A Multicomponent Intervention to Improve Maternal Infection Outcomes

D David Lissauer (Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool Women’s Hospital, Liverpool, United Kingdom) L Luis Gadama (Kamuzu University of Health Sciences, Blantyre, Malawi) C Catriona Waitt (Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool Women’s Hospital, Liverpool, United Kingdom) S Sonia Whyte (Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool Women’s Hospital, Liverpool, United Kingdom) G Girvan Burnside A Aiswarya Anilkumar (Liverpool Clinical Trials Centre, University of Liverpool, Liverpool, United Kingdom) R Regina Makuluni (Malawi Liverpool Wellcome Research Program, Blantyre, Malawi) P Peace Okwaro (Infectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda) L Liu Yang P Peter Waitt (Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool Women’s Hospital, Liverpool, United Kingdom) O Owen Musopole (Malawi Ministry of Health, Lilongwe, Malawi) R Rosemary Bilesi (Malawi Ministry of Health, Lilongwe, Malawi) B Bertha Maseko (Malawi Liverpool Wellcome Research Program, Blantyre, Malawi) J Joel Lwasa (Kawempe National Referral Hospital, Kampala, Uganda) R Richard Mugahi C Charles Olaro M Mohammed Lamorde (Resolve to Save Lives, Abuja, Nigeria) M Mirriam Makuta (Malawi Liverpool Wellcome Research Program, Blantyre, Malawi) C Chimwemwe Kachiwaya (Malawi Liverpool Wellcome Research Program, Blantyre, Malawi) T Tionge Mkandawire (Malawi Liverpool Wellcome Research Program, Blantyre, Malawi) A Adrian Malunga (Malawi Liverpool Wellcome Research Program, Blantyre, Malawi) N Nyadani Chitsulo (Malawi Liverpool Wellcome Research Program, Blantyre, Malawi) P Prisca Abitimo (Infectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda) T Tabitha Ayabo (Infectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda) A Andrew Weeks (Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool Women’s Hospital, Liverpool, United Kingdom) J James Martin (Department of Applied Health Sciences, University of Birmingham, Birmingham, United Kingdom) K Karla Hemming (Department of Applied Health Sciences, University of Birmingham, Birmingham, United Kingdom) I Ioannis Gallos (UNDP/UNFPA/UNICEF/WHO/World Bank Special Program of Research, Development, and Research Training in Human Reproduction (Human Reproduction Program), Department of Sexual, Reproductive, Maternal, Child, Adolescent Health, and Ageing, World Health Organization, Geneva) E Edward J. M. Monk (London School of Hygiene and Tropical Medicine, London) J Jennifer Riches (Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool Women’s Hospital, Liverpool, United Kingdom) C Chikondi Chapuma (Malawi Liverpool Wellcome Research Program, Blantyre, Malawi) J Judith Nanyondo S. (Palladium, Kampala, Uganda) F Fabiana Lorencatto (Centre for Behaviour Change, University College London, London) M Mark Monahan (Department of Applied Health Sciences, University of Birmingham, Birmingham, United Kingdom) B Benedetta Allegranzi (World Health Organization, Eastern Mediterranean Regional Office, Cairo) C Catherine Dunlop (Department of Metabolism and Systems Sciences, University of Birmingham, Birmingham, United Kingdom) L Lou Atkins A Anna Rosala-Hallas (Liverpool Clinical Trials Centre, University of Liverpool, Liverpool, United Kingdom) T Tracy Roberts (Department of Applied Health Sciences, University of Birmingham, Birmingham, United Kingdom) C Carrol Gamble (Liverpool Clinical Trials Centre, University of Liverpool, Liverpool, United Kingdom) A Address Malata N Nicola Desmond E Edward Kommwa (Partners in Health–Sierra Leone, Freetown) A Abi Merriel W William Parry-Smith R Rebecca Smith (Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool Women’s Hospital, Liverpool, United Kingdom) I Ivy Ndumu (Department of Applied Health Sciences, University of Birmingham, Birmingham, United Kingdom) E Eleanor Williams (Department of Applied Health Sciences, University of Birmingham, Birmingham, United Kingdom) B Bob Faque (Malawi Liverpool Wellcome Research Program, Blantyre, Malawi) G Gertrude Banda (Malawi Liverpool Wellcome Research Program, Blantyre, Malawi) A Alinane L. Nyondo-Mipando (Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool Women’s Hospital, Liverpool, United Kingdom) A Adelline Twimukye T Tim Chater (Liverpool Clinical Trials Centre, University of Liverpool, Liverpool, United Kingdom) A Aristotelis Diplas (Liverpool Clinical Trials Centre, University of Liverpool, Liverpool, United Kingdom) V Vanessa Brizuela (UNDP/UNFPA/UNICEF/WHO/World Bank Special Program of Research, Development, and Research Training in Human Reproduction (Human Reproduction Program), Department of Sexual, Reproductive, Maternal, Child, Adolescent Health, and Ageing, World Health Organization, Geneva) J Joao Paulo Souza (Department of Social Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil) J Jamie Rylance J James Cheshire (Department of Metabolism and Systems Sciences, University of Birmingham, Birmingham, United Kingdom) L Lydia Hawker (Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool Women’s Hospital, Liverpool, United Kingdom) A Arri Coomarasamy (Nuffield Department of Women’s and Reproductive Health, University of Oxford, Oxford, United Kingdom) M Mercedes Bonet (UNDP/UNFPA/UNICEF/WHO/World Bank Special Program of Research, Development, and Research Training in Human Reproduction (Human Reproduction Program), Department of Sexual, Reproductive, Maternal, Child, Adolescent Health, and Ageing, World Health Organization, Geneva)

