W Mutale
Dados Biográficos
| ID | 2575203 |
|---|---|
| NOME | W Mutale |
| PRENOMES | W |
| SOBRENOME | Mutale |
| ASSINATURA | MUTALE W |
| AFILIAÇÕES | University of Zambia |
| ORCID | 0000-0002-4891-6750 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 31 |
| TOTAL DE CITAÇÕES | 1 |
| TOTAL COMO AUTOR | 31 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2010 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 1 |
Understanding the Influence of PrEP Motivations and Concerns on PrEP Use Among Pregnant Women in Lilongwe, Malawi
Applying human-centered design to adapt a multifaceted implementation strategy for integrating HIV and NCD services in Lusaka, Zambia
There has been limited research reporting approaches used in the adaptation of implementation strategies for integrating HIV and NCD services that involve healthcare providers in low- and middle-income country (LMIC) settings. This paper describes how human-centered design (HCD) was used to 1) adapt a multifaceted implementation strategy for integrating HIV and NCD services through end-user engagement and 2) share insights from the specific sugge…
Flourishing amidst adversity
Unhealthy substance use is high among adolescents and young people in Zambia. Conceivably, a character strength approach could help reduce alcohol and other psychoactive substance use among young adults. We tested the efficacy of a positive psychology based group-based character strengths prevention and recovery program for alcohol risk reduction among Zambian young adults. The primary study participants included schoolchildren and community memb…
A multi-country comparison between mobile phone surveys and face-to-face household surveys to estimate the prevalence of non-communicable diseases behavioural risk factors in low- and middle-income se…
BACKGROUND: Although mobile phone surveys (MPS) are routinely used to collect health information in high-income countries, concerns remain about the impact of bias on population-level estimates in low-income settings and validation studies are lacking. This study aims to compare non-communicable diseases (NCDs) risk factor estimates obtained from MPS and nationally representative face-to-face household surveys in six low- and middle-income settin…
Measuring Character Strengths and Promoting Positive Youth Development in Zambia
How maternal morbidities impact women’s quality of life during pregnancy and postpartum in sub-Saharan Africa and South Asia
Maternal morbidities present a major burden to the health and well-being of childbearing women. However, their impacts on women’s functional health are not well understood. This work aims to describe how maternal morbidities affect women’s quality of life (QoL) in pregnancy and the postpartum period . This qualitative study involved 118 pregnant and 135 postpartum women at six study sites in Kenya, Ghana, Zambia, Pakistan, and India. Data were co…
Understanding PrEP misconceptions and their impact on PrEP initiation and use among pregnant and lactating women in Malawi
Mother-to-child transmission (MTCT) of HIV remains a challenge in Eastern and Southern Africa. Oral pre-exposure prophylaxis (PrEP) is a powerful tool to reduce MTCT, but women face barriers to effective use including those related to inaccurate comprehension of PrEP To understand women’s misconceptions about PrEP and their potential impact on PrEP use, we conducted interviews with 33 pregnant and lactating women in Malawi using PrEP, and ten PrE…
Motivations, expectations, and hopes of participants and stakeholders in the GROW ‘Hopes for Life' intervention study
Unhealthy alcohol use is the greatest risk factor for premature death and disease among young individuals aged 15-49. Two interventions developed by Global Resilience Oral Workshops (GROW), a faith-based substance use recovery/character training programme, show potential in the reduction of alcohol use through specifically targeted character building. These programmes were rolled out in Lusaka and Sinda districts in Zambia among school and commun…
Association of social support and religiosity with survival among women with breast cancer in a low-income population in the Southeastern United States
A large social support network and regular attendance at faith-based services were associated with better survival among women with breast cancer. This calls for incorporating appropriate interventions to cancer care such as social support groups to improve survival
Association of Postpartum Cardiovascular Biomarkers with HIV Among Women with Recent Preeclampsia in Zambia
Assessing the Implementation Fidelity of a Patient-Centered, Combination Adherence Strategy to Support HIV Antiretroviral Therapy and Pre-Exposure Prophylaxis Adherence During Pregnancy and Breastfeed…
Why is there a gap in self-rated health among people with hypertension in Zambia? A decomposition of determinants and rural‒urban differences
Urban hypertension patients have better SRH than rural patients in Zambia. Education, district HIV prevalence and household expenditure were the most important determinants of the health gap between rural and urban hypertension patients. Policies aimed at promoting educational interventions, improving access to financial resources and strengthening hypertension health services, especially in rural areas, can significantly improve the health of ru…
Money, chores and emotional support
In sub-Saharan Africa, involving male partners in the prevention of mother-to-child transmission of HIV improves maternal and infant outcomes. Male involvement is typically conceptualised as male partners attending antenatal care, which is difficult for many men. Little is known about how men view their involvement in family health within the context of HIV, particularly outside of clinic attendance. Through interviews with 35 male partners of pr…
