A5041007182- Global Maternal and Child Health
- HIV/AIDS Research and Interventions
- Adolescent Sexual and Reproductive Health
- Infant Development and Preterm Care
- Breastfeeding Practices and Influences
- Child Nutrition and Water Access
- Neonatal Respiratory Health Research
- Vaccine Coverage and Hesitancy
- Mosquito-borne diseases and control
- Family and Patient Care in Intensive Care Units
- HIV, Drug Use, Sexual Risk
- Malaria Research and Control
- Child and Adolescent Health
- Poverty, Education, and Child Welfare
- HIV/AIDS Impact and Responses
- COVID-19 and Mental Health
- Viral Infections and Outbreaks Research
- Health Systems, Economic Evaluations, Quality of Life
- COVID-19 epidemiological studies
- Healthcare Policy and Management
- Global Public Health Policies and Epidemiology
- Antibiotic Use and Resistance
- Patient Satisfaction in Healthcare
- Cervical Cancer and HPV Research
- Diabetes Management and Education
Kamuzu University of Health Sciences
2021-2025
Kamuzu Central Hospital
2021-2025
University of Health Science
2021-2025
University of Liverpool
2016-2025
Malawi-Liverpool-Wellcome Trust Clinical Research Programme
2016-2025
University of Malawi
2016-2023
Public Health Institute of Malawi
2022
Blantyre Institute for Community Ophthalmology
2020-2021
Brain infections pose substantial challenges in diagnosis and management carry high mortality morbidity, especially low-income middle-income countries. We aimed to improve the early of patients admitted hospital (adults aged 16 years older children >28 days) with suspected acute brain at 13 hospitals Brazil, India, Malawi. With stakeholders, policy makers, patient public representatives, we co-designed a multifaceted clinical laboratory intervention, informed by an evaluation routine...
Private health facilities are increasingly being recognized as the neglected partner in provision of HIV services. The non-adherence rate study sites ranged from 19 to 22%. This explored factors associated with antiretroviral therapy (ART) among adult patients accessing ART services at two privately owned urban Malawi.We conducted a descriptive qualitative approach employing in-depth interviews adults who either defaulted or were retained care Malawi March July 2017. We purposively selected...
High levels of adherence to antiretroviral therapy (ART) are essential promoting viral suppression and consequential good treatment outcomes. Adolescents living with HIV (ALHIV) in sub-Saharan Africa less adherent ART compared adults, leading lower rates immunological recovery. We conducted a mixed-method study utilizing convergent parallel approach explore factors associated among ALHIV the era isoniazid preventive (IPT) as part care. The quantitative data were collected from patient...
Abstract Background Global health research partnerships have been scrutinised for how they operate and criticised perpetuating inequities. Guidance to inform fair partnership practice has proliferated the movement decolonise global added momentum change. In light of this evolving context, we sought in study document contemporary experiences from perspective stakeholders four sub-Saharan African institutions. Methods We conducted qualitative interviews with 20 at institutions countries...
<ns3:p>Background A central pillar of the Global Action Plan on Antimicrobial Resistance (AMR) is to optimize use antimicrobials. Whilst excessive antimicrobials drives AMR, scarcity has a negative impact patients needing access treatment for infectious diseases. Addressing this issue necessitates concerted efforts enhance antimicrobial supply chain. However, achieving tangible improvements requires comprehensive understanding existing processes supply. Notably, there exists gap in...
<title>Abstract</title> <bold>Background:</bold> Female Adolescents Infected with HIV are at higher risk for Human Papillomavirus -related cancers, making them a priority HPV vaccination. Increasing vaccination rates in this group is key to reducing cervical cancer incidence.The Global Action strategy eliminate requires achieving 90% national coverage and 80% district However, the uptake of vaccine Malawi has been slow, an less than 73%. This study explored facilitators barriers among female...
<title>Abstract</title> <bold>Background</bold> Childbirth is a significant experience in woman's life, often accompanied by intense labor pain with notable effects on both maternal and neonatal outcomes. Despite the availability of various relief methods, underutilization has been noted to be one major challenges, especially low resource settings. However, perspectives management remain underexplored, particularly middle-income countries (LMIC) like Malawi. This study aimed explore...
Background Preterm birth complications are the leading cause of neonatal deaths. Malawi has high rates preterm birth, with 18.1 births per 100 live births. More than 50% neonates develop respiratory distress which if left untreated, can lead to failure and death. Term often be effectively managed Continuous Positive Airway Pressure (CPAP) this is considered an essential intervention for management by World Health Organization. Bubble CPAP may represent a safe cost-effective method delivering...
