Journal Articles
The study examines the impact of skill acquisition on choice of destination and occupation for migrant youth in Malawi. This study uses primary data collected under the Youth, Employment and Migration for East and Southern Africa (YEMESA) project. Drawing from multinomial logit and Probit models, the study finds that having technical skills before migrating has a statistical significant effect on migrating to long-established administrative cities with stable markets compared to new and expanding commercial cities.
The objective of our study was to explore young people’s experiences using an on-demand sexual and reproductive health mHealth platform in Kenya. Digital health usability assessments can help explain how mHealth applications targeting young people with sexual and reproductive health information performed and whether or not the intended purpose was achieved. Few digital health assessments have however been conducted to evaluate young people’s perceptions regarding mHealth system interactions and content relevance on a wide range of sexual and reproductive health (SRH) topics.
Disproportionate cervical cancer burden falls on women in low-income countries, and there are new efforts to scale up prevention worldwide, including via “screen and treat” for detection and removal of abnormal cervical lesions. This study examines Malawian women’s experiences with “screen and treat”; this is an under-explored topic in the literature, which has focused largely on knowledge about and attitudes toward screening, but not on experiences with screening.
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
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.
Sexual abstinence is a key component of the strategy to address unwanted pregnancies, sexually transmitted infections and HIV among youth in sub-Sahara Africa. But contextual pressures make abstaining from sex a formidable task for urban poor youth in the sub-region. Nevertheless, some youth in these settings still manage to resist the pressure to initiate sex early, while others choose abstinence after an initial sexual debut. Few studies in the sub-region have examined sexual abstinence among urban poor youth. The study therefore examined the factors that predict primary and secondary sexual abstinence among youth in urban poor Accra. The findings highlight […]
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.
This paper discusses our experiences and lessons from the Strengthening Capacity for Evidence Use in Health Policy (SECURE Health) project implemented in Kenya and Malawi to strengthen capacity for evidence use within the ministries of health (MoHs). The intervention implemented simultaneous activities to build technical skills at the individual level, strengthen institutional policies and structures that enable evidence use, and cultivate a supportive political environment for enabling increased demand and use of evidence in health policy-making in Kenya and Malawi.
Nutritional interventions to prevent stunting of infants and young children are most often applied in rural areas in low- and middle-income countries (LMIC). Few interventions are focused on urban slums. The objective of this systematic review was to assess the impact of nutritional interventions to reduce stunting in infants and children under five years old in urban slums from LMIC and the effect of nutritional interventions on other nutritional (wasting and underweight) and non‐nutritional outcomes (socioeconomic, health and developmental) in addition to stunting.
Despite growing interest in evidence among parliamentarians and some emerging literature on evidence use in decision making in parliaments, there is still a notable gap in knowledge on the ecosystem of evidence in parliaments. This paper seeks to contribute to filling this gap by discussing the contribution of a loose regional network, the Network of African Parliamentary Committees on Health (NEAPACOH), to the evidence ecosystem in African parliaments.
Worldwide, more than one-third of women have experienced either sexual or physical violence, often perpetrated by an intimate partner, while about 7% have been sexually assaulted by a non-partner. Such violence is not only a crime, but also a public health concern since it is associated with ill-health including depression, low birthweight babies, and infection from HIV.
Increasingly, decision-makers are recognising the value of evidence in formulating sound and sustainable policies. More researchers have also become concerned with ensuring that their evidence reaches policymakers. It is emerging that researchers and policymakers do not speak to each other as much as they should.