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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Who is accessing antiretroviral therapy during national scale-up in Malawi?
Transactions of the Royal Society of Tropical Medicine and Hygiene, Volume 100, No. 10, Year 2006
Notification
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Description
Malawi is scaling-up provision of free antiretroviral therapy (ART) in the public sector. In the fourth quarter of 2004 and the first quarter of 2005, 3261 and 4530 new patients, respectively, were started on ART. Of these patients, approximately 40% were male and 95% were adults aged ≥13 years. The age group data show that women who accessed ART were in general 10 years younger than men. Between 84% and 90% of patients were started on ART because of being clinically assessed as being in WHO stages III or IV, with the remainder started on ART owing to a low CD4 lymphocyte count. The number of tuberculosis (TB) patients started on ART was 351 (11% of ART patients) in the fourth quarter of 2004 and 702 (15% of ART patients, and 16% of registered TB patients) in the first quarter of 2005. Twenty-nine pregnant women were referred to ART from prevention of mother-to-child transmission programmes in the first quarter of 2005. Between 56% and 62% of patients were subsistence farmers, housewives or in business. Steady progress is being made with national scale-up, although more attention needs to be directed to children, pregnant women and patients with TB to improve their access to ART. © 2006 Royal Society of Tropical Medicine and Hygiene.
Authors & Co-Authors
Makombe, Simon D.
Unknown Affiliation
Libamba, Edwin
Unknown Affiliation
Mhango, Eustice
Unknown Affiliation
de Ascurra Teck, Olga
Unknown Affiliation
Aberle-Grasse, John M.
Unknown Affiliation
Hochgesang, Mindy
Unknown Affiliation
Schouten, Erik J.
Unknown Affiliation
Harries, Anthony David
Unknown Affiliation
Statistics
Citations: 23
Authors: 8
Affiliations: 7
Identifiers
Doi:
10.1016/j.trstmh.2005.11.007
ISSN:
00359203
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Locations
Malawi
Participants Gender
Male
Female