Towards a competency-based doctoral curriculum at the University of Zambia
We describe a collaborative, iterative, and participatory process that we undertook to develop and adopt a competency-based doctoral curriculum framework at the University of Zambia. There needs to be more than the traditional unstructured apprenticeship of PhD training in a knowledge-based economy where PhD graduates are expected to contribute to industry problem-solving. The lack of industry-driven competencies and, to some extent, limited skil…
Protocol-driven primary care and community linkage to reduce all-cause mortality in rural Zambia
Introduction While tremendous progress has been made in recent years to improve the health of people living in low- and middle-income countries (LMIC), significant challenges remain. Chief among these are poor health systems, which are often ill-equipped to respond to current challenges. It remains unclear whether intensive intervention at the health system level will result in improved outcomes, as there have been few rigorously designed compara…
An evaluation of the early impact of the Covid-19 pandemic on Zambia’s routine immunization program
Implications of the COVID-19 pandemic for both populations and healthcare systems are vast. In addition to morbidity and mortality from COVID-19, the pandemic also disrupted local health systems, including reductions or delays in routine vaccination services and catch-up vaccination campaigns. These disruptions could lead to outbreaks of other infectious diseases that result in an additional burden of disease and strain on the healthcare system. …
Salient beliefs and intention to use pre-exposure prophylaxis among pregnant and breastfeeding women in Zambia
Primary HIV prevention is a priority for pregnant and breastfeeding women in sub-Saharan Africa; however, such services should be designed to optimise uptake and continuation. Between September and December 2021, we enrolled 389 women who were not living with HIV into a cross-sectional study from antenatal/postnatal settings at Chipata Level 1 Hospital. We used the Theory of Planned Behaviour to study the relationship between salient beliefs and …
Perspectives and experiences of Zambian pregnant and postpartum women receiving two intervention models to increase uptake of male partner HIV testing
This study explored the experiences of pregnant women who received two intervention models for increasing uptake of male partner HIV testing in antenatal settings. As part of a randomised trial, we interviewed twenty participants who received partner notification services only while 22 received the partner notification plus HIV self-testing. Thematic analysis was used to analyse the data. Partner notification services helped to initiate discussio…
Acceptability of a Combination Adherence Strategy to Support HIV Antiretroviral Therapy and Pre-exposure Prophylaxis Adherence During Pregnancy and Breastfeeding in Malawi
Health system response to preventing mother-to-child transmission of HIV policy changes in Zambia
BACKGROUND: Zambia is focusing on attaining HIV epidemic control by 2021, including eliminating Mother to Child Transmission (eMTCT) of HIV. However, there is little evidence to understand frontline healthcare workers' experience with the policy changes and the readiness of different health system elements to contribute to this goal. OBJECTIVE: To understand frontline healthcare workers' experience of preventing mother-to-child transmission (PMTC…
Contextualising men’s role and participation in PMTCT programmes in Malawi and Zambia
This study sought to explore and contextualise the man's role in antenatal services, and the barriers and strategies for engaging men in prevention of mother-to-child HIV transmission (PMTCT). We conducted 143 interviews with pregnant and breastfeeding women, male partners, health workers and policy makers in Malawi and Zambia. We employed thematic and critical discourse analysis using the hegemonic masculinity perspective. We found that men's ro…
Evolution of prevention of mother to child transmission of HIV policy in Zambia
The Prevention of Mother-to-child Transmission (PMTCT) of HIV program in Zambia has undergone several policy iterations over the past 10 years. This qualitative study aimed to contribute towards addressing this knowledge gap by analysing the evolution and actors' influence during the policy process using the Walt and Gilson policy triangle as our evaluation framework. Document review and key informant interviews with policy makers were undertaken…
Designing a couple-based relationship strengthening and health enhancing intervention for pregnant women living with HIV and their male partners in Zambia
Menstrual hygiene management in rural schools of Zambia
When menstruating, schoolgirls in rural Zambia would rather stay home than be uncomfortable, inactive and embarrassed due to inadequate MHM facilities at school. A friendly and supportive MHM environment that provides education, absorbent sanitary materials and adequate WASH facilities is essential to providing equal opportunity for all girls
HIV/Aids workplace policy addressing epidemic drivers through workplace programs
HIV/AIDS policies exist in the private sector at a very low proportion but policy translation was very high suggesting that workplaces with polices are likely to implement programs. The eradication of HIV/AIDS by 2030, requires addressing epidemic drivers with a focus on marginalised populations, gender integration, a wellness and rights based approach within the context of the legal framework
Home-based voluntary HIV counselling and testing found highly acceptable and to reduce inequalities