Article Details

Volume / Issue Vol. 394, Issue 17
Published April 30, 2026
Pages 1685-1695
ISSN 0028-4793
Publisher Massachusetts Medical Society

Journal Info

New England Journal of Medicine

Massachusetts Medical Society

ISSN: 0028-4793 Social Sciences

Authors (61)

D

David Lissauer

Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool Women’s Hospital, Liverpool, United Kingdom

L

Luis Gadama

Kamuzu University of Health Sciences, Blantyre, Malawi

C

Catriona Waitt

Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool Women’s Hospital, Liverpool, United Kingdom

S

Sonia Whyte

Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool Women’s Hospital, Liverpool, United Kingdom

G

Girvan Burnside

A

Aiswarya Anilkumar

Liverpool Clinical Trials Centre, University of Liverpool, Liverpool, United Kingdom

R

Regina Makuluni

Malawi Liverpool Wellcome Research Program, Blantyre, Malawi

P

Peace Okwaro

Infectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda

L

Liu Yang

P

Peter Waitt

Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool Women’s Hospital, Liverpool, United Kingdom

O

Owen Musopole

Malawi Ministry of Health, Lilongwe, Malawi

R

Rosemary Bilesi

Malawi Ministry of Health, Lilongwe, Malawi

B

Bertha Maseko

Malawi Liverpool Wellcome Research Program, Blantyre, Malawi

J

Joel Lwasa

Kawempe National Referral Hospital, Kampala, Uganda

R

Richard Mugahi

C

Charles Olaro

M

Mohammed Lamorde

Resolve to Save Lives, Abuja, Nigeria

M

Mirriam Makuta

Malawi Liverpool Wellcome Research Program, Blantyre, Malawi

C

Chimwemwe Kachiwaya

Malawi Liverpool Wellcome Research Program, Blantyre, Malawi

T

Tionge Mkandawire

Malawi Liverpool Wellcome Research Program, Blantyre, Malawi

A

Adrian Malunga

Malawi Liverpool Wellcome Research Program, Blantyre, Malawi

N

Nyadani Chitsulo

Malawi Liverpool Wellcome Research Program, Blantyre, Malawi

P

Prisca Abitimo

Infectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda

T

Tabitha Ayabo

Infectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda

A

Andrew Weeks

Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool Women’s Hospital, Liverpool, United Kingdom

