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3. A Randomized Trial of Prophylactic Antibiotics for Miscarriage Surgery

Author

Lissauer, David, Wilson, Amie, Hewitt, Catherine A., Middleton, Lee, Bishop, Jonathan R. B., Daniels, Jane, Merriel, Abi, Weeks, Andrew, Mhango, Chisale, Mataya, Ronald, Taulo, Frank, Ngalawesa, Theresa, Chirwa, Agatha, Mphasa, Colleta, Tambala, Tayamika, Chiudzu, Grace, Mwalwanda, Caroline, Mboma, Agnes, Qureshi, Rahat, Ahmed, Iffat, Ismail, Humera, Oladapo, Olufemi T., Mbaruku, Godfrey, Chibwana, Jerome, Watts, Grace, Simon, Beatus, Ditai, James, Otim Tom, Charles, Acam, JaneFrances, Ekunait, John, Unzia, Hellen, Iyaku, Margaret, Makiika, Joshua J., Zamora, Javier, Roberts, Tracy, Goranitis, Ilias, Bar-Zeev, Sarah, Desmond, Nicola, Arulkumaran, Sabaratnam, Bhutta, Zulfiqar A., Gulmezoglu, Ahmet M., and Coomarasamy, Arri

Published
2019
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5. Prophylactic antibiotics to reduce pelvic infection in women having miscarriage surgery – The AIMS (Antibiotics in Miscarriage Surgery) trial: study protocol for a randomized controlled trial

Author

Lissauer, David, Wilson, Amie, Daniels, Jane, Middleton, Lee, Bishop, Jon, Hewitt, Catherine, Merriel, Abi, Weeks, Andrew, Mhango, Chisale, Mataya, Ronald, Taulo, Frank, Ngalawesa, Theresa, Chirwa, Agatha, Mphasa, Colleta, Tambala, Tayamika, Chiudzu, Grace, Mwalwanda, Caroline, Mboma, Agnes, Qureshi, Rahat, Ahmed, Iffat, Ismail, Humera, Gulmezoglu, Metin, Oladapo, Olufemi T., Mbaruku, Godfrey, Chibwana, Jerome, Watts, Grace, Simon, Beatus, Ditai, James, Tom, Charles Otim, Acam, Jane-Frances, Ekunait, John, Uniza, Helen, Iyaku, Margaret, Anyango, Margaret, Zamora, Javier, Roberts, Tracy, Goranitis, Ilias, Desmond, Nicola, and Coomarasamy, Arri

Published
2018
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10. Population-Based Estimation of the Preterm Birth Rate in Lilongwe, Malawi: Making Every Birth Count

Author

Antony, Kathleen M., additional, Kazembe, Peter N., additional, Pace, Ryan M., additional, Levison, Judy, additional, Phiri, Henry, additional, Chiudzu, Grace, additional, Harris, Ronald Alan, additional, Chirwa, Rose, additional, Nyondo, Mary, additional, Marko, Ellina, additional, Chigayo, Andrew, additional, Nanthuru, Debora, additional, Banda, Bertha, additional, Twyman, Nicholas, additional, Ramin, Susan M., additional, Raine, Susan P., additional, Belfort, Michael A., additional, and Aagaard, Kjersti M., additional

Published
2020
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11. Population-Based Estimation of Dental Caries and Periodontal Disease Rates of Gravid and Recently Postpartum Women in Lilongwe, Malawi

Author

Antony, Kathleen M., additional, Kazembe, Peter N., additional, Pace, Ryan M., additional, Levison, Judy, additional, Mlotha-Namarika, Jesse, additional, Phiri, Henry, additional, Chiudzu, Grace, additional, Harris, R. Alan, additional, Aagaard, Joshua, additional, Twyman, Nicholas, additional, Ramin, Susan M., additional, Raine, Susan P., additional, Belfort, Michael A., additional, and Aagaard, Kjersti M., additional

Published
2019
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12. A Randomized Trial of Prophylactic Antibiotics for Miscarriage Surgery

Author

Lissauer, David, primary, Wilson, Amie, additional, Hewitt, Catherine A., additional, Middleton, Lee, additional, Bishop, Jonathan R.B., additional, Daniels, Jane, additional, Merriel, Abi, additional, Weeks, Andrew, additional, Mhango, Chisale, additional, Mataya, Ronald, additional, Taulo, Frank, additional, Ngalawesa, Theresa, additional, Chirwa, Agatha, additional, Mphasa, Colleta, additional, Tambala, Tayamika, additional, Chiudzu, Grace, additional, Mwalwanda, Caroline, additional, Mboma, Agnes, additional, Qureshi, Rahat, additional, Ahmed, Iffat, additional, Ismail, Humera, additional, Oladapo, Olufemi T., additional, Mbaruku, Godfrey, additional, Chibwana, Jerome, additional, Watts, Grace, additional, Simon, Beatus, additional, Ditai, James, additional, Otim Tom, Charles, additional, Acam, JaneFrances, additional, Ekunait, John, additional, Unzia, Hellen, additional, Iyaku, Margaret, additional, Makiika, Joshua J., additional, Zamora, Javier, additional, Roberts, Tracy, additional, Goranitis, Ilias, additional, Bar-Zeev, Sarah, additional, Desmond, Nicola, additional, Arulkumaran, Sabaratnam, additional, Bhutta, Zulfiqar A., additional, Gulmezoglu, Ahmet M., additional, and Coomarasamy, Arri, additional

