By the end of March 2007, there were 106 facilities in Malawi in the public health sector delivering ART free of charge to HIV-positive eligible patients.
In the first quarter of 2007 (January to March), there were 13,770 new patients started on ART. For the quarter, 39% of patients were male and 10% were children (14 years and below). By the end of March 2007, there were 95,674 patients who had ever started on ART. For the cumulative analysis, 40% of patients were male and 8% were children (14 years and below).
Of 95,674 patients who ever started on free ART, their outcomes by end of March 2007 were as follows: 69% were alive and on ART at the site of registration, 12% had died, 10% were lost to follow-up, 9% had transferred out to another facility (and were presumably alive) and <1% had stopped treatment.
Of 66,438 patients alive and on ART:- 96% were on the first line regimen, 4% were on an alternative first line regimen and a small number (196) were on a second line regimen. Of those alive and on ART, 98% were ambulatory; 95% were fit to work; 5% had one or more major side effects assessed during the month of March, and 94% of patients showed 95% or more adherence to therapy based on pill counts.
6-month outcome analysis on 11,792 patients starting free ART from 102 sites showed: 81% were alive (73% alive and on ART + 8% transferred out)
12-month outcome analysis on 8,934 patients starting free ART from 68 sites showed: 74% were alive (63% alive and on ART + 11% transferred out)
18-month outcome analysis on 7,637 patients starting free ART from 61 sites showed: 70% were alive (59% alive and on ART + 11% transferred out)
24-month outcome analysis on 4.530 patients starting free ART from 34 sites showed: 70% were alive (56% alive and on ART + 14% transferred out)