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| "name": "malawi-integrated-hiv-program-report-2013-q1", | | "name": "malawi-integrated-hiv-program-report-2013-q1", |
n | | n | "notes": "This is the 7th quarterly HIV Program report after |
| | | implementation of the 2011 Integrated Clinical\r\nHIV Guidelines in |
| | | July 2011. A summary of the key achievements between January and March |
| | | 2013\r\nis provided below:\r\n\r\nScale\u2010up of integrated HIV |
| | | services had reached the following number of sites:\r\n\r\n 825 |
| | | static (607 within and 218 outside of health facilities) and 534 |
| | | outreach HTC sites\r\n \r\n 655 (static) ART sites\r\n |
| | | \r\n 580 PMTCT sites (Option B+)\r\n \r\n 602 Pre\u2010ART |
| | | sites\r\n \r\n 590 sites with HIV\u2010exposed child |
| | | follow\u2010up\r\n\r\n460,559 persons were tested and counselled for |
| | | HIV and 41,321 (9%) were HIV positive;\r\n170,334 (37%) people tested |
| | | for the first time.\r\n \r\n127,167 (78%) of 163,522 women at ANC had |
| | | their HIV status ascertained; 10,282 (8%) of\r\nthese were HIV |
| | | positive. 102,506 (89%) of 114,376 women at maternity had their HIV |
| | | status\r\nascertained; 8,306 (8%) of these were HIV |
| | | positive.\r\n\r\n26,881 patients started ART during this quarter; this |
| | | is an 11% increase from the previous\r\nquarter (24,168), probably |
| | | related to the improved management of HIV test kit |
| | | supplies.\r\n\r\n422,866 patients were alive and on ART by end of |
| | | March 2013; 84,499 (22%) of 390,576 on\r\nfirst line adult regimens |
| | | were on ART regimen 5A (tenofovir / lamivudine / |
| | | efavirenz).\r\n\r\n81% of adults and 78% of children were retained |
| | | alive on ART at 12 months after ART\r\ninitiation.\r\n\r\nA total of |
| | | 11,120 HIV positive pregnant women were on ART: 4,134 (37%) of these |
| | | were\r\nalready on ART when getting pregnant and 6,986 (63%) started |
| | | ART during\r\npregnancy/delivery. 6,773 (97%) of pregnant women |
| | | started ART due to Option B+ (in WHO\r\nclinical stage 1 or 2) and 213 |
| | | (3%) due to a low CD4 count and/or WHO clinical stage 3 or |
| | | 4.\r\n\r\nAn additional 2,279 breastfeeding women started ART due to |
| | | Option B+ (in WHO clinical\r\nstage 1 or 2).\r\n\r\n6,695 (77%) of |
| | | 8,648 women started under Option B+ were retained at 6 months after |
| | | ART\r\ninitiation (6\u2010month retention outcomes were not available |
| | | for some women, mainly at sites\r\nwith electronic data |
| | | systems).\r\n\r\n7,740 (8%) of infants discharged alive from maternity |
| | | were known to be HIV exposed, 6,975\r\n(90%) of these received ARV |
| | | prophylaxis. 5,096 (73%) were enrolled in exposed child |
| | | followup\r\nbefore age 2 months.\r\n\r\nA total of 10,319 HIV exposed |
| | | children and 9,510 pre\u2010ART patients were enrolled for |
| | | followup\r\nin HIV Care Clinics (HCC) during this quarter.\r\n\r\n195 |
| | | medical staff were newly trained and certified in PMTCT/ART and an |
| | | additional 23\r\nmedical records clerks were trained in M&E for the |
| | | PMTCT/ART program this quarter. This\r\nbrings the total number |
| | | trained in the 2011 guidelines to 5,711.\r\n\r\n513 HTC counsellors |
| | | and 1,239 HSAs at 152 facilities received mentoring for collection |
| | | of\r\ndried blood samples for Early Infant Diagnosis and documentation |
| | | of results.\r\n\r\nIn preparation for a nationwide retraining of all |
| | | HTC providers, 20 Master trainers were\r\ntrained in the HTC Skills |
| | | Intensive Training curriculum, who in turn trained 197 |
| | | trainers.\r\n\r\n418 health workers and 182 support staff at 70 |
| | | facilities in the SE Zone received clinical\r\nmentoring in provision |
| | | of PMTCT/ART. 45 of these health workers were in the |
| | | intensive\r\nphase, 223 in the continuation phase and 150 graduated |
| | | from the mentoring program this\r\nquarter.", |
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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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