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  "name": "hiv-drug-resistance-testing-application-form-version2",
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  "name": "hiv-drug-resistance-testing-application-form-version2",
            
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  "notes": "* This form is used for requesting the National HIV drug 
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  "notes": "* This form is used for requesting the National HIV drug 
            
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resistance (HIVDR) Expert Committee Patients to review a patient with 
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resistance (HIVDR) Expert Committee Patients to review a patient with 
            
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confirmed viral failure for potential drug resistance testing. 
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confirmed viral failure for potential drug resistance testing. 
            
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Patients on DTG- and PI-based regimens who don\u2019t re-suppress 
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Patients on DTG- and PI-based regimens who don\u2019t re-suppress 
            
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below 1000 copies/ml after an initial high VL despite good adherence 
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below 1000 copies/ml after an initial high VL despite good adherence 
            
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need a genotype sample for resistance testing.\r\n* Contact the HIVDR 
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need a genotype sample for resistance testing.\r\n* Contact the HIVDR 
            
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Expert Committee, either through the Department of HIV, STI and Viral 
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Expert Committee, either through the Department of HIV, STI and Viral 
            
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Hepatitis, or by sending an email to 
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Hepatitis, or by sending an email to 
            
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3rdlineart@lighthouse.org.mw.\r\n* Follow the instructions on the 
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3rdlineart@lighthouse.org.mw.\r\n* Follow the instructions on the 
            
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application form and ensure that the application form is completely 
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application form and ensure that the application form is completely 
            
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filled before sending it to the expert committee.\r\n* The expert 
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filled before sending it to the expert committee.\r\n* The expert 
            
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committee will advise if a genotype sample needs to be collected. 
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committee will advise if a genotype sample needs to be collected. 
            
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Genotyping is only possible if the current VL is 1000+ and will be 
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Genotyping is only possible if the current VL is 1000+ and will be 
            
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more reliable from 5000+.\r\n* The genotype result can only be 
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more reliable from 5000+.\r\n* The genotype result can only be 
            
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interpreted correctly if the patient has been taking their ARVs 
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interpreted correctly if the patient has been taking their ARVs 
            
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consistently for 2-3 months before the sample was collected.\r\n* 
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consistently for 2-3 months before the sample was collected.\r\n* 
            
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Maintain the current regimen until genotyping results are 
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Maintain the current regimen until genotyping results are 
            
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available.\r\n* Follow the regimen recommendations from the National 
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available.\r\n* Follow the regimen recommendations from the National 
            
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HIVRDR expert committee.\r\n",
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HIVRDR expert committee.\r\n",
            
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    "description": "The Department of HIV & AIDS (DHA) was established 
            
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in 2001, initially as a unit in the Department of Clinical Services, 
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in 2001, initially as a unit in the Department of Clinical Services, 
            
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to coordinate the biomedical HIV Program in Malawi. The department now 
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to coordinate the biomedical HIV Program in Malawi. The department now 
            
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carries responsibility for various HIV related programs including: 
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carries responsibility for various HIV related programs including: 
            
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sexually transmitted infections (STIs), prevention of mother to child 
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sexually transmitted infections (STIs), prevention of mother to child 
            
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transmission of HIV (PMTCT), and national voluntary male medical 
            
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circumcision program (VMMC). All these HIV program sub-sections are 
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circumcision program (VMMC). All these HIV program sub-sections are 
            
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linked to one robust monitoring and evaluation sub-section in the HIV 
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linked to one robust monitoring and evaluation sub-section in the HIV 
            
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and AIDS Department which technically operates under the Central 
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and AIDS Department which technically operates under the Central 
            
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Monitoring and Evaluation Department (CMED) of the Ministry of 
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Monitoring and Evaluation Department (CMED) of the Ministry of 
            
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Health.",
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