Determinants of postnatal care service utilization among mothers of Mangochi district, Malawi: a community-based cross- sectional study by Jonas, Sagawa, Allen, Kabagenyi, Godwin, Turyasingura, Saul Eric, Mwale

Subjects: “…Postnatal care, Cross-sectional study, Multistage sampling, Multivariable model, Mangochi district, Malawi…”
Get full text

Using maternal sepsis patient journeys to map and prioritise barriers to quality maternal healthcare in Malawi: a multidisciplinary stakeholder consultation workshop by Yamikani Chimwaza, Dalisto Ndaferankhande, Leonard Mndala, Chifundo Ndamala, Emily Lifa, Mercy Machilika, Esther Mwagomba, Bernard Dossie, Meliya Kwelepeta, Bertha Maseko, David Lissauer, Maria Lisa Odland

Subjects: Get full text

Impact of Mobile Health (mHealth) Use by Community Health Workers on the Utilization of Maternity Care in Rural Malawi: A Time Series Analysis by Kachimanga C, Ng’ambi WF, Kazinga D, Ndarama E, Amulele MA, Munyaneza F, Abejirinde IOO, van den Akker T, Kulinkina AV

“…Chiyembekezo Kachimanga,1,2 Wingston Felix Ng’ambi,3 Doctor Kazinga,1 Enoch Ndarama,4 Mercy Ambogo Amulele,5 Fabien Munyaneza,1 Ibukun-Oluwa O Abejirinde,6,7 Thomas van den Akker,2,8 Alexandra V Kulinkina1,9,10 1Partners in Health Malawi, Neno, Malawi; 2Athena Institute, Vrije Universiteit Amsterdam, Amsterdam, Netherlands; 3Health Economics and Policy Unit, Department of Health Systems and Policy, Kamuzu University of Health Sciences, Lilongwe, Malawi; 4Ministry of Health, Neno, Malawi; 5Medic, Nairobi, Kenya; 6Women College Hospital Institute for Health System Solutions and Virtual Care, Toronto, ON, Canada; 7Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada; 8Department of Obstetrics and Gynaecology, Leiden University Medical Center, Leiden, Netherlands; 9Swiss Tropical and Public Health Institute, Allschwil, Switzerland; 10University of Basel, Basel, SwitzerlandCorrespondence: Chiyembekezo Kachimanga, Partners in Health Malawi, Post Office Box 56, Neno, Malawi, Email chembekachimanga@yahoo.co.ukPurpose: Maternal mortality in Malawi is high, with low coverage of maternity care being a contributing factor. …”
Get full text

Oral Hygiene Practices, Knowledge, and Self-Reported Dental and Gingival Problems with Rural-Urban Disparities among Primary School children in Lilongwe, Malawi by F. Mlenga, E. G. Mumghamba

“…To determine oral hygiene practices, knowledge, and experience of dental caries and gingival problems among urban and rural primary schoolchildren in Lilongwe District, Malawi. Methodology. This was an analytical and quantitative descriptive cross-sectional study. …”
Get full text

Facilitating high quality acute care in resource-constrained environments: Perspectives of patients recovering from sepsis, their caregivers and healthcare workers in Uganda and Malawi. by Felix Limbani, Olive Kabajaasi, Margaret Basemera, Kate Gooding, Nathan Kenya-Mugisha, Mercy Mkandawire, Davis Rusoke, Shevin T Jacob, Anne Ruhweza Katahoire, Jamie Rylance, African Research Collaboration on Sepsis, Patient Experience Study Group

“…In both Malawi and Uganda, sepsis care often occurred in resource-constrained environments which undermined healthcare workers' capacity to deliver safe, consistent and accessible care. …”
Get full text

Do global health networks facilitate innovation, learning and sharing? A qualitative analysis of the Quality-of-Care Network in Bangladesh, Ethiopia, Malawi, and Uganda. by Kondwani Mwandira, Seblewengel Lemma, Albert Dube, Kohenour Akter, Asebe Amenu Tufa, Agnes Kyamulabi, Gloria Seruwagi, Catherine Nakidde, Kasonde Mwaba, Nehla Djellouli, Charles Makwenda, Tim Colbourn, Yusra Ribhi Shawar

“…We conducted a prospective qualitative study to examine how QCN in Bangladesh, Ethiopia, Malawi and Uganda facilitated learning, sharing, and innovation within and between network countries. …”
Get full text

