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On July 24, 2022 at 3:00:35 PM UTC, francis Chimwemwe Mkandawire:

  • Updated description of Malawi Integrated HIV Program Report 2020 Q3 from

    # Executive Summary (July-September 2020) __COVID-19 Disruptions to the HIV Program__ The first cases of COVID-19 in Malawi were confirmed on 2nd April 2020 and early epidemiological models predicted rapid spread and severe impact of COVID-19 in Malawi. The DHA issued 3 editions of a circular to all HIV service delivery sites (on 3rd, 17th April and 15th June) with specific infection prevention guidance for COVID-19, and policy recommendations aimed at decongesting facilities, and reducing travel and contact exposure for patients and health workers. This included a temporary suspension of non-essential services: routine scheduled viral load monitoring for stable adult patients; VMMC; active index partner tracing; new initiation of IPT and PrEP; Teen clubs and other ART support groups involving social gatherings. The DHA also recommended an enhanced implementation of 6-month ARV dispensing for almost all patient groups. As the COVID-19 impact remained much lower than initially feared, the suspended services were successively reintroduced. Access to most HIV services recovered slightly during Q3 as COVID case numbers remained low during Q3 2020 but it remained below targets and lower than in the pre-COVID period. __Scale-up of integrated Program performance highlights by the end of June 2020__ * Scale-up of integrated HIV services had reached the following number of sites: * __763__ static and __104__ outreach HIV testing sites. * __754__ (static) ART sites; __604__ of these started at least one pregnant or breastfeeding woman. * __698__ sites with HIV-exposed children in follow-up. * __697,991__ persons were tested for HIV and received their results; __117,885 (17%)__ accessed HIV testing for the first time; __580,106 (83%)__ were repeat testers and __22,638 (4%)__ of these received confirmatory testing (after having tested positive in the past). __20,206 (3.0%)__ clients received a positive result for the first time. * A total of __108,030__ people received __186,485__ self-test kits for either primary or secondary use. * __16,164 (95%)__ of __16,961__ blood units collected were screened for (at least) HIV, hepatitis B and syphilis. * __155,128 (99%)__ of 158,524 women at ANC had their HIV status ascertained; __10,253 (7%)__ of these were HIV positive. __138,044 (94%)__ of __147,191__ at maternity had their HIV status ascertained __10,190 (7%)__ of these were HIV positive. * __19,384__ patients started ART this quarter; __78%__ were classified as asymptomatic / in WHO stage 1 and started under the “Test & Treat” policy.
    to
    __COVID-19 Disruptions to the HIV Program__ The first cases of COVID-19 in Malawi were confirmed on 2nd April 2020 and early epidemiological models predicted rapid spread and severe impact of COVID-19 in Malawi. The DHA issued 3 editions of a circular to all HIV service delivery sites (on 3rd, 17th April and 15th June) with specific infection prevention guidance for COVID-19, and policy recommendations aimed at decongesting facilities, and reducing travel and contact exposure for patients and health workers. This included a temporary suspension of non-essential services: routine scheduled viral load monitoring for stable adult patients; VMMC; active index partner tracing; new initiation of IPT and PrEP; Teen clubs and other ART support groups involving social gatherings. The DHA also recommended an enhanced implementation of 6-month ARV dispensing for almost all patient groups. As the COVID-19 impact remained much lower than initially feared, the suspended services were successively reintroduced. Access to most HIV services recovered slightly during Q3 as COVID case numbers remained low during Q3 2020 but it remained below targets and lower than in the pre-COVID period. __Scale-up of integrated Program performance highlights by the end of June 2020__ * Scale-up of integrated HIV services had reached the following number of sites: * __763__ static and __104__ outreach HIV testing sites. * __754__ (static) ART sites; __604__ of these started at least one pregnant or breastfeeding woman. * __698__ sites with HIV-exposed children in follow-up. * __697,991__ persons were tested for HIV and received their results; __117,885 (17%)__ accessed HIV testing for the first time; __580,106 (83%)__ were repeat testers and __22,638 (4%)__ of these received confirmatory testing (after having tested positive in the past). __20,206 (3.0%)__ clients received a positive result for the first time. * A total of __108,030__ people received __186,485__ self-test kits for either primary or secondary use. * __16,164 (95%)__ of __16,961__ blood units collected were screened for (at least) HIV, hepatitis B and syphilis. * __155,128 (99%)__ of 158,524 women at ANC had their HIV status ascertained; __10,253 (7%)__ of these were HIV positive. __138,044 (94%)__ of __147,191__ at maternity had their HIV status ascertained __10,190 (7%)__ of these were HIV positive. * __19,384__ patients started ART this quarter; __78%__ were classified as asymptomatic / in WHO stage 1 and started under the “Test & Treat” policy.


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