Evidence map›Paper›PMID 41906632›Full record

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.

Stern Mwakalimi Kita, Edward Sparkes, Davide Cotti, Michael Hagenlocher

Abstract read
In one paragraph

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.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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.

Stern Mwakalimi KitaIntegrated Emergency Management and Business Continuity Management Division, Faculty of Resilience, Rabdan Academy, Abu Dhabi, UAE.ORCID 0000-0002-8339-1697
Edward SparkesEarth Systems and Global Change Group, Wageningen University and Research, Wageningen, the Netherlands.
Davide CottiUnited Nations University - Institute for Environment and Human Security (UNU-EHS), Bonn, Germany.
Michael HagenlocherUnited Nations University - Institute for Environment and Human Security (UNU-EHS), Bonn, Germany.ORCID 0000-0002-5254-6713

Funding

Bundesministerium für Wirtschaftliche Zusammenarbeit und Entwicklung 81292321CARICO SADC 81292321
6 · The paper itself

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.

Indexed as

COVID-19DisastersRisk ManagementDisaster PlanningFloodsHumansMalawiPandemicsRisk AssessmentSARS-CoV-2Socioeconomic Factorscascading impactsdisaster risk reductionsocial protectionsystemic risk

Identifiers

PMID41906632
PMCPMC13033958

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.