A high uptake was achieved by delivering HIV counselling and testing at home. The highest uptakes were seen in rural areas, in young people and groups with low educational attainment, resulting in substantial reductions in existing inequalities in accessing VCT services
Measuring governance at health facility level
BACKGROUND: Governance has been cited as a key determinant of economic growth, social advancement and overall development. Achievement of millennium development goals is partly dependant on governance practices. In 2007, Health Systems 20/20 conducted an Internet-based survey on the practice of good governance. The survey posed a set of good practices related to health governance and asked respondents to indicate whether their experience confirme…
Factors Associated with HIV-Testing and Acceptance of an Offer of Home-Based Testing by Men in Rural Zambia
Frequency of HIV-testing and factors associated with multiple lifetime HIV-testing among a rural population of Zambian men
Although men's levels of ever-testing for HIV have increased, strategies need to increase the lifetime frequency of HIV-testing among men at continued risk of HIV-infection
Exploring community participation in project design
We successfully applied the CC approach to explore maternal health challenges in three rural districts of Zambia. CCs functioned as an advocacy platform to facilitate direct engagement with key decision makers within the community and to align priorities while incorporating community views. There was a general lack of knowledge about safe motherhood and family planning in all three districts. However, other problems were unique to health faciliti…
Challenges of implementing the integrated disease surveillance and response strategy in Zambia
The implementation of IDSR strategy in Zambia has recorded some successes. However, several gaps hinder effective implementation. It is imperative that these gaps are addressed for Zambia to have a robust surveillance system that could inform policy in a comprehensive and timely manner
HIV/Aids workplace policy addressing epidemic drivers through workplace programs
HIV/AIDS policies exist in the private sector at a very low proportion but policy translation was very high suggesting that workplaces with polices are likely to implement programs. The eradication of HIV/AIDS by 2030, requires addressing epidemic drivers with a focus on marginalised populations, gender integration, a wellness and rights based approach within the context of the legal framework
Menstrual hygiene management in rural schools of Zambia
When menstruating, schoolgirls in rural Zambia would rather stay home than be uncomfortable, inactive and embarrassed due to inadequate MHM facilities at school. A friendly and supportive MHM environment that provides education, absorbent sanitary materials and adequate WASH facilities is essential to providing equal opportunity for all girls
Contextualising men’s role and participation in PMTCT programmes in Malawi and Zambia
This study sought to explore and contextualise the man's role in antenatal services, and the barriers and strategies for engaging men in prevention of mother-to-child HIV transmission (PMTCT). We conducted 143 interviews with pregnant and breastfeeding women, male partners, health workers and policy makers in Malawi and Zambia. We employed thematic and critical discourse analysis using the hegemonic masculinity perspective. We found that men's ro…
Evolution of prevention of mother to child transmission of HIV policy in Zambia
The Prevention of Mother-to-child Transmission (PMTCT) of HIV program in Zambia has undergone several policy iterations over the past 10 years. This qualitative study aimed to contribute towards addressing this knowledge gap by analysing the evolution and actors' influence during the policy process using the Walt and Gilson policy triangle as our evaluation framework. Document review and key informant interviews with policy makers were undertaken…
Designing a couple-based relationship strengthening and health enhancing intervention for pregnant women living with HIV and their male partners in Zambia
Health system response to preventing mother-to-child transmission of HIV policy changes in Zambia
BACKGROUND: Zambia is focusing on attaining HIV epidemic control by 2021, including eliminating Mother to Child Transmission (eMTCT) of HIV. However, there is little evidence to understand frontline healthcare workers' experience with the policy changes and the readiness of different health system elements to contribute to this goal. OBJECTIVE: To understand frontline healthcare workers' experience of preventing mother-to-child transmission (PMTC…
Towards a competency-based doctoral curriculum at the University of Zambia
We describe a collaborative, iterative, and participatory process that we undertook to develop and adopt a competency-based doctoral curriculum framework at the University of Zambia. There needs to be more than the traditional unstructured apprenticeship of PhD training in a knowledge-based economy where PhD graduates are expected to contribute to industry problem-solving. The lack of industry-driven competencies and, to some extent, limited skil…
Protocol-driven primary care and community linkage to reduce all-cause mortality in rural Zambia
Introduction While tremendous progress has been made in recent years to improve the health of people living in low- and middle-income countries (LMIC), significant challenges remain. Chief among these are poor health systems, which are often ill-equipped to respond to current challenges. It remains unclear whether intensive intervention at the health system level will result in improved outcomes, as there have been few rigorously designed compara…
