Exploring the long-term impact of a nurse-midwife mentorship intervention in Neno district, Malawi: a secondary data analysis of maternal and neonatal complications.

Background: There is critical need to strengthen the global nursing and midwifery workforce. This is especially true in Malawi where they are the primary providers of obstetric and neonatal care. In Neno district, Malawi, in 2017, we implemented an intensive training and longitudinal bedside mentorship intervention for nurses and midwives.

Ebola disease: bridging scientific discoveries and clinical application.

The west Africa Ebola disease epidemic (2014-16) marked a historic change of course for patient care during emerging infectious disease outbreaks. The epidemic response was a failure in many ways-a slow, cumbersome, and disjointed effort by a global architecture that was not fit for purpose for a rapidly spreading outbreak. In the most affected countries, health-care workers and other responders felt helpless-dealing with an overwhelming number of patients but with few, if any, tools at their disposal to provide high-quality care.

Socioeconomic and geographical inequalities in adolescent fertility rates in Sierra Leone, 2008-2019.

Background: Sierra Leone, like many other sub-Saharan African countries, grapples with the challenge of high adolescent fertility rates. This study examines the socio-economic and geographical inequalities in adolescent fertility rates in Sierra Leone between 2008 and 2019.

Methods: Three rounds of the Sierra Leone Demographic and Health Surveys (2008, 2013, and 2019) were analysed to examine inequalities in adolescent fertility rates.

A dataset for energy demand and supply modelling in Sierra Leone.

Energy systems modelling plays a pivotal role in understanding and optimizing complex energy systems. By integrating various factors such as energy demand, supply, infrastructure, and environmental considerations, energy systems modelling provides valuable insights for policymakers, industry stakeholders, and researchers. This can be key to informing stakeholder and policy decisions and facilitate the mobilisation of capital and market development to support the development of the energy sector.

Economic evaluation of expanding inguinal hernia repair among adult males in Sierra Leone.

Sierra Leone faces a substantial backlog of patients with inguinal hernia in need of repair due to a shortage of surgical providers. The current mitigation strategy includes task-sharing with associate clinicians and non-specialist medical doctors, and the economic impact of this approach needs assessment for potential scale-up. This study aimed to assess the cost-effectiveness of open mesh repair of inguinal hernias by associate clinicians and non-specialist medical doctors in adult males (>18 years) compared to no treatment, as well as between the two provider types and to estimate the budget impact of clearing the backlog in Sierra Leone.

Using Continuous Quality Improvement in Community-based Programming During Disasters: Lessons Learned from the 2015 Ebola Crisis in Sierra Leone.

This paper describes the CQI (Continuous Quality Improvement) process of collecting and analyzing field level qualitative data in an ongoing cycle. This data can be used to guide decision-making for effective emergency response. When medical and community components are integrated from the earliest stages of the disaster, it allows for true collaboration and supports the CQI process to be responsive to evolving data.

Ancient evolutionary origins of hepatitis E virus in rodents.

Hepatitis E virus (HEV; family ) infections cause >40,000 human deaths annually. Zoonotic infections predominantly originate from ungulates and occasionally from rats, highlighting the zoonotic potential of rodent-associated hepeviruses. We conducted host genomic data mining and uncovered two genetically divergent rodent-associated hepeviruses, and two bat-associated hepeviruses genetically related to known bat-associated strains.

New records, diagnostics and preliminary checklist of the superfamily Pentatomoidea (Hemiptera: Heteroptera) from the Comoro Islands.

The following species are recorded from the Comoro Islands for the first time: 12 species of Pentatomidae: Pentatominae-Anoano pronotalis Cachan, 1952 (from Mayotte), Antestiopsis clymeneis cf. galtiei (Frappa, 1934) (Mayotte), Bagrada hilaris (Burmeister, 1835) (Mayotte), Bathycoelia rodhaini Schouteden, 1913 (Mayotte), Coquerelia ventralis Horváth, 1904 (Mayotte), Eurysaspis transversalis Signoret, 1851 (Anjouan, Grande Comore, Mayotte), Gadarscama ebenaui Reuter, 1887 (Anjouan, Grande Comore, Mohéli, Mayotte), Lerida annulicornis (Signoret, 1861) (Anjouan, Mayotte), Neoacrosternum validum (Horváth, 1904) (Grand Comore, Mayotte), Nezara viridula (Linnaeus, 1758) (Mayotte), Piezodorus hybneri (Gmelin, 1790) (Mayotte), and Stenozygum mirabile (Signoret, 1861) (Mayotte); two species of Plataspidae-Brachyplatys hemisphaerica (Westwood, 1837) (Mayotte) and Coptosoma maculatum Westwood, 1837 (Mayotte); and one species of Scutelleridae-Hotea denticulata Stål, 1865 (Mayotte). The endemic pentatomine species Bathycoelia cuneifera Bergroth, 1893, syn.

