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Malawi's contribution to "3 by 5": achievements and challenges.

Authors
  • Libamba, Edwin
  • Makombe, Simon D
  • Harries, Anthony D
  • Schouten, Erik J
  • Yu, Joseph Kwong-Leung
  • Pasulani, Olesi
  • Mhango, Eustice
  • Aberle-Grasse, John
  • Hochgesang, Mindy
  • Limbambala, Eddie
  • Lungu, Douglas
Type
Published Article
Journal
Bulletin of the World Health Organization
Publisher
WHO Press
Publication Date
Feb 01, 2007
Volume
85
Issue
2
Pages
156–160
Identifiers
PMID: 17308738
Source
Medline
License
Unknown

Abstract

Achievements were the result of clear national ART guidelines, implementing partners working together, an intensive training schedule focused on clinical officers and nurses, a structured system of accrediting facilities for ART delivery, quarterly supervision and monitoring, and no stock-outs of antiretroviral drugs. The main challenges are to increase the numbers of children, pregnant women and patients with tuberculosis being started on ART, and to avert high early mortality and losses to follow-up. The capacity of the health sector to cope with escalating case loads and to scale up prevention alongside treatment will determine the future success of ART delivery in Malawi.

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