A comparison of CXR-CAD software to radiologists in identifying COVID-19 in individuals evaluated for Sars CoV-2 infection in Malawi and Zambia. by Sam Linsen, Aurélie Kamoun, Andrews Gunda, Tamara Mwenifumbo, Chancy Chavula, Lindiwe Nchimunya, Yucheng Tsai, Namwaka Mulenga, Godfrey Kadewele, Eunice Nahache Kajombo, Veronica Sunkutu, Jane Shawa, Rigveda Kadam, Matthew Arentz

“…The study highlights the potential of CXR-CAD as a tool to support effective triage of individuals in Malawi and Zambia during the pandemic, particularly for distinguishing normal from abnormal CXRs. …”
Get full text

Looking under the hood of a hybrid two-way texting intervention to improve early retention on antiretroviral therapy in Malawi: an implementation fidelity evaluation by Robin E. Klabbers, Caryl Feldacker, Jacqueline Huwa, Christine Kiruthu-Kamamia, Agness Thawani, Hannock Tweya

Subjects: Get full text

Economic and relationship-strengthening intervention to reduce alcohol use in couples living with HIV in Malawi: a study protocol for a randomised controlled trial of Mlambe by Torsten B Neilands, Lynae A Darbes, James Mkandawire, Derek S Brown, Fred M Ssewamala, Judith A Hahn, Amy A Conroy, Nancy Mulauzi, Scott Tebbetts

“…Programmatic costs will be ascertained throughout the study and incremental cost-effectiveness ratios will be computed for each arm.Ethics and dissemination The RCT has been approved by the University of California, San Francisco (UCSF) (Human Research Protection Program; Protocol Number 23-40642), and the study has been approved by the National Health Sciences Research Committee (NHSRC; Protocol Number 24/05/4431) in Malawi. Adverse events and remedial actions will be reported to authorities both in Malawi and at UCSF. …”
Get full text

COVID-19 prevention strategies and compliance among postnatal adolescent mothers with postnatal depression and generalised anxiety in rural Malawi: a cross-sectional study by Sharyn Burns, Linda Portsmouth, Chimwemwe Pindani Tembo

“…Objectives This study examines the relationship between adolescent mothers’ mental health problems (postnatal depression and generalised anxiety) and adherence to COVID-19 public health prevention strategies in rural Malawi. It is part of a larger previously published study investigating the impact of social and cultural factors on the mental health in adolescent mothers.Design A cross-sectional study was conducted from September 2021 to March 2022. …”
Get full text

Barriers and facilitators to implementing six monthly multi-month dispensing of antiretroviral therapy in two urban HIV clinics during the COVID-19 Era in Malawi. by Rachel Chamanga, Agatha Bula, Denview Magalasi, Stella Mahuva, Mulinda Nyirenda, Kwasi Torpey, Thulani Maphosa, Mitch Matoga

“…Following the COVID-19 pandemic, the Malawi Government released a policy that promoted the scale-up of six-monthly multi-month dispensing (6-MMD) of antiretroviral therapy (ART) to people living with HIV in order to decrease congestion at health facilities and transmission of COVID-19. …”
Get full text

Evaluation of practices and attitudes of caregivers influencing adherence to seasonal malaria chemoprevention in children under five years of age: the case of Rural Embangweni, Mzimba District, Malawi by Chisomo Salangwa, Reston Munthali, Lusungu Mfune, Vegha Kaunga Nyirenda

Get full text

Uptake of voluntary medical male circumcision among men with sexually transmitted infections in Lilongwe, Malawi: a protocol for a pre-interventional and post-interventional study by Mina C Hosseinipour, Mitch M Matoga, Sara Jewett, Charles Chasela

“…However, its uptake among men in Malawi is low. Implementation science strategies for demand creation of VMMC increase uptake. …”
Get full text

“Arming half-baked people with weapons!” Information enclaving among professionals and the need for a care-centred model for antibiotic use information in Uganda, Tanzania and Malawi by Susan Nayiga, Eleanor E MacPherson, John Mankhomwa, Fortunata Nasuwa, Raymond Pongolani, Rita Kabuleta, Mike Kesby, Russell Dacombe, Shona Hilton, Delia Grace, Nicholas Feasey, Clare I.R. Chandler

“…Objective We aimed to understand the acceptability among experts and professionals of sharing information on antibiotic use with end users – patients, carers and farmers – in Uganda, Tanzania and Malawi. Methods Building on extended periods of fieldwork amongst end-users and antibiotic providers in the three countries, we conducted two workshops in each, with a total of 44 medical and veterinary professionals, policy makers and drug regulators, in December 2021. …”
Get full text

