A5046191258- HIV/AIDS Research and Interventions
- Blood donation and transfusion practices
- HIV, Drug Use, Sexual Risk
- Adolescent Sexual and Reproductive Health
- Global Maternal and Child Health
- HIV/AIDS Impact and Responses
- HIV-related health complications and treatments
- Global Public Health Policies and Epidemiology
- Emergency and Acute Care Studies
- Iron Metabolism and Disorders
- COVID-19 and healthcare impacts
- Viral-associated cancers and disorders
- Medication Adherence and Compliance
- Tuberculosis Research and Epidemiology
- Livestock and Poultry Management
- Lymphoma Diagnosis and Treatment
- Malaria Research and Control
- HIV/AIDS drug development and treatment
- Hepatitis B Virus Studies
- COVID-19 epidemiological studies
- Interpreting and Communication in Healthcare
- Hemoglobinopathies and Related Disorders
- Family and Patient Care in Intensive Care Units
- Syphilis Diagnosis and Treatment
- Diabetes, Cardiovascular Risks, and Lipoproteins
Kamuzu Central Hospital
2025
Malawi Blood Transfusion Service
2025
Lilongwe University of Agriculture and Natural Resources
2022-2024
University of Malawi
2012-2022
Dignitas International
2012-2021
Northern (Arctic) Federal University
2021
Lancaster University
2017
The words 'defaulter', 'suspect' and 'control' have been part of the language tuberculosis (TB) services for many decades, they continue to be used in international guidelines published literature. From a patient perspective, it is our opinion that these terms are at best inappropriate, coercive disempowering, worst could perceived as judgmental criminalising, tending place blame disease or responsibility adverse treatment outcomes on one side-that patients. In this article, which brings...
Since June 2016, the national HIV programme in Malawi has adopted Universal Test and Treat (UTT) guidelines requiring that all persons who test positive will be referred to start antiretroviral therapy (ART). Although there is strong evidence from clinical trials early initiation of ART leads reduced morbidity mortality, impact UTT on retention real-life programmatic settings Africa not yet known.We conducted a retrospective cohort study Zomba district, compare outcomes patients initiated...
Background This study evaluated two models of routine HIV testing hospitalized children in a high HIV-prevalence resource-constrained African setting. Both incorporated "task shifting," or the allocation tasks to least-costly, capable health worker. Methods and Findings Two were piloted for three months each within pediatric department referral hospital Lilongwe, Malawi between January 1 June 30, 2008. Model utilized lay counselors instead nurses clinicians. 2 further shifted program flow...
Abstract Background Voluntary non‐remunerated blood donors (VNRBDs) are essential to sustain national supplies. Expanding testing capacity for the major transfusion‐transmitted infections (TTI) is crucial ensure safe products. Understanding trends in TTIs can inform prioritisation of resources. Methods We conducted a retrospective cohort data analysis routine donation collected from VNRBDs by Malawi Blood Transfusion Service January 2015 October 2021. Variables included age, occupation; and...
Abstract Paper‐based village registers were introduced 5 years ago in M alawi as a tool to measure vital statistics of births and deaths at the population level. However, usage, completeness accuracy their content have never been formally evaluated. In T raditional A uthority wambo, Z omba district, alawi, we assessed 280 325 with respect (i) characteristics headmen who used registers, (ii) use (iii) whether provided accurate information on deaths. All headpersons registers. There 185 (66%)...
The prevalence of Human Immunodeficiency Virus (HIV) among prisoners remains high in many countries, especially Africa, despite a global decrease HIV incidence. Programs to reach incarcerated populations with services have been implemented Malawi, but the success these initiatives is uncertain. We explored which challenges face receiving essential and whether risk behavior prevalent prisons.We conducted mixed-methods (qualitative quantitative), cross-sectional study 2018 six prisons Southern...
Abstract Background The supply of blood in many low‐ and middle‐income nations Sub‐Saharan Africa (SSA) does not meet the patient care needs. Lack delay transfusion cause harm to patients slow rate progress other parts health system. Recognizing power implementation science, BLOODSAFE Program was initiated which supports three SSA research study teams one data coordinating center (DCC) with goal improve access safe SSA. Study Design Methods team Ghana is focusing on studying decreasing iron...
