Effie Chipeta
Dados Biográficos
| ID | 6782839 |
|---|---|
| NOME | Effie Chipeta |
| PRENOMES | Effie |
| SOBRENOME | Chipeta |
| ASSINATURA | CHIPETA E |
| AFILIAÇÕES | Kamuzu Central Hospital |
| ORCID | 0000-0002-7925-3443 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 20 |
| TOTAL DE CITAÇÕES | 0 |
| TOTAL COMO AUTOR | 20 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2009 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 0 |
(De)coding perinatal deaths
BACKGROUND: To reduce perinatal deaths, identification of their causes is paramount. 'The WHO application of ICD-10 to deaths during the perinatal period' (ICD-PM) was developed to improve the quality of perinatal death data. OBJECTIVES: To determine stillbirth and very early neonatal death rates across 16 hospitals in Benin, Malawi, Tanzania, and Uganda, examine causes of death and associated maternal conditions applying the ICD-PM, and assess h…
Factors affecting access to and utilisation of intravenous iron to treat anaemia in pregnancy in Zomba, Malawi
Background Anaemia in pregnancy significantly increases the risk of maternal and neonatal complications. Oral iron supplementation, the standard treatment, is often poorly tolerated and associated with low adherence. Intravenous iron presents a rapid alternative, and we examined the factors influencing access to and utilisation of intravenous iron in treating anaemia in pregnancy within Malawi’s primary healthcare system.Methods We conducted a qu…
Stakeholder perspectives on adolescent sexual and reproductive health and rights in Malawi
Social norms, institutional weaknesses, and gaps between policy commitments and implementation in Malawi continue to pose significant barriers to adolescents' realisation of their sexual and reproductive health and rights (SRHR). Early marriage, gender-based violence, and limited access to contraception and comprehensive sexuality education (CSE) undermine adolescents' wellbeing and future opportunities. This qualitative study examines how actor …
Acceptability, feasibility and appropriateness of integrating HPV self-sampling for cervical cancer screening into voluntary family planning services in Malawi
Despite being preventable, the cervical cancer burden remains high in Malawi and other low-income countries. The World Health Organization recommends cervical cancer screening (CCS) using human papillomavirus (HPV) testing. The coverage of HPV-based CCS is low but may increase with self-sampling of vaginal fluid. We assessed the acceptability, feasibility and appropriateness of two models for integrating HPV self-sampling for CCS into family plan…
Client perspectives and satisfaction with integrating facility and community-based HPV self-sampling for cervical cancer screening with family planning
Our findings highlight that women were satisfied with HPV self-sampling, valuing its convenience, privacy, and cost-effectiveness, which enhanced their willingness to undergo CCS. These findings suggest that integrating CCS self-sampling into FP services could potentially improve CCS uptake in Malawi
The prevalence of gestational syphilis in Malawi between 2014 and 2022
Background: Mother-to-child transmission of syphilis remains high especially in the WHO AFRO region with a prevalence of 1.62%, resulting in a congenital syphilis rate of 1,119 per 100,000 live births. Elimination efforts can be supported by an understanding of the spatial and temporal changes in disease over time, which can identify priority areas for targeted interventions aimed at reducing transmission. Methods: We collated routine surveillanc…
Examining concordance of sexual-related factors and PrEP eligibility with HIV risk perception among adolescent girls and young women
AGYW's HIV risk perceptions were mostly influenced by factors beyond their locus of control. Conditional PrEP eligibility criteria may inhibit AGYW's access and uptake in some settings: countries should consider decoupling these factors to minimize barriers. Intersections between autonomy, behaviors, and perceptions among AGYW in gender-inequitable settings warrants further investigation
Midwifery care providers’ childbirth and immediate newborn care competencies
Evidence-based quality care is essential for reducing sub-Saharan Africa’s high burden of maternal and newborn mortality and morbidity. Provision of quality care results from interaction between several components of the health system including competent midwifery care providers and the working environment. We assessed midwifery care providers’ ability to provide quality intrapartum and newborn care and selected aspects of the working environment…
Social support and very young adolescent girl’s knowledge on sexual relationships
