How Do Malawian Women Rate the Quality of Maternal and Newborn Care? Experiences and Perceptions of Women in the Central and Southern Regions

Our objective was to measure women’s perceived quality of maternal and newborn care using a composite scale and to identify individual and service delivery factors associated with such perceptions in Malawi. [from abstract]

National Health Research System in Malawi: Dead, Moribund, Tepid or Flourishing?

Several instruments at both the global and regional levels to which countries in the WHO African Region are party call for action by governments to strengthen national health research systems (NHRS). This paper debates the extent to which Malawi has fulfilled this commitment. [from abstract]

Self-Directed e-Learning at a Tertiary Hospital in Malawi – A Qualitative Evaluation and Lessons Learnt

We have introduced an e-learning platform in the medical department of the Kamuzu Central Hospital (KCH) in Malawi. With the support of computer-assisted instruction, we aimed to improve the quality of medical training and education, as well as access to current medical materials, in particular for interns. From March to April 2012, we conducted a qualitative evaluation to assess relevance and appropriateness of the e-learning platform. Data was collected via face-to-face interviews, a guided group discussion and a checklist based observation log. [from abstract]

Design and Implementation of a Health Management Information System in Malawi: Issues, Innovations and Results

As in many developing countries, lack of reliable data and grossly inadequate appreciation and use of available information in planning and management of health services were two main weaknesses of the health information systems in Malawi. As a first step towards conceptualization and design of the system, a minimum set of indicators was identified and a strategy was formulated for establishing a system in the country. [from abstract]

Real-Time Assessments of the Strength of Program Implementation for Community Case Management of Childhood Illness: Validation of a Mobile Phone-Based Method in Malawi

Health surveillance assistants (HSAs) in Malawi have provided community case management (CCM) since 2008; however, program monitoring remains challenging. Mobile technology holds the potential to improve data, but rigorous assessments are few. This study tested the validity of collecting CCM implementation strength indicators through mobile phone interviews with HSAs. [from abstract]

Financing Medical Education through the Private Sector

From 2010 through 2013, the SHOPS project implemented a series of pilot activities to explore the feasibility of introducing private sector health education financing mechanisms. SHOPS explored private sector solutions to help meet ambitious targets from the U.S. President’s Emergency Plan for AIDS Relief for training new health care workers. This report shares the project’s work with private pre-service education financing in Malawi, Rwanda, Tanzania, and Zambia.

Central Malawi District Hospital Surgical Capacity Assessment

Presentation on assessment of surgical need, surgical personnel, infrastructure and supplies in Central Malawi. [adapted from author]

Competency-Based Training “Helping Mothers Survive: Bleeding after Birth” for Providers from Central and Remote Facilities in Three Countries

To validate a new training module for skilled and semiskilled birth attendants authorized to provide care at birth—Helping Mothers Survive: Bleeding After Birth (HMS:BAB) [from abstract]

SMS Versus Voice Messaging to Deliver MNCH Communication in Rural Malawi: Assessment of Delivery Success and User Experience

To determine the difference in delivery success of health messages delivered through pushed SMS, pushed
voice messages sent to personal phones, and voice messages retrieved from a community phone (‘‘retrieved voice
messaging’’), as well as the difference in quality of the user experience. [from abstract]

SMS Versus Voice Messaging to Deliver MNCH Communication in Rural Malawi: Assessment of Delivery Success and User Experience

To determine the difference in delivery success of health messages delivered through pushed SMS, pushed
voice messages sent to personal phones, and voice messages retrieved from a community phone (‘‘retrieved voice
messaging’’), as well as the difference in quality of the user experience. [from abstract]

Task Shifting for Cataract Surgery in Eastern Africa: Productivity and Attrition of Non-Physician Cataract Surgeons in Kenya, Malawi and Tanzania

This project examined the surgical productivity and attrition of non-physician cataract surgeons (NPCSs) in Tanzania, Malawi, and Kenya. [from abstract]

Fragmented Governance and Local Service Delivery in Malawi

This study helps government and donors to understand how local government and service delivery work and to assess whether the return of local councils is likely to improve their functioning. [from introduction]

Task-Shifting and Prioritization: A Situational Analysis Examining the Role and Experiences of Community Health Workers in Malawi

The objective of this study was to understand the performed versus documented roles of the [Health Surveillance Assistants], to examine how tasks were prioritized, and to understand HSAs’ perspectives on their
roles and responsibilities. [from abstract]

What Makes Staff Consider Leaving the Health Service in Malawi?

