Understanding health systems challenges in providing Advanced HIV Disease (AHD) care in a hub and spoke model: a qualitative analysis to improve AHD care program in Malawi

Thulani Maphosa 1, Lise Denoeud-Ndam 2, Lester Kapanda 3, Sarah Khatib 4, Lloyd Chilikutali 3, Eddington Matiya 3, Boswell Munthali 3, Rosalia Dambe 3, Brown Chiwandira 5, Bilaal Wilson 5, Rose Nyirenda 5, Laywell Nyirenda 3, Bongani Chikwapulo 6, Owen Madeira Musopole 6, Appolinaire Tiam 7, Leila Katirayi 7 Affiliations Expand Abstract Background: Despite tremendous progress in antiretroviral therapy (ART) and access to ART, many patients have advanced human immunodeficiency virus (HIV) disease (AHD). Patients on AHD, whether initiating ART or providing care after disengagement, have […]