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báo cáo hóa học:" Lessons learned during down referral of antiretroviral treatment in Tete, Mozambique"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học đề tài : Lessons learned during down referral of antiretroviral treatment in Tete, Mozambique | Journal of the International AIDS Society BioMed Central Open Access Case study Lessons learned during down referral of antiretroviral treatment in Tete Mozambique Tom Decroo1 Isabella Panunzi1 Carla das Dores2 Fernando Maldonado3 Marc Biot3 Nathan Ford4 and Kathryn Chu 4 Address 1Médecins Sans Frontières Tete Mozambique Provincial Health Department Tete Mozambique 3Médecins Sans Frontières Maputo Mozambique and 4South African Medical Unit Médecins Sans Frontières Johannesburg South Africa Email Tom Decroo - msfb-maputo@brussels.msf.org Isabella Panunzi - msfb-maputo@brussels.msf.org Carla das Dores - msfb-maputo@brussels.msf.org Fernando Maldonado - msfb-maputo@brussels.msf.org Marc Biot-msfb-maputo@brussels.msf.org Nathan Ford - nathan.ford@joburg.msf.org Kathryn Chu - kathyrn.chu@joburg.msf.org Corresponding author Published 6 May 2009 Received 18 December 2008 Journal of the International AIDS Society 2009 12 6 doi 10.1186 1758-2652-12-6 Accepted 6 May 2009 This article is available from http www.jiasociety.Org content 12 1 6 2009 Decroo et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract__ As sub-Saharan African countries continue to scale up antiretroviral treatment there has been an increasing emphasis on moving provision of services from hospital level to the primary health care clinic level. Delivery of antiretroviral treatment at the clinic level increases the number of entry points to care while the greater proximity of services encourages retention in care. In Tete City Mozambique patients on antiretrovirals were rapidly down referred from a provincial hospital to four urban clinics in large numbers without careful