Tracing System Improves Retention of Patients on Antiretroviral Therapy


The patient tracing system improved the delivery of HIV services in MSH-supported facilities in Malawi's Blantyre District. More than 50% of patients who had missed an appointment were brought back to care. Some patients who had self- transferred out to other facilities were identi ed and their outcomes recorded in the register. Overall, only 18% of patients could not be followed up because of poor or incomplete documentation.

The results showed that the project-supported health facilities succeeded in improving retention by having defaulter tracing mechanisms in place.With a reduced number of missed appointment dates, defaulting was prevented, and this ensured success of the program through improved adherence to ART and hence greater success of HIV treatment.These outcomes are critically important to achieving the ambitious 90-90-90 goals to which Malawi has committed.