Early sexual relationships are associated with an increased risk of acquiring sexually transmitted diseases including HIV/AIDs, teenage pregnancies, and unsafe abortions among other negative health outcomes. Understanding sexual relationships among very young adolescents (VYAs) is important to equip them to protect themselves from negative sexual health (SH) outcomes. DREAMS ( D etermined, R esilient, E mpowered, A IDS-free, M entored, and S afe)…
Multi-country collaborative citizen science projects to co-design cardiovascular disease prevention strategies and advocacy
The collaborative engagement, participatory learning, and co-designing activities enhanced active engagement between citizen scientists, researchers, and stakeholders. This, in turn, provided context-specific insights on CVD prevention in the different SSA settings
Are midwives ready to provide quality evidence-based care after pre-service training? Curricula assessment in four countries—Benin, Malawi, Tanzania, and Uganda
This research sought to map midwifery pre-service training curricula as part of the Action Leveraging Evidence to Reduce perinatal morTality and morbidity in sub-Saharan Africa (ALERT) project conducted in Benin, Malawi, Tanzania, and Uganda. We conducted the review in two phases. In the first phase, online interviews were performed with the lead project midwives in all four study countries to get an overview of midwifery care providers’ pre-serv…
Why do young people engage in dating relationships during early adolescence? An inter-generational qualitative analysis from Blantyre, Malawi
Engagement in dating relationships plays an important role in the health trajectories of young people, particularly during the early adolescent period between ages 10-14. Yet little is known about such relationships among youth in low resource contexts. This study sought to contribute to the literature on this topic by exploring reasons why school-going young people aged 12-14 years engage in dating relationships in Blantyre, Malawi. A thematic a…
How do adolescents navigate Covid-19 information, and why does it matter
Interventions to reduce preterm birth and stillbirth, and improve outcomes for babies born preterm in low- and middle-income countries
Service Use and Resilience among Adolescents Living with HIV in Blantyre, Malawi
Adolescent centred-approaches have the potential to enhance resilience promoting resources and outcomes. A multi-sectoral approach to service use and provision is critical to inform adolescent intervention programs and wellbeing
Measuring sexual behaviour in Malawi
Diaries may therefore have higher validity for sensitive behaviour reporting and thus be the preferred method in similar African contexts in measuring sexual behaviours
Pilot study of home-based delivery of HIV testing and counseling and contraceptive services to couples in Malawi
Home-based CHCT and CFP were very successful in this pilot study with high proportions of previously untested husbands and wives accepting CHCT and there were virtually no negative outcomes within one week. This study supports the need for further research and testing of home- and couple-based approaches to expand access to HCT and contraceptive services to prevent the undesired consequences of sexually transmitted infection and unintended pregna…
Men's Perceptions of Delivery Care in Rural Malawi
In this cross-sectional survey with qualitative components (n = 389), we explored how husbands perceive delivery care in rural Malawi. Most husbands decide on maternal health care seeking, believe in antenatal care, and prefer institutional delivery. Men acknowledge that their unfaithfulness and violence can harm the pregnancy. Most husbands feel responsible for birth preparedness, but poor availability and unforeseeable transport costs hinder ca…
Experiences with fistula repair surgery among women and families in Malawi
Fistula treatment through surgery is reported to be successful in 80-90% of cases. Success in fistula repair has been defined by medical professionals in terms of clinical outcomes; beyond these definitions, it is important to understand how women perceive a positive clinical outcome and how it affects her family and home environment. This research was conducted in the Mangochi District of Malawi to answer these questions through interviews with …
The lived experience of Malawian women with obstetric fistula
Data on women who experience obstetric fistula paints an often tragic picture. The majority of previous research has focused on facility-based data from women receiving surgical treatment. The goal of this qualitative study was to gain an understanding of the lived experience of obstetric fistula in Malawi. Forty-five women living with fistula were interviewed in their homes to learn how the condition affected them and their families on a daily b…
