Malawi COVID-19 Urban Cash Intervention Process Evaluation Report

Paul, Boban Varghese; Msowoya, Chipo; Archibald, Edward; Sichinga, Massimo; Peredo, Alejandra Campero; Malik, Muhammad Abdullah Ali

doi:10.1596/36906

Cited by 5 publications

(4 citation statements)

References 7 publications

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“…However, such measures are far‐fetched for a country like Malawi due to its financial constraints [ 22 ]. The Government of Malawi made efforts to cushion the economic shocks by extending its National Cash Transfer Programme to provide funds to cover 199,000 poor households in rural and urban areas at about MK 35,000.00 (approximately $45) per household, but the funds were only rated as adequate by 54% of the beneficiaries [ 23 ].…”

Section: Resultsmentioning

confidence: 99%

Emerging public health challenges during the COVID‐19 pandemic in Malawi: A review

Chiumia

Mosiwa

Nkhonjera

et al. 2022

Public Health Challenges

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The ongoing COVID-19 pandemic has posed new and has aggravated already existing public health challenges in Malawi and worldwide. Having a better understanding of these challenges can help facilitate the identification of solutions and designing further public health interventions and policies for effective management of the COVID-19 pandemic. This article presents an overview of the situation of COVID-19 in Malawi and identifies emerging public health challenges that the country is facing amidst this pandemic. It is based on a review of relevant key policy documents, reports, and publications. Some of the key emerging challenges identified in Malawi are worsening population health and socio-economic status; health system challenges like inadequate financing and human resources, disruption of essential health services; a rise in mental health conditions and suicide rates; teenage pregnancies and early marriages; and changes in some health policies. The findings point to the need to invest more in strategies for health promotion, health system strengthening and avoiding disruptions and recovery of services. These should include COVID-19 vaccination promotion campaigns, improvement of the public health surveillance system, strengthening the health workforce, implementation of health financing strategies, procurement of adequate essential medicines and supplies, and strengthening of youth-friendly reproductive health services, community health services and community engagement. These will ensure that the health system in Malawi is well-equipped to deliver resilient, sustainable and quality health services amidst and beyond the COVID-19 pandemic thereby promoting progress toward the achievement of Universal Health Coverage (UHC) and Sustainable Development Goals (SDGs) in Malawi.

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Section: Resultsmentioning

confidence: 99%

Emerging public health challenges during the COVID‐19 pandemic in Malawi: A review

Chiumia

Mosiwa

Nkhonjera

et al. 2022

Public Health Challenges

View full text Add to dashboard Cite

show abstract

“…Although the Malawi COVID-19 Urban Cash Intervention was implemented, none of our study participants had access to it because it took place between April and June of 2020, prior to the start of the study. Our findings offer evidence that can be used to design future support for people affected by pandemics [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

“Why take the patient back home?”: Exploring the lived experiences of caregivers of COVID-19-infected individuals in Blantyre, Malawi

Nyondo-Mipando,

Nyirenda,

Suwedi-Kapesa

et al. 2023

PLOS Glob Public Health

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The Corona Virus Disease 2019 (COVID-19) pandemic continues to have serious health and socio-economic consequences. In Malawi, COVID-19 cases are managed at home, with hospital admission reserved for severe cases. This study described the lived experiences of caregivers of COVID-19-infected individuals in Blantyre, Malawi. This descriptive qualitative study was conducted from January to June 2021 in Blantyre, Malawi, among caregivers of confirmed SARS-COV-2 cases enrolled in the SARS-CoV-2 study and aimed to explore infections, transmission dynamics, and household impact. We conducted 37 in-depth interviews with caregivers of SARS-COV-2 cases who were purposively sampled. We captured data using telephonic interviews, digitally recorded, transcribed verbatim, managed using NVivo, and analysed it using a thematic approach guided by the theory of caregiving dynamics. Caregivers stated that the economic status of a family largely influenced caregiving roles and abilities because it determined the resources that a household could access or not. Caregivers expressed being committed to their role despite being ill-prepared to manage a COVID-19 patient at home, in addition to fears about the contagious nature of COVID-19. They prioritised their patients’ health by ensuring that they were present to offer nutritional and medical treatment. Caregivers highlighted challenges faced in the implementation of preventive measures because of financial limitations and cultural factors. They further expressed fear resulting from the increase in death rates, and the lack of proper information challenged their expectation of having their patients healed. Caregivers stated that they managed their role by sharing responsibilities, getting better at it with time, and getting support from religious institutions and social networks. Caring for confirmed cases of COVID-19 demanded commitment from the caregivers while ensuring that the transmission of the virus was minimised. There is a need to support households in isolation with the right information on how to manage their patients and streamline social support for the ultra-poor.

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“…Although Malawi implemented the Malawi COVID-19 Urban Cash Intervention, none of our participants accessed it because it occurred between April to June of 2020 before the commencement of the study. However, it provides lessons to develop more support from this exercise that provided a minimum wage equivalent bill at the time and was only done for three months [21].…”

Section: Discussionmentioning

confidence: 99%

“Why take the patient back home?”: exploring the lived experiences of caregivers of COVID-19 infected individuals in Blantyre, Malawi

Nyondo-Mipando

Nyirenda

Suwedi-Kapesa

et al. 2022

Preprint

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Background Corona Virus disease 2019 (COVID-19) pandemic continues to have serious health and socio-economic consequences. World Health Organisation (WHO) recommends several measures to combat the COVID-19 pandemic. In Malawi, COVID-19 cases are managed at home with hospital admission reserved for severe cases. This study described the lived experiences of caregivers of COVID-19-infected individuals in Blantyre, Malawi. Methods This descriptive qualitative study was conducted from January to June 2021 in Blantyre Malawi, among caregivers of confirmed SARS-COV-2 cases enrolled in the SARS-CoV-2 study aimed to explore infections, transmission dynamics, and household impact. We conducted 37 in-depth interviews with caregivers of SARS-COV-2 cases. We captured data using telephonic interviews, digitally recorded, transcribed verbatim, managed using NVivo, and analysed thematically. Results The economic status of a family largely influenced the caregiving roles and abilities because it determined the resources that a household could access or not. Caregivers were committed to their role despite being ill-prepared to manage a COVID-19 patient at home in addition to fears about the contagious nature of COVID-19. They prioritised their patients’ health by ensuring that they were present to offer nutritional and medical treatment. The implementation of preventive measures was however challenging because of financial limitations and cultural factors. The increase in death rates and the lack of proper information challenged their expectation of having their patients healed. Caregivers managed their role by sharing responsibilities, getting better at their role with time, and also getting support from religious institutions and social networks. Conclusion The economic status of a household determined the experiences of caregivers as they managed their COVID-19 patients at home. Caring for confirmed cases of COVID-19 demanded commitment from the caregivers while ensuring that the transmission of the virus is minimised. There is a need to support households while in isolation with the right information on how to manage their patients and streamline social support for the ultra-poor.

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Malawi COVID-19 Urban Cash Intervention Process Evaluation Report

Cited by 5 publications

References 7 publications

Emerging public health challenges during the COVID‐19 pandemic in Malawi: A review

Emerging public health challenges during the COVID‐19 pandemic in Malawi: A review

“Why take the patient back home?”: Exploring the lived experiences of caregivers of COVID-19-infected individuals in Blantyre, Malawi

“Why take the patient back home?”: exploring the lived experiences of caregivers of COVID-19 infected individuals in Blantyre, Malawi

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