A5041809147- Global Maternal and Child Health
- Healthcare Systems and Reforms
- Healthcare Policy and Management
- Health Systems, Economic Evaluations, Quality of Life
- Global Health Care Issues
- HIV/AIDS Impact and Responses
- Pharmaceutical Economics and Policy
- Poverty, Education, and Child Welfare
- Global Public Health Policies and Epidemiology
- Traffic and Road Safety
- Injury Epidemiology and Prevention
- Trauma and Emergency Care Studies
- HIV/AIDS Research and Interventions
- Primary Care and Health Outcomes
- Gender, Labor, and Family Dynamics
- Adolescent Sexual and Reproductive Health
- COVID-19 Clinical Research Studies
- Insurance and Financial Risk Management
- Global Health and Surgery
- Patient Dignity and Privacy
- Child Nutrition and Water Access
- Healthcare Systems and Public Health
- HIV/AIDS drug development and treatment
- Innovation Policy and R&D
- Palliative Care and End-of-Life Issues
Ministry of Health
2010-2024
Malawi Government
2020-2023
University of Aberdeen
2019
Introduction The COVID-19 pandemic and the restriction policies implemented by Government of Malawi may have disrupted routine health service utilisation. We aimed to find evidence for such disruptions quantify any changes type level care. Methods extracted nationwide usage data 2015–2021 from electronic information management systems in Malawi. Two datasets were prepared: unadjusted adjusted; latter, unreported monthly entries a facility filled through systematic rules based on reported...
Malawi, like many low-income and middle-income countries, has used health benefits packages (HBPs) to allocate scarce resources key healthcare interventions. With no widely accepted method for their development, HBPs often promise more than can be delivered, given available resources. An analytical framework is developed guide the design of that identify potential value including implementing different It provides a basis informing meaningful discussions between governments, donors other...
The Government of Malawi has signed contracts called service level agreements (SLAs) with mission health facilities in order to exempt their catchment populations from paying user fees. turn reimburses the for services that they provide. SLAs started 2006 28 out 165 and increased 74 2015. Most cover only maternal, neonatal some cases child due limited resources. This study evaluated effect fee exemption on utilization maternal services. difference-in-differences approach was combined...
Abstract Background Traumatic injuries are rising globally, disproportionately affecting low- and middle-income countries, constituting 88% of the burden surgically treatable conditions. While contributing to highest burden, LMICs also have least availability resources address this growing effectively. Studies on cost-of-service provision in these settings concentrated most common traumatic injuries, leaving an evidence gap other injuries. This study aimed understanding cost orthopaedic...
Abstract Development assistance is a major source of financing for health in least developed countries. However, persistent aid fragmentation has led to inefficiencies and inequities constrained progress towards Universal Health Coverage (UHC). Malawi case study this global challenge, with 55% total expenditure funded by donors across 166 sources 265 implementing partners. This often leads poor coordination misalignment between government priorities donor projects. To address these...
Objectives: Modelling approaches that consider system-wide delivery platforms rather than single diseases are increasingly recognized as crucial for the economic evaluation of policy and investment choices can be instrumental in forward-looking formulation. This paper develops a costing approach tailored to one such model, Thanzi La Onse (TLO) model Malawi's healthcare system, estimate costs under varying health system assumptions. Methods: We developed mixed-method total cost Malawi using...
Inclusive universal health coverage requires access to quality care without financial barriers. Receipt of palliative after advanced cancer diagnosis might reduce household poverty, but evidence from low-income and middle-income settings is sparse.
Environmental surveillance of rivers and wastewater for SARS-CoV-2 detection has been explored as an innovative way to surveil the pandemic. This study estimated economic costs conducting wastewater-based environmental inform decision making if countries consider continuing these efforts. We cost two pilot studies conducted in Blantyre, Malawi, Kathmandu, Nepal. The estimation accounted consumables, equipment, human resource time used from sample selection until pathogen overhead projects....
<title>Abstract</title> <bold>Background: </bold>To make the best use of health resources, it is crucial to understand healthcare needs a population – including how will evolve and respond changing epidemiological context patient behaviour this compares capabilities deliver with existing workforce. Existing approaches planning either rely on using observed demand from fixed historical period or models estimate within narrow domain (e.g., specific diease area programme). A new data-grounded...
