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| "name": "malawi-integrated-hiv-program-report-2016-q3", | | "name": "malawi-integrated-hiv-program-report-2016-q3", |
n | | n | "notes": "A summary of the key achievements between July and |
| | | September 2016 is provided below:\r\n\r\n* Scale-up of integrated HIV |
| | | services had reached the following number of sites:\r\n\r\n * |
| | | __724__ static (579 within, 145 outside of health facilities) and 188 |
| | | outreach HTC sites\r\n\r\n * __732__ (static) ART sites; __639__ |
| | | of these had started at least one pregnant or\r\n breastfeeding |
| | | woman this quarter\r\n \r\n * __369__ sites with patients in |
| | | pre-ART follow-up\r\n\r\n * __669__ sites with HIV-exposed |
| | | children in follow-up\r\n\r\n* __872,393__ persons were tested for HIV |
| | | and received their results; __252,930 (29%)__\r\naccessed HIV testing |
| | | for the first time;__ 619,463 (71%)__ were repeat testers and |
| | | __40,384\r\n(7%)__ of these received confirmatory testing (after |
| | | having tested positive in the past). __36,253 (4%)__ clients received |
| | | a positive result for the first time.\r\n\r\n* __17,337 (98%)__ of |
| | | __17,765__ blood units collected were screened for (at least) |
| | | HIV,\r\nhepatitis B and syphilis.\r\n\r\n* __146,596 (96%)__ of |
| | | __151,941__ women at ANC had their HIV status ascertained; |
| | | __11,183\r\n(7%)__ of these were HIV positive. __130,260 (99%)__ of |
| | | __132,451__ women at maternity had\r\ntheir HIV status ascertained |
| | | 9,690 (7%) of these were HIV positive.\r\n\r\n* __41,994__ patients |
| | | started ART this quarter; 53% of these were classified |
| | | as\r\nasymptomatic / in WHO stage 1 and started under the new |
| | | \u201cTest & Treat\u201d policy.\r\n\r\n* __662,788__ patients were |
| | | alive and on ART by end of September 2016. This means that\r\n68% of |
| | | the estimated __979,000__ HIV positive population was on ART. 1 ART |
| | | coverage\r\nwas 65% (52,721 / 81,000) for children2 and 68% (610,067 / |
| | | 898,000) for adults.\r\n\r\n* __76%__ of adults and __79%__ of |
| | | children were retained alive on ART at 12 months after\r\ninitiation. |
| | | Actual retention rates are thought to be about 10% higher due |
| | | to\r\nmisclassification of \u2018silent transfers\u2019 as defaulters |
| | | in clinic-based survival/retention\r\nanalysis. (see section |
| | | 15.4)\r\n\r\n* __575,763 (93%)__ of __620,164__ patients on first line |
| | | adult ART were on TDF/3TC/EFV.\r\n\r\n* __12,083 3 (89%)__ of an |
| | | estimated __13,500__ HIV infected pregnant women in Malawi\r\nwere on |
| | | ART this quarter. __7,555 (63%)__ of these were already on ART when |
| | | getting\r\npregnant and __4,483 (37%)__ started ART during |
| | | pregnancy/delivery.\r\n\r\n* An additional __1,284__ breastfeeding |
| | | women started ART due to Option B+ (in WHO\r\nstage 1/2)\r\n\r\n* |
| | | __77%, 71%, 65% and 65%__ of women started under Option B+ were |
| | | retained on ART at\r\n6, 12, 24 and 36 months after initiation, |
| | | respectively.\r\n\r\n* __8,880 (7%)__ of infants discharged alive from |
| | | maternity were known to be HIV\r\nexposed, __8,683 (94%)__ of these |
| | | received ARV prophylaxis (nevirapine). __8,065 (93%)__\r\nwere |
| | | enrolled in exposed child follow-up before age 2 months.\r\n\r\n* |
| | | __11,362__ HIV exposed children and __1,818__ pre-ART patients were |
| | | enrolled for follow-up\r\nin HIV Care Clinics (HCC) during this |
| | | quarter.", |
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n | "description": "Department of HIV & AIDS and Viral Hepatitis", | n | "description": "The Department of HIV & AIDS (DHA) was established |
| | | in 2001, initially as a unit in the Department of Clinical Services, |
| | | to coordinate the biomedical HIV Program in Malawi. The department now |
| | | carries responsibility for various HIV related programs including: |
| | | sexually transmitted infections (STIs), prevention of mother to child |
| | | transmission of HIV (PMTCT), and national voluntary male medical |
| | | circumcision program (VMMC). All these HIV program sub-sections are |
| | | linked to one robust monitoring and evaluation sub-section in the HIV |
| | | and AIDS Department which technically operates under the Central |
| | | Monitoring and Evaluation Department (CMED) of the Ministry of |
| | | Health.", |
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