A5005617588- Global Maternal and Child Health
- HIV/AIDS Research and Interventions
- Adolescent Sexual and Reproductive Health
- Sex work and related issues
- HIV, Drug Use, Sexual Risk
- Child Nutrition and Water Access
- Breastfeeding Practices and Influences
- Maternal and Neonatal Healthcare
- Congenital Heart Disease Studies
- Nursing Education, Practice, and Leadership
- Psychology of Social Influence
- Multiple Sclerosis Research Studies
- Neonatal and fetal brain pathology
- HIV/AIDS Impact and Responses
- Malaria Research and Control
- Cultural Competency in Health Care
- Technology Adoption and User Behaviour
- Mosquito-borne diseases and control
- Service-Learning and Community Engagement
- Global Health Care Issues
- Emotions and Moral Behavior
- Food Security and Health in Diverse Populations
- Healthcare Systems and Reforms
- Intimate Partner and Family Violence
- Mobile Health and mHealth Applications
University of Dar es Salaam
2022
University Medical Center Groningen
2018-2021
University of Groningen
2018-2021
Johns Hopkins University
2018-2020
Association of Maternal and Child Health Programs
2013
John Radcliffe Hospital
2006
Royal Berkshire Hospital
2006
University of Windsor
1988
Background As low-income countries strive to meet targets for Millennium Development Goals 4 and 5, there is growing need track coverage quality of high-impact peripartum interventions. At present, nationally representative household surveys conducted in settings primarily measure contact with the health system, shedding little light on content or care. The objective this study validate ability women Mozambique report facility-based care they their newborns received during labor one hour...
In Tanzania, maternal mortality has stagnated over the last 10 years, and some of areas with worst indicators are in Lake Western Zones. This study investigates factors associated institutional deliveries among women aged 15-49 years two regions Zone. Data were extracted from a cross-sectional household survey 1,214 who had given birth 2 preceding Mara Kagera regions. Logistic regression analyses conducted to explore influence various on giving facility. About two-thirds (67.3%) gave at...
A growing evidence base supports expansion of partner notification in HIV testing services (HTS) sub-Saharan Africa. In 2015, a cross-sectional study was conducted Njombe region, Tanzania, to evaluate within facility-based HTS. Men and women newly diagnosed with were enrolled as index clients asked list current or past sexual partners for referral Successful 2.5 times more likely among married compared unmarried 2.2 male female clients. qualitative analysis, well mentioned difficulties...
Newborn resuscitation is a life-saving intervention for birth asphyxia, leading cause of neonatal mortality. Improving provider newborn skills critical delivering quality care, but the retention these has been challenge. Tanzania implemented national using Helping Babies Breathe (HBB) training program to help address this problem. Our objective was evaluate effectiveness two approaches across 16 regions Tanzania. An initial approach included verbal instructions participating providers...
The ePartogram is a tablet-based application developed to improve care for women in labor by addressing documented challenges partograph use. designed provide real-time decision support, data entry, and increase access information appropriate management. This study's primary objective was evaluate the feasibility acceptability of use resource-constrained clinical settings.
Tanzania has a maternal mortality ratio of 556 per 100,000 live births, representing 21% all deaths women reproductive age. Hemorrhage, mostly postpartum hemorrhage (PPH), is estimated to cause at least 25% in Tanzania. In 2008, the Ministry Health, Community Development, Gender, Elderly and Children launched interventions improve efforts prevent PPH. Competency-based training for skilled birth attendants ongoing quality improvement prioritized practice active management third stage labor...
Background Globally, an estimated 2.7 million babies die in the neonatal period annually, and of these, about 0.7 from intrapartum-related events. In Tanzania 51,000 newborn deaths 43,000 stillbirths occur every year. Approximately two-thirds these could be potentially prevented with improvements intrapartum care. Routine measurement fetal that health facilities can help to evaluate efforts improve quality care save lives. However, few examples exist indicators on perinatal mortality...
Background Little has been documented about partner violence among adolescent girls and young women (AGYW) who are out of school, a factor associated with HIV acquisition. To understand areas for prioritising prevention intervention efforts, we explored the prevalence correlates school AGYW in Shinyanga, Tanzania. Methods A cross-sectional analysis data from aged 15–23 years recruited cluster randomised trial conducted between October December 2017 was used to examine violence. Data were...
This study was designed to determine the type and frequency of physical psychological symptoms reported by pregnant postpartal women their husbands, relationship between spouses' strength identification similarities in reports symptoms. The sample included 20 couples who resided south‐eastern Ontario, Canada completed a checklist three Findings indicated that wives husbands experienced variety during pregnancy postpartum. Although few were shared spouses, statistically significant. There no...