Published
2019
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13. Qualitative assessment of knowledge transfer regarding preterm birth in Malawi following the implementation of targeted health messages over 3 years

Author

Antony,Kathleen M, Levison,Judy, Suter,Melissa A, Raine,Susan, Chiudzu,Grace, Phiri,Henry, Sclafani,Joseph, Belfort,Michael, Kazembe,Peter, Aagaard,Kjersti M, Antony,Kathleen M, Levison,Judy, Suter,Melissa A, Raine,Susan, Chiudzu,Grace, Phiri,Henry, Sclafani,Joseph, Belfort,Michael, Kazembe,Peter, and Aagaard,Kjersti M

Abstract

Kathleen M Antony,1,2 Judy Levison,1 Melissa A Suter,1 Susan Raine,1 Grace Chiudzu,3 Henry Phiri,3 Joseph Sclafani,1,3,4 Michael Belfort,1 Peter Kazembe,4 Kjersti M Aagaard1 1Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USA; 2Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Wisconsin-Madison, Madison, WI, USA; 3Department of Obstetrics and Gynecology, Kamuzu Central Hospital, Lilongwe, Malawi; 4Baylor College of Medicine Children’s Clinical Center of Excellence, Kamuzu Central Hospital, Lilongwe, Malawi Background: In 2012, we performed a needs assessment and gap analysis to qualitatively assess providers’ and patients’ knowledge and perceptions regarding preterm birth (PTB). During the study, we identified knowledge gaps surrounding methods to reduce the risk of occurrence of PTB and management options if preterm labor/birth occur. We targeted health messages toward these gaps. The objective of the present study was to assess the impact of our community health worker-based patient education program 3 years after it was implemented.Methods: Fifteen focus groups including 70 participants were included in the study. The groups comprised either patients/patient couples or health providers. A minimum of two facilitators led each group using 22 a priori designed and standardized lead-in prompts for participants with four additional prompts for providers only. A single researcher recorded responses, and transcript notes were reviewed by the facilitators and interpreters immediately following each group discussion to ensure accuracy.Results: The understanding of term vs preterm gestation was generally accurate. Every participant knew of women who had experienced PTB, and the general perception was that two to three women out of every ten had this experience. The majority of respondents thought that women should present to their local health clinic if they experienc

Published
2019

15. Plasma Micronutrient Concentrations Are Altered by Antiretroviral Therapy and Lipid-Based Nutrient Supplements in Lactating HIV-Infected Malawian Women

Author

Eron, Joseph, Raines, Byron, Chikhungu, Norah, Zgambo, Innocent, Mkomawanthu, Chimwemwe, Kayira, Dumbani, Hoffman, Irving, Mndala, Ibrahim, Davis, Nicole L., Marcus, Cheryl, Sellers, Christopher, Mayers, Douglas, Kamthunzi, Portia, Nkhoma, Jacqueline, Kacheche, Zebrone, Bramson, Brian, Ryan, Mairin, Long, Dustin, Daza, Eric J., Fiscus, Susan, Musis, Bonface, Hurst, Stacy, van der Horst, Charles, Waalberg, Esther, Ait-Khaled, Mounir, Tohill, Beth, Spensley, Allison, Allen, Lindsay H., Msika, Albans, Ahmed, Yusuf, Fokar, Ali, Kourtis, Athena P., Chiudzu, Grace, Kamwendo, Deborah, Shugars, Diane, McDonough, Marita, Shahab-Ferdows, Setarah, Pendame, Richard, Chigwenembe, Maggie, Mumba, Noel, Thomas, Roshan, Mayuni, Isabel, Mwansambo, Charles, Hudgens, Michael, Wiener, Jeffrey, Guay, Laura, Piwoz, Ellen, Rublein, John, Hosseinipour, Mina, Luhanga, Misheck, Mita, Khama, Dow, Anna, Butera, Sal, Albrecht, Sandra, Kumwenda, Jacob, Bayer, Ronald, Bangdiwala, Shrikant, Chilongozi, David, Kamanga, Esmie, Farr, Sherry, Hyde, Lisa, Joaki, George, Parker, Megan, Sanne, Ian, Steens, Jean Marc, Moses, Agnes, Bentley, Margaret E., Martinson, Francis, Knight, Rodney, Madhlopa, Victor, Ferguson, Yvonne Owens, Mndala, Gertrude, Galvin, Shannon, Flax, Valerie L., Matiki, Chrissie, Corneli, Amy, Chikasema, Maria, Kamanga, Gift, Lee, Hana, Corbett, Amanda, Kampani, Coxcilly, Jones, David, Meme, Joyce, Majawa, Maganizo, Jamieson, Denise, Widen, Elizabeth, Snowden, Wendy, King, Caroline C., Chasela, Charles S., Hooten, Elizabeth, Kashuba, Angela, Chimerang'ambe, Joseph, Muita, Jane, Ramdas, Zane, Jordan-Bell, Elizabeth, Hampel, Daniela, Thoofer, Navdeep, van der Horst, Charles M., Heilig, Chad, Kathyola, Damson, Chome, Lenesi, Boyle, Nicola, Tegha, Gerald, Tembo, Martin, Maida, Alice, Merry, Ceppie, Adair, Linda S., Eliya, Henry, Bobrow, Emily, Cole, Anne, Loeliger, Edde, Kanyama, Cecilia, Mtimuni, Beatrice, Msungama, Wezi, Chavula, Charity, Duerr, Ann, Zimba, Chifundo, Mwapasa, Gerald, Krysiak, Robert, Sichali, Dorothy, Soko, Alice, Jamieson, Denise J., Wiyo, Patricia, Wilfert, Cathy, Tien, Hsiao Chuan, Ellington, Sascha, and Kazembe, Peter

