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The Enterics for Global Health (EFGH) Shigella Surveillance Study in Malawi.

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Mategula, Donnie 
Ndalama, Maureen 
Lefu, Clement 
Chinkhumba, Jobiba 
Ndeketa, Latif 


BACKGROUND: Malawi is among 7 countries participating in the Enterics for Global Health (EFGH) Shigella surveillance study, which aims to determine the incidence of medically attended diarrhea attributed to Shigella, a leading bacterial cause of diarrhea in children in low-resource settings. METHODS: We describe the EFGH study site in the densely populated informal settlement of Ndirande Township, Blantyre, Malawi. We explore the site's geographical location, demographic characteristics, and the healthcare-seeking behavior of its population, particularly for childhood diarrhea. We also describe the management of childhood diarrhea at the health facility, and the associated challenges to attaining optimum adherence to local and national guidelines at the site. CONCLUSIONS: Our overarching aim is to improve global health through understanding and mitigating the impact of diarrhea attributed to Shigella.


Funder: NIHR Global Health Research

Funder: NIHR Health Protection Research


Malawi, Shigella, diarrhea, health care-seeking behavior, surveillance

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Open Forum Infect Dis

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Oxford University Press (OUP)
Bill & Melinda Gates Foundation (INV-031791, INV-028721, INV-041730)
National Institute for Health and Care Research (NIHR203756)