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n | "metadata_modified": "2022-04-27T04:28:07.737999", | n | "metadata_modified": "2022-04-27T04:31:34.069548", |
| "name": "malawi-integrated-hiv-program-report-2012-q4", | | "name": "malawi-integrated-hiv-program-report-2012-q4", |
| "notes": "This is the sixth quarterly HIV Program report after | | "notes": "This is the sixth quarterly HIV Program report after |
| implementation of the 2011 Integrated Clinical\r\nHIV Guidelines in | | implementation of the 2011 Integrated Clinical\r\nHIV Guidelines in |
| July 2011. A summary of the key achievements between __October and | | July 2011. A summary of the key achievements between __October and |
| December\r\n2012__ is provided below:\r\n\r\n* Scale-up of integrated | | December\r\n2012__ is provided below:\r\n\r\n* Scale-up of integrated |
| HIV services had reached the following number of sites:\r\n\r\n | | HIV services had reached the following number of sites:\r\n\r\n |
| __825__ static (607 within and 218 outside of health facilities) and | | __825__ static (607 within and 218 outside of health facilities) and |
| 534 outreach HTC sites\r\n\r\n __651__ (static) ART sites\r\n\r\n | | 534 outreach HTC sites\r\n\r\n __651__ (static) ART sites\r\n\r\n |
| __585__ PMTCT sites (Option B+)\r\n\r\n __ 577__ Pre-ART | | __585__ PMTCT sites (Option B+)\r\n\r\n __ 577__ Pre-ART |
| sites\r\n\r\n __579__ sites with HIV-exposed child | | sites\r\n\r\n __579__ sites with HIV-exposed child |
| follow-up\r\n\r\n* 378,560 persons were tested and counselled for HIV | | follow-up\r\n\r\n* 378,560 persons were tested and counselled for HIV |
| and 33,718 (9%) were HIV positive;\r\n143,906 (38%) people tested for | | and 33,718 (9%) were HIV positive;\r\n143,906 (38%) people tested for |
| the first time.\r\n\r\n* 111,503 (68%) of 163,510 women at ANC had | | the first time.\r\n\r\n* 111,503 (68%) of 163,510 women at ANC had |
| their HIV status ascertained; 9,891 (9%) of\r\nthese were HIV | | their HIV status ascertained; 9,891 (9%) of\r\nthese were HIV |
| positive. 117,730 (88%) of 132,755 women at maternity had their HIV | | positive. 117,730 (88%) of 132,755 women at maternity had their HIV |
| status\r\nascertained; 9,647 (8%) of these were HIV positive.\r\n\r\n* | | status\r\nascertained; 9,647 (8%) of these were HIV positive.\r\n\r\n* |
| 24,168 patients started ART during this quarter; this is a further | | 24,168 patients started ART during this quarter; this is a further |
| decrease from the previous\r\nquarter (26,909). Some of this decline | | decrease from the previous\r\nquarter (26,909). Some of this decline |
| was probably due to a shortage of HIV test kits.\r\n\r\n* 404,905 | | was probably due to a shortage of HIV test kits.\r\n\r\n* 404,905 |
| patients were alive and on ART by end of December 2012; 72,612 (19%) | | patients were alive and on ART by end of December 2012; 72,612 (19%) |
| of 376,094\r\non first line adult regimens were on ART regimen 5A | | of 376,094\r\non first line adult regimens were on ART regimen 5A |
| (tenofovir / lamivudine / efavirenz)\r\n\r\n* 80% of adults and 81% of | | (tenofovir / lamivudine / efavirenz)\r\n\r\n* 80% of adults and 81% of |
| children were retained alive on ART at 12 months after | | children were retained alive on ART at 12 months after |
| ART\r\ninitiation.\r\n\r\n* A total of 10,882 HIV positive pregnant | | ART\r\ninitiation.\r\n\r\n* A total of 10,882 HIV positive pregnant |
| women were on ART: 4,211 (39%) of these were\r\nalready on ART when | | women were on ART: 4,211 (39%) of these were\r\nalready on ART when |
| getting pregnant and 6,671 (61%) started ART | | getting pregnant and 6,671 (61%) started ART |
