Guidelines for the use of Antiretroviral Therapy in Malawi (PDF, 890.35 KB)


by Ministry of Health


National Treatment Guideline, Malawi



Malawi's national HIV treatment guidelines document was published in 2008. This document presents a national approach that integrates the principles of ART for adults, pregnant women and children. Treatment criteria for adults include CD4 counts below 250 or clinical stage 3 or 4 of the disease. Infants under one year old—regardless of clinical or immunologic status —and children over the age of one and advanced or “severe” immune suppression, as defined by age-related CD4 percentage count (according to WHO criteria), are eligible for treatment.  These guidelines also recommend a second treatment option should first line treatment fail. Post-exposure prophylaxis, presence of malignancies, and co-infection with TB and viral hepatitis are also included in this document.