期刊
BMC HEALTH SERVICES RESEARCH
卷 22, 期 1, 页码 -出版社
BMC
DOI: 10.1186/s12913-022-08007-0
关键词
Sepsis; Health system; Health priority; Antimicrobial resistance; COVID-19
资金
- Liverpool School of Tropical Medicine (LSTM)
- UK National Institute for Health Research (NIHR grant) [17/63/42]
- National Institutes of Health Research (NIHR) [17/63/42] Funding Source: National Institutes of Health Research (NIHR)
Sepsis is not prioritized in Malawi's health system due to a lack of local evidence and policies. However, there are strong linkages between sepsis and maternal health, antimicrobial resistance, and COVID-19, which present opportunities for sepsis researchers as policy entrepreneurs.
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.
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