152 According to the Ministry of Health and Population 2017 Departments and Programmes self-report, 73.25% of facilities are able to provide the essential health package. The targets for 2018 and 2020 are 75% and 77%, respectively. In 2015 there were 1046 outpatient department visits per 1 000 populations per year, with the targets for 2018 and 2020 being ≥1,100. According to the National Pharmaceutical Strategic Plan 2016 – 2020, 20% of health facilities reported out of stock of the essential tracer medicines. The targets for 2018 and 2020 are 5% and 5% respectively. 153 In terms of environmental health, in 2015-2016 87% of households had access to an improved water source. The targets for 2018 and 2020 are 87% and 91% respectively. 51.8% of households had access to improved sanitation. The targets for 2018 and 2020 are 65% and 75% respectively. According to the EH Database, 63% of health facilities had basic WASH facilities. The targets for 2018 and 2020 are 65% and 75% respectively. In 2015, 10.5% of households had access to hand washing facilities with soap and water. The targets for 2018 and 2020 are 35% and 75% respectively. 154 On HIV/AIDS and Other Causes of death, there were 4.1 per 1000 person among adults (15–49) with new HIV infections in 2014-2015. 2018 and 2020 targets are 2.6 per 1,000 people and 2.2 per 1,000 people respectively. According to the Malawi Integrated HIV Program Report 2016 Q4, 85% of HIV-infected pregnant women are already on ART, 2018 and 2020 target is 85%. In addition, 69% of adults and children currently living with HIV are receiving antiretroviral therapy in accordance with the nationally approved treatment protocol. The targets for 2018 and 2020 are 68% and 78% respectively. 80% of adults and children were still alive and on antiretroviral therapy at 12 months after initiating treatment. In terms of health personnel, as of 2016 there were 0.4 doctors and 0.7 clinical officers per 10,000 patients. The targets for 2020 are 0.3 doctors and 0.87 clinical officers, respectively. 155 The HIV and AIDS (Prevention and Management) Act was passed in November 2017. The Act ensures that authorities are able to prevent and manage the HIV/AIDS pandemic. In line with international human rights standards, the Act prohibits compulsory testing for pregnant women, domestic workers and men in uniform. It also establishes the National 54