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Jailos, Philip, Peter J. Chimtali et Ephraim Vunain. « Assessment of Groundwater Quality in Areas Surrounding Thundulu Phosphate Mine, Phalombe District, Malawi ». Tanzania Journal of Science 47, no 3 (31 août 2021) : 1310–21. http://dx.doi.org/10.4314/tjs.v47i3.38.
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Water is one of the renewable resources essential for sustaining all forms of life and quality of drinking water is very fundamental for human health. Human activities such as mining act as sources of water contamination which consequently lead to ecological, environmental and health problems. To the best of our knowledge, no study has been conducted around the Thundulu Phosphate Mine to establish the quality of drinking water. In this regard, this study was carried out to evaluate the physico-chemical water quality parameters of areas surrounding the Thundulu Phosphate Mine in Phalombe District. Groundwater samples from the villages surrounding the Phosphate Mine were collected both during the wet and dry seasons for analysis of physico-chemical water quality parameters (pH, electrical conductivity, turbidity, nitrate, chloride, sulphate, fluoride, iron, calcium and magnesium). The study also investigated microbiological water characteristics mainly Escherichia coli and faecal coliforms. Results showed that pH, electrical conductivity, turbidity, nitrate, chloride, sulphate, phosphate, calcium and magnesium complied with the national and international standards set by Malawi Bureau of Standards (MBS) and World Health Organization (WHO). As regards to microbiological characteristics, it was revealed that water from three sources (B2, B3 and B4) was contaminated with Escherichia coli and faecal coliforms.
Keywords: Physico-chemical; Groundwater; Phalombe; Borehole; Electrical Conductivity; Turbidity; Phosphate;
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Mthepheya, Chimwemwe Cealla Lita, et Lignet Chepuka. « Knowledge and Practices About Cervical Cancer and Screening Among Married Men in Traditional Authority Nkhumba, Phalombe District ». Journal of Global Oncology 3, no 2_suppl (avril 2017) : 30s. http://dx.doi.org/10.1200/jgo.2017.009555.
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Abstract 37 Background: Cancer of the cervix is one of the reproductive cancers that are claiming the lives of women worldwide, and Malawi has not been spared. Of the 16 countries with the highest incidence of cervical cancer in Africa, Malawi has been rated the highest, with an incidence of 75.9. Being a reproductive disease, male involvement is critical as men control approximately 95% of sexual relationships in Malawi, but their role in cervical cancer prevention is not known. This study was carried out to investigate the knowledge and practices of married men regarding cervical cancer and screening. Methods: A cross-sectional study recruited 396 married men. Collected data were analyzed by using SPSS for Windows version 16 (SPSS, Chicago, IL). Results: The majority of respondents were not knowledgeable about cervical cancer and cervical cancer screening, as 84.1% did not know the cause, nor did 88.9% know the signs or symptoms of cervical cancer. Only 4% of respondents knew the risk factors, whereas 75.5% had no knowledge. On prevention, 76.5% had no knowledge, and 68.2 % had some knowledge on cervical cancer treatment. Almost all respondents (99%) said they would encourage their spouses to undergo screening, and 71.7 % said that men, as heads of families, are responsible for deciding whether their spouse should access screening services or not. Conclusion: Men have a stake in taking part in cervical cancer prevention. This is a window of opportunity that the Ministry of Health can use to develop strategies that are tailored toward men to participate fully in cervical cancer prevention to reduce its burden. AUTHORS' DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST No COIs from either author.
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Chilikutali, Andrew, Lily Kumbani et Ursula Kafulafula. « Predictors of maternal satisfaction with childbirth experience among first-time mothers in Phalombe District, Malawi ». African Journal of Midwifery and Women's Health 18, no 1 (2 janvier 2024) : 1–10. http://dx.doi.org/10.12968/ajmw.2023.0002.
