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On April 27, 2022 at 6:11:37 PM UTC, Gravatar Towera:

  • Updated description of Malawi Integrated HIV Program Report 2015 Q3 from

    A summary of the key achievements between July and September 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 * __717__ (static) ART sites * __619__ PMTCT sites (Option B+, all included in ART sites above) * __663__ Pre-ART sites *__ 650__ sites with HIV-exposed child follow-up * __625,803__ persons were tested for HIV and received their results; __190,051 (30%)__ accessed HTC for the first time; __435,752 (70%)__ were repeat testers and __13,093 (3%)__ of these received confirmatory testing (after having tested positive in the past). This is equivalent to 51% confirmatory testing coverage among__ 25,737__ patients initiating ART this quarter. __34,966 (6%)__ clients received a positive result for the first time. * __16,645 (94%)__ of __17,773 __blood units collected were screened for (at least) HIV, hepatitis B and syphilis. *__142,701 (91%)__ of __156,851__ women at ANC had their HIV status ascertained; __11,113 (8%)__ of these were HIV positive. __129,887 (97%)__ of __133,931__ women at maternity had their HIV status ascertained __9,868 (8%)__ of these were HIV positive. * __ 25,737__ patients started ART this quarter. * __585,660__ patients were alive and on ART by end of September 2015. This means that 59% of the estimated 1 million HIV positive population was on ART. 1 Estimated ART coverage among people in need for treatment1 was __50% (50,533 / 101,000)__ for children (<15 years) and __68% (531,990 / 779,000)__ for adults. * __78%__ of adults and __79%__ 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 15.4) * __510,798 (93%)__ of __574,610__ patients on first line adult ART were on regimen 5A (TDF/3TC/EFV). * __11,823 2 (79%) __of an estimated __14,926__ HIV infected pregnant women in Malawi were on ART this quarter. __7,031 (59%)__ of these were already on ART when getting pregnant and __4,792 (41%)__ started ART during pregnancy/delivery. * An additional __1,555__ breastfeeding women started ART due to Option B+ (in WHO stage 1/2) * __78%, 71%, 67% and 66%__ of women started under Option B+ were retained on ART at 6, 12, 24 and 36 months after initiation, respectively. * __9,019 (7%)__ of infants discharged alive from maternity were known to be HIV exposed, __8,414 (93%)__ of these received ARV prophylaxis (nevirapine). __7,558 (84%)__ were enrolled in exposed child followup before age 2 months. * A total of __11,357__ HIV exposed children and __6,929__ pre-ART patients were enrolled for follow-up in HIV Care Clinics (HCC) during this quarter.
    to
    A summary of the key achievements between July and September 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 * __717__ (static) ART sites * __619__ PMTCT sites (Option B+, all included in ART sites above) * __663__ Pre-ART sites * __ 650__ sites with HIV-exposed child follow-up * __625,803__ persons were tested for HIV and received their results; __190,051 (30%)__ accessed HTC for the first time; __435,752 (70%)__ were repeat testers and __13,093 (3%)__ of these received confirmatory testing (after having tested positive in the past). This is equivalent to 51% confirmatory testing coverage among__ 25,737__ patients initiating ART this quarter. __34,966 (6%)__ clients received a positive result for the first time. * __16,645 (94%)__ of __17,773 __blood units collected were screened for (at least) HIV, hepatitis B and syphilis. * __142,701 (91%)__ of __156,851__ women at ANC had their HIV status ascertained; __11,113 (8%)__ of these were HIV positive. __129,887 (97%)__ of __133,931__ women at maternity had their HIV status ascertained __9,868 (8%)__ of these were HIV positive. * __ 25,737__ patients started ART this quarter. * __585,660__ patients were alive and on ART by end of September 2015. This means that 59% of the estimated 1 million HIV positive population was on ART. 1 Estimated ART coverage among people in need for treatment1 was __50% (50,533 / 101,000)__ for children (<15 years) and __68% (531,990 / 779,000)__ for adults. * __78%__ of adults and __79%__ 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 15.4) * __510,798 (93%)__ of __574,610__ patients on first line adult ART were on regimen 5A (TDF/3TC/EFV). * __11,823 2 (79%) __of an estimated __14,926__ HIV infected pregnant women in Malawi were on ART this quarter. __7,031 (59%)__ of these were already on ART when getting pregnant and __4,792 (41%)__ started ART during pregnancy/delivery. * An additional __1,555__ breastfeeding women started ART due to Option B+ (in WHO stage 1/2) * __78%, 71%, 67% and 66%__ of women started under Option B+ were retained on ART at 6, 12, 24 and 36 months after initiation, respectively. * __9,019 (7%)__ of infants discharged alive from maternity were known to be HIV exposed, __8,414 (93%)__ of these received ARV prophylaxis (nevirapine). __7,558 (84%)__ were enrolled in exposed child followup before age 2 months. * A total of __11,357__ HIV exposed children and __6,929__ pre-ART patients were enrolled for follow-up in HIV Care Clinics (HCC) during this quarter.


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