A5016253823- Global Health and Surgery
- Hearing Loss and Rehabilitation
- Trauma and Emergency Care Studies
- Global Health Workforce Issues
- Emergency and Acute Care Studies
- Injury Epidemiology and Prevention
- Noise Effects and Management
- Ear Surgery and Otitis Media
- Sinusitis and nasal conditions
- Hearing, Cochlea, Tinnitus, Genetics
- Diversity and Career in Medicine
- Cardiac, Anesthesia and Surgical Outcomes
- Hearing Impairment and Communication
- Head and Neck Anomalies
- Global Maternal and Child Health
- Tracheal and airway disorders
- Healthcare Systems and Technology
- Head and Neck Surgical Oncology
- Assistive Technology in Communication and Mobility
- Allergic Rhinitis and Sensitization
- Travel-related health issues
- Infectious Diseases and Mycology
- Surgical Simulation and Training
- Child and Adolescent Health
- Interpreting and Communication in Healthcare
Kamuzu University of Health Sciences
2021-2025
Kamuzu Central Hospital
2021-2025
University of Health Science
2025
Blantyre Institute for Community Ophthalmology
2015-2024
Queen Elizabeth Central Hospital
1970-2024
East, Central and Southern Africa Health Community
2024
University of Malawi
2012-2022
World Bank Group
2020
Impact Technology Development (United States)
2020
University of Bergen
2017
A 2009 survey of ENT, audiology, and speech therapy services training opportunities in 18 Sub-Saharan African countries reported that the availability was extremely poor, distribution very inequitable, were limited. Objective: We conducted a new to determine current status ear, nose, throat (ENT), sub-Saharan Africa.This study is cross-sectional study. questionnaire distributed by email an ad hoc group ENT surgeons audiologists 30 countries. Data from compared those survey. The numbers...
A core component of delivering care head and neck diseases is an adequate workforce. The World Health Organization report, Multi-Country Assessment National Capacity to Provide Hearing Care, captured primary workforce estimates from 68 member states in 2012, noting that response rates were a limitation updated more comprehensive data are needed.
Abstract Introduction Road traffic collisions are a common cause of injuries and injury-related deaths in sub-Saharan Africa (SSA). Basic prehospital care can be the difference between life death for injured drivers, passengers, pedestrians. Problem This study examined challenges associated with current first response practices Malawi. Methods In April 2014, focus groups were conducted two areas Malawi: Karonga (in Northern Region) Blantyre Southern Region; both along M1 highway),...
Chronic suppurative otitis media (CSOM) is still a significant health problem in developing countries. Therefore, it was pertinent to determine the local Malawian microbiology order guide adequate treatment, avoid complications, and provide records for future reference.The study sought CSOM-causing microorganisms at Queen Elizabeth Central Hospital Blantyre, Malawi, establish their relationship signs symptoms, with demographic pattern of study.This hospital-based cross-sectional descriptive...
Objective To estimate the prevalence of World Health Organization-defined chronic suppurative otitis media (CSOM) and mild hearing impairment in a population representative sample school-entry age children rural Malawi. A secondary objective was to explore factors associated with CSOM this population. Methods We performed community-based cross-sectional study aged 4–6 years Chikhwawa District, Southern Malawi, utilising village-level cluster design. Participants underwent structured clinical...
Early detection and appropriate intervention for children with hearing impairment is important maximizing functioning quality of life. The lack ear services in low income countries a significant challenge, however, evidence suggests that even where such are available, referred to them, uptake low. aim this study was assess barriers referrals Thyolo District, Malawi.This mixed methods study. A survey conducted 170 caregivers who were during community-based screening camps whether they had...
Cochlear implantation and deaf education are cost effective in Sub-Saharan Africa.Cost effectiveness of pediatric cochlear has been well established developed countries but is unknown low resource settings, where access to the technology traditionally limited. With incidence severe-to-profound congenital sensorineural hearing loss 5 6 times higher low/middle-income than United States Europe, developing cost-effective management strategies these settings critical.Costs were obtained from...
