Impact of Mobile Health (mHealth) Use by Community Health Workers on the Utilization of Maternity Care in Rural Malawi: A Time Series Analysis

International Journal of Women s Health, Journal Year: 2025, Volume and Issue: Volume 17, P. 245 - 257

Published: Jan. 1, 2025

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 analysis. Using aggregated monthly data segmented quasi-Poisson regression models, we effects mHealth selected outcomes. The models were adjusted for COVID-19 pandemic, occurrence cyclones, cholera epidemic. We analyzed from six eligible facilities their respective catchment areas which YendaNafe, 12 months before after its introduction. use associated 22% immediate increase births (aIRR 1.22, 95% CI 1.12-1.33, p<0.001) but not new ANC visits 1.02,95% 0.90-1.14, p=0.77), first trimester 1.17, 0.95-1.45 p=0.13), or PNC 1.03, 0.79-1.36, p=0.81). For long-term effect, 1.04, 1.01-1.07, p <0.01) 1.03,95% 1.00-1.07 p=0.046), 1.01, 0.99-1.03, p=0.46) 0.97 0.93-1.01, p=0.14). shows potential increasing utilization visits, births. Further research needed understand why did have effect PNC.

Language: Английский

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Towards building climate-resilient health systems and communities: a clarion call to increase investments in public health disaster risk reduction in Africa

BMJ Global Health, Journal Year: 2025, Volume and Issue: 10(3), P. e016232 - e016232

Published: March 1, 2025

Language: Английский

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Climate Change and SADC`s Role in Malawi: A Brief Situational Analysis after Cyclone Freddy

International Journal of Innovative Science and Research Technology (IJISRT), Journal Year: 2024, Volume and Issue: unknown, P. 2490 - 2498

Published: Sept. 15, 2024

The economic integration process of the Southern African Development Community is being affected by damage caused storms and floods in region. study looked at role aftermath Tropical Cyclone Freddy. aim research to provide an overview response Freddy Malawi, based on secondary data published newspapers, reports, articles papers. need for assistance country increased because economic, social infrastructural development that was storm. shows didn't play much a providing emergency assistance. found has invested lot climate change adaptation measures rather than responding quickly impact country. establishment good office would be important event storm

Language: Английский

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Sustainable Construction Practices in Building Infrastructure Projects: The Extent of Implementation and Drivers in Malawi

Sustainability, Journal Year: 2024, Volume and Issue: 16(24), P. 10825 - 10825

Published: Dec. 11, 2024

Sustainable practice is considered a significant in modern construction for infrastructure development as it promotes economic growth and improves quality of life. Despite the importance sustainable practices construction, few studies have explored implementation these low-income countries like Malawi. Therefore, this study aims to assess extent (SCPs) building projects Following an in-depth literature review, 22 13 drivers were identified. A survey 193 professionals was conducted, data analysed using descriptive statistics Relative Importance Index (RII). The findings revealed that such efficient allocation resources, use quick tools coordinated supply chain process are widely implemented with emphasis on aspect sustainability further identified global trends industry standards, social health benefits, market demand awareness access green technologies innovation main adopting implementing SCPs This provides policymakers stakeholders valuable insights develop policy regulations would improve performance projects.

Language: Английский

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Population genetics and molecular xenomonitoring of Biomphalaria freshwater snails along the southern shoreline of Lake Malawi, Malawi

Parasites & Vectors, Journal Year: 2024, Volume and Issue: 17(1)

Published: Dec. 18, 2024

Abstract Background Intestinal schistosomiasis was confirmed endemic in Mangochi District, Malawi, May of 2018 following an unexpected encounter with discreet populations Biomphalaria spp. freshwater snails during routine malacological surveillance activities. Since then, only limited has been carried out, and so the distribution this area is currently unclear. Additionally, sites active Schistosoma mansoni transmission are also unknown. In present study, through extensive surveillance, we aimed to formally document District. We identify intestinal subjecting all collected a recently developed S. mansoni- specific molecular xenomonitoring PCR. Methods Three surveys were out along southern shoreline Lake November 2021, July 2022 October/November 2022. All subjected cercarial shedding analysis infections. Shed cercariae then genotyped species level using standard multi-locus PCR Sanger sequencing protocol. Following this, subset from each collection site infected, but non-shedding, Biomphalaria. Results A total 589 across three surveys. One single (0.17%) specimen found be actively cercariae, which molecularly as . ( n = 42) identified B. pfeifferi further 19 specimens, four different sites, infected xenomonitoring. therefore at foci Conclusions Our study highlights importance approaches investigate monitor -associated areas. As such, continued development use such approaches, particular assays that can resource-poor schistosomiasis-endemic settings, encouraged. The revision ongoing control programmes line WHO recommendations, Graphical abstract

Language: Английский

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Population genetics and molecular xenomonitoring of Biomphalaria freshwater snails along the southern shoreline of Lake Malawi, Mangochi District, Malawi

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: July 11, 2024

Background Intestinal schistosomiasis was confirmed endemic in Mangochi District, Malawi, May of 2018 following an unexpected encounter with discreet populations Biomphalaria spp. freshwater snails during routine malacological surveillance activities. Since then, only limited has been carried out, and so the distribution this area is currently unclear. Additionally, sites active Schistosoma mansoni transmission are also unknown. Here, through extensive surveillance, we aimed to formally document District. We identify intestinal subjecting all collected a recently developed S. mansoni-specific molecular xenomonitoring PCR.Methods Three surveys were out along southern shoreline Lake November 2021, July 2022 October/November 2022. All subjected cercarial shedding analysis Schistosoma infections. Shed cercariae then genotyped species level using standard multi-locus PCR Sanger sequencing protocol. Following this, subset from each collection site infected, but non-shedding, Biomphalaria.Results A total 589 across three surveys. One single (0.17%) found be actively cercariae, which molecularly as mansoni. (n = 42) identified Bi. pfeifferi. further 19 Biomphalaria, four different sites, infected xenomonitoring. therefore at foci District.Discussion Our study highlights importance approaches investigate monitor associated areas. As such, continued development use such approaches, particular assays that can resource-poor schistosomiasis-endemic settings, encouraged. The revision ongoing control programmes line World Health Organization recommendations,

Language: Английский

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Considerations for enhancing participation and data accuracy in geospatial research in rural areas: experiences with PGIS in northern Malawi

African Geographical Review, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 14

Published: Nov. 1, 2024

Rural environments are experiencing rapid changes that must be explored to understand, enhance, and facilitate positive adapt detrimental changes. However, the information researchers can obtain about environment identify effective management strategies for rural resources is hindered by several factors. Participatory geospatial research presents an approach integrates local voices map facts values of people represent environmental Here, we draw on more than six years participatory in northern Malawi present various considerations planners should mindful when working with enhance participation improve spatial data accuracy. Based experiences using methods activities applied transdisciplinary collaborative projects, posit keenly consider i) ethical issues concerning collection, analysis, representation, e.g. taboos sacred spaces, ii) integrating ecological knowledge environment, iii) economic conflicts gender dynamics tend disempower limit affect quality. Considering these would build rapport between participants active

Language: Английский

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Analysing the atmospheric-oceanic conditions driving the sustained long track and intensity of Tropical Cyclone Freddy

Tropical Cyclone Research and Review, Journal Year: 2024, Volume and Issue: unknown

Published: Nov. 1, 2024

Language: Английский

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