FIEBRE Social Science - Malawi

MacPherson, E, Dixon, J, Sanudi, E, Nkaombe, A, Reynolds, J, Roberts, C, Lal, S and Chandler, C. 2022. FIEBRE Social Science - Malawi. [Online]. London School of Hygiene & Tropical Medicine, London, United Kingdom. Available from: https://doi.org/10.17037/DATA.00001771.

MacPherson, E, Dixon, J, Sanudi, E, Nkaombe, A, Reynolds, J, Roberts, C, Lal, S and Chandler, C. FIEBRE Social Science - Malawi [Internet]. London School of Hygiene & Tropical Medicine; 2022. Available from: https://doi.org/10.17037/DATA.00001771.

MacPherson, E, Dixon, J, Sanudi, E, Nkaombe, A, Reynolds, J, Roberts, C, Lal, S and Chandler, C (2022). FIEBRE Social Science - Malawi. [Data Collection]. London School of Hygiene & Tropical Medicine, London, United Kingdom. https://doi.org/10.17037/DATA.00001771.

Description

The FIEBRE is a multi-country and multidisciplinary investigation of febrile illness and antimicrobial use in five countries in Africa and Asia. This data set is from the social research conducted in Chikwawa Malawi (2019-2020). The data sets include 85 transcripts from the qualitative interviews (with residents, health care workers and stakeholders). Additionally, it has 100 transcripts from structured medicine interviews conducted across the Chikwawa district (in Southern Malawi).

Methods

Description of data capture

This study explored the roles of antimicrobials in both primary health care provision and within the community and utilised an ethnographic methodology that was informed by critical medical anthropology. Methods included direct observations (in health care facilities and two residential areas) (not included in repository), 85 in-depth interviews (with residents, health care workers and stakeholders), as well as 100 structured medicine interviews conducted across the district to understand medicine use practices. The study was conducted in Chikwawa, a rural district in Southern Malawi. Formal wage employment is low, and subsistence farming is the predominant livelihood strategy and food insecurity an ongoing challenge for many residents. For the community-based study, we undertook research in two residential areas (Njeleza and Mfera), using a purposive sampling approach we recruited subsistence farmers (men and women). For the interviews conducted within health facilities we sampled all those involved in delivering frontline care at the outpatient department. For stakeholders, we included information rich policy makers at the district and national level.

Data capture method

Interview

Data Collection Period

From	To
1 January 2019	31 March 2020

Date (Date submitted to LSHTM repository)

17 March 2022

Geographical area covered (offline during plugin upgrade)

North Latitude	East Longitude	South Latitude	West Longitude
-15.9871	34.8492	-16.0848	34.7058

Language(s) of written materials

English

People & Groups

Data Creators	MacPherson, E, Dixon, J, Sanudi, E, Nkaombe, A, Reynolds, J, Roberts, C, Lal, S and Chandler, C
LSHTM Faculty/Department	Faculty of Infectious and Tropical Diseases > Dept of Clinical Research
Research Centre	Antimicrobial Resistance Centre (AMR)
Research Group	Anthropology of Antimicrobial Resistance Research Group
Participating Institutions	London School of Hygiene & Tropical Medicine, London, United Kingdom, Malawi-Liverpool-Wellcome Clinical Research Programme

Projects

Funders

Project	Funder	Grant Number	Funder URI
Febrile Illness Evaluation in a Broad Range of Endemicities	Foreign, Commonwealth and Development Office	PO7856	https://www.gov.uk/government/organisations/foreign-commonwealth-development-office