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Antiretroviral treatment outcomes from a decentralised ART programme in rural Zimbabwe

Zimbabwe has an adult HIV prevalence of 14.3% and an estimated 582,000 people requiring antiretroviral treatment.

In 2004, Doctors Without Borders (MSF) and the MoH launched a decentralised HIV/TB programme in the rural Buhera district of Zimbabwe. To date 16,217 patients have ever been initiated on antiretroviral therapy (ART). Care is provided at two rural hospitals and in 22 primary health care clinics. Follow up of ART is performed by nurses and initiation of ART supervised by an MSF mobile medical team.

Patients are followed intensively for three months and thereafter 3 monthly, being seen by a clinician and counsellor at each visit up to 18 months.