A5002103524- Global Maternal and Child Health
- COVID-19 epidemiological studies
- Venomous Animal Envenomation and Studies
- Primary Care and Health Outcomes
- Vaccine Coverage and Hesitancy
- Food Security and Health in Diverse Populations
- HIV/AIDS Impact and Responses
- Rabies epidemiology and control
- SARS-CoV-2 and COVID-19 Research
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Trauma and Emergency Care Studies
- Viral Infections and Vectors
- Infant Development and Preterm Care
- Palliative Care and End-of-Life Issues
- Healthcare Systems and Reforms
- Artificial Intelligence in Healthcare
- Grief, Bereavement, and Mental Health
- Child Nutrition and Water Access
- Digital Imaging for Blood Diseases
- Global Health and Epidemiology
- Global Public Health Policies and Epidemiology
- GNSS positioning and interference
- Mobile Health and mHealth Applications
- Astronomical Observations and Instrumentation
- Global Health Workforce Issues
Bernhard Nocht Institute for Tropical Medicine
2022-2025
Partners In Health
2018-2024
Objective To examine changes in vaccination of children younger than 1 year during the coronavirus disease 2019 (COVID-19) pandemic (March 2020-August 2021) Haiti, Lesotho, Liberia and Malawi.Methods We used data from health management information systems on aged 12 months or districts supported by Partners In Health.We January 2016 to February 2020 a linear model with negative binomial distribution estimate expected immunization counts for March 2021 95% prediction intervals, assuming no...
Advanced HIV disease (AHD) is increasingly becoming a threat to the survival of people living with HIV. Many countries, including Malawi, have adopted and adapted World Health Organization AHD management guidelines manage country's cohort better. However, literature regarding adherence these treatment outcomes remains limited. Therefore, we describe patient at two rural hospitals in Southern Malawi. We conducted retrospective study Neno District Lisungwi Community Hospitals District,...
Abstract Background Community Health Workers (CHWs) have a positive impact on the provision of community-based primary health care through screening, treatment, referral, psychosocial support, and accompaniment. With broad scope work, CHW programs must balance breadth depth tasks to maintain motivation for high-quality delivery. Few studies described perspective intrinsic extrinsic enhance their programmatic activities. Methods We utilized an exploratory qualitative study design with CHWs...
The COVID-19 pandemic has disrupted health services worldwide, which may have led to increased mortality and secondary disease outbreaks. Disruptions vary by patient population, geographic area, service. While many reasons been put forward explain disruptions, few studies empirically investigated their causes. We quantify disruptions outpatient services, facility-based deliveries, family planning in seven low- middle-income countries during the relationships between intensity of national...
Community health worker (CHW) programmes are a valuable component of primary care in resource-poor settings. The evidence supporting their effectiveness generally shows improvements disease-specific outcomes relative to the absence CHW programme. In this study, we evaluated expanding an existing HIV and tuberculosis (TB) programme into polyvalent, household-based model that subsequently included non-communicable diseases (NCDs), malnutrition TB screening, as well family planning antenatal...
Background Frontline providers mostly outside specific emergency areas deliver care around the world, yet often they do not receive dedicated training in managing conditions. When designed for low-resource settings, has been shown to improve provider skills, facilitate efficient use of available resources, and reduce death disability by ensuring timely access life-saving care. Methods The WHO/ICRC Basic Emergency Care (BEC) Course with follow up longitudinal mentorship 6 months was...
Introduction: Chronic obstructive pulmonary disease (COPD) continues to pose a global public health challenge. However, literature is scarce on the burden of COPD in Malawi. We assessed prevalence and risk factors for among adults Neno, Methodology: conducted population-based analytical cross-sectional study Neno District between December 2021 November 2022. Using multi-stage sampling technique, we included 525 aged≥ 40 years. All participants underwent spirometry according American Thoracic...
Background Community health workers (CHWs) play a vital role in facilitating social connectedness, building trust, decrease stigma, and link communities to essential healthcare support services. More studies are needed understand the factors these interactions among CHWs, clients, community members.Objective This study examined CHW relationships between communities, facilities that promote positive relationships, connectedness.Methods In 2016, program Neno District, Malawi, was transitioned...
Current low COVID-19 vaccination rates in low- and middle-income countries reflect an inequitable global vaccine distribution; however, local attitudes towards the are important factor to meet benchmarks. We describe toward uptake of perceptions among patients with NCDs their caregivers using cross-sectional data collected through telephone interviews Neno, Malawi. Out 126 survey respondents, 71% were patients, 29% caregivers. Twenty-two percent respondents had received at least one dose...
Loss-to-follow-up (LTFU) in the era of test-and-treat remains a universal challenge, especially rural areas. To mitigate LTFU, HIV program Neno District, Malawi, utilizes preventive default tracking strategy named Tracking for Retention and Client Enrollment (TRACE). We utilized mixed-methods descriptive study TRACE on patient’s re-engagement retention care (RiC). In quantitative arm, we secondary data HIV-infected patients from January 2018 to June 2019 analyzed patients’ outcomes at 6-,...
