HIV/ AIDS

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Browsing HIV/ AIDS by Author "Chuka, Stuart"

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    A comparative analysis of Antiretroviral Therapy treatment outcomes in the public, private and Christian Health Association of Malawi by service delivery system in Blantyre city of Malawi
    (Kamuzu University of Health Sciences, 2020-11-11) Chuka, Stuart
    The Antiretroviral Therapy (ART) Program for Malawi started in 2004 and the key providers in provision of ART services in Malawi include; the public sector, the private sector for-profit and nonprofit and Christian Health Association of Malawi (CHAM. Since then, no known studies have been conducted to compare primary ART treatment outcomes across private, public and CHAM health facilities by service provider type. In addition, information on variation of primary ART treatment outcomes by service provider type thus; private, public and CHAM is not known and probably has not been published. This is a cross-sectional study and will utilize both quantitative and qualitative methods. The quantitative method will use facility level secondary data from the Malawi National ART Program in the Department of HIV in the Ministry of Health. The qualitative method will use in-depth interviews using an interview guide to key informants. Data will be analyzed using STATA statistical software package version 15. T-test and Analysis of Variance (ANOVA) will be used to compare the variations of primary ART outcomes among in public, private and CHAM ART sites. To compare proportions, will use Chi-Square Test and Fisher Exact Test. Logistic regression will be used to describe data and to explain the relationship between the variables. The results of this study will assist to improve the health care service delivery across private sector, CHAM and Public ART Clinics in Malawi through policy decisions which will also have a major impact in the National ART Program and the global world as a whole. The results of the study will be submitted to College of Medicine Ethics Review Committee (COMREC), COM library and presented at the COM Research Dissemination conference.