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Background/Aims Assessing maternal satisfaction with care improves healthcare professionals' understanding of women's needs at maternal healthcare services and can encourage future use of hospital-based intrapartum care. This study's aim was to explore predictors of maternal satisfaction with their childbirth experience at health facilities in Phalombe District, Malawi. Methods A cross-sectional study was conducted with 254 first-time mothers, recruited using systematic random sampling. Data were collected using questionnaires and analysed using bivariate and multivariate analyses to determine predictors of maternal satisfaction. Results Only half (49.2%) of participants were satisfied with their childbirth experience. Welcoming and encouraging doctors/midwives (P<0.001) and being kept informed during labour (P=0.001) were the main predictors of maternal satisfaction. Conclusions Maternal satisfaction is impacted by a woman's relationship with her care providers and the information imparted during care. To improve maternal satisfaction with care at the study site, there is a need for healthcare providers to improve their interpersonal relationships with labouring women and provide adequate information during care.
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Chimatiro, Chancy Skenard, Felistas Mpachika-Mfipa, Lumbani Tshotetsi et Precious L. Hajison. « School-going adolescent girls’ preferences and views of family planning services in Phalombe district, Malawi : A descriptive, cross-sectional study ». PLOS ONE 17, no 5 (3 mai 2022) : e0267603. http://dx.doi.org/10.1371/journal.pone.0267603.
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Background Low uptake of family planning services by adolescent girls remains a public health concern. An estimated 120 out of every 1,000 girls aged 15 to 19 years are having unplanned pregnancies in the sub-Saharan region. Between January and June 2020, the Phalombe District of Malawi reported 3,030 adolescent pregnancies. At this stage, most Malawian schools were closed due to the COVID-19 pandemic. The high rate of adolescent pregnancies prompted the Ministry of Health to provide emergency contraceptives to reduce the number of unplanned pregnancies among adolescents. The provision of emergency contraceptives would be effective if girls were willing and able to access these family planning services. We thus explored the views of school-going adolescent girls regarding their preferences for modern family planning methods including emergency contraceptives in Phalombe, Malawi. Methods This was a cross-sectional, descriptive study, where quantitative data were collected using a structured questionnaire. Participants included randomly sampled school-going adolescent girls from eight purposively selected secondary schools and eight randomly selected primary schools. All the schools were sampled from three purposively selected Traditional Authorities namely Nkhulambe, Jenala and Nkhumba which had reported high numbers of adolescent pregnancies. We analyzed the GeoPoints for schools and health facilities using ArcGIS, while adolescent girls’ views were analyzed using STATA. Results Participants included 388 adolescent girls, ranging in age from 10 to 19 years (median age = 15.5 years, SD = 1.9 years). Participants were hesitant to use contraceptives because they were afraid of being stigmatized and embarrassed, had to travel long distances to reach the service center, knew little about modern family planning and were afraid of medical complications. Conclusion The uptake of family planning services by adolescent girls can be improved by bringing healthcare services closer to schools and homes. Family planning services should employ health workers who are non-judgmental and who are able to remove the stigma associated with family planning. Health workers should at any given opportunity, address the misconceptions and beliefs that adolescents have towards contraceptives. Community sensitization and health talks should be done to improve adolescent girls’ understanding of family planning services.
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Gumma, Murali Krishna, Takuji W. Tsusaka, Irshad Mohammed, Geoffrey Chavula, N. V. P. R. Ganga Rao, Patrick Okori, Christopher O. Ojiewo, Rajeev Varshney, Moses Siambi et Anthony Whitbread. « Monitoring Changes in the Cultivation of Pigeonpea and Groundnut in Malawi Using Time Series Satellite Imagery for Sustainable Food Systems ». Remote Sensing 11, no 12 (21 juin 2019) : 1475. http://dx.doi.org/10.3390/rs11121475.
