Scaling up antiretroviral therapy in Malawi-implications for managing other chronic diseases in resource-limited countries.
AffiliationInternational Union against Tuberculosis and Lung Disease, Paris, France. email@example.com
MetadataShow full item record
AbstractThe national scale-up of antiretroviral therapy (ART) in Malawi is based on the public health approach, with principles and practices borrowed from the successful DOTS (directly observed treatment, short course) tuberculosis control framework. The key principles include political commitment, free care, and standardized systems for case finding, treatment, recording and reporting, and drug procurement. Scale-up of ART started in June 2004, and by December 2008, 223,437 patients were registered for treatment within a health system that is severely underresourced. The Malawi model for delivering lifelong ART can be adapted and used for managing patients with chronic noncommunicable diseases, the burden of which is already high and continues to grow in low-income and middle-income countries. This article discusses how the principles behind the successful Malawi model of ART delivery can be applied to the management of other chronic diseases in resource-limited settings and how this paradigm can be used for health systems strengthening.
- Act local, think global: how the Malawi experience of scaling up antiretroviral treatment has informed global policy.
- Authors: Harries AD, Ford N, Jahn A, Schouten EJ, Libamba E, Chimbwandira F, Maher D
- Issue date: 2016 Sep 6
- A public health approach to rapid scale-up of antiretroviral treatment in Malawi during 2004-2006.
- Authors: Lowrance DW, Makombe S, Harries AD, Shiraishi RW, Hochgesang M, Aberle-Grasse J, Libamba E, Schouten E, Ellerbrock T, Kamoto K
- Issue date: 2008 Nov 1
- Authors: Bloom BR, Atun R, Cohen T, Dye C, Fraser H, Gomez GB, Knight G, Murray M, Nardell E, Rubin E, Salomon J, Vassall A, Volchenkov G, White R, Wilson D, Yadav P, Holmes KK, Bertozzi S, Bloom BR, Jha P
- Issue date: 2017 Nov 3
- Scaling up antiretroviral therapy in Africa: learning from tuberculosis control programmes--the case of Malawi.
- Authors: Libamba E, Makombe S, Harries AD, Chimzizi R, Salaniponi FM, Schouten EJ, Mpazanje R
- Issue date: 2005 Oct
- Monitoring the response to antiretroviral therapy in resource-poor settings: the Malawi model.
- Authors: Harries AD, Gomani P, Teck R, de Teck OA, Bakali E, Zachariah R, Libamba E, Mwansambo A, Salaniponi F, Mpazanje R
- Issue date: 2004 Dec