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  "license_title": "License not specified",
            
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  "name": "malawi-integrated-hiv-program-report-2018-q1",
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  "name": "malawi-integrated-hiv-program-report-2018-q1",
            
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  "notes": "* Scale-up of integrated HIV services had reached the 
            
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following number of sites:\r\n\r\n     * __751__ static and 225 
            
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outreach HIV testing sites\r\n\r\n     *__739__ (static) ART sites; 
            
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642 of these started at least one pregnant or breastfeeding woman and 
            
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712 started   asymptomatic patients (Test & Treat) this 
            
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quarter\r\n\r\n     * __676__ sites with HIV-exposed children in 
            
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follow-up\r\n\r\n* __1,142,872__ persons were tested for HIV and 
            
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received their results; __293,291 (25%)__ accessed HIV testing for the 
            
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first time; __892,501 (75%)__ were repeat testers and __44,335 (4%)__ 
            
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of these received confirmatory testing (after having tested positive 
            
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in the past). __38,048 (3.3%)__ clients received a positive result for 
            
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the first time.\r\n\r\n* __22,063 (98%)__ of __22,473__ blood units 
            
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collected were screened for (at least) HIV, hepatitis B and 
            
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syphilis.\r\n\r\n* __161,570 (96%)__ of __164,759__ women at ANC had 
            
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their HIV status ascertained; __12,203 (8%)__ of these were HIV 
            
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positive. __144,710 (99%)__ of __145,576__ women at maternity had 
            
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their HIV status ascertained 10,583 (7%) of these were HIV 
            
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positive.\r\n\r\n* __35,277__ patients started ART this quarter; 
            
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__62%__ were classified as asymptomatic / in WHO stage 1 and started 
            
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under the new \u201cTest & Treat\u201d policy.\r\n\r\n* __767,452__ 
            
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patients were alive and on ART by end of March 2018. This means that 
            
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73% of the estimated __1,055,000__ HIV positive population was on ART.   
            
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ART coverage was __67% (46,186 / 69,000)__ for children  and __73% 
            
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(721,266 / 986,000)__ for adults.\r\n\r\n* __61,237 (86%) of 70,830__ 
            
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viral load results from routine monitoring were <1000 copies/ml. Viral 
            
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suppression rates  for routine samples among children (0-14 years) and 
            
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adults (15+ years) were 55% and 89%, respectively.\r\n\r\n* __75%__ of 
            
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adults and __75%__ of children were retained alive on ART at 12 months 
            
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after initiation.\r\n \r\n* __664,458 (89%)__ of __743,818__ patients 
            
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on first line adult ART were on TDF/3TC/EFV.\r\n\r\n* __13,327(95%)__ 
            
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of an estimated __14,000__ HIV infected pregnant women in Malawi were 
            
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on ART this quarter. __9,051 (68%)__ of these were already on ART when 
            
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getting pregnant and __4,276 (32%)__  started ART during 
            
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pregnancy/delivery.\r\n\r\n* An additional __1,707__ breastfeeding 
            
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women started ART in WHO stage 1 or 2.\r\n\r\n* __79%, 74%, 68% and 
            
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63%__ of women started while pregnant or breastfeeding were retained 
            
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on ART at 6, 12, 24 and 36 months after initiation, 
            
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respectively.\r\n\r\n* __9,801 (7%)__ of infants discharged alive from 
            
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maternity were known to be HIV exposed, __9,348 (95%)__ of these 
            
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received ARV prophylaxis (nevirapine). 11,796 were enrolled in exposed 
            
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child follow-up before age 2 months.\r\n\r\n* A total of __15,177__ 
            
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HIV exposed children were newly enrolled for follow-up this 
            
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quarter.\r\n",
            
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to coordinate the biomedical HIV Program in Malawi. The department now 
            
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carries responsibility for various HIV related programs including: 
            
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sexually transmitted infections (STIs), prevention of mother to child 
            
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transmission of HIV (PMTCT), and national voluntary male medical 
            
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circumcision program (VMMC). All these HIV program sub-sections are 
            
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linked to one robust monitoring and evaluation sub-section in the HIV 
            
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and AIDS Department which technically operates under the Central 
            
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Monitoring and Evaluation Department (CMED) of the Ministry of 
            
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