An evaluation of the early impact of the Covid-19 pandemic on Zambia’s routine immunization program
Implications of the COVID-19 pandemic for both populations and healthcare systems are vast. In addition to morbidity and mortality from COVID-19, the pandemic also disrupted local health systems, including reductions or delays in routine vaccination services and catch-up vaccination campaigns. These disruptions could lead to outbreaks of other infectious diseases that result in an additional burden of disease and strain on the healthcare system. …
Salient beliefs and intention to use pre-exposure prophylaxis among pregnant and breastfeeding women in Zambia
Primary HIV prevention is a priority for pregnant and breastfeeding women in sub-Saharan Africa; however, such services should be designed to optimise uptake and continuation. Between September and December 2021, we enrolled 389 women who were not living with HIV into a cross-sectional study from antenatal/postnatal settings at Chipata Level 1 Hospital. We used the Theory of Planned Behaviour to study the relationship between salient beliefs and …
Perspectives and experiences of Zambian pregnant and postpartum women receiving two intervention models to increase uptake of male partner HIV testing
This study explored the experiences of pregnant women who received two intervention models for increasing uptake of male partner HIV testing in antenatal settings. As part of a randomised trial, we interviewed twenty participants who received partner notification services only while 22 received the partner notification plus HIV self-testing. Thematic analysis was used to analyse the data. Partner notification services helped to initiate discussio…
Acceptability of a Combination Adherence Strategy to Support HIV Antiretroviral Therapy and Pre-exposure Prophylaxis Adherence During Pregnancy and Breastfeeding in Malawi
Why is there a gap in self-rated health among people with hypertension in Zambia? A decomposition of determinants and rural‒urban differences
Urban hypertension patients have better SRH than rural patients in Zambia. Education, district HIV prevalence and household expenditure were the most important determinants of the health gap between rural and urban hypertension patients. Policies aimed at promoting educational interventions, improving access to financial resources and strengthening hypertension health services, especially in rural areas, can significantly improve the health of ru…
Money, chores and emotional support
In sub-Saharan Africa, involving male partners in the prevention of mother-to-child transmission of HIV improves maternal and infant outcomes. Male involvement is typically conceptualised as male partners attending antenatal care, which is difficult for many men. Little is known about how men view their involvement in family health within the context of HIV, particularly outside of clinic attendance. Through interviews with 35 male partners of pr…
A multi-country comparison between mobile phone surveys and face-to-face household surveys to estimate the prevalence of non-communicable diseases behavioural risk factors in low- and middle-income se…
BACKGROUND: Although mobile phone surveys (MPS) are routinely used to collect health information in high-income countries, concerns remain about the impact of bias on population-level estimates in low-income settings and validation studies are lacking. This study aims to compare non-communicable diseases (NCDs) risk factor estimates obtained from MPS and nationally representative face-to-face household surveys in six low- and middle-income settin…
Measuring Character Strengths and Promoting Positive Youth Development in Zambia
How maternal morbidities impact women’s quality of life during pregnancy and postpartum in sub-Saharan Africa and South Asia
Maternal morbidities present a major burden to the health and well-being of childbearing women. However, their impacts on women’s functional health are not well understood. This work aims to describe how maternal morbidities affect women’s quality of life (QoL) in pregnancy and the postpartum period . This qualitative study involved 118 pregnant and 135 postpartum women at six study sites in Kenya, Ghana, Zambia, Pakistan, and India. Data were co…
Understanding PrEP misconceptions and their impact on PrEP initiation and use among pregnant and lactating women in Malawi
Mother-to-child transmission (MTCT) of HIV remains a challenge in Eastern and Southern Africa. Oral pre-exposure prophylaxis (PrEP) is a powerful tool to reduce MTCT, but women face barriers to effective use including those related to inaccurate comprehension of PrEP To understand women’s misconceptions about PrEP and their potential impact on PrEP use, we conducted interviews with 33 pregnant and lactating women in Malawi using PrEP, and ten PrE…
Motivations, expectations, and hopes of participants and stakeholders in the GROW ‘Hopes for Life' intervention study
Unhealthy alcohol use is the greatest risk factor for premature death and disease among young individuals aged 15-49. Two interventions developed by Global Resilience Oral Workshops (GROW), a faith-based substance use recovery/character training programme, show potential in the reduction of alcohol use through specifically targeted character building. These programmes were rolled out in Lusaka and Sinda districts in Zambia among school and commun…
Medicine (25 obras) · Environmental health (18 obras) · HIV/AIDS Research and Interventions (16 obras) · Adolescent Sexual and Reproductive Health (15 obras) · Public health (15 obras) · Nursing (14 obras) · Family medicine (11 obras) · Population (11 obras) · Qualitative research (9 obras) · Human immunodeficiency virus (HIV (8 obras)