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Professor Nyengo Chiswakhata Mkandawire, BMBS, MCh(ORTH), FCS(ECSA), FRCS(Eng)

I am Professor of Orthopaedic Surgery and Head of Surgery Department College of Medicine, University of Malawi, and Adjunct Professor School of Medicine, Faculty of Health Sciences, Flinders University, Adelaide Australia.

I studied medicine at Flinders University, Adelaide, Australia from 1985-90.

After graduating in 1990 I did one year of internship at the Royal Adelaide Hospital and returned to Malawi in 1992 and worked as a junior doctor at Queen Elizabeth Central Hospital until 1994. I did my postgraduate orthopaedic training in the Northwest / Mersey Deanery from 1995 to 1999 and obtained a Master of Surgery in Orthopaedics from Liverpool University. I returned to Malawi at the turn of the millennium in December 1999.

I am a Fellow of the Royal College of Surgeons of England; a Foundation Fellow of the College of Surgeons of East Central and Southern Africa (COSECSA); a Fellow of Federation for Advancement In Medical Education and Research (FAIMER). I am Past President of the Association of Surgeons of East Africa (ASEA) and past council member of the College of Surgeons of East Central and Southern Africa (COSECSA)

I have research interest in varied fields including: HIV and surgery; medical education; public health aspects of surgery; global burden of surgical disease; and human resource for health.

Recently, I was a Commissioner on the Lancet Commission on Global Surgery.