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Malawi, in south-eastern Africa, is one of the poorest countries in the world. Food security in the country hinges on rainfed systems in which maize and sorghum are staple cereals and groundnut and pigeonpea are now major grain legume crops. While the country has experienced a considerable reduction in forest lands, population growth and demand for food production have seen an increase in the area dedicated to agricultural crops. From 2010, pigeonpea developed into a major export crop, and is commonly intercropped with cereals or grown in double-up legume systems. Information on the spatial extent of these crops is useful for estimating food supply, understanding export potential, and planning policy changes as examples of various applications. Remote sensing analysis offers a number of efficient approaches to deliver spatial, reproducible data on land use and land cover (LULC) and changes therein. Moderate Resolution Imaging Spectroradiometer (MODIS) products (fortnightly and monthly) and derived phenological parameters assist in mapping cropland areas during the agricultural season, with explicit focus on redistributed farmland. Owing to its low revisit time and the availability of long-term period data, MODIS offers several advantages, e.g., the possibility of obtaining cloud-free Normalized Difference Vegetation Index (NDVI) profile and an analysis using one methodology applied to one sensor at regular acquisition dates, avoiding incomparable results. To assess the expansion of areas used in the production of pigeonpea and groundnut resulting from the release of new varieties, the spatial distribution of cropland areas was mapped using MODIS NDVI 16-day time-series products (MOD13Q1) at a spatial resolution of 250 m for the years 2010–2011 and 2016–2017. The resultant cropland extent map was validated using intensive ground survey data. Pigeonpea is mostly grown in the southern dry districts of Mulanje, Phalombe, Chiradzulu, Blantyre and Mwanza and parts of Balaka and Chikwawa as a groundnut-pigeonpea intercrop, and sorghum-pigeonpea intercrop in Mzimba district. By 2016, groundnut extent had increased in Mwanza, Mulanje, and Phalombe and fallen in Mzimba. The result indicates that the area planted with pigeonpea had increased by 29% (75,000 ha) from 2010–2011 to 2016–2017. Pigeonpea expansion in recent years has resulted from major export opportunities to Asian countries like India, and its consumption by Asian expatriates all over the world. This study provides useful information for policy changes and the prioritization of resources allocated to sustainable food production and to support smallholder farmers.
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Rivett, Michael O., Shona Symon, Lucas Jacobs, Limbikani C. Banda, Gift J. Wanangwa, Donald J. C. Robertson, Ibrahim Hassan et al. « Paleo-Geohydrology of Lake Chilwa, Malawi is the Source of Localised Groundwater Salinity and Rural Water Supply Challenges ». Applied Sciences 10, no 19 (2 octobre 2020) : 6909. http://dx.doi.org/10.3390/app10196909.
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Meeting long-term rural community water supply needs requires diligent geohydrological conceptualisation. Study of Malawi’s Lake Chilwa Basin, including sampling of 330 water points in Phalombe District, enabled assessment of groundwater quality influence upon supply. The control of larger Lake Chilwa paleo-environments on current Basin groundwater quality is demonstrated. Lacustrine sediment deposition forming high-level deposits under open lake conditions and terrace deposits under open and closed lake conditions significantly control the groundwater major-ion quality and salinity now observed. Paleo-lake extent marks the transition between low-TDS (total dissolved solids) groundwater suitable for water supply at higher elevations and high-TDS brackish groundwater in areas overlain by lacustrine deposits closer to the current lake level. Low-TDS groundwater is limited to mid-to-low reach influent leakage of rivers incising terraces. Permeable fluvial deposits within the deeper paleo-river channel may possibly provide low-TDS water. The conceptual model, whereby paleo-lake controls groundwater salinity, provides science-based evidence to address policy to manage the significant water point functionality concerns quantified at the district and river basin scales. Targeting of the low-TDS groundwater alongside improved use of upland low-TDS stream/river sources with fewer, but larger capacity, and better maintained gravity-fed supply schemes are recommended. This study hence shows the value of paleo-geohydrology interpretation of the lake–groundwater system conceptualisation to inform Sustainable Development Goal 6 (SDG 6.5.1)—integrated water resources management policy for rural water supply.
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Nkhonjera, Joe, Leticia C. Suwedi-Kapesa, Benjamin Kumwenda et Alinane Linda Nyondo-Mipando. « Factors Influencing Loss to Follow-up among Human Immunodeficiency Virus Exposed Infants in the Early Infant Diagnosis Program in Phalombe, Malawi ». Global Pediatric Health 8 (janvier 2021) : 2333794X2110041. http://dx.doi.org/10.1177/2333794x211004166.
