MSF counsellor Charity stands in the middle of HIV positive adolescents as she gives them the basic infos about the virus during an educational session at Mbulumbuzi Health Centre, Malawi.


In Malawi, MSF continues to run programmes to improve care for people living with HIV, the leading cause of death in the country, and for women with cervical cancer.

Malawi is making progress in tackling HIV, but prevalence is still high at almost nine percent. In Chiradzulu, where the rate is 17 percent, MSF has been supporting HIV care for 15 years. Our focus is on vulnerable groups, such as children, adolescents, and patients whose first- and second-line antiretroviral (ARV) treatments are failing. 

In Blantyre, MSF works with Queen Elizabeth Central Hospital to treat cervical cancer, a major public health issue due to high rates of HIV co-infection and inadequate screening and care. The programme includes health promotion, screening, surgery, chemotherapy and palliative care for advanced-stage cancer.


In 2020, COVID-19 forced reductions in our activity, although Malawi did not see a significant number of cases until the end of the year when a second wave hit. MSF supported the national response to the pandemic by assisting with infection prevention and control, triage, health promotion, and patient care at Nsanje district hospital.

In 2020, we closed or handed over to local authorities and community organisations three projects dedicated to specific groups: the advanced HIV project in rural Nsanje district to improve detection and treatment at community level, hospital care, and follow-up; our Chichiri prison project, which offered preventive tuberculosis (TB) treatment to over 1,000 patients through regular screenings, treatment and management of co-infections; and a female sex worker project, which implemented an innovative, peer-led approach, allowing almost 7,000 women to access HIV, TB and sexual and reproductive health services in the community, and one-stop clinics in Neno, Dedza and Nsanje districts.

No. staff in 2020: 492 (FTE) » Expenditure in 2020: €9.1 million MSF first worked in the country: 1986 

COVID-19 (coronavirus disease)

AIDS has not disappeared: the reality of Advanced HIV disease in Nsanje, Malawi

Patient and Staff Stories 16 Jul 2020
MSF, Doctors Without Borders, Malawi, Tropical, storm, Ana

How MSF responded to Tropical Storm Ana in Malawi

Latest News 4 Apr 2022
A tent is seen at Bangula camp where people displaced by Tropical Cyclone Ana are residing. MSF is providing WASH facilities at the camp.

After flooding, displaced Malawians are living in dire conditions

Press Release 11 Feb 2022
MSF fieldworker at Nsanje, Malawi

Former local doctor becomes one of MSF’s first black African medical directors

Patient and Staff Stories 15 Apr 2021
A picture of a woman holding an HIV self test

Women at the centre of their health

Patient and Staff Stories 8 Mar 2021
A picture of health workers preparing health promotion items in South Africa
COVID-19 (coronavirus disease)

MSF: Urgent need for vaccines throughout the region as new COVID-19 strain ravages Southern Africa

Press Release 3 Feb 2021
MSF staff making a field hospital to handle the increased number of COVID-19 patients
COVID-19 (coronavirus disease)

The "second wave" of COVID-19 is overwhelming Malawi

Patient and Staff Stories 28 Jan 2021