  1. Dhlamini M, Lewis CP, Mkandawire N, Harrison WJ. Audit of management of open fractures at Queen Elizabeth Central Hospital – attempting to close the audit loop. Malawi Medical Journal, 2001; 13 (1): 29 – 34.
  2. Mkandawire N, Kampondeni S. A 48 year old man with fever and neck pain. Case report. Malawi Medical Journal 2002; 13 (4): 27
  3. Mkandawire NC, Boot DA, BraithwaiteIJ, Patterson M. Musculoskeletal recovery 5 years after severe injury: long term problems are common. Injury 2002 March; 33(2): 111 – 115.
  4. Mkandawire N, Kaunda E. An audit of congenital anomalies in the neonatal unit of Queen Elizabeth Central Hospital. One year study period: 1st November 2000 – 31st October 2001. East and Central Afr J Surg 2002 Aug; 7(1): 29 – 33.
  5. Mkandawire N. Ankylosing spondylitis in a Malawian. Case report and review article. Malawi Medical Journal 2003; 15(1): 14 – 16.
  6. Mkandawire N. Primary Spinal Cord epiduaral non – Hodgkin’s lymphoma. A rare cause of paraplegia. Report of two cases.  Malawi Medical Journal 2003; 15(2): 72-75.
  7. Mkandawire N, Chipofya E, Manase H, Phiri NP, Likoleche G, Katete AD.  Ponseti technique of correcting idiopathic clubfoot deformity. Malawi Medical Journal Dec 2003; 15(3): 99-101.
  8. Mkandawire N.C., Kaunda E. Incidence and patterns of (clubfoot) deformity at the neonatal unit of Queen Elizabeth Central Hospital, Blantyre, Malawi. East and Central Afr J Surg 2004 Dec; 9(2): 28-31
  9. Lavy CBD, Mkandawire NC, Harrison WJ. Orthopaedic Training in Developing Countries. J Bone Joint Surg (Br) 2005; 87-B: 10-11
  10. Killowe C, Mkandawire NC. KAP study of sports medicine in the football super league in Malawi. Malawi Medical Journal 2005; 17 (1): 9-11.
  11. Mkandawire NC Giant cell tumour of the neck of femur treated by total hip replacement. Malawi Medical Journal 2005; 17 (1): 21-23.
  12. Mkandawire NC, Kaunda E. Bone and Joint Tuberculosis at Queen Elizabeth Central Hospital 1986 – 2002. Tropical Doctor 2005(35) 1-3.
  13. Steinlechner CWB, Mkandawire NC. Non vascularised fibular transfer in the management of long bone defect following sequestrectomy in children. J Bone Joint Surg (Br) 2005: 87-B: 1259-63
  14. Tindall AJ, Steinlechner CWB, Lavy CBD, Mannion SJ, Mkandawire NC  Results of Manipulation of Idiopathic Clubfoot Deformity in Malawi By Orthopaedic Clinical officers Using the Ponseti Method– A Realistic Alternative for the Developing World? Journal of Paediatric Orthopaedics 2005;25(5):627-9
  15. Steinlechner C, Tindall C, Lavy C, Mkandawire N, Chimangeni C. Surgery at the District Hospital. What is going on? A national survey of surgical activity at district hospitals in Malawi. East and Central African Journal of Surgery 10(1)May 2005;86-88
  16. Steinlechner C, Tindall C, Lavy C, Mkandawire N, Chimangeni C. A national survey of surgical activity in hospitals in Malawi. Tropical Doctor 2006(36) 158-160.
  17. RL Sinfield, E.M. Molyneux, K. Banda, E.S. Borgstein, R. Broadhead, P Hesseling, R. Newton, D. Casabonne N. Mkandawire, H. Nkume, T. Hodgson, G. Liomba. Spectrum and presentation of pediatric malignancies in the HIV era: Experience from Blantyre, Malawi, 1998-2003. Pediatr Blood Cancer 2007:48:515-520
  18. Lavy CBD, Mannion SJ Mkandawire NC, Tindall A, Steinlechner C, Chimangeni S, Chipofya E. Clubfoot treatment in Malawi – a public health approach. Disabil Rehabil. June 2007; 29(11-12): 857-862
  19. Mkandawire NC, Ngulube C, Lavy CBD. Orthopaedic Clinical Officer Training in Malawi. A Model for Orthopaedic Care. Clin Orthop Relat Res. 2008 October; 466(10): 2385-2391.
  20. Nora Mutalima, Elizabeth Molyneux, Harold Jaffe, Steve Kamiza, Eric Borgstein, Nyengo Mkandawire, George Liomba, Mkume Batumba, Dimitrios Lagos, Fiona Gratrix, Chris Boshoff, Delphine Casabonne, Lucy M. Carpenter, Robert Newton. Associations between Burkitt Lymphoma among children in Malawi and Infection with HIV, EBV and Malaria:  Results from a Case-Control Study. www.plosone.org June 2008 Vol 3 Issue 6.
  21. Lubega N, Mkandawire NC, Sibande GC, Norrish AR, Harrison JW Joint Replacement in Malawi: Establishment of a National Joint Registry. J Bone Joint Surg Br March 2009 91-B 341-343
  22. Charles A, Lee C, Mulwafu W, Mkandawire N, Samuel J, Meyer A, Hoffman I. The Burden of Trauma in a Tertiary Hospital in Sub-Saharan Africa
    Journal of Surgical Research, 151(2): 293.
  23. Wamisho BL, Bates J, Tompkins M, Islam R, Nyamulani N, Ngulube C, Mkandawire NC. Ward Round – Crocodile Bites in Malawi: Microbiology and Surgical Management. Malawi Medical Journal March 2009; 21(1): 29-31
