Satisfactory
Risk to Development Outcome	High
Bank Performance	Substantial
Borrower Performance	Substantial
Government Performance	Substantial
Implementing Agency	Substantial

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW: 08-07-2013	PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome Rating	Moderately Satisfactory	N/a
Risk To Development Outcome	High	N/a
Bank Performance	Moderately Satisfactory	N/a
Borrower Performance	Satisfactory	N/a
Government Performance	Satisfactory	N/a
Implementing Agency	Satisfactory	N/a
Icr Quality	Satisfactory	N/a
M&e Quality	Substantial	N/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Percent sexually active women (15-49 years) having sex with a more than one partner (non-regular partner) in the last 12 months.	Value	8.3 percent	1.0 percent	5.0 percent
	Date	January 1, 2004	November 30, 2011	September 30, 2012
	Comment	Source: 2004 DHS	Source: 2010 DHS

Percent sexually active men (15-49) having sex with more than one partner (non-regular partner) in the last 12 months.	Value	26 percent	9.2 percent	20 percent
	Date	January 1, 2004	November 30, 2011	September 30, 2012
	Comment	Source: 2004 DHS	Source: 2010 DHS

% of people reporting the use of a condom during sexual intercourse at last high-risk sex (sex with a non-cohabiting or non-regularpartner) (by gender and age)	Value	47% males; 30% females	25% males; 27.3% females	63% males; 41% females
	Date	January 1, 2004	November 30, 2011	September 30, 2012
	Comment	Original project baseline, DHS 2004	Additional finance baseline. Source: 2010 DHS

Median age at first sex among 15-24 year olds (by gender)	Value	18.1 yrs (males); 17.4 yrs (females)	18.5 males; 17.4 females(20-24 Age groups for bot	19 yrs (males); 17.8 yrs (females)
	Date	January 1, 2004	June 29, 2012	September 30, 2012
	Comment	original project baseline	Data for 19-24 is not available in the 2010 DHS. Data reported had minimal change given that the marriage age still remains lowandtherefore leads to early sexual debut for both males and females.

% of young people (15-24) who both correctly identify ways of preventing transmission and who reject major misconceptions about HIVtransmission (by gender)	Value	37% males; 25% females	45% males; 42% females	55% males; 40% females
	Date	January 1, 2004	January 1, 2010	September 30, 2012
	Comment	original project baseline	additional financing baseline. Source: 2010 DHS

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Number of sexually active people who are counseled and tested for HIV (and receive VCT test results)	Value	738,438 people (cumulative estimate from end-2007	1,249,425	1.35 million
	Date	December 31, 2007	August 16, 2012	September 30, 2012
	Comment		Source: NAC Annual Technical Progress Reports; July 2011-March 2012. Most recent figures are through March 2012 and thereforeunderreport total number as of the end of project target and also reflect periodic stockouts of HIV test kits.

Resource flows from NAC to civil society implementing partners (CBOs, NGOs, FBOs, private sector)	Value	US$0.517 million (NAC/FMA FY03 data)	US $310 million	US$112 million per annum
	Date	December 31, 2003	June 29, 2012	September 30, 2012
	Comment		Source: Annual Grants Facility Reports, NAC, (July 2009-June 2010, July 2011-June 2012). Client reported total cumulativedisbursedto all grant recipient organizations which include civil society and public sector entities.

% of patients with STIs at health facilities who have been diagnosed, treated and counseled according to national management guidelines.	Value	36.00	37.00	55.00
	Date	January 1, 2008	March 30, 2012	September 30, 2012
	Comment	Source: Health Facility Survey report 2008. Additional financing baseline	Estimated number of STI cases per year is 98,600 Source: HIV Quarterly Programme Reports, Jan 2011-March 2012; MoH

% of orphans and other vulnerable children whose households received free external support in past 12 months	Value	17.00	27.00	45.00
	Date	January 1, 2004	January 1, 2010	September 30, 2012
	Comment	original project baseline	Data source: DHS 2010.

% HIV+ pregnant women receiving a complete course of ARV prophylaxis to reduce the risk of mother to child transmission	Value	62.00	76.00	70.00
	Date	January 1, 2008	May 1, 2012	September 30, 2012
	Comment	additional finance baseline	Source: HIV Quarterly Programme Report. Denominator is based HIV+ pregnant women attending ANC.Baseline possibly overestimatedespecially given increase in service availability. Indicator to be verified with National Program.

Number and percentage of persons with advanced HIV infection receiving ART	Value	147,479 (51%)	347,983 (69%)	262,986 (72%)
	Date	December 31, 2008	March 30, 2012	September 30, 2012
	Comment	additional finance baseline	Source:HIV Quarterly Programme Report, Jan-March 2012. Denominator source: 2012 projections in Sentinel Surveillance Report 201.