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dc.contributor.authorHarries, A Den
dc.contributor.authorZachariah, Ren
dc.contributor.authorJahn, Aen
dc.contributor.authorSchouten, E Jen
dc.contributor.authorKamoto, Ken
dc.date.accessioned2009-12-15T21:23:44Z
dc.date.available2009-12-15T21:23:44Z
dc.date.issued2009-11-01
dc.identifier.citationScaling 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.issn1944-7884
dc.identifier.pmid19858929
dc.identifier.doi10.1097/QAI.0b013e3181bbc99e
dc.identifier.urihttp://hdl.handle.net/10144/88073
dc.description.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.
dc.language.isoenen
dc.rightsArchived with thanks to Journal of Acquired Immune Deficiency Syndromes (1999)en
dc.subject.meshAcquired Immunodeficiency Syndromeen
dc.subject.meshAnti-HIV Agentsen
dc.subject.meshAntiretroviral Therapy, Highly Activeen
dc.subject.meshChronic Diseaseen
dc.subject.meshHealth Resourcesen
dc.subject.meshHealth Services Administrationen
dc.subject.meshHumansen
dc.subject.meshMalawien
dc.titleScaling up antiretroviral therapy in Malawi-implications for managing other chronic diseases in resource-limited countries.en
dc.contributor.departmentInternational Union against Tuberculosis and Lung Disease, Paris, France. adharries@theunion.orgen
dc.identifier.journalJournal of Acquired Immune Deficiency Syndromesen
refterms.dateFOA2019-03-04T14:28:46Z
html.description.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.


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