Scaling up antiretroviral therapy in Malawi-implications for managing other chronic diseases in resource-limited countries.

Harries, A D; Zachariah, R; Jahn, A; Schouten, E J; Kamoto, K

dc.contributor.author	Harries, A D	*
dc.contributor.author	Zachariah, R	*
dc.contributor.author	Jahn, A	*
dc.contributor.author	Schouten, E J	*
dc.contributor.author	Kamoto, K	*
dc.date.accessioned	2009-12-15T21:23:44Z
dc.date.available	2009-12-15T21:23:44Z
dc.date.issued	2009-11-01
dc.identifier.citation	Scaling up antiretroviral therapy in Malawi-implications for managing other chronic diseases in resource-limited countries. 2009, 52 Suppl 1:S14-6 J. Acquir. Immune Defic. Syndr.	en
dc.identifier.issn	1944-7884
dc.identifier.pmid	19858929
dc.identifier.doi	10.1097/QAI.0b013e3181bbc99e
dc.identifier.uri	http://hdl.handle.net/10144/88073
dc.description.abstract	The 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.
dc.language.iso	en	en
dc.rights	Archived with thanks to Journal of Acquired Immune Deficiency Syndromes (1999)	en
dc.subject.mesh	Acquired Immunodeficiency Syndrome	en
dc.subject.mesh	Anti-HIV Agents	en
dc.subject.mesh	Antiretroviral Therapy, Highly Active	en
dc.subject.mesh	Chronic Disease	en
dc.subject.mesh	Health Resources	en
dc.subject.mesh	Health Services Administration	en
dc.subject.mesh	Humans	en
dc.subject.mesh	Malawi	en
dc.title	Scaling up antiretroviral therapy in Malawi-implications for managing other chronic diseases in resource-limited countries.	en
dc.contributor.department	International Union against Tuberculosis and Lung Disease, Paris, France. adharries@theunion.org	en
dc.identifier.journal	Journal of Acquired Immune Deficiency Syndromes	en
refterms.dateFOA	2019-03-04T14:28:46Z
html.description.abstract	The 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.