Publications by authors named "J Jafali"
Background: Despite strong evidence-based strategies for prevention and management, global efforts to reduce deaths from postpartum haemorrhage (PPH) have failed, and it remains the leading cause of maternal mortality. We conducted a detailed review of all maternal deaths from 33 facilities in Malawi to identify health system weaknesses leading to deaths from PPH.
Methods: Data were collected regarding every maternal death occurring across all district and central hospitals in Malawi.
Article Synopsis
- Caesarean sections (CS) are the most common major surgery worldwide, but they pose significant risks for maternal mortality, especially in low-resource settings like Malawi, where a study reviewed maternal deaths from 2020 to 2022.
- The study found that over half of maternal deaths (51.8%) occurred after CS, with women undergoing CS being five times more likely to die compared to those who delivered vaginally, due to causes like postpartum hemorrhage, eclampsia, and infection.
- Health system issues contributed to these deaths, including delayed treatment and inadequate monitoring, indicating a pressing need to enhance the safety and management of CS in healthcare practices.
Article Synopsis
- The study investigates the prevalence of undiagnosed HIV and schistosomiasis among fishermen in Malawi, aiming to evaluate integrated interventions for both conditions in lakeside communities.
- It employed a three-arm, cluster-randomized trial design involving male fishermen to compare different methods of promoting healthcare services—enhanced standard care, peer education, and peer distribution education.
- The outcomes measured included the rate of schistosomiasis and the uptake of HIV treatments and circumcision, with a focus on achieving these goals within 28 days post-intervention.
Background: Understanding the aetiological organisms causing maternal infections is crucial to inform antibiotic treatment guidelines, but such data are scarce from Sub-Saharan Africa (SSA). We performed this systematic review and meta-analysis to address this gap.
Methods: Microbiologically confirmed maternal infection data were collected from PubMed, Embase, and African Journals online databases.
Climate change poses a significant threat to women's health in sub-Saharan Africa, yet the impact of climate change on maternal health is rarely reported in the region. Using an existing Maternal Surveillance Platform (MATSurvey), we estimated the immediate impact of Cyclone Freddy on maternal health care service indicators in Malawi. We analysed facility-level data for pregnant women up to 42 weeks post-partum using the national MATSurvey database.
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