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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Monitoring the response to antiretroviral therapy in resource-poor settings: The Malawi model
Transactions of the Royal Society of Tropical Medicine and Hygiene, Volume 98, No. 12, Year 2004
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Description
With assistance from the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM), Malawi is scaling-up the delivery of antiretroviral (ARV) therapy to HIV-positive eligible patients. The country has developed National ARV Treatment Guidelines, which emphasize a structured and standardized approach for all aspects of ARV delivery, including monitoring and evaluation. Using the successful DOTS model adapted by National TB Control Programmes throughout the world, Malawi has developed a system of quarterly ARV cohort and cumulative ARV quarterly analyses. Thyolo district, in the southern region of Malawi, has been using this system since April 2003. This paper describes the standardized ARV treatment regimens and the treatment outcomes used in Thyolo to assess the impact of treatment, the registration and monitoring systems and how the cohort analyses are carried out. Data are presented for case registration and treatment outcome for the first quarterly cohort (April to June) and the combined cohorts (April to June and July to September). Such quarterly analyses may be useful for districts and Ministries of Health in assessing ARV delivery, although the burden of work involved in calculating the numbers may become large once ARV delivery systems have been established for several years. © 2004 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.
Authors & Co-Authors
Harries, Anthony David
Malawi, Lilongwe
Ministry of Health Malawai
Malawi, Lilongwe
British High Commission
Gomani, Patrick
Unknown Affiliation
Teck, Roger
Unknown Affiliation
de Teck, Olga Ascurra
Unknown Affiliation
Bakali, E.
Malawi, Thyolo
Thyolo District Hospital
Zachariah, Rony R.Z.
Belgium, Brussels
Medecins Sans Frontieres, Brussels
Libamba, Edwin
Malawi, Lilongwe
Ministry of Health Malawai
Mwansambo, Andrina
Malawi, Lilongwe
National Aids Commission
Salaniponi, Felix M.L.
Malawi, Lilongwe
Ministry of Health Malawai
Mpazanje, Rex G.
Malawi, Lilongwe
Ministry of Health Malawai
Statistics
Citations: 67
Authors: 10
Affiliations: 5
Identifiers
Doi:
10.1016/j.trstmh.2004.05.002
ISSN:
00359203
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cohort Study
Study Locations
Malawi