Abstract

Background: Little is known about the influence of antiretroviral therapy with or without micronutrient supplementation on the micronutrient concentrations of HIV-infected lactating women in resource-constrained settings.

Published
2015
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16. Effect of cytomegalovirus infection on breastfeeding transmission of HIV and on the health of infants born to HIV-infected mothers

Author

Loeliger, Edde, King, Caroline C., Ahmed, Yusuf, Joaki, George, Knight, Rodney, Hosseinipour, Mina, Dollard, Sheila C., Marcus, Cheryl, Moses, Agnes, Jordan-Bell, Elizabeth, Bramson, Brian, Pendame, Richard, Chang, Tiffany S., Kourtis, Athena P., Sellers, Christopher, Steens, Jean Marc, Hooten, Elizabeth, Long, Dustin, Kanyama, Cecilia, Ryan, Mairin, Mayers, Douglas, Sichali, Dorothy, Hurst, Stacy, Wiener, Jeffrey, Corbett, Amanda, Mwansambo, Charles, Jones, David, Hyde, Lisa, Piwoz, Ellen, Van Der Horst, Charlie, Boyle, Nicola, Dow, Anna, Cole, Anne, Msika, Albans, Maida, Alice, Amin, Minal M., Zgambo, Innocent, Parker, Megan, Fokar, Ali, Nkhoma, Jacqueline, Chasela, Charles, Mumba, Noel, Adair, Linda, Lee, Hana, Snowden, Wendy, Kayira, Dumbani, Spensley, Allison, Fiscus, Susan, Soko, Alice, Chigwenembe, Maggie, Matiki, Chrissie, Tohill, Beth, Kathyola, Damson, Chavula, Charity, Mndala, Gertrude, Kumwenda, Jacob, Mwapasa, Gerald, Galvin, Shannon, Flax, Valerie, Bangdiwala, Shrikant, Farr, Sherry, Ait-Khaled, Mounir, Waalberg, Esther, Mkomawanthu, Chimwemwe, Luhanga, Misheck, Raines, Byron, Butera, Sal, Wilfert, Cathy, Thoofer, Navdeep, Eron, Joseph, Van Der Horst, Charles, Mtimuni, Beatrice, Ramdas, Zane, Musis, Bonface, Rublein, John, Chikhungu, Norah, Kashuba, Angela, Kazembe, Peter, Jamieson, Denise J., Guay, Laura, Krysiak, Robert, Widen, Elizabeth, Tembo, Martin, Meme, Joyce, Majawa, Maganizo, Thomas, Roshan, Bobrow, Emily, Mita, Khama, Kamanga, Gift, Chiudzu, Grace, Heilig, Chad, Chimerang'ambe, Joseph, Kampani, Coxcilly, Chikasema, Maria, Eliya, Henry, Tegha, Gerald, Wiyo, Patricia, Martinson, Francis, Mayuni, Isabel, Kamanga, Esmie, Chome, Lenesi, Albrecht, Sandra, Duerr, Ann, McDonough, Marita, Tien, Hsiao Chuan, Shugars, Diane, Hudgens, Michael, Sanne, Ian, Bentley, Margaret, Chilongozi, David, Bayer, Ronald, Kacheche, Zebrone, Ellington, Sascha, Corneli, Amy, Merry, Ceppie, Mndala, Ibrahim, Muita, Jane, Kamwendo, Deborah, Madhlopa, Victor, Ferguson, Yvonne Owens, Zimba, Chifundo, Msungama, Wezi, Hoffman, Irving, and Kamthunzi, Portia

Subjects
fungi, food and beverages, virus diseases
Abstract

Cytomegalovirus (CMV) infection can be acquired in utero or postnatally through horizontal transmission and breastfeeding. The effect of postnatal CMV infection on postnatal HIV transmission is unknown.

