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n | "metadata_modified": "2022-04-05T00:21:11.501872", | n | "metadata_modified": "2022-04-27T12:51:53.198318", |
| "name": "malawi-integrated-hiv-program-report-2015-q1", | | "name": "malawi-integrated-hiv-program-report-2015-q1", |
n | | n | "notes": "This is the 15th quarterly HIV Program report after |
| | | implementation of the 2011 Integrated Clinical HIV\r\nGuidelines in |
| | | July 2011. A summary of the key achievements between January and March |
| | | 2015 is provided\r\nbelow:\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 * __714__ (static) ART |
| | | sites\r\n\r\n * __620__ PMTCT sites (Option B+, all included in |
| | | ART sites above)\r\n\r\n *__657__ Pre-ART sites\r\n\r\n * |
| | | __641__ sites with HIV-exposed child follow-up\r\n\r\n* __500,359__ |
| | | persons were tested and counselled for HIV; __157,080 (31%)__ accessed |
| | | HTC for the first time;\r\n__343,279 (69%)__ were repeat testers and |
| | | __9,992 (3%)__ of these received confirmatory testing (after\r\nhaving |
| | | tested positive in the past). This is equivalent to 40% confirmatory |
| | | testing coverage among\r\n__25,270__ patients initiating ART this |
| | | quarter. __31,491 (6%)__ clients received a positive result for the |
| | | first\r\ntime.\r\n\r\n* __18,765 (97%)__ of __19,436__ blood units |
| | | collected were screened for (at least) HIV, hepatitis B |
| | | and\r\nsyphilis.\r\n\r\n* __148,838 (91%)__ of __164,275__ women at |
| | | ANC had their HIV status ascertained; __11,727 (8%)__ of these\r\nwere |
| | | HIV positive. __120,651 (96%)__ of __129,368__ women at maternity had |
| | | their HIV status ascertained\r\n__9,142 (8%)__ of these were HIV |
| | | positive.\r\n\r\n* __25,270__ patients started ART this |
| | | quarter.\r\n\r\n* __551,566__ patients were alive and on ART by end of |
| | | March 2015. This means that 55% of the\r\nestimated 1 million HIV |
| | | positive population was on ART. 1 Estimated ART coverage among people |
| | | in\r\nneed for treatment1 was 48% (47,962 / 101,000) for children (<15 |
| | | years) and 65% (503,604 /\r\n779,000) for adults.\r\n* __76%__ of |
| | | adults and __77%__ of children were retained alive on ART at 12 months |
| | | after initiation. Actual\r\nretention rates are thought to be about |
| | | 10% higher due to misclassification of \u2018silent transfers\u2019 |
| | | as\r\ndefaulters in clinic-based survival/retention analysis. (see |
| | | section 16.4)\r\n\r\n* __481,309 (93%)__ of __517,067__ patients on |
| | | first line adult ART were on regimen 5A (TDF/3TC/EFV).\r\n\r\n* |
| | | __11,583 2 (85%)__ of an estimated __13,317__ 1 HIV infected pregnant |
| | | women in Malawi were on ART this\r\nquarter. __6,266 (59%)__ of these |
| | | were already on ART when getting pregnant and __4,317 (41%)__ |
| | | started\r\nART during pregnancy/delivery.\r\n\r\n* An additional |
| | | __1,584__ breastfeeding women started ART due to Option B+ (in WHO |
| | | stage 1/2)\r\n\r\n* __77%__, __72%__, __69%__ and __70%__ of women |
| | | started under Option B+ were retained on ART at 6, 12, 24 and 36 |
| | | months after initiation, respectively.\r\n\r\n* __8,499 (7%)__ of |
| | | infants discharged alive from maternity were known to be HIV exposed, |
| | | __7,866 (93%)__\r\nof these received ARV prophylaxis (nevirapine). |
| | | __6,750 (65%)__ were enrolled in exposed child followup\r\nbefore age |
| | | 2 months.\r\n\r\n* A total of __10,452__ HIV exposed children and |
| | | __6,223__ pre-ART patients were enrolled for follow-up in\r\nHIV 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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