Malawi is a low-income country making significant strides in preventing new HIV infections and HIV-related deaths. Despite these efforts, it is estimated that there were 1 million people living with HIV in Malawi in 2019, with HIV remaining the leading cause of death in the country. However, sustainability of funding for the HIV response is under threat, with donor contributions declining worldwide. Since more than 97% of the HIV program in Malawi is funded by donor financing, it is essential that funds be allocated most efficiently, where they can make the greatest impact.