The COVID-19 pandemic in Malawi emerged amidst widespread anti-government demonstrations and subsequent mass gatherings. This paper describes the incidence factors associated with spread of Malawi.This was a retrospective study public data analysing geopolitical immigration activities that occurred between 02 April 08 September 2020. Chi-square test independence used to tabulate sex age-related fatality ratios among deaths due COVID-19-related complications.The drivers for were gatherings...
Background In sub-Saharan Africa, individuals infected with HIV who are severely immunocompromised have high mortality (about 10%) shortly after starting antiretroviral therapy (ART). This group also has the greatest risk of morbidity and associated immune reconstitution inflammatory syndrome (IRIS), a paradoxical response to successful ART. Integrase inhibitors lead significantly more rapid declines in viral load (VL) than all other ART classes. We hypothesised that intensifying standard...
Postnatal care (PNC) ensures early assessments for danger signs during the postpartum period and is to be provided within 24 h of birth, 48-72 h, 7-14 days, six weeks after birth. This study assessed uptake barriers facilitators receiving PNC among mothers babies.A concurrent mixed-method employing a retrospective register review qualitative descriptive was conducted in Thyolo from July December 2020. registers 2019 were reviewed estimate proportion newborns that received respectively. Focus...
Abstract Background HIV status disclosure is one of the pillars success elimination Mother to Child Transmission (eMTCT) program. However, there are challenges associated with it that limit full disclosure. Literature shows for pregnant women in developing countries, who have been diagnosed HIV, 16% 86% disclose their sexual partners. This study explored experiences newly HIV-infected antenatal disclosing male partners Blantyre, Malawi. Methods was a qualitative explanatory multiple case...
The perception of male involvement (MI) in maternal child health services is multifaceted and differs among varying programs populations. In the Prevention Mother to Child Transmission (PMTCT) context, MI includes men's attendance at antenatal care (ANC) clinics, undertaking an HIV tests within ANC financial psychological support. Contexualising definition fundamental development PMTCT policy interventions. objective this study was explore perceptions men, women workers on partner Malawi. A...
Abstract Background Malawi is celebrated as one of the few countries in sub-Saharan Africa to meet Millennium Development Goal reducing under-5 mortality by two-thirds between 1990 and 2015. However, within this age range neonatal rates are slowest decline, even though facility births increasing. Examining quality care at district-level facilities where most deliveries occur warranted. Objective The objective paper evaluate three district hospitals primary health centre southern well report...
Abstract Background Kangaroo mother care (KMC) is an effective intervention for preterm and low birth weight infants. Effective implementation of KMC relies on a multidisciplinary team centering the newborn’s caregiver, who delivers with support from health workers. This study explored experiences caregivers KMC. Methods We conducted descriptive qualitative in phenomenological tradition, interpretative approach to describe caregivers’ lived experience at four facilities Malawi April June...
Although postnatal care services form a critical component of the cascade in maternal, newborn, and child health uptake these has remained low worldwide. This study explored prioritised strategies for optimising (PNC) Malawi. A qualitative descriptive followed by nominal group techniques was conducted at three facilities Malawi from July to December 2020 October 2021. We focus discussions among mothers, fathers, healthcare workers, elderly women, grandmothers. in-depth interviews with...
Abstract Background Human milk insufficiency is a significant barrier to implementing breastfeeding, and it identified as prevalent concern in 60–90% of mothers low-and-middle-income countries. Breastmilk can lead hypoglycemia, hypernatremia, nutritional deficiencies, failure thrive newborns infants. Studies investigating the impact breastfeeding interventions improve production highlight inconsistencies between healthcare workers perceived support, well gaps practical knowledge training....
Introduction Kangaroo mother care (KMC) involves continuous skin-to-skin contact of baby on mother’s chest to provide warmth, frequent breastfeeding, recognizing danger signs illness, and early discharge. Though KMC is safe, effective recommended by the World Health Organization, implementation remains limited in practice. The objective this study understand barriers facilitators practice at tertiary secondary health facilities southern Malawi from perspective workers. Methods This part...
There has been an unprecedented explosion in the popularity of herbal preparations during last few decades. Herbal medicines are commonly used by HIV/AIDs clients. is limited data on prevalence medicine and correlating factors use Malawi. This study establishes contributing to among HIV/AIDS clients attending ART clinic at QECH, Blantyre Malawi.A cross-sectional design was interview 211 conveniently sampled QECH clinic. The questionnaire addressed socio-demographic, clinical characteristics,...