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On April 27, 2022 at 11:36:00 AM UTC, Gravatar Towera:
  • Updated description of Malawi TB Program Report 2014 from

    This is the 14th 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 2014 is provided below: * Scale-up of integrated HIV services had reached the following number of sites: * __724__ static (579 within and 145 outside of health facilities) and 188 outreach HTC sites * __713__ (static) ART sites * __615__ PMTCT sites (Option B+, all included in ART sites above) *__655__ Pre-ART sites *__644__ sites with HIV-exposed child follow-up * 464,292 persons were tested and counselled for HIV; __139,602 (30%)__ accessed HTC for the first time; __324,690 (70%)__ were repeat testers and __9,854 (3%)__ of these received confirmatory testing (after having tested positive in the past). This is equivalent to 38% confirmatory testing coverage among __26,060__ patients initiating ART this quarter. __28,465 (6%)__ clients received a positive result for the first time. * __19,606 (97%)__ of __20,244__ blood units collected were screened for (at least) HIV, hepatitis B and syphilis. * __134,985 (89%)__ of __151,118__ women at ANC had their HIV status ascertained; __10,550 (8%)__ of these were HIV positive. __129,821 (96%)__ of __138,024__ women at maternity had their HIV status ascertained __9,785 (8%)__ of these were HIV positive. * __26,060__ patients started ART this quarter. * __536,438__ patients were alive and on ART by end of December 2014. This means that 54% of the estimated 1 million HIV positive population was on ART. 1 Estimated ART coverage among people in need for treatment was __42% (46,410 / 111,000)__ for children (<15 years) and 71% (489,775 / 687,000) for adults. * __76%__ of adults and __77%__ of children were retained alive on ART at 12 months after initiation. Actual retention rates are thought to be about 10% higher due to misclassification of ‘silent transfers’ as defaulters in clinic-based survival/retention analysis. (see section 16.4) * __470,048 (93%)__ of __504,494__ patients on first line adult ART were on regimen 5A (TDF/3TC/EFV). * __11,053 2 (85%)__ of an estimated __13,317__ HIV infected pregnant women in Malawi were on ART this quarter. __6,288 (57%)__ of these were already on ART when getting pregnant and 4,765 (43%) started ART during pregnancy/delivery. * An additional __1,593__ breastfeeding women started ART due to Option B+ (in WHO stage 1/2) * __78%__, __72%__, __68%__ and __71%__ of women started under Option B+ were retained on ART at 6, 12, 24 and 36 months after initiation, respectively. * __8,851 (7%)__ of infants discharged alive from maternity were known to be HIV exposed, __8,305 (94%)__ of these received ARV prophylaxis (nevirapine). __7,006 (65%)__ were enrolled in exposed child follow-up before age 2 months. * A total of __10,797__ HIV exposed children and __6,483__ pre-ART patients were enrolled for follow-up in HIV Care Clinics (HCC) during this quarter.
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    This is the 14th 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 2014 is provided below: * Scale-up of integrated HIV services had reached the following number of sites: * __724__ static (579 within and 145 outside of health facilities) and 188 outreach HTC sites * __713__ (static) ART sites * __615__ PMTCT sites (Option B+, all included in ART sites above) * __655__ Pre-ART sites * __644__ sites with HIV-exposed child follow-up * 464,292 persons were tested and counselled for HIV; __139,602 (30%)__ accessed HTC for the first time; __324,690 (70%)__ were repeat testers and __9,854 (3%)__ of these received confirmatory testing (after having tested positive in the past). This is equivalent to 38% confirmatory testing coverage among __26,060__ patients initiating ART this quarter. __28,465 (6%)__ clients received a positive result for the first time. * __19,606 (97%)__ of __20,244__ blood units collected were screened for (at least) HIV, hepatitis B and syphilis. * __134,985 (89%)__ of __151,118__ women at ANC had their HIV status ascertained; __10,550 (8%)__ of these were HIV positive. __129,821 (96%)__ of __138,024__ women at maternity had their HIV status ascertained __9,785 (8%)__ of these were HIV positive. * __26,060__ patients started ART this quarter. * __536,438__ patients were alive and on ART by end of December 2014. This means that 54% of the estimated 1 million HIV positive population was on ART. 1 Estimated ART coverage among people in need for treatment was __42% (46,410 / 111,000)__ for children (<15 years) and 71% (489,775 / 687,000) for adults. * __76%__ of adults and __77%__ of children were retained alive on ART at 12 months after initiation. Actual retention rates are thought to be about 10% higher due to misclassification of ‘silent transfers’ as defaulters in clinic-based survival/retention analysis. (see section 16.4) * __470,048 (93%)__ of __504,494__ patients on first line adult ART were on regimen 5A (TDF/3TC/EFV). * __11,053 2 (85%)__ of an estimated __13,317__ HIV infected pregnant women in Malawi were on ART this quarter. __6,288 (57%)__ of these were already on ART when getting pregnant and 4,765 (43%) started ART during pregnancy/delivery. * An additional __1,593__ breastfeeding women started ART due to Option B+ (in WHO stage 1/2) * __78%__, __72%__, __68%__ and __71%__ of women started under Option B+ were retained on ART at 6, 12, 24 and 36 months after initiation, respectively. * __8,851 (7%)__ of infants discharged alive from maternity were known to be HIV exposed, __8,305 (94%)__ of these received ARV prophylaxis (nevirapine). __7,006 (65%)__ were enrolled in exposed child follow-up before age 2 months. * A total of __10,797__ HIV exposed children and __6,483__ pre-ART patients were enrolled for follow-up in HIV Care Clinics (HCC) during this quarter.



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