This is the 11th quarterly HIV Program report after implementation of the 2011 Integrated Clinical
HIV Guidelines in July 2011. A summary of the key achievements between April and June 2014 is
provided below:
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Scale-up of integrated HIV services had reached the following number of sites:
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724 static (579 within and 145 outside of health facilities) and 188 outreach HTC sites
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700 (static) ART sites
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615 PMTCT sites (Option B+, all included in ART sites above)
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647 Pre-ART sites
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629 sites with HIV-exposed child follow-up
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435,976 persons were tested and counselled for HIV; 136,952 (31%) accessed HTC for the
first time; 299,024 (69%) were repeat testers and 8,017 (3%) of these received confirmatory
testing (after having tested positive in the past). This is equivalent to 27% confirmatory
testing coverage among 29,260 patients initiating ART this quarter. 29,320 (7%) clients
received a positive result for the first time.
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18,999 (94%) of 20,160 blood units collected were screened for (at least) HIV, hepatitis B
and syphilis.
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120,022 (83%) of 1__44,408__ women at ANC had their HIV status ascertained; 9,146 (8%) of
these were HIV positive. 114,585 (95%) of 120,794 women at maternity had their HIV status
ascertained; 8,407 (7%) of these were HIV positive.
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29,260 patients started ART this quarter. This 15% increase from the previous quarter
(25,363) was due to implementation of new ART eligibility criteria in April 2014.
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505,123 patients were alive and on ART by end of June 2014. This means that 51% of the
estimated 1 million HIV positive population was on ART. 1 Estimated ART coverage among
people in need for treatment was 40% (43,931 / 110,000)__for children (<15 years) and __81%
(461,192 / 570,000) for adults.
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77% of adults and 80% of children were retained alive on ART at 12 months after initiation.
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436,724 (93%) of 469,613 patients on first line adult ART were on regimen 5A
(TDF/3TC/EFV).
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9,406 2 (76%) of an estimated 12,425 HIV infected pregnant women in Malawi were on
ART this quarter. 4,882 (52%) of these were already on ART when getting pregnant and
4,524 (48%) started ART during pregnancy/delivery.
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An additional __1,427__breastfeeding women started ART due to Option B+ (in WHO stage
1/2)
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76%, 71% and 70% of women started under Option B+ were retained on ART at 6, 12 and
24 months after initiation, respectively.
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7,743 (7%) of infants discharged alive from maternity were known to be HIV exposed, 7,190
(93%) of these received ARV prophylaxis (nevirapine). 5,427 (70%) were enrolled in exposed
child follow-up before age 2 months.
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A total of 9,153 HIV exposed children and 7,285 pre-ART patients were enrolled for followup
in HIV Care Clinics (HCC) during this quarter.