Malawi Integrated HIV Program Report 2015 Q2

A summary of the key achievements between April and June 2015 is provided below:

  • Scale-up of integrated HIV services had reached the following number of sites:

    • 724 static (579 within and 145 outside of health facilities) and 188 outreach HTC sites

    • 711 (static) ART sites

    • 601 PMTCT sites (Option B+, all included in ART sites above)

    • 662 Pre-ART sites

    • 642 sites with HIV-exposed child follow-up

  • 493,567 persons were tested and counselled for HIV; 150,728 (31%) accessed HTC for the first time; 342,839 (69%) were repeat testers and 9,820 (3%) of these received confirmatory testing (after having tested positive in the past). This is equivalent to 35% confirmatory testing coverage among 25,957 patients initiating ART this quarter. 29,285 (6%) clients received a positive result for the first time.

  • 19,596 (95%) of 20,538 blood units collected were screened for (at least) HIV, hepatitis B and syphilis.

  • 141,212 (91%) of 155,272 women at ANC had their HIV status ascertained; 10,766 (8%) of these were HIV positive. 120,781 (96%) of 125,961 women at maternity had their HIV status ascertained 8,967 (7%) of these were HIV positive.

  • 25,957 patients started ART this quarter.

  • 568,470 patients were alive and on ART by end of June 2015. This means that 57% of the estimated 1 million HIV positive population was on ART. 1 Estimated ART coverage among people in need for treatment1 was 49% (49,407 / 101,000) for children (<15 years) and 67% (519,063 / 779,000) for adults.

  • 79% of adults and 78% of children were retained alive on ART at 12 months after initiation. Actual retention rates are thought to be about 10% higher due to misclassification of ‘silent transfers’ as defaulters in clinic-based survival/retention analysis. (see section 16.4)

  • 493,034 (93%) of 531,106 patients on first line adult ART were on regimen 5A (TDF/3TC/EFV).

  • 10,460 (70%) of an estimated 14,926 HIV infected pregnant women in Malawi were on ART this quarter. 5,960 (57%) of these were already on ART when getting pregnant and 4,500 (43%) started ART during pregnancy/delivery.

  • An additional 1,591 breastfeeding women started ART due to Option B+ (in WHO stage 1/2)

  • 76%, 72%, 67% and 69% of women started under Option B+ were retained on ART at 6, 12, 24 and 36 months after initiation, respectively.

  • 8,210 (7%) of infants discharged alive from maternity were known to be HIV exposed, 7,771 (95%) of these received ARV prophylaxis (nevirapine). 6,563 (80%)were enrolled in exposed child followup before age 2 months.

  • A total of 10,396 HIV exposed children and 6,077 pre-ART patients were enrolled for follow-up in HIV Care Clinics (HCC) during this quarter.

Data and Resources

Additional Info

Field Value
Program Area Care and Treatment
Year 2015
Author
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