Published
2015
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17. Adherence to extended postpartum antiretrovirals is associated with decreased breast milk HIV-1 transmission

Author

Tegha, Gerald, Zimba, Chifundo, Kamthunzi, Portia, Majawa, Maganizo, Ahmed, Yusuf, Mndala, Gertrude, Loeliger, Edde, Piwoz, Ellen, Bayer, Ronald, Nelson, Julie A.E., Bramson, Brian, Tembo, Martin, Chavula, Charity, Kazembe, Peter, Nkhoma, Jacqueline, Mita, Khama, Guay, Laura, Kayira, Dumbani, Merry, Ceppie, Rublein, John, Kamanga, Esmie, Kamwendo, Deborah, Musis, Bonface, Heilig, Chad, Raines, Byron, Tohill, Beth, Sellers, Christopher, Adair, Linda, Luhanga, Misheck, Eron, Joseph, Bobrow, Emily, Marcus, Cheryl, Jamieson, Denise J., Ait-Khaled, Mounir, Van Der Horst, Charles, Wiyo, Patricia, Boyle, Nicola, Shugars, Diane, Madhlopa, Victor, Mwapasa, Gerald, Corneli, Amy, Kanyama, Cecilia, Waalberg, Esther, Kumwenda, Jacob, Chikhungu, Norah, Chiudzu, Grace, Fokar, Ali, Tien, Hsiao Chuan, McDonough, Marita, Maida, Alice, Chasela, Charles S., Mayuni, Isabel, Mkomawanthu, Chimwemwe, Miller, William C., Spensley, Allison, Bentley, Margaret, King, Caroline C., Joaki, George, Pendame, Richard, Bangdiwala, Shrikant, Muita, Jane, Snowden, Wendy, Ferguson, Yvonne Owens, Flax, Valerie, Kourtis, Athena P., Davis, Nicole L., Ramdas, Zane, Wiener, Jeffrey, Parker, Megan, Mayers, Douglas, Albrecht, Sandra, Widen, Elizabeth, Kampani, Coxcilly, Hurst, Stacy, Butera, Sal, Mwansambo, Charles, Ellington, Sascha R., Sichali, Dorothy, Meme, Joyce, Dow, Anna, Mndala, Ibrahim, Jordan-Bell, Elizabeth, Martinson, Francis, Hosseinipour, Mina, Soko, Alice, Wilfert, Cathy, Chimerang'ambe, Joseph, Chilongozi, David, Krysiak, Robert, Hoffman, Irving, Farr, Sherry, Moses, Agnes, Long, Dustin, Msika, Albans, Knight, Rodney, Kathyola, Damson, Ryan, Mairin, Hyde, Lisa, Chikasema, Maria, Mumba, Noel, Kacheche, Zebrone, Matiki, Chrissie, Corbett, Amanda, Lee, Hana, Chome, Lenesi, Zgambo, Innocent, Kashuba, Angela, Fiscus, Susan, Eliya, Henry, Mtimuni, Beatrice, Cole, Anne, Thomas, Roshan, Jones, David, Duerr, Ann, Msungama, Wezi, Kamanga, Gift, Steens, Jean Marc, Hooten, Elizabeth, Galvin, Shannon, Stringer, Jeffrey S.A., Thoofer, Navdeep, Chigwenembe, Maggie, Hudgens, Michael G., and Sanne, Ian

Subjects
virus diseases, reproductive and urinary physiology
Abstract

Estimate association between postpartum antiretroviral adherence and breastmilk HIV-1 transmission

Published
2014
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19. 549: Population-based estimation of the peridontal disease rate in malawi and compliance with preventive/ treatment measures

Author

Antony, Kathleen M., primary, Harris, R. Alan, additional, Levison, Judy, additional, Banda, Bertha, additional, Chiudzu, Grace, additional, Chirwa, Rose, additional, Nyondo, Mary, additional, Marko, Ellina, additional, Chigano, Andrew, additional, Ramin, Susan, additional, Phiri, Henry, additional, Raine, Susan, additional, Belfort, Michael, additional, Kazembe, Peter, additional, and Aagaard, Kjersti, additional

Published
2016
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20. 403: Population-based estimation of the preterm birth rate in malawi: making every birth count

Author

Antony, Kathleen M., primary, Harris, R. Alan, additional, Levison, Judy, additional, Banda, Bertha, additional, Chiudzu, Grace, additional, Chigano, Andrew, additional, Chirwa, Rose, additional, Nyondo, Mary, additional, Marko, Ellina, additional, Ramin, Susan, additional, Raine, Susan, additional, Belfort, Michael, additional, Phiri, Henry, additional, Kazembe, Peter N., additional, and Aagaard, Kjersti M., additional

Published
2016
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22. Evaluating Nurses' Implementation of an Infant-Feeding Counseling Protocol for HIV-Infected Mothers: The Ban Study in Lilongwe, Malawi