The district resource allocation formula in Malawi was recently reviewed to include stunting as a proxy measure of socioeconomic status. In many countries where the concept need has been incorporated allocation, composite indicators status have used. case, it is important ascertain whether there are differences between using single variable or allocations made districts, holding all other factors constant.Principal components analysis used calculate asset indices for districts from variables...
The inclusion of Universal Health Coverage (UHC) in the Sustainable Development Goals (target 3.8) cemented its position as a key global health priority and highlighted need to measure it, track progress over time. In this study, we aimed develop summary UHC for Malawi which will act baseline tracking index between 2020 2030. We developed by computing geometric mean indicators two dimensions UHC; service coverage (SC) financial risk protection (FRP). included both SC FRP were based on...
Abstract Background Road traffic injuries are a significant cause of death and disability globally. However, in some countries the exact health burden caused by road is unknown. In Malawi, there no central reporting mechanism for so extent hard to determine. A limited number models predict incidence mortality due injury Malawi. These estimates vary greatly, owing differences assumptions, on population remains unclear. Methods We use an individual-based model combine epidemiological with...
Abstract Background Decisions need to be made in all healthcare systems about the allocation of available resources with aim improving population health. Evidence is needed for these decisions, which can have enormous consequences health, especially lower-income settings. Methods We address this using an individual-based simulation model and service delivery that we developed Malawi, drawing on demographic, epidemiological routine system data (on facilities, staff, consumables). compare...
An efficient allocation of limited resources in low-income settings offers the opportunity to improve population-health outcomes given available health system capacity. Efforts achieve this are often framed through lens “health benefits packages” (HBPs), which seek establish services public healthcare should include its provision. Analytic approaches widely used weigh evidence support different interventions and inform broader HBP deliberative process however have limitations. In work, we...
In all health-care systems, decisions need to be made regarding allocation of available resources. Evidence is needed for these decisions, especially in low-income countries. We aimed estimate how resources provided by the public sector were used Malawi during 2015-19 and effects strengthening services.
Abstract The literature on health care utilisation has focussed the interaction of supply and demand factors in determining utilisation. At aggregate level, studies have modelled simultaneity supply, different methods been used. This study proposes an alternative framework for modelling utilisation, which yet separates factors, disequilibrium theory supply. is useful data that reflect not all met by providers taken consumers. Such arises due to rigid prices quantity rationing. We use model...
To examine the impact and cost-effectiveness of user fee exemption by contracting out essential health package services to Christian Health Association Malawi (CHAM) facilities through service-level agreements (SLAs) inform policy-making in Malawi.The analysis was conducted from government perspective. Financial service utilisation data were collected for January 2015 December 2016. The SLAs on maternal child (MCH) examined using propensity score matching random-effects models. Subsequently,...
Background: Consumable stock-outs negatively affect health outcomes not only by impeding or delaying the effective delivery of services but also discouraging patients from seeking care. Consequently, supply chain strengthening is being adopted as a key component national strategies. However, evidence on factors associated with limited.Methods: In this study, we use facility census data Malawi to identify consumables stock-outs. We estimate multilevel logistic regression model binary outcome...
Background Universal health coverage (UHC) requires that local sector institutions—such as authorities—are properly funded to fulfil their service delivery commitments. In this study, we examine how formula funding can align sub-national resource allocations with national priorities. This is illustrated by outlining alternative options for using mathematical guide the allocation of drug and budgets district councils in Malawi 2018/2019. Methods We use demographic, epidemiological budget data...
Universal Health Coverage (UHC) has become a key goal of health policy in many developing countries. However, implementing UHC poses tough choices about: what treatments to provide (the depth coverage); proportion the population breadth at price patients height coverage). This paper uses theoretical mathematical programming model derive analytically optimal balance between range services provided and covered under UHC, using general principles cost-effectiveness analysis. In contrast most...
The SARS-CoV-2 pandemic has laid bare the challenges for health systems across all countries to deal with major shocks while simultaneously prioritising and maintaining critical services, including...