A5088697961- Global Maternal and Child Health
- HIV/AIDS Research and Interventions
- Global Public Health Policies and Epidemiology
- Mobile Health and mHealth Applications
- Healthcare Systems and Reforms
- Blood Pressure and Hypertension Studies
- ICT in Developing Communities
- HIV/AIDS Impact and Responses
- Global Health and Epidemiology
- Diabetes Management and Research
- Venomous Animal Envenomation and Studies
- Adolescent Sexual and Reproductive Health
- Diabetes and associated disorders
- HIV, Drug Use, Sexual Risk
- Mental Health Treatment and Access
- Chronic Kidney Disease and Diabetes
- Cervical Cancer and HPV Research
- Global Cancer Incidence and Screening
- Palliative Care and End-of-Life Issues
- Chronic Disease Management Strategies
- Child Nutrition and Water Access
- Food Security and Health in Diverse Populations
- Pancreatic function and diabetes
- Viral Infections and Outbreaks Research
- Viral Infections and Vectors
Vrije Universiteit Amsterdam
2022-2025
Public Health Institute of Malawi
2017-2025
Partners In Health
2017-2024
University of Stirling
2024
Clinical Research Management
2024
University of Sierra Leone
2020-2023
Sierra Leone Urban Research Centre
2020-2021
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...
HIV/AIDS remains the second most common cause of death in low and middle-income countries (LMICs), only 34% eligible patients Africa received antiretroviral therapy (ART) 2013. This study investigated impact ART decentralization on patient enrollment retention rural Malawi. We reviewed electronic medical records registered Neno District program from August 1, 2006, when first became available, through December 31, used GPS data to calculate patient-level distance care, examined number annual...
With the support of World Health Organization's Evidence-Informed Policy Network, knowledge translation platforms have been developed throughout Africa, Americas, Eastern Europe, and Asia to further evidence-informed national health policy. In this commentary, we discuss approaches, activities early lessons learned from development a Knowledge Translation Platform in Malawi (KTPMalawi). Through ongoing leadership, as well financial administrative support, Ministry has strongly signalled its...
Non-communicable diseases (NCDs) account for one-third of disability-adjusted life years in Malawi, and access to care is exceptionally limited. Integrated services with HIV are widely recommended, but few examples exist globally. We report descriptive outcomes from an Chronic Care Clinic (IC3).
As Malawi continues to suffer from a large burden of noncommunicable diseases (NCDs), models for NCD screening need be developed that do not overload health system is already heavily burdened by communicable diseases.This descriptive study examined 3 programmes NCDs in Neno, Malawi, were implemented June 2015 December 2016. The integrated into existing platforms, utilising regular mass events the community, patients awaiting seen combined and HIV clinic, treatment at outpatient departments...
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...
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...
Abstract Background The burden of non-communicable diseases (NCDs) is high in Malawi. However, resources and training for NCD care remain scarce, especially rural hospitals. Current NCDs the developing world focuses on WHO’s traditional 4 × set. we do not know full outside that scope, like neurological disease, psychiatric illness, sickle cell trauma. goal this study was to understand among inpatients a district hospital We broadened our definition beyond set NCDs, included Methods conducted...
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-,...
Objectives The purpose of this qualitative study is to describe the acceptability and appropriateness continuous glucose monitoring (CGM) in people living with type 1 diabetes (PLWT1D) at first-level (district) hospitals Malawi. Design We conducted semistructured interviews among PLWT1D healthcare providers participating study. Standardised interview guides elicited perspectives on CGM use for their providers, provider effectiveness Data were coded using Dedoose software analysed a thematic...
Partners In Health and the Malawi Ministry of collaborate on comprehensive HIV services in Neno, Malawi, featuring community health workers, interventions addressing social determinants systems strengthening. We conducted an observational study to describe care continuum Neno compare facility-level outcomes against facilities nationally.We compared (n=13) with all other districts (n=682) from 2013 2015 using mixed-effects linear regression modelling. selected four that are practically useful...
Abstract Background By 2015, Malawi had not achieved Millennium Development Goal 4, reducing maternal mortality by about 35% from 675 to 439 deaths per 100,000 livebirths. Hypothesised reasons included low uptake of antenatal care (ANC), intrapartum care, and postnatal care. Involving community health workers (CHWs) in identification pregnant women linking them perinatal services is a key strategy reinforce Neno, Malawi. We evaluated changes after deployment CHWs between March 2014 June...
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,...
Treating critical illness in resource-limited settings during disease outbreaks is feasible and can save lives. Lack of trained healthcare workers a major barrier to COVID-19 response. There an urgent need train manage COVID-19. The World Health Organization International Committee the Red Cross's Basic Emergency Care course could provide framework cross-train personnel for care while strengthening essential health services.We conducted prospective cohort study evaluating from emergency...
Objective To evaluate the costs and client outcomes associated with integrating screening treatment for non-communicable diseases (NCDs) into HIV services in a rural remote part southeastern Africa. Design Prospective cohort study. Setting Primary secondary level health facilities Neno District, Malawi. Participants New adult enrollees Integrated Chronic Care Clinics (IC3) between July 2016 June 2017. Main outcome measures We quantified annualised total per capita economic cost (US$2017) of...
To assess the feasibility and change in clinical outcomes associated with continuous glucose monitoring (CGM) use among a rural population Malawi living type 1 diabetes. A 2:1 open randomised controlled trial. Two Partners In Health-supported Ministry of Health-run first-level district hospitals Neno, Malawi. 45 people diabetes (PLWT1D). Participants were randomly assigned to Dexcom G6 CGM (n=30) or usual care (UC) (n=15) consisting Safe-Accu monitors strips. Both arms received education....
The use of mobile health technology (mHealth) by community workers (CHWs) can strengthen community-based service delivery and improve access to quality healthcare.
Cardiovascular disease (CVD) is a major cause of death in Malawi. In rural districts, heart failure (HF) care limited and provided by non-physicians. The causes patient outcomes HF Africa are largely unknown. our study, non-physician providers performed focused cardiac ultrasound (FOCUS) for diagnosis longitudinal clinical follow-up Neno,
This policy brief was prepared by Malawi's Knowledge Translation Platform's Noncommunicable disease -HIV Community of Practice, under the EVIPNet programme.The Evidence-Informed Policy Network (EVIPNet) promotes use health research in policymaking.Focusing on low-and middle-income countries, partnerships at country level between policymakers, researchers and civil society order to facilitate development implementation through best scientific evidence available.http://www.
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...
To compare the impact of a teen club model to standard care on HIV treatment outcomes among adolescents (10-19 years age).Retrospective cohort study.HIV clinics in Neno district, Malawi.Adolescents living with enrolled clubs (n=235) and matched participants (n=297).Attrition from care, defined as combination 'died', 'defaulted' 'transferred out'.Over 4-year follow-up period, who participated had significantly higher likelihood remaining than those did not (HR=2.80; 95% CI: 1.46 5.34). Teen...