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The efforts to prevent mother to child transmission of HIV in Malawi are impeded by the loss to follow-up of HIV-exposed infants (HEI) in care. Early infant diagnosis (EID) of HEI and linkage to care reduces morbidity and mortality. There has been limited attention to infants who are lost to follow up despite their mothers being compliant to the PMTCT program. This study explored factors that influence loss-to-follow up among HEI in the EID program whose mothers were retained in care for up to 24 months in Phalombe district, Malawi. We conducted a descriptive phenomenological qualitative study from May 2017 to July 2018. We purposively conducted 18 in-depth interviews among HIV positive mothers whose HEI were enrolled in the follow-up program and 7 key informant interviews among healthcare workers (HCW). All interviews were digitally recorded, transcribed, and translated verbatim. Data were analyzed manually using a thematic step-by-step approach. Results showed that retention in care is facilitated by aspirations to have a healthy infant and linkage to a nearer facility to a mother’s place of residency. The barriers to retention were non-disclosure of HIV status, inadequate resources, and support, suboptimal guidelines for, a lack of privacy, and unsynchronized hospital visits between a mother and her baby. The study has shown that successful implementation of EID services requires concerted efforts from various contextualized stakeholders whilst focusing on family-centered care. To maximize retention in EID and innovative ways of reaching mothers and babies through flexible guidelines are urgently needed.
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Mategula, Donnie, Collins Mitambo, William Sheahan, Nyanyiwe Masingi Mbeye, Austin Gumbo, Collins Kwizombe, Jacob Kawonga et al. « Malaria Burden Stratification in Malawi- A report of a consultative workshop to inform the 2023-2030 Malawi Malaria Strategic Plan ». Wellcome Open Research 8 (19 avril 2023) : 178. http://dx.doi.org/10.12688/wellcomeopenres.19110.1.
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Background: Malawi's National Malaria Control Programme (NMCP) is developing a new strategic plan for 2023-2030 to combat malaria and recognizes that a blanket approach to malaria interventions is no longer feasible. To inform this new strategy, the NMCP set up a task force comprising 18 members from various sectors, which convened a meeting to stratify the malaria burden in Malawi and recommend interventions for each stratum. Methods: The burden stratification workshop took place from November 29 to December 2, 2022, in Blantyre, Malawi, and collated essential data on malaria burden indicators, such as incidence, prevalence, and mortality. Workshop participants reviewed the malaria burden and intervention coverage data to describe the current status and identified the districts as a appropriate administrative level for stratification and action. Two scenarios were developed for the stratification, based on composites of three variables. Scenario 1 included incidence, prevalence, and under-five all-cause mortality, while Scenario 2 included total malaria cases, prevalence, and under-five all-cause mortality counts. The task force developed four burden strata (highest, high, moderate, and low) for each scenario, resulting in a final list of districts assigned to each stratum. Results: The task force concluded with 10 districts in the highest-burden stratum (Nkhotakota, Salima, Mchinji, Dowa, Ntchisi, Mwanza, Likoma, Lilongwe, Kasungu and Mangochi) 11 districts in the high burden stratum (Chitipa, Rumphi, Nkhata Bay, Dedza, Ntcheu, Neno, Thyolo, Nsanje, Zomba, Mzimba and Mulanje) and seven districts in the moderate burden stratum (Karonga, Chikwawa, Balaka, Machinga, Phalombe, Blantyre, and Chiradzulu). There were no districts in the low-burden stratum. Conclusion: The next steps for the NMCP are to review context-specific issues driving malaria transmission and recommend interventions for each stratum. Overall, this burden stratification workshop provides a critical foundation for developing a successful malaria strategic plan for Malawi.
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Mudege, Netsayi N., Robert O. M. Mwanga, Norita Mdege, Tafadzwa Chevo et Putri E. Abidin. « Scaling up of sweetpotato vine multiplication technologies in Phalombe and Chikwawa districts in Malawi : A gender analysis ». NJAS - Wageningen Journal of Life Sciences 85 (avril 2018) : 1–9. http://dx.doi.org/10.1016/j.njas.2018.05.003.
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Kafulatira, Grace. « A qualitative study to explore the immediate effects of cyclone Freddy on vulnerable learners education in Malawi ». International Journal of Multidisciplinary Comprehensive Research 3, no 1 (2024) : 33–41. http://dx.doi.org/10.54660/ijmcr.2024.3.1.33-41.
