Abstract / Summary
Abstract Background Frontline healthcare workers (HCWs) during the COVID-19 pandemic in Malawi included physiotherapists. This study explored the experiences of those physiotherapists to help prepare workforce support plans in the future in the advent of a new disease outbreak. Methods This phenomenological qualitative study was conducted between 2 May and 15 June 2024 at two tertiary hospitals in Southern Malawi namely, Queen Elizabeth Central Hospital (QECH) and Zomba Central Hospital (ZCH). Participants were purposely sampled and included physiotherapists who had been involved in caring for patients with COVID-19 at the two hospitals. Data was collected from 11 participants (9 from QECH and 3 from ZCH) using physical in-depth interviews. The recorded interviews were transcribed verbatim and transcripts analyzed using a deductive thematic approach. Results Themes were broadly categorized into positive and negative experiences. Among positive experiences, participants reported that physiotherapy interventions facilitated quick recovery of patients. In some instances where oxygen cylinders were not enough or had run out of oxygen, physiotherapy interventions were lifesaving. Additionally, the COVID-19 pandemic raised awareness of physiotherapy's role in COVID-19 management and resulted in permanent employment for several physiotherapists. Under the theme of negative experiences, participants faced challenges with team recognition, communication, staff shortages, inadequate equipment, and no local physiotherapy guidelines. Conclusions To strengthen pandemic preparedness, Malawi’s healthcare system should enhance interdisciplinary collaboration, provide targeted training for rehabilitation professionals, and ensure adequate resources and physiotherapy-specific treatment protocols. Addressing these gaps will improve the integration and delivery of rehabilitation services and support better long-term patient outcomes.