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| "name": "malawi-integrated-hiv-program-report-2016-q4", | | "name": "malawi-integrated-hiv-program-report-2016-q4", |
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 * __732__ (static) ART sites; 627 of these |
| | | started at least one pregnant or breastfeeding woman and 695 started |
| | | asymptomatic patients (Test & Treat) this quarter\r\n * __655__ |
| | | sites with HIV-exposed children in follow-up\r\n* __788,275__ persons |
| | | were tested for HIV and received their results; __210,774 (27%)__ |
| | | accessed HIV testing for the first time; __577,501 (73 %)__ were |
| | | repeat testers and __37,401 (6%)__ of these received confirmatory |
| | | testing (after having tested positive in the past). __32,987 (4%)__ |
| | | clients received a positive result for the first time.\r\n\r\n* |
| | | __22,895 (98%)__ of __23,454__ blood units collected were screened for |
| | | (at least) HIV, hepatitis B and syphilis.\r\n\r\n* __149,150 (97%)__ |
| | | of __153,817__ women at ANC had their HIV status ascertained; __11,436 |
| | | (8%)__ of these were HIV positive. __126,297 (99%) of 129,217__ women |
| | | at maternity had their HIV status ascertained __9,351 (7%)__ of these |
| | | were HIV positive.\r\n\r\n* __30,221__ patients started ART this |
| | | quarter; 70% of these were classified as asymptomatic / in WHO stage 1 |
| | | and started under the new \u201cTest & Treat\u201d policy.\r\n\r\n* |
| | | __679,056__ patients were alive and on ART by end of December 2016. |
| | | This means that 69% of the estimated __979,000__ HIV positive |
| | | population was on ART. 1 ART coverage was __66% (53,336 / 81,000)__ |
| | | for children2 and __70% (625,689 / 898,000)__ for adults.\r\n\r\n* |
| | | __47,389 (88%)__ of __53,886__ viral load results from routine |
| | | monitoring were <1000 copies/ml. Viral suppression rates among |
| | | children (0-14 years) and adults (15+ years) were 62% and 90%, |
| | | respectively.\r\n\r\n* __76%__ 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 15.4)\r\n\r\n* __588,620 |
| | | (93%) __of __634,342__ patients on first line adult ART were on |
| | | TDF/3TC/EFV.\r\n\r\n* __11,517 3 (85%)__ of an estimated __13,500__ |
| | | HIV infected pregnant women in Malawi were on ART this quarter. |
| | | __7,366 (64%)__ of these were already on ART when getting pregnant and |
| | | 4,151 (36%) started ART during pregnancy/delivery.\r\n\r\n* An |
| | | additional __1,110__ breastfeeding women started ART due to Option B+ |
| | | (in WHO stage 1/2)\r\n\r\n* __78%, 70%, 63% and 63%__ of women started |
| | | under Option B+ were retained on ART at 6, 12, 24 and 36 months after |
| | | initiation, respectively.\r\n\r\n* __8,646 (7%)__ of infants |
| | | discharged alive from maternity were known to be HIV exposed, __8,192 |
| | | (95%)__ of these received ARV prophylaxis (nevirapine). __8,297 |
| | | (96%)__ were enrolled in exposed child follow-up before age 2 |
| | | months.\r\n\r\n* A total of __11,220__ HIV exposed children were newly |
| | | enrolled for follow-up this quarter.", |
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n | "description": "Department of HIV & AIDS and Viral Hepatitis", | n | "description": "The Department of HIV & AIDS (DHA) was established |
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| | | 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 |
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