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Purpose: The purpose of this study was to explore and identify effects of Cyclone Freddy on vulnerable learners in the flood prone areas both at primary and secondary school levels. Methodology: This study used a qualitative study method, which depended on mostly secondary data, using online interviews, reviews of online news articles, social media postings and United Nations reports and observations. Data was collected from the most affected areas of Blantyre Urban, Phalombe, Mulanje, Nsanje and Chikwawa districts. Purposive and convenience sampling was applied to the education institutions to get a deeper understanding of the phenomenon. The study also targeted teachers, parents, and students of the affected schools in the districts. The tools for collecting data were questionnaires using face to face interviews, focus group interviews which mostly included observations. Information was coded and participants in this study were assured of for anonymity and confidentiality. Results: The results of the research provide a better understanding of the impacts of cyclones on education systems and possibly give pointers in terms of preparedness of education systems to cope with disasters of the same magnitude in future. Additionally, due to lack of rapid response on Psycho Social First Aid (PFA), a lot of the victims succumbed to trauma and depression. This made the go back to school campaign very difficult especially for the most vulnerable communities. Contribution to theory and practices and policy: The research findings validates the theory of disaster preparedness that exhaust all areas of rapid response as a recovery strategy, such as evacuation, supply of immediate basic needs in the areas of shelter, food, beddings and psycho-social support especially (PFA). The Government (DODMA) through Ministry of Education and other line Ministries, the donor communities and implementing partners should embark on harmonizing efforts for disaster preparedness and recovery strategies to speed up operations. Watt, (2019), suggests that, while it is a requirement to take pro-active measures to put in place realistic strategies for future natural disasters, education should also be taken as a priority in the recovery strategies.
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Mudege, Netsayi N., Sarah Mayanja et Tawanda Muzhingi. « Women and men farmer perceptions of economic and health benefits of orange fleshed sweet potato (OFSP) in Phalombe and Chikwawa districts in Malawi ». Food Security 9, no 2 (25 janvier 2017) : 387–400. http://dx.doi.org/10.1007/s12571-017-0651-9.
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Baltzell, Kimberly. « A 14-day follow-up of adult non-malarial fever patients seen by mobile clinics in rural Malawi ». Malawi Medical Journal 32, no 1 (31 mars 2020) : 31–36. http://dx.doi.org/10.4314/mmj.v32i1.7.
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BackgroundWhile health providers consistently use malaria rapid diagnostic tests to rule out malaria, they often lack tools to guide treatment for those febrile patients who test negative. Without the tools to provide an alternative diagnosis, providers may prescribe unnecessary antibiotics or miss a more serious condition, potentially contributing to antibiotic resistance and/or poor patient outcomes. MethodsThis study ascertained which diagnoses and treatments might be associated with poor outcomes in adults who test negative for malaria. Adult patients for rapid diagnostic test of malaria seen in mobile health clinics in Mulanje and Phalombe districts were followed for 14 days. Participants were interviewed on sociodemographic characteristics, health-seeking behaviour, diagnosis, treatment and access to care. Mobile clinic medical charts were reviewed. Two weeks (±2 days) following clinic visit, follow-up interviews were conducted to assess whether symptoms had resolved.ResultsInitially, 115 adult patients were enrolled and 1 (0.88%) was lost to follow-up. Of the 114 adult patients remaining in the study, 55 (48%) were seen during the dry season and 59 (52%) during the wet season. Symptoms resolved in 90 (80%) patients at the 14-day follow-up visit (n=90) with the rest (n=24) reporting no change in symptoms. None of the patients in the study died or were referred for further care. Almost all patients received some type of medication during their clinic visit (98.2%). Antibiotics were given to 38.6% of patients, and virtually all patients received pain or fever relief (96.5%). However, no anti-malarials were prescribed.ConclusionsMobile clinics provide important health care where access to care is limited. Although rapid tests have guided appropriate treatment, challenges remain when a patient’s presenting complaint is less well defined. In rural areas of southern Malawi, simple diagnostics are needed to guide treatment decisions.
