Malawi ART HTC Program Report 2008 Q3

By the end of September 2008, there were 214 health facilities in Malawi in the public and private health sector delivering ART to HIV-positive eligible patients. In the third quarter of 2008 (July to September), there were 20,393 new patients registered on ART (38% male, 62% female; 92% adults and 8% children). Of those starting, 57% started due to Stage 3, 12% due to Stage 4 and 30% based on a low CD4 count in Stage 1 or Stage 2.

By the end of September 2008, there were 204,440 patients ever registered on ART (39% male, 61% female; 92% adult, 8% children) of which 25,588 had started on ART due to TB. The 204,440 patients who had ever registered on ART include the patients who transfer-in from other sites, and it is understood that these patients are counted twice. If we assume that all patients who transfer-out then transfer-in, then the number of new patients ever started on ART is 179,505.

Cumulative treatment outcomes by end of September were: 66% alive and on ART at the site of registration, 11% dead, 10% lost to follow-up, 12% transferred out to another facility (and were presumably alive) and <1% stopped treatment.

Of the 135,264 patients alive and on ART:- 95% were on the first line regimen, 5% were on an alternative first line regimen and less than 1% were on second line regimen.

By the end of September 2008 there were 30 sites with over 1,000 patients alive and on treatment; 8 sites with over 2,000 and 4 with over 5,000 patients alive and on treatment.

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Field Value
Program Area Care and Treatment
Year 2008
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