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The lived experience of Malawian women with obstetric fistula
Data on women who experience obstetric fistula paints an often tragic picture. The majority of previous research has focused on facility-based data from women receiving surgical treatment. The goal of this qualitative study was to gain an understanding of the lived experience of obstetric fistula in Malawi. Forty-five women living with fistula were interviewed in their homes to learn how the condition affected them and their families on a daily b…
Experiences with fistula repair surgery among women and families in Malawi
Fistula treatment through surgery is reported to be successful in 80-90% of cases. Success in fistula repair has been defined by medical professionals in terms of clinical outcomes; beyond these definitions, it is important to understand how women perceive a positive clinical outcome and how it affects her family and home environment. This research was conducted in the Mangochi District of Malawi to answer these questions through interviews with …
Men's Perceptions of Delivery Care in Rural Malawi
In this cross-sectional survey with qualitative components (n = 389), we explored how husbands perceive delivery care in rural Malawi. Most husbands decide on maternal health care seeking, believe in antenatal care, and prefer institutional delivery. Men acknowledge that their unfaithfulness and violence can harm the pregnancy. Most husbands feel responsible for birth preparedness, but poor availability and unforeseeable transport costs hinder ca…
Pilot study of home-based delivery of HIV testing and counseling and contraceptive services to couples in Malawi
Home-based CHCT and CFP were very successful in this pilot study with high proportions of previously untested husbands and wives accepting CHCT and there were virtually no negative outcomes within one week. This study supports the need for further research and testing of home- and couple-based approaches to expand access to HCT and contraceptive services to prevent the undesired consequences of sexually transmitted infection and unintended pregna…
Measuring sexual behaviour in Malawi
Diaries may therefore have higher validity for sensitive behaviour reporting and thus be the preferred method in similar African contexts in measuring sexual behaviours
How do adolescents navigate Covid-19 information, and why does it matter
Interventions to reduce preterm birth and stillbirth, and improve outcomes for babies born preterm in low- and middle-income countries
Service Use and Resilience among Adolescents Living with HIV in Blantyre, Malawi
Adolescent centred-approaches have the potential to enhance resilience promoting resources and outcomes. A multi-sectoral approach to service use and provision is critical to inform adolescent intervention programs and wellbeing
Are midwives ready to provide quality evidence-based care after pre-service training? Curricula assessment in four countries—Benin, Malawi, Tanzania, and Uganda
This research sought to map midwifery pre-service training curricula as part of the Action Leveraging Evidence to Reduce perinatal morTality and morbidity in sub-Saharan Africa (ALERT) project conducted in Benin, Malawi, Tanzania, and Uganda. We conducted the review in two phases. In the first phase, online interviews were performed with the lead project midwives in all four study countries to get an overview of midwifery care providers’ pre-serv…
Why do young people engage in dating relationships during early adolescence? An inter-generational qualitative analysis from Blantyre, Malawi
Engagement in dating relationships plays an important role in the health trajectories of young people, particularly during the early adolescent period between ages 10-14. Yet little is known about such relationships among youth in low resource contexts. This study sought to contribute to the literature on this topic by exploring reasons why school-going young people aged 12-14 years engage in dating relationships in Blantyre, Malawi. A thematic a…
Midwifery care providers’ childbirth and immediate newborn care competencies
Evidence-based quality care is essential for reducing sub-Saharan Africa’s high burden of maternal and newborn mortality and morbidity. Provision of quality care results from interaction between several components of the health system including competent midwifery care providers and the working environment. We assessed midwifery care providers’ ability to provide quality intrapartum and newborn care and selected aspects of the working environment…
Social support and very young adolescent girl’s knowledge on sexual relationships
