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  "name": "malawi-integrated-hiv-program-report-2018-q3",
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  "name": "malawi-integrated-hiv-program-report-2018-q3",
            
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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     * __757__ static and 225 
            
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outreach HIV testing sites\r\n     * __747__ (static) ART sites; 633 
            
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of these started at least one pregnant or breastfeeding\r\n         
            
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woman and 715 started asymptomatic patients (Test & Treat) this 
            
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quarter\r\n     * __680__ sites with HIV-exposed children in 
            
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follow-up\r\n\r\n* __1,210,048__ persons were tested for HIV and 
            
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received their results; __286,328 (24%)__ accessed HIV testing for the 
            
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first time; __923,720 (76%)__ were repeat testers and __40,380 (4%)__ 
            
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of these received confirmatory testing (after having tested positive 
            
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in the past). __36,052 (3.1%)__ clients received a positive result for 
            
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the first time.\r\n\r\n* __16,654 (97%)__ of __17,290__ 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*__171,922 (99%)__ of__ 174,118__ women at ANC had 
            
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their HIV status ascertained;__12,450 (7%)__  of these were HIV 
            
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positive. __144,829 (98%) of 148,190__ women at maternity had their 
            
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HIV status ascertained __10,412 (7%)__ of these were HIV 
            
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positive.\r\n\r\n* __32,315__ patients started ART this quarter; 63% 
            
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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*__796,100__ patients were 
            
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alive and on ART by end of September 2018. This means that 75% of the 
            
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estimated __1,061,459__ HIV positive population was on ART. ART 
            
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coverage was __65% (44,207 / 67,682)__ for children and __76% (751,893 
            
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/ 993,776)__ for adults.\r\n\r\n* __98,413 (89%)__ of __110,546__ 
            
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viral 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 58% and 91%, respectively.\r\n\r\n* __72%__ of 
            
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adults and __77%__ of children were retained alive on ART at 12 months 
            
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after initiation.\r\n\r\n* __686,063 (92%)__ of __742,001__ patients 
            
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on first line adult ART were on TDF/3TC/EFV.\r\n\r\n* __12,328 4 
            
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(88%)__ of an estimated __14,000__ HIV infected pregnant women in 
            
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Malawi were on ART this quarter. __8,795 (71%)__ of these were already 
            
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on ART when getting pregnant and __3,533 (29%)__ started ART during 
            
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pregnancy/delivery.\r\n\r\n* An additional __1,492__ breastfeeding 
            
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women started ART in WHO stage 1 or 2.\r\n\r\n* __77%, 74%, 70% 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* __9,509 (7%)__ of infants discharged alive from 
            
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maternity were known to be HIV exposed, __9,086 (96%)__ of these 
            
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received ARV prophylaxis (nevirapine).\r\n\r\n* A total of __14,647__ 
            
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HIV exposed children were newly enrolled for follow-up this quarter; 
            
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__11,353 (78%)__ of these were enrolled before age 2 months.",
            
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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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