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About 1,070,896 people are currently living with HIV in Malawi—with a prevalence rate of 9.2% amongst adults (15–49 years)1. Although progress has been made towards the 90-90-90 targets, only 818,446 (76%) of people living with HIV (PLHIV) have access to ARVs. This means nearly a quarter of PLHIV have no access to lifesaving treatment. We commend the 120% (88% achievement in 2019) increase in the number of viral load tests in Q4 but would still like to note that the overall viral load testing is low. The program needs to provide a viral load test for every person living with HIV on treatment. Lost to follow up rates are high due to lack of accessibility of healthcare services, poor attitudes and lack of information from healthcare workers, and challenges with psycho-social and other support. In 2018, 13,000 people died of AIDS related illnesses—and a further 38 000 acquired HIV. Malawi has a significant TB/HIV co-infection rate. 48% of people with TB also have HIV. 16% of individuals newly initiated on ART start treatment with advanced HIV disease. READ MORE