{"id":"https://openalex.org/W4281635367","doi":"https://doi.org/10.1136/bmjopen-2021-051125","title":"Preparedness for and impact of COVID-19 on primary health care delivery in urban and rural Malawi: a mixed methods study","display_name":"Preparedness for and impact of COVID-19 on primary health care delivery in urban and rural Malawi: a mixed methods study","publication_year":2022,"publication_date":"2022-06-01","ids":{"openalex":"https://openalex.org/W4281635367","doi":"https://doi.org/10.1136/bmjopen-2021-051125","pmid":"https://pubmed.ncbi.nlm.nih.gov/35688583","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/9189546"},"language":"en","primary_location":{"id":"doi:10.1136/bmjopen-2021-051125","doi":"https://doi.org/10.1136/bmjopen-2021-051125","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmjopen-2021-051125","pdf_url":"https://bmjopen.bmj.com/content/bmjopen/12/6/e051125.full.pdf","source":{"id":"https://openalex.org/S79054089","display_name":"BMJ Open","issn_l":"2044-6055","issn":["2044-6055"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Open","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://bmjopen.bmj.com/content/bmjopen/12/6/e051125.full.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5051944597","display_name":"Mackwellings Maganizo Phiri","orcid":"https://orcid.org/0000-0001-5765-6340","observed_orcids":["https://orcid.org/0000-0001-5765-6340"]},"institutions":[{"id":"https://openalex.org/I2799451200","display_name":"Malawi-Liverpool-Wellcome Trust Clinical Research Programme","ror":"https://ror.org/03tebt685","country_code":"MW","type":"facility","lineage":["https://openalex.org/I157591606","https://openalex.org/I2799451200","https://openalex.org/I87048295"]}],"countries":["MW"],"is_corresponding":true,"raw_author_name":"Mackwellings Maganizo Phiri","raw_affiliation_strings":["Social Science Department, Malawi-Liverpool-Wellcome Trust Clinical Research Programme, Blantyre, Malawi mackwellingsphiri@gmail.com","Social Science Department, Malawi-Liverpool-Wellcome Trust Clinical Research Programme, Blantyre, Malawi"],"raw_orcid":"https://orcid.org/0000-0001-5765-6340","affiliations":[{"raw_affiliation_string":"Social Science Department, Malawi-Liverpool-Wellcome Trust Clinical Research Programme, Blantyre, Malawi mackwellingsphiri@gmail.com","institution_ids":["https://openalex.org/I2799451200"]},{"raw_affiliation_string":"Social Science Department, Malawi-Liverpool-Wellcome Trust Clinical Research Programme, Blantyre, Malawi","institution_ids":["https://openalex.org/I2799451200"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020890066","display_name":"Eleanor Elizabeth MacPherson","orcid":"https://orcid.org/0000-0002-7142-1158","observed_orcids":["https://orcid.org/0000-0002-7142-1158"]},"institutions":[{"id":"https://openalex.org/I194839184","display_name":"Liverpool School of Tropical Medicine","ror":"https://ror.org/03svjbs84","country_code":"GB","type":"funder","lineage":["https://openalex.org/I194839184"]},{"id":"https://openalex.org/I2799451200","display_name":"Malawi-Liverpool-Wellcome Trust Clinical Research Programme","ror":"https://ror.org/03tebt685","country_code":"MW","type":"facility","lineage":["https://openalex.org/I157591606","https://openalex.org/I2799451200","https://openalex.org/I87048295"]}],"countries":["GB","MW"],"is_corresponding":false,"raw_author_name":"Eleanor Elizabeth MacPherson","raw_affiliation_strings":["Liverpool School of Tropical Medicine, Liverpool, UK","Social Science Department, Malawi-Liverpool-Wellcome Trust Clinical Research Programme, Blantyre, Malawi"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Liverpool School of Tropical Medicine, Liverpool, UK","institution_ids":["https://openalex.org/I194839184"]},{"raw_affiliation_string":"Social Science Department, Malawi-Liverpool-Wellcome Trust Clinical Research Programme, Blantyre, Malawi","institution_ids":["https://openalex.org/I2799451200"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5030203540","display_name":"Mindy Panulo","orcid":"https://orcid.org/0000-0002-0241-0180","observed_orcids":["https://orcid.org/0000-0002-0241-0180"]},"institutions":[{"id":"https://openalex.org/I157591606","display_name":"University of Malawi","ror":"https://ror.org/04vtx5s55","country_code":"MW","type":"education","lineage":["https://openalex.org/I157591606"]},{"id":"https://openalex.org/I4388482734","display_name":"Malawi University of Business and Applied Sciences","ror":"https://ror.org/05vatjr87","country_code":"MW","type":"education","lineage":["https://openalex.org/I4388482734"]}],"countries":["MW"],"is_corresponding":false,"raw_author_name":"Mindy Panulo","raw_affiliation_strings":["Department of Enviromental