A summary of the key achievements between October and December 2013 is provided below:
Scale-up of integrated HIV services had reached the following number of sites:
825 static (607 within and 218 outside of health facilities) and 534 outreach HTC sites
689 (static) ART sites
594 PMTCT sites (Option B+)
634 Pre-ART sites
612 sites with HIV-exposed child follow-up
374,456 persons were tested and counselled for HIV and 32,654 (9%) were HIV positive;
138,000 (37%) people tested for the first time.
18,648 (97%) of 19,172 blood units collected were screened for HIV, hepatitis B and syphilis.
129,368 (83%) of 156,528 women at ANC had their HIV status ascertained; 10,354 (8%) of
these were HIV positive. 118,217 (91%) of 128,675 women at maternity had their HIV status
ascertained; 9,066 (8%) of these were HIV positive.
_ 23,334__ patients started ART during this quarter; this is a 10% decline from the previous
472,865 patients were alive and on ART by end of December 2013. This is equivalent to 79%
coverage of the estimated 602,000 population in need of ART (all ages).1 Estimated ART
coverage among children (<15 years) and adults was 48% and 84%, respectively.
78% of adults and 81% of children were retained alive on ART at 12 months after initiation.
381,477 (87%) of 424,961 on first line adult ART were on regimen 5A (TDF/3TC/EFV).
The proportion of ART patients with documented side effects was 2%. This is a significant
decline from 7% before transition to 5A.
A total of 11,815 HIV positive pregnant women were on ART: 5,271 (45%) of these were
already on ART when getting pregnant and 6,544 (57%) started ART during
pregnancy/delivery. This is equivalent to 75% ART coverage among the estimated 15,750
HIV infected pregnant women in Malawi this quarter.
An additional 1,721 breastfeeding women started ART due to Option B+ (in WHO stage 1/2)
5,798 (79%) of 7,952 women started under Option B+ were retained at 6 months after ART
initiation; 5,280 (73%) of 8,012 were retained at 12 months after ART initiation; 7,452 (71%)
of 11,714 were retained at 24 months after ART initiation. This confirms for the first time
that a high proportion of women started under Option B+ remain on ART beyond the
cessation of breastfeeding.
8,663 (8%) of infants discharged alive from maternity were known to be HIV exposed, 7,793
(90%) of these received ARV prophylaxis (nevirapine). 5,487 (63%) were enrolled in exposed
child follow-up before age 2 months.
A total of 9,207 HIV exposed children and 7,735 pre-ART patients were enrolled for followup
in HIV Care Clinics (HCC) during this quarter.
117 medical staff were newly trained and certified in PMTCT/ART this quarter. This brings
the total number trained in the 2011 ART/PMTCT guidelines to 6,162.