Evidence map›Paper›PMID 33414644›Full record

ArticleInternational journal of general medicine2020

Implementing Innovative Approaches to Healthcare in a Lower-Middle Income Country: Perspectives from Malawi.

Emma Larsson, Mala Mawkin, Simon D Taylor-Robinson, Peter Harrington, Hastings Gondwe, Chris Watson, Joseph Gallagher, Mark Ledwidge, Griphin Baxter Chirambo, John O'Donoghue

Abstract read
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Article in International journal of general medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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1 · What the graph read from it

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Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Emma LarssonImperial College London, South Kensington, London SW7 2BX, UK.ORCID 0000-0003-2722-1869
Mala MawkinImperial College London, South Kensington, London SW7 2BX, UK.
Simon D Taylor-RobinsonImperial College London, South Kensington, London SW7 2BX, UK.
Peter HarringtongHealth Research Group, University College Dublin, Dublin, Ireland.ORCID 0000-0001-8389-6807
Hastings GondweSt John's Hospital, Mzuzu, Malawi.
Chris WatsongHealth Research Group, University College Dublin, Dublin, Ireland.
Joseph GallaghergHealth Research Group, University College Dublin, Dublin, Ireland.
Mark LedwidgegHealth Research Group, University College Dublin, Dublin, Ireland.
Griphin Baxter ChiramboMzuzu University, Mzuzu, Malawi.
John O'DonoghuegHealth Research Group, University College Dublin, Dublin, Ireland.

Funding

Wellcome Trust
6 · The paper itself

Abstract

introductionSafe, reliable, and effective healthcare systems are essential for all nations to ensure the health and wellbeing of their citizens. However, this is not always achievable with clinical therapies constantly evolving, resulting in a domino effect of structural, policy and training changes. For low- and middle-income countries (LMICs), implementing change is restricted. It is essential that innovative and realistic solutions are developed, so that effective change can be realised in LMICs. MATERIALS AND

methodsIn this report of a global health conference held in July 2019, six perspectives are presented which aim to generate long-term positive change in Malaŵi. Perspective 1: Pneumonia - the BIOTOPE study (BIOmarkers TO diagnose PnEumonia) sought to determine the aetiology of pneumonia in children presenting in primary care. It assessed blood-based markers of bacterial infection as part of a rapid diagnostic approach to better utilise existing resources in Malaŵi. Perspective 2: Cardiovascular - the CARDIA project (CARdiac Dysfunction in Africa) was established to assess clinical and biochemical phenotypes of diabetic patients in Malaŵi. Perspective 3: Asthma - an observational study was conducted to implement a health system strengthening initiative for asthma. The use of locally adapted formularies and protocols with ongoing online mentoring through expert partnerships provided an opportunity to sustainably build capacity. Perspective 4: Sustainable Partnerships - establishing the Malaŵi electronic Health (eHealth) Research Centre, an international hub to develop education, research and innovation for long-term collaboration. Perspective 5: Part-Time PhD Studies - undertaking a part-time PhD within a LMIC provides logistic challenges, but also a number of opportunities for observational research. Perspective 6: Medical electives - an undergraduate elective allows real exposure to global health and facilitates life-long collaborations at an early stage in a medical career.

conclusionMalaŵi is an under-doctored and resource-poor country. North-South partnerships in Malaŵi should be strengthened with particular emphasis on healthcare innovations, such as eHealth, which allow healthcare problems to be highlighted early while preventative measures are still possible.

Indexed as

cardiovascular diseasediabeteseHealthmHealthnon-communicable diseasesrespiratory disease

Identifiers

PMID33414644
PMCPMC7783193

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.