Who is accessing antiretroviral therapy during national scale-up in Malawi?
Who is accessing antiretroviral therapy during national scale-up in Malawi?
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DOI：
10.1016/j.trstmh.2005.11.007
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发表时间：
2006-10-01
影响因子：
2.2
通讯作者：
Harries, Anthony D.
中科院分区：
文献类型：
--
作者：
Makombe, Simon;Libamba, Edwin;Harries, Anthony D.
马拉维正在扩大公共部门免费抗逆转录病毒治疗（ART）的提供。 2004年第四季度和2005年第一季度，分别有3261名和4530名新患者开始接受ART治疗。这些患者中，大约 40% 是男性，95% 是 13 岁以上的成年人。年龄组数据显示，接受 ART 的女性普遍比男性年轻 10 岁。 84% 至 90% 的患者因临床评估处于 WHO III 或 IV 期而开始接受 ART，其余患者因 CD4 淋巴细胞计数较低而开始接受 ART。 2004 年第四季度开始接受抗逆转录病毒治疗的结核病患者人数为 351 名（占抗逆转录病毒治疗患者的 11%），2005 年第一季度则为 702 名（占抗逆转录病毒治疗患者的 15%，占登记结核病患者的 16%）。2005 年第一季度，有 29 名孕妇通过预防母婴传播计划转诊接受抗逆转录病毒治疗。这一数字在 56% 至 56% 之间。 62%的患者是自给自足的农民、家庭主妇或经商者。尽管需要更多关注儿童、孕妇和结核病患者以改善他们获得抗逆转录病毒治疗的机会，但全国范围内的推广正在稳步取得进展。 (c) 2006 年皇家热带医学和卫生学会。由爱思唯尔有限公司出版。保留所有权利。
Malawi is scaling-up provision of free antiretroviral therapy (ART) in the public sector. In the fourth quarter of 2004 and the first quarter of 2005, 3261 and 4530 new patients, respectively, were started on ART. Of these patients, approximately 40% were male and 95% were adults aged >= 13 years. The age group data show that women who accessed ART were in general 10 years younger than men. Between 84% and 90% of patients were started on ART because of being clinically assessed as being in WHO stages III or IV, with the remainder started on ART owing to a low CD4 lymphocyte count. The number of tuberculosis (TB) patients started on ART was 351 (11% of ART patients) in the fourth quarter of 2004 and 702 (15% of ART patients, and 16% of registered TB patients) in the first quarter of 2005. Twenty-nine pregnant women were referred to ART from prevention of mother-to-child transmission programmes in the first quarter of 2005. Between 56% and 62% of patients were subsistence farmers, housewives or in business. Steady progress is being made with national scale-up, although more attention needs to be directed to children, pregnant women and patients with TB to improve their access to ART. (c) 2006 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.