This issue brief has been prepared by the African Institute for Development Policy (AFIDEP) based on the study, “Sustained reduction in third-generation cephalosporin usage in adult inpatients following introduction of an antimicrobial stewardship program in a large urban hospital in Malawi (https://pubmed.ncbi.nlm.nih.gov/32060523/). The work was led by Rebecca Lester and supported by the Drivers of Resistance in Uganda and Malawi (DRUM) Consortium. The study sought to demonstrate the feasibility, acceptability and cost-saving of a stewardship program where resources are limited. With funding from the UK Global Challenges Research Fund, the Liverpool School of Tropical Medicine (LSTM) in 2017 established the DRUM Consortium with the purpose of reducing antimicrobial resistance (AMR) spread in Uganda and Malawi. This issue brief seeks to promote and support the continued investment in antimicrobial resistance solutions.
An Assessment of Knowledge, Attitudes, Perception and Practice
about COVID-19 among the Kenyan Population
2019 was a good year for AFIDEP. Among our many feats, we developed Strategy 2024. The roll out of our new Strategy, in 2020, will coincide with a significant milestone of our institution, our 10th anniversary. AFIDEP is also increasingly recognised as the go-to research and policy institute, striving towards an Africa where evidence is consistently used to transform lives.
Although the baby-friendly community initiative (BFCI) has been proposed as a community-level approach to improve infant feeding practices, there is little data on its variation in effectiveness by HIV status. This study was to determine the effectiveness of BFCI in changing knowledge and attitudes towards exclusive breastfeeding (EBF) and increasing the rates among HIV negative and HIV positive women in rural Kenya. The study found that BFCI interventions can complement facility-based interventions to improve exclusive and continued breastfeeding knowledge, attitudes, and behaviours among HIV negative and positive women
Theme: Local evidence in Africa’s COVID-19 Responses. AFIDEP News is the African Institute for Development Policy’s newsletter. It is published twice a year to provide our stakeholders with updates of AFIDEP’s programmes and highlight emerging policy issues in population dynamics and demograhic dividend; health and wellbeing; transformative education and skills development; environment and climate change; and governance and accountability.
This is an extract from Kenya Health Information System (KHIS) on the current adolescent pregnancy situation in different counties of the country.
The purpose of this brief is to examine the medium and long-term opportunity costs of different strategies aimed at lessening the impact of the COVID-19 pandemic in Malawi. The brief focuses on moderate lockdown measures largely referring to social restrictions as promoted through school closures as well as movement and livelihood restrictions principally minimising social contact.
Human African Trypanosomiasis (HAT), also known as ‘sleeping sickness,’ is a neglected tropical disease caused by subspecies of the parasite Trypanosoma brucei transmitted by tsetse flies. There has been a surge in the number of cases of Human African Trypanosomiasis (HAT)in Malawi in 2019/2020. HAT interventions in Malawifocus on diagnosis and treatment with limited vector-control. Strengthening diagnostic and treatment capacity, increasing vector-control and conducting surveillance could reduce and eventually eliminate rHAT in Malawi.
Digital Health Information Systems (HIS) have potential to improve the finances of health-care organisations in lower income countries through better tracking of patients and procedures, more timely billing, greater professional accountability and more informed decisions. However, little is known about how HIS influence these processes in such settings or how contextual and social factors mediate their implementation and impacts. This study investigated whether, and through what mechanisms, the implementation of a modular HIS influenced revenue capture from patient billing in a large referral hospital in Malawi, drawing on the perspectives of complex socio-technical systems, health system strengthening and ICT for good-governance.
Malawi is planning the 2021 insecticide-treated net (ITN) distribution campaign to potentially include the deployment of Interceptor® G2 (IG2) nets. This policy brief aims to inform this decision by presenting: current evidence supporting the efficacy and use of IG2 nets; and plans for PIIVeC research to address key evidence gaps.
Migration has been part of human history for thousands of years with proven positive effects. Nevertheless, in some parts of German and European societies, migration is increasingly perceived and portrayed as not beneficial. This policy paper provides an African perspective on migration highlighting the links between a growing population, the lack of economic prospects and the future of job markets.
Knowledge translation (KT) is a dynamic and iterative process that includes synthesis, dissemination, exchange and ethically sound application of knowledge to yield beneficial outcomes for society. Effective KT requires researchers to play an active role in promoting evidence uptake. This paper presents a systematised review of evidence on low- and middle-income country (LMIC) researchers’ KT capacity, practice and interventions for enhancing their KT practice (support) with the aim of identifying gaps and informing future research and interventions.