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  "name": "malawi-integrated-hiv-program-report-2011-q3",
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  "name": "malawi-integrated-hiv-program-report-2011-q3",
            
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  "notes": "This is the first quarterly HIV Program report after 
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  "notes": "",
            
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implementation of the 2011 Integrated Clinical\r\nHIV Guidelines1 in 

            
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July 2011. A summary of the key achievements between July and 

            
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September\r\n2011 is provided below:\r\n\r\no Scale-up of integrated 

            
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HIV services had reached the following number of sites:\r\n\r\n      

            
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__810__ HTC sites (547 within and 263 outside of health 

            
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facilities)\r\n\r\n      __409__ (static) ART sites\r\n\r\n      

            
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__317__ PMTCT sites (Option B+)\r\n\r\n      __225__ Pre-ART 

            
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sites\r\n\r\n      __193__ sites with HIV-exposed child 

            
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follow-up\r\n\r\n      __381,816__ persons tested and counselled for 

            
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HIV, 165,580 (43%) of these tested for the first\r\ntime.\r\n\r\n      

            
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__120,201 (74%) __of 162,187 women at ANC had their HIV status 

            
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ascertained; __10,336 (9%)__ of\r\nthese were HIV positive and __8,277 

            
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(78%)__ of these received ARVs.\r\n\r\n     __115,103 (91%) __of 

            
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126,514 women at maternity had their HIV status ascertained;__ 9,192 

            
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(8%)__\r\nof these were HIV positive and __8,127 (88%)__ of these 

            
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received ARVs during labour.\r\n\r\n    __8,509 (8%)__ of infants 

            
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discharged alive from maternity were known to be HIV exposed, 

            
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__7,758\r\n(91%)__ of these received ARV prophylaxis.\r\n\r\n   

            
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__3,244__ women started ART under Option B+: __1,847 (52%)__ were 

            
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pregnant and __1,394 (48%)__\r\nwere breastfeeding.\r\n\r\n  

            
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__24,638__ patients started ART during this quarter; this is 30% more 

            
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than in any other quarter\r\nsince the start of the ART program in 

            
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2004.\r\n\r\n  __79%__ of adults and __79%__ of children were retained 

            
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alive on ART 12 months after ART\r\ninitiation.\r\n\r\n __295,962__ 

            
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patients were alive and on ART by end of September 2011; __4,384__ 

            
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(1.5%) were on\r\nART regimen 5A (tenofovir / lamivudine / 

            
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efavirenz)\r\n\r\n __3,596__  HIV exposed children and __8,594__ 

            
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pre-ART patients enrolled for follow-up in HIV Care\r\nClinics 

            
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(HCC)\r\n\r\n__2,856__ health workers were trained in the new 

            
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integrated PMTCT/ART curriculum during Q3,\r\nbringing the total 

            
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number of health workers re-trained in the new guidelines to 

            
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__3,366__. All\r\ntraining details were captured in the new national 

            
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HIV training data base (TrainSMART) at\r\nMOH.\r\n\r\n__266__ new HTC 

            
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providers were trained during Q3 and 25 qualified HTC providers 

            
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received\r\nfurther skills training in couples 

            
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counselling.\r\n\r\n__20__ new STI providers were trained during Q3.",

            
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    "description": "The Department of HIV & AIDS (DHA) was established 
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    "description": "The Department of HIV & AIDS (DHA) was established 
            
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in 2001, initially as a unit in the Department of Clinical Services, 
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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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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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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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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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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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Monitoring and Evaluation Department (CMED) of the Ministry of 
            
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