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On April 27, 2022 at 6:45:57 AM UTC,
Towera:
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Updated description of Malawi Integrated HIV Program Report 2013 Q1 from
This is the 7th quarterly HIV Program report after implementation of the 2011 Integrated Clinical HIV Guidelines in July 2011. A summary of the key achievements between January and March 2013 is provided below: * Scale‐up of integrated HIV services had reached the following number of sites: * __825__ static (607 within and 218 outside of health facilities) and 534 outreach HTC sites * __655__ (static) ART sites * __580__ PMTCT sites (Option B+) * __602__ Pre‐ART sites * __590__ sites with HIV‐exposed child follow‐up * 460,559 persons were tested and counselled for HIV and 41,321 (9%) were HIV positive; 170,334 (37%) people tested for the first time. * 127,167 (78%) of 163,522 women at ANC had their HIV status ascertained; 10,282 (8%) of these were HIV positive. 102,506 (89%) of 114,376 women at maternity had their HIV status ascertained; 8,306 (8%) of these were HIV positive. * 26,881 patients started ART during this quarter; this is an 11% increase from the previous quarter (24,168), probably related to the improved management of HIV test kit supplies. * 422,866 patients were alive and on ART by end of March 2013; 84,499 (22%) of 390,576 on first line adult regimens were on ART regimen 5A (tenofovir / lamivudine / efavirenz). * 81% of adults and 78% of children were retained alive on ART at 12 months after ART initiation. * A total of 11,120 HIV positive pregnant women were on ART: 4,134 (37%) of these were already on ART when getting pregnant and 6,986 (63%) started ART during pregnancy/delivery. 6,773 (97%) of pregnant women started ART due to Option B+ (in WHO clinical stage 1 or 2) and 213 (3%) due to a low CD4 count and/or WHO clinical stage 3 or 4. * An additional 2,279 breastfeeding women started ART due to Option B+ (in WHO clinical stage 1 or 2). * 6,695 (77%) of 8,648 women started under Option B+ were retained at 6 months after ART initiation (6‐month retention outcomes were not available for some women, mainly at sites with electronic data systems). * 7,740 (8%) of infants discharged alive from maternity were known to be HIV exposed, 6,975 (90%) of these received ARV prophylaxis. 5,096 (73%) were enrolled in exposed child followup before age 2 months. * A total of 10,319 HIV exposed children and 9,510 pre‐ART patients were enrolled for followup in HIV Care Clinics (HCC) during this quarter. * 195 medical staff were newly trained and certified in PMTCT/ART and an additional 23 medical records clerks were trained in M&E for the PMTCT/ART program this quarter. This brings the total number trained in the 2011 guidelines to 5,711. * 513 HTC counsellors and 1,239 HSAs at 152 facilities received mentoring for collection of dried blood samples for Early Infant Diagnosis and documentation of results. * In preparation for a nationwide retraining of all HTC providers, 20 Master trainers were trained in the HTC Skills Intensive Training curriculum, who in turn trained 197 trainers. * 418 health workers and 182 support staff at 70 facilities in the SE Zone received clinical mentoring in provision of PMTCT/ART. 45 of these health workers were in the intensive phase, 223 in the continuation phase and 150 graduated from the mentoring program this quarter.
toThis is the 7th quarterly HIV Program report after implementation of the 2011 Integrated Clinical HIV Guidelines in July 2011. A summary of the key achievements between January and March 2013 is provided below: * Scale‐up of integrated HIV services had reached the following number of sites: * __825__ static (607 within and 218 outside of health facilities) and 534 outreach HTC sites * __655__ (static) ART sites * __580__ PMTCT sites (Option B+) * __602__ Pre‐ART sites * __590__ sites with HIV‐exposed child follow‐up * __460,559__ persons were tested and counselled for HIV and __41,321 (9%)__ were HIV positive; __170,334 (37%)__ people tested for the first time. * __127,167 (78%)__ of __163,522__ women at ANC had their HIV status ascertained; __10,282 (8%)__ of these were HIV positive. __102,506 (89%)__ of __114,376__ women at maternity had their HIV status ascertained; __8,306 (8%)__ of these were HIV positive. * __26,881__ patients started ART during this quarter; this is an 11% increase from the previous quarter (24,168), probably related to the improved management of HIV test kit supplies. * __422,866__ patients were alive and on ART by end of March 2013; __84,499 (22%)__ of __390,576__ on first line adult regimens were on ART regimen 5A (tenofovir / lamivudine / efavirenz). * __81%_ of adults and __78%__ of children were retained alive on ART at 12 months after ART initiation. * A total of __11,120__ HIV positive pregnant women were on ART: __4,134 (37%)__ of these were already on ART when getting pregnant and __6,986 (63%)__ started ART during pregnancy/delivery. __6,773 (97%)__ of pregnant women started ART due to Option B+ (in WHO clinical stage 1 or 2) and __213 (3%)__ due to a low CD4 count and/or WHO clinical stage 3 or 4. * An additional __2,279__ breastfeeding women started ART due to Option B+ (in WHO clinical stage 1 or 2). * __6,695 (77%)__ of __8,648__ women started under Option B+ were retained at 6 months after ART initiation (6‐month retention outcomes were not available for some women, mainly at sites with electronic data systems). * __7,740 (8%)__ of infants discharged alive from maternity were known to be HIV exposed, __6,975 (90%)__ of these received ARV prophylaxis. __5,096 (73%)__ were enrolled in exposed child followup before age 2 months. * A total of __10,319__ HIV exposed children and __9,510__ pre‐ART patients were enrolled for followup in HIV Care Clinics (HCC) during this quarter. * __195__ medical staff were newly trained and certified in PMTCT/ART and an additional __23__ medical records clerks were trained in M&E for the PMTCT/ART program this quarter. This brings the total number trained in the 2011 guidelines to __5,711__. * __513__ HTC counsellors and __1,239__ HSAs at 152 facilities received mentoring for collection of dried blood samples for Early Infant Diagnosis and documentation of results. * In preparation for a nationwide retraining of all HTC providers, 20 Master trainers were trained in the HTC Skills Intensive Training curriculum, who in turn trained 197 trainers. * __418__ health workers and __182__ support staff at 70 facilities in the SE Zone received clinical mentoring in provision of PMTCT/ART. __45__ of these health workers were in the intensive phase, __223__ in the continuation phase and __150__ graduated from the mentoring program this quarter.