  24. Banza L, Harrison JW, Mkandawire NC. Amputation Surgery in Children: An Analysis of Frequency and Cause of Early Wound Problems. Trop Doc 2009: 39: 129-132
  25. Kollias C, Banza L, Mkandawire NC. Factors involved in selection of a career in surgery and orthopaedics for medical trainees in Malawi. Malawi Medical Journal March 2010:22(1): 20-23
  26. Mkandawire NC, Kollias C, Mipando M. Needs Assessment for the Introduction of Intercalated Degrees at The College of  Medicine of The University of Malawi. African J Health Prof Ed. Aug 2010 2(1): 23
  27. Thompkins M, Mkandawire NC, Harrison JW. Subcapital Femoral Neck Fracture in Patients with HIV and Osteonecrosis of the Femoral Head. SA Orthopaedic Journal Summer 2010; 9(4) 49-53
  28. Lavy CBD, Sauven K, Mkandawire NC, Cherrian M, Gosellin R, Ndihokubwayo J, Parry E. State of Surgery in Tropical Africa: A Review. World J Surg 2011 35:262-271
  29. Systematic Review of Met and Unmet Need of Surgical Disease in Rural Sub-Saharan Africa Caris E. Grimes, Rebekah S. L. Law, Eric S. Borgstein, Nyengo C. Mkandawire, Christopher B. D. Lavy World J Surg 2011
  30. A. Doorgakant, NC Mkandawire. The management of isolated closed femoral shaft fractures in a district hospital in Malawi. Accepted Tropical Doctor 2011. DOI: 10.1258/td2011.110211
  1. Kakande I, Mkandawire N, Thompson MIW A Review of Surgical Capacity and Surgical Education Programmes in The COSECSA Region East and Central African Journal of Surgery 2011 16 (3) 6-34 
  2. Adam L. Kushner,  Patrick Kyamanywa,  Charles A. Adisa, Pascience Kibatala,  Nyengo Mkandawire,  Peter Coleman, Thaim B. Kamara,  Charles N. Mock,  John G. Hunter. Editorial Policy on Co-authorship of Articles from Low- and Middle-Income Countries. World J Surg 2012 DOI 10.1007/s00268-011-1255-8
  3. J Bates, N Mkandawire, WJ Harrison. The incidence and consequences of early wound infection after internal fixation for trauma in HIV positive patients. JBJS Br 2012 94B (9) 1266-70
  4. J S. Qureshi, S Young,  A.P. Muyco,  E Borgstein, A G. Charles,  W Mulwafu, C.G. Shores, L Banza,  B Cairns, A Viste, N Mkandawire. Addressing Malawi’s surgical workforce crisis: A sustainable paradigm for training and collaboration in Africa. Surgery Feb 2013 153(2) 272-281.
  5. L .Chokotho, W.J Harrison, N.Lubega, N.C Mkandawire. Avascular necrosis of the femoral head in HIV positive patients-an assessment of risk factors and early response to surgical treatment. Malawi Medical Journal; 25(2): 28-32 June 2013.
  1. E. Grimes, J.A. Henry, J. Maraka, N.C. Mkandawire, M. Cotton. Cost-effectiveness of Surgery in Low- and Middle-income Countries: A Systematic Review. World J Surg DOI 10.1007/s00268-013-2243-y
  2. V Beckles, J L. McCahill, J Stebbins, N Mkandawire, J C T Church, C Lavy. The African disability scooter: efficiency testing in paediatric amputees in Malawi. Disabil Rehabil Assist Technol, Early Online: 1–4 2014 DOI: 10.3109/17483107.2014.93285
  3. J A Henry, E Frenkel, E Borgstein, N Mkandawire, C Goddia. Surgical and anaesthetic capacity of hospitals in Malawi: key insights. Health Policy and Planning 2014, doi:10.1093/heapol/czu102.
  4. C E Grimes, N C Mkandawire, M L Billingsley, C Ngulube, J C Cobey. The cost-effectiveness of orthopaedic clinical officers in Malawi. Tropical Doctor 2014, Vol. 44(3) 128–134.
  5. S M Graham, J Bates, N M Mkandawire, W J Harrison. Late sepsis after fracture surgery in HIV positive patients. Injury, Int J Care Injured 2015, 46, 580-584
  1. J G Meara, A J M Leather, L Hagander, B C Alkire, N Alonso, E A Ameh, S W Bickler, L Conteh, A J Dare, J Davies, E D Merisier, S El-Halabi, P E Farmer, A Gawande, R Gillies, S L M Greenberg, C E Grimes, R L Gruen, E A Ismail, T B Kamara, C Lavy, G Lundeg, N C Mkandawire, N P Raykar, J N Riesel, E Rodas, J Rose, N Roy, M G Shrime, R Sullivan, S Verguet, D Watters, T G Weiser, I H Wilson, G Yamey, W Yip. Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development. Lancet Published online April 27, 2015 http://dx.doi.org/10.1016/S0140-6736(15)60160-X
  2. Young S, Banza L, Mkandawire N. The impact of long-term institutional collaboration in surgical training on trauma care in Malawi. Springer Plus (2016) 5:407 DOI 10.1186/s40064-016-2050-7
  3. Prin M, Itaye T,Clark S, Fernando R, Namboya F, Pollach G, Mkandawire N, Sobol J. Critical Care in a Tertiary Hospital in Malawi. World J Surg 2016. DOI 10.1007/s00268-016-3578-y
  4. O’Flynn E, Andrew J,Hutch A, Kelly C, Jani P, Kakande I, Derbew M, Tierney S, Mkandawire N, Erzingatsian K. The Specialist Surgeon Workforce in East, Central and Southern Africa: A Situation Analysis. World J Surg (2016) DOI 10.1007/s00268-016-3601-3

 

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