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  "name": "malawi-art-htc-program-report-2008-q4",
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  "name": "malawi-art-htc-program-report-2008-q4",
            
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  "notes": "By the end of December 2008, there were __221__ health 
            
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facilities in Malawi in the public and private health sector 
            
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delivering ART to HIV-positive eligible patients.\r\n\r\nIn the fourth 
            
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quarter of 2008 (October to December) a total of __19,092__ patients 
            
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registered at ART sites in Malawi (39% male, 61% female; 91% adults 
            
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and 9% children). Of those, 54% started in WHO stage 3, 11% in stage 4 
            
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and 33% based on a low CD4 count in Stage 1 or Stage 2. In the quarter 
            
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a total of 30 infants started ART because of confirmed HIV infection 
            
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(DNA-PCR) and 30 children under 18 months started because of presumed 
            
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severe HIV disease.\r\n\r\nBy the end of December 2008, there were 
            
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__223,437__ patients ever registered for ART (39% male, 61% female; 
            
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92% adult, 8% children) of which 27,843 had started on ART due to TB. 
            
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The 223,437 patients who had ever registered on ART include 27,069 
            
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patients who transferred-out to other ART sites, and it is understood 
            
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that these patients will be counted twice in the total patients ever 
            
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registered. If we deduct the number of people transferred-out the 
            
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number of\r\npeople ever started on ART is 196,368.\r\n\r\nCumulative 
            
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outcomes of all patients ever registered by end of December 2008 were: 
            
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66% alive and on ART at the site of registration, 11% dead, 11% lost 
            
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to follow-up, 12% transferred out to another facility and <1% stopped 
            
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treatment.\r\n\r\nOf the __147,479__ patients alive and on ART: 94% 
            
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were on the first line regimen, 5% were on an alternative first line 
            
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regimen, less than 1% were on second line regimen and 1% were on a 
            
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nonstandard ART regimen. Non-standard regimens are not necessarily 
            
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substandard regimens; they include patients continuing an ART regimen 
            
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that was started outside Malawi, patients in research programmes and 
            
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patients in specialist care in whom specific circumstances lead to the 
            
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choice of a non-standard regimen.\r\n\r\nBy the end of December 2008 
            
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there were 28 sites with 1,001-2,000 patients alive and on treatment; 
            
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10 sites with 2,001-5,000 and 5 with over 5,000 patients alive and on 
            
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