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On April 26, 2022 at 1:46:22 PM UTC, Gravatar Towera:

  • Updated description of Malawi Integrated HIV Program Report 2012 Q4 from

    This is the sixth 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 2012__ is provided below: • Scale-up of integrated HIV services had reached the following number of sites: __825__ static (607 within and 218 outside of health facilities) and 534 outreach HTC sites __651__ (static) ART sites __585__ PMTCT sites (Option B+) __577__ Pre-ART sites __579__ sites with HIV-exposed child follow-up • __378,560__ persons were tested and counselled for HIV and __33,718 (9%)__ were HIV positive; __143,906 (38%)__ people tested for the first time. • __111,503 (68%)__ of 163,510 women at ANC had their HIV status ascertained; __9,891 (9%)__ of these were HIV positive. __117,730 (88%)__ of 132,755 women at maternity had their HIV status ascertained; __9,647 (8%)__ of these were HIV positive. • 24,168 patients started ART during this quarter; this is a further decrease from the previous quarter (26,909). Some of this decline was probably due to a shortage of HIV test kits. • 404,905 patients were alive and on ART by end of December 2012; 72,612 (19%) of 376,094 on first line adult regimens were on ART regimen 5A (tenofovir / lamivudine / efavirenz) • 80% of adults and 81% of children were retained alive on ART at 12 months after ART initiation. • A total of 10,882 HIV positive pregnant women were on ART: 4,211 (39%) of these were already on ART when getting pregnant and 6,671 (61%) started ART during pregnancy/delivery. 6,349 (95%) of pregnant women started ART due to Option B+ (in WHO clinical stage 1 or 2) and 322 (5%) due to a low CD4 count and/or WHO clinical stage 3 or 4. • An additional 2,297 breastfeeding women started ART due to Option B+ (in WHO clinical stage 1 or 2). • 5,701 (84%) of 6,815 women started under Option B+ were retained at 6 months after ART initiation (6-month retention outcomes were missing for 1,348 women registered, mainly at sites with electronic data systems). • 9,082 (8%) of infants discharged alive from maternity were known to be HIV exposed, 8,174 (90%) of these received ARV prophylaxis. 5,397 (59%) were enrolled in exposed child followup before age 2 months. • A total of 11,156 HIV exposed children and 8,774 pre-ART patients enrolled for follow-up in HIV Care Clinics (HCC) during this quarter. • 658 health workers were trained in the new integrated PMTCT/ART curriculum during Q4 2012, bringing the total number trained in the 2011 guidelines to 5,297. 112 District PMTCT/ART coordinators were trained in developing plans for Elimination of Mother to Child Transmission. • 30 TB Officers in the SE Zone were trained in ART/TB management. • 60 HTC Counsellors received training in collecting dried blood spot specimens for Early Infant Diagnosis (EID). • 100 facilities received mentoring for HIV Exposed Child Follow-Up and EID specimen collection. • 598 Health workers at 92 facilities in the SE Zone and 227 health workers and support staff at 33 facilities in the N Zone received clinical mentoring in provision of PMTCT/ART.
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    This is the sixth 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 2012__ is provided below: • Scale-up of integrated HIV services had reached the following number of sites: __825__ static (607 within and 218 outside of health facilities) and 534 outreach HTC sites __651__ (static) ART sites __585__ PMTCT sites (Option B+) __577__ Pre-ART sites __579__ sites with HIV-exposed child follow-up • __378,560__ persons were tested and counselled for HIV and __33,718 (9%)__ were HIV positive; __143,906 (38%)__ people tested for the first time. • __111,503 (68%)__ of 163,510 women at ANC had their HIV status ascertained; __9,891 (9%)__ of these were HIV positive. __117,730 (88%)__ of 132,755 women at maternity had their HIV status ascertained; __9,647 (8%)__ of these were HIV positive. • 24,168 patients started ART during this quarter; this is a further decrease from the previous quarter (26,909). Some of this decline was probably due to a shortage of HIV test kits. • 404,905 patients were alive and on ART by end of December 2012; 72,612 (19%) of 376,094 on first line adult regimens were on ART regimen 5A (tenofovir / lamivudine / efavirenz) • 80% of adults and 81% of children were retained alive on ART at 12 months after ART initiation. • A total of 10,882 HIV positive pregnant women were on ART: 4,211 (39%) of these were already on ART when getting pregnant and 6,671 (61%) started ART during pregnancy/delivery. 6,349 (95%) of pregnant women started ART due to Option B+ (in WHO clinical stage 1 or 2) and 322 (5%) due to a low CD4 count and/or WHO clinical stage 3 or 4. • An additional 2,297 breastfeeding women started ART due to Option B+ (in WHO clinical stage 1 or 2). • 5,701 (84%) of 6,815 women started under Option B+ were retained at 6 months after ART initiation (6-month retention outcomes were missing for 1,348 women registered, mainly at sites with electronic data systems). • 9,082 (8%) of infants discharged alive from maternity were known to be HIV exposed, 8,174 (90%) of these received ARV prophylaxis. 5,397 (59%) were enrolled in exposed child followup before age 2 months. • A total of 11,156 HIV exposed children and 8,774 pre-ART patients enrolled for follow-up in HIV Care Clinics (HCC) during this quarter. • 658 health workers were trained in the new integrated PMTCT/ART curriculum during Q4 2012, bringing the total number trained in the 2011 guidelines to 5,297. 112 District PMTCT/ART coordinators were trained in developing plans for Elimination of Mother to Child Transmission. • 30 TB Officers in the SE Zone were trained in ART/TB management. • 60 HTC Counsellors received training in collecting dried blood spot specimens for Early Infant Diagnosis (EID). • 100 facilities received mentoring for HIV Exposed Child Follow-Up and EID specimen collection. • 598 Health workers at 92 facilities in the SE Zone and 227 health workers and support staff at 33 facilities in the N Zone received clinical mentoring in provision of PMTCT/ART.


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