Eric Umar
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View article: Mechanisms of Supportive Supervision and their effectiveness in Primary Health care of low and - and Middle-Income Countries: A systematic review
Mechanisms of Supportive Supervision and their effectiveness in Primary Health care of low and - and Middle-Income Countries: A systematic review Open
Background Supportive supervision (SS) is a systematic approach used to assess health facilities’ preparedness to provide quality healthcare service and support healthcare providers to identify and address barriers to the provision of qual…
View article: “They treat us like rabid dogs”: Stigma and discrimination as experienced by people living with psychosis and their caregivers in Malawi—A photovoice study
“They treat us like rabid dogs”: Stigma and discrimination as experienced by people living with psychosis and their caregivers in Malawi—A photovoice study Open
Psychosis in Malawi presents significant challenges for individuals living with psychosis and their caregivers, compounded by stigma, discrimination, and systemic barriers to healthcare access. This study employed a participatory photograp…
View article: Economic costing methodologies for drug-resistant bacterial infections in humans in low-and middle-income countries: a systematic review
Economic costing methodologies for drug-resistant bacterial infections in humans in low-and middle-income countries: a systematic review Open
Overall, the use of descriptive statistics without justification, limited consideration for potential data challenges, including confounders, and short-term horizons suggest that the full AMR cost burden in humans in LMICs has not been wel…
View article: Testing a systematically braided alcohol reduction and HIV status neutral intervention among people receiving STI care in Malawi: study protocol for a pilot hybrid type 1 effectiveness-implementation randomized controlled trial
Testing a systematically braided alcohol reduction and HIV status neutral intervention among people receiving STI care in Malawi: study protocol for a pilot hybrid type 1 effectiveness-implementation randomized controlled trial Open
Background Heavy alcohol use is common in Malawi among people receiving sexually transmitted infections (STI) care and is a critical barrier to the success of HIV prevention and treatment efforts. Methods This protocol presents a pilot hyb…
View article: Determinants of Late Initiation of Antenatal Care Among Pregnant Women in Sub-Saharan Africa: A Qualitative Systematic Review
Determinants of Late Initiation of Antenatal Care Among Pregnant Women in Sub-Saharan Africa: A Qualitative Systematic Review Open
Introduction Antenatal care utilization serves as an essential metric for tracking the progress of maternal and neonatal health outcomes. Commencing antenatal care promptly facilitates the timely addressing and treatment of pregnancy compl…
View article: Demographic and clinical characteristics of older people with multimorbidity accessing primary healthcare in Malawi: A cross-sectional study
Demographic and clinical characteristics of older people with multimorbidity accessing primary healthcare in Malawi: A cross-sectional study Open
Background Multimorbidity is a growing global concern, affecting patient outcomes and healthcare costs. In low- and middle-income countries, data on multimorbidity in primary care beyond prevalence is limited. Our study explored the demogr…
View article: Factors Influencing Guardians' Health‐Seeking Decisions for Children With Burkitt Lymphoma in Northern and Central Malawi
Factors Influencing Guardians' Health‐Seeking Decisions for Children With Burkitt Lymphoma in Northern and Central Malawi Open
Background The survival of children with Burkitt lymphoma (BL) in sub‐Saharan Africa is disproportionately low compared to high‐income countries. In Malawi, many of these children are diagnosed in advanced stages. Early and accurate diagno…
View article: Factors Associated with Delayed Referrals of Patients with Sepsis from Primary to Tertiary Healthcare in Blantyre, Malawi: A Qualitative Study
Factors Associated with Delayed Referrals of Patients with Sepsis from Primary to Tertiary Healthcare in Blantyre, Malawi: A Qualitative Study Open
Background Sepsis is a significant global health problem, particularly in low- and middle-income countries. Sepsis is a life-threatening condition that requires prompt identification and early definitive medical intervention. Globally, sep…
View article: Self-Care Practices and Perspectives in Managing Coronary Heart Disease Patients: A Qualitative Study
Self-Care Practices and Perspectives in Managing Coronary Heart Disease Patients: A Qualitative Study Open
Background/Objectives: Self-care experiences and understanding of coronary heart disease (CHD) play a pivotal role in the management of CHD and can contribute to positive health outcomes. This qualitative study aimed to explore the views a…
View article: Can biosampling really be “non-invasive”? An examination of the socially invasive nature of physically non-invasive biosampling in urban and rural Malawi
Can biosampling really be “non-invasive”? An examination of the socially invasive nature of physically non-invasive biosampling in urban and rural Malawi Open
Glucocorticoids are understood to represent useful biomarkers of stress and can be measured in saliva, hair, and breastmilk. The collection of such biosamples is increasingly included in biobank and cohort studies. While collection is cons…
View article: ECONOMIC COSTING METHODOLOGIES OF DRUG RESISTANT BACTERIA INFECTIONS IN LOW-AND MIDDLE-INCOME COUNTRIES: A SYSTEMATIC REVIEW
ECONOMIC COSTING METHODOLOGIES OF DRUG RESISTANT BACTERIA INFECTIONS IN LOW-AND MIDDLE-INCOME COUNTRIES: A SYSTEMATIC REVIEW Open
