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Table 4 Published data on hepatitis C seroprevalence in Malawi

From: Epidemiology of hepatitis B, C and D in Malawi: systematic review

Population

Ref

Year

Location

Method

Prevalence (n/total)

Prevalence (%, (95% CI))

General Populations

 Pregnant women

[20]

1989–1994

QECH, Blantyre

Anti-HCV (Biorad)

2/70

2.9 (0.8, 9.8)

 Pregnant women, at delivery

[18]

1993–1995

Shire Valley

Ortho anti-HCV (Ortho Diagnostics)

18/100

18.0 (11.7, 26.7)

 Pregnant women

[20]

2004–2008

QECH, Health Centres Blantyre

Anti-HCV (Biorad)

8/138

5.8 (3.0, 11.0)

 Community, rural adults

[20]

2001

Mwanza District

Anti-HCV (Biorad)

9/99

9.0 (4.9, 16.4)

 Non-pregnant women (intravaginal MTZ gel RCT)

[20]

2003–2005

QECH, Blantyre

Anti-HCV (Biorad)

9/146

6.1 (3.3, 11.3)

 Male workers at sugar estate

[17]

1998

Nchalo

Ortho anti-HCV (Ortho Diagnostics)

35/279

10.0 (7.0, 14.1)

 Blood donors

[32]

1996

KCH, Lilongwe

Anti-HCV EIA (Roche)

Confirmed with Anti-HCV (Abbott)

4/100

4.0 (1.6, 9.8)

 Blood donors

[21]

2001

Ntechu

1. Murex anti-HCV

10/148

6.8 (3.7, 12.0)

2. HCV RNA by in-house PCR

1/140

0.7 (0.1, 3.9)

HIV positive populations

 HIV-positive pregnant women, at delivery

[18]

1993–1995

Shire Valley

Ortho anti-HCV (Ortho Diagnostics)

6/50

12.0 (5.6, 23.8)

 HIV-positive pregnant women

[23]

2008–2009

Blantyre

1. Innotest HCV Ab IV (Innogenetics),

8/309

2.6 (1.3, 5.0)

2. Versant HCV RNA 1.0 assay (Siemens)

1/309

0.3 (0.1, 1.8)

 HIV positive patients

[24]

2005

QECH, Blantyre

Monolisa HCV Ag-Ab (Biorad) confirmed with ADVIA Centaur anti-HCV) and InnoLIA HCV immunoassay (Innogenetics)

17/300

5.7 (3.6, 8.9)

 HIV-positive male workers at sugar estate

[17]

1998

Nchalo

Ortho anti-HCV Ab (Ortho Clinical Diagnostics)

28/280

10.0 (7.0, 14.1)

 HIV-positive pregnant women

[20]

2000–2004

QECH, Blantyre

Anti-HCV (Biorad)

8/148

5.4 (2.8, 10.3)

 HIV positive adults starting ART

[31]

2014–15

Lilongwe

1. HCV IgG Architect (Abbott)

5/227

2.2 (0.9, 5.1)

2. RealTime HCV RNA (Abbott)

0/227

0.0 (0.0, 1.7)

 HIV positive patients on ART for > 10 years

[33]

2014–16

Chiradzulu

OraQuick HCV Rapid antibody test (Orasure)

2/385

0.5 (0.1, 1.9)

  1. Abbreviations: QECH Queen Elizabeth Central Hospital, HCV hepatitis C virus Biorad: Hercules, CA, USA; Ortho Clinical Diagnostics: Raritan, New Jersey, United States; Roche: Basel Switzerland; Abbott: Illinois, USA; Innogenetics: Ghent, Belgium; Siemens: Munich, Germany; Orasure: Bethlehem, Pennsylvania, United States