Epidemiological data on childhood disability are lacking in Low and Middle Income countries (LMICs) such as Malawi, hampering effective service planning advocacy. The Key Informant Method (KIM) is an innovative, cost-effective method for generating population the prevalence causes of impairment children. aim this study was to use estimate moderate/severe, hearing, vision physical impairments, intellectual impairments epilepsy children two districts Malawi associated need rehabilitation other...
Abstract Objective To determine whether a non‐specialist health worker can accurately undertake audiometry and otoscopy, the essential clinical examinations in survey of hearing loss, instead highly skilled specialist (i.e. ENT or audiologist). Methods A clinic‐based diagnostic accuracy study was conducted Malawi. Consecutively sampled participants ≥ 18 years had their tested using validated tablet‐based audiometer (hearTest) by an audiologist (gold standard), audiology officer, nurse...
Objective To assess the feasibility and acceptability of training community health workers (CHWs) in ear hearing care, their ability to identify patients with disorders. Design Cluster randomised controlled trial (RCT). Setting Health centres Thyolo district, Malawi. Participants Ten participated, 5 intervention (29 CHWs) control (28 CHWs). Intervention CHWs received 3 days primary while among CHWs, was delayed for 6 months. Both groups were given a pretest that assessed knowledge about only...
Injuries are a global public health concern because most preventable yet they continue to be major cause of death and disability, especially among children, adolescents, young adults. This enormous loss human potential has numerous negative social economic consequences. Malawi no formal system prehospital trauma care, there is limited access hospital-based orthopaedic surgery, rehabilitation. While some hospitals research teams have established local registries quantified the burden injuries...
Less attention is directed toward gaining a better understanding of the burden and prevention injuries, in low middle income countries (LMICs). We report establishment trauma registry at Adult Emergency Trauma Centre (AETC) Queen Elizabeth Central Hospital (QECH) Blantyre, Malawi identify high risk geographic areas.We devised paper based two-page form. Ten data clerks all AETC clinicians were trained to complete demographic clinical details respectively. Descriptive data, regression hotspot...
Abstract Streptococcus pneumoniae infections can be prevented by using new conjugate vaccines, but these vaccines have limited serogroup coverage. We report the first serogrouping data from carried and invasive isolates obtained children adults in Malawi. The 7-valent vaccine would cover 41% of 25% adults. A 9-valent vaccine, including types 1 5, 66% 55%
Large-scale multisite trauma registries with broad geographic coverage in low-income countries are rare. This lack of systematic data impedes effective policy responses.All patients presenting at 10 hospitals Malawi from September 2018 to March 2020 were enrolled a prospective registry. Using 49,241 cases, we analyze prevalence, causes, and distribution adult patients, timeliness transport health facilities treatment.Falls the most common mechanism injury overall, but road traffic crashes...
The mortality rate from road traffic injuries has increased in sub-Saharan Africa as the number of motor vehicles increase. This study examined capacity hospitals along Malawi's main north-south highway to provide emergency trauma care.Structured interviews and checklists were used evaluate infrastructure, personnel, supplies, equipment at all four central hospitals, ten district one mission hospital 2014. Most these facilities are that spans country.Between July 2013 March 2014, more than 9...
Background Sub-Saharan Africa countries like Malawi have a paucity of ear, nose and throat (ENT) data, services training opportunities. Objective To reflect on new Malawian ENT experience to propose guidelines poorly resourced countries. Design Analysis data predating following establishment in Malawi. Results In 2008 the first only specialist established with external funding. Fifteen clinical officers been trained nurse placed at each outreach hospital. 2012, 15,284 consultations were...
Operative note writing is one of the fundamental parts in surgical practice. Accurate documentation critical, to be value when used for postoperative care, research, academic purposes and medical legal clarity. Although guidelines guiding surgeons on how write operative notes exist, deficiencies are noted worldwide.To assess quality hand-written unit at Queen Elizabeth Central Hospital (QECH) using RCSEng as a standard.To identify key areas weaknesses, sole observer this study assessed...