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n | "metadata_modified": "2022-04-05T00:36:20.251116", | n | "metadata_modified": "2022-04-26T20:13:49.177869", |
| "name": "malawi-hiv-services-situation-analysis-2006", | | "name": "malawi-hiv-services-situation-analysis-2006", |
n | | n | "notes": "The fifth annual countrywide Situational Analysis (SA) of |
| | | HIV/AIDS services in Malawi for 2006 was conducted between March and |
| | | June 2007. Information was collected by a team from the HIV Unit, |
| | | supported by M&E and HTC staff from Lighthouse and from CDC Malawi and |
| | | joined by the respective District HTC and PMTCT coordinators. A total |
| | | of 167 health facilities across the country were visited, including |
| | | all central and district hospitals and the main mission hospitals and |
| | | non-governmental organizations (NGOs) in Malawi. The team also |
| | | collected aggregated data from a further 183 rural hospitals, health |
| | | centres, clinics and stand-alone HTC sites and 45 associated outreach |
| | | sites from the District Health Offices.\r\n\r\nA comprehensive |
| | | inventory of HIV-related health services was taken in all districts. |
| | | This identified a total of 351 static HTC sites, 290 HTC outreach |
| | | sites and 274 mobile locations where HTC was offered during 2006. |
| | | Malawi conducted its first national HIV testing week from 17th to 22nd |
| | | July 2006, during which HTC was offered on full-time basis at all |
| | | static sites and at 384 outreach and mobile locations. During this |
| | | week, an additional 84,300 HTC encounters were recorded over and above |
| | | the estimated 50,200 HIV tests that occurred in |
| | | July.\r\n\r\nInformation collected in the SA survey was augmented with |
| | | operational data that had been collected at 297 HTC site supervision |
| | | visits between 2nd October and 21st December 2006 by a team of senior |
| | | Lighthouse HTC counsellors.\r\n\r\nThe SA 2006 included a |
| | | comprehensive assessment of PMTCT services. This identified 56 |
| | | facilities with ANC and maternity services and 4 facilities with ANC |
| | | only that had provided HIV testing for pregnant women and given ARV |
| | | prophylaxis to infected mothers and exposed babies. A total of 138,000 |
| | | HIV tests were performed at ANC and 19,200 (13%) were positive; 10,300 |
| | | maternal doses of nevirapine were dispensed at ANC. Extrapolated to |
| | | the national level\r\nPMTCT coverage at ANC was: 26% of pregnant women |
| | | tested; (14% HIV positive); 14% of HIV positives were given ARV |
| | | prophylaxis. At maternity sites, HIV status was ascertained for 34,000 |
| | | women and 7,500 were HIV positive (18%); 5,500 women and 6,800 babies |
| | | received ARV prophylaxis. Extrapolated to the national level, PMTCT |
| | | coverage at maternity facilities was: HIVstatus ascertained for 6% of |
| | | deliveries; 7% of HIV infected mothers and 9% of exposed babies given |
| | | ARV prophylaxis.\r\n\r\nBlood for transfusion was collected by 56 |
| | | facilities and 53 facilities were able to provide complete records |
| | | about all blood units collected and screened for HIV during 2006. The |
| | | Malawi Blood Transfusion Service as a central supplier of blood units |
| | | to health services had collected 24,298 (36%) of the total of 68,301 |
| | | units recorded in the SA 2006; 49 facilities had screened 100% of |
| | | units for HIV and 4 facilities had screened between 94% and 99%. A |
| | | total of 26 blood\r\nunits had no record for HIV screening; 5,014 |
| | | units (7%) were HIV positive. 27 facilities provided data on post-test |
| | | counselling of blood-donors and 8 had informed any donors of their |
| | | test result. A total of 1,611 donors were post-test |
| | | counselled.\r\n\r\nA total of 26,700 TB cases were registered in 2006 |
| | | and 17,000 (66%) were tested for HIV; 11,700 (66%) of patients tested |
| | | were HIV positive and 11,500 (98%) of HIV positives were started on |
| | | cotrimoxazole prophylaxis. An estimated equivalent of 60% of TB |
| | | patients who were tested and who were HIV positive started on ART. |
| | | Extrapolated to the national level 38% of all TB patients believed to |
| | | be HIV positive started ART.\r\n\r\nThere were 141 ART clinics by the |
| | | end of 2006 (103 public sector, 38 private sector), making available |
| | | ART in all districts in Malawi. During 2006, 46,400 patients newly |
| | | registered for ART and by the end of 2006, a cumulative total of |
| | | 85,200 ART patients had ever been registered. Treatment outcomes were |
| | | good and as of the end of December 2006, 60,000 patients were alive |
| | | and on ART in Malawi.", |
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| "created": "2021-10-14T11:02:35.234558", | | "created": "2021-10-14T11:02:35.234558", |
n | "description": "Department of HIV & AIDS and Viral Hepatitis", | n | "description": "The Department of HIV & AIDS (DHA) was established |
| | | in 2001, initially as a unit in the Department of Clinical Services, |
| | | 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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