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  "name": "malawi-integrated-hiv-program-report-2018-q4",
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  "name": "malawi-integrated-hiv-program-report-2018-q4",
            
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  "notes": "* Scale-up of integrated HIV services had reached the 
            
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following number of sites:\r\n     * __757__ static and 225 outreach 
            
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HIV testing sites\r\n\r\n     * __750__ (static) ART sites; __632__ of 
            
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these started at least one pregnant or breastfeeding woman and 720   
            
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started asymptomatic patients (Test & Treat) this quarter\r\n\r\n     
            
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* __686__ sites with HIV-exposed children in follow-up\r\n\r\n* 
            
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__1,106,090__ persons were tested for HIV and received their results; 
            
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__251,497 (23%)__ accessed HIV testing for the first time; __854,593 
            
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(77%)__ were repeat testers and __34,777 (3%)__ of these received 
            
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confirmatory testing (after having tested positive in the past). 
            
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__31,089 (2.9%)__ clients received a positive result for the first 
            
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time.\r\n\r\n* __24,354 (99%)__ of __25,174__ blood units collected 
            
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were screened for (at least) HIV, hepatitis B and syphilis.\r\n\r\n* 
            
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__156,321 (98%)__ of __159,118__ women at ANC had their HIV status 
            
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ascertained; __11,669 (7%)__ of these were HIV positive. __135,236 
            
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(95%)__ of __142,860__ at maternity had their HIV status ascertained 
            
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__10,589 (8%)__ of these were HIV positive.\r\n\r\n* __28,858__ 
            
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patients started ART this quarter; 64% were classified as asymptomatic 
            
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/ in WHO stage 1 and started under the \u201cTest & Treat\u201d 
            
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policy.\r\n\r\n* __805,232__ patients were alive and on ART by end of 
            
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December 2018. This means that 76% of the estimated __1,064,676__ HIV 
            
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positive population was on ART. 2 ART coverage was __68% (45,450 / 
            
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66,948)__ for children and __76% (759,782 / 997,727)__ for 
            
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adults.\r\n\r\n* __78,354 (90%) of 86,944__ viral load results from 
            
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routine monitoring were <1000 copies/ml. Viral suppression rates for 
            
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routine samples among children (0-14 years) and adults (15+ years) 
            
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were 61% and 92%, respectively.\r\n\r\n* __72%__ of adults and __75%__ 
            
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of children were retained alive on ART at 12 months after 
            
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initiation.\r\n\r\n* Out of __750,477__ patients on first line adult 
            
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ART __689,148 (92%)__ were on TDF/3TC/EFV and 3,193 (<1%) had 
            
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transitioned to TDF/3TC/DTG.\r\n\r\n* __12,317 5 (88%)__ of an 
            
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estimated __14,000__ HIV infected pregnant women in Malawi were on ART 
            
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this quarter. __8,959 (73%)__ of these were already on ART when 
            
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getting pregnant and __3,358 (27%)__ started ART during 
            
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pregnancy/delivery.\r\n\r\n* An additional __1,253__breastfeeding 
            
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women started ART in WHO stage 1 or 2.\r\n\r\n* __76%, 71%, 67% and 
            
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62%__ 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* __9,533 (7%)__ of infants discharged alive from 
            
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maternity were known to be HIV exposed, __9,017 (95%)__ of these 
            
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received ARV prophylaxis (nevirapine).",
            
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in 2001, initially as a unit in the Department of Clinical Services, 
            
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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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