A5048561317- Global Maternal and Child Health
- Vaccine Coverage and Hesitancy
- Venomous Animal Envenomation and Studies
- HIV/AIDS Research and Interventions
- COVID-19 epidemiological studies
- HIV/AIDS Impact and Responses
- Primary Care and Health Outcomes
- Global Public Health Policies and Epidemiology
- Mobile Health and mHealth Applications
- Healthcare Systems and Reforms
- Data-Driven Disease Surveillance
- Adolescent Sexual and Reproductive Health
- Food Security and Health in Diverse Populations
- Child Nutrition and Water Access
- HIV, Drug Use, Sexual Risk
- Infant Development and Preterm Care
- Rabies epidemiology and control
- Mental Health Treatment and Access
- Grief, Bereavement, and Mental Health
- Artificial Intelligence in Healthcare
- Digital Imaging for Blood Diseases
- Neonatal Respiratory Health Research
- Geophysics and Sensor Technology
- Global Health Workforce Issues
- SARS-CoV-2 and COVID-19 Research
Partners In Health
2014-2025
Public Health Institute of Malawi
2023-2025
HealthPartners
2024
Kamuzu University of Health Sciences
2023
Baylor College of Medicine Children’s Foundation
2023
University of Rwanda
2014
Gweru Provincial Hospital
2013
Maternal mortality in Malawi is high, with low coverage of maternity care being a contributing factor. To improve maternal health coverage, an Android-based, integrated mobile (mHealth) app called YendaNafe was introduced to community workers (CHWs) the Neno district, rural Malawi. This study evaluates impact this on uptake antenatal (ANC), facility-based births, and postnatal (PNC), compared reference period where CHWs provided same services without mHealth, using interrupted time series...
Early initiation of antenatal care (ANC) can reduce common maternal complications and perinatal mortality. Though Rwanda demonstrated a remarkable decline in mortality 98% Rwandan women receive from skilled provider, only 38% have an ANC visit their first three months pregnancy. This study assessed factors associated with delayed Rwanda. is cross-sectional using data collected during the 2010 DHS 6,325 age 15–49 that had at least one birth last five years. Factors were identified...
Pandemics often precipitate declines in essential health service utilisation, which can ultimately kill more people than the disease outbreak itself. There is some evidence, however, that presence of adequately supported community workers (CHWs), is, financially remunerated, trained, supplied and supervised line with WHO guidelines, may blunt impact system shocks. Yet, adequate support for CHWs missing or uneven across countries. This study assesses whether maintain continuity...
Abstract Background Community Health Workers (CHWs) have a positive impact on the provision of community-based primary health care through screening, treatment, referral, psychosocial support, and accompaniment. With broad scope work, CHW programs must balance breadth depth tasks to maintain motivation for high-quality delivery. Few studies described perspective intrinsic extrinsic enhance their programmatic activities. Methods We utilized an exploratory qualitative study design with CHWs...
Advanced HIV disease (AHD) is increasingly becoming a threat to the survival of people living with HIV. Many countries, including Malawi, have adopted and adapted World Health Organization AHD management guidelines manage country's cohort better. However, literature regarding adherence these treatment outcomes remains limited. Therefore, we describe patient at two rural hospitals in Southern Malawi. We conducted retrospective study Neno District Lisungwi Community Hospitals District,...
Background Community health workers (CHWs) play a vital role in facilitating social connectedness, building trust, decrease stigma, and link communities to essential healthcare support services. More studies are needed understand the factors these interactions among CHWs, clients, community members.Objective This study examined CHW relationships between communities, facilities that promote positive relationships, connectedness.Methods In 2016, program Neno District, Malawi, was transitioned...
Introduction: Chronic obstructive pulmonary disease (COPD) continues to pose a global public health challenge. However, literature is scarce on the burden of COPD in Malawi. We assessed prevalence and risk factors for among adults Neno, Methodology: conducted population-based analytical cross-sectional study Neno District between December 2021 November 2022. Using multi-stage sampling technique, we included 525 aged≥ 40 years. All participants underwent spirometry according American Thoracic...
Abstract Objectives To show the utility of combining routinely collected data with geographic location using a G eographic I nformation S ystem ( GIS ) in order to facilitate data‐driven approach identifying potential gaps access emergency obstetric care within rural R wandan health district. Methods Total expected births 2009 at sub‐district levels were estimated community worker population data. Clinical extracted from birth registries eight centres (HCs) and district hospital (DH). C...
