Changes
On November 2, 2022 at 6:08:09 AM UTC,
![francis](https://dms.hiv.health.gov.mw/uploads/user/2022-05-09-190700.480236DSC5202-1.jpg)
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Added resource Malawi National PrEP Guidelines to Malawi National Oral Pre-Exposure Prophylaxis (PrEP) Guidelines
f | 1 | { | f | 1 | { |
2 | "author": "", | 2 | "author": "", | ||
3 | "author_email": "", | 3 | "author_email": "", | ||
4 | "creator_user_id": "c64e3919-2d1c-42bf-835b-e85a6be9792c", | 4 | "creator_user_id": "c64e3919-2d1c-42bf-835b-e85a6be9792c", | ||
5 | "groups": [], | 5 | "groups": [], | ||
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8 | "license_id": "notspecified", | 8 | "license_id": "notspecified", | ||
9 | "license_title": "License not specified", | 9 | "license_title": "License not specified", | ||
10 | "maintainer": null, | 10 | "maintainer": null, | ||
11 | "maintainer_email": null, | 11 | "maintainer_email": null, | ||
12 | "metadata_created": "2022-11-02T06:06:58.018721", | 12 | "metadata_created": "2022-11-02T06:06:58.018721", | ||
n | 13 | "metadata_modified": "2022-11-02T06:06:58.018727", | n | 13 | "metadata_modified": "2022-11-02T06:08:09.368825", |
14 | "name": | 14 | "name": | ||
15 | "malawi-national-oral-pre-exposure-prophylaxis-prep-guidelines", | 15 | "malawi-national-oral-pre-exposure-prophylaxis-prep-guidelines", | ||
16 | "notes": "Although Malawi has made progress in scaling up | 16 | "notes": "Although Malawi has made progress in scaling up | ||
17 | antiretroviral treatment and bringing down HIV prevalence from 14% in | 17 | antiretroviral treatment and bringing down HIV prevalence from 14% in | ||
18 | 1989 to 9.6% in 2015/16, there has been a slow decline in new HIV | 18 | 1989 to 9.6% in 2015/16, there has been a slow decline in new HIV | ||
19 | infections. While there has been an estimated 57% reduction of new | 19 | infections. While there has been an estimated 57% reduction of new | ||
20 | infections from a baseline of 56,000 in 2010 to 32,248 in 2020, | 20 | infections from a baseline of 56,000 in 2010 to 32,248 in 2020, | ||
21 | (Spectrum Estimates; 2020), the country has not met the UNAIDS fast | 21 | (Spectrum Estimates; 2020), the country has not met the UNAIDS fast | ||
22 | track target of achieving 75% reduction in new infections by 2020. The | 22 | track target of achieving 75% reduction in new infections by 2020. The | ||
23 | National strategic plan 2020 -2025 aims at reducing new HIV infections | 23 | National strategic plan 2020 -2025 aims at reducing new HIV infections | ||
24 | from 33,000 in 2019 to 11,000 in 2025.\r\n\r\nIn order to achieve this | 24 | from 33,000 in 2019 to 11,000 in 2025.\r\n\r\nIn order to achieve this | ||
25 | ambitious target, there is need to sustain the gains made in achieving | 25 | ambitious target, there is need to sustain the gains made in achieving | ||
26 | the UNAIDS 90.90.90 treatment targets and scale up comprehensive | 26 | the UNAIDS 90.90.90 treatment targets and scale up comprehensive | ||
27 | evidence based HIV combination prevention approaches targeting those | 27 | evidence based HIV combination prevention approaches targeting those | ||
28 | at substantial risk and most affected geographical areas. In expanding | 28 | at substantial risk and most affected geographical areas. In expanding | ||
29 | use of oral Pre-exposure Prophylaxis (PrEP), the country has adopted | 29 | use of oral Pre-exposure Prophylaxis (PrEP), the country has adopted | ||
30 | public health, human rights and people centred approaches, | 30 | public health, human rights and people centred approaches, | ||
31 | prioritizing universal health coverage, gender equality, health | 31 | prioritizing universal health coverage, gender equality, health | ||
32 | related rights including accessibility, availability, acceptability | 32 | related rights including accessibility, availability, acceptability | ||
