Design Process
The RESPOND pilot was shaped through a step-by-step process combining data analysis, health systems research, and community partnership in Malawi.
Step 1: Rapid Scoping Review
We reviewed more than 100 peer-reviewed studies and national data to identify 1) biomedical variables that best predict risk of HIV incidence at a community level; and 2) community-level factors associated with HIV incidence and related biomedical variables, such as high viral load, population movement, poverty, and extreme weather.
Step 2: Develop National Maps
We created interactive national maps using survey and health facility data to visualize HIV prevalence, viremia, and treatment coverage at the catchment-area level.
Step 3: Develop Facility Prioritization Guide
We built a toolkit for districts to combine program data and stakeholder knowledge to select facilities most in need of enhanced interventions. We then pilot tested the prioritization process in 9 districts in Malawi and were able to prioritize 48 facilities.
Step 4: Facility Deep Dives
We held workshops with facility and community stakeholders to identify local drivers of HIV outcomes and co-design tailored strategies. Stakeholders incorporated both biomedical indicators and contextual factors into their decision-making, leading to more actionable and context-specific plans.
Get Involved
Join us in strengthening RESPOND. Whether you are a researcher, policymaker, or community leader, your collaboration can help bring tailored, sustainable HIV services to the people and places that need them most.