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While HIV programs have begun scores of people on life-saving antiretroviral therapy in Africa, longitudinal health information systems are frail and, therefore, information about long-term survival is usually inaccurate or unknown to HIV programmes. The 'Better Suggestions for wellness in Zambia' (BetterInfo) Study - a regional sampling-based survey to evaluate retention and death in HIV programs in Zambia - discovered both retention and mortality becoming greater than pr