ArticleBulletin of the World Health Organization2016
Scaling-up antiretroviral therapy in Malawi.
Article in Bulletin of the World Health Organization, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed, 38 citations in OpenAlex.
- Patient tracking and retention with Malawi's electronic medical records system in antiretroviral treatment clinics.BMC digital health · 2026Article
- Incidence of Cancers Among Children Living With HIV in Malawi After Widespread Availability of Antiretroviral Therapy: A Population-Based Study.JCO global oncology · 2026Article
- Reductions in development assistance for health funding threaten decades of progress in Africa.PLoS medicine · 2025Article
- Influence of the SARS-COV2 pandemic on access to healthcare services among people living with HIV and its subsequent effects on antiretroviral therapy uptake in Malawi.PLOS global public health · 2024Article
- Subnational HIV incidence trends in Malawi: large, heterogeneous declines across space.medRxiv : the preprint server for health sciences · 2023Article
- A comparison of clinical outcomes among people living with HIV of different age groups attending queen Elizabeth central hospital outpatient ART Clinic in Malawi.Frontiers in medicine · 2023Article
- Health behaviours and beliefs among Malawian adults taking antihypertensive medication and antiretroviral therapy: A qualitative study.Global public health · 2022Article
- Estimating the contribution of HIV-infected adults to household pneumococcal transmission in South Africa, 2016-2018: A hidden Markov modelling study.PLoS computational biology · 2021Article
- Naomi: a new modelling tool for estimating HIV epidemic indicators at the district level in sub-Saharan Africa.Journal of the International AIDS Society · 2021Article
- Differences in Access to HIV Services and Risky Sexual Behaviors Among Malawian Women at Social Venues Who Do and Do Not Engage in Sex Work.AIDS and behavior · 2021Article
- Leveraging routine viral load testing to integrate diabetes screening among patients on antiretroviral therapy in Malawi.International health · 2021Article
- Early-phase scale-up of isoniazid preventive therapy for people living with HIV in two districts in Malawi (2017).PloS one · 2021Article
- Vaccine strategies to reduce the burden of pneumococcal disease in HIV-infected adults in Africa.Expert review of vaccines · 2020Review
- Assessing the effects of maternal HIV infection on pregnancy outcomes using cross-sectional data in Malawi.BMC public health · 2020Article
- Patient and nurse perspectives of a nurse-led community-based model of HIV care delivery in Malawi: a qualitative study.BMC public health · 2020Article
- Assessing the validity of and factors that influence accurate self-reporting of HIV status after testing: a population-based study.AIDS (London, England) · 2020Article
- Article
- Tsogolo la Thanzi: A Longitudinal Study of Young Adults Living in Malawi's HIV Epidemic.Studies in family planning · 2019Article
- Article
- "I do all I can but I still fail them": Health system barriers to providing Option B+ to pregnant and lactating women in Malawi.PloS one · 2019Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 3 countries.
Funding
Abstract
problemIn Malawi, health-system constraints meant that only a fraction of people infected with human immunodeficiency virus (HIV) and in immediate need of antiretroviral treatment (ART) received treatment. APPROACH: In 2004, the Malawian Ministry of Health launched plans to scale-up ART nationwide, adhering to the principle of equity to ensure fair geographical access to therapy. A public health approach was used with standardized training and treatment and regular supervision and monitoring of the programme. LOCAL
settingBefore the scale-up, an estimated 930 000 people in Malawi were HIV-infected, with 170 000 in immediate need of ART. About 3000 patients were on ART in nine clinics. RELEVANT CHANGES: By December 2015, cumulatively 872 567 patients had been started on ART from 716 clinics, following national treatment protocols and using the standard monitoring system. LESSONS LEARNT: Strong national leadership allowed the ministry of health to implement a uniform system for scaling-up ART and provided benchmarks for implementation on the ground. New systems of training staff and accrediting health facilities enabled task-sharing and decentralization to peripheral health centres and a standardized approach to starting and monitoring ART. A system of quarterly supervision and monitoring, into which operational research was embedded, ensured stocks of drug supplies at facilities and adherence to national treatment guidelines.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.