Vanessa Msosa
A5033040086- Cardiac, Anesthesia and Surgical Outcomes
- Global Health and Surgery
- Colorectal Cancer Surgical Treatments
- Colorectal Cancer Screening and Detection
- Abdominal Surgery and Complications
- Enhanced Recovery After Surgery
- Cervical Cancer and HPV Research
- Global Cancer Incidence and Screening
- Hip and Femur Fractures
- Trauma and Emergency Care Studies
- Stoma care and complications
- COVID-19 and healthcare impacts
- Global Health Workforce Issues
- Appendicitis Diagnosis and Management
- Surgical site infection prevention
- Delphi Technique in Research
- COVID-19 Impact on Reproduction
- Diverticular Disease and Complications
- Breast Cancer Treatment Studies
- Viral Infections and Outbreaks Research
- Amoebic Infections and Treatments
- Pelvic and Acetabular Injuries
- Hospital Admissions and Outcomes
- Healthcare Operations and Scheduling Optimization
- COVID-19 Clinical Research Studies
Kamuzu Central Hospital
2015-2024
National Institute for Health Research
2021
University of Birmingham
2021
University of North Carolina at Chapel Hill
2016-2020
University of Malawi
2015
Ministry of Health
2015
Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global priority not fully understood. We quantified burden SSI after gastrointestinal surgery in countries all parts world.
From MalawiBreast cancer burden is high in low-resource countries.From 1980 to 2010, new breast cases increased by more than 50% worldwide. 1Disease even rapidly low-and middle-income countries (LMICs), where half of now occur.Moreover, disproportionately affects young women LMICs, such that 23% occur among age 15 49 years LMICs versus 10% high-income countries. 1
Most clinical guidelines are developed by high-income country institutions with little consideration given to either the evidence base for interventions in low- and middle-income countries (LMICs), or specific challenges LMIC health systems may face implementing recommendations. The aim of this study was prioritize topics future global surgery then develop a guideline top ranked topic.A Delphi exercise identified prioritized development. Once priority topic had been identified, relevant...
Introduction: The WHO Surgical Safety Checklist (WHO SSC) is a low-cost, high-impact tool shown to improve surgical outcomes and enhance safety culture, particularly in low- middle-income countries (LMICs). Despite its effectiveness, adherence remains inconsistent across resource-constrained settings. This study evaluated SSC availability compliance Rwandan Malawian hospitals, identifying systemic behavioural factors influencing implementation. Methods: A prospective observational...
Background Little is known about the challenges of stoma care and potential solutions for patients in low- middle-income countries (LMICs). This study aimed to assess outcomes experience with stomas LMICs using a mixed methods approach. Methods A cross-sectional survey hospitals assessed health system characteristics relevant care. six-month retrospective audit collected data on all undergoing new formation, postoperative complications. Semi-structured interviews informal caregivers, key...
Introduction Surgical site infection (SSI) is one of the most common healthcare-associated infections (HAIs). However, there a lack data available about SSI in children worldwide, especially from low-income and middle-income countries. This study aimed to estimate incidence associations between morbidity across human development settings. Methods A multicentre, international, prospective, validated cohort aged under 16 years undergoing clean-contaminated, contaminated or dirty...
An end colostomy is a potentially life-saving surgical intervention, but postoperative ostomy management challenging in resource-limited settings. Socioeconomic, health system, and capacity barriers may delay reversal. A surgery camp model for addressing the burden of unreversed colostomies has not previously been undertaken Malawi. The study aims to present our institution's experience with model, assess patient outcomes, identify improvement strategies future efforts. department at Kamuzu...
Abstract 2 Background: Breast cancer mortality is high in sub-Saharan Africa (SSA) partly due to limited breast awareness and challenges early detection. We trained laywomen promote perform screening - clinical exam (CBE) urban clinics. This the first study Malawi, SSA assess CBE delivered by with other health services. Methods: Four were deliver educational talks conduct CBE. After training, was implemented diverse Women eligible undergo ≥30 years, no prior or surgery, clinic attendance for...
Patients experience delays in emergency surgical care. Our 3-month mixed-methods observational prospective study examined the duration of in-hospital (IHDs) to surgery at a tertiary hospital Malawi and perceived reasons for such delay, assessing correlation between anesthesia. Delays over two hours occurred majority, almost 20% waited twelve hours. However, we found no surgeons anaesthetists In-hospital