This study aims to highlight these demotivating factors by exploring the critical aspects that influence [Mid-Level Providers’] intention to leave their jobs [from abstract]

Task-Sharing of HIV Care and ART Initiation: Evaluation of a Mixed-Care Non-Physician Provider Model for ART Delivery in Rural Malawi

This article argues that expanding access to antiretroviral therapy (ART) in sub-Saharan Africa requires implementation of alternative care delivery models to traditional physician-centered approaches. This longitudinal analysis compares outcomes of patients initiated on ART by non-physician and physician providers. [adapted from author]

Comparison of Methods for Assessing Quality of Care for Community Case Management of Sick Children: An Application with Community Health Workers in Malawi

As part of an assessment of quality of community case management services in Malawi, this report examines the bias associated with measuring community health worker performance by using register review, case scenarios, and direct observation only methods compared with direct observation with re-examination by a higher-level clinician, and discusses the relative strengths and weaknesses of the four assessment methods in the Malawi context. [adapted from author]

Health Workers' and Managers' Perceptions of the Integrated Community Case Management Program for Childhood Illness in Malawi: The Importance of Expanding Access to Child Health Services

Community case management (CCM) is a promising task-shifting strategy for expanding treatment of childhood illness that is increasingly adopted by low-income countries. This study uses qualitative methods to explore health workers’ and managers’ perceptions about CCM provided by health surveillance assistants during the program’s first year in Malawi. [adapted from abstract]

Scaling Up Integrated Community Case Management of Childhood Illness: Update from Malawi

This paper documents progress in the scale up of a program to train an existing cadre of community based health workers, known as health surveillance assistants, to provide integrated community case management of childhood illness between 2008 and 2011. It describes some critical challenges that affect the effectiveness and sustainability of the program, and proposes solutions. [adapted from introduction]

District Health Managers' Perceptions of Supervision in Malawi and Tanzania

Supervision plays a key role in performance and motivation, but is frequently characterized by periodic inspection and control, rather than support and feedback to improve performance. This paper explores the perceptions of district health management teams in Tanzania and Malawi on their role as supervisors and on the challenges to effective supervision at the district level. [from abstract]

Promoting Universal Financial Protection: Contracting Faith-Based Health Facilities to Expand Access - Lessons Learned from Malawi

In Malawi, the Ministry of Health contracts selected health facilities owned by the main faith-based provider, the Christian Health Association of Malawi to deliver care at no fee to the most vulnerable and under-served populations in the country through Service Level Agreements (SLAs).

Quality of Sick Child Care Delivered by Health Surveillance Assistants in Malawi

This study was carried out to assess the quality of care provided by Health Surveillance Assistants—a cadre of community-based health workers—as part of a national scale-up of community case management of childhood illness in Malawi. [from abstract]

Keeping Health Staff Healthy: Evaluation of a Workplace Initiative to Reduce Morbidity and Mortality from HIV/AIDS in Malawi

This study evaluated two workplace initiatives providing medical services, including HIV care; and a support group for HIV-positive staff to determine the uptake and outcome of HIV testing and counselling among health staff and their dependents; uptake and outcomes of antiretroviral therapy among health staff; and membership and activities of the support group. [adapted from abstract]

Tackling Health Workforce Shortages During Antiretroviral Treatment Scale-Up: Experiences from Ethiopia and Malawi

This article draws on the experience of Malawi and Ethiopia, which have been able to successfully increase their health workforce over a relatively short period, allowing scaling up of antiretroviral treatment. [from abstract]

Changes in Clients' Care Ratings after HIV Prevention Training of Hospital Workers in Malawi

This study examined the changes in clients’ health-care ratings before and after hospital workers received an HIV prevention intervention in Malawi, which increased the workers’ personal and work-related HIV prevention knowledge, attitudes and preventive behaviors. [from abstract]

In-Depth Expoloration of Health Worker Supervision in Malawi and Tanzania

This presentation from the Irish Forum for Global Health 2012 outlines research that explored the perceptions of district health management teams in Tanzania and Malawi on their role as supervisors and the challenges to effective supervision at the district level. [adapted from author]

Effect of Women's Groups and Volunteer Peer Counselling on Rates of Mortality, Morbidity, and Health Behaviours in Mothers and Children in Rural Malawi (MaiMwana): A Factorial, Cluster-Randomised Controlled Trial

This article describes an assessment of the effects of community mobilisation through women’s groups, and health education through female volunteer peer counsellors on rates of infant care, feeding, morbidity, and mortality. [adapted from author]

Comparing the Job Satisfaction and Intention to Leave of Different Categories of Health Workers in Tanzania, Malawi, and South Africa

The objective of this study was to compare the job satisfaction and intention to leave of different categories of health workers in Tanzania, Malawi, and South Africa. The results caution against generalising about the effectiveness of interventions in different contexts and highlight the need for less standardised and more targeted HRH strategies than has been practised to date. [from abstract]

Critical Role of Supervision in Retaining Staff in Obstetric Services: A Three Country Study

This study identifies the implications of different types of supervision for healthcare worker job satisfaction and intention to leave the workplace in Malawi, Tanzania, and Mozambique. [adapted from author]

Decision Making among Community-Based Volunteers Working in Vulnerable Children Programs

This study was collected data from caregivers who work directly with vulnerable children to explore how care decisions are made by community-based volunteers, and the utility of the Child Status Index at the community level as a job aid. [adapted from summary]

Health Systems Supports for Community Case Management of Childhood Illness: Lessons from an Assessment of Early Implementation in Malawi

This paper presents the results of a mixed-methods assessment of selected health systems supports for community-based health workers in a national community case management program for childhood illness in Malawi during the first year of implementation. [adapted from abstract]