Lilongwe Metropolitan Area

Munthali, Kondwani Godwin

doi:10.1007/978-981-10-3241-7_16

Cited by 4 publications

(2 citation statements)

References 10 publications

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“…The central region of Malawi has a long history of human settlement. The origins of Lilongwe as a modern town date back to around 1904 when Lilongwe was made the administrative centre for Lilongwe district (Munthali, 2017). As Lilongwe grew, the physical layout of the town echoed the colonial context which was characterised by racial segregation (Kalipeni, 1999).…”

Section: The Research Context: Lilongwe Malawimentioning

confidence: 99%

Assessing the quality of urban life in three neighbourhoods, Lilongwe, Malawi

MacLean

Salama

2021

Proceedings of the Institution of Civil Engineers - Urban Desig

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Recent literature corroborates a lack of critical engagement with contemporary east–south African cities and a scarcity of focus on the quality of urban life (QoUL) in Africa at large. Geographically situated in Malawi's capital city, Lilongwe, this study provides insights into the QoUL in three heterogenous neighbourhoods in the city from the perspective of the residents. The paper examines key indicators which impact urban life. Data are gathered through neighbourhood profiling and a residential attitude survey. It focuses on the individual resident's subjective assessment of their quality of life, and their view of four domains of urban life: namely, the physical, social, economic and well-being domains. Variances in demographic and socio-economic groups are discussed as well as the variances in QoUL found in three neighbourhoods. The results reveal that there is significant variance in the QoUL across the three neighbourhoods in Lilongwe. The study contributes to the ongoing discourse of QoUL by asserting that its underlying domains should not be viewed in isolation as they incessantly impact one another and that confronting urban challenges in this context should be considered at a neighbourhood scale.

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Section: The Research Context: Lilongwe Malawimentioning

confidence: 99%

Assessing the quality of urban life in three neighbourhoods, Lilongwe, Malawi

MacLean

Salama

2021

Proceedings of the Institution of Civil Engineers - Urban Desig

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“…At the time of analysis, over 7,000 of the 65,000 people targeted by the Lilongwe HDSS have been recruited and are being followed. The population includes people working in public and private sectors, including many seasonal tobacco workers due to the location’s proximity to the Kanengo industrial area [ 41 ].…”

Section: Methodsmentioning

confidence: 99%

Association between physical multimorbidity and common mental health disorders in rural and urban Malawian settings: Preliminary findings from Healthy Lives Malawi long-term conditions survey

Nkoka,

Munthali-Mkandawire,

Mwandira

et al. 2024

PLOS Glob Public Health

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In low-income Africa, the epidemiology of physical multimorbidity and associated mental health conditions is not well described. We investigated the multimorbidity burden, disease combinations, and relationship between physical multimorbidity and common mental health disorders in rural and urban Malawi using early data from 9,849 adults recruited to an on-going large cross-sectional study on long-term conditions, initiated in 2021. Multimorbidity was defined as having two or more measured (diabetes, hypertension) or self-reported (diabetes, hypertension, disability, chronic pain, HIV, asthma, stroke, heart disease, and epilepsy) conditions. Depression and anxiety symptoms were measured using the 9-item Patient Health Questionnaire (PHQ-9) and the 7-item General Anxiety Disorder scale (GAD-7) and defined by the total score (range 0–27 and 0–21, respectively). We determined age-standardized multimorbidity prevalence and condition combinations. Additionally, we used multiple linear regression models to examine the association between physical multimorbidity and depression and anxiety symptom scores. Of participants, 81% were rural dwelling, 56% were female, and the median age was 30 years (Inter Quartile Range 21–43). The age-standardized urban and rural prevalence of multimorbidity was 14.1% (95% CI, 12.5–15.8%) and 12.2% (95% CI, 11.6–12.9%), respectively. In adults with two conditions, hypertension, and disability co-occurred most frequently (18%), and in those with three conditions, hypertension, disability, and chronic pain were the most common combination (23%). Compared to adults without physical conditions, having one (B-Coefficient (B) 0.79; 95% C1 0.63–0.94%), two- (B 1.36; 95% CI 1.14–1.58%), and three- or more- physical conditions (B 2.23; 95% CI 1.86–2.59%) were associated with increasing depression score, p-trend <0.001. A comparable ‘dose-response’ relationship was observed between physical multimorbidity and anxiety symptom scores. While the direction of observed associations cannot be determined with these cross-sectional data, our findings highlight the burden of multimorbidity and the need to integrate mental and physical health service delivery in Malawi.

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Association between physical multimorbidity and common mental health disorders in rural and urban Malawian settings: preliminary findings from Healthy Lives Malawi long-term conditions survey

Nkoka,

Munthali-Mkandawire,

Mwandira

et al. 2023

Preprint

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In low-income Africa, the epidemiology of physical multimorbidity and associated mental health conditions is not well described. We investigated the multimorbidity burden, disease combinations, and relationship between physical multimorbidity and common mental health disorders in rural and urban Malawi using early data from 9,849 adults recruited to an on-going large cross-sectional study on long-term conditions (LTC), initiated in 2021. Multimorbidity was defined as having two or more measured (diabetes, hypertension) or self-reported (diabetes, hypertension, disability, chronic pain, HIV, asthma, stroke, heart disease, and epilepsy). Depression and anxiety symptoms were scored using the 9-item Patient Health Questionnaire and 7-item General Anxiety Disorder scale, respectively, and defined by the total score (range 0–27 and 0–21, respectively). We determined age-standardized multimorbidity prevalence and condition combinations. Additionally, we used multiple linear regression models to examine the association between physical multimorbidity and depression and anxiety symptom scores. Of participants, 81% were rural dwelling, 56% were female, and the median age was 30 years (IQR 21–43). The age-standardized urban and rural prevalence of multimorbidity was 14.1% (95% CI, 12.5–15.8%) and 12.2% (95% CI, 11.6–12.9%), respectively. In adults with two conditions, hypertension, and disability (18%) co-occurred most frequently, and in those with three conditions, hypertension, disability, and chronic pain (23%) were the most common combination. Compared to adults without physical LTC, having one (B-Coefficient (B) 0.78; 95% C1 0.63–0.95%), two- (B 1.36; 95% CI 1.14–1.58%), and three- or more- physical conditions (B 2.23; 95% CI 1.87–2.59%) were associated with increasing depression score, p-trend <0.001. A comparable ‘dose-response’ relationship was observed between physical multimorbidity and anxiety symptom scores. While the direction of the association cannot be determined with these cross-sectional data, our findings highlight the need for integrating mental and physical health service delivery in Malawi.

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Lilongwe Metropolitan Area

Cited by 4 publications

References 10 publications

Assessing the quality of urban life in three neighbourhoods, Lilongwe, Malawi

Assessing the quality of urban life in three neighbourhoods, Lilongwe, Malawi

Association between physical multimorbidity and common mental health disorders in rural and urban Malawian settings: Preliminary findings from Healthy Lives Malawi long-term conditions survey

Association between physical multimorbidity and common mental health disorders in rural and urban Malawian settings: preliminary findings from Healthy Lives Malawi long-term conditions survey

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