Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Hypertension Incidence and Its Risk Factors in a Longitudinal Cohort of Middle-Aged Men and Women Living in Urban South Africa.

Journal of clinical hypertension (Greenwich, Conn.)·2026
Same author

Alternative strategies to promote voluntary blood donation in secondary schools in Malawi: Enhancing participation and impact-Malawi BLOODSAFE program.

Transfusion medicine (Oxford, England)·2026
Same author

Developing a surveillance system for HIV pre-exposure prophylaxis (PrEP) use in pregnancy in Malawi.

BMC pregnancy and childbirth·2026
Same author

Developing implementation strategies for the framework and strategy for disability and rehabilitation in South Africa: An approach using the Expert Recommendations for Implementing Change framework.

African journal of disability·2026
Same author

Factors associated with completion of 6 months of isoniazid preventive therapy among under-five children exposed to tuberculosis patients in Blantyre, Malawi.

Journal of public health in Africa·2026
Same author

A Comparative Analysis of Physical and Mobile Phone Tracing in Clinical Trials in Lilongwe, Malawi.

Malawi medical journal : the journal of Medical Association of Malawi·2026

Related Experiment Video

Updated: Sep 20, 2025

Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
23:56

Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model

Published on: October 31, 2010

16.8K

Improving viral load testing using a quality improvement approach in Blantyre, Malawi.

Angella J Kamwendo1, Mina C Hosseinipour2,3, Juliana Kagura1

  • 1Department of Epidemiology and Biostatistics, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Plos One
|June 8, 2022
PubMed
Summary

Viral load testing coverage in Malawi improved significantly using a quality improvement approach. The study increased coverage from 27% to 71%, highlighting the need for better systems and leadership support.

More Related Videos

An Affordable HIV-1 Drug Resistance Monitoring Method for Resource Limited Settings
19:57

An Affordable HIV-1 Drug Resistance Monitoring Method for Resource Limited Settings

Published on: March 30, 2014

18.7K
Amplifying and Quantifying HIV-1 RNA in HIV Infected Individuals with Viral Loads Below the Limit of Detection by Standard Clinical Assays
13:58

Amplifying and Quantifying HIV-1 RNA in HIV Infected Individuals with Viral Loads Below the Limit of Detection by Standard Clinical Assays

Published on: September 26, 2011

31.8K

Related Experiment Videos

Last Updated: Sep 20, 2025

Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
23:56

Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model

Published on: October 31, 2010

16.8K
An Affordable HIV-1 Drug Resistance Monitoring Method for Resource Limited Settings
19:57

An Affordable HIV-1 Drug Resistance Monitoring Method for Resource Limited Settings

Published on: March 30, 2014

18.7K
Amplifying and Quantifying HIV-1 RNA in HIV Infected Individuals with Viral Loads Below the Limit of Detection by Standard Clinical Assays
13:58

Amplifying and Quantifying HIV-1 RNA in HIV Infected Individuals with Viral Loads Below the Limit of Detection by Standard Clinical Assays

Published on: September 26, 2011

31.8K

Area of Science:

  • Public Health
  • Health Services Research
  • Quality Improvement

Background:

  • Viral load (VL) testing coverage remains low in resource-limited settings, including Malawi, despite WHO recommendations.
  • A quality improvement (QI) initiative aimed to increase VL testing coverage at an urban Malawian health facility.

Purpose of the Study:

  • To improve viral load (VL) testing coverage at an urban health facility in Malawi.
  • To identify and address barriers to VL testing.

Main Methods:

  • A QI study using a time-series quasi-experimental design was conducted at Chilomoni health centre.
  • Root cause analysis identified inadequate electronic medical record capacity and competing tasks as key barriers.
  • Two change ideas—provider re-orientation and dedicated ART provider for VL testing—were implemented via Plan-Do-Study-Act (PDSA) cycles.

Main Results:

  • Viral load testing coverage increased from a baseline of 27% to 71% by the study's end.
  • Children aged 0-14 years consistently showed the lowest VL testing coverage.
  • Run charts and p-charts monitored VL testing coverage throughout the intervention.

Conclusions:

  • The Model for Improvement (MFI) approach, with context-specific changes, successfully enhanced VL testing coverage.
  • Sustained improvement requires reliable data systems and strong leadership commitment.
  • Future research should assess sustainability and pediatric VL testing barriers.