J

James Martin

Department of Applied Health Sciences, University of Birmingham, Birmingham, United Kingdom

K

Karla Hemming

Department of Applied Health Sciences, University of Birmingham, Birmingham, United Kingdom

I

Ioannis Gallos

UNDP/UNFPA/UNICEF/WHO/World Bank Special Program of Research, Development, and Research Training in Human Reproduction (Human Reproduction Program), Department of Sexual, Reproductive, Maternal, Child, Adolescent Health, and Ageing, World Health Organization, Geneva

E

Edward J. M. Monk

London School of Hygiene and Tropical Medicine, London

J

Jennifer Riches

Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool Women’s Hospital, Liverpool, United Kingdom

C

Chikondi Chapuma

Malawi Liverpool Wellcome Research Program, Blantyre, Malawi

J

Judith Nanyondo S.

Palladium, Kampala, Uganda

F

Fabiana Lorencatto

Centre for Behaviour Change, University College London, London

M

Mark Monahan

Department of Applied Health Sciences, University of Birmingham, Birmingham, United Kingdom

B

Benedetta Allegranzi

World Health Organization, Eastern Mediterranean Regional Office, Cairo

C

Catherine Dunlop

Department of Metabolism and Systems Sciences, University of Birmingham, Birmingham, United Kingdom

L

Lou Atkins

A

Anna Rosala-Hallas

Liverpool Clinical Trials Centre, University of Liverpool, Liverpool, United Kingdom

T

Tracy Roberts

Department of Applied Health Sciences, University of Birmingham, Birmingham, United Kingdom

C

Carrol Gamble

Liverpool Clinical Trials Centre, University of Liverpool, Liverpool, United Kingdom

A

Address Malata

N

Nicola Desmond

E

Edward Kommwa

Partners in Health–Sierra Leone, Freetown

A

Abi Merriel

W

William Parry-Smith

R

Rebecca Smith

Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool Women’s Hospital, Liverpool, United Kingdom

I

Ivy Ndumu

Department of Applied Health Sciences, University of Birmingham, Birmingham, United Kingdom

E

Eleanor Williams

Department of Applied Health Sciences, University of Birmingham, Birmingham, United Kingdom

B

Bob Faque

Malawi Liverpool Wellcome Research Program, Blantyre, Malawi

G

Gertrude Banda

Malawi Liverpool Wellcome Research Program, Blantyre, Malawi

A

Alinane L. Nyondo-Mipando

Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool Women’s Hospital, Liverpool, United Kingdom

A

Adelline Twimukye

T

Tim Chater

Liverpool Clinical Trials Centre, University of Liverpool, Liverpool, United Kingdom

A

Aristotelis Diplas

Liverpool Clinical Trials Centre, University of Liverpool, Liverpool, United Kingdom

V

Vanessa Brizuela

UNDP/UNFPA/UNICEF/WHO/World Bank Special Program of Research, Development, and Research Training in Human Reproduction (Human Reproduction Program), Department of Sexual, Reproductive, Maternal, Child, Adolescent Health, and Ageing, World Health Organization, Geneva

J

Joao Paulo Souza

Department of Social Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil

J

Jamie Rylance

J

James Cheshire

Department of Metabolism and Systems Sciences, University of Birmingham, Birmingham, United Kingdom

L

Lydia Hawker

Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool Women’s Hospital, Liverpool, United Kingdom

A

Arri Coomarasamy

Nuffield Department of Women’s and Reproductive Health, University of Oxford, Oxford, United Kingdom

M

Mercedes Bonet

UNDP/UNFPA/UNICEF/WHO/World Bank Special Program of Research, Development, and Research Training in Human Reproduction (Human Reproduction Program), Department of Sexual, Reproductive, Maternal, Child, Adolescent Health, and Ageing, World Health Organization, Geneva