Bulletin of the World Health Organization

Expansion of antiretroviral treatment to rural health centre level by a mobile service in Mumbwa district, Zambia

Christopher Dube, Ikuma Nozaki, Tadao Hayakawa, Kazuhiro Kakimoto, Norio Yamada & James B Simpungwe

Volume 88, Number 10, October 2010, 788-791

Table 1. Characteristics of clients at commencement of antiretroviral treatment and their outcomes at the first 6 months in the Mumbwa District Hospital and rural health centres, Zambia

Characteristic District hospital (n = 458)
Rural health centres (n = 232)
n % n %
At commencement
Age (years)
            18–38 277 60.3 129 55.6
            39 or more 182 39.7 103 44.4
Gender
            Male 190 41.4 84 36.2
            Female 269 58.6 148 63.8
Clinical staging
            I or II 66 14.6 42 22.7
            III or IV 386 85.4 143 77.3
Functional status
            Working 183 39.9 143 62.2
            Ambulant or bed-ridden 276 60.2 87 37.9
Regimen
            NEV+3TC+d4t/AZT 377 82.1 149 64.2
            EFV+3TC+d4t/AZT 82 17.9 83 35.8
            Other 0 0.0 0 0.0
CD4 cell count
            Counted 370 80.8 214 92.2
            Not counted 88 19.2 18 7.8
At 6 months
Retained at original site 319 69.5 176 75.9
            Dead 29 6.3 32 13.8
            Lost to follow-up 99 21.6 24 10.3
            Transfer out 12 2.6 0 0.0
Functional Status
            Working 279 86.6 148 96.1
            Ambulant or bed-ridden 43 13.4 6 3.9
CD4 cell count
            Counted 71 22.3 64 36.4
            Not counted 248 77.7 112 63.6

CD4, CD4+ lymphocyte; NEV, Nevirapine; EFV, Efavirenz; 3TC, Lamivudine; d4t, Stavudine; AZT, Zidovudine