Evidence map›Paper›PMID 34006521›Full record

ReviewBMJ global health2021

The health policy response to COVID-19 in Malawi.

Grace W Mzumara, Marlen Chawani, Melody Sakala, Lily Mwandira, Elias Phiri, Edith Milanzi, Mphatso Dennis Phiri, Isabel Kazanga, Thomasena O'Byrne, Eliya M Zulu and 4 more

Open access · goldAbstract readReview
In one paragraph

Review in BMJ global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
4.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 53 citations in OpenAlex.

  1. Article
  2. A Nation of Disasters: Lessons on Systemic Risks and Cascading Impacts From Malawi's COVID-19 Experience.Risk analysis : an official publication of the Society for Risk Analysis · 2026
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  4. Distribution ofPathogens (Basel, Switzerland) · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 8 institutions in 3 countries.

Grace W MzumaraChild Health, Malawi-Liverpool-Wellcome Trust Clinical Research Programme, Blantyre, Malawi g.wezimzumara@gmail.com.
Marlen ChawaniPolicy Engagement Unit, Malawi Liverpool Wellcome Trust Clinical Research Programme, Blantyre, Malawi.
Melody SakalaPolicy Engagement Unit, Malawi Liverpool Wellcome Trust Clinical Research Programme, Blantyre, Malawi.
Lily MwandiraAfrican Institute for Development Policy, Lilongwe, Malawi.
Elias PhiriEarly life and Neonatal Infections, Malawi Liverpool Wellcome Trust Clinical Research Programme, Blantyre, Malawi.
Edith MilanziMRC Clinical Trials Unit, University College London, London, UK.
Mphatso Dennis PhiriMalawi-Liverpool-Wellcome Trust Clinical Research Programme, Blantyre, Blantyre, Malawi.
Isabel KazangaHealth Economics and Policy Unit, University of Malawi College of Medicine, Lilongwe, Malawi.
Thomasena O'ByrneTrinity College Dublin Trinity Centre for Global Health, Dublin, Ireland.
Eliya M ZuluAfrican Institute for Development Policy, Lilongwe, Malawi.
Collins MitamboDepartment of Research, Malawi Ministry of Health, Lilongwe, Malawi.
Titus DivalaDepartment of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.
Bertie SquireClinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.
Pui-Ying Iroh TamChild Health, Malawi-Liverpool-Wellcome Trust Clinical Research Programme, Blantyre, Malawi.ORCID 0000-0002-3682-8892
University of Liverpool · GBAfrican Institute for Development Policy · MWLiverpool School of Tropical Medicine · GBLondon School of Hygiene & Tropical Medicine · GBMRC Clinical Trials Unit at UCL · GBPublic Health Institute of Malawi · MWTrinity College Dublin · IEUniversity of Malawi · MW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Malawi declared a state of national disaster due to the COVID-19 pandemic on 20th March 2020 and registered its first confirmed coronavirus case on the 2 April 2020. The aim of this paper was to document policy decisions made in response to the COVID-19 pandemic from January to August 2020. We reviewed policy documents from the Public Health Institute of Malawi, the Malawi Gazette, the Malawi Ministry of Health and Population and the University of Oxford Coronavirus Government Response Tracker. We found that the Malawi response to the COVID-19 pandemic was multisectoral and implemented through 15 focused working groups termed clusters. Each cluster was charged with providing policy direction in their own area of focus. All clusters then fed into one central committee for major decisions and reporting to head of state. Key policies identified during the review include international travel ban, school closures at all levels, cancellation of public events, decongesting workplaces and public transport, and mandatory face coverings and a testing policy covering symptomatic people. Supportive interventions included risk communication and community engagement in multiple languages and over a variety of mediums, efforts to improve access to water, sanitation, nutrition and unconditional social-cash transfers for poor urban and rural households.

Indexed as

COVID-19Health PolicyPandemicsHumansMalawiCOVID-19health policyhealth systems

Identifiers

PMID34006521
PMCPMC8136801
OpenAlexW3160848025

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.