Correction: Barriers and facilitators to implementing six monthly multi-month dispensing of antiretroviral therapy in two urban HIV clinics during the COVID-19 Era in Malawi. by PLOS Global Public Health Editors

Get full text

"They gave us the right to choose." A qualitative study of preferences for differentiated service delivery location among recipients of antiretroviral therapy at Lighthouse Trust in Lilongwe Malawi. by Lisa Orii, Kate S Wilson, Jacqueline Huwa, Christine Kiruthu-Kamamia, Odala Sande, Agness Thawani, Astrid Berner-Rodoreda, Evelyn Viola, Hannock Tweya, Petros Tembo, Wapu Masambuka, Richard Anderson, Caryl Feldacker

“…Lighthouse Trust (LT) implements DSD services for the Ministry of Health in Lilongwe, Malawi, including a community-based ART service delivery model that complements it traditional, clinic-based care. …”
Get full text

A Prospective Study Assessing Tumour Response, Survival, and Palliative Care Outcomes in Patients with HIV-Related Kaposi's Sarcoma at Queen Elizabeth Central Hospital, Blantyre, Malawi by H. Francis, M. J. Bates, L. Kalilani

Get full text

Costs of community-wide mass drug administration and school-based deworming for soil-transmitted helminths: evidence from a randomised controlled trial in Benin, India and Malawi by Judd Walson, ROBIN BAILEY, Katya Galactionova, Maitreyi Sahu, Samuel Paul Gideon, Saravanakumar Puthupalayam Kaliappan, Chloe Morozoff, Sitara Swarna Rao Ajjampur, Khumbo Kalua, Euripide Avokpaho, Moudachirou Ibikounle, Arianna Rubin Means, James Simwanza, Wongani Lungu, Parfait Houngbegnon, Adrian J F Luty, Rachel Pullan

“…We compared the costs of cMDA to SBD to inform decision-making about future updates to STH policy.Design We conducted activity-based microcosting of cMDA and SBD for 2 years in Benin, India and Malawi within an ongoing cMDA trial.Setting Field sites and collaborating research institutions.Primary and secondary outcomes We calculated total financial and opportunity costs and costs per treatment administered (unit costs in 2019 USD ($)) from the service provider perspective, including costs related to community drug distributors and other volunteers.Results On average, cMDA unit costs were more expensive than SBD in India ($1.17 vs $0.72) and Malawi ($2.26 vs $1.69), and comparable in Benin ($2.45 vs $2.47). cMDA was more expensive than SBD in part because most costs (~60%) were ‘supportive costs’ needed to deliver treatment with high coverage, such as additional supervision and electronic data capture. …”
Get full text

Protocol for an intervention development and pilot implementation evaluation study of an e-health solution to improve newborn care quality and survival in two low-resource settings, Malawi and Zimbabwe: Neotree by Hassan Haghparast-Bidgoli, Michelle Heys, Caroline Crehan, Erin Kesler, Monica Lakhanpaul, Emma Wilson, Fabiana Lorencatto, Felicity Fitzgerald, Mario Cortina Borja, Msandeni Chiume, Hannah Gannon, Simbarashe Chimhuya, Gwendoline Chimhini, Tim Hull-Bailey, Tarisai Chiyaka, Yali Sassoon, Deliwe Nkhoma, Nushrat Khan, Alexander G. Stevenson, Kristina Curtis

“…Since 2014, we have worked in Bangladesh, Malawi, Zimbabwe and the UK to develop and pilot Neotree: an android app with accompanying data visualisation, linkage and export. …”
Get full text

Men care too: a qualitative study examining women’s perceptions of fathers’ engagement in early childhood development (ECD) during an ECD program for HIV-positive mothers in Malawi by Linda Richter, Thomas J Coates, Tijana Temelkovska, Pericles Kalande, Evelyn Udedi, Laurie Bruns, Siyenunu Mulungu, Julie Hubbard, Sundeep Gupta, Kathryn Dovel

“…Data were coded using inductive and deductive strategies and analysed using constant comparison methods in Atlas.ti V.1.6.Setting Four health facilities in Malawi where PMTCT services were provided.Participants Study participants were mothers infected with HIV who were enrolled in the PMTCT–ECD programme for >6 months.Interventions The PMTCT–ECD intervention provided ECD education and counselling sessions during routine PMTCT visits for mothers infected with HIV and their infants (infant age 1.5–24 months). …”
Get full text