Abstract Background People living with HIV are at an increased risk of diabetes mellitus due to infection and exposure antiretroviral therapy (ART). Despite this, integrated screening has not been implemented commonly in African clinics. Our objective was explore the feasibility integrating into existing routine viral load (VL) monitoring determine a group patients that benefit from targeted for diabetes. Methods A mixed methods study conducted January July 2018 among on ART aged≥18 y...
During the early stages of COVID-19 pandemic, concerns were raised about reduced attendance at hospitals, particularly in paediatric emergency departments, which could result preventable poorer outcomes and late presentations among children requiring care. We aimed to investigate impact on health-seeking behaviour decision-making processes caregivers presenting services a National Health Service (NHS) Trust London.We conducted mixed-methods study (survey semi-structured interviews) across...
The HIV epidemic is a major public health concern throughout Africa. Malawi one of the worst affected countries in sub-Saharan Africa with 2014 national prevalence currently estimated at 10% (9.3-10.8%) by UNAIDS. Study reports, largely African setting comparing outcomes patients and without Kaposi's sarcoma (KS) indicate poor prognosis amongst HIV+KS patients. Understanding mortality risk this patient group could help improve management care.Using data for 559 adult who started ART between...
Abstract Background Early diagnosis and prompt treatment of malaria in young children are crucial for preventing the serious stages disease. If delayed treatment-seeking habits observed certain areas, targeted campaigns interventions can be implemented to improve situation. Methods This study applied multivariate binary logistic regression model diagnostics geospatial identify traditional authorities Malawi where caregivers have unusual health-seeking behaviour childhood malaria. The data...
In 2017, Blantyre district had the highest adult HIV prevalence in Malawi (17.7%) and lowest viral suppression (60%). response, Ministry of Health expanded prevention treatment services. We assessed whether outreach to social venues could identify individuals with increased acquisition risk or unsuppressed not currently reached by clinic-based
The World Health Organization recommends that all blood donations be screened for transfusion transmissible infections; these data are currently not incorporated into national disease surveillance efforts. We set out to use routinely collected from donors in Blantyre district, Malawi explore HIV and syphilis prevalence identify sero-conversions among repeat donors. conducted a retrospective cohort analysis of donation by the Blood Transfusion Service 2015 2021. All were syphilis....
Abstract Background and Objective Despite the Malawi Blood Transfusion Service (MBTS) increasing amount of blood collected since its inception in 2004, remains with a 27% deficit required supplies nationally. We sought to understand facilitators barriers donation among secondary school students Malawi. Methods utilised qualitative exploratory design, sample 135 participants purposefully selected from 16 schools across Data collection methods included in‐depth interviews 20 (inclusive...
Rapid scale-up of antiretroviral therapy (ART) has challenged the health system in Malawi to monitor large numbers patients effectively.To compare two methods determining retention on treatment: quarterly ART clinic data aggregation vs. pharmacy stock cards.Between October 2010 and March 2011, outcomes were extracted from monitoring tools at five facilities. Pharmacy consumption extracted. Workload for each method was observed timed. We used intraclass correlation Bland-Altman plots...
Involvement of male partners has been shown to be key for the prevention mother-to-child HIV transmission (PMTCT). Despite recorded success, uptake and implementation strategies involve men in PMTCT continues low Malawi. In this study, we used Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) science framework explore involvement (MI) Lilongwe, We a cross-sectional mixed-methods complementary-concurrent design from September October 2020 two health facilities. Qualitatively,...
Abstract Background Although WHO recommends that all blood donations be screened for transfusion transmissible infections, these data are currently not incorporated into national surveillance. We set out to use routinely collected from donors in Blantyre district, Malawi explore HIV and syphilis prevalence identify seroconversions among repeat donors. Methods conducted a retrospective cohort analysis of donation by the Blood Transfusion Service (MBTS) October, 2015 May, 2021. All were...