Curtailing Covid-19 on a dollar-a-day in Malawi: Role of community leadership for shaping public health and economic responses to the pandemic

Kohler, Iliana V.; Ciancio, Alberto; Mwera, James; Mwapasa, Victor; Kohler, Hans‐Peter

doi:10.1016/j.worlddev.2021.105753

Cited by 8 publications

(13 citation statements)

References 45 publications

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“…There may be considerably more dropout from countries with substantially higher COVID-19 burdens; longer school closures; and greater economic impact. In Malawi, there were only 1,500 recorded COVID-19 deaths by the time data collection was complete (June, 2021) – a relatively modest toll in a country of 18 million ( WHO COVID-19 Dashboard, 2021 , Kohler et al, 2022 ). As a result, students experienced brief school closures (18 weeks) compared to many countries.…”

Section: Discussionmentioning

confidence: 99%

Returning to school after COVID-19 closures: Who is missing in Malawi?

Kidman

Breton

Behrman

et al. 2022

International Journal of Educational Development

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Section: Discussionmentioning

confidence: 99%

Returning to school after COVID-19 closures: Who is missing in Malawi?

Kidman

Breton

Behrman

et al. 2022

International Journal of Educational Development

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“…(1 = Yes, 0 = No)? We define “low-cost” and “high-cost” actions to prevent a COVID-19 infection following the approach by Kohler et al (2022) . More specifically, low-cost actions are defined as engaging in all the following general COVID-19 prevention efforts that would take little additional effort in daily life and would have minimal financial consequences associated with such efforts: washing hands, avoiding shaking hands, and avoiding close contacts with people outside of the household.…”

Section: Methodsmentioning

confidence: 99%

“…Recent scholarship suggests that rural Malawians were able to more effectively combat COVID-19 in the early stages of the pandemic ( Theu et al, 2022 ) than urban dwellers in part due to effective leadership and messaging from village leaders ( Kohler et al, 2022 ). New evidence also suggests that Malawians’ COVID-19 prevention behaviors were linked to AIDS-related mortality that individuals witnessed a decade or more earlier ( Anglewicz et al, 2023 ).…”

mentioning

confidence: 99%

Surprising Gendered Age Differences in Rural Malawians’ Early COVID-19 Pandemic Prevention Efforts

Myroniuk,

Kohler,

Mwapasa

et al. 2024

The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences

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Objectives We assess how age, the presence of mature adults aged 45+ years, and recent deaths in rural households are associated with COVID-19 preventative actions and the likelihood of getting vaccinated against the virus in Malawi during early stages of the pandemic. Methods We draw upon data from 2,187 rural Malawians who participated in a 2020 COVID-19 Phone Survey. We estimate the log odds of engaging in “low-cost” and “high-cost” COVID-19 preventative actions based on age, gender, household composition, and recent household deaths. Low-cost prevention efforts were washing hands with soap and water frequently, avoiding close contact with people when going out, and avoiding shaking hands. High-cost actions included staying at home and decreasing time spent close to people not living in their household. We also estimate the chances of acquiring the COVID-19 vaccine in early stages of its availability. Results Mature women (45+ years) in general and younger men (<45 years)—living with at least one mature adult in the household—were less likely than others to comply with low-cost actions. Mature men were more likely than younger men (<45 years) to take on high-cost actions. To some extent, individuals who experienced a recent family death were more likely to engage in high-cost COVID-19 preventative actions, as well as getting vaccinated. Discussion Gendered age differences in preventing the transmission of COVID-19 offer hints of larger, social norms affecting protective efforts. The analyses also inform future COVID-19 public health outreach efforts in Malawi and other rural SSA contexts.

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“…Surveys recommend adequate preventive healthcare actions at the individual consumer level (Housten et al, 2018). Furthermore, consumer adoption of PHB requires well‐designed policy interventions and appropriate support and coordination by healthcare providers, businesses, and civil societies (Adoch et al, 2020; Dickson et al, 2020; Gao et al, 2022; Kohler et al, 2022; Limbu et al, 2018; Zgibor et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Preventive healthcare behavior: A hybrid systematic literature review (1998–2023)

De,

Sondhi,

Bhattacharjee

et al. 2023

Int J Consumer Studies

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Preventive healthcare behavior (PHB) refers to actions taken by consumers to avert possible incidences of lifestyle diseases. Over the years, diverse approaches have been used to comprehend the complex nature of PHB. This paper follows a three‐step process to examine work done in the PHB domain. At the outset, past literature was examined. This review included PHB models and frameworks, followed by a root‐cause analysis to identify factors that impacted PHB adoption. A systematic literature review (SLR) using a domain‐based hybrid review approach was the study's third and most crucial part. The SPAR‐4‐SLR (scientific procedures and rationales for systematic literature reviews) protocol was used to conduct the hybrid review, involving two separate review studies. In the first study, a bibliometric analysis was carried out, wherein a trend analysis was conducted on an initial pool of 1011 primary peer‐reviewed publications (1998–2023). The trend analysis was followed by a co‐citation network analysis of 39,608 secondary articles, which validated the importance of primary articles as indicated by the co‐citations in these secondary articles. Further, a purification process based on reliability, validity, and replicability criteria resulted in a final pool of 190 relevant articles. These articles were subjected to a thematic analysis. Next, a framework‐based review based on the theories, contexts, characteristics, and methods (TCCM) framework was conducted on the 190 articles. This step validated the primary study findings. Additionally, it examined and reported the underlying theories, context (country level), characteristics, and methods adopted by previous PHB studies. This analysis helps in indicating the future research agenda regarding PHB. Furthermore, the inferences drawn from the two studies were used to propose a conceptual framework for understanding consumers' PHB decisions based on the antecedents, decisions, and outcomes (ADO) framework. The framework posits that specific personal, demographic, cultural, social and socioeconomic factors are precursors to PHB adoption. This PHB adoption, in turn, has positive outcomes such as enhanced quality of life, consumer wellbeing, health promotion, health behavior change, and planning. The comprehensive review and proposed framework will significantly help advance knowledge about PHB. Apart from contributing to the academic literature, learnings from this study hold value for practitioners at the global level for designing actionable strategies for preventive healthcare products and services.

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Curtailing Covid-19 on a dollar-a-day in Malawi: Role of community leadership for shaping public health and economic responses to the pandemic

Cited by 8 publications

References 45 publications

Returning to school after COVID-19 closures: Who is missing in Malawi?

Returning to school after COVID-19 closures: Who is missing in Malawi?

Surprising Gendered Age Differences in Rural Malawians’ Early COVID-19 Pandemic Prevention Efforts

Preventive healthcare behavior: A hybrid systematic literature review (1998–2023)

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