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On April 19, 2022 at 6:30:20 AM UTC, francis Chimwemwe Mkandawire:
  • Removed author from Malawi ART HTC Program Report 2009 Q2


  • Removed author email from Malawi ART HTC Program Report 2009 Q2


  • Updated description of Malawi ART HTC Program Report 2009 Q2 to

    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. In 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. Between 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. By 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. Cumulative 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. Of 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. Improved 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. By the end of June 2009 there were 35 sites with 1,001–2,000 patients alive and on treatment; 11 sites with 2,001–5,000 and 5 with over 5,000 patients alive and on treatment.


  • Changed the license of Malawi ART HTC Program Report 2009 Q2 to License not specified (previously None)



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