Monitoring the response to antiretroviral therapy in resource-poor settings: the Malawi model.

Hdl Handle:
http://hdl.handle.net/10144/38955
Title:
Monitoring the response to antiretroviral therapy in resource-poor settings: the Malawi model.
Authors:
Harries, A D; Gomani, P; Teck, R; de Teck, O; Bakali, E; Zachariah, R; Libamba, E; Mwansambo, A; Salaniponi, F; Mpazanje, R
Journal:
Transactions of the Royal Society of Tropical Medicine and Hygiene
Abstract:
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.
Affiliation:
National Tuberculosis Control Programme, Ministry of Health and Population, P.O. Box 30377, Lilongwe, Malawi. adharries@malawi.net
Issue Date:
Dec-2004
URI:
http://hdl.handle.net/10144/38955
DOI:
10.1016/j.trstmh.2004.05.002
PubMed ID:
15485699
Language:
en
ISSN:
0035-9203
Appears in Collections:
HIV/AIDS

Full metadata record

DC FieldValue Language
dc.contributor.authorHarries, A D-
dc.contributor.authorGomani, P-
dc.contributor.authorTeck, R-
dc.contributor.authorde Teck, O-
dc.contributor.authorBakali, E-
dc.contributor.authorZachariah, R-
dc.contributor.authorLibamba, E-
dc.contributor.authorMwansambo, A-
dc.contributor.authorSalaniponi, F-
dc.contributor.authorMpazanje, R-
dc.date.accessioned2008-10-13T15:00:42Z-
dc.date.available2008-10-13T15:00:42Z-
dc.date.issued2004-12-
dc.identifier.citationMonitoring the response to antiretroviral therapy in resource-poor settings: the Malawi model. 2004, 98 (12):695-701 Trans. R. Soc. Trop. Med. Hyg.en
dc.identifier.issn0035-9203-
dc.identifier.pmid15485699-
dc.identifier.doi10.1016/j.trstmh.2004.05.002-
dc.identifier.urihttp://hdl.handle.net/10144/38955-
dc.description.abstractWith 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.en
dc.language.isoenen
dc.rightsPublished by Elsevier Archived on this site with the kind permission of Elsevier Ltd. ([url]http://www.sciencedirect.com/science/journal/00359203[/url]) and the Royal Society of Tropical Medicine and Hygiene ([url]http://www.rstmh.org/transactions.asp[/url])en
dc.subject.meshAnti-Retroviral Agentsen
dc.subject.meshAntiretroviral Therapy, Highly Activeen
dc.subject.meshCohort Studiesen
dc.subject.meshDelivery of Health Careen
dc.subject.meshDeveloping Countriesen
dc.subject.meshDisease Outbreaksen
dc.subject.meshHIV Seropositivityen
dc.subject.meshHealth Resourcesen
dc.subject.meshHumansen
dc.subject.meshMalawien
dc.subject.meshPractice Guidelines as Topicen
dc.subject.meshProgram Evaluationen
dc.subject.meshTreatment Outcomeen
dc.titleMonitoring the response to antiretroviral therapy in resource-poor settings: the Malawi model.en
dc.contributor.departmentNational Tuberculosis Control Programme, Ministry of Health and Population, P.O. Box 30377, Lilongwe, Malawi. adharries@malawi.neten
dc.identifier.journalTransactions of the Royal Society of Tropical Medicine and Hygieneen

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