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- Title
On prioritising global health's triple crisis of sepsis, COVID-19 and antimicrobial resistance: a mixed-methods study from Malawi.
- Authors
Kawale, Paul; Kalitsilo, Levi; Mphande, Jessie; Romeo Adegbite, Bayode; Grobusch, Martin P.; Jacob, Shevin T.; Rylance, Jamie; Madise, Nyovani J.
- Abstract
Sepsis causes 20% of global deaths, particularly among children and vulnerable populations living in developing countries. This study investigated how sepsis is prioritised in Malawi's health system to inform health policy. In this mixed-methods study, twenty multisectoral stakeholders were qualitatively interviewed and asked to quantitatively rate the likelihood of sepsis-related medium-term policy outcomes being realised. Respondents indicated that sepsis is not prioritised in Malawi due to a lack of local sepsis-related evidence and policies. However, they highlighted strong linkages between sepsis and maternal health, antimicrobial resistance and COVID-19, which are already existing national priorities, and offers opportunities for sepsis researchers as policy entrepreneurs. To address the burden of sepsis, we recommend that funding should be channelled to the generation of local evidence, evidence uptake, procurement of resources and treatment of sepsis cases, development of appropriate indicators for sepsis, adherence to infection prevention and control measures, and antimicrobial stewardship.
- Subjects
MALAWI; AIDS prevention; URINARY tract infection prevention; PREVENTION of communicable diseases; COMMUNICABLE disease diagnosis; HEALTH policy; ANTIMICROBIAL stewardship; PUBLIC health surveillance; MATERNAL health services; COVID-19; PROFESSIONS; RESEARCH methodology; STAKEHOLDER analysis; INTERVIEWING; SEPSIS; INFECTION control; LEGAL compliance; QUESTIONNAIRES; RESEARCH funding; DRUG resistance in microorganisms; DEVELOPING countries; DATA analysis software; THEMATIC analysis; POLICY sciences; HEALTH planning; HEALTH promotion; HEALTH care rationing
- Publication
BMC Health Services Research, 2022, Vol 22, Issue 1, p1
- ISSN
1472-6963
- Publication type
journal article
- DOI
10.1186/s12913-022-08007-0