eview question / Objective i.To asses the justification of using particular AMR infections costing methodologies.ii.To analyse the relevant cost variables for economic costing of AMR infections with regard to patient, provider, and societa…
View article: Primary health care challenges: insights from older people with multimorbidity in Malawi – a qualitative study
Primary health care challenges: insights from older people with multimorbidity in Malawi – a qualitative study Open
Background The global population is undergoing a significant surge in aging leading to increased susceptibility to various forms of progressive illnesses. This phenomenon significantly impacts both individual health and healthcare systems.…
View article: Navigating primary health care challenges: Insights from older people with multimorbidity in Malawi
Navigating primary health care challenges: Insights from older people with multimorbidity in Malawi Open
The global population is undergoing a significant surge in aging leading to increased susceptibility to various forms of progressive illnesses. This phenomenon significantly impacts both individual health and healthcare systems. Low and Mi…
View article: 8 The essence of health complaints mechanisms in the improvement of quality primary healthcare delivery in Malawi
8 The essence of health complaints mechanisms in the improvement of quality primary healthcare delivery in Malawi Open
Background Complaints mechanisms are key components of healthcare accountability in health systems across the world. They can help identify structural problems and poor service by individual health workers and can support equitable access …
View article: Correlates of Depression in ART Adherence among Youths in Lilongwe, Malawi
Correlates of Depression in ART Adherence among Youths in Lilongwe, Malawi Open
Despite collaborative efforts to improve mental health services among youths living with HIV (YLHIVs) aged 15–24, evidence shows that many suffer from depression. We established the correlates of depression and how it affects ART adherence…
View article: Barriers and Facilitators of HIV Self-Testing in Africa: A Qualitative Systematic Review
Barriers and Facilitators of HIV Self-Testing in Africa: A Qualitative Systematic Review Open
Background: HIV self-testing (HIVST) is an innovative approach that has the potential to improve HIV testing uptake and linkage to care for those who test positive. In this systematic review, we explored barriers and facilitators to HIVST …
View article: Psychosis Recovery Orientation in Malawi by Improving Services and Engagement (PROMISE) protocol
Psychosis Recovery Orientation in Malawi by Improving Services and Engagement (PROMISE) protocol Open
Malawi has a population of around 20 million people and is one of the world’s most economically deprived nations. Severe mental illness (largely comprising psychoses and severe mood disorders) is managed by a very small number of staff in …
View article: ‘We stay silent and keep it in our hearts’: a qualitative study of failure of complaints mechanisms in Malawi’s health system
‘We stay silent and keep it in our hearts’: a qualitative study of failure of complaints mechanisms in Malawi’s health system Open
A responsive health system must have mechanisms in place that ensure it is accountable to those it serves. Patients in Malawi have to overcome many barriers to obtain care. Many of these barriers reflect weak accountability. There are at l…
View article: Perspectives of agriculture, nutrition and health researchers regarding research governance in Malawi. Using a leadership, ethics, governance and systems framework
Perspectives of agriculture, nutrition and health researchers regarding research governance in Malawi. Using a leadership, ethics, governance and systems framework Open
Background Research ethics is intertwined with and depends on building robust and responsive research governance systems alongside researchers. Globally there has been substantial investment in agriculture, nutrition, and health (ANH) rese…
View article: Is mpox an STI? The societal aspects and healthcare implications of a key question
Is mpox an STI? The societal aspects and healthcare implications of a key question Open
This letter explores the societal aspects and healthcare implications that underlie thinking about mpox (formerly known was monkeypox), in the 2022 outbreak, as a sexually transmitted infection (STI). The authors examine what underlies thi…
View article: Is monkeypox an STI? The societal aspects and healthcare implications of a key question
Is monkeypox an STI? The societal aspects and healthcare implications of a key question Open
This letter explores the societal aspects and healthcare implications that underlie thinking about monkeypox, in the 2022 outbreak, as a sexually transmitted infection (STI). The authors examine what underlies this question, exploring what…
View article: Examining study participants’ decision-making and ethics-related experiences in a dietary community randomized controlled trial in Malawi
Examining study participants’ decision-making and ethics-related experiences in a dietary community randomized controlled trial in Malawi Open
Background The participant recruitment process is a key ethical pivot point when conducting robust research. There is a need to continuously review and improve recruitment processes in research trials and to build fair and effective partne…
View article: Developing Biopsychosocial Research on Maternal Mental Health in Malawi: Community Perspectives and Concerns
Developing Biopsychosocial Research on Maternal Mental Health in Malawi: Community Perspectives and Concerns Open
Interest in maternal mental health research is growing around the world. Maternal mental health research studies in Malawi have, for instance, sought to determine and establish the incidence and prevalence of depression and anxiety in preg…