Snakebite envenoming remains a public health threat in many African countries, including Malawi. However, there is shortage of literature on the knowledge Health Care Workers (HCWs) and prevalence snakebite cases We interviewed HCWs Neno District to assess their snake identification management snakebites. further reviewed patient registers from 2018 2021 all 15 facilities district. used descriptive statistics characterize survey population, knowledge, antivenom (SAV) administration,...
Cardiovascular disease (CVD) is a major cause of death in Malawi. In rural districts, heart failure (HF) care limited and provided by non-physicians. The causes patient outcomes HF Africa are largely unknown. our study, non-physician providers performed focused cardiac ultrasound (FOCUS) for diagnosis longitudinal clinical follow-up Neno,
Snakebite envenoming remains a public health threat in many tropical countries including Malawi. Traditional healers (THs) have been consulted by victims of snakebites as primary caregivers for millennia. There are no studies Malawi to understand this phenomenon, therefore, our study aimed explore the experiences and practices THs regarding snakebite treatment prevention rural Between August September 2022, we conducted semi-structured interviews with 16 who were purposefully selected from...
Background: Community health workers (CHWs) bridge the primary care (PHC) system and communities by providing in household. In Malawi, few studies have examined perspective of users household-level CHW services, remote areas, to understand CHW's role community-based PHC. Aim: To explore perspectives community facility stakeholders on enablers challenges PHC Neno District. Setting: The study was conducted District facilities, namely, Ligowe, Dambe, Chifunga, Zalewa. Methods: We eight focus...
Abstract Background Palliative care remains key in assisting patients who have life-threatening conditions. In most low- and middle-income countries, it is often offered through a centralized system with limitations, including Malawi. 2014, the World Health Organization called for improving palliative access primary health community models. Malawi Neno District subsequently decentralized delivery to local centers. This qualitative study explored decentralization of services District, Methods...
Abstract Introduction Community health workers (CHWs) are vital resources in delivering community-based primary care, especially low-and-middle-income countries (LMIC). However, few studies have investigated detailed time and task assessments of CHW's work. We conducted a time-motion study to evaluate CHWs' on conditions specific tasks Neno District, Malawi. Methods descriptive quantitative utilizing observation tracker capture spent by CHWs focused performed during household visits....
Community Health Workers (CHWs) provide basic health screening and advice to members of their own communities. Although CHWs are trained, no CHW programmes have used a formal method identify the level achievement on post-training assessments that distinguishes "safe" from "unsafe". Objectives: The aim this study was use Ebel standard setting for written knowledge assessment in Neno, Malawi.12 participants agreed definitions "just-deployment ready" an "ideal" CHW. Participants rated...
Community health workers (CHWs) are individuals who trained and equipped to provide essential services their neighbors have increased access healthcare in communities worldwide for more than a century. However, the World Health Organization (WHO) Guideline on Policy System Support Optimize Worker Programmes reveals important gaps evidentiary certainty about which system design practices lead quality care. Routine data collection across countries represents an important, yet often untapped,...
Quality data is crucial in making informed decisions regarding health services; However, the literature suggests that many LMICs including Malawi, it remains of poor quality. Data quality measured terms completeness, timeliness and consistency among other parameters. We describe Ministry Health's District Health Information System (DHIS2) report completeness at three levels: National, South West Zone (SWZ) Neno district. Further, following assessments (DQA) district, Malawi. conducted a...
Abstract Objective Snakebite envenoming remains a public health threat in many tropical countries. While community knowledge of local snakes and snakebite first‐aid prevention are needed to reduce incidence improve the outcomes for patients, it is poor communities. We assessed workers members regarding their on snakes, Neno district, Malawi. Methods In November 2022, we conducted cross‐sectional survey among 312 379 District Malawi assess snake identification, first‐aid, prevention....
The WHO introduced the Surgical Safety Checklist (SSC) in 2008, which has been proven to enhance collaboration and patient safety before, during after surgical procedures. However, impact of using SSC not assessed a rural setting Malawi. We aimed evaluate uptake Neno District, Malawi.We conducted cross-sectional hospital-based retrospective chart review 468 cases from July 2021 March 2022 two hospitals District. collected data Excel used R software for analysis. descriptive statistics...
Background: The COVID-19 pandemic has devastatingly affected the entire world and destroyed equilibrium of every sphere life. Like other groups people, medical students Nepal have been facing conditions lockdown social isolation that arisen because pandemic.Objective: We aimed to see relationship perceived resilience with self-rated mental health among undergraduate in Nepal.Materials methods: A web-based online survey was carried out July 2020 using a semi-structured questionnaire Google...