Samuel Meja

ORCID: 0000-0001-9252-1986
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About
Contact & Profiles
Research Areas
  • Global Maternal and Child Health
  • Maternal and Perinatal Health Interventions
  • Global Cancer Incidence and Screening
  • Cervical Cancer and HPV Research
  • Healthcare Policy and Management
  • Nursing Roles and Practices
  • Surgical site infection prevention
  • Health Policy Implementation Science
  • COVID-19 Impact on Reproduction
  • Vaccine Coverage and Hesitancy
  • Hepatitis B Virus Studies
  • Child Nutrition and Water Access
  • Maternal and fetal healthcare
  • Healthcare Systems and Reforms
  • Primary Care and Health Outcomes
  • Pregnancy and preeclampsia studies
  • Economic and Financial Impacts of Cancer

Kamuzu University of Health Sciences
2022-2024

Kamuzu Central Hospital
2022-2024

University of Health Science
2024

University of Malawi
2017-2023

Queen Elizabeth Central Hospital
2020-2021

The World Health Organization's (WHO) Labour Care Guide (LCG) is a "next-generation" partograph based on WHO's latest intrapartum care recommendations. It aims to optimize clinical provided women and their experience of care. We evaluated the LCG's usability, feasibility, acceptability among maternity practitioners in settings.Mixed-methods evaluation with doctors, midwives, nurses 12 health facilities across Argentina, India, Kenya, Malawi, Nigeria, Tanzania. Purposively sampled trained...

10.1111/birt.12511 article EN cc-by Birth 2020-11-22

Abstract Background Insufficient reductions in maternal and neonatal deaths stillbirths the past decade are a deterrence to achieving Sustainable Development Goal 3. The majority of occur during intrapartum immediate postnatal period. Overcoming knowledge-do-gap ensure implementation known evidence-based interventions this period has potential avert at least 2.5 million mothers their offspring annually. This paper describes study protocol for implementing evaluating multi-faceted health care...

10.1186/s12913-021-07155-z article EN cc-by BMC Health Services Research 2021-12-01

Background: Malawi has the highest age standardised rate of cervical cancer in world. This study describes presentation, management and short-term outcomes patients with newly diagnosed at Queen Elizabeth Central Hospital (QECH), Southern Malawi.Methods: All a new diagnosis presenting to QECH between 1st January-1st July 2015 had demographic data, referral pathway, stage, histology prospectively recorded two months after initial presentation.Results: 310 women presented 300 were included...

10.4314/mmj.v29i2.9 article EN cc-by-nc-nd Malawi Medical Journal 2017-08-23

Maintaining provision and utilization of maternal healthcare services is susceptible to external influences. This study describes how maternity care was provided during the COVID-19 pandemic assesses patterns service perinatal health outcomes in 16 referral hospitals (four each) Benin, Malawi, Tanzania Uganda.We used an embedded case-study design two data sources. Responses open-ended questions a health-facility assessment survey were analyzed with content analysis. We described categories...

10.3389/fgwh.2023.1192473 article EN cc-by Frontiers in Global Women s Health 2023-10-31

Health facility assessments (HFAs) assessing facilities' readiness to provide services are well-established. However, HFA questionnaires typically quantitative and lack depth understand systems in which health facilities operate-crucial designing context-oriented interventions. We report lessons from a multiple embedded case study exploring the experiences of data collectors implementing novel tool developed using thinking approach. assessed 16 hospitals four countries (Benin, Malawi,...

10.1093/heapol/czac078 article EN cc-by Health Policy and Planning 2022-09-10

<title>Abstract</title> <bold>Background:</bold> Surgical site infections (SSIs) are the third most common healthcare-associated (HAIs) and preventable complication of surgical procedure; continue to threaten public health with significant effects on patients care human financial resources. Therefore, this study aimed determine incidence SSIs, risk factors microorganisms associated SSI assess practice antimicrobial use in women following CS at Queen Elizabeth Central Hospital (QECH)....

10.21203/rs.3.rs-4273214/v1 preprint EN cc-by Research Square (Research Square) 2024-04-29

Malawi has one of the highest incidence and mortality rates cervical cancer in world. Despite a national strategic plan roll-out VIA screen-and-treat services, screening coverage remains far below target.Using nationally representative sample women enumerated Population-based Impact Assessment (MPHIA) survey we estimated prevalence spatial distribution self-reported as proxy for uptake Malawi.

10.1371/journal.pone.0309053 article EN cc-by PLoS ONE 2024-10-10

Surgical site infections (SSIs) are one of the most common healthcare-associated and preventable complication surgical procedure; continue to threaten public health with significant effects on patients care human financial resources. Therefore, this study aimed determine incidence SSIs, risk factors microorganisms associated SSI assess practice antimicrobial use in women following Caesarean Section (CS) at Queen Elizabeth Central Hospital (QECH). This was a hospital-based quantitative...

10.1186/s13756-024-01483-5 article EN cc-by-nc-nd Antimicrobial Resistance and Infection Control 2024-10-29

Introduction Despite a strong evidence base for developing interventions to reduce child mortality and morbidity related pregnancy delivery, major knowledge–implementation gaps remain. The Action Leveraging Evidence Reduce perinatal morTality (ALERT) in sub-Saharan Africa project aims overcome these through strengthening the capacity of multidisciplinary teams that provide maternity care. intervention includes competency-based midwife training, community engagement study design, mentoring...

10.1136/bmjopen-2021-057414 article EN cc-by BMJ Open 2022-04-01

We developed and pilot tested a sphygmomanometer designed to monitor pregnant women in low-resource settings. Blood pressure was assessed 138 subjects, including healthy adults (n=85), (n=42), at-risk for pre-eclampsia (n=11) using the novel sphygmomanometer, manual auscultation, GE Dinamap Procare 400. Accuracy of device evaluated by comparing measurements test volunteers Texas at risk Malawi. Measurements from volunteer populations differed those collected auscultatory method 0.2 mmHg (95%...

10.15641/ghi.v3i1.836 article EN Global Health Innovation 2020-05-28

Driven by the high prevalence of human papillomavirus and HIV (10.8%),[1][1] early sexual debut, parity, Malawi ranks as country with second highest cervical cancer incidence (age-standardized rate 72.9/100 000) mortality 54.5/100 worldwide.[2][

10.1136/ijgc-2021-002743 article EN cc-by-nc-nd International Journal of Gynecological Cancer 2021-06-02
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