John Songo

Dados Biográficos

ID7989992
NOMEJohn Songo
PRENOMESJohn
SOBRENOMESongo
ASSINATURASONGO J
AFILIAÇÕESMalawi Epidemiology and Intervention Research Unit
ORCID0000-0002-0126-7976
VERIFICADOSim
TOTAL DE OBRAS12
TOTAL DE CITAÇÕES0
TOTAL COMO AUTOR12
TOTAL COMO EDITOR0
PRIMEIRO ANO DE PUBLICAÇÃO2020
ANO MAIS RECENTE DE PUBLICAÇÃO2025
ÍNDICE H0

  • Barriers to viral suppression in children aged 9 years or younger on dolutegravir-based antiretroviral therapy in Malawi, a mixed-methods study

    Open AccessKhumbo Phiri, Christine Hagstrom et al.ARTICLEPLOS Global Public Health2025

    After the transition to pediatric dolutegravir-based regimens, viral load (VL) suppression among children with HIV (CWH) in Malawi has remained suboptimal. This mixed-methods study assessed factors associated with high VL among young CWH on dolutegravir-based antiretroviral therapy (ART) and explored adherence barriers from primary-caregiver and healthcare worker perspectives. Between April-July 2023, we performed an unmatched case-control study …

  • Health care needs survey to improve preparedness of community outreach clinics after severe flooding in Mulanje district, Malawi

    Open AccessJoseph Njala, Kelvin Balakasi et al.ARTICLEPLOS Global Public Health2025

    Due to the rising impact of climate change, Malawi has increasingly experienced extreme weather events in the last decade, including flooding that resulted in large-scale displacement of vulnerable populations. In response, the Ministry of Health and partners set up outreach clinics at camps for displaced persons. However, little is known about health care needs of the affected populations. We conducted a cross-sectional survey among individuals …

  • Intimate partner violence among HIV index case testing clients in Malawi, a mixed-methods study

    Open AccessMaria Sanena, Christine Hagstrom et al.ARTICLEPLOS Global Public Health2025

    While its prevalence in sub-Saharan Africa is high, intimate partner violence (IPV) is rarely reported during routine index case testing (ICT) services in Malawi. We retrospectively explored the occurrence of IPV in a large, PEPFAR-supported HIV care and treatment program, among people with HIV (PWH) who had previously accessed ICT services. Between July-August 2022, we enrolled PWH aged ≥18 years, at 15 health facilities, who had received ICT se…

  • Burnout and depression

    Open AccessKhumbo Phiri, John Songo et al.ARTICLEPLOS Global Public Health2023

    Health care workers (HCWs) in eastern Africa experience high levels of burnout and depression, and this may be exacerbated during the COVID-19 pandemic due to anxiety and increased work pressure. We assessed the prevalence of burnout, depression and associated factors among Malawian HCWs who provided HIV care during the COVID-19 pandemic. From April-May 2021, between the second and third COVID-19 waves in Malawi, we randomly selected HCWs from 32…

  • Provider-led community antiretroviral therapy distribution in Malawi

    Open AccessJohn Songo, Hannah Whitehead et al.ARTICLEPLOS Global Public Health2023

    Background Outcomes of community antiretroviral therapy (ART) distribution (CAD), in which provider–led ART teams deliver integrated HIV services at health posts in communities, have been mixed in sub-Saharan African countries. CAD outcomes and costs relative to facility-based care have not been reported from Malawi. Methods We performed a retrospective cohort study in two Malawian districts (Lilongwe and Chikwawa districts), comparing CAD with f…

  • Exploring the evolution of policies for universal antiretroviral therapy and their implementation across three sub-Saharan African countries

    Open AccessMoses Kumwenda, Morten Skovdal et al.ARTICLEGlobal Public Health2020

    Universal antiretroviral therapy (ART) strategies have dramatically changed HIV programming across sub-Saharan Africa. We explored factors that influenced the development, adoption and implementation of universal ART policies in Tanzania, South Africa and Malawi. We conducted 26 key informant interviews and applied Kingdon's 'streams' model to explore how problems, policies and politics converged to provide a window of opportunity for universal A…

  • Assessing the implementation of facility-based HIV testing policies in Malawi, South Africa and Tanzania from 2013–2018

    Open AccessLameck Luwanda, Sanchita Vya et al.ARTICLEGlobal Public Health2020

    National HIV testing policies aim to increase the proportion of people living with HIV who know their status. National HIV testing policies were reviewed for each country from 2013 to 2018, and compared with WHO guidance. Three rounds of health facility surveys were conducted to assess facility level policy implementation in Karonga (Malawi), uMkhanyakude (South Africa), and Ifakara (Tanzania). A policy 'implementation' score was developed and ap…

  • Investigating the implementation of differentiated HIV services and implications for pregnant and postpartum women

    Open AccessRujeko Samanthia Chimukuche, Alison Wringe et al.ARTICLEGlobal Public Health2020

    Universal antiretroviral therapy (ART) for pregnant and postpartum women in sub-Saharan Africa has required adaptations to service delivery. We compared national policies on differentiated HIV service delivery with facility-level implementation, and explored provider and user experiences in rural Malawi, Tanzania and South Africa. Four national policies and two World Health Organization guidelines on HIV treatment for pregnant and postpartum wome…

  • Implications of HIV treatment policies on the health workforce in rural Malawi and Tanzania between 2013 and 2017

    Open AccessJohn Songo, Alison Wringe et al.ARTICLEGlobal Public Health2020

    Effective implementation of policies for expanding antiretroviral therapy (ART) requires a well-trained and adequately staffed workforce. Changes in national HIV workforce policies, health facility practices, and provider experiences were examined in rural Malawi and Tanzania between 2013 and 2017. In both countries, task-shifting and task-sharing policies were explicit by 2013. In facilities, the cadre mix of providers varied by site and changed…

  • Implementation and experiences of integrated prevention of mother-to-child transmission services in Tanzania, Malawi and South Africa

    Open AccessFarida Hassan, Jenny Renju et al.ARTICLEGlobal Public Health2020

    Although integration of HIV and maternal health services is recommended by the World Health Organization, evidence to guide implementation is limited. We describe facility-level implementation of policies for integrating HIV care within maternal health services and explore experiences of service users and providers in rural Tanzania (Ifakara), South Africa (uMkhanyakude) and Malawi (Karonga). Policy in all countries included HIV testing during an…

  • Consequences of male partner engagement policies on HIV care-seeking in three African countries

    Open AccessAlbert Dube, Jenny Renju et al.ARTICLEGlobal Public Health2020

    We explored how strategies to promote male partner engagement influenced HIV care-seeking among men and women living with HIV. In-depth interviews were conducted with 25 health workers, 66 female service users and 10 male partners in Ifakara (Tanzania), Karonga (Malawi) and uMkhanyakude (South Africa) to elicit experiences of offering, providing or receiving HIV care in the context of antenatal care. Data were coded inductively and analysed thema…

  • Influence of evolving HIV treatment guidance on CD4 counts and viral load monitoring

    Open AccessJenny Renju, Brian Rice et al.ARTICLEGlobal Public Health2020

    Little is known about how CD4 and viral load testing have evolved following implementation of universal test and treat (UTT) in African settings. We reviewed World Health Organization (WHO) guidance from 2013 to 2018, and compared it against national HIV policies in Malawi, Tanzania and South Africa. Three surveys rounds were conducted in 2013, 2016 and 2017-2018 in 33 health facilities across the three settings to assess implementation of nation…