Author

Tegha, Gerald, Kathyola, Damson, Ait-Khaled, Mounir, Zimba, Chifundo, Ellington, Sascha, Chilongozi, David, Kourtis, Athena, Meme, Joyce, Loeliger, Edde, Galvin, Shannon, Musis, Bonface, Chavula, Charity, Boyle, Nicola, Kayira, Dumbani, Jamieson, Denise, Nkhoma, Jacqueline, Kanyama, Cecilia, Bobrow, Emily, Mita, Khama, Chasela, Charles, Wiyo, Patricia, Kamthunzi, Portia, Thomas, Roshan, Zulu, Cynthia, Jamieson, Denise J., Van Der Horst, Charles, Kamanga, Esmie, Krysiak, Robert, Tembo, Martin, Soko, Alice, Msika, Albans, Duerr, Ann, McDonough, Marita, Waalberg, Esther, Sellers, Christopher, Piwoz, Ellen G., Raines, Byron, Kumwenda, Jacob, Eliya, Henry, Chimerang'Ambe, Joseph, Rublein, John, Ahmed, Yusuf, Mwapasa, Gerald, Kacheche, Zebrone, Eng, Eugenia, Msungama, Wezi, Hurst, Stacy, Spensley, Allison, Mkomawanthu, Chimwemwe, Eron, Joseph, Knight, Rodney, Piwoz, Ellen, Mumba, Noel, Fiscus, Susan, Kashuba, Angela, Chigwenembe, Maggie, Muita, Jane, Hyde, Lisa, Heilig, Chad, Matika, Chrissie, Martinson, Francis, Madhlopa, Victor, Wilfert, Cathy, Ferguson, Yvonne Owens, Mwansambo, Charles, Farr, Sherry, Mndala, Gertrude, Guay, Laura, Hosseinipour, Mina, Mndala, Ibrahim, Steckler, Allan, Butera, Sal, Bentley, Margaret, Mayuni, Isabel, Moses, Agnes, Shugars, Diane, Jones, David, Wiener, Jeffrey, Albrecht, Sandra, Maida, Alice, Tohill, Beth Carlton, Randall-David, Elizabeth, Tohill, Beth, Chikasema, Maria, Majawa, Maganizo, Luhanga, Misheck, Chikhungu, Norah, Chiudzu, Grace, Sandelowski, Margarete, Kampani, Coxcilly, Hooten, Elizabeth, Bayer, Ronald, Corneli, Amy, Kazembe, Peter, Kamanga, Gift, Chome, Lenesi, Zgambo, Onnocent, Joaki, George, Corbett, Amanda, Marcus, Cheryl, Sanne, Ian, Tien, Hsiao Chuan, Mtimuni, Beatrice, Mayers, Douglas, Cole, Anne, Bramson, Brian, Snowden, Wendy, Merry, Ceppie, Sichali, Dorothy, Kamwendo, Deborah, Steens, Jean Marc, Adair, Linda, Bangdiwala, Shrikant, Thoofer, Navdeep, Ryan, Mairin, Hudgens, Michael, Hoffman, Irving, Pendame, Richard, and Ramdas, Zane

Abstract

A process evaluation of nurses’ implementation of an infant-feeding counseling protocol was conducted for the Breastfeeding, Antiretroviral and Nutrition (BAN) Study, a prevention of mother-to-child transmission of HIV clinical trial in Lilongwe, Malawi. Six trained nurses counseled HIV-infected mothers to exclusively breastfeed for 24 weeks postpartum and to stop breastfeeding within an additional four weeks. Implementation data were collected via direct observations of 123 infant feeding counseling sessions (30 antenatal and 93 postnatal) and interviews with each nurse. Analysis included calculating a percent adherence to checklists and conducting a content analysis for the observation and interview data. Nurses were implementing the protocol at an average adherence level of 90% or above. Although not detailed in the protocol, nurses appropriately counseled mothers on their actual or intended formula milk usage after weaning. Results indicate that nurses implemented the protocol as designed. Results will help to interpret the BAN Study’s outcomes.

Published
2009
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25. 522: Population-based estimation of the preterm birth rate in Malawi: making every birth count

Author

Aagaard, Kjersti, primary, Levison, Judy, additional, Banda, Bertha, additional, Chigayo, Andrew, additional, Chilaga, Owen, additional, Chirwa, Rose, additional, Nyondo, Mary, additional, Gama, David, additional, Tamula, Elizabeth, additional, Harris, R. Alan, additional, Ramin, Susan, additional, Kazembe, Peter, additional, Phiri, Henry, additional, and Chiudzu, Grace, additional

Published
2014
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26. High rates of cervical cancer among HIV-infected women at a referral hospital in Malawi.