Snakebite envenoming remains a public health threat in many African countries, including Malawi. However, there is shortage of literature on the knowledge Health Care Workers (HCWs) and prevalence snakebite cases We interviewed HCWs Neno District to assess their snake identification management snakebites. further reviewed patient registers from 2018 2021 all 15 facilities district. used descriptive statistics characterize survey population, knowledge, antivenom (SAV) administration,...
Loss-to-follow-up (LTFU) in the era of test-and-treat remains a universal challenge, especially rural areas. To mitigate LTFU, HIV program Neno District, Malawi, utilizes preventive default tracking strategy named Tracking for Retention and Client Enrollment (TRACE). We utilized mixed-methods descriptive study TRACE on patient’s re-engagement retention care (RiC). In quantitative arm, we secondary data HIV-infected patients from January 2018 to June 2019 analyzed patients’ outcomes at 6-,...
Snakebite envenoming remains a public health threat in many tropical countries including Malawi. Traditional healers (THs) have been consulted by victims of snakebites as primary caregivers for millennia. There are no studies Malawi to understand this phenomenon, therefore, our study aimed explore the experiences and practices THs regarding snakebite treatment prevention rural Between August September 2022, we conducted semi-structured interviews with 16 who were purposefully selected from...
Geographic Information Systems (GIS) have become an important tool in monitoring and improving health services, particularly at local levels. However, GIS data are often unavailable rural settings village-level mapping is resource-intensive. This study describes the use of community workers’ (CHW) supervisors to map villages a mountainous district Northern Rwanda subsequent these variability safe water availability. We developed low literacy skills-focused training language (Kinyarwanda)...
Abstract Introduction Community health workers (CHWs) are vital resources in delivering community-based primary care, especially low-and-middle-income countries (LMIC). However, few studies have investigated detailed time and task assessments of CHW's work. We conducted a time-motion study to evaluate CHWs' on conditions specific tasks Neno District, Malawi. Methods descriptive quantitative utilizing observation tracker capture spent by CHWs focused performed during household visits....
Background Globally, an estimated five percent of adults have major depressive disorder. However, little is known about the relationship between these individuals' symptoms and their household members' mental health well-being.Objectives We aimed to investigate prevalence predictors among adult members patients living with disorder in Neno District, Malawi.Methods As part a cluster randomized controlled trial providing depression care disorder, we conducted surveys patients' (n = 236)...
Abstract Background Neonatal hypothermia significantly contributes to infant morbidity and mortality in low-resource settings like Malawi. Kangaroo mother care (KMC) is essential but faces challenges providing continuous thermal support. The Dream Warmer a neonatal warming device that was developed complement KMC. We studied its implementation outside research environment. Methods Using an science approach, we conducted prospective interventional cohort study two hospitals four health...
Background: Community health workers (CHWs) bridge the primary care (PHC) system and communities by providing in household. In Malawi, few studies have examined perspective of users household-level CHW services, remote areas, to understand CHW's role community-based PHC. Aim: To explore perspectives community facility stakeholders on enablers challenges PHC Neno District. Setting: The study was conducted District facilities, namely, Ligowe, Dambe, Chifunga, Zalewa. Methods: We eight focus...
Abstract Background Palliative care remains key in assisting patients who have life-threatening conditions. In most low- and middle-income countries, it is often offered through a centralized system with limitations, including Malawi. 2014, the World Health Organization called for improving palliative access primary health community models. Malawi Neno District subsequently decentralized delivery to local centers. This qualitative study explored decentralization of services District, Methods...
Three district hospitals (DHs) and seven health centers (HCs) in rural Rwanda.To describe follow-up treatment outcomes stage 1 2 hypertension patients receiving care at HCs closer to home comparison DHs further from home.A retrospective descriptive cohort study using routinely collected data involving adult aged ⩾18 years chronic non-communicable disease clinics for DH HC between January 2013 30 June 2014.Of 162 included the analysis, 36.4% were HCs. Patients travelled significantly receive...
Internalized stigma is common among individuals with sexually transmitted infections such as HIV and those mental health conditions major depressive disorder (MDD). As part of a cluster randomized trial, we investigated the prevalence correlates internalized adults living comorbid MDD in rural Malawi (n = 339). We found heightened toward illness cohort: more than half respondents (54%) endorsed negative perceptions associated each condition. HIV-related was higher no education (
Community health workers (CHWs) are individuals who trained and equipped to provide essential services their neighbors have increased access healthcare in communities worldwide for more than a century. However, the World Health Organization (WHO) Guideline on Policy System Support Optimize Worker Programmes reveals important gaps evidentiary certainty about which system design practices lead quality care. Routine data collection across countries represents an important, yet often untapped,...