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n | "metadata_modified": "2022-04-05T00:38:06.113045", | n | "metadata_modified": "2022-04-26T19:50:22.820114", |
| "name": "malawi-hiv-services-situation-analysis-2005", | | "name": "malawi-hiv-services-situation-analysis-2005", |
n | | n | "notes": "The fourth countrywide survey of HIV/AIDS services in |
| | | Malawi for 2005 was conducted between 13th February and 17th March |
| | | 2006. Information was collected by a team of Lighthouse counselors who |
| | | visited 62 health facilities throughout the country, covering all |
| | | central and district hospitals and the main mission hospitals and |
| | | non-governmental\r\norganizations (NGOs) in Malawi. The survey team |
| | | also collected aggregated data from a further 188 rural hospitals/ |
| | | health centres / clinics providing testing and counseling services, |
| | | which were attached to these main facilities.\r\n\r\nData were |
| | | collected from a total of 250 facilities which performed HIV testing |
| | | during 2005. This includes 249 sites which provided HIV testing with |
| | | counseling (HTC) and feedback of results: central, district, mission |
| | | and rural hospitals; clinics and health centres, stand-alone sites, |
| | | NGOs. The Malawi Blood Transfusion Service is included as a facility |
| | | which performs HIV testing as a screening for all potential blood |
| | | donors without feedback of results.\r\n\r\nIn total, these facilities |
| | | had performed 482,364 HIV tests, including 359,065 in patients and |
| | | voluntary counseling and testing (VCT) clients, 58,152 in potential |
| | | blood donors, 52,904 in pregnant women in the prevention of mother to |
| | | child transmission (PMTCT) programme and 12,243 in TB |
| | | patients.\r\n\r\nHIV prevalence in patients/VCT clients was 25%, 11% |
| | | in blood donors, 13% in antenatal women and 69% in TB patients. In the |
| | | sub-group of 56,860 VCT clients tested at the 6 MACRO sites, HIV |
| | | prevalence\r\nwas 13%.\r\n\r\nThe 2005 survey included data on 40 |
| | | facilities providing PMTCT; a total of 52,904 tests were performed by |
| | | these sites and the HIV prevalence was 13%. Nevirapine was dispensed |
| | | to 5,054 pregnant women, representing 72% of those tested |
| | | positive.\r\n\r\nForty-three out of the 45 public TB management |
| | | facilities were captured in the 2005 survey and these facilities had |
| | | recorded 26,019 TB cases. Routine registration of TB patients for HIV |
| | | testing was carried out by 41 facilities. A total of 12,243 TB |
| | | patients were tested, representing 47% of all cases registered. HIV |
| | | prevalence amongst these was 69% and 7,747 (92%) were started on |
| | | cotrimoxazole (CTX) prophylaxis.\r\n\r\nThere were 60 sites providing |
| | | HAART and 24,678 patients started on ART during 2005, contributing to |
| | | a cumulative total of 37,840 patients who had ever received ART since |
| | | free antiretroviral drugs became available in the public |
| | | sector.\r\n\r\nThe 249 HTC sites in the 2005 situational survey |
| | | employed a total of 989 counselors, 537 of whom were recorded as |
| | | full-time counselors. A detailed assessment of HTC services was |
| | | carried out at 62 sites; 55 of these sites operated daily, 60 had a |
| | | dedicated room for patient counseling and 58 used the standard |
| | | national HTC register. Half of these sites used\r\nstandard lists to |
| | | record systematically all patients referred for further care. One |
| | | fifth of assessed HTC facilities were affected by stock-outs of test |
| | | kits during 2005.", |
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| "created": "2021-10-14T11:02:35.234558", | | "created": "2021-10-14T11:02:35.234558", |
n | "description": "Department of HIV & AIDS and Viral Hepatitis", | n | "description": "The Department of HIV & AIDS (DHA) was established |
| | | in 2001, initially as a unit in the Department of Clinical Services, |
| | | to coordinate the biomedical HIV Program in Malawi. The department now |
| | | carries responsibility for various HIV related programs including: |
| | | sexually transmitted infections (STIs), prevention of mother to child |
| | | transmission of HIV (PMTCT), and national voluntary male medical |
| | | circumcision program (VMMC). All these HIV program sub-sections are |
| | | linked to one robust monitoring and evaluation sub-section in the HIV |
| | | and AIDS Department which technically operates under the Central |
| | | Monitoring and Evaluation Department (CMED) of the Ministry of |
| | | Health.", |
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