Author

Kohler, Racquel E., Tang, Jennifer, Gopal, Satish, Chinula, Lameck, Hosseinipour, Mina C., Liomba, N. George, and Chiudzu, Grace

Subjects
CERVICAL cancer research, DISEASE prevalence, HIV-positive women, MEDICAL referrals, PUBLIC health
Abstract

Cervical cancer is the most common cancer among women in Malawi. National guidelines recommend screening women aged 30-45 years every five years; however, no specific recommendations exist for women with HIV. We aimed to assess the frequency of high-grade dysplasia (CIN 2 or CIN3) and cervical cancer among women in central Malawi and to examine associations with CIN2+ (CIN2/3 or cancer). We extracted cervical Pap smear, biopsy, loop electrosurgical excision procedure and uterine specimen reports from a hospital pathology database from November 2012 to November 2013. We used logistic regression to estimate associations with CIN2+. We reviewed specimens from 824 women; we excluded 194 with unknown HIV status, leaving 630 in the analytic sample. Twelve percent had high-grade dysplasia and 109 women (17%) had cancer. Twenty-five percent of high-grade dysplasia cases and 35% of cancers occurred among women outside recommended screening ages. The odds of having CIN2+ were 6.55 times (95% CI 4.44-9.67) greater for HIV+ women. High-grade dysplasia and cervical cancer are very common among Malawian women, especially HIV+ women. HIV infection was strongly associated with CIN2+. Expanding screening to women not covered by current guidelines could avert a substantial proportion of cervical cancer cases in Malawi. [ABSTRACT FROM AUTHOR]

Published
2016
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28. Additional file 2: of Prophylactic antibiotics to reduce pelvic infection in women having miscarriage surgery â The AIMS (Antibiotics in Miscarriage Surgery) trial: study protocol for a randomized controlled trial

Author

Lissauer, David, Wilson, Amie, Daniels, Jane, Middleton, Lee, Bishop, Jon, Hewitt, Catherine, Abi Merriel, Weeks, Andrew, Chisale Mhango, Mataya, Ronald, Taulo, Frank, Ngalawesa, Theresa, Chirwa, Agatha, Colleta Mphasa, Tayamika Tambala, Chiudzu, Grace, Mwalwanda, Caroline, Mboma, Agnes, Rahat Qureshi, Ahmed, Iffat, Humera Ismail, Gulmezoglu, Metin, Olufemi Oladapo, Mbaruku, Godfrey, Chibwana, Jerome, Watts, Grace, Beatus Simon, Ditai, James, Tom, Charles, Jane-Frances Acam, Ekunait, John, Uniza, Helen, Iyaku, Margaret, Anyango, Margaret, Zamora, Javier, Roberts, Tracy, Goranitis, Ilias, Desmond, Nicola, and Arri Coomarasamy

Subjects
3. Good health
Abstract

Consent form. (DOCX 89 kb)

29. Additional file 1: of Prophylactic antibiotics to reduce pelvic infection in women having miscarriage surgery â The AIMS (Antibiotics in Miscarriage Surgery) trial: study protocol for a randomized controlled trial

Author

Lissauer, David, Wilson, Amie, Daniels, Jane, Middleton, Lee, Bishop, Jon, Hewitt, Catherine, Abi Merriel, Weeks, Andrew, Chisale Mhango, Mataya, Ronald, Taulo, Frank, Ngalawesa, Theresa, Chirwa, Agatha, Colleta Mphasa, Tayamika Tambala, Chiudzu, Grace, Mwalwanda, Caroline, Mboma, Agnes, Rahat Qureshi, Ahmed, Iffat, Humera Ismail, Gulmezoglu, Metin, Olufemi Oladapo, Mbaruku, Godfrey, Chibwana, Jerome, Watts, Grace, Beatus Simon, Ditai, James, Tom, Charles, Jane-Frances Acam, Ekunait, John, Uniza, Helen, Iyaku, Margaret, Anyango, Margaret, Zamora, Javier, Roberts, Tracy, Goranitis, Ilias, Desmond, Nicola, and Arri Coomarasamy

Subjects
3. Good health
Abstract

Follow-up card. (DOCX 605 kb)

30. Additional file 3: of Prophylactic antibiotics to reduce pelvic infection in women having miscarriage surgery â The AIMS (Antibiotics in Miscarriage Surgery) trial: study protocol for a randomized controlled trial

Author

Lissauer, David, Wilson, Amie, Daniels, Jane, Middleton, Lee, Bishop, Jon, Hewitt, Catherine, Abi Merriel, Weeks, Andrew, Chisale Mhango, Mataya, Ronald, Taulo, Frank, Ngalawesa, Theresa, Chirwa, Agatha, Colleta Mphasa, Tayamika Tambala, Chiudzu, Grace, Mwalwanda, Caroline, Mboma, Agnes, Rahat Qureshi, Ahmed, Iffat, Humera Ismail, Gulmezoglu, Metin, Olufemi Oladapo, Mbaruku, Godfrey, Chibwana, Jerome, Watts, Grace, Beatus Simon, Ditai, James, Tom, Charles, Jane-Frances Acam, Ekunait, John, Uniza, Helen, Iyaku, Margaret, Anyango, Margaret, Zamora, Javier, Roberts, Tracy, Goranitis, Ilias, Desmond, Nicola, and Arri Coomarasamy

Subjects
3. Good health
Abstract

Patient information sheet. (DOCX 65 kb)

31. Additional file 2: of Prophylactic antibiotics to reduce pelvic infection in women having miscarriage surgery â The AIMS (Antibiotics in Miscarriage Surgery) trial: study protocol for a randomized controlled trial

