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n | "metadata_modified": "2022-04-05T00:56:38.290047", | n | "metadata_modified": "2022-04-26T13:43:27.182944", |
| "name": "malawi-integrated-hiv-program-report-2012-q4", | | "name": "malawi-integrated-hiv-program-report-2012-q4", |
n | | n | "notes": "This is the sixth quarterly HIV Program report after |
| | | implementation of the 2011 Integrated Clinical\r\nHIV Guidelines in |
| | | July 2011. A summary of the key achievements between __October and |
| | | December\r\n2012__ is provided below:\r\n\r\n\u2022 Scale-up of |
| | | integrated HIV services had reached the following number of sites:\r\n |
| | | __825__ static (607 within and 218 outside of health facilities) and |
| | | 534 outreach HTC sites\r\n __651__ (static) ART sites\r\n |
| | | __585__ PMTCT sites (Option B+)\r\n __577__ Pre-ART sites\r\n |
| | | __579__ sites with HIV-exposed child follow-up\r\n\u2022 __378,560__ |
| | | persons were tested and counselled for HIV and __33,718 (9%)__ were |
| | | HIV positive;\r\n__143,906 (38%)__ people tested for the first |
| | | time.\r\n\u2022 111,503 (68%) of 163,510 women at ANC had their HIV |
| | | status ascertained; 9,891 (9%) of\r\nthese were HIV positive. 117,730 |
| | | (88%) of 132,755 women at maternity had their HIV |
| | | status\r\nascertained; 9,647 (8%) of these were HIV |
| | | positive.\r\n\u2022 24,168 patients started ART during this quarter; |
| | | this is a further decrease from the previous\r\nquarter (26,909). Some |
| | | of this decline was probably due to a shortage of HIV test |
| | | kits.\r\n\u2022 404,905 patients were alive and on ART by end of |
| | | December 2012; 72,612 (19%) of 376,094\r\non first line adult regimens |
| | | were on ART regimen 5A (tenofovir / lamivudine / efavirenz)\r\n\u2022 |
| | | 80% of adults and 81% of children were retained alive on ART at 12 |
| | | months after ART\r\ninitiation.\r\n\u2022 A total of 10,882 HIV |
| | | positive pregnant women were on ART: 4,211 (39%) of these |
| | | were\r\nalready on ART when getting pregnant and 6,671 (61%) started |
| | | ART during\r\npregnancy/delivery. 6,349 (95%) of pregnant women |
| | | started ART due to Option B+ (in WHO\r\nclinical stage 1 or 2) and 322 |
| | | (5%) due to a low CD4 count and/or WHO clinical stage 3 or |
| | | 4.\r\n\u2022 An additional 2,297 breastfeeding women started ART due |
| | | to Option B+ (in WHO clinical\r\nstage 1 or 2).\r\n\u2022 5,701 (84%) |
| | | of 6,815 women started under Option B+ were retained at 6 months after |
| | | ART\r\ninitiation (6-month retention outcomes were missing for 1,348 |
| | | women registered, mainly at\r\nsites with electronic data |
| | | systems).\r\n\u2022 9,082 (8%) of infants discharged alive from |
| | | maternity were known to be HIV exposed, 8,174\r\n(90%) of these |
| | | received ARV prophylaxis. 5,397 (59%) were enrolled in exposed child |
| | | followup\r\nbefore age 2 months.\r\n\u2022 A total of 11,156 HIV |
| | | exposed children and 8,774 pre-ART patients enrolled for follow-up |
| | | in\r\nHIV Care Clinics (HCC) during this quarter.\r\n\u2022 658 health |
| | | workers were trained in the new integrated PMTCT/ART curriculum during |
| | | Q4\r\n2012, bringing the total number trained in the 2011 guidelines |
| | | to 5,297. 112 District\r\nPMTCT/ART coordinators were trained in |
| | | developing plans for Elimination of Mother to\r\nChild |
| | | Transmission.\r\n\u2022 30 TB Officers in the SE Zone were trained in |
| | | ART/TB management.\r\n\u2022 60 HTC Counsellors received training in |
| | | collecting dried blood spot specimens for Early\r\nInfant Diagnosis |
| | | (EID).\r\n\u2022 100 facilities received mentoring for HIV Exposed |
| | | Child Follow-Up and EID specimen\r\ncollection.\r\n\u2022 598 Health |
| | | workers at 92 facilities in the SE Zone and 227 health workers and |
| | | support staff\r\nat 33 facilities in the N Zone received clinical |
| | | mentoring in provision of PMTCT/ART.", |
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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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