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| "name": "malawi-integrated-hiv-program-report-2014-q4", | | "name": "malawi-integrated-hiv-program-report-2014-q4", |
n | | n | "notes": "This is the 14th quarterly HIV Program report after |
| | | implementation of the 2011 Integrated Clinical HIV Guidelines in July |
| | | 2011. A summary of the key achievements between October and December |
| | | 2014 is provided below:\r\n\r\n* Scale-up of integrated HIV services |
| | | had reached the following number of sites:\r\n\r\n * __724__ |
| | | static (579 within and 145 outside of health facilities) and 188 |
| | | outreach HTC sites\r\n\r\n * __713__ (static) ART sites\r\n\r\n |
| | | * __615__ PMTCT sites (Option B+, all included in ART sites |
| | | above)\r\n\r\n * __655__ Pre-ART sites\r\n\r\n * __644__ sites |
| | | with HIV-exposed child follow-up\r\n\r\n* __464,292__ persons were |
| | | tested and counselled for HIV; __139,602 (30%)__ accessed HTC for the |
| | | first time; __324,690 (70%)__ were repeat testers and __9,854 (3%)__ |
| | | of these received confirmatory testing (after having tested positive |
| | | in the past). This is equivalent to 38% confirmatory testing coverage |
| | | among __26,060__ patients initiating ART this quarter. __28,465 (6%)__ |
| | | clients received a positive result for the first time.\r\n\r\n* |
| | | __19,606 (97%)__ of __20,244__ blood units collected were screened for |
| | | (at least) HIV, hepatitis B and syphilis.\r\n\r\n* __134,985 (89%)__ |
| | | of __151,118__ women at ANC had their HIV status ascertained; __10,550 |
| | | (8%)__ of these were HIV positive. __129,821 (96%)__ of __138,024__ |
| | | women at maternity had their HIV status ascertained __9,785 (8%)__ of |
| | | these were HIV positive.\r\n\r\n* __26,060__ patients started ART this |
| | | quarter.\r\n\r\n* __536,438__ patients were alive and on ART by end of |
| | | December 2014. This means that 54% of the estimated 1 million HIV |
| | | positive population was on ART. 1 Estimated ART coverage among people |
| | | in need for treatment1 was __42% (46,410 / 111,000)__ for children |
| | | (<15 years) and __71% (489,775 / 687,000)__ for adults.\r\n\r\n* |
| | | __76%__ of adults and __77%__ 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 16.4)\r\n\r\n*__470,048 (93%)__ of __504,494__ |
| | | patients on first line adult ART were on regimen 5A |
| | | (TDF/3TC/EFV).\r\n\r\n* __11,053 2 (85%)__ of an estimated __13,317__ |
| | | HIV infected pregnant women in Malawi were on ART this quarter. |
| | | __6,288 (57%)__ of these were already on ART when getting pregnant and |
| | | __4,765 (43%)__ started ART during pregnancy/delivery.\r\n\r\n* An |
| | | additional __1,593__ breastfeeding women started ART due to Option B+ |
| | | (in WHO stage 1/2)\r\n\r\n* __78%__, __72%__, __68%__ and __71%__of |
| | | women started under Option B+ were retained on ART at 6, 12, 24 and 36 |
| | | months after initiation, respectively.\r\n\r\n* __8,851 (7%)__ of |
| | | infants discharged alive from maternity were known to be HIV exposed, |
| | | __8,305 (94%)__ of these received ARV prophylaxis (nevirapine). 7,006 |
| | | (65%) were enrolled in exposed child follow-up before age 2 |
| | | months.\r\n\r\n* A total of __10,797__ HIV exposed children and |
| | | __6,483__ pre-ART patients were enrolled for follow-up in HIV Care |
| | | Clinics (HCC) during this quarter.", |
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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 |
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