Author

Lissauer, David, Wilson, Amie, Daniels, Jane, Middleton, Lee, Bishop, Jon, Hewitt, Catherine, Abi Merriel, Weeks, Andrew, Chisale Mhango, Mataya, Ronald, Taulo, Frank, Ngalawesa, Theresa, Chirwa, Agatha, Colleta Mphasa, Tayamika Tambala, Chiudzu, Grace, Mwalwanda, Caroline, Mboma, Agnes, Rahat Qureshi, Ahmed, Iffat, Humera Ismail, Gulmezoglu, Metin, Olufemi Oladapo, Mbaruku, Godfrey, Chibwana, Jerome, Watts, Grace, Beatus Simon, Ditai, James, Tom, Charles, Jane-Frances Acam, Ekunait, John, Uniza, Helen, Iyaku, Margaret, Anyango, Margaret, Zamora, Javier, Roberts, Tracy, Goranitis, Ilias, Desmond, Nicola, and Arri Coomarasamy

Subjects
3. Good health
Abstract

Consent form. (DOCX 89 kb)

32. Additional file 1: of Prophylactic antibiotics to reduce pelvic infection in women having miscarriage surgery â The AIMS (Antibiotics in Miscarriage Surgery) trial: study protocol for a randomized controlled trial

Author

Lissauer, David, Wilson, Amie, Daniels, Jane, Middleton, Lee, Bishop, Jon, Hewitt, Catherine, Abi Merriel, Weeks, Andrew, Chisale Mhango, Mataya, Ronald, Taulo, Frank, Ngalawesa, Theresa, Chirwa, Agatha, Colleta Mphasa, Tayamika Tambala, Chiudzu, Grace, Mwalwanda, Caroline, Mboma, Agnes, Rahat Qureshi, Ahmed, Iffat, Humera Ismail, Gulmezoglu, Metin, Olufemi Oladapo, Mbaruku, Godfrey, Chibwana, Jerome, Watts, Grace, Beatus Simon, Ditai, James, Tom, Charles, Jane-Frances Acam, Ekunait, John, Uniza, Helen, Iyaku, Margaret, Anyango, Margaret, Zamora, Javier, Roberts, Tracy, Goranitis, Ilias, Desmond, Nicola, and Arri Coomarasamy

Subjects
3. Good health
Abstract

Follow-up card. (DOCX 605 kb)

33. Additional file 3: of Prophylactic antibiotics to reduce pelvic infection in women having miscarriage surgery â The AIMS (Antibiotics in Miscarriage Surgery) trial: study protocol for a randomized controlled trial

Author

Lissauer, David, Wilson, Amie, Daniels, Jane, Middleton, Lee, Bishop, Jon, Hewitt, Catherine, Abi Merriel, Weeks, Andrew, Chisale Mhango, Mataya, Ronald, Taulo, Frank, Ngalawesa, Theresa, Chirwa, Agatha, Colleta Mphasa, Tayamika Tambala, Chiudzu, Grace, Mwalwanda, Caroline, Mboma, Agnes, Rahat Qureshi, Ahmed, Iffat, Humera Ismail, Gulmezoglu, Metin, Olufemi Oladapo, Mbaruku, Godfrey, Chibwana, Jerome, Watts, Grace, Beatus Simon, Ditai, James, Tom, Charles, Jane-Frances Acam, Ekunait, John, Uniza, Helen, Iyaku, Margaret, Anyango, Margaret, Zamora, Javier, Roberts, Tracy, Goranitis, Ilias, Desmond, Nicola, and Arri Coomarasamy

Subjects
3. Good health
Abstract

Patient information sheet. (DOCX 65 kb)

34. Population-Based Estimation of the Preterm Birth Rate in Lilongwe, Malawi: Making Every Birth Count.

Author

Antony KM, Kazembe PN, Pace RM, Levison J, Phiri H, Chiudzu G, Harris RA, Chirwa R, Nyondo M, Marko E, Chigayo A, Nanthuru D, Banda B, Twyman N, Ramin SM, Raine SP, Belfort MA, and Aagaard KM

Abstract

Objective  The objective of this study was to perform a population-based estimation of the preterm birth (PTB) rate in regions surrounding Lilongwe, Malawi. Study Design  We partnered with obstetrician specialists, community health workers, local midwives, and clinicians in a 50 km region surrounding Lilongwe, Malawi, to perform a population-based estimation of the PTB rate during the study period from December 1, 2012 to May 19, 2015. Results  Of the 14,792 births captured, 19.3% of births were preterm, including preterm early neonatal deaths. Additional PTB risk factors were similarly prevalent including domestic violence, HIV, malaria, anemia, and malnutrition. Conclusion  When performing a population-based estimation of the rate of PTB, including women without antenatal care and women delivering at home, the 19.3% rate of PTB is among the highest recorded globally. This is accompanied by a high rate of risk factors and comorbid conditions., Competing Interests: Conflict of Interest/Disclosure Statement The authors report no conflict of interest.

