Malawi

Azithromycin to Reduce Childhood Mortality in Sub-Saharan Africa

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Yes
Author
J.D. Keenan, R.L. Bailey, S.K. West, A.M. Arzika, J. Hart, J. Weaver, K. Kalua, Z. Mrango, K.J. Ray, C. Cook, E. Lebas, K.S. O’Brien, P.M. Emerson, T.C. Porco, and T.M. Lietman

This study hypothesized that mass distribution of a broad-spectrum antibiotic agent to preschool children would reduce mortality in areas of sub-Saharan Africa that are currently far from meeting the Sustainable Development Goals of the United Nations.

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Extending beyond Policy: Reaching UNAIDS' Three "90"s in Malawi

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Yes
Author
Zengani Chirwa, Florence Kayambo, Lolade Oseni, Marya Plotkin, Cyndi Hiner, Chimwemwe Chitsulo, Kelly Curran, Thokozani Kalua, and Stacie C. Stender

Malawi, like other countries with a generalized HIV epidemic, is striving to reach the ambitious targets set by UNAIDS known as the three 90's for testing, provision of antiretroviral therapy and viral suppression. Assisted by Malawi's progressive policies on HIV/AIDS, it appears possible that Malawi will attain these targets, but only by employing innovative program approaches to service delivery which help fill policy gaps.

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Scaling Up Voluntary Medical Male Circumcision for Human Immunodeficiency Virus Prevention for Adolescents and Young Adult Men: A Modeling Analysis of Implementation and Impact in Selected Countries

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Yes
Author
Emmanuel Njeuhmeli, Marjorie Opuni, Melissa Schnure, Michel Tchuenche, Peter Stegman, Elizabeth Gold, Valerian Kiggundu, Nida Parks, Kim Seifert Ahanda, Maria Carrasco, Katharine Kripke

Background

The new World Health Organization and Joint United Nations Programme on HIV/AIDS strategic framework for voluntary medical male circumcision (VMMC) aims to increase VMMC coverage among males aged 10–29 years in priority settings to 90% by 2021. We use mathematical modeling to assess the likelihood that selected countries will achieve this objective, given their historical VMMC progress and current implementation options.

Methods

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Burnout and self-reported suboptimal patient care amongst health care workers providing HIV care in Malawi

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Yes
Author
Maria H. Kim, Alick C. Mazenga, Katie Simon, Xiaoying Yu, Saeed Ahmed, Phoebe Nyasulu, Peter N. Kazembe, Stanley Ngoma, Elaine J. Abrams

Background

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Assessing TB infection control practices in Malawi: research application and implications for the regional response

Tuberculosis (TB) is the 9th leading cause of death worldwide.1 While TB mortality and incidence are decreasing, there are still significant gaps in detection and treatment.2 One in four new TB cases occurred in Africa in 2016, and co-infection with HIV is a notable challenge, with 34% of those infected with TB on the continent also living with HIV.3 While people living with HIV are a particularly vulnerable population due to their compromised immunity, health care workers (HCWs) are also at higher risk due to frequent and sustained exposure to th

Author
Tingathe Outreach Program, Baylor College of Medicine Children's Foundation-Malawi

Loss to follow-up before and after initiation of antiretroviral therapy in HIV facilities in Lilongwe, Malawi

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Yes
Author
Hannock Tweya, Ikwo Kitefre Oboho, Salem T. Gugsa, Sam Phiri, Ethel Rambiki, Rebecca Banda, Johnbosco Mwafilaso, Chimango Munthali, Sundeep Gupta, Moses Bateganya, Alice Maida

Although several studies have explored factors associated with loss to follow-up (LTFU) from HIV care, there remains a gap in understanding how these factors vary by setting, volume of patient and patients’ demographic and clinical characteristics. We determined rates and factors associated with LTFU in HIV care Lilongwe, Malawi.

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