Early sexual relationships are associated with an increased risk of acquiring sexually transmitted diseases including HIV/AIDs, teenage pregnancies, and unsafe abortions among other negative health outcomes. Understanding sexual relationships among very young adolescents (VYAs) is important to equip them to protect themselves from negative sexual health (SH) outcomes. DREAMS ( D etermined, R esilient, E mpowered, A IDS-free, M entored, and S afe)…
Multi-country collaborative citizen science projects to co-design cardiovascular disease prevention strategies and advocacy
The collaborative engagement, participatory learning, and co-designing activities enhanced active engagement between citizen scientists, researchers, and stakeholders. This, in turn, provided context-specific insights on CVD prevention in the different SSA settings
The prevalence of gestational syphilis in Malawi between 2014 and 2022
Background: Mother-to-child transmission of syphilis remains high especially in the WHO AFRO region with a prevalence of 1.62%, resulting in a congenital syphilis rate of 1,119 per 100,000 live births. Elimination efforts can be supported by an understanding of the spatial and temporal changes in disease over time, which can identify priority areas for targeted interventions aimed at reducing transmission. Methods: We collated routine surveillanc…
Examining concordance of sexual-related factors and PrEP eligibility with HIV risk perception among adolescent girls and young women
AGYW's HIV risk perceptions were mostly influenced by factors beyond their locus of control. Conditional PrEP eligibility criteria may inhibit AGYW's access and uptake in some settings: countries should consider decoupling these factors to minimize barriers. Intersections between autonomy, behaviors, and perceptions among AGYW in gender-inequitable settings warrants further investigation
Acceptability, feasibility and appropriateness of integrating HPV self-sampling for cervical cancer screening into voluntary family planning services in Malawi
Despite being preventable, the cervical cancer burden remains high in Malawi and other low-income countries. The World Health Organization recommends cervical cancer screening (CCS) using human papillomavirus (HPV) testing. The coverage of HPV-based CCS is low but may increase with self-sampling of vaginal fluid. We assessed the acceptability, feasibility and appropriateness of two models for integrating HPV self-sampling for CCS into family plan…
Client perspectives and satisfaction with integrating facility and community-based HPV self-sampling for cervical cancer screening with family planning
Our findings highlight that women were satisfied with HPV self-sampling, valuing its convenience, privacy, and cost-effectiveness, which enhanced their willingness to undergo CCS. These findings suggest that integrating CCS self-sampling into FP services could potentially improve CCS uptake in Malawi
(De)coding perinatal deaths
BACKGROUND: To reduce perinatal deaths, identification of their causes is paramount. 'The WHO application of ICD-10 to deaths during the perinatal period' (ICD-PM) was developed to improve the quality of perinatal death data. OBJECTIVES: To determine stillbirth and very early neonatal death rates across 16 hospitals in Benin, Malawi, Tanzania, and Uganda, examine causes of death and associated maternal conditions applying the ICD-PM, and assess h…
Factors affecting access to and utilisation of intravenous iron to treat anaemia in pregnancy in Zomba, Malawi
Background Anaemia in pregnancy significantly increases the risk of maternal and neonatal complications. Oral iron supplementation, the standard treatment, is often poorly tolerated and associated with low adherence. Intravenous iron presents a rapid alternative, and we examined the factors influencing access to and utilisation of intravenous iron in treating anaemia in pregnancy within Malawi’s primary healthcare system.Methods We conducted a qu…
Stakeholder perspectives on adolescent sexual and reproductive health and rights in Malawi
Social norms, institutional weaknesses, and gaps between policy commitments and implementation in Malawi continue to pose significant barriers to adolescents' realisation of their sexual and reproductive health and rights (SRHR). Early marriage, gender-based violence, and limited access to contraception and comprehensive sexuality education (CSE) undermine adolescents' wellbeing and future opportunities. This qualitative study examines how actor …
Medicine (15 obras) · Environmental health (10 obras) · Nursing (10 obras) · Adolescent Sexual and Reproductive Health (8 obras) · Family medicine (8 obras) · Psychology (8 obras) · Biostatistics (6 obras) · Global Maternal and Child Health (6 obras) · HIV/AIDS Research and Interventions (6 obras) · Population (6 obras)