Health and WASHTED Centre, Polytechnic, University of Malawi, Blantyre, Malawi"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Enviromental Health and WASHTED Centre, Polytechnic, University of Malawi, Blantyre, Malawi","institution_ids":["https://openalex.org/I157591606","https://openalex.org/I4388482734"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091020921","display_name":"Kondwani Chidziwisano","orcid":"https://orcid.org/0000-0002-1755-0469","observed_orcids":["https://orcid.org/0000-0002-1755-0469"]},"institutions":[{"id":"https://openalex.org/I157591606","display_name":"University of Malawi","ror":"https://ror.org/04vtx5s55","country_code":"MW","type":"education","lineage":["https://openalex.org/I157591606"]},{"id":"https://openalex.org/I181647926","display_name":"University of Strathclyde","ror":"https://ror.org/00n3w3b69","country_code":"GB","type":"education","lineage":["https://openalex.org/I181647926"]},{"id":"https://openalex.org/I4388482734","display_name":"Malawi University of Business and Applied Sciences","ror":"https://ror.org/05vatjr87","country_code":"MW","type":"education","lineage":["https://openalex.org/I4388482734"]}],"countries":["GB","MW"],"is_corresponding":false,"raw_author_name":"Kondwani Chidziwisano","raw_affiliation_strings":["Department of Civil and Environmental Engineering, University of Strathclyde, Glasgow, UK","Department of Environmental Health, Polytechnic, University of Malawi, Blantyre, Malawi"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Civil and Environmental Engineering, University of Strathclyde, Glasgow, UK","institution_ids":["https://openalex.org/I181647926"]},{"raw_affiliation_string":"Department of Environmental Health, Polytechnic, University of Malawi, Blantyre, Malawi","institution_ids":["https://openalex.org/I157591606","https://openalex.org/I4388482734"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112841719","display_name":"Khumbo Kalua","orcid":"https://orcid.org/0000-0001-9284-9009","observed_orcids":["https://orcid.org/0000-0001-9284-9009"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Khumbo Kalua","raw_affiliation_strings":["Blantyre Institute for Community Outreach, Blantyre, Malawi"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Blantyre Institute for Community Outreach, Blantyre, Malawi","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5035162115","display_name":"Chawanangwa Mahebere Chirambo","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Chawanangwa Mahebere Chirambo","raw_affiliation_strings":["Blantyre Institute for Community Outreach, Blantyre, Malawi"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Blantyre Institute for Community Outreach, Blantyre, Malawi","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5048351887","display_name":"Gift Kawalazira","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Gift Kawalazira","raw_affiliation_strings":["Blantyre District Health Office, Blantyre, Malawi"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Blantyre District Health Office, Blantyre, Malawi","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5036426634","display_name":"Zaziwe Gundah","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Zaziwe Gundah","raw_affiliation_strings":["Blantyre District Health Office, Blantyre, Malawi"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Blantyre District Health Office, Blantyre, Malawi","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009824687","display_name":"Penjani Chunda","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Penjani Chunda","raw_affiliation_strings":["Blantyre District Health Office, Blantyre, Malawi"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Blantyre District Health Office, Blantyre, Malawi","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5027621258","display_name":"Tracy Morse","orcid":"https://orcid.org/0000-0003-4185-9471","observed_orcids":["https://orcid.org/0000-0003-4185-9471"]},"institutions":[{"id":"https://openalex.org/I157591606","display_name":"University of Malawi","ror":"https://ror.org/04vtx5s55","country_code":"MW","type":"education","lineage":["https://openalex.org/I157591606"]},{"id":"https://openalex.org/I181647926","display_name":"University of Strathclyde","ror":"https://ror.org/00n3w3b69","country_code":"GB","type":"education","lineage":["https://openalex.org/I181647926"]},{"id":"https://openalex.org/I4388482734","display_name":"Malawi University of Business and Applied Sciences","ror":"https://ror.org/05vatjr87","country_code":"MW","type":"education","lineage":["https://openalex.org/I4388482734"]}],"countries":["GB","MW"],"is_corresponding":false,"raw_author_name":"Tracy Morse","raw_affiliation_strings":["Civil