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.