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
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Date
2020-11-11
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Kamuzu University of Health Sciences
Abstract
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.
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Research Subject Categories::MEDICINE