The paternal influence on early childhood development in Africa: implications for child and adolescent mental health.

This commentary examines the influence of fathers in early childhood development in Africa and its implications for child and adolescent mental health. Historically overshadowed by maternal influence, research increasingly highlights the multifaceted impact of paternal involvement on children's cognitive, emotional, social, and behavioural development. Fathers contribute uniquely to children's mental growth through stimulating play and rich language interaction.

Contribution of malnutrition to infant and child deaths in Sub-Saharan Africa and South Asia.

Introduction: Malnutrition contributes to 45% of all childhood deaths globally, but these modelled estimates lack direct measurements in countries with high malnutrition and under-5 mortality rates. We investigated malnutrition's role in infant and child deaths in the Child Health and Mortality Prevention Surveillance (CHAMPS) network.

Methods: We analysed CHAMPS data from seven sites (Bangladesh, Ethiopia, Kenya, Mali, Mozambique, Sierra Leone and South Africa) collected between 2016 and 2023.

Revealing disparities in representation in knowledge generation and guideline development.

Background: Multidrug-resistant tuberculosis (MDR/RR-TB) is a major global health challenge, disproportionately affecting low- and lower-middle-income countries (LLMICs). The World Health Organization (WHO) generates guidance to address the problem. Here, we explore the extent to which guidance and related knowledge are generated by experts living in the most-affected countries and consider the results in the context of the movement to decolonize global health.

World Health Organization African Region national heads of units of diagnostics and laboratory services meetings proceedings.

Background: In the World Health Organization (WHO) African Region, many cases of serious and preventable diseases remain unmanaged because appropriate and good quality diagnostic support is not available at all levels within countries' health systems. Diagnostic and laboratory services influence the efficiency and effectiveness of both clinical and public health functions, including diagnosis, treatment, health promotion, disease prevention, surveillance and response, and research. Essential to global health security, these services are vital to decision-making processes by clinicians, epidemiologists, public health specialists, and health policymakers.

An Alarming Eastward Front of Cassava Mosaic Disease in Development in West Africa.

Begomoviruses are a major threat to cassava production in Africa. Indeed, during the 1990s, the emergence of a recombinant begomovirus (East African cassava mosaic virus-Uganda, EACMV-Ug) resulted in crop devastation and severe famine in Uganda. In 2023, during a pre-survey of cassava farms at Forécariah, South-West Guinea, 22 samples showing peculiar cassava mosaic disease (CMD) symptoms were collected, and subsequent laboratory analysis confirmed the presence of EACMV-Ug in the samples.

The Role of Formal Schooling, Literacy, and Health Knowledge in Addressing Domestic Violence Against Women in West Africa.

When "education" is cited as a solution for domestic violence, different aspects of knowledge acquisition are often omitted. This study uses 2019 Demographic and Health Surveys from four West African countries (The Gambia, Liberia, Senegal, Sierra Leone) with a combined sample size of 12,480 women and generalized ordered logit regression to examine the effects of types of knowledge (years of schooling, literacy, and health knowledge) on domestic violence (physical abuse, emotional abuse, and control issues). The results suggest that literacy has the most reliable beneficial impact on domestic violence and was consistently associated with decreased odds of abuse.

Development of Priority Assistive Product Lists in Three African Countries.

National Assistive Product Lists (APLs) play an important role in improving access to assistive products (APs). Assistive products are critical to enhancing the health, well-being, and quality of life of persons with disabilities and other functional limitations, including those associated with aging. Comparing national APL development across Malawi, Liberia, and Sierra Leone may provide insight into the differences between the resulting national APLs and how to enhance AP service delivery systems.

Teacher Violence and Student Wellbeing in Rural Sierra Leone: Longitudinal Dynamics Across Primary Schooling.

This study explored the longitudinal dynamics of teacher violence and student wellbeing in rural Sierra Leone, West Africa. The participants, totaling 3170 children with an age range of 5 years to 11 years, were cluster-sampled from a large geographic area to ensure gender balance and representation from diverse linguistic backgrounds and religious affiliations. They were drawn from the Safe Learning Study, which spanned over 5 years and involved 100 schools in rural Sierra Leone.