WHO monograph on integrated monitoring of tuberculosis and human immunodeficiency virus - A case study from Malawi
This monograph is a case study of how integrated monitoring of treatment for HIV/TB works in Malawi. It describes in detail the delivery of HIV treatment to a large number of people in one of the most resource challenged health systems in the world.
The provision of antiretroviral therapy (ART) in Malawi has been impressive. By the end of 2008, the national HIV control programme had kept 147 479 people alive and on ART, in both the public and private sectors, representing around 75% of those who had been registered cumulatively since the start of the programme in 2003. Malawi also has a good national TB control programme, with 26 000 TB patients registered annually and a treatment success rate exceeding 75%. Both programmes have well-functioning monitoring and evaluation systems with the ability to produce national data on case-finding and treatment outcomes for TB, HIV and HIV-related TB.
This case study is valuable reading to all stakeholders in HIV and TB, be they programme managers or staff, bilateral or multilateral partners, nongovernmental organizations or civil society, or simply anyone looking to support the development of a robust country monitoring system focused on programme delivery.