Dr Florence Mgawadere

Senior Research Associate


Florence has a degree in Nursing and midwifery Education, a Masters in Public Health (MPH) from University of Malawi, a PhD in Tropical Medicine with specialisation on maternal health from University of Liverpool in 2014. She joined the Centre for Maternal and Newborn Health (CMNH) in 2014 as a Senior Research Associate where her responsibilities include:

  • Leading on primary and implementation research and technical assistance in maternal and newborn health
  • Teaching postgraduates and supervising masters and doctoral students’ dissertations in global maternal and newborn health

Prior to joining LSTM, Florence was a Lecturer in public health at the University of Malawi.

She is a public health researcher with over 17 years international clinical and research experience.  She has a strong operations and mixed methods research background and her research work has focused on strengthening health systems to improve the quality of care for mothers and babies in  low- and middle-income countries. Her research  interest is on strengthening heath systems and community  to improve quality of care for mothers and babies including sexual reproductive health.

She has expertise in designing, implementation, monitoring and evaluation of quality improvement interventions in maternal and newborn health (MNH) (both at facility and community level); capacity development, coaching and mentoring of healthcare providers in MNH interventions, collaborations and providing technical assistance and policy development advice to national governments and non-government organizations on sexual reproductive health.

Florence has conducted research and provided technical assistance in Ghana, Malawi, Kenya and Nigeria


Florence has over 17 years of experience in teaching undergraduate and postgraduate medical students, nurse midwives and healthcare assistants in low resource setting. She currently on: on the master’s in international public health (Sexual and Reproductive Health), Quality improvement in Maternal and newborn health (TROP 972), Key Concepts in Sexual and Reproductive Health (TROP 923), Key concepts in maternal and neonatal health (TROP 924), Diploma in Tropical Medicine and Hygiene (DTMNH), Diploma on Sexual Reproductive Health (DSRH), Diploma in reproductive health in developing countries (DSRH), Diploma in Tropical Nursing (DTN).   Project/essay supervision and marking University of Liverpool LIFE 363), Dissertation Supervision, PhD and Masters students.


  • Module Convener for Key Concepts in Sexual and Reproductive Health (TROP 923)
  • Has been module convener for Quality improvement in Maternal and newborn health (TROP 972)
  • Board of Studies Membership (DSRH, and MiPH).

Professional Memberships

  • Nursing and Midwifery council, UK
  • Nurses and Midwives Council, Malawi
  • Malawi Nurses Association
  • Royal College of Nurses, UK
  • Sigma theta Tau International

Current research/projects

  • Using standard based audit to improve the quality of maternal and newborn health in a low resource setting ( Randomised Stepped wedge trial), ISRCTN 35639S
  • Crossed randomised stepped wedge trial to assess the effectiveness of standards-based audit and healthcare provider training on the availability and quality of Antenatal (ANC) and Postnatal Care (PNC) in Togo
  •  Quality of care Study- Kenya, Malawi, Nigeria and Togo
  • Quality Improvement Malawi and Nigeria
  •  Systematic review on Indicators to measure quality of care in maternal and newborn health

Florence has carried out operations research and academic research on maternal health, including research at the community level and programme evaluations in both middle- and lower-income countries.

In preparation or submitted publications

  • Mgawadere F., Maua J., Mutuku J., Gichuru S., Muchemi O, van den Broek N.  Quality care during child birth: Women and health care provider’s perspective in a low resource setting. (Kenya) BMJ-Quality and safety
  • de Vries. L,  Mgawadere F.,Smith H.,  van den Broek N 3_Context factors influencing quality improvement in maternal and newborn health: a descriptive study in 5 districts of Malawi: BMJ Quality and Safety
  • Mgawadere F, Smith H, Mathai, Muriithi F, van den Broek N. Tracking all deaths of women of reproductive. Exploring a better option for capturing maternal deaths in low resource settings. Plos one medicine. Pending
  • Aminu M., Mgawadere F., Tancred R, Smith H., Muriithi M., van den Broek N. indicators to measure quality of care in maternal and newborn health. A systematic review
  • Bar-Zeev S, Pyone T, Mgawadere F, D’Aquino L, Rosato M, Kachale F, Van den Broek N.  Community perceptions of health care seeking behaviours by pregnant women and children under five in Central Malawi: A qualitative study (BMC Pregnancy and Childbirth)

Selected publications

  • Mgawadere F, Kana T, van den Broek N. 'Measuring maternal mortality: a systematic review of methods used to obtain estimates of the maternal mortality ratio (MMR) in low- and middle-income countries', British Medical Bulletin 2017;121(1):121-34. doi: 10.1093/bmb/ldw056 Available at: https://academic.oup.com/bmb/article/2926155/Measuring

    Mgawadere F, Unkels R, Kazembe A, van den Broek N 'Factors associated with maternal mortality in Malawi: application of the three delays model', BMC Pregnancy & Childbirth 2017;17:219. doi: 10.1186/s12884-017-1406-5 Available at: https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884...

    Jones S, Sam B, Bull F, Pieh SB, Lambert J, Mgawadere F, Gopalakrishnan S, Ameh CA and van den Broek N. ''Even when you are afraid, you stay': Provision of maternity care during the Ebola virus epidemic: A qualitative study', Midwifery 2017;52:19-26. doi: 10.1016/j.midw.2017.05.009 Available at: http://www.sciencedirect.com/science/article/pii/S0266613816303515

    Smith, H., Asfaw, A. G., Aung, K. M., Chikoti, L., Mgawadere, F., d’ Aquino, L., & van den Broek, N. (2017). Implementing the WHO integrated tool to assess quality of care for mothers, newborns and children: results and lessons learnt from five districts in Malawi. BMC Pregnancy and Childbirth, 17, 271. http://doi.org/10.1186/s12884-017-1461-y

    Dressel A, Mkandawire-Valhmu, L., Dietrich A, Chirwa E, Mgawadere F, Kambalametore, S., Kako P. Local to Global: Working Together to Meet the Needs of Vulnerable Communities. Journal of Interprofessional Care 2017

    Mgawadere F, Unkels R, Adegoke A, van den Broek N. Measuring maternal mortality using a Reproductive Age Mortality Study (RAMOS). BMC Pregnancy & Childbirth 2016;16:291. doi: 10.1186/s12884-016-1084-8 Available at: http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-...

    Mgawadere F, Unkels R, van den Broek N. Assigning cause of maternal death: a comparison of findings by a facility-based review team, an expert panel using the new ICD-MM cause classification and a computer-based program (INTERVA-4). BJOG: An International Journal of Obstetrics & Gynaecology 2016;123(10):1647-53. doi: 10.1111/1471-0528.13969 Available at: http://onlinelibrary.wiley.com/doi/10.1111/1471-0528.13969/epdf

    F Mgawadere, Maleta Kenneth. Assessing quality in antenatal care. Malawi College of Medicine 2009. www.medcol.mw