Published
2020
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35. Population-Based Estimation of Dental Caries and Periodontal Disease Rates of Gravid and Recently Postpartum Women in Lilongwe, Malawi.

Author

Antony KM, Kazembe PN, Pace RM, Levison J, Mlotha-Namarika J, Phiri H, Chiudzu G, Harris RA, Aagaard J, Twyman N, Ramin SM, Raine SP, Belfort MA, and Aagaard KM

Abstract

Objectives  The objective of this study was to determine the rate of dental caries and periodontal disease among gravid and recently postpartum women at five delivery centers within and surrounding Lilongwe, Malawi. Study Design  We partnered with obstetric specialists, community health workers, and dentists to perform dental history interviews and dental examinations during the study period from December 2012 to May 2014. Dental examinations were performed according to World Health Organization standards to assess periodontal and oral health status. Results  Among the 387 gravid and recently postpartum women, the rate of dental caries was 69.3% and the rate of composite dental disease (caries and periodontal disease) was 76.7%. The majority (69.5%) of women examined had a decayed-missing-filled (DMF) index greater than or equal to one; the average DMF Index was 2.48. The majority of women had never seen a dentist (62.8%). However, most did perform oral hygiene, two or more times per day (90.2%); most women reported brushing with toothpaste (88.1%). Conclusion  When assessing this population for dental caries and periodontal disease, the rate of dental disease was high. Therefore, this may be an ideal setting to test for impactful interventions aimed at reducing caries and periodontal disease.

Published
2019
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36. Evaluating nurses' implementation of an infant-feeding counseling protocol for HIV-infected mothers: The Ban Study in Lilongwe, Malawi.

Author

Ferguson YO, Eng E, Bentley M, Sandelowski M, Steckler A, Randall-David E, Piwoz EG, Zulu C, Chasela C, Soko A, Tembo M, Martinson F, Tohill BC, Ahmed Y, Kazembe P, Jamieson DJ, van der Horst C, Adair L, Ahmed Y, Ait-Khaled M, Albrecht S, Bangdiwala S, Bayer R, Bentley M, Bramson B, Bobrow E, Boyle N, Butera S, Chasela C, Chavula C, Chimerang'ambe J, Chigwenembe M, Chikasema M, Chikhungu N, Chilongozi D, Chiudzu G, Chome L, Cole A, Corbett A, Corneli A, Duerr A, Eliya H, Ellington S, Eron J, Farr S, Ferguson YO, Fiscus S, Galvin S, Guay L, Heilig C, Hoffman I, Hooten E, Hosseinipour M, Hudgens M, Hurst S, Hyde L, Jamieson D, Joaki G, Jones D, Kacheche Z, Kamanga E, Kamanga G, Kampani C, Kamthunzi P, Kamwendo D, Kanyama C, Kashuba A, Kathyola D, Kayira D, Kazembe P, Knight R, Kourtis A, Krysiak R, Kumwenda J, Loeliger E, Luhanga M, Madhlopa V, Majawa M, Maida A, Marcus C, Martinson F, Thoofer N, Matika C, Mayers D, Mayuni I, McDonough M, Meme J, Merry C, Mita K, Mkomawanthu C, Mndala G, Mndala I, Moses A, Msika A, Msungama W, Mtimuni B, Muita J, Mumba N, Musis B, Mwansambo C, Mwapasa G, Nkhoma J, Pendame R, Piwoz E, Raines B, Ramdas Z, Rublein J, Ryan M, Sanne I, Sellers C, Shugars D, Sichali D, Snowden W, Soko A, Spensley A, Steens JM, Tegha G, Tembo M, Thomas R, Tien HC, Tohill B, van der Horst C, Waalberg E, Wiener J, Wilfert C, Wiyo P, Zgambo O, and Zimba C

Subjects
Adult, Female, HIV Infections transmission, Humans, Infant, Infant, Newborn, Malawi, Weaning, Breast Feeding, HIV Infections prevention & control, Infectious Disease Transmission, Vertical prevention & control, Nurse-Patient Relations, Patient Education as Topic methods
Abstract

A process evaluation of nurses' implementation of an infant-feeding counseling protocol was conducted for the Breastfeeding, Antiretroviral and Nutrition (BAN) Study, a prevention of mother-to-child transmission of HIV clinical trial in Lilongwe, Malawi. Six trained nurses counseled HIV-infected mothers to exclusively breastfeed for 24 weeks postpartum and to stop breastfeeding within an additional four weeks. Implementation data were collected via direct observations of 123 infant feeding counseling sessions (30 antenatal and 93 postnatal) and interviews with each nurse. Analysis included calculating a percent adherence to checklists and conducting a content analysis for the observation and interview data. Nurses were implementing the protocol at an average adherence level of 90% or above. Although not detailed in the protocol, nurses appropriately counseled mothers on their actual or intended formula milk usage after weaning. Results indicate that nurses implemented the protocol as designed. Results will help to interpret the BAN Study's outcomes.

Published
2009
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