and Environmental Engineering, University of Strathclyde, Glasgow, UK","WASHTED Center, Polytechnic, University of Malawi, Blantyre, Malawi"],"raw_orcid":"https://orcid.org/0000-0003-4185-9471","affiliations":[{"raw_affiliation_string":"Civil and Environmental Engineering, University of Strathclyde, Glasgow, UK","institution_ids":["https://openalex.org/I181647926"]},{"raw_affiliation_string":"WASHTED Center, Polytechnic, University of Malawi, Blantyre, Malawi","institution_ids":["https://openalex.org/I157591606","https://openalex.org/I4388482734"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5051944597"],"corresponding_institution_ids":["https://openalex.org/I2799451200"],"apc_list":{"value":1500,"currency":"GBP","value_usd":1839},"apc_paid":{"value":1500,"currency":"GBP","value_usd":1839},"fwci":5.1389,"has_fulltext":true,"cited_by_count":25,"citation_normalized_percentile":{"value":0.96278056,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"12","issue":"6","first_page":"e051125","last_page":"e051125"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12847","display_name":"Healthcare Systems and Challenges","score":0.5625,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12847","display_name":"Healthcare Systems and Challenges","score":0.5625,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11296","display_name":"COVID-19 and healthcare impacts","score":0.18459999561309814,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11430","display_name":"Disaster Response and Management","score":0.03530000150203705,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/covid-19","display_name":"COVID-19 pandemic","score":0.9620000123977661},{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.902999997138977},{"id":"https://openalex.org/keywords/health-facility-preparedness","display_name":"health facility readiness","score":0.9559999704360962},{"id":"https://openalex.org/keywords/health-care-delivery","display_name":"health care delivery","score":0.7699999809265137},{"id":"https://openalex.org/keywords/frontline-health-workers","display_name":"frontline health workers","score":0.902999997138977},{"id":"https://openalex.org/keywords/resource-constraints","display_name":"resource constraints","score":0.8080000281333923},{"id":"https://openalex.org/keywords/social-distancing","display_name":"social distancing","score":0.7889999747276306},{"id":"https://openalex.org/keywords/mask-wearing","display_name":"masking","score":0.7850000262260437},{"id":"https://openalex.org/keywords/stigma","display_name":"stigma","score":0.4819999933242798},{"id":"https://openalex.org/keywords/occupational-stress","display_name":"occupational stress","score":0.7400000095367432},{"id":"https://openalex.org/keywords/psychosocial-support","display_name":"psychosocial support","score":0.925000011920929},{"id":"https://openalex.org/keywords/maternity-care","display_name":"obstetric care","score":0.5960000157356262},{"id":"https://openalex.org/keywords/urban-rural-disparities","display_name":"urban-rural disparities","score":0.7089999914169312},{"id":"https://openalex.org/keywords/malawi","display_name":"Malawi","score":0.7760000228881836}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.817878246307373},{"id":"https://openalex.org/C2777042776","wikidata":"https://www.wikidata.org/wiki/Q4583103","display_name":"Preparedness","level":2,"score":0.7023558020591736},{"id":"https://openalex.org/C89623803","wikidata":"https://www.wikidata.org/wiki/Q12184","display_name":"Pandemic","level":5,"score":0.5889447927474976},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5726224184036255},{"id":"https://openalex.org/C68595000","wikidata":"https://www.wikidata.org/wiki/Q2274177","display_name":"Service delivery framework","level":3,"score":0.5208940505981445},{"id":"https://openalex.org/C2780668467","wikidata":"https://www.wikidata.org/wiki/Q1333024","display_name":"Personal protective equipment","level":5,"score":0.45971325039863586},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.45750027894973755},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.415691077709198},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.404799222946167},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.35316282510757446},{"id":"https://openalex.org/C3008058167","wikidata":"https://www.wikidata.org/wiki/Q84263196","display_name":"Coronavirus disease 2019 (COVID-19)","level":4,"score":0.34869256615638733},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3455933928489685},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.3116956353187561},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.14541447162628174},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.11739876866340637},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C524204448","wikidata":"https://www.wikidata.org/wiki/Q788926","display_name":"Infectious