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Mudege, Netsayi N., Sarah Mayanja et Tawanda Muzhingi. « Correction to : Women and men farmer perceptions of economic and health benefits of orange fleshed sweet potato (OFSP) in Phalombe and Chikwawa districts in Malawi ». Food Security 10, no 4 (11 janvier 2018) : 1139. http://dx.doi.org/10.1007/s12571-017-0761-4.
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Tshotetsi, Lumbani, Precious Hajison, Chimwemwe D. Jella, Felistas Mpachika-Mfipa et Chancy S. Chimatiro. « Knowledge, practices and adherence to COVID-19 preventive measures by community members in the Phalombe District Malawi : a cross-sectional qualitative study ». Global Health Promotion, 8 décembre 2023. http://dx.doi.org/10.1177/17579759231204353.
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Background: The COVID-19 pandemic has strained already struggling health systems in low- and middle-income countries such as Malawi. To slow the spread of the virus, the World Health Organization recommended non-pharmaceutical measures including frequent hand washing, wearing of face masks when in groups or social gatherings and maintaining physical distance. To ensure adequate uptake of these preventive measures, many communities intensified engagement, advocacy meetings and health promotion interventions. In this study, we investigated knowledge, practice and adherence towards COVID-19 preventive measures of people living in the rural community of Phalombe District of Malawi. Methods: In this cross-sectional, qualitative study, data were collected in focus group discussions and in-depth interviews. Participants were selected from six randomly selected villages under traditional authorities, namely Nazombe, Jenala and Nkhumba from Phalombe District. Data were thematically analysed to identify emerging themes. Results: Most participants knew about and were aware of, but reported poor adherence to COVID-19 preventive measures. Two major themes emerged, namely, perceived low-risk of COVID-19 and non-adherence to preventive measures. Various sub-themes emerged regarding the use of preventive measures when participating in social gatherings. These sub-themes included knowledge of preventive measures, use of face masks, observing physical distance and hand washing practices. Conclusion: People living in the rural district of Phalombe District of Malawi were able to identify COVID-19 preventive methods. Participants reported low adherence to preventive methods, which was associated with low perceived risk. Community perceptions and willingness need to be considered when mandating preventive measures for future pandemics.
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Chimatiro, CS, P. Hajison, CD Jella, L. Tshotetsi et F. Mpachika-Mfipa. « Barriers affecting COVID‑19 vaccination in Phalombe District, Malawi : A qualitative study ». South African Medical Journal, 8 mars 2023. http://dx.doi.org/10.7196/samj.2023.v113i4.16654.
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Background. In Malawi, only 1 072 229 people out of a national target population of 13 546 324 had received at least one dose ofthe AstraZeneca COVID‑19 vaccine by 26 December 2021, and only 672 819 people were classified as fully vaccinated. PhalombeDistrict in Malawi had particularly low COVID‑19 vaccine uptake, with only 4% (n=8 538) of 225 219 people being fully vaccinated by26 December.Objectives. To explore reasons for vaccine hesitancy and refusal among people living in Phalombe District.Methods. This cross-sectional qualitative study employed six focus group discussions (FGDs) and 19 in-depth interviews (IDIs) to collect data. We purposefully selected two traditional authorities (TAs), Nazombe and Nkhumba, as study areas, and conducted FGDs and IDIs in 6 randomly selected villages in these two TAs. Participants were religious leaders, traditional leaders, youths, traditional healers and ordinary community members. We explored reasons for vaccine refusal and hesitancy, how contextual cultural beliefs influenced people’s decision to receive the COVID‑19 vaccine, and which sources of information were trusted in the community. Data were analysed using thematic content analysis.Results. We conducted 19 IDIs and six FGDs. Themes that emerged from the data were reasons for vaccine refusal and hesitancy, contextual cultural beliefs affecting the decision whether to be vaccinated, ways to improve COVID‑19 vaccine uptake, and means of communicating information about COVID‑19 vaccines. Participants mentioned that myths contributing to vaccine refusal and hesitancy circulated in the community through social media. With regard to contextual cultural beliefs, most participants believed that COVID‑19 was a disease of rich people, while others believed that it signalled the end of the world and that it could not be cured.Conclusion. Health systems should recognise and acknowledge the reasons leading to vaccine hesitancy and refusal and address these appropriately to improve vaccine uptake. Effective community sensitisation and engagement should be enhanced to clarify myths and address misinformation about the COVID‑19 vaccine.
