Fannie Kachale
Biographic Data
| ID | 329169 |
|---|---|
| NAME | Fannie Kachale |
| GIVEN NAMES | Fannie |
| FAMILY NAME | Kachale |
| SIGNATURE | KACHALE F |
| AFFILIATIONS | Ministry of Health |
| ORCID | 0000-0003-4489-2613 |
| VERIFIED | Yes |
| TOTAL WORKS | 10 |
| TOTAL CITATIONS | 13 |
| WORKS AS AUTHOR | 10 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2012 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 1 |
Avoidable factors associated with maternal death from postpartum haemorrhage
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 dist…
Maternal mortality following caesarean section in a low-resource setting
BACKGROUND: Caesarean section (CS) is the most common major surgery conducted globally, with rates rising. CS also contributes to maternal morbidity and mortality, with increased risks in low-resource settings. We conducted a detailed review of maternal deaths from 2020 to 2022 in Malawi to determine the burden of deaths related to CS, avoidable health system factors, and causes of death associated with this procedure. METHODS: Data were collecte…
Cyclone Freddy and its impact on maternal health service utilisation
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 da…
Health care provider and client experiences of counselling on depot medroxyprogesterone acetate subcutaneous (DMPA-SC) for self-injection in Malawi
Since the introduction of subcutaneous depot medroxyprogesterone acetate (DMPA-SC) in 2018, Malawi has achieved national coverage of trained providers in the public sector and steady increases in uptake of DMPA-SC. However, the rate of clients opting to self-inject DMPA-SC has remained lower than early acceptability studies suggested. Providers play an instrumental role in building client confidence to self-inject through counselling/training. Th…
Modeling Contraception and Pregnancy in Malawi
Malawi has high unmet need for contraception with a costed national plan to increase contraception use. Estimating how such investments might impact future population size in Malawi can help policymakers understand effects and value of policies to increase contraception uptake. We developed a new model of contraception and pregnancy using individual‐level data capturing complexities of contraception initiation, switching, discontinuation, and fai…
Catalyzing action on HIV/SRH integration
The HIV pandemic has long revealed the inequities and fault lines in societies, one of the most tenacious being the pandemic's disproportionate impact on adolescent girls and young women. In east and southern Africa, renewed global action is needed to invigorate an effective yet undervalued approach to expanding HIV prevention and improving women's health: integration of quality HIV and sexual and reproductive health (SRH) services. The urgency o…
Culture's Place in Quality of Care in a Resource-Constrained Health System
Public health scholars describe "culture of quality" in terms of desired values, attitudes, and practices, but this literature rarely includes explicitly stated theories of culture formation. In this article, we apply Fredrik Barth's transactional model to demonstrate how taking a theory-centered approach can help to identify what would be necessary to foster "cultures of quality" outlined in the public health literature. We draw on data from a s…
How strong are Malawi’s family planning programs for adolescent and adult women? Results of a national assessment of implementation strength conducted by Malawi’s National Evaluation Platform
BACKGROUND: To assess the strength of implementation of family planning programs targeting youth (15-24) in Malawi with a specific focus on youth and the Youth-Friendly Health Services program. METHODS: We conducted 9781 mobile phone interviews with facility in-Charge Nurses and health workers (health facility workers, health surveillance assistants [HSAs] and community-based distribution agent [CBDAs]) who provide family planning (FP) services a…
Contribution of community-based newborn health promotion to reducing inequities in healthy newborn care practices and knowledge
Although these results indicate promising improvements for newborn health in Malawi, the extent to which the CBMNC program contributed to these improvements in coverage and equity are not known. The strategies through which community-based programs are implemented likely play an important role in their ability to improve equity, and further research and program monitoring are needed to ensure that the poorest households are reached by community-b…
Newborn survival in Malawi
Malawi is one of two low-income sub-Saharan African countries on track to meet the Millennium Development Goal (MDG 4) for child survival despite high fertility and HIV and low health worker density. With neonatal deaths becoming an increasing proportion of under-five deaths, addressing newborn survival is critical for achieving MDG 4. We examine change for newborn survival in the decade 2000–10, analysing mortality and coverage indicators whilst…
Newborn survival in Malawi
