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  "name": "malawi-integrated-hiv-program-report-2018-q2",
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  "name": "malawi-integrated-hiv-program-report-2018-q2",
            
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  "notes": "* Scale-up of integrated HIV services had reached the 
            
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following number of sites:\r\n\r\n     * __752__ static and 225 
            
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outreach HIV testing sites\r\n\r\n     * __744__ (static) ART sites; 
            
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617 of these started at least one pregnant or breastfeeding\r\n\r\n       
            
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woman and 709 started asymptomatic patients (Test & Treat) this 
            
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quarter\r\n\r\n      * __681__ sites with HIV-exposed children in 
            
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follow-up\r\n\r\n* __1,133,277__ persons were tested for HIV and 
            
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received their results; __271,901 (24%)__ accessed HIV testing for the 
            
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first time; __861,326 (74%)__ were repeat testers and __39,432 (5%)__ 
            
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of these received confirmatory testing (after having tested positive 
            
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in the past). __34,414 (3.1%)__ clients received a positive result for 
            
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the first time.\r\n\r\n* __21,111 (97%)__ of __21,874__ blood units 
            
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collected were screened for (at least) HIV, hepatitis B and 
            
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syphilis.\r\n\r\n* __157,822 (98%)__ of __163,363__ women at ANC had 
            
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their HIV status ascertained; __11,435 (8%)__ of these were HIV 
            
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positive. __144,426 (99%)__ of __145,489__ women at maternity had 
            
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their HIV status ascertained __10,253 (7%)__ of these were HIV 
            
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positive.\r\n\r\n* __31,371__ patients started ART this quarter; 64% 
            
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were classified as asymptomatic / in WHO stage 1 and started under the 
            
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new \u201cTest & Treat\u201d policy.\r\n\r\n* __782,144__ patients 
            
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were alive and on ART by end of June 2018. This means that 73% of the 
            
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estimated __1,058,000__ HIV positive population was on ART. ART 
            
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coverage was __68% (46,140 / 68,000)__ for children and __74% (736,004 
            
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/ 990,000)__ for adults.\r\n\r\n* __67,710 (88%) of 76,911__ viral 
            
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load results from routine monitoring were <1000 copies/ml. Viral 
            
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suppression rates for routine samples among children (0-14 years) and 
            
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adults (15+ years) were 55% and 89%, respectively.\r\n\r\n* __74%__ of 
            
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adults and __78%__ of children were retained alive on ART at 12 months 
            
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after\r\ninitiation.\r\n\r\n* __675,538 (93%) of 730,071__ patients on 
            
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first line adult ART were on TDF/3TC/EFV.\r\n\r\n* __12,474 4 (89%)__ 
            
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of an estimated __14,000__  HIV infected pregnant women in Malawi were 
            
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on ART this quarter. __8,668 (69%)__ of these were already on ART when 
            
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getting pregnant and __3,806 (31%)__ started ART during 
            
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pregnancy/delivery.\r\n\r\n* An additional __1,313__  breastfeeding 
            
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women started ART in WHO stage 1 or 2.\r\n\r\n* __77%, 74%, 69% and 
            
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64%__ of women started while pregnant or breastfeeding were retained 
            
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on ART at 6, 12, 24 and 36 months after initiation, 
            
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respectively.\r\n\r\n* __9,550 (7%)__ of infants discharged alive from 
            
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maternity were known to be HIV exposed, __9,039 (95%)__ of these 
            
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received ARV prophylaxis (nevirapine). __11,405__ were enrolled in 
            
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exposed child follow-up before age 2 months.\r\n\r\n* A total of 
            
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__14,508__ HIV exposed children were newly enrolled for follow-up 
            
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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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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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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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Monitoring and Evaluation Department (CMED) of the Ministry of 
            
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