Abstract In Lake Zone, Tanzania, low contraceptive prevalence, closely spaced births, and child stunting are common. Synergies exist between postpartum family planning (PPFP) maternal, infant, young nutrition (MIYCN), yet health services often provided in silos. This qualitative formative research study aimed to identify barriers facilitating factors for optimal PPFP practices Mara Kagera, Tanzania. Results informed the program design of an integrated (FP) implementation approach. The...
Introduction A programmatic mapping and size estimation study was conducted in 24 districts 5 regions of Tanzania to estimate the locations female sex workers (FSW) men who have with (MSM) inform HIV programming for Key Populations. Methodology Data were collected at two levels: first, interviews informants identify venues where FSWs MSM frequent. Secondly, estimated through FSWs, other venue. The venue estimates aggregated generate ward level estimates. Correction factors then applied...
Introduction Adolescent girls and young women (AGYW) continue to experience a high incidence of HIV in southern eastern Africa, even the context large-scale prevention interventions. In Tanzania, AGYW account for largest proportion new infections have higher risk acquisition than males comparable age. Methods We used routinely collected data from PEPFAR/USAID-funded Sauti Project, large combination program, examine relationship between transactional sex with older partners among Tanzania...
Adolescent girls and young women (AGYW) aged 15 to 24 years face disproportionately high risks of acquiring HIV other sexually transmitted infections (STIs). A sexual health risk stratification tool can support the development implementation tailored STI prevention services for sub-groups at-risk AGYW. Data were collected among active AGYW in Tanzania between April 2015 March 2017. Exploratory confirmatory factor analyses conducted construct assess latent structure a ten-item scale rapid...
This longitudinal study replicated an investigation of the relationship between wives' and husbands' strength identification similarities in their patterns change perceived body space global attitude during pregnancy postpartum. The sample included 20 married Canadian couples. results replicate a U. S. that found no changes or changes. As U.S. study, there were statistically significant from third month to second postpartal but attitude.
The HIV epidemic in Eastern and Southern Africa is characterized by a high incidence prevalence of infection among adolescent girls young women (AGYW) aged 15-24 years. For instance, some countries, AGYW 20-24 years exceeds that 15-19 2:1. Sauti (meaning voices), project supported the United States Agency for International Development, providing combination prevention interventions to Shinyanga region, Tanzania.The aim this study determine impact cash transfer on risky sexual behavior...
Background Poverty and social inequality exacerbate HIV risk among adolescent girls young women (AGYW) in sub-Saharan Africa. Cash transfers can influence the structural determinants of health, thereby reducing risk. Objective This study assessed effectiveness cash transfer delivered along with combination prevention (CHP) interventions risky sexual behavior AGYW Tanzania. The incidence herpes simplex virus type 2 (HSV-2) infection was used as a proxy for behavior. Methods A cluster...
ABSTRACT A collaborative education program between Schools of Nursing at the Jordan University Science and Technology Windsor, funded by Canadian International Development Agency (CIDA), provides advanced clinical theoretical for Jordanian faculty thus enriches nursing students. This article describes preparation development proposal implementation project in a transcultural context, identifies strengths limitations project. Recommendations effective strategies regarding international are...
Estimates of malaria burden and intervention uptake in Africa are primarily based on household surveys. However, their expense infrequency limit utility. We investigated whether data collected during antenatal care (ANC) can provide relevant information for decision-makers.
High-quality intrapartum care, including intermittent monitoring of fetal heart rates (FHR) to detect and manage abnormalities, is recommended by WHO the Government Tanzania (GoT) creates potential save newborn lives in Tanzania. Handheld Doppler devices have been investigated several low-resource countries as an alternative Pinard stethoscope are more sensitive detecting accelerations decelerations compared Pinard. This study assessed perspectives high-level Tanzanian policymakers on...
Tanzania has high fertility, low contraceptive prevalence and exclusive breastfeeding (EBF). The Lake Zone, including Mara Kagera regions, leads the country in total fertility; use of lactational amenorrhea method (LAM) is negligible. This pre-/post-study explored effects a multi-level facility community intervention (service delivery support, engagement, media LAM tracking) to integrate maternal infant nutrition postpartum family planning (FP) within existing health contacts. Mixed methods...
Abstract Adolescent girls and young women (AGYW) continue to experience a high incidence of HIV in southern eastern Africa, even the context large-scale prevention interventions. In Tanzania, AGYW account for largest proportion new infections have higher risk acquisition than males comparable age. We used routinely collected data from PEPFAR/USAID-funded Sauti Project, large combination program, examine relationship between transactional sex with older partners among Tanzania (2015-2020)....