disease (medical specialty)","level":3,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000086382","descriptor_name":"COVID-19","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D000086382","descriptor_name":"COVID-19","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006282","descriptor_name":"Health Personnel","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008295","descriptor_name":"Malawi","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D058873","descriptor_name":"Pandemics","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false}],"locations_count":6,"locations":[{"id":"doi:10.1136/bmjopen-2021-051125","doi":"https://doi.org/10.1136/bmjopen-2021-051125","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmjopen-2021-051125","pdf_url":"https://bmjopen.bmj.com/content/bmjopen/12/6/e051125.full.pdf","source":{"id":"https://openalex.org/S79054089","display_name":"BMJ Open","issn_l":"2044-6055","issn":["2044-6055"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Open","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:9189546","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/9189546","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Open","raw_type":"Text"},{"id":"pmid:35688583","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/35688583","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ open","raw_type":"Journal Article"},{"id":"pmh:oai:archive.lstmed.ac.uk:20880","doi":null,"is_oa":false,"landing_page_url":"https://archive.lstmed.ac.uk/20880/1/Faye%20Moody%201.pdf","pdf_url":"https://archive.lstmed.ac.uk/20880/1/Faye%20Moody%201.pdf","source":{"id":"https://openalex.org/S4306400185","display_name":"LSTM Online Archive (Liverpool School of Tropical Medicine)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I194839184","host_organization_name":"Liverpool School of Tropical Medicine","host_organization_lineage":["https://openalex.org/I194839184"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"BMJ Open, Vol 12, Issue 6, e051125.","raw_type":"Article"},{"id":"pmh:oai:strathprints.strath.ac.uk:81054","doi":null,"is_oa":true,"landing_page_url":"https://strathprints.strath.ac.uk/view/author/1194112.html>","pdf_url":"https://strathprints.strath.ac.uk/81054/1/Phiri_etal_BMJOpen_2022_Preparedness_for_and_impact_of_COVID_19_on_primary_health_care_delivery.pdf","source":{"id":"https://openalex.org/S4306402226","display_name":"Strathprints: The University of Strathclyde institutional repository (University of Strathclyde)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I181647926","host_organization_name":"University of Strathclyde","host_organization_lineage":["https://openalex.org/I181647926"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Article"},{"id":"pmh:oai:doaj.org/article:7093bfd22ce7464daece6af9f1a455a9","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/7093bfd22ce7464daece6af9f1a455a9","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMJ Open, Vol 12, Iss 6 (2022)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1136/bmjopen-2021-051125","doi":"https://doi.org/10.1136/bmjopen-2021-051125","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmjopen-2021-051125","pdf_url":"https://bmjopen.bmj.com/content/bmjopen/12/6/e051125.full.pdf","source":{"id":"https://openalex.org/S79054089","display_name":"BMJ Open","issn_l":"2044-6055","issn":["2044-6055"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Open","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[{"id":"https://openalex.org/G7525474448","display_name":null,"funder_award_id":"SFC/AN/18/2020","funder_id":"https://openalex.org/F4320310234","funder_display_name":"University of Strathclyde"}],"funders":[{"id":"https://openalex.org/F4320310234","display_name":"University of Strathclyde","ror":"https://ror.org/00n3w3b69"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4281635367.pdf","grobid_xml":"https://content.openalex.org/works/W4281635367.grobid-xml"},"referenced_works_count":42,"referenced_works":["https://openalex.org/W1996554044","https://openalex.org/W2030717564","https://openalex.org/W2096628978","https://openalex.org/W2104667268","https://openalex.org/W2110878250","https://openalex.org/W2130779321","https://openalex.org/W2139879439","https://openalex.org/W2345568379","https://openalex.org/W2609742677","https://openalex.org/W2783571795","https://openalex.org/W2809470477","https://openalex.org/W2895742361","https://openalex.org/W2913678010","https://openalex.org/W2938236930","https://openalex.org/W2952916049","https://openalex.org/W2953