Makombe Simon D, Jahn Andreas, Tweya Hannock, Chuka Stuart, Yu Joseph Kwong-Leung, Hedt Bethany, Weigel Ralf, Nkhata Amon, Schouten Erik J, Kamoto Kelita, Harries Anthony D
HIV Unit, Ministry of Health, PO Box 30377, Lilongwe, Malawi.
Malawi Med J. 2008 Mar;20(1):23-7. doi: 10.4314/mmj.v20i1.10951.
A national survey was carried out in all the 103 public sector and 38 private sector facilities in Malawi providing antiretroviral therapy (ART) to determine uptake of ART and subsequent treatment outcomes in police force personnel. All patients registered for ART and their subsequent treatment outcomes were censored on December 31st 2006. There were 85168 patients started on ART in both public and private sectors, of whom 463 (0.6%) were police force personnel. Of police force personnel starting ART, 17% were in WHO clinical stage 1 or 2 with a CD4-lymphocyte count of < or = 250 cells/microL and 83% were in stage 3 or 4. Treatment outcomes of police force personnel by the end of December 2006 were 302 (65%) alive and on ART at their registration facility, 59 (13%) dead, 30 (7%) lost to follow-up, 1 stopped treatment and 71 (15%) transferred to another facility. Their probability of being alive on ART at 6-, 12- and 18-months was 83.2%, 78.6% and 76.7% respectively. There has been a good access of police force personnel to ART since national scale up commenced with good treatment outcomes, and this should serve as an example for other police forces in the region.
在马拉维所有提供抗逆转录病毒疗法（ART）的103家公共部门机构和38家私营部门机构中开展了一项全国性调查，以确定警察部队人员对抗逆转录病毒疗法的接受情况及其后续治疗结果。所有登记接受抗逆转录病毒疗法的患者及其后续治疗结果均在2006年12月31日进行了审查。公共部门和私营部门共有85168名患者开始接受抗逆转录病毒疗法，其中463名（0.6%）为警察部队人员。开始接受抗逆转录病毒疗法的警察部队人员中，17%处于世界卫生组织临床1期或2期，CD4淋巴细胞计数小于或等于250个细胞/微升，83%处于3期或4期。截至2006年12月底，警察部队人员的治疗结果为：302名（65%）存活且在登记机构接受抗逆转录病毒疗法，59名（13%）死亡，30名（7%）失访，1名停止治疗，71名（15%）转至另一机构。他们在6个月、12个月和18个月时接受抗逆转录病毒疗法存活的概率分别为83.2%、78.6%和76.7%。自全国范围扩大抗逆转录病毒疗法以来，警察部队人员能够很好地获得该疗法，且治疗效果良好，这应为该地区其他警察部队树立榜样。
