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n | "metadata_modified": "2022-04-05T01:28:44.739563", | n | "metadata_modified": "2022-04-19T06:30:20.812820", |
| "name": "malawi-art-htc-program-report-2009-q2", | | "name": "malawi-art-htc-program-report-2009-q2", |
n | | n | "notes": "By the end of June 2009, there were __224__ static ART |
| | | clinics in Malawi in the public and private health sector; 22 of these |
| | | static clinics provided ART at a total of __96__ outreach or mobile |
| | | sites, bringing the total to __329__ ART service delivery points in |
| | | Malawi in Q2 2009.\r\n\r\nIn the second quarter of 2009 (April to |
| | | June) a total of __18,090__ new patients initiated ART and __2571__ |
| | | ART patients transferred between clinics, resulting in a total of |
| | | __20661__ ART clinic registrations (39% male, 61% female; 91% adults |
| | | and 9% children). Of those registered, 61% started in WHO Stage 3, 17% |
| | | in Stage 4 and 20% in Stage 1 or 2 due to a low CD4 |
| | | count.\r\n\r\nBetween the previous quarter and this quarter, the |
| | | number of infants starting ART in WHO stage 1 or 2 with confirmed HIV |
| | | infection (DNA-PCR) increased from 85 to __114__, while children under |
| | | 18 months starting due to presumed severe HIV disease increased from |
| | | 67 to __85__. This is an encouraging development and could be as a |
| | | result of more experience with the EID programme and recent emphasis |
| | | on presumed severe HIV disease diagnosis in children under 18 months. |
| | | However, ART access through early infant diagnosis still needs to be |
| | | further strengthened.\r\n\r\nBy the end of June 2009, a total of |
| | | __234,395__ patients had ever initiated ART and __31,930__ ART |
| | | patients had transferred between clinics, resulting in a cumulative |
| | | total of __266,325__ ART clinic registrations (39% male, 61% female; |
| | | 91% adult, 9% children). 31,455 (12%) patients started ART due to |
| | | TB.\r\n\r\nCumulative treatment outcomes by end of June 2009 were: |
| | | __169,965__ (64%) alive and on ART, __27,899__ (10%) died, __31,958__ |
| | | (12%) lost to follow-up(defaulted), __35,624__ (13%) transferred out |
| | | to another facility and 936 (<1%) were known to have stopped |
| | | ART.\r\n\r\nOf the __169,965__ patients alive and on ART: 94% were on |
| | | the first line regimen, 5% were on an alternative first line regimen, |
| | | fewer than 1% were on second line regimen and 1% were on a |
| | | non-standard ART regimen. Non-standard regimens are not necessarily |
| | | substandard regimens; they include patients continuing an ART regimen |
| | | that was started outside Malawi, patients in research programmes and |
| | | patients in specialist care in whom specific circumstances lead to the |
| | | choice of a non-standard regimen.\r\n\r\nImproved integration of the |
| | | supervision system for the public and private sector has led to a |
| | | revision of previous M&E data in the private sector and patient |
| | | outcomes in the private sector no longer appear better than in the |
| | | public sector.\r\n\r\nBy the end of June 2009 there were 35 sites with |
| | | 1,001\u20132,000 patients alive and on treatment; 11 sites with |
| | | 2,001\u20135,000 and 5 with over 5,000 patients alive and on |
| | | treatment.", |
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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 |
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