33 | and quality.\r\n\r\nImplementation will therefore be undertaken in a | 33 | and quality.\r\n\r\nImplementation will therefore be undertaken in a | ||
34 | phased in approach, prioritizing facilities/sites based on estimated | 34 | phased in approach, prioritizing facilities/sites based on estimated | ||
35 | number of clients at substantial risk, capacity of facility/site and | 35 | number of clients at substantial risk, capacity of facility/site and | ||
36 | referral mechanisms, availability of trained and skilled professional | 36 | referral mechanisms, availability of trained and skilled professional | ||
37 | health workers, infrastructure and laboratory capacity/proximity. | 37 | health workers, infrastructure and laboratory capacity/proximity. | ||
38 | Public health facilities, CHAM, Drop-in Centres, Private and NGO | 38 | Public health facilities, CHAM, Drop-in Centres, Private and NGO | ||
39 | facilities will deliver PrEP to allow access to marginalized | 39 | facilities will deliver PrEP to allow access to marginalized | ||
40 | populations. Additional sites will be set as demand increases and | 40 | populations. Additional sites will be set as demand increases and | ||
41 | capacity is strengthened.\r\nDrawing lessons from studies implemented | 41 | capacity is strengthened.\r\nDrawing lessons from studies implemented | ||
42 | in the region as well implementation research among Adolescents Girls | 42 | in the region as well implementation research among Adolescents Girls | ||
43 | and Young Women (AGYW) and Female Sex Workers (FSW) in Malawi, | 43 | and Young Women (AGYW) and Female Sex Workers (FSW) in Malawi, | ||
44 | community educators and advocates will be used to increase awareness | 44 | community educators and advocates will be used to increase awareness | ||
45 | about PrEP in their communities and sub populations. Additionally, | 45 | about PrEP in their communities and sub populations. Additionally, | ||
46 | PrEP services will be integrated within HIV, Sexual Reproductive | 46 | PrEP services will be integrated within HIV, Sexual Reproductive | ||
47 | Health, maternal & Child Health, Youth friendly Health services, TB | 47 | Health, maternal & Child Health, Youth friendly Health services, TB | ||
48 | and other clinical care and finally services for key populations.", | 48 | and other clinical care and finally services for key populations.", | ||
n | 49 | "num_resources": 0, | n | 49 | "num_resources": 1, |
50 | "num_tags": 2, | 50 | "num_tags": 2, | ||
51 | "organization": { | 51 | "organization": { | ||
52 | "approval_status": "approved", | 52 | "approval_status": "approved", | ||
53 | "created": "2021-10-14T11:02:35.234558", | 53 | "created": "2021-10-14T11:02:35.234558", | ||
54 | "description": "The Department of HIV & AIDS (DHA) was established | 54 | "description": "The Department of HIV & AIDS (DHA) was established | ||
55 | in 2001, initially as a unit in the Department of Clinical Services, | 55 | in 2001, initially as a unit in the Department of Clinical Services, | ||
56 | to coordinate the biomedical HIV Program in Malawi. The department now | 56 | to coordinate the biomedical HIV Program in Malawi. The department now | ||
57 | carries responsibility for various HIV related programs including: | 57 | carries responsibility for various HIV related programs including: | ||
58 | sexually transmitted infections (STIs), prevention of mother to child | 58 | sexually transmitted infections (STIs), prevention of mother to child | ||
59 | transmission of HIV (PMTCT), and national voluntary male medical | 59 | transmission of HIV (PMTCT), and national voluntary male medical | ||
60 | circumcision program (VMMC). All these HIV program sub-sections are | 60 | circumcision program (VMMC). All these HIV program sub-sections are | ||
