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UNC School of Medicine | Institute for Global Health & Infectious Diseases

Author Archives: ggomani

Cancer Care Cost-Effectiveness in Low-Income and Middle-Income Countries: Time to Shift the Burden of Proof

October 11, 2023
August 2022 Kaposi sarcoma is one of the most common cancers in sub-Saharan Africa and is associated with substantial morbidity and mortality.1 Kaposi sarcoma is caused by the Kaposi’s sarcoma herpesvirus. Although Kaposi sarcoma was recognised in endemic form before the HIV epidemic, HIV has driven an epidemic, AIDS-associated form...

Prevalence of Traditional, Complementary, and Alternative Medicine (TCAM) Among Adult Cancer Patients in Malawi

October 11, 2023
April 2022 PURPOSE The objective of this study is to document the prevalence of traditional, complementary, and alternative medicine (TCAM) use by adult cancer patients at a national teaching hospital in Malawi. We aim to document the products/therapies used, the reason for use, as well as patient-reported satisfaction with TCAM...

Quality of Life Among Patients with Cancer and Their Family Caregivers in the Sub-Saharan Region: A Systematic Review of Quantitative Studies

October 11, 2023
March 2022 Guided by the World Health Organization quality of life (WHOQOL) framework, this systematic review aimed to examine evidence about the prevalence and severity of QOL-related health problems and their influencing factors in Sub-Saharan Africa (SSA). We identified eligible publications in English language from PubMed, Cumulative Index of Nursing...

A Novel Cervical Cancer Screen-Triage-Treat Demonstration Project with HPV Self-Testing and Thermal Ablation for Women In Malawi: Protocol for a Single-Arm Prospective Trial

October 11, 2023
April 2022 Cervical cancer is the leading cause of cancer mortality among Malawian women, despite being preventable through screening and preventive therapy. In 2004, Malawi implemented a national screening program, using visual inspection with acetic acid (VIA) and cryotherapy, but its success has been limited due to equipment and human...

Assessing Community Health Workers’ Time Allocation for a Cervical Cancer Screening and Treatment Intervention in Malawi: A Time and Motion Study

October 11, 2023
September 2023 BACKGROUND Community health workers (CHWs) are essential field-based personnel and increasingly used to deliver priority interventions to achieve universal health coverage. Existing literature allude to the potential for detrimental effects of multi-tasking CHWs. This study objective was to assess the impact of integrating cervical cancer screening and prevention...

Perceptions of Cervical Cancer and Motivation for Screening Among Women in Rural Lilongwe, Malawi: A Qualitative Study

October 11, 2023
February 2022 INTRODUCTION Cervical cancer is the leading cause of cancer death among women in Malawi. Low awareness of cervical cancer and negative perceptions of screening can prevent women from participating in preventative strategies. We sought to explore perceptions and motivations for screening among women who participated in a cervical...