This is the 10th quarterly HIV Program report after implementation of the 2011 Integrated Clinical HIV Guidelines in July 2011. A summary of the key achievements between January and March 2014 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

  • 694 (static) ART sites

  • 605 PMTCT sites (Option B+, all included in ART sites above)

  • 651 Pre-ART sites

  • 627 sites with HIV-exposed child follow-up

• 444,365 persons were tested and counselled for HIV; 140,942 (32%) accessed HTC for the first time; 303,423 (68%) were repeat testers and 9,112 (3%) of these received confirmatory testing (after having tested positive in the past). This is equivalent to 36% confirmatory testing coverage among 25,363 patients initiating ART this quarter. 32,913 (7%) out of all clients received a positive result for the first time.

• 18,850 (93%) of 20,242 blood units collected were screened for (at least) HIV, hepatitis B and syphilis.

• 130,257 (82%) of 159,233 women at ANC had their HIV status ascertained; 10,191 (8%) of these were HIV positive. 113,169 (93%) of 121,579 women at maternity had their HIV status ascertained; 8,822 (8%) of these were HIV positive.

• 25,363 patients started ART this quarter, 8% more than in the previous quarter (23,334).

• 486,795 patients were alive and on ART by end of March 2014. This means that 49% of the estimated 1 million HIV positive population was on ART. 1 Estimated ART coverage among people in need for treatment was 39% (42,525 / 110,000) for children (<15 years) and 78% (444,270 / 570,000) for adults.

• 78% of adults and 78% of children were retained alive on ART at 12 months after initiation.

• 417,369 (92%) of 452,934 patients on first line adult ART were on regimen 5A (TDF/3TC/EFV).

• 10,036 2 (81%) of an estimated 12,425 Error! Bookmark not defined. HIV infected pregnant women in Malawi were on ART this quarter. 5,030 (50%) of these were already on ART when getting pregnant and 5,006 (50%) started ART during pregnancy/delivery.

• An additional 1,644 2 breastfeeding women started ART due to Option B+ (in WHO stage 1/2)

• 77%, 72% and 71% of women started under Option B+ were retained on ART at 6, 12 and 24 months after initiation, respectively.

• 8,350 (8%) of infants discharged alive from maternity were known to be HIV exposed, 7,815 (94%) of these received ARV prophylaxis (nevirapine). 5,771 (59%) were enrolled in exposed child follow-up before age 2 months.

• A total of 10,372 HIV exposed children and 8,551 pre-ART patients were enrolled for followup in HIV Care Clinics (HCC) during this quarter.