Changes
On April 27, 2022 at 7:37:08 AM UTC,
Towera:
-
Updated description of Malawi Integrated HIV Program Report 2013 Q3 from
This is the 9th quarterly HIV Program report after implementation of the 2011 Integrated Clinical HIV Guidelines in July 2011. A summary of the key achievements between July and September 2013 is provided below: * Scale-up of integrated HIV services had reached the following number of sites: * __825__ static (607 within and 218 outside of health facilities) and 534 outreach HTC sites * __675__ (static) ART sites * __590__ PMTCT sites (Option B+) * __628__ Pre-ART sites * __605__ sites with HIV-exposed child follow-up * __405,278__ persons were tested and counselled for HIV and __36,807 (9%)__ were HIV positive; __145,572 (36%)__ people tested for the first time. * __12,646 (95%)__ of __13,299__ blood units collected were screened for HIV, hepatitis B and syphilis. * __128,022 (83%)__ of __153,561__ women at ANC had their HIV status ascertained; 9,988 (8%) of these were HIV positive. __122,392 (93%)__ of __132,279__ women at maternity had their HIV status ascertained; __9,337 (8%)__ of these were HIV positive. * __25,551__ patients started ART during this quarter; this is similar to the previous quarter (26,802). * __459,261__ patients were alive and on ART by end of September 2013. This is equivalent to 74% coverage of the estimated __602,000__ population in need of ART (all ages).1 Estimated ART coverage among children (<15 years) and adults was 47% and 81%, respectively. * __78%__ of adults and __80%__ of children were retained alive on ART at 12 months after initiation. * __309,127 (73%)__ of __424,961__ on first line adult ART were on regimen 5A (TDF/3TC/EFV). The proportion of ART patients with documented side effects declined from 7% to 2% compared with the previous quarter. A total of __11,788__ HIV positive pregnant women were on ART: __5,041 (43%)__ of these were already on ART when getting pregnant and 6,747 (57%) started ART during pregnancy/delivery. This is equivalent to 75% ART coverage among the estimated 15,750 HIV infected pregnant women in Malawi this quarter. __6,429 (95%)__ of pregnant women started ART due to Option B+ (in WHO clinical stage 1 or 2) and 318 (5%) due to a low CD4 count and/or WHO clinical stage 3 or 4. * An additional __1,831__ breastfeeding women started ART due to Option B+ (in WHO stage 1/2) * __6,057 (79%)__ of __7,677__ women started under Option B+ were retained at 6 months after ART initiation; __6,630 (72%)__ of __9,205__ were retained at 12 months after ART initiation. * __8,564 (7%)__ of infants discharged alive from maternity were known to be HIV exposed, 7,941 (93%) of these received ARV prophylaxis (nevirapine). __5,734 (67%)__ were enrolled in exposed child follow-up before age 2 months. * A total of __10,258__ HIV exposed children and __8,884__ pre-ART patients were enrolled for followup in HIV Care Clinics (HCC) during this quarter. * __162__ medical staff were newly trained and certified in PMTCT/ART this quarter. This brings the total number trained in the 2011 guidelines to __5,985__. * __1,243__ HTC providers were re-trained using the HTC Skills Intensive Training curriculum, bringing the total number re-trained to __3,776__. * A total of __921__ staff at __235__ sites in 19 districts received clinical mentoring during. 104 staff graduated, __250__ were in intensive and __350__ in continuation phase this quarter.
toThis is the 9th quarterly HIV Program report after implementation of the 2011 Integrated Clinical HIV Guidelines in July 2011. A summary of the key achievements between July and September 2013 is provided below: * Scale-up of integrated HIV services had reached the following number of sites: * __825__ static (607 within and 218 outside of health facilities) and 534 outreach HTC sites * __675__ (static) ART sites * __590__ PMTCT sites (Option B+) * __628__ Pre-ART sites * __605__ sites with HIV-exposed child follow-up * __405,278__ persons were tested and counselled for HIV and __36,807 (9%)__ were HIV positive; __145,572 (36%)__ people tested for the first time. * __12,646 (95%)__ of __13,299__ blood units collected were screened for HIV, hepatitis B and syphilis. * __128,022 (83%)__ of __153,561__ women at ANC had their HIV status ascertained; 9,988 (8%) of these were HIV positive. __122,392 (93%)__ of __132,279__ women at maternity had their HIV status ascertained; __9,337 (8%)__ of these were HIV positive. * __25,551__ patients started ART during this quarter; this is similar to the previous quarter (26,802). * __459,261__ patients were alive and on ART by end of September 2013. This is equivalent to 74% coverage of the estimated __602,000__ population in need of ART (all ages).1 Estimated ART coverage among children (<15 years) and adults was 47% and 81%, respectively. * __78%__ of adults and __80%__ of children were retained alive on ART at 12 months after initiation. * __309,127 (73%)__ of __424,961__ on first line adult ART were on regimen 5A (TDF/3TC/EFV). * The proportion of ART patients with documented side effects declined from 7% to 2% compared with the previous quarter. * A total of __11,788__ HIV positive pregnant women were on ART: __5,041 (43%)__ of these were already on ART when getting pregnant and 6,747 (57%) started ART during pregnancy/delivery. This is equivalent to 75% ART coverage among the estimated 15,750 HIV infected pregnant women in Malawi this quarter. __6,429 (95%)__ of pregnant women started ART due to Option B+ (in WHO clinical stage 1 or 2) and 318 (5%) due to a low CD4 count and/or WHO clinical stage 3 or 4. * An additional __1,831__ breastfeeding women started ART due to Option B+ (in WHO stage 1/2) * __6,057 (79%)__ of __7,677__ women started under Option B+ were retained at 6 months after ART initiation; __6,630 (72%)__ of __9,205__ were retained at 12 months after ART initiation. * __8,564 (7%)__ of infants discharged alive from maternity were known to be HIV exposed, 7,941 (93%) of these received ARV prophylaxis (nevirapine). __5,734 (67%)__ were enrolled in exposed child follow-up before age 2 months. * A total of __10,258__ HIV exposed children and __8,884__ pre-ART patients were enrolled for followup in HIV Care Clinics (HCC) during this quarter. * __162__ medical staff were newly trained and certified in PMTCT/ART this quarter. This brings the total number trained in the 2011 guidelines to __5,985__. * __1,243__ HTC providers were re-trained using the HTC Skills Intensive Training curriculum, bringing the total number re-trained to __3,776__. * A total of __921__ staff at __235__ sites in 19 districts received clinical mentoring during. 104 staff graduated, __250__ were in intensive and __350__ in continuation phase this quarter.