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  "name": "malawi-integrated-hiv-program-report-2016-q1",
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  "name": "malawi-integrated-hiv-program-report-2016-q1",
            
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  "notes": "A summary of the key achievements between January and 
            
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March 2016 is provided below:\r\n\r\n* Scale-up of integrated HIV 
            
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services had reached the following number of sites:\r\n\r\n     * 
            
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__724__ static (579 within, 145 outside of health facilities) and 188 
            
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outreach HTC sites\r\n\r\n     * __724__ (static) ART sites\r\n\r\n     
            
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* __631__ PMTCT sites (Option B+, all included in ART sites 
            
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above)\r\n\r\n     * __661__ Pre-ART sites\r\n\r\n     * __653__ sites 
            
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with HIV-exposed child follow-up\r\n\r\n* __862,157__ persons were 
            
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tested for HIV and received their results; __270,252 
            
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(31%)__\r\naccessed HTC for the first time; __591,905 (69%)__ were 
            
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repeat testers and __30,048 (5%)__\r\nof these received confirmatory 
            
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testing (after having tested positive in the past).\r\n__41,901 (5%)__ 
            
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clients received a positive result for the first time.\r\n\r\n* 
            
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__22,727 (97%)__ of __23,335__ blood units collected were screened for 
            
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(at least) HIV,\r\nhepatitis B and syphilis.\r\n\r\n* __147,765 
            
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(95%)__ of __156,222__ women at ANC had their HIV status ascertained; 
            
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__11,567\r\n(9%)__ of these were HIV positive. __120,777 (98%)__ of 
            
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__123,203__ women at maternity had\r\ntheir HIV status ascertained 
            
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__9,408 (8%)__ of these were HIV positive.\r\n\r\n* __28,052__ 
            
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patients started ART this quarter.\r\n\r\n* __611,031__ patients were 
            
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alive and on ART by end of March 2016. This means that 62%\r\nof the 
            
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estimated __979,000__ HIV positive population was on ART. 1 ART 
            
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coverage was\r\n__61% (49,672 / 81,000)__ for children and __63% 
            
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(561,359 / 898,000)__ for adults.\r\n\r\n* __76%__ of adults and 
            
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__74%__ of children were retained alive on ART at 12 months 
            
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after\r\ninitiation. Actual retention rates are thought to be about 
            
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10% higher due to\r\nmisclassification of \u2018silent transfers\u2019 
            
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as defaulters in clinic-based survival/retention\r\nanalysis. (see 
            
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section 15.4)\r\n\r\n* __532,156 (93%)__ of __599,315__ patients on 
            
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first line adult ART were on regimen 5A\r\n(TDF/3TC/EFV).\r\n\r\n* 
            
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__11,715 3 (87%)__ of an estimated __13,500__  HIV infected pregnant 
            
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women in Malawi\r\nwere on ART this quarter. __7,074 (60%)__ of these 
            
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were already on ART when getting\r\npregnant and __4,641 (40%)__ 
            
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started ART during pregnancy/delivery.\r\n\r\n* An additional 
            
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__1,864__ breastfeeding women started ART due to Option B+ (in 
            
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WHO\r\nstage 1/2)\r\n\r\n* __ 75%, 69%, 66% and 65%__ of women started 
            
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under Option B+ were retained on ART at\r\n6, 12, 24 and 36 months 
            
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after initiation, respectively.\r\n\r\n* __8,784 (8%)__ of infants 
            
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discharged alive from maternity were known to be HIV\r\nexposed, 
            
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__8,332 (95%)__ of these received ARV prophylaxis (nevirapine). 
            
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__8,329 (95%)__\r\nwere enrolled in exposed child follow-up before age 
            
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2 months.\r\n\r\n* __12,296__ HIV exposed children and __7,047__ 
            
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pre-ART patients were enrolled for follow-up\r\nin HIV Care Clinics 
            
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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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