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NATIONAL HIV/AIDS RESEARCH AND BEST PRACTICES CONFERENCE - page 54 / 103

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B6. DROP-OUT RATE, TIME-CONSUMING OF CASES ON ART THERAPY AT THE RAINBOW ARV CLINIC OF MZUZU CENTRAL HOSPITAL

1,2JKL YU, 2SCC CHEN, 1CC MTIKA, 1,2HPC YEN, 1,2PWW DENG,

1RAINBOW CLINIC, MZUZU CENTRAL HOSPITAL, MALAWI

2TAIWAN MEDICAL MISSION IN MALAWI

Background and Objectives

The Ministry of Health in Malawi with the aids of Global Fund designed a framework which lays out the public health approach for wide scale-up delivery of antiretroviral (ARV) drugs. The Rainbow ARV clinic at the Mzuzu Central Hospital, launched on 1st July, 2004, is one of the earliest ARV clinics to provide free ARVs in the northern region of Malawi. The high demand of ARV drugs for HIV/Aids patients was really out of expectation in the first six months. We will summarize the situation and discuss the challenge of case and drug management.

Methodology

The Rainbow Clinic was launched on 1st July, 2004. We measure the time-consumed, drug stock, drug distribution and drug security of both new and follow-up cases every clinic day. The drop-out cases were collected and followed.

Results

New case number increased stably with an average of 150 new cases every month. Follow-up cases have accumulated to 1100 cases by the end of 2004. The drop-out cases were less than < 1% of total cases. The time consumed for new case and follow-up case was about 10 minutes and 5 minutes respectively.

Conclusions

The increasing number of cases would squeeze the time consumed for each patient. The low drop-out rate may be related to our measures like good documentation and supervision given before the cases to be defaulted.

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