Point-of-care viral load monitoring: outcomes from a decentralized HIV programme in Malawi

Nicholas S et al. Journal of the International AIDS Society
Sep 2019
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Routinely monitoring the HIV viral load (VL) of People Living with HIV (PLHIV) on antiretroviral therapy (ART) facilitates intensive adherence counselling and faster ART regimen switch when treatment failure is indicated. Yet standard VL-testing in centralized laboratories can be time-intensive and logistically difficult in low-resource settings. This paper evaluates the outcomes of the first four years of routine VL-monitoring using Point-of-Care technology, implemented by Medecins Sans Frontieres (MSF) in rural clinics in Malawi.