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Papers/Reports | August 10, 2014

The Expert Client Model

Peer-Based Support to the Continuum of HIV Care in Malawi

Through the USAID-funded IMPACT program and with the support of a joint Ministry of Health ART/PMTCT Technical Working Group Task Force, CRS developed and implemented a peer-based task-shifting approach known as the Expert Client model. In this model, HIV-positive expert clients were recruited and deployed in 79 health facilities where they provided counseling, psychosocial support and assistance in navigating and accessing HIV care for their HIV-positive peers, including pregnant women and their exposed or infected children. This report includes findings from a formal study on the approach as well as monitoring data, reports, success stories and other literature on the effectiveness of this approach over three years.


  • Executive Summary
  • Background
  • Methodology
  • Study Findings
  • Key Successes of teh Expert Client Model
  • Recommendations
  • Conclusion
  • Appendices