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  • Title: HIV / AIDS in Malawi: whose responsibility?
    Author: Kaluwa OL.
    Journal: AIDS Anal Afr; 1997 Dec; 7(6):4-5. PubMed ID: 12348323.
    Abstract:
    As of December 1996, a total of 47,270 AIDS cases had been reported in Malawi since the first confirmed in-country case in 1985. These cases, however, are believed to represent only 10-15% of the actual number of AIDS cases in Malawi. The National AIDS Control Program (NACP) estimates that about 1 million people may now be infected with HIV and about 200,000 people may have died of AIDS. About 90% of HIV cases in Malawi were infected through heterosexual relations and about 8% of cases are estimated to be due to mother-to-child transmission. HIV seroprevalence among pregnant women at Queen Elizabeth Central Hospital was 30.2% in 1993, 31.8% in 1994, 32.7% in 1995, and 33.7% in 1996. Overall, an estimated 6.4% of Malawi's population was infected as of 1996, with the highest prevalences in urban areas and among people aged 15-19 years; only 1.4% of the 0-14 year olds who comprise half of the total population are thought to be infected with HIV. While the overall incidence of HIV infection has decreased since 1993, the incidence remains very high among 15-19 year olds. There are no reliable data upon the level of AIDS mortality, however, given the high prevalence of HIV infection in the country, many children will be orphaned. A large increase has been observed in the annual reported number of tuberculosis cases, especially among the segment of the population most affected by the HIV epidemic, individuals aged 15-49 years. While the NACP has been charged with preventing and controlling HIV/AIDS in Malawi, individuals are ultimately responsible for adopting and adhering to HIV-preventive behavior. HIV/AIDS prevention strategies are offered.
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