Papers by Charles Michelo
Social Science & Medicine, 2013
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Health Research Policy and Systems, 2014
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Medical Teacher, 2014
Abstract Background: Research outputs in sub-Saharan Africa may be limited by a scarcity of clini... more Abstract Background: Research outputs in sub-Saharan Africa may be limited by a scarcity of clinical research expertise. In Zambia, clinical and biomedical postgraduate students are often delayed in graduation due to challenges in completing their research dissertations. We sought to strengthen institutional research capacity by supporting student and faculty researchers through weekly epidemiology and biostatistics clinics. Methods: We instituted a weekly Analytical Support Clinic at the University of Zambia, School of Medicine. A combination of biostatisticians, clinical researchers and epidemiologists meet weekly with clients to address questions of proposal development, data management and analysis. Clinic sign-in sheets were reviewed. Results: 109 students and faculty members accounted for 197 visits to the Clinic. Nearly all clients (107/109, 98.2%) were undergraduate or postgraduate students. Reasons for attending the Clinic were primarily for proposal development (46.7%) and data management/analysis (42.1%). The most common specific reasons for seeking help were data analysis and interpretation (36.5%), development of study design and research questions (26.9%) and sample size calculation (21.8%). Conclusions: The Analytical Support Clinic is an important vehicle for strengthening postgraduate research through one-on-one and small group demand-driven interactions. The clinic approach supplements mentorship from departmental supervisors, providing specific expertise and contextual teaching.
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Medical Journal of Zambia, 2007
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Malaria Journal, 2015
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Medical journal of Zambia
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Medical journal of Zambia
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The number of new HIV infections has declined globally since the late 1990s. Despite progress, th... more The number of new HIV infections has declined globally since the late 1990s. Despite progress, the pandemic is far from under control, least of all in parts of Africa where extremely serious epidemics continue to have disastrous social and economic impact. The Millennium Development Goals (MDGs) were adopted by United Nations (UN) member states in 2000, and these included targets on HIV that were later updated to be the targets set by 2015: (a) 50% reduction in sexual and parenteral HIV transmis-sion, (b) to eliminate vertical HIV transmission, (c) 50% reduction of tuberculosis (TB) deaths among people with HIV, and (d) deliver antiretroviral therapy (ART) to 15 million people. Despite the reduction in new people being infected by HIV, new infections outnumber those receiving treatment (Hallett et al., 2009) and there is no way these targets can be achieved unless individuals at risk of HIV learn their status and are linked to preventive, support, and treatment services. Despite hea...
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Malaria Journal, 2015
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Frontiers in Public Health, 2015
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Malaria Journal, 2015
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African Journal of Primary Health Care & Family Medicine, 2015
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Pan African Medical Journal, 2015
Neonatal mortality accounts for almost 40 percent of under-five child mortality globally and this... more Neonatal mortality accounts for almost 40 percent of under-five child mortality globally and this could be associated with a complex chain of factors including but not limited to socio-economic, biological and healthcare-related factors. We examined factors that may be associated with neonatal mortality in Zambia. Using across-sectional design, data were extracted from the 2007 Zambia Demographic and Health Survey for women using a "Women's Questionnaire" for respondents aged 15-49 years in the selected households. Records of women who reported having given birth to live infants within the five years preceding the survey defined the study population. However only records on those infants who could have lived through the first month (28 days) were assessed (de facto population). Overall (n=6 435), there were 3204(49.8%) males and 3231(50.2%)females. There were 219 (3.4%) neonatal deaths recorded. Low birth weight and overweight were reported as the prominent factors. The odds of dying were significantly higher for infants with low birth weight compared to infants born with normal weight, (aOR=2.58, 95%CI 1.02-6.49). The pattern was the same in both rural though insignificant. Over weight born babies showed increased odds of dying (aOR 3.21, 95%CI 1.36-7.59). Compared to infants born from Mothers with no education, infants born from mothers with higher education were associated with increased odds of dying (aOR 3.55, CI 95%, 1.26-9.94). Neonatal survival is still a challenge in this population and determinants show varying socio-demographic contrasts. This may suggest limitations in past efforts to improve neonatal health. Future strategies need to continue but should account for varying setting specific epidemiological contrasts.
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Human Resources for Health, 2014
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BMC Public Health, 2014
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African Journal of Health Professions Education, 2014
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Medical Journal of Zambia, 2010
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BMC Health Services Research, 2015
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Social Science & Medicine, 2013
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Papers by Charles Michelo