| dc.contributor |
Thyolo District Health Services, Ministry of Health and Population, Thyolo, Malawi. |
|
| dc.creator |
Mwagomba, Beatrice |
|
| dc.creator |
Zachariah, Rony |
|
| dc.creator |
Massaquoi, Moses |
|
| dc.creator |
Misindi, Dalitso |
|
| dc.creator |
Manzi, Marcel |
|
| dc.creator |
Mandere, Bester C |
|
| dc.creator |
Bemelmans, Marielle |
|
| dc.creator |
Philips, Mit |
|
| dc.creator |
Kamoto, Kelita |
|
| dc.creator |
Schouten, Eric J |
|
| dc.creator |
Harries, A D |
|
| dc.date |
2010-05 |
|
| dc.date.accessioned |
2017-01-31T07:17:41Z |
|
| dc.date.available |
2017-01-31T07:17:41Z |
|
| dc.identifier |
Mortality reduction associated with HIV/AIDS care and antiretroviral treatment in rural Malawi: evidence from registers, coffin sales and funerals. 2010, 5 (5):e10452 PLoS ONE |
|
| dc.identifier |
1932-6203 |
|
| dc.identifier |
20454611 |
|
| dc.identifier |
10.1371/journal.pone.0010452 |
|
| dc.identifier |
http://hdl.handle.net/10144/99348 |
|
| dc.identifier |
http://fieldresearch.msf.org/msf/handle/10144/99348 |
|
| dc.identifier |
PloS One |
|
| dc.identifier.uri |
http://dspace.mediu.edu.my:8181/xmlui/handle/10144/99348 |
|
| dc.description |
BACKGROUND: To report on the trend in all-cause mortality in a rural district of Malawi that has successfully scaled-up HIV/AIDS care including antiretroviral treatment (ART) to its population, through corroborative evidence from a) registered deaths at traditional authorities (TAs), b) coffin sales and c) church funerals. METHODS AND FINDINGS: Retrospective study in 5 of 12 TAs (covering approximately 50% of the population) during the period 2000-2007. A total of 210 villages, 24 coffin workshops and 23 churches were included. There were a total of 18,473 registered deaths at TAs, 15781 coffins sold, and 2762 church funerals. Between 2000 and 2007, there was a highly significant linear downward trend in death rates, sale of coffins and church funerals (X(2) for linear trend: 338.4 P<0.0001, 989 P<0.0001 and 197, P<0.0001 respectively). Using data from TAs as the most reliable source of data on deaths, overall death rate reduction was 37% (95% CI:33-40) for the period. The mean annual incremental death rate reduction was 0.52/1000/year. Death rates decreased over time as the percentage of people living with HIV/AIDS enrolled into care and ART increased. Extrapolating these data to the entire district population, an estimated 10,156 (95% CI: 9786-10259) deaths would have been averted during the 8-year period. CONCLUSIONS: Registered deaths at traditional authorities, the sale of coffins and church funerals showed a significant downward trend over a 8-year period which we believe was associated with the scaling up HIV/AIDS care and ART. |
|
| dc.language |
en |
|
| dc.rights |
Published by Public Library of Science, [url]http://www.plosone.org/[/url]
Archived on this site by Open Access permission |
|
| dc.title |
Mortality reduction associated with HIV/AIDS care and antiretroviral treatment in rural Malawi: evidence from registers, coffin sales and funerals. |
|