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| "name": "malawi-integrated-hiv-program-report-2017-q1", | | "name": "malawi-integrated-hiv-program-report-2017-q1", |
n | | n | "notes": "* Scale-up of integrated HIV services had reached the |
| | | following number of sites:\r\n * __751__ static and 225 outreach |
| | | HIV testing sites\r\n *__722__ (static) ART sites; 628 of these |
| | | started at least one pregnant or breastfeeding woman and 691 started |
| | | asymptomatic patients (Test & Treat) this quarter\r\n* __656__ sites |
| | | with HIV-exposed children in follow-up.\r\n\r\n* __982,561__ persons |
| | | were tested for HIV and received their results; __265,734 |
| | | (27%)__\r\naccessed HIV testing for the first time; __716,827 (73 %)__ |
| | | were repeat testers and __46,822 (7%)__ of these received confirmatory |
| | | testing (after having tested positive in the past). __41,113 (4%)__ |
| | | clients received a positive result for the first time.\r\n\r\n* |
| | | __24,024 (99%)__ of __24,329__ blood units collected were screened for |
| | | (at least) HIV,\r\nhepatitis B and syphilis.\r\n\r\n* __151,227 |
| | | (97%)__ of __155,519__ women at ANC had their HIV status ascertained; |
| | | __11,460 (8%)__ of these were HIV positive. __128,374 (99%)__ of |
| | | __134,140__ women at maternity had their HIV status ascertained 9,654 |
| | | (8%) of these were HIV positive.\r\n\r\n* __35,762__ patients started |
| | | ART this quarter; 75% of these were classified as asymptomatic / in |
| | | WHO stage 1 and started under the new \u201cTest & Treat\u201d |
| | | policy.\r\n\r\n* __691,314__ patients were alive and on ART by end of |
| | | March 2017. This means that 67% of the estimated __1,033,000__ HIV |
| | | positive population was on ART. ART coverage was __54% (54,119 / |
| | | 101,000)__ for children and __68% (637,195 / 932,000)__ for |
| | | adults.\r\n\r\n* __54,868 (87%) of 62,845__ viral load results from |
| | | routine monitoring were <1000 copies/ml. Viral suppression rates among |
| | | children (0-14 years) and adults (15+years) were 61% and 90%, |
| | | respectively.\r\n\r\n* __75%__ 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 |
| | | \u2018silent transfers\u2019 as defaulters in clinic-based |
| | | survival/retention analysis. (see section 15.4)\r\n\r\n* __603,734 |
| | | (93%) of 677,441__ patients on first line adult ART were on |
| | | TDF/3TC/EFV.\r\n\r\n* __12,323 3 (93%)__ of an estimated __13,250__ |
| | | HIV infected pregnant women in Malawi were on ART this quarter. |
| | | __7,795 (63%)__ of these were already on ART when getting pregnant and |
| | | __4,528 (37%)__ started ART during pregnancy/delivery.\r\n\r\n* An |
| | | additional __1,464__ breastfeeding women started ART in WHO stage 1 or |
| | | 2.\r\n\r\n* __79%, 73%, 67% and 65%__ of women started while pregnant |
| | | or breastfeeding were retained on ART at 6, 12, 24 and 36 months after |
| | | initiation, respectively.\r\n\r\n* __9,128 (7%)__ of infants |
| | | discharged alive from maternity were known to be HIV exposed, __8,674 |
| | | (95%)__ of these received ARV prophylaxis (nevirapine). __10,007__ |
| | | were enrolled in exposed child follow-up before age 2 months.\r\n\r\n* |
| | | A total of __13,606__ HIV exposed children were newly enrolled for |
| | | follow-up this\r\nquarter.", |
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n | "description": "Department of HIV & AIDS and Viral Hepatitis", | n | "description": "The Department of HIV & AIDS (DHA) was established |
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| | | 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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