61 | linked to one robust monitoring and evaluation sub-section in the HIV | 61 | linked to one robust monitoring and evaluation sub-section in the HIV | ||
62 | and AIDS Department which technically operates under the Central | 62 | and AIDS Department which technically operates under the Central | ||
63 | Monitoring and Evaluation Department (CMED) of the Ministry of | 63 | Monitoring and Evaluation Department (CMED) of the Ministry of | ||
64 | Health.", | 64 | Health.", | ||
65 | "id": "ca6a5fbb-31b1-44f8-9319-5da56d75a55b", | 65 | "id": "ca6a5fbb-31b1-44f8-9319-5da56d75a55b", | ||
66 | "image_url": | 66 | "image_url": | ||
67 | 2022-04-18-074318.527302WhatsApp-Image-2022-04-18-at-9.42.07-AM.jpeg", | 67 | 2022-04-18-074318.527302WhatsApp-Image-2022-04-18-at-9.42.07-AM.jpeg", | ||
68 | "is_organization": true, | 68 | "is_organization": true, | ||
69 | "name": "dha", | 69 | "name": "dha", | ||
70 | "state": "active", | 70 | "state": "active", | ||
71 | "title": "Department of HIV & AIDS and Viral Hepatitis", | 71 | "title": "Department of HIV & AIDS and Viral Hepatitis", | ||
72 | "type": "organization" | 72 | "type": "organization" | ||
73 | }, | 73 | }, | ||
74 | "owner_org": "ca6a5fbb-31b1-44f8-9319-5da56d75a55b", | 74 | "owner_org": "ca6a5fbb-31b1-44f8-9319-5da56d75a55b", | ||
75 | "private": false, | 75 | "private": false, | ||
76 | "program_area": "Care and Treatment", | 76 | "program_area": "Care and Treatment", | ||
77 | "relationships_as_object": [], | 77 | "relationships_as_object": [], | ||
78 | "relationships_as_subject": [], | 78 | "relationships_as_subject": [], | ||
t | 79 | "resources": [], | t | 79 | "resources": [ |
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83 | "created": "2022-11-02T06:08:09.381727", | ||||
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85 | "format": "PDF", | ||||
86 | "hash": "", | ||||
87 | "id": "f5be8a13-c3a9-46e8-afb6-fef0a0912c2f", | ||||
88 | "last_modified": "2022-11-02T06:08:09.361270", | ||||
89 | "lfs_prefix": | ||||
90 | "dha/malawi-national-oral-pre-exposure-prophylaxis-prep-guidelines", | ||||
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94 | "name": "Malawi National PrEP Guidelines", | ||||
95 | "package_id": "50056785-ba78-4ec0-a8f1-74d7da43ade6", | ||||
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100 | "size": 2423664, | ||||
101 | "state": "active", | ||||
102 | "url": | ||||
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104 | "url_type": "upload" | ||||
105 | } | ||||
106 | ], | ||||
80 | "state": "draft", | 107 | "state": "draft", | ||
81 | "tags": [ | 108 | "tags": [ | ||
82 | { | 109 | { | ||
83 | "display_name": "featured", | 110 | "display_name": "featured", | ||
84 | "id": "22f37483-07b1-400c-a6e5-16ff1153a217", | 111 | "id": "22f37483-07b1-400c-a6e5-16ff1153a217", | ||
85 | "name": "featured", | 112 | "name": "featured", | ||
86 | "state": "active", | 113 | "state": "active", | ||
87 | "vocabulary_id": null | 114 | "vocabulary_id": null | ||
88 | }, | 115 | }, | ||
89 | { | 116 | { | ||
90 | "display_name": "prep", | 117 | "display_name": "prep", | ||
91 | "id": "6326afcc-b14b-49a0-845a-a91d34184583", | 118 | "id": "6326afcc-b14b-49a0-845a-a91d34184583", | ||
92 | "name": "prep", | 119 | "name": "prep", | ||
93 | "state": "active", | 120 | "state": "active", | ||
94 | "vocabulary_id": null | 121 | "vocabulary_id": null | ||
95 | } | 122 | } | ||
96 | ], | 123 | ], | ||
97 | "title": "Malawi National Oral Pre-Exposure Prophylaxis (PrEP) | 124 | "title": "Malawi National Oral Pre-Exposure Prophylaxis (PrEP) | ||
98 | Guidelines", | 125 | Guidelines", | ||
99 | "type": "dataset", | 126 | "type": "dataset", | ||
100 | "url": null, | 127 | "url": null, | ||
101 | "version": null, | 128 | "version": null, | ||
102 | "year": "2021" | 129 | "year": "2021" | ||
103 | } | 130 | } |