Digital Health Information Systems and the Management of Child Stunting in Malawi: A Practice-Based Intervention Study from a Social Work Perspective


Authors : Catheinne Banda; Andre Philip Nyanjahia

Volume/Issue : Volume 11 - 2026, Issue 1 - January


Google Scholar : https://tinyurl.com/5ya56pps

Scribd : https://tinyurl.com/3e8454c8

DOI : https://doi.org/10.38124/ijisrt/26jan663

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Child stunting, a critical indicator of chronic undernutrition, persists as a debilitating public health and social justice issue in Malawi, with profound implications for children's lifelong development and national productivity. While multisectoral strategies exist, their execution is hampered by systemic inefficiencies in data management at the point of service delivery. This study investigates the potential of a purpose-designed digital health information system (DHIS) to transform the management of child stunting interventions within a frontline social work practice setting in Biwi, Malawi. Employing a quantitative, cross-sectional design, the study engaged 60 key stakeholders including community social workers, clinic-based nutrition officers, health surveillance assistants, and local government administrators through structured questionnaires. Data were analyzed using descriptive statistics. The results demonstrate that the proposed DHIS is perceived to offer a substantial improvement over the prevailing manual, paper-based system, particularly in the domains of data accuracy (reduced errors and duplication), processing speed, timeliness of reporting, and support for data-driven decision-making. The study concludes that digital transformation, anchored in social work practice realities, is a pivotal catalyst for strengthening child nutrition interventions. It recommends strategic investment in integrated, user-centered digital platforms coupled with comprehensive capacity building to foster a culture of evidence-based practice within Malawi's social welfare and health sectors.

Keywords : Child Stunting, Digital Health Information Systems (DHIS), Social Work Practice, Data Management, Evidence-Based Intervention, Malawi, Nutrition Surveillance, Health Systems Strengthening.

References :

  1. Healy, K. (2014) Social Work Theories in Context: Creating Frameworks for Practice. 2nd edn. London: Palgrave Macmillan.
  2. Kruk, M.E., Gage, A.D., Arsenault, C., Jordan, K., Leslie, H.H., Roder-DeWan, S., Adeyi, O., Barker, P., Daelmans, B., Doubova, S.V., English, M., Elorrio, E.G., Guanais, F., Gureje, O., Hirschhorn, L.R., Jiang, L., Kelley, E., Lemango, E.T., Liljestrand, J., Malata, A., Marchant, T., Matsoso, M.P., Meara, J.G., Mohanan, M., Ndiaye, Y., Norheim, O.F., Reddy, K.S., Rowe, A.K., Salomon, J.A., Thapa, G., Twum-Danso, N.A.Y. & Pate, M. (2018) 'High-quality health systems in the Sustainable Development Goals era: time for a revolution', The Lancet Global Health, 6(11), pp. e1196-e1252.
  3. Mwansa, L. and Phiri, M. (2020) ‘Health information systems and service delivery in sub-Saharan Africa: A fragmented landscape’, African Journal of Social Work, 10(2), pp. 45-58.
  4. National Statistical Office (NSO) [Malawi] and ICF. (2022). *Malawi Demographic and Health Survey 2021-22*. Zomba, Malawi, and Rockville, Maryland, USA: NSO and ICF.
  5. UNICEF (2021) The State of the World’s Children 2021: On My Mind – Promoting, protecting and caring for children’s mental health. New York: UNICEF.
  6. World Health Organization (2022) Stunting in a Nutshell. Geneva: World Health Organization.

Child stunting, a critical indicator of chronic undernutrition, persists as a debilitating public health and social justice issue in Malawi, with profound implications for children's lifelong development and national productivity. While multisectoral strategies exist, their execution is hampered by systemic inefficiencies in data management at the point of service delivery. This study investigates the potential of a purpose-designed digital health information system (DHIS) to transform the management of child stunting interventions within a frontline social work practice setting in Biwi, Malawi. Employing a quantitative, cross-sectional design, the study engaged 60 key stakeholders including community social workers, clinic-based nutrition officers, health surveillance assistants, and local government administrators through structured questionnaires. Data were analyzed using descriptive statistics. The results demonstrate that the proposed DHIS is perceived to offer a substantial improvement over the prevailing manual, paper-based system, particularly in the domains of data accuracy (reduced errors and duplication), processing speed, timeliness of reporting, and support for data-driven decision-making. The study concludes that digital transformation, anchored in social work practice realities, is a pivotal catalyst for strengthening child nutrition interventions. It recommends strategic investment in integrated, user-centered digital platforms coupled with comprehensive capacity building to foster a culture of evidence-based practice within Malawi's social welfare and health sectors.

Keywords : Child Stunting, Digital Health Information Systems (DHIS), Social Work Practice, Data Management, Evidence-Based Intervention, Malawi, Nutrition Surveillance, Health Systems Strengthening.

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