Publications by authors named "Monica P Malata"

Objective: This study explored the experiences of women with maternal near miss and their perceptions of the quality of care they received in three facilities in Malawi.

Methods: This study employed a qualitative phenomenological approach. Data were collected using in depth interviews and analysed using thematic content analysis.

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Article Synopsis
  • Many sub-Saharan African countries, particularly Malawi, have seen a rise in malaria cases despite efforts to eliminate the disease, largely due to inadequate access to effective treatment for school-aged children.
  • A qualitative study conducted in rural Malawi identified various barriers to malaria treatment, including long wait times at clinics, stock shortages, negative provider attitudes, cultural beliefs about witchcraft, and challenges posed by the COVID-19 pandemic.
  • The findings indicate that the obstacles to accessing malaria care for school-aged children mirror problems faced by other demographics, emphasizing the need for improved healthcare access and response strategies.
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This formative study was undertaken between June 2020 and April 2021 to provide evidence to inform the design and delivery of comprehensive sexuality education (CSE) in Malawi for young people living with HIV (YPLHIV) and young people with disabilities (YPWD). The study included a desk review of the situation of these two groups and a mapping of CSE programmes and delivery approaches in Malawi. The study findings show that YPWD and YPLHIV in Malawi are marginalised groups, face stigma and discrimination, and are more vulnerable to abuse, warranting CSE that addresses their needs.

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Comprehensive sexuality education (CSE) is a well-established component of the package of interventions required to improve adolescent sexual and reproductive health and rights. As the international community has increased its emphasis on equity and leaving no-one behind with the Agenda for Sustainable Development, attention has been drawn to the need for complementary CSE programmes to reach young people who are not in school, or whose needs are not met by in-school CSE programmes. CSE in out-of-school contexts presents unique considerations, especially those related to facilitation.

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Article Synopsis
  • Many women in low-income countries lack access to essential ultrasound training during pregnancy due to a shortage of trained practitioners, prompting a study in Malawi to teach basic obstetric ultrasound to midwives.
  • The study involved 29 midwives who completed a tailored education program, showing significant improvements in their knowledge, confidence, and practical skills after training.
  • Despite the success in knowledge and skill enhancement, challenges remained in providing adequate supervision and ongoing support, highlighting the need for future improvements in training sustainability and follow-up.
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