ArticleEClinicalMedicine2022
The Malawi emergency and critical care survey: A cross-sectional national facility assessment.
Article in EClinicalMedicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Emergency triage in coastal Kenya: a survey of public Emergency Departments.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Cross-Sectional Survey of Critical Care Provision in Ministry of Health Hospitals in Zambia.Nursing in critical care · 2026Article
- Health care worker-reported barriers and potential facilitators of acute lower respiratory infection care deliver for children at Mchinji District Hospital in Malawi.IJID regions · 2026Article
- Emergency and critical care services in Somalia: a cross-sectional nationwide hospital assessment using the WHO Hospital Emergency Unit assessment tool.BMC emergency medicine · 2025Article
- An individual-based modelling study estimating the impact of maternity service delivery on health in Malawi.Nature communications · 2025Article
- Design, implementation and outcomes of a national oxygen distribution network in Lesotho.BMJ global health · 2025Observational
- Comprehensive assessment of pediatric acute and inpatient care at a tertiary referral hospital in Malawi: opportunities for quality improvement.BMJ paediatrics open · 2024Article
- Hospital care for critical illness in low-resource settings: lessons learned during the COVID-19 pandemic.BMJ global health · 2023Review
- Critical care capacity and care bundles on medical wards in Malawi: a cross-sectional study.BMC health services research · 2023Article
- The World Health Assembly resolution on integrated emergency, critical, and operative care for universal health coverage and protection from health emergencies: a golden opportunity to attenuate the global burden of acute and critical illness.Intensive care medicine · 2023Article
- A health systems approach to critical care delivery in low-resource settings: a narrative review.Intensive care medicine · 2023Review
- Patient-reported usability and satisfaction with electronic medication event reminder and monitor device for tuberculosis: a multicentre, randomised controlled trial.EClinicalMedicine · 2023Article
- Improving the quality of COVID-19 care in Sierra Leone: A modified Delphi process and serial nationwide assessments of quality of COVID-19 care in Sierra Leone.PLOS global public health · 2023Article
- Critical Care Units in Malawi: A Cross-Sectional Study.Annals of global health · 2023Article
- Strengthening Cultural Competence in Health Professionals Through Partnerships: A Case Study of a Health Collaborative Exchange Between Malawi and Norway in Trauma Care and Emergency Medicine.Inquiry : a journal of medical care organization, provision and financingArticle
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundData on emergency and critical care (ECC) capacity in low-income countries (LICs) are needed to improve outcomes and make progress towards realizing the goal of Universal Health Coverage.
methodsWe developed a novel research instrument to assess public sector ECC capacity and service readiness in LICs. From January 20th to February 18th, 2020 we administered the instrument at all four central hospitals and a simple random sample of nine of 24 district hospitals in Malawi, a landlocked and predominantly rural LIC of 19·1 million people in Southern Africa. The instrument contained questions on the availability of key resources across three domains and was administered to hospital administrators and clinicians from outpatient departments, emergency departments, and inpatient units. Results were used to generate an ECC Readiness Score, with a possible range of 0 to 1, for each facility.
findingsA total of 114 staff members across 13 hospitals completed interviews for this study. Three (33%) district hospitals and all four central hospitals had ECC Readiness Scores above 0·5 (
interpretationThis is the first study to employ a systematic approach to assessing ECC capacity and service readiness at both district and central hospitals in Malawi and provides a framework for measuring ECC capacity in other LICs. Prior ECC assessments potentially overestimated equipment availability and our methodology may provide a more accurate approach. There is an urgent need for investments in ECC services, particularly at district hospitals which are more accessible to Malawi's predominantly rural population. These findings highlight the need for long-term investments in health systems strengthening and underscore the importance of understanding capacity in LIC settings to inform these efforts.
fundingDivision of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital and Department of Emergency Medicine, Brigham and Women's Hospital.
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