Evidence map›Paper›PMID 41634673›Full record

ArticleBMC health services research2026

Evaluation of performance information management in primary health care, Malawi.

Tony Majo, Martha Makwero, Duncan Kwaitana, Robert Mash

Abstract read
In one paragraph

Article in BMC health services research, 2026. 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
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Tony MajoDepartment of Family Medicine, Kamuzu University of Health Sciences, Blantyre, Malawi. majotony76@gmail.com.
Martha MakweroDepartment of Family Medicine, Kamuzu University of Health Sciences, Blantyre, Malawi.
Duncan KwaitanaDepartment of Family Medicine, Kamuzu University of Health Sciences, Blantyre, Malawi.
Robert MashDepartment of Family and Emergency Medicine, Stellenbosch University, Capetown, South Africa.

Funding

Gates Foundation INV-000970
6 · The paper itself

Abstract

backgroundManagement of health information remains a critical aspect that leverages primary health care (PHC) performance. Just like many low and middle-income countries, Malawi strives to improve performance of PHC through among others the use of evidence–based decision making. This study sought to evaluate the technical, behavioural and organizational determinants in the management of health information system in Malawi.

methodsThis was a qualitative exploratory research study where decision-makers at each level of PHC were engaged using key-informant interviews (KII) and focus group discussions (FGDs). The study targeted three levels of PHC, namely the district health centres and the ministry headquarters.

resultsWe found that Malawi’s PHC system lacks sufficient capacity to enhance technical, behavioural and organizational determinants in its management of information system. Though management of performance information system is regarded as key in improving PHC, Malawi’s PHC system has not fully embarked on making this a priority. Some challenges include unsupportive culture and inadequate capacity.

Indexed as

Primary Health CareFocus GroupsHumansInterviews as TopicMalawiQualitative ResearchDecision makersEvidence-based decision makingLow and middle income countriesMalawiPerformance information managementPrimary health care

Identifiers

PMID41634673
PMCPMC12903288

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.