Effect of provider-initiated testing and counselling and integration of ART services on access to HIV diagnosis and treatment for children in Lilongwe, Malawi: a pre- post comparison |
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| Authors: | Ralf Weigel Portia Kamthunzi Charles Mwansambo Sam Phiri and Peter N Kazembe |
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| Institution: | (1) Lighthouse Trust at Kamuzu Central Hospital, PO Box 106, Lilongwe, Malawi;(2) University of North Carolina Project Lilongwe, Private Bag A104, Lilongwe, Malawi;(3) Paediatric Department, Kamuzu Central Hospital, PO Box 149, Lilongwe, Malawi;(4) Baylor College of Medicine Children's Clinical Centre of Excellence, Private Bag B-397, Lilongwe, Malawi |
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| Abstract: | Background The HIV prevalence in Malawi is 12% and Kamuzu Central Hospital (KCH), in the capital Lilongwe, is the main provider of adult
and paediatric HIV services in the central region. The Lighthouse at KCH offers opt-in HIV testing and counselling (HTC) for
adults and children. In June 2004, Lighthouse was the first clinic to provide free antiretroviral treatment (ART) in the public
sector, but few children accessed the services. In response, provider-initiated HIV testing and counselling (PITC) and an
ART clinic were introduced at the paediatric department at KCH in Quarter 4 (Q4) 2004. |
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