Map
Prevention & Family Planning
Keeping Mothers Alive
Eliminating New HIV Infections Among Children
Pediatric Overview
Pediatrics HIV Care, Treatment & Support

** We are in the process of updating all data for the priority countries. Therefore the data displayed may not be up to date at this time. **

  • Key Data Points for: Malawi

    • 34%
      Date shows change since 2009
    • 26%
      Date shows change since 2009
    • 79%
      Date shows change since 2009
    • 79%
      Date shows change since 2009
    • 24%
      Date shows change since 2009
  • Prevention and Family Planning

    • Percent of married women with unmet need for family planning
      26%
    • Number of new infections among women ages 15-49
      14,000

    Key Data Points for: Malawi

    • 34%
      Date shows change since 2009
    • 26%
      Date shows change since 2009
    • 79%
      Date shows change since 2009
    • 79%
      Date shows change since 2009
    • 24%
      Date shows change since 2009
  • Keeping Mothers Alive

    Maternal
    Mortality Rate

    510

    Aids Related
    Deaths

    1,780

    Pregnant Women
    Attending at Least
    One ANC Visit

    95%

    Pregnant Women
    Attending at Least
    Four ANC Visit

    46%

    Birth Attended by
    Skilled Health
    Personnel

    71%

    Key Data Points for: Malawi

    • 34%
      Date shows change since 2009
    • 26%
      Date shows change since 2009
    • 79%
      Date shows change since 2009
    • 79%
      Date shows change since 2009
    • 24%
      Date shows change since 2009
  • Eliminating New HIV Infections Among Children

    • Pregnant Women with HIV Delivering
      58,000

    • Pregnant Women Receiving HIV Testing
      76%

    • Pregnant Women Receiving ARVs
      79%

    • Pregnant Women Initiating ART
      79%

    Key Data Points for: Malawi

    • 34%
      Date shows change since 2009
    • 26%
      Date shows change since 2009
    • 79%
      Date shows change since 2009
    • 79%
      Date shows change since 2009
    • 24%
      Date shows change since 2009
  • Paediatrics

    Immunization Rates

    • Under 5 mortality rate per 100,000:
      71

    • Under 5 deaths due to HIV:
      13%

    • Infant mortality rate per 100,000:
      46

    • Infants <6m exclusively breastfeeding:
      71%

    BCG (BIRTH)

    99Baseline 2012 962013 2014 2015

    DPT2 (12 WK)

    97Baseline 962012 892013 2014 2015

    Measles (9M)

    96Baseline 2012 882013 2014 2015

    Key Data Points for: Malawi

    • 34%
      Date shows change since 2009
    • 26%
      Date shows change since 2009
    • 79%
      Date shows change since 2009
    • 79%
      Date shows change since 2009
    • 24%
      Date shows change since 2009
  • Paediatric HIV Care, Treatment, & Support

    • 2009 Baseline
    • 2012 Progress
    • 2014 Progress
    • 2015 Target
    Infants born to HIV-positive women receiving EID by 2m of age
    • 4%
    • 15%
    Infants born to HIV-positive women receiving CTX by 6 weeks of age
    • 2,830
    MTCT Rate
    • 32%
    • 18%
    • 13%
    Number of new paediatric infections
    • 22,782
    • 10,911
    • 7,405
    ART Coverage among children 0-14 years
    • 8%
    • 20%
    • 24%

    Key Data Points for: Malawi

    • 34%
      Date shows change since 2009
    • 26%
      Date shows change since 2009
    • 79%
      Date shows change since 2009
    • 79%
      Date shows change since 2009
    • 24%
      Date shows change since 2009

Malawi

Country Situation

Although HIV prevalence and incidence in Malawi decreased between 2001 and 2009, adult HIV prevalence (15-49 years) continues to be high (11% in 2009)[1]. HIV prevalence among pregnant women (all ages), estimated at 10.6% in 2009, was similar to the general adult population. In 2011, approximately 63,500 pregnant women were living with HIV and, in 2010, 13% of under-5 mortality[8] was due to HIV. Between 2009 and 2011, Malawi has seen a 26% decline in the number of new paediatric HIV infections – from 21, 300 to 15,700[3].

PMTCT services were available in all ANC facilities in Malawi in 2010[9]. Although HIV testing coverage among pregnant women increased from 10% in 2005 to 66% in 2010, it is still low[10]. In 2011, only 53% of pregnant women living with HIV received more efficacious ARV regimens for preventing mother-to-child transmission of HIV[3], and only 35-46% children born to PWLHIV received ARVs for PMTCT in 2010[10].

In July 2011, Malawi implemented new integrated clinical HIV guidelines including WHO Option B+ for prophylaxis. By June 2012, more than 10,000 pregnant women have initiated Option B+ at 534 sites[17]. A costed PMTCT scale up plan (2008-2015) is in place.

Link to the Malawi_National eMTCT Plan_2012.

Link to the Malawi Ministry of Health.

Country Milestones

  • In Progress

    Countries have conducted an expenditure analysis, harmonized expenditure categories as needed, identified financing gaps in their action plans and have develped and begun to implement a strategy increasing financial assistance from domestic and international sources to support the national EMTCT plan.

    National EMTCT plans are costed.

    National guidelines on PMTCT and infant feeding in line with WHO 2010 recommended guidelines on ARVs for PMTCT.

    National annual EMTCT progress report includes community (civil society) analysis of progress and feedback from civil society is reflected in revisions to national EMTCT operational plans. Community engagement milestone has been revised and will be reported in June 2013.

    Baselines for essential commodity needs for EMTCT have been established.

    Relevant support and management capacity has been increased (IATT focal points in place).

    Policy review has been conducted to dentralize and task shift essential HIV activities to the primary care and community levels.

    Country has reported on estimated number of new HIV infections among children averted and number of mothers kept alive.

    Estimated number of new pediatric infections reduced by 50% from 2009 levels in at least 10 priority countries.

    Relevant targets met in at least 50% of districts in the country.

    Every district reports regular supplies of drugs and commodities without stock outs.

    Completed
    Behind

References

UNAIDS 2013 Report on the Global AIDS Epidemic, 2013 unpublished estimates.
UNICEF, WHO, UNAIDS Global Update on HIV Treatment Results, Impact and Opportunities 2013
UNAIDS modeling, 2013, based on 2012 country estimates.
Joint United Nations Programme on HIV/AIDS, Global Report: UNAIDS report on the global AIDS epidemic 2013, UNAIDS, Geneva 2013.
UNICEF update to a table published in the Joint United Nations Programme on HIV/AIDS, Global Report: UNAIDS report on the global AIDS epidemic 2013, UNAIDS, Geneva 2013, p. 9
Trends in Maternal Mortality 1990 to 2010.  WHO 2012.