Antiretroviral therapy in the Malawi defence force: access, treatment outcomes and impact on mortality

PloS One
Alfred C BandaAnthony Harries

Abstract

HIV/AIDS affects all sectors of the population and the defence forces are not exempt. A national survey was conducted in all public and private sectors in Malawi that provide antiretroviral therapy (ART) to determine the uptake of ART by army personnel, their outcomes while on treatment, and the impact of ART on mortality in the Malawi Defence Force. A retrospective cohort analysis was carried out, collecting data on access and retention on treatment from all 103 public and 38 private sector ART clinics in Malawi, using standardised patient master cards and clinic registers. Observations were censored on December 31(st) 2006. Independent data on mortality trends in army personnel from all causes between 2002 and 2006 were available from army records. By December 31(st) 2006, there were 85,168 patients ever started on ART in both public and private sectors, of whom 547 (0.7%) were army personnel. Of these, 22% started ART in WHO clinical stage 1 or 2 with a CD4-lymphocyte count of <or=250/mm(3) and 78% started in stage 3 or 4. Treatment outcomes of army personnel by December 31(st) 2006 were:-365 (67%) alive and on ART at their registration facility, 98 (18%) transferred out to another facility, 71 (13%) dead, 9 (2%) lost to fol...Continue Reading

References

Apr 22, 2006·Bulletin of the World Health Organization·Edwin LibambaAnthony D Harries
Jun 7, 2006·Lancet·Anthony D HarriesEdwin Libamba
Aug 8, 2006·Lancet·Tom Ellman, Nathan Ford
Nov 25, 2011·Health Care Management Science·Anthony D HarriesFrank Chimbwandira

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Citations

Jul 1, 2014·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Morna CornellUNKNOWN IeDEA-Southern Africa Collaboration
May 28, 2011·Malawi Medical Journal : the Journal of Medical Association of Malawi·Katie Taylor-SmithAndreas Jahn
Oct 24, 2008·The New England Journal of Medicine·José A Román-PouerietConsuelo M Beck-Sagué
Nov 25, 2011·Health Care Management Science·Anthony D HarriesFrank Chimbwandira
Sep 23, 2008·Tropical Medicine & International Health : TM & IH·Seter SiziyaRonald H Mataya

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