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| "name": "malawi-integrated-hiv-program-report-2016-q2", | | "name": "malawi-integrated-hiv-program-report-2016-q2", |
n | | n | "notes": "A summary of the key achievements between April and June |
| | | 2016 is 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, 145 outside of health facilities) and 188 outreach |
| | | HTC sites\r\n\r\n * __732__ (static) ART sites; 626 of these had |
| | | started at least one pregnant or breastfeeding woman this |
| | | quarter\r\n\r\n * __670__ sites with patients in pre-ART |
| | | follow-up\r\n\r\n * __671__ sites with HIV-exposed children in |
| | | follow-up\r\n\r\n* __876,337__ persons were tested for HIV and |
| | | received their results; __267,166 (30%)__ accessed HIV testing for the |
| | | first time; __609,171 (70%)__ were repeat testers and __38,270 (6%)__ |
| | | of these received confirmatory testing (after having tested positive |
| | | in the past). __39,176 (5%)__ clients received a positive result for |
| | | the first time.\r\n\r\n* __24,767 (96 %)__ of __25,755__ blood units |
| | | collected were screened for (at least) HIV, hepatitis B and |
| | | syphilis.\r\n\r\n* __140,475 (95%)__ of __148,513__ women at ANC had |
| | | their HIV status ascertained; __11,017 (8%)__ of these were HIV |
| | | positive. __119,717 (98%) of 121,610__ women at maternity had their |
| | | HIV status ascertained __8,706 (8%)___ of these were HIV |
| | | positive.\r\n\r\n* __28,657__ patients started ART this |
| | | quarter.\r\n\r\n* __631,169__ patients were alive and on ART by end of |
| | | June 2016. This means that 64% of the estimated __979,000__ HIV |
| | | positive population was on ART. 1 ART coverage was __63% (50,947 / |
| | | 81,000)__ for children2 and __65% (580,222 / 898,000)__ for |
| | | adults.\r\n\r\n* __77% of adults and 75%__ 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 15.4)\r\n\r\n* __548,195 |
| | | (93%) of 590,827__ patients on first line adult ART were on regimen 5A |
| | | (TDF/3TC/EFV).\r\n\r\n* __11,155 3 (83%)__ of an estimated __13,500__ |
| | | HIV infected pregnant women in Malawi were on ART this quarter. |
| | | __6,514 (58%)__ of these were already on ART when getting pregnant and |
| | | __4,641 (42%)__ started ART during pregnancy/delivery.\r\n\r\n* An |
| | | additional __1,715__ breastfeeding women started ART due to Option B+ |
| | | (in WHO stage 1/2)\r\n\r\n* __77%, 71%, 68% and 66%__ of women started |
| | | under Option B+ were retained on ART at 6, 12, 24 and 36 months after |
| | | initiation, respectively.\r\n\r\n* __8,259 (7%)__ of infants |
| | | discharged alive from maternity were known to be HIV exposed, __7,728 |
| | | (94%)__ of these received ARV prophylaxis (nevirapine). __7,708 |
| | | (99%)__ were enrolled in exposed child follow-up before age 2 |
| | | months.\r\n\r\n* 11,805 HIV exposed children and 6,632 pre-ART |
| | | patients were enrolled for follow-up in 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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