Mweene Cheelo
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View article: A Retrospective Analysis of Lessons Learned and Perspectives on Expansion of Verbal Autopsy Implementation in Zambia, 2023
A Retrospective Analysis of Lessons Learned and Perspectives on Expansion of Verbal Autopsy Implementation in Zambia, 2023 Open
Accurate cause-of-death statistics are vital for public health policy, but less than one-third of deaths globally are assigned a cause. Verbal autopsy (VA) methods are crucial in low- and middle-income countries lacking complete civil regi…
View article: COVID-19 mortality sentinel surveillance at a tertiary referral hospital in Lusaka, Zambia, 2020–2021
COVID-19 mortality sentinel surveillance at a tertiary referral hospital in Lusaka, Zambia, 2020–2021 Open
Deaths from COVID-19 likely exceeded official statistics in Zambia because of limited testing and incomplete death registration. We describe a sentinel COVID-19 mortality surveillance system in Lusaka, Zambia. We analyzed surveillance data…
View article: 1384. Verbal Autopsy as a Tool to Identify Probable Cause of Death in People with Acute Febrile Illness in Zambia — January 2020-December 2022
1384. Verbal Autopsy as a Tool to Identify Probable Cause of Death in People with Acute Febrile Illness in Zambia — January 2020-December 2022 Open
Background Acute febrile illness (AFI) surveillance improves a country’s understanding of what diseases are circulating. However, fever as an entry point for patient identification casts a wide net that will likely capture non-infectious c…
View article: A EU-Africa partnership to co-design a training intervention to scale-up access to surgery in Africa
A EU-Africa partnership to co-design a training intervention to scale-up access to surgery in Africa Open
Background The EU Global Health Strategy recognises that a skilled workforce is critical to advance universal health coverage. In response, our consortium brought together researchers, academics and clinicians from Ireland, the UK, the Net…
View article: Using participatory action research to empower district hospital staff to deliver quality-assured essential surgery to rural populations in Malawi, Zambia, and Tanzania
Using participatory action research to empower district hospital staff to deliver quality-assured essential surgery to rural populations in Malawi, Zambia, and Tanzania Open
Background In 2017 the SURG-Africa project set out to institute a surgical, obstetric, trauma and anesthesia (SOTA) care capacity-building intervention focused on non-specialist providers at district hospitals in Zambia, Malawi and Tanzani…
View article: Critical shortage of capacity to deliver safe paediatric surgery in sub-Saharan Africa: evidence from 67 hospitals in Malawi, Zambia, and Tanzania
Critical shortage of capacity to deliver safe paediatric surgery in sub-Saharan Africa: evidence from 67 hospitals in Malawi, Zambia, and Tanzania Open
Introduction Paediatric surgical care is a significant challenge in Sub-Saharan Africa (SSA), where 42% of the population are children. Building paediatric surgical capacity to meet SSA country needs is a priority. This study aimed to asse…
View article: Barriers and enablers to utilisation of the WHO surgical safety checklist at the university teaching hospital in Lusaka, Zambia: a qualitative study
Barriers and enablers to utilisation of the WHO surgical safety checklist at the university teaching hospital in Lusaka, Zambia: a qualitative study Open
Background Surgical perioperative deaths and major complications are important contributors to preventable morbidity, globally and in sub-Saharan Africa. The surgical safety checklist (SSC) was developed by WHO to reduce surgical deaths an…
View article: Challenges in introducing innovation. Barriers and enablers to the WHO Surgical Safety Checklist at the University Teaching Hospital in Lusaka, Zambia: a qualitative study
Challenges in introducing innovation. Barriers and enablers to the WHO Surgical Safety Checklist at the University Teaching Hospital in Lusaka, Zambia: a qualitative study Open
Background Surgical perioperative deaths and major complications are important contributors to preventable morbidity, globally and in sub-Saharan Africa. The surgical safety checklist (SSC) was developed by WHO to reduce surgical deaths an…
View article: Rates of surgical deaths and infections at district hospitals in Malawi and Zambia: a prospective multicentre cohort study
