Lighthouse Trust is a registered Public Trust established to manage Centres of Excellence (CoEs) and provide leverage for leadership and delivery of integrated HIV prevention, treatment, care, and support services in Malawi. Lighthouse has been involved in the development of locally applicable HIV care and treatment models. It is strategically positioned in Malawi’s national HIV response due to its close collaboration with the Ministry of Health (MoH). The Lighthouse in close coordination with MoH provides integrated services at Kamuzu Central Hospital, Bwaila Hospital, and some health facilities in urban and rural areas in Lilongwe, Queen Elizabeth Central Hospital in Blantyre, Zomba Central Hospital and Mzuzu central hospital in Mzuzu. Its strategic approach focuses on client- centred care based on four goals which are: