Basimenye Nhlema

ORCID: 0009-0008-9838-0166
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About
Contact & Profiles
Research Areas
  • Global Maternal and Child Health
  • Food Security and Health in Diverse Populations
  • Child Nutrition and Water Access
  • Primary Care and Health Outcomes
  • Healthcare Systems and Reforms
  • Tuberculosis Research and Epidemiology
  • Wastewater Treatment and Reuse
  • GNSS positioning and interference
  • Astronomical Observations and Instrumentation
  • Global Health Workforce Issues
  • HIV/AIDS Impact and Responses
  • Water resources management and optimization
  • HIV/AIDS Research and Interventions
  • Geophysics and Sensor Technology
  • Global Public Health Policies and Epidemiology
  • Mobile Health and mHealth Applications
  • COVID-19 epidemiological studies
  • Chronic Disease Management Strategies
  • Maternal Mental Health During Pregnancy and Postpartum
  • Rabies epidemiology and control
  • Child and Adolescent Psychosocial and Emotional Development
  • Amphibian and Reptile Biology
  • Adolescent and Pediatric Healthcare
  • Community Development and Social Impact
  • Child and Adolescent Health

Partners In Health
2018-2025

HealthPartners
2024

Public Health Institute of Malawi
2018-2023

National Bureau of Economic Research
2020

Stanford University
2020

RAND Corporation
2020

Yale University
2020

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,...

10.1186/s12981-025-00725-9 article EN cc-by-nc-nd AIDS Research and Therapy 2025-03-21

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...

10.1186/s12913-022-07558-6 article EN cc-by BMC Health Services Research 2022-02-11

This protocol concerns the implementation and evaluation of an intervention designed to realign existing cadre community health workers (CHWs) in Neno district, Malawi better support care needs clients they serve. The proposed is a 'Household Model' where CHWs will be reassigned households, rather than specific patients with HIV and/or tuberculosis (TB).Using stepped-wedge, cluster-randomised design, this study investigates whether high retention rates can replicated for non-communicable...

10.1136/bmjopen-2017-019473 article EN cc-by-nc BMJ Open 2018-07-01

Community health worker (CHW) programmes are a valuable component of primary care in resource-poor settings. The evidence supporting their effectiveness generally shows improvements disease-specific outcomes relative to the absence CHW programme. In this study, we evaluated expanding an existing HIV and tuberculosis (TB) programme into polyvalent, household-based model that subsequently included non-communicable diseases (NCDs), malnutrition TB screening, as well family planning antenatal...

10.1136/bmjgh-2021-006535 article EN cc-by-nc BMJ Global Health 2021-09-01

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...

10.1080/16549716.2022.2090123 article EN cc-by Global Health Action 2022-08-12

Data from an 18-month randomized trial show large and sustained impacts on water purification child health of a program providing monthly coupons for free treatment solution to households with young children. The is more effective much cost than asking Community Health Workers (CHWs) distribute chlorine during routine visits. This because only 40 percent use chlorine, targeting through CHWs worse self-targeting coupon redemption, promotion by does not increase among beneficiaries chlorine....

10.1257/pol.20210121 article EN American Economic Journal Economic Policy 2023-01-31

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...

10.4102/phcfm.v16i1.4199 article EN cc-by African Journal of Primary Health Care & Family Medicine 2024-02-12

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....

10.1186/s12960-023-00839-z article EN cc-by Human Resources for Health 2023-06-26

Using data from an 18-month randomized trial, we estimate large and sustained impacts on water purification child health of a program providing monthly coupons for free treatment solution (diluted chlorine) to households with young children.The is more effective much cost-effective than asking Community Health Workers (CHWs) distribute chlorine during routine visits.That because only 40% make use chlorine, targeting through CHWs worse self-targeting coupon redemption, promotion by does not...

10.3386/w27570 preprint EN 2020-07-01

<h3>ABSTRACT</h3> Community health workers (CHWs) are integrated into systems through a variety of designs. Partners In Health (PIH), nongovernmental organization with more than 30 years experience in over 10 countries, initially followed vertical approach by assigning CHWs to individual patients specific conditions, such as HIV, multidrug resistant-TB, diabetes, and other noncommunicable diseases, provide one-on-one psychosocial treatment support. Starting 2015, PIH-Malawi redesigned their...

10.9745/ghsp-d-20-00405 article EN cc-by Global Health Science and Practice 2021-03-15

Community Health Workers (CHWs) provide basic health screening and advice to members of their own communities. Although CHWs are trained, no CHW programmes have used a formal method identify the level achievement on post-training assessments that distinguishes "safe" from "unsafe". Objectives: The aim this study was use Ebel standard setting for written knowledge assessment in Neno, Malawi.12 participants agreed definitions "just-deployment ready" an "ideal" CHW. Participants rated...

10.29024/aogh.2369 article EN cc-by Annals of Global Health 2018-11-05

Using data from an 18-month randomized trial, we estimate large and sustained impacts on water purification child health of a program providing monthly coupons for free treatment solution (diluted chlorine) to households with young children. The is more effective much cost-effective than asking Community Health Workers (CHWs) distribute chlorine during routine visits. That because only 40% make use chlorine, targeting through CHWs worse self-targeting coupon redemption, promotion by does not...

10.2139/ssrn.3658866 article EN SSRN Electronic Journal 2020-01-01

Abstract Background Community Health Workers (CHWs) play an essential role in linking communities to facility-based healthcare. However, CHW programmes have often been hampered by low levels of staff motivation, and new tools aimed at improving motivation work environment are needed. One such intervention is the “Learning from Excellence” (LfE) programme. We assess feasibility, outputs, impact a co-designed LfE programme on Neno District. Methods conducted convergent mixed-method evaluation...

10.1186/s12913-024-10686-w article EN cc-by BMC Health Services Research 2024-03-19

Abstract Objective Snakebite envenoming remains a public health threat in many tropical countries. While community knowledge of local snakes and snakebite first‐aid prevention are needed to reduce incidence improve the outcomes for patients, it is poor communities. We assessed workers members regarding their on snakes, Neno district, Malawi. Methods In November 2022, we conducted cross‐sectional survey among 312 379 District Malawi assess snake identification, first‐aid, prevention....

10.1111/tmi.14071 article EN cc-by Tropical Medicine & International Health 2024-12-17

Abstract Background: There is growing global recognition that community health workers (CHWs) play a key role in facilitating social connectedness. Through direct interactions and relationship building, CHWs link people to services such as healthcare support. Several models aim understand how facilitate these interactions, but the theory of change not yet fully understood. In Neno District, Malawi, recently transitioned from disease-focused model what we call “household model.” Under...

10.21203/rs.3.rs-81409/v1 preprint EN cc-by Research Square (Research Square) 2020-11-12

Abstract Introduction: Community Health Workers (CHWs) are vital resources in delivering community-based primary health 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...

10.21203/rs.3.rs-2635299/v1 preprint EN cc-by Research Square (Research Square) 2023-03-13

Perinatal depression contributes significantly to morbidity and mortality of women children in low- middle-income countries. However, due low resources little evidence on the impact screening treatment, few interventions are offered. Our study aims assess feasibility symptoms with treatment rural Malawi. Screening for was conducted using Patient Health Questionnaire 2 (PHQ-2) PHQ-9. Women identified have moderate severe were treated through a group counselling intervention—WHO Group Problem...

10.4103/intv.intv_24_23 article EN cc-by-nc-sa Intervention 2023-01-01
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