Rates of surgical deaths and infections at district hospitals in Malawi and Zambia: a prospective multicentre cohort study Open
Objective This paper reports perioperative mortality and postoperative infection rates of surgical patients who underwent operations at district-level hospitals in Malawi and Zambia, and the associations of these outcomes with patient char…
View article: Policy options for surgical mentoring: Lessons from Zambia based on stakeholder consultation and systems science
Policy options for surgical mentoring: Lessons from Zambia based on stakeholder consultation and systems science Open
Background Supervision by surgical specialists is beneficial because they can impart skills to district hospital-level surgical teams. The SURG-Africa project in Zambia comprises a mentoring trial in selected districts, involving two provi…
View article: Surgical ambulance referrals in sub-Saharan Africa – financial costs and coping strategies at district hospitals in Tanzania, Malawi and Zambia
Surgical ambulance referrals in sub-Saharan Africa – financial costs and coping strategies at district hospitals in Tanzania, Malawi and Zambia Open
View article: Surgical service monitoring and quality control systems at district hospitals in Malawi, Tanzania and Zambia: a mixed-methods study
Surgical service monitoring and quality control systems at district hospitals in Malawi, Tanzania and Zambia: a mixed-methods study Open
Background In low-income and middle-income countries, an estimated one in three clinical adverse events happens in non-complex situations and 83% are preventable. Poor quality of care also leads to inefficient use of human, material and fi…
View article: Supervision as a tool for building surgical capacity of district hospitals: the case of Zambia
Supervision as a tool for building surgical capacity of district hospitals: the case of Zambia Open
Introduction Many countries in sub-Saharan Africa have adopted task shifting of surgical responsibilities to non-physician clinicians (NPCs) as a solution to address workforce shortages. There is resistance to delegating surgical procedure…
View article: The contribution of non-physician clinicians to the provision of surgery in rural Zambia—a randomised controlled trial
The contribution of non-physician clinicians to the provision of surgery in rural Zambia—a randomised controlled trial Open
View article: Evaluation of a surgical supervision model in three African countries—protocol for a prospective mixed-methods controlled pilot trial
Evaluation of a surgical supervision model in three African countries—protocol for a prospective mixed-methods controlled pilot trial Open
View article: Who accesses surgery at district level in sub‐Saharan Africa? Evidence from Malawi and Zambia
Who accesses surgery at district level in sub‐Saharan Africa? Evidence from Malawi and Zambia Open
Objectives To examine age and gender distribution for the most common types of surgery in Malawi and Zambia. Methods Data were collected from major operating theatres in eight district hospitals in Malawi and nine in Zambia. Raw data on su…
View article: Non-physician clinicians in rural Africa: lessons from the Medical Licentiate programme in Zambia
Non-physician clinicians in rural Africa: lessons from the Medical Licentiate programme in Zambia Open
The paper provides new evidence concerning the benefits of 'task shifting' and identifies challenges that need to be addressed if MLs are to be a sustainable response to the surgical needs of rural populations in Zambia. Policy lessons for…
View article: Evaluation of the Safety of the Taraklamp Male Circumcision Device in Zambia
Evaluation of the Safety of the Taraklamp Male Circumcision Device in Zambia Open
Background: Male circumcision has been proved to be an effective additional means of preventing transmission of the HIV virus from females to males in heterosexual relationships with efficacy of up to 60%. Many methods and devices for adul…
View article: Evaluation of the safety of the Taraklamp male circumcision device in Zambia
Evaluation of the safety of the Taraklamp male circumcision device in Zambia Open
Background: Male circumcision has been proved to be an effective additional means of preventing transmission of the HIV virus from females to males in heterosexual relationships with efficacy of up to 60%. Many methods and devices for ad…