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Impact of a phased transition model on Advanced HIV Disease outcomes: A pre- and post-implementation evaluation study in Malawi

Author

Listed:
  • Thulani Maphosa
  • Rhoderick Machekano
  • Lise Denoeud Ndam
  • Lucky Makonokaya
  • Lloyd Chilikutali
  • Louiser Upile Kalitera
  • Eddington Matiya
  • Allan Mayi
  • Reuben Musarandega
  • Bilal Wilson Matola
  • Aida Yemane Berhan
  • Allan Ahimbisibwe
  • Appolinaire Tiam

Abstract

To promote sustainability and strengthen national ownership of Advanced HIV Disease (AHD) services, a transition was implemented across 22 health facilities in Central Malawi. This transition involved shifting responsibility for key AHD program elements from partner-led implementation to full Ministry of Health (MoH) leadership. This evaluation assessed the impact of this transition on diagnostic coverage, TB preventive therapy (TPT) uptake, and 12-month survival outcomes. A retrospective cohort study included all children and adults enrolled in AHD care during the pre-MoH transition (January 2020–December 2021) and post-MoH transition (January 2023–December 2024) periods. Eligibility was defined by national AHD criteria: CD4 count

Suggested Citation

  • Thulani Maphosa & Rhoderick Machekano & Lise Denoeud Ndam & Lucky Makonokaya & Lloyd Chilikutali & Louiser Upile Kalitera & Eddington Matiya & Allan Mayi & Reuben Musarandega & Bilal Wilson Matola & A, 2026. "Impact of a phased transition model on Advanced HIV Disease outcomes: A pre- and post-implementation evaluation study in Malawi," PLOS Global Public Health, Public Library of Science, vol. 6(10), pages 1-15, October.
    • Handle: RePEc:plo:pgph00:0006348
    DOI: 10.1371/journal.pgph.0006348
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