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| "name": "malawi-integrated-hiv-program-report-2017-q3", | | "name": "malawi-integrated-hiv-program-report-2017-q3", |
n | | n | "notes": "* Scale-up of integrated HIV services had reached the |
| | | following number of sites:\r\n\r\n * __751__ static and __225__ |
| | | outreach HIV testing sites\r\n\r\n * __737__ (static) ART sites; |
| | | 615 of these started at least one pregnant or breastfeeding woman and |
| | | 705 started asymptomatic patients (Test & Treat) this quarter\r\n\r\n |
| | | * __671__ sites with HIV-exposed children in follow-up\r\n\r\n* |
| | | __1,186,676__ persons were tested for HIV and received their results; |
| | | __337,024 (28%)__ accessed HIV testing for the first time; __849,652 |
| | | (72%)__ were repeat testers and __44,122 (5%)__ of these received |
| | | confirmatory testing (after having tested positive in the past). |
| | | __36,886 (3.2%)__ clients received a positive result for the first |
| | | time.\r\n\r\n* __16,639 (96%)__ of __17,318__ blood units collected |
| | | were screened for (at least) HIV, hepatitis B and syphilis.\r\n\r\n* |
| | | __159,751 (98%)__ of__ 163,712__ women at ANC had their HIV status |
| | | ascertained; __11,839 (7%)__ of these were HIV positive. __138,851 |
| | | (99%)__ of __140,337__ women at maternity had their HIV status |
| | | ascertained __10,096 (7%)__ of these were HIV positive.\r\n\r\n* |
| | | __31,968__ patients started ART this quarter; 61% were classified as |
| | | asymptomatic / in WHO stage 1 and started under the new \u201cTest & |
| | | Treat\u201d policy.\r\n\r\n* __731,979__ patients were alive and on |
| | | ART by end of September 2017. This means that 71% of the estimated |
| | | __1,036,000__ HIV positive population was on ART. 1 ART coverage was |
| | | __53% (53,345 / 101,000) __for children and __73% (678,634 / |
| | | 935,000)__ for adults.\r\n\r\n* __54,138 (86%)__ of __62,864__ viral |
| | | load results from routine monitoring were <1000 copies/ml. Viral |
| | | suppression rates for routine samples among children (0-14 years) and |
| | | adults (15+ years) were 58% and 89%, respectively.\r\n\r\n* __79%__ of |
| | | adults and __79%__ 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 \u2018silent transfers\u2019 as |
| | | defaulters in clinic-based survival/retention analysis. (see section |
| | | 12.4)\r\n\r\n* __ 634,491 (93%)__ of __683,611__ patients on first |
| | | line adult ART were on TDF/3TC/EFV.\r\n\r\n* __12,404 3 (94%)__ of an |
| | | estimated __13,250__ HIV infected pregnant women in Malawi were on |
| | | ART this quarter. __8,150 (66%)__ of these were already on ART when |
| | | getting pregnant and 4,254 (34%) started ART during |
| | | pregnancy/delivery.\r\n\r\n* An additional __1,476__ breastfeeding |
| | | women started ART in WHO stage 1 or 2.\r\n\r\n* __82%, 77%, 69% and |
| | | 65%__ of women started while pregnant or breastfeeding were retained |
| | | on ART at 6, 12, 24 and 36 months after initiation, |
| | | respectively.\r\n\r\n* __9,417 (7%)__ of infants discharged alive from |
| | | maternity were known to be HIV exposed, __8,844 (94%)__ of these |
| | | received ARV prophylaxis (nevirapine). __14,283__ were enrolled in |
| | | exposed child follow-up before age 2 months.\r\n\r\n* A total of |
| | | __14,310__ HIV exposed children were newly enrolled for follow-up 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 |
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| | | 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 |
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