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  "name": "malawi-integrated-hiv-program-report-2015-q4",
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  "name": "malawi-integrated-hiv-program-report-2015-q4",
            
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  "notes": "A summary of the key achievements between October and 
            
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December 2015 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 and 145 outside of health facilities) and 
            
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188 outreach HTC sites\r\n\r\n     * __716__ (static) ART 
            
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sites\r\n\r\n     * __617__ PMTCT sites (Option B+, all included in 
            
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ART sites above)\r\n\r\n     * __668__ Pre-ART sites\r\n\r\n     * 
            
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__652__ sites with HIV-exposed child follow-up\r\n\r\n* __604,854__ 
            
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persons were tested for HIV and received their results; __172,574 
            
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(29%)__ accessed HTC for the\r\nfirst time; __432,280 (71%)__ were 
            
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repeat testers and __15,096 (3%)__ of these received 
            
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confirmatory\r\ntesting (after having tested positive in the past). 
            
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This is equivalent to 63% confirmatory testing\r\ncoverage among 
            
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__24,082__ patients initiating ART this quarter. __32,762 (5%)__ 
            
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clients received a positive\r\nresult for the first time.\r\n\r\n* 
            
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__23,692 (>99.9%)__ of __23,699__ blood units collected were screened 
            
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for (at least) HIV, hepatitis B and\r\nsyphilis.\r\n\r\n* __137,394 
            
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(92%)__ of __149,627__ women at ANC had their HIV status ascertained; 
            
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__10,613 (8%)__ of these\r\nwere HIV positive. __122,523 (98%)__ of 
            
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__125,204__ women at maternity had their HIV status 
            
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ascertained\r\n__9,102 (7%)__ of these were HIV positive.\r\n\r\n* 
            
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__24,082__ patients started ART this quarter.\r\n\r\n* __595,186__ 
            
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patients were alive and on ART by end of December 2015. This means 
            
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that 60% of the\r\nestimated 1 million HIV positive population was on 
            
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ART. 1 Estimated ART coverage among people in\r\nneed for treatment1 
            
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was __51% (51,105 / 101,000)__ for children (<15 years) and __69% 
            
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(540,071 /\r\n779,000)__ for adults.\r\n\r\n* __76%__ of adults and 
            
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__77%__ of children were retained alive on ART at 12 months after 
            
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initiation. Actual\r\nretention rates are thought to be about 10% 
            
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higher due to misclassification of \u2018silent transfers\u2019 
            
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as\r\ndefaulters in clinic-based survival/retention analysis. (see 
            
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section 15.4)\r\n\r\n* __517,346 (93%)__ of __583,674__ patients on 
            
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first line adult ART were on regimen 5A (TDF/3TC/EFV).\r\n\r\n* __76%, 
            
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69%, 66% and 65%__ of women started under Option B+ were retained on 
            
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ART at 6, 12, 24 and\r\n36 months after initiation, 
            
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respectively.\r\n\r\n* __8,748 (8%)__ of infants discharged alive from 
            
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maternity were known to be HIV exposed, __7,872 (90%)__\r\nof these 
            
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received ARV prophylaxis (nevirapine). __7,131 (82%)__ were enrolled 
            
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in exposed child followup\r\nbefore age 2 months.\r\n\r\n* A total of 
            
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__10,624__ HIV exposed children and __5,650__ pre-ART patients were 
            
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enrolled for follow-up in\r\nHIV Care Clinics (HCC) during this 
            
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quarter.\r\n",
            
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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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