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July 22, 2025Open Access

Service availability and readiness for out-patient integrated management of multimorbidity in public primary health facilities in Malawi: A mixed methods analysis

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Authors

GBGift Treighcy Banda-MtaulaSSStephen A. SpencerSSSangwani Salimu

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Overview

Mixed methods analysis finds only 30% of facilities are ready to manage multimorbidity, indicating gaps in care delivery.

Key Points

  • Most facilities (83%) offered services for chronic conditions like diabetes and HIV.
  • Only 30% of surveyed facilities achieved the necessary readiness score of 70% for multimorbidity management.
  • Among conditions, chronic kidney disease had the lowest readiness score at 22.9%.
  • Barriers included nonfunctional equipment, drug stockouts, and lack of clinical guidelines for effective care.

Cite This Study

Banda-Mtaula et al. (2025) studied this question.

synapsesocial.com/papers/689a061be6551bb0af8cd993https://doi.org/10.1101/2025.07.22.25331935
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Pathways of health care for people living with multimorbidity in two southern African countries2025
  2. 2“You come at 8 am, by 9 am you go back home to do your work”: Multi-stakeholders' perspectives and experiences of community-based Integrated care management of HIV, diabetes, and hypertension in Uganda2025
  3. 3Evaluation of Primary Health Care Services in Early Detection and Management of Hypertension and Diabetes in Low-Resource Communities2025
  4. 4Gender differences in response to living with multimorbidity in Malawi2025
  5. 5Addressing Priority Gaps in Access and Quality of NCD Services in Primary Care Settings in Rural Kenya: A Participatory Approach to Intervention Development2025