| during\r\npregnancy/delivery. 6,349 (95%) of pregnant women started | | during\r\npregnancy/delivery. 6,349 (95%) of pregnant women started |
| ART due to Option B+ (in WHO\r\nclinical stage 1 or 2) and 322 (5%) | | ART due to Option B+ (in WHO\r\nclinical stage 1 or 2) and 322 (5%) |
t | due to a low CD4 count and/or WHO clinical stage 3 or 4.\r\n", | t | due to a low CD4 count and/or WHO clinical stage 3 or 4.\r\n\r\n* An |
| | | additional 2,297 breastfeeding women started ART due to Option B+ (in |
| | | WHO clinical\r\nstage 1 or 2).\r\n\r\n* 5,701 (84%) of 6,815 women |
| | | started under Option B+ were retained at 6 months after |
| | | ART\r\ninitiation (6-month retention outcomes were missing for 1,348 |
| | | women registered, mainly at\r\nsites with electronic data |
| | | systems).\r\n\r\n* 9,082 (8%) of infants discharged alive from |
| | | maternity were known to be HIV exposed, 8,174\r\n(90%) of these |
| | | received ARV prophylaxis. 5,397 (59%) were enrolled in exposed child |
| | | followup\r\nbefore age 2 months.\r\n\r\n* A total of 11,156 HIV |
| | | exposed children and 8,774 pre-ART patients enrolled for follow-up |
| | | in\r\nHIV Care Clinics (HCC) during this quarter.\r\n\r\n* 658 health |
| | | workers were trained in the new integrated PMTCT/ART curriculum during |
| | | Q4\r\n2012, bringing the total number trained in the 2011 guidelines |
| | | to 5,297. 112 District\r\nPMTCT/ART coordinators were trained in |
| | | developing plans for Elimination of Mother to\r\nChild |
| | | Transmission.\r\n\r\n* 30 TB Officers in the SE Zone were trained in |
| | | ART/TB management.\r\n\r\n* 60 HTC Counsellors received training in |
| | | collecting dried blood spot specimens for Early\r\nInfant Diagnosis |
| | | (EID).\r\n\r\n* 100 facilities received mentoring for HIV Exposed |
| | | Child Follow-Up and EID specimen\r\ncollection.\r\n\r\n* 598 Health |
| | | workers at 92 facilities in the SE Zone and 227 health workers and |
| | | support staff\r\nat 33 facilities in the N Zone received clinical |
| | | mentoring in provision of PMTCT/ART.\r\n", |
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| "approval_status": "approved", | | "approval_status": "approved", |
| "created": "2021-10-14T11:02:35.234558", | | "created": "2021-10-14T11:02:35.234558", |
| "description": "The Department of HIV & AIDS (DHA) was established | | "description": "The Department of HIV & AIDS (DHA) was established |
| in 2001, initially as a unit in the Department of Clinical Services, | | in 2001, initially as a unit in the Department of Clinical Services, |
| to coordinate the biomedical HIV Program in Malawi. The department now | | to coordinate the biomedical HIV Program in Malawi. The department now |
| carries responsibility for various HIV related programs including: | | carries responsibility for various HIV related programs including: |
| sexually transmitted infections (STIs), prevention of mother to child | | sexually transmitted infections (STIs), prevention of mother to child |
| transmission of HIV (PMTCT), and national voluntary male medical | | transmission of HIV (PMTCT), and national voluntary male medical |
| circumcision program (VMMC). All these HIV program sub-sections are | | circumcision program (VMMC). All these HIV program sub-sections are |
| linked to one robust monitoring and evaluation sub-section in the HIV | | linked to one robust monitoring and evaluation sub-section in the HIV |
| and AIDS Department which technically operates under the Central | | and AIDS Department which technically operates under the Central |
| Monitoring and Evaluation Department (CMED) of the Ministry of | | Monitoring and Evaluation Department (CMED) of the Ministry of |
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