A National Survey of Teachers on Antiretroviral Therapy in Malawi: Access, Retention in Therapy and Survival
A National Survey of Teachers on Antiretroviral Therapy in Malawi: Access, Retention in Therapy and Survival
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DOI：
10.1371/journal.pone.0000620
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发表时间：
2007-07-18
期刊：
影响因子：
3.7
通讯作者：
Harries, Anthony D.
中科院分区：
文献类型：
--
作者：
Makombe, Simon D.;Jahn, Andreas;Harries, Anthony D.
背景。艾滋病毒/艾滋病正在对撒哈拉以南非洲的教育部门造成破坏性影响。在马拉维所有提供抗逆转录病毒治疗 (ART) 的公共部门和私营部门设施中进行了一项全国调查，以确定教师接受 ART 的情况及其治疗期间的结果。方法/主要发现。根据马拉维所有 138 家 ART 诊所的 ART 登记册和治疗主卡的患者随访记录，开展了一项回顾性队列研究；观察结果于 2006 年 9 月 30 日进行了审查。截至目前，马拉维的 102 个公共部门和 36 个私营部门 ART 诊所已登记总共 72,328 名接受治疗的患者。其中，2,643 名（3.7%）是教师。调整因诊所转诊造成的双重注册后，估计有 2,380 名教师曾接受过 ART。有 15% 的教师在 WHO 临床 1 或 2 阶段开始 ART，其 CD4 淋巴细胞计数为
Background. HIV/AIDS is having a devastating effect on the education sector in sub-Saharan Africa. A national survey was conducted in all public sector and private sector facilities in Malawi providing antiretroviral therapy (ART) to determine the uptake of ART by teachers and their outcomes while on treatment. Methodology/Principal Findings. A retrospective cohort study was carried out based on patient follow-up records from ART Registers and treatment master cards in all 138 ART clinics in Malawi; observations were censored on September 30(th) 2006. By this date, Malawi's 102 public sector and 36 private sector ART clinics had registered a total of 72,328 patients for treatment. Of these, 2,643 (3.7%) were teachers. Adjusting for double-registration caused by clinic transfers, it is estimated that 2,380 individual teachers had ever accessed ART. There were 15% of teachers starting ART in WHO clinical stage 1 or 2 with a CD4-lymphocyte count of