... in urban facilities, in rural health centres and in facilities not providing antiretroviraltreatment (ART), while it increased at district hospitals and in facilities providing ART. In Zambia, ... hospitals.Facility managers reported that workload, which hadbeen a long-standing and worsening problem in Malawi,was being tackled in several ways, including: training and rot ating additional clinical ... comparing ART and non-ART providing facilities in Zambia suggeststhat routine workload increased in facilities that d id notprovide ART, rising f rom a median of 2380 in 2004 to3381 OPD visits...