This is the 8th quarterly HIV Program report after implementation of the 2011 Integrated Clinical
HIV Guidelines in July 2011. A summary of the key achievements between April and June 2013 is
provided below:
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Scale-up of integrated HIV services had reached the following number of sites:
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825 static (607 within and 218 outside of health facilities) and 534 outreach HTC sites
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671 (static) ART sites
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588 PMTCT sites (Option B+)
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623 Pre-ART sites
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603 sites with HIV-exposed child follow-up
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462,334 persons were tested and counselled for HIV and 37,852 (8%) were HIV positive;
156,875 (34%) people tested for the first time.
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16,763 (98%) of 17,142 blood units collected were screened for HIV, hepatitis B and syphilis.
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113,061 (77%) of 147,586 women at ANC had their HIV status ascertained; 9,282 (8%) of
these were HIV positive. 108,861 (92%) of 118,402 women at maternity had their HIV status
ascertained; 8,285 (8%) of these were HIV positive.
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26,802 patients started ART during this quarter; this is similar to the previous quarter
(26,881).
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443,221 patients were alive and on ART by end of June 2013. This is equivalent to 74%
coverage of the estimated 602,000 population in need of ART (all ages; 2013 Spectrum
estimates based on current definition of eligibility for ART in Malawi).
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105,326 (26%) of 408,013 on first line adult regimens were on ART regimen 5A (tenofovir /
lamivudine / efavirenz).
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80% of adults and 82% of children were retained alive on ART at 12 months after ART
initiation.
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A total of 11,452 HIV positive pregnant women were on ART: 4,343 (38%) of these were
already on ART when getting pregnant and 7,109 (62%) started ART during
pregnancy/delivery. This is equivalent to 73% ART coverage among the estimated 15,750
HIV infected pregnant women in Malawi this quarter. 6,910 (97%) of pregnant women
started ART due to Option B+ (in WHO clinical stage 1 or 2) and 199 (3%) due to a low CD4
count and/or WHO clinical stage 3 or 4.
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An additional 2,164 breastfeeding women started ART due to Option B+ (in WHO clinical
stage 1 or 2).
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5,941 (77%) of 7,709 women started under Option B+ were retained at 6 months after ART
initiation; 5,778 (76%) of 7569 were retained at 12 months after ART initiation.
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7,520 (7%) of infants discharged alive from maternity were known to be HIV exposed, 7,005
(93%) of these received ARV prophylaxis (nevirapine). 5,026 (67%) were enrolled in exposed
child follow-up before age 2 months.
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A total of 10,277 HIV exposed children and 9,886 pre-ART patients were enrolled for followup
in HIV Care Clinics (HCC) during this quarter.
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112 medical staff were newly trained and certified in PMTCT/ART this quarter. This brings
the total number trained in the 2011 guidelines to 5,823.
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About 300 staff (mainly HSAs) at 52 facilities received mentoring for collection of dried
blood samples for Early Infant Diagnosis and documentation of results.
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2,533 HTC providers were re-trained using the HTC Skills Intensive Training curriculum.
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A total of 61 staff at 46 sites in 4 districts received clinical mentoring during a total of 90
mentoring visits (mentoring program reports remained incomplete for this quarter).