Outcome Assessment of a Dedicated HIV Positive Health Care Worker Clinic at a Central Hospital in Malawi: A Retrospective Observational Study

2011

Impact of a Dedicated HIV Clinic for Health Care Workers in Malawi

Sample size: 7090 publication 10 minutes Evidence: moderate

Author Information

Author(s): Chan Adrienne K., van Lettow Monique, Tenthani Lyson, Kumwenda Moses, Gawa Lucy, Kadzanja Alice, Mnthambala Austin, Kambanji Marion

Primary Institution: Dignitas International, Zomba, Malawi

Does a dedicated HIV clinic for health care workers improve treatment outcomes compared to a general HIV clinic?

The dedicated health care worker HIV clinic showed better outcomes in terms of lower default rates and mortality compared to the general HIV clinic.

306 patients were enrolled in the HCW HIV clinic compared to 6784 in the general clinic.
6% of HCW clients defaulted compared to 17% in the general clinic.
4% of HCW clients died compared to 12% in the general clinic.
Patients in the HCW clinic reported side effects at a higher rate than those in the general clinic.

This study found that having a special clinic just for health care workers with HIV helps them get better care and stay healthier.

Retrospective cohort data analysis comparing treatment outcomes of patients at a dedicated health care worker HIV clinic versus a general HIV clinic.

Potential under-reporting of mortality and side effects due to reliance on routine clinical data.

The study is retrospective and relies on operational data, which may have accuracy issues.

Patients included health care workers and their immediate families, with a mean age of 37 years.

p<0.01

95% C.I. 1.40–2.44

p<0.01

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