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Musa, Frank B., Mangani C. Katundu, Laura A. Lewis et Allister Munthali. « Gender and livelihood assets : Assessing climate change resilience in phalombe district – Malawi. » Environmental and Sustainability Indicators, janvier 2024, 100347. http://dx.doi.org/10.1016/j.indic.2024.100347.
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Phiri, Austin T., Kate Malola, Samuel Mwafulirwa et Pacsu Simwaka. « Improving Maize Productivity under Rain-Fed Conditions through the Combined Use of Inorganic and Organic Fertilizer in Malawi ». Asian Plant Research Journal, 25 mai 2020, 22–27. http://dx.doi.org/10.9734/aprj/2020/v4i230082.
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Integrated soil fertility management was promoted on-farm during the 2018/2019 cropping season in Thyolo, Phalombe, Mulanje and Zomba districts of southern Malawi, in purposively selected extension planning areas (EPAs). Sixty farmers, fifteen from each district were involved. Trials were established in farmers’ fields with smallholder farms as replicates and extension EPAs as blocks. The following were the treatments; Maize + 92 kg N ha-1 + 46 kg of P ha-1; Maize + 3 tons of compost manure ha-1; and Maize + 46 kg N ha-1 + 23 kg P ha-1 + 1.5 tons of compost manure. Grain yield data were collected at harvest. The data were analyzed in Genstat Discovery Edition 4 and were subjected to ANOVA at 95% level of confidence. Means were separated by the least significant difference (LSD0.05). No significant differences (>0.05) in Maize grain yields were observed between the treatment with Maize + 46 kg N ha-1 + 23 kg P ha-1 + 1.5 tons of compost manure and the treatment with Maize + 92 kg N ha-1 + 46 kg of P ha-1 in all the districts. Maize grain yields were significantly lower in plots treated with the full rate of manure (3 tons of compost manure ha-1) in Thyolo, Mulanje and Zomba district. Higher maize grain yields were registered in Phalombe (3,867-4,838 kg ha-1), followed by Thyolo (1,764-2,374 kg ha-1) and Zomba (740-1,120 kg ha-1). The trials confirmed that applying a combination of organic and inorganic fertilizer to maize, increase grain yields.
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Craig, Ailish, Craig Hutton, Laura A. Lewis, Frank B. Musa et Justin Sheffield. « Linking household access to food and social capital typologies in Phalombe District, Malawi ». Sustainability Science, 16 mai 2023. http://dx.doi.org/10.1007/s11625-023-01329-w.
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AbstractFood security remains a major sustainability challenge in many parts of Sub-Saharan Africa. Food security has numerous determinants that are complex and interlinked, with one of them being social capital. Social capital reflects an individual’s, household’s, or community’s social networks, social interactions, and social support systems that can be mobilized in times of need to maintain, among others, livelihoods or food security. This study aims to further understand how typologies of social capital are associated with household food security in Southern Malawi, with a focus on access to food. We unpack social capital into three typologies, namely bonding, bridging, and linking social capital, and establish which one is most strongly associated with household access to food, and whether this varies by the gender of the household head. To achieve this, we analyze secondary data from 382 households collected through the Malawian Fourth Integrated Household Survey (IHS4), using principal axis factor analysis and logistic regression analysis. Our findings demonstrate that bonding and bridging social capital are associated with better household access to food, while linking social capital was associated with lower household access to food. Bonding social capital was most strongly associated for female-headed households and linking social capital for male-headed households, highlighting that there are differences between such households. This work confirms observations from other related studies in Sub-Saharan Africa exploring the interface of social capital and food security. It also highlights the importance of both acknowledging the gender of the household head and of unpacking social capital into its typologies when considering food security.
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Before, Joseph Timothy, Chris James L. Tembo, Dexter Mandala et Lerisha Nthala. « Constraints to Rice Production in Malawi : A Case of Nkhulambe Irrigation Scheme in Phalombe District, Southern Malawi ». Rice Research : Open Access 06, no 04 (2018). http://dx.doi.org/10.4172/2375-4338.1000200.
