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| "name": "malawi-integrated-hiv-program-report-2017-q2", | | "name": "malawi-integrated-hiv-program-report-2017-q2", |
n | | n | "notes": "* Scale-up of integrated HIV services had reached the |
| | | following number of sites:\r\n * __751__ static and 225 outreach |
| | | HIV testing sites\r\n * __730__ (static) ART sites; 615 of these |
| | | started at least one pregnant or breastfeeding woman and 699 started |
| | | asymptomatic patients (Test & Treat) this quarter\r\n * __660__ |
| | | sites with HIV-exposed children in follow-up\r\n* __1,018,328__ |
| | | persons were tested for HIV and received their results; __277,861 |
| | | (27%)__ accessed HIV testing for the first time; __740,467 (73 %)__ |
| | | were repeat testers and\r\n__43,905 (4%)__ of these received |
| | | confirmatory testing (after having tested positive in the past). |
| | | __37,562 (4%)__ clients received a positive result for the first |
| | | time.\r\n\r\n* __21,480 (99%)__ of __21,653__ blood units collected |
| | | were screened for (at least) HIV, hepatitis B and syphilis.\r\n\r\n* |
| | | __148,638 (97%)__ of __153,348__ women at ANC had their HIV status |
| | | ascertained; __11,356__ (7%) of these were HIV positive. __135,778 |
| | | (99%)__ of __137,339__ women at maternity had their HIV status |
| | | ascertained __9,819 (7%)__ of these were HIV positive.\r\n\r\n* |
| | | __32,573__ patients started ART this quarter; 75% of these were |
| | | classified as asymptomatic / in WHO stage 1 and started under the new |
| | | \u201cTest & Treat\u201d policy.\r\n\r\n* __714,691__ patients were |
| | | alive and on ART by end of June 2017. This means that 69% of the |
| | | estimated __1,035,000__ HIV positive population was on ART. 1 ART |
| | | coverage was __54% (54,573 / 101,000)__ for children and __71% |
| | | (660,117 / 932,000)__ for adults.\r\n\r\n* __51,414 (86%) of 57,900__ |
| | | viral load results from routine monitoring were <1000 copies/ml. Viral |
| | | suppression rates for routine samples among children (0-14 years) and |
| | | adults (15+ years) were 78% and 95%, respectively.\r\n\r\n* __77%__ of |
| | | adults and __77%__ 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 |
| | | 14.4)\r\n\r\n* __620,433 (93%)__ of __696,400__ patients on first line |
| | | adult ART were on TDF/3TC/EFV.\r\n\r\n* __12,048 (91%)__ of an |
| | | estimated __13,250__ HIV infected pregnant women in Malawi were on ART |
| | | this quarter. __7,993 (66%)__ of these were already on ART when |
| | | getting pregnant and 4,055 (34%) started ART during |
| | | pregnancy/delivery.\r\n\r\n* An additional __1,390__ breastfeeding |
| | | women started ART in WHO stage 1 or 2.\r\n\r\n* __80%, 75%, 69% and |
| | | 65%__ of women started while pregnant or breastfeeding were retained |
| | | on ART at 6, 12, 24 and 36 months after initiation, |
| | | respectively.\r\n\r\n* __9,041 (7%)__ of infants discharged alive from |
| | | maternity were known to be HIV exposed, __8,677 (96%)__ of these |
| | | received ARV prophylaxis (nevirapine). __10,149__ were enrolled in |
| | | exposed child follow-up before age 2 months.\r\n\r\n* A total of |
| | | __13,335__ HIV exposed children were newly enrolled for follow-up |
| | | this\r\nquarter.", |
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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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