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On April 27, 2022 at 11:09:32 AM UTC, Gravatar Towera:
  • Updated description of Malawi Integrated HIV Program Report 2014 Q4 from

    This is the 14th quarterly HIV Program report after implementation of the 2011 Integrated Clinical HIV Guidelines in July 2011. A summary of the key achievements between October and December 2014 is provided below: * Scale-up of integrated HIV services had reached the following number of sites: * __724__ static (579 within and 145 outside of health facilities) and 188 outreach HTC sites * __713__ (static) ART sites * __615__ PMTCT sites (Option B+, all included in ART sites above) * __655__ Pre-ART sites * __644__ sites with HIV-exposed child follow-up * __464,292__ persons were tested and counselled for HIV; __139,602 (30%)__ accessed HTC for the first time; __324,690 (70%)__ were repeat testers and __9,854 (3%)__ of these received confirmatory testing (after having tested positive in the past). This is equivalent to 38% confirmatory testing coverage among __26,060__ patients initiating ART this quarter. __28,465 (6%)__ clients received a positive result for the first time. * __19,606 (97%)__ of __20,244__ blood units collected were screened for (at least) HIV, hepatitis B and syphilis. * __134,985 (89%)__ of __151,118__ women at ANC had their HIV status ascertained; __10,550 (8%)__ of these were HIV positive. __129,821 (96%)__ of __138,024__ women at maternity had their HIV status ascertained __9,785 (8%)__ of these were HIV positive. * __26,060__ patients started ART this quarter. * __536,438__ patients were alive and on ART by end of December 2014. This means that 54% of the estimated 1 million HIV positive population was on ART. 1 Estimated ART coverage among people in need for treatment1 was __42% (46,410 / 111,000)__ for children (<15 years) and __71% (489,775 / 687,000)__ for adults. * __76%__ of adults and __77%__ of children were retained alive on ART at 12 months after initiation. Actual retention rates are thought to be about 10% higher due to misclassification of ‘silent transfers’ as defaulters in clinic-based survival/retention analysis. (see section 16.4) *__470,048 (93%)__ of __504,494__ patients on first line adult ART were on regimen 5A (TDF/3TC/EFV). * __11,053 2 (85%)__ of an estimated __13,317__ HIV infected pregnant women in Malawi were on ART this quarter. __6,288 (57%)__ of these were already on ART when getting pregnant and __4,765 (43%)__ started ART during pregnancy/delivery. * An additional __1,593__ breastfeeding women started ART due to Option B+ (in WHO stage 1/2) * __78%__, __72%__, __68%__ and __71%__of women started under Option B+ were retained on ART at 6, 12, 24 and 36 months after initiation, respectively. * __8,851 (7%)__ of infants discharged alive from maternity were known to be HIV exposed, __8,305 (94%)__ of these received ARV prophylaxis (nevirapine). 7,006 (65%) were enrolled in exposed child follow-up before age 2 months. * A total of __10,797__ HIV exposed children and __6,483__ pre-ART patients were enrolled for follow-up in HIV Care Clinics (HCC) during this quarter.
    to
    This is the 14th quarterly HIV Program report after implementation of the 2011 Integrated Clinical HIV Guidelines in July 2011. A summary of the key achievements between October and December 2014 is provided below: * Scale-up of integrated HIV services had reached the following number of sites: * __724__ static (579 within and 145 outside of health facilities) and 188 outreach HTC sites * __713__ (static) ART sites * __615__ PMTCT sites (Option B+, all included in ART sites above) * __655__ Pre-ART sites * __644__ sites with HIV-exposed child follow-up * __464,292__ persons were tested and counselled for HIV; __139,602 (30%)__ accessed HTC for the first time; __324,690 (70%)__ were repeat testers and __9,854 (3%)__ of these received confirmatory testing (after having tested positive in the past). This is equivalent to 38% confirmatory testing coverage among __26,060__ patients initiating ART this quarter. __28,465 (6%)__ clients received a positive result for the first time. * __19,606 (97%)__ of __20,244__ blood units collected were screened for (at least) HIV, hepatitis B and syphilis. * __134,985 (89%)__ of __151,118__ women at ANC had their HIV status ascertained; __10,550 (8%)__ of these were HIV positive. __129,821 (96%)__ of __138,024__ women at maternity had their HIV status ascertained __9,785 (8%)__ of these were HIV positive. * __26,060__ patients started ART this quarter. * __536,438__ patients were alive and on ART by end of December 2014. This means that 54% of the estimated 1 million HIV positive population was on ART. 1 Estimated ART coverage among people in need for treatment1 was __42% (46,410 / 111,000)__ for children (<15 years) and __71% (489,775 / 687,000)__ for adults. * __76%__ of adults and __77%__ of children were retained alive on ART at 12 months after initiation. Actual retention rates are thought to be about 10% higher due to misclassification of ‘silent transfers’ as defaulters in clinic-based survival/retention analysis. (see section 16.4) * __470,048 (93%)__ of __504,494__ patients on first line adult ART were on regimen 5A (TDF/3TC/EFV). * __11,053 2 (85%)__ of an estimated __13,317__ HIV infected pregnant women in Malawi were on ART this quarter. __6,288 (57%)__ of these were already on ART when getting pregnant and __4,765 (43%)__ started ART during pregnancy/delivery. * An additional __1,593__ breastfeeding women started ART due to Option B+ (in WHO stage 1/2) * __78%__, __72%__, __68%__ and __71%__of women started under Option B+ were retained on ART at 6, 12, 24 and 36 months after initiation, respectively. * __8,851 (7%)__ of infants discharged alive from maternity were known to be HIV exposed, __8,305 (94%)__ of these received ARV prophylaxis (nevirapine). 7,006 (65%) were enrolled in exposed child follow-up before age 2 months. * A total of __10,797__ HIV exposed children and __6,483__ pre-ART patients were enrolled for follow-up in HIV Care Clinics (HCC) during this quarter.



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