Malawi is one of two low-income sub-Saharan African countries on track to meet the Millennium Development Goal (MDG 4) for child survival despite high fertility and HIV and low health worker density. With neonatal deaths becoming an increasing proportion of under-five deaths, addressing newborn survival is critical for achieving MDG 4. We examine change for newborn survival in the decade 2000–10, analysing mortality and coverage indicators whilst…
Newborn survival in Malawi
Malawi is one of two low-income sub-Saharan African countries on track to meet the Millennium Development Goal (MDG 4) for child survival despite high fertility and HIV and low health worker density. With neonatal deaths becoming an increasing proportion of under-five deaths, addressing newborn survival is critical for achieving MDG 4. We examine change for newborn survival in the decade 2000–10, analysing mortality and coverage indicators whilst…
Contribution of community-based newborn health promotion to reducing inequities in healthy newborn care practices and knowledge
Although these results indicate promising improvements for newborn health in Malawi, the extent to which the CBMNC program contributed to these improvements in coverage and equity are not known. The strategies through which community-based programs are implemented likely play an important role in their ability to improve equity, and further research and program monitoring are needed to ensure that the poorest households are reached by community-b…
How strong are Malawi’s family planning programs for adolescent and adult women? Results of a national assessment of implementation strength conducted by Malawi’s National Evaluation Platform
BACKGROUND: To assess the strength of implementation of family planning programs targeting youth (15-24) in Malawi with a specific focus on youth and the Youth-Friendly Health Services program. METHODS: We conducted 9781 mobile phone interviews with facility in-Charge Nurses and health workers (health facility workers, health surveillance assistants [HSAs] and community-based distribution agent [CBDAs]) who provide family planning (FP) services a…
Culture's Place in Quality of Care in a Resource-Constrained Health System
Public health scholars describe "culture of quality" in terms of desired values, attitudes, and practices, but this literature rarely includes explicitly stated theories of culture formation. In this article, we apply Fredrik Barth's transactional model to demonstrate how taking a theory-centered approach can help to identify what would be necessary to foster "cultures of quality" outlined in the public health literature. We draw on data from a s…
Catalyzing action on HIV/SRH integration
The HIV pandemic has long revealed the inequities and fault lines in societies, one of the most tenacious being the pandemic's disproportionate impact on adolescent girls and young women. In east and southern Africa, renewed global action is needed to invigorate an effective yet undervalued approach to expanding HIV prevention and improving women's health: integration of quality HIV and sexual and reproductive health (SRH) services. The urgency o…
Health care provider and client experiences of counselling on depot medroxyprogesterone acetate subcutaneous (DMPA-SC) for self-injection in Malawi
Since the introduction of subcutaneous depot medroxyprogesterone acetate (DMPA-SC) in 2018, Malawi has achieved national coverage of trained providers in the public sector and steady increases in uptake of DMPA-SC. However, the rate of clients opting to self-inject DMPA-SC has remained lower than early acceptability studies suggested. Providers play an instrumental role in building client confidence to self-inject through counselling/training. Th…
Modeling Contraception and Pregnancy in Malawi
Malawi has high unmet need for contraception with a costed national plan to increase contraception use. Estimating how such investments might impact future population size in Malawi can help policymakers understand effects and value of policies to increase contraception uptake. We developed a new model of contraception and pregnancy using individual‐level data capturing complexities of contraception initiation, switching, discontinuation, and fai…
Maternal mortality following caesarean section in a low-resource setting
BACKGROUND: Caesarean section (CS) is the most common major surgery conducted globally, with rates rising. CS also contributes to maternal morbidity and mortality, with increased risks in low-resource settings. We conducted a detailed review of maternal deaths from 2020 to 2022 in Malawi to determine the burden of deaths related to CS, avoidable health system factors, and causes of death associated with this procedure. METHODS: Data were collecte…
Cyclone Freddy and its impact on maternal health service utilisation
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 da…
Avoidable factors associated with maternal death from postpartum haemorrhage
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 dist…
Medicine (10 works) · Environmental health (8 works) · Global Maternal and Child Health (6 works) · Nursing (6 works) · Economic growth (5 works) · Population (5 works) · Economics (4 works) · Adolescent Sexual and Reproductive Health (3 works) · Demography (3 works) · Family medicine (3 works)