764422","https://openalex.org/W3009303837","https://openalex.org/W3015805446","https://openalex.org/W3025111443","https://openalex.org/W3025347450","https://openalex.org/W3037017279","https://openalex.org/W3037654009","https://openalex.org/W3042400962","https://openalex.org/W3049354284","https://openalex.org/W3062442779","https://openalex.org/W3082941681","https://openalex.org/W3088851894","https://openalex.org/W3091238847","https://openalex.org/W3091863075","https://openalex.org/W3095665664","https://openalex.org/W3097516763","https://openalex.org/W3099873525","https://openalex.org/W3120824386","https://openalex.org/W3133229931","https://openalex.org/W3160399085","https://openalex.org/W3160848025","https://openalex.org/W3175261527","https://openalex.org/W3213745049","https://openalex.org/W3217110457","https://openalex.org/W6677583783","https://openalex.org/W6788958779","https://openalex.org/W6794921950"],"related_works":["https://openalex.org/W4210564244","https://openalex.org/W3216666760","https://openalex.org/W4224443473","https://openalex.org/W7046208740","https://openalex.org/W4378838368","https://openalex.org/W4404632588","https://openalex.org/W3205795990","https://openalex.org/W4366525552","https://openalex.org/W4318499624","https://openalex.org/W4207003559"],"abstract_inverted_index":{"OBJECTIVE:":[0],"Across":[1],"Africa,":[2],"the":[3,28,51,62,74,77,235,253,272,275],"impact":[4,75],"of":[5,19,76,107,139,175,210,274],"COVID-19":[6,26,63,72,149,169,196,218,276],"continues":[7],"to":[8,23,36,61,100,134,147,155,167,230,261,270],"be":[9],"acutely":[10],"felt.":[11],"This":[12,65],"includes":[13],"Malawi,":[14],"where":[15],"a":[16,56,105,159],"key":[17,156],"component":[18],"health":[20,68,80,131,141,254],"service":[21,81],"delivery":[22,82],"mitigate":[24],"against":[25],"are":[27,50],"primary":[29,38],"healthcare":[30,90,102],"facilities,":[31],"strategically":[32],"placed":[33],"throughout":[34],"districts":[35],"offer":[37],"and":[39,47,54,73,83,88,104,121,128,145,158,182,192,204,227,237,243,249,259,263],"maternal":[40,89],"healthcare.":[41],"These":[42],"facilities":[43,103],"have":[44],"limited":[45],"infrastructure":[46],"capacity":[48,256],"but":[49],"most":[52],"accessible":[53],"play":[55],"crucial":[57],"role":[58],"in":[59,91,161,188,193,234],"responding":[60],"pandemic.":[64,277],"study":[66],"assessed":[67],"facility":[69,255],"preparedness":[70],"for":[71,257],"pandemic":[78],"on":[79],"frontline":[84,112,140,264],"workers.":[85],"SETTING:":[86],"Primary":[87],"Blantyre":[92],"District,":[93],"Malawi.":[94],"PARTICIPANTS:":[95],"We":[96,198],"conducted":[97],"regular":[98],"visits":[99],"31":[101],"series":[106],"telephone-based":[108],"qualitative":[109],"interviews":[110],"with":[111,115,207,242],"workers":[113,142,185,216,265],"(n=81":[114],"38":[116],"participants)":[117],"between":[118,201],"August":[119],"2020":[120],"May":[122],"2021.":[123],"RESULTS:":[124],"Despite":[125],"significant":[126],"financial":[127],"infrastructural":[129],"constraints,":[130],"centres":[132],"continued":[133],"remain":[135],"open.":[136],"The":[137],"majority":[138],"received":[143],"training":[144],"access":[146],"preventative":[148],"materials.":[150],"Nevertheless,":[151],"we":[152],"found":[153,199],"disruptions":[154],"services":[157],"reduction":[160],"clients":[162],"attending":[163],"facilities.":[164],"Key":[165],"barriers":[166],"implementing":[168],"prevention":[170],"measures":[171],"included":[172],"periodic":[173],"shortages":[174],"resources":[176],"(soap,":[177],"hand":[178],"sanitiser,":[179],"water,":[180],"masks":[181],"staff).":[183],"Frontline":[184,215],"reported":[186,202],"challenges":[187],"managing":[189],"physical":[190],"distancing":[191],"handling":[194],"suspected":[195],"cases.":[197],"discrepancies":[200],"behaviour":[203],"practice,":[205],"particularly":[206],"consistent":[208],"use":[209],"masks,":[211],"despite":[212],"being":[213],"provided.":[214],"felt":[217],"had":[219],"negatively":[220],"impacted":[221],"their":[222],"lives.":[223],"They":[224],"experienced":[225],"fatigue":[226],"stress":[228],"due":[229],"heavy":[231],"workloads,":[232],"stigma":[233],"community":[236],"worries":[238],"about":[239],"becoming":[240],"infected":[241],"transmitting":[244],"COVID-19.":[245],"CONCLUSION:":[246],"Resource":[247],"(human":[248],"material)":[250],"inadequacy":[251],"shaped":[252],"support":[258,269],"response":[260],"COVID-19,":[262],"may":[266],"require":[267],"psychosocial":[268],"manage":[271],"impacts":[273]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":9},{"year":2023,"cited_by_count":8},{"year":2022,"cited_by_count":1}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2022-06-13T00:00:00"}