Research Interests:
A 30-year-old man presented with a knife in his head; it had perforated the left temporal area and its point was located in the mouth. After surgical removal of the knife, the patient left the hospital without functional deficits.
Research Interests:
Research Interests:
Research Interests:
Round the clock (24 hours×7 days) HIV testing is vital to maintain a high prevention of mother to child transmission (PMTCT) coverage for women delivering in district health facilities. PMTCT coverage increases when most of the pregnant... more
Round the clock (24 hours×7 days) HIV testing is vital to maintain a high prevention of mother to child transmission (PMTCT) coverage for women delivering in district health facilities. PMTCT coverage increases when most of the pregnant women will have their HIV status tested. Therefore routine offering of HIV testing should be integrated and seen as a part of comprehensive antenatal care. For women who miss antenatal care and deliver in a health facility without having had their HIV status tested, the labour and maternity ward could still serve as other entry points.
Research Interests: Psychology, Malawi, Prospective studies, Pregnancy, Humans, and 12 moreChild, Female, mother to child transmission of HIV /AIDS prevention, HIV testing, Public health systems and services research, Pregnant Women, Prenatal Diagnosis, Antenatal Care, Critical Point, Prenatal Care, AIDS care, and Cohort Studies
To identify substandard care factors in the management of obstetric hemorrhage at district hospital level in rural Malawi. Retrospective hospital-based cohort study. Thyolo District Hospital. Women who delivered at this facility in 2005.... more
To identify substandard care factors in the management of obstetric hemorrhage at district hospital level in rural Malawi. Retrospective hospital-based cohort study. Thyolo District Hospital. Women who delivered at this facility in 2005. All cases of obstetric hemorrhage were included according to the following criteria: any antepartum hemorrhage, postpartum hemorrhage with more than 500 ml of blood loss within 24 hours after delivery, uterine rupture, retained placenta and peripartum blood transfusion. Incidence of antepartum and postpartum hemorrhage, related maternal and perinatal mortality and mode of delivery. A total of 133 hemorrhage cases occurred among 3 085 hospital deliveries (43.1 per 1 000 deliveries), six of which resulted in maternal death (case fatality rate 4.5%). Twenty of 95 postpartum hemorrhage cases (21%) were peri-cesarean hemorrhages. Sixteen cesareans delivered lifeless fetuses, where a maternal indication for operative delivery was present in only four. Monitoring of pregnant women was regularly insufficient, including monitoring of women in waiting homes, and the use of uterotonics was often inconsistent. Morbidity review revealed important substandard care factors, including unnecessary cesarean sections. These factors may be modified against affordable cost, which could make an important improvement in maternal outcome.