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Nyumwa, Prince, Agatha Kapatuka Bula et Alinane Linda Nyondo-Mipando. « Perceptions on acceptability of the 2016 WHO ANC model among the pregnant women in Phalombe District, Malawi – a qualitative study using Theoretical Framework of Acceptability ». BMC Pregnancy and Childbirth 23, no 1 (11 mars 2023). http://dx.doi.org/10.1186/s12884-023-05497-6.
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Abstract Background The World Health Organization introduced a new model of care, ‘The 2016 WHO ANC Model’ to overcome challenges encountered during the implementation of the Focused Antenatal Care Approach. For any new intervention to achieve its objective, it must be widely accepted by both the deliverers and recipients. Malawi rolled out the model in 2019 without carrying out acceptability studies. The objective of this study was to explore the perceptions of pregnant women and health care workers on the acceptability of 2016 WHO’s ANC model in Phalombe District, Malawi using the Theoretical Framework of Acceptability. Methodology We conducted a descriptive qualitative study between May and August 2021. The Theoretical Framework of Acceptability was used to guide the development of study objectives, data collection tools, and data analysis. We purposely conducted 21 in-depth interviews (IDIs) among pregnant women, postnatal mothers, a safe motherhood coordinator, and Antenatal care (ANC) clinic midwives, and two focus group discussions (FGDs) among Disease Control and Surveillance Assistants. All IDIs and FGDs were conducted in Chichewa, digitally recorded, and simultaneously transcribed and translated into English. Data was analysed manually using content analysis. Results The model is acceptable among most pregnant women and they reckoned that it would help reduce maternal and neonatal deaths. Support from a husband, peers, and health care workers facilitated acceptability of the model while the increased number of ANC contacts which resulted in fatigue and increased transportation cost incurred by the women was a deterrent. Conclusion This study has shown that most pregnant women have accepted the model despite facing numerous challenges. Therefore, there is a need to strengthen the enabling factors and address the bottlenecks in the implementation of the model. Furthermore, the model should be widely publicised so that both intervention deliverers and recipients of care implement the model as intended. This will in turn help to achieve the model’s aim of improving maternal and neonatal outcomes and creating a positive experience with health care among pregnant women and adolescent girls.
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Matita, M., J. Mazalale, M. Quaife, D. Johnston, L. Cornelsen, T. Kamwanja, R. Smith et H. Walls. « Food choice responses to changes in the price of a staple crop : a discrete choice experiment of maize in rural Malawi ». Food Security, 7 octobre 2023. http://dx.doi.org/10.1007/s12571-023-01401-4.
Texte intégralRésumé :
AbstractPrice and affordability are important drivers of food choice, particularly for rural smallholder farming households in Malawi, experiencing extreme poverty, food insecurity, and lack of dietary diversity. Lowering the cost of staple crops such as maize targeted by agricultural input subsidy programmes (AISPs) may potentially increase consumption of the staple crop, but it might also lead to consumption of a more diverse range of foods. Using a discrete choice experiment, this study investigated food choice responses to changes in maize price in rural Malawi. Study participants (n = 400) were given a series of choice tasks for which they were asked to choose between food baskets with varying cost, reflecting local prices and with maize at both high and low price. Baskets contained different types of foods including maize, rice, cabbage, small-dried fish, and/or a soft drink. The data were analysed using mixed logit models including investigation of heterogenous effects based on socio-demographic characteristics, food security and actual market purchases. Individuals revealed a preference, as expected, for lower cost food baskets. Small-dried fish and cabbage were the highest valued food products. At a low cost of maize, the expected utility from a basket with maize was greater than a basket with other items, particularly among households with high- and low-food purchases, low socioeconomic status, living in Phalombe District, and experiencing food insecurity, indicating that among such populations a low price of maize will not necessarily lead to increases in dietary diversity. In contrast, among households living in Lilongwe District, with high SES and food secure, a lower maize price will not lead to a loss in dietary diversity as they prefer a basket containing non-maize products over maize. The findings suggest that achieving food security and dietary diversity may require a range of policy approaches addressing different pathways of impact as opposed to relying on subsidizing inputs for staple crop production.