ArticleRisk analysis : an official publication of the Society for Risk Analysis2026
A Nation of Disasters: Lessons on Systemic Risks and Cascading Impacts From Malawi's COVID-19 Experience.
Article in Risk analysis : an official publication of the Society for Risk Analysis, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- The convergence of health system, climate, and social pathways in Malawi's 2022-2024 cholera outbreak - A qualitative assessment.PLoS neglected tropical diseases · 2026Article
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Authors and funding
4 authors.
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Abstract
The COVID-19 pandemic exposed the cascading and systemic nature of risks, in low-income, multi-hazard contexts such as Malawi, where pre-existing vulnerabilities amplified impacts across health, economic, and social systems. This study draws on qualitative data from stakeholder workshops and key informant interviews, triangulated with national statistics, to analyze how overburdened health systems, disrupted livelihoods, and inequitable resource distribution heightened socio-economic fragility. It also examines how concurrent hazards, including flooding and cholera outbreaks, interacted with the pandemic to intensify the crisis and expose limitations in Malawi's disaster risk management systems. The analysis highlights the importance of adaptive mechanisms, including urban cash transfer programs, for supporting vulnerable groups and mitigating cascading socio-economic impacts during crises. Key innovations, including digital tracking tools, local production of essential supplies, and scalable social protection mechanisms, emerged as pathways for strengthening institutional resilience. The findings emphasize the need for anticipatory, multi-hazard disaster risk management strategies that prioritize shock-sensitive social protection and cross-sectoral coordination to strengthen system-wide resilience. By situating qualitative insights with documented hazard and socio-economic patterns, this paper contributes to systemic risk scholarship in multi-hazard, resource-constrained environments.
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Registered trials
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