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| "name": "malawi-art-htc-program-report-2009-q1", | | "name": "malawi-art-htc-program-report-2009-q1", |
n | | n | "notes": "By the end of March 2009, there were __223__ 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 __319__ ART service delivery points in |
| | | Malawi in Q1 2009.\r\n\r\nIn the first quarter of 2009 (January to |
| | | March) a total of __17,812__ new patients initiated ART and __4,006__ |
| | | ART patients transferred between clinics, resulting in a total of |
| | | __21,818__ ART clinic registrations (39% male, 61% female; 91% adults |
| | | and 9% children). Of those registered, 57% started in WHO Stage 3, 12% |
| | | in Stage 4 and 29% in Stage 1 or 2 due to a low CD4 count. In the |
| | | quarter a total of __85__ infants started ART in WHO stage 1 or 2 with |
| | | confirmed HIV infection (DNA-PCR) and __67__ children under 18 months |
| | | started with presumed severe HIV disease. It is encouraging that the |
| | | number of children started on ART because of DNA-PCR or presumed |
| | | severe HIV disease has more than doubled compared to previous quarter. |
| | | However, ART access through early infant diagnosis needs to be further |
| | | strengthened.\r\n\r\nBy the end of March 2009, a total of __216,245__ |
| | | patients had ever initiated ART and __29,002__ ART patients had |
| | | transferred between clinics, resulting in a cumulative total of |
| | | __245,247__ ART clinic registrations (39% male, 61% female; 91% adult, |
| | | 9% children). 30,080 (12%) patients started ART due to |
| | | TB.\r\n\r\nCumulative treatment outcomes by end of March 2009 were: |
| | | __158,137__ (64%) alive and on ART, __25,775__ (11%) died, __28,393__ |
| | | (12%) lost to follow-up, __32,003__ (13%) transferred out to another |
| | | facility and __939__ (<1%) were known to have stopped ART.\r\n\r\nOf |
| | | the __158,137__ 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 March 2009 there were 31 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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