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| "name": "malawi-integrated-hiv-program-report-2014-q3", | | "name": "malawi-integrated-hiv-program-report-2014-q3", |
n | | n | "notes": "This is the 11th quarterly HIV Program report after |
| | | implementation of the 2011 Integrated Clinical\r\nHIV Guidelines in |
| | | July 2011. A summary of the key achievements between July and |
| | | September 2014\r\nis 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 and 145 outside of health facilities) and |
| | | 188 outreach HTC sites\r\n\r\n * __707__ (static) ART |
| | | sites\r\n\r\n * __619__ PMTCT sites (Option B+, all included in |
| | | ART sites above)\r\n\r\n * __654__ Pre-ART sites\r\n\r\n * |
| | | __638__ sites with HIV-exposed child follow-up\r\n\r\n* __550,425__ |
| | | persons were tested and counselled for HIV; __178,882 (32%)__ accessed |
| | | HTC for the\r\nfirst time; __371,543 (68%)__ were repeat testers and |
| | | __10,495 (3%)__ of these received\r\nconfirmatory testing (after |
| | | having tested positive in the past). This is equivalent to |
| | | __35%__\r\nconfirmatory testing coverage among __29,893__ patients |
| | | initiating ART this quarter. __32,347\r\n(6%)__ clients received a |
| | | positive result for the first time.\r\n\r\n* __15,528 (97%)__ of |
| | | __16,034__ blood units collected were screened for (at least) HIV, |
| | | hepatitis B\r\nand syphilis.\r\n\r\n* __135,958 (89%)__ of __153,514__ |
| | | women at ANC had their HIV status ascertained; __10,296 (8%)__ |
| | | of\r\nthese were HIV positive. __130,167 (95%)__ of __137,343__ women |
| | | at maternity had their HIV status\r\nascertained; __9,893 (8%)__ of |
| | | these were HIV positive.\r\n\r\n* __29,893__ patients started ART this |
| | | quarter.\r\n\r\n* __521,319__ patients were alive and on ART by end of |
| | | September 2014. This means that 52% of\r\nthe estimated 1 million HIV |
| | | positive population was on ART. 1 Estimated ART coverage\r\namong |
| | | people in need for treatment1 was __41% (45,124 / 111,000)__ for |
| | | children (<15 years)\r\nand __69% (476,195 / 687,000)__ for |
| | | adults.\r\n\r\n* __78%__ of adults and __78%__ of children were |
| | | retained alive on ART at 12 months after initiation.\r\n\r\n* |
| | | __454,763 (93%)__ of __488,020__ patients on first line adult ART were |
| | | on regimen 5A\r\n(TDF/3TC/EFV).\r\n\r\n* __11,283 2 (85%)__ of an |
| | | estimated __13,317__ HIV infected pregnant women in Malawi were |
| | | on\r\nART this quarter. __6,220 (52%)__ of these were already on ART |
| | | when getting pregnant and\r\n__5,063 (48%)__ started ART during |
| | | pregnancy/delivery.\r\n\r\n* An additional __1,655__ breastfeeding |
| | | women started ART due to Option B+ (in WHO stage\r\n1/2)\r\n\r\n* |
| | | __78%__, __73%__, __69%__ and __67%__ of women started under Option B+ |
| | | were retained on ART at 6, 12,\r\n24 and 36 months after initiation, |
| | | respectively.\r\n\r\n* __9,087 (7%)__ of infants discharged alive from |
| | | maternity were known to be HIV exposed, __8,482\r\n(93%)__ of these |
| | | received ARV prophylaxis (nevirapine). __6,666 (73%)__ were enrolled |
| | | in exposed\r\nchild follow-up before age 2 months.\r\n\r\n* A total of |
| | | __10,613__ HIV exposed children and __6,941__ pre-ART patients were |
| | | enrolled for followup\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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