Malawi ART HTC Program Report 2008 Q4

By the end of December 2008, there were 221 health facilities in Malawi in the public and private health sector delivering ART to HIV-positive eligible patients.

In the fourth quarter of 2008 (October to December) a total of 19,092 patients registered at ART sites in Malawi (39% male, 61% female; 91% adults and 9% children). Of those, 54% started in WHO stage 3, 11% in stage 4 and 33% based on a low CD4 count in Stage 1 or Stage 2. In the quarter a total of 30 infants started ART because of confirmed HIV infection (DNA-PCR) and 30 children under 18 months started because of presumed severe HIV disease.

By the end of December 2008, there were 223,437 patients ever registered for ART (39% male, 61% female; 92% adult, 8% children) of which 27,843 had started on ART due to TB. The 223,437 patients who had ever registered on ART include 27,069 patients who transferred-out to other ART sites, and it is understood that these patients will be counted twice in the total patients ever registered. If we deduct the number of people transferred-out the number of people ever started on ART is 196,368.

Cumulative outcomes of all patients ever registered by end of December 2008 were: 66% alive and on ART at the site of registration, 11% dead, 11% lost to follow-up, 12% transferred out to another facility and <1% stopped treatment.

Of the 147,479 patients alive and on ART: 94% were on the first line regimen, 5% were on an alternative first line regimen, less than 1% were on second line regimen and 1% were on a nonstandard ART regimen. Non-standard regimens are not necessarily substandard regimens; they include patients continuing an ART regimen that was started outside Malawi, patients in research programmes and patients in specialist care in whom specific circumstances lead to the choice of a non-standard regimen.

By the end of December 2008 there were 28 sites with 1,001-2,000 patients alive and on treatment; 10 sites with 2,001-5,000 and 5 with over 5,000 patients alive and on treatment.

Data and Resources

Additional Info

Field Value
Program Area Care and Treatment
Year 2008
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