A5030551104- Global Maternal and Child Health
- Healthcare Systems and Reforms
- Healthcare Policy and Management
- Health Policy Implementation Science
- Global Public Health Policies and Epidemiology
- Primary Care and Health Outcomes
- Vaccine Coverage and Hesitancy
- Mobile Health and mHealth Applications
- Adolescent Sexual and Reproductive Health
- Global Health and Surgery
- Health Systems, Economic Evaluations, Quality of Life
- COVID-19 epidemiological studies
- HIV/AIDS Research and Interventions
- Pharmaceutical Economics and Policy
- HIV/AIDS Impact and Responses
- Tuberculosis Research and Epidemiology
- Telemedicine and Telehealth Implementation
- Neonatal and fetal brain pathology
- Patient Satisfaction in Healthcare
- Interprofessional Education and Collaboration
- COVID-19 Pandemic Impacts
- Community Health and Development
- Reproductive Health and Contraception
- Social Media in Health Education
- Chronic Disease Management Strategies
Business Innovation Centre
2025
Catholic University of Health and Allied Sciences
2020-2023
Muhimbili University of Health and Allied Sciences
2023
The University of Dodoma
2023
Oxfam
2023
Technologies pour la Santé
2023
Boca Raton Regional Hospital
2023
Health Information Management
2023
Amref Health Africa
2023
Swiss Tropical and Public Health Institute
2023
There is an increased call for improving the environment in which nursing students learn clinical skills. Clinical practice placement sites should allow to apply their theoretical knowledge a real environment, develop skills and reasoning, observe adapt professional role. This study aimed at identifying factors influencing performance among preservice diploma Northern Tanzania. relied on cross-sectional analysis of data collected from schools Tanzania 208 (123 85 nurse tutors) participants...
Global health conceives the notion of partnership between North and South as central to foundations this academic field. Indeed, global aspires an equal positioning Northern Southern actors. While may be used position field morally, politicization mask persisting inequalities in health. In paper, we reflect on partnerships by revisiting origins deconstructing partnership. We also review promising initiatives that help rebalance relationship. Historical accounts are helpful unpacking genesis...
Globally, good health system performance has resulted from continuous reform, including adaptation of Decentralisation by Devolution policies, for example, the Direct Health Facility Financing (DHFF). Generally, role decentralisation in sector is to improve efficiency, foster innovations and quality, patient experience accountability. However, such improvements have not been well realised most low- middle-income countries, with main reason cited being poor mechanism disbursement funds, which...
Abstract Background Infrastructure development and upgrading to support safe surgical services in primary health care facilities is an important step the journey towards achieving Universal Health Coverage (UHC). Quality service provision together with equitable geographic access delivery are components that constitute UHC. Tanzania has been investing infrastructure offer essential surgery close communities at affordable costs while ensuring better outcomes. This study aimed understand...
Abstract Background Health system performance is one of the important components health care delivery; its achievement depends on quality services rendered and responsiveness beneficiaries. a multi-dimensional concept usually measured through several domains. (HSR) remains to be key indicator for evaluation in any settings. This study aimed at assessing situation primary facilities Tanzania prior introduction Direct Facility Financing (DHFF) program. Methods was cross sectional conducted...
Introduction of a health insurance scheme is one the ways to enhance access care services and protect individuals from catastrophic expenditures. Little known on influence socio-demographic social marketing strategies enrollment re-enrollment in Community Health Fund/Tiba Kwa Kadi (CHF/TIKA) Tanzania. This cross-sectional study employed quantitative methods for data collection between November 2014 March 2015 Singida Shinyanga regions. Relationship variables was obtained through Chi-square...
Documentary evidence points to high unmet need for family planning across sub-Saharan Africa. Modern contraceptive use has been staggering over decades with unacceptable marginal increases given that one in three women still report Ghana. This study sought re-examine through a further analysis on the prevalence and determinants of Ghana using married extracted from recent 2014 Demographic Health Survey.Data was analyzed univariate, bivariate, logistic multinomial regression models.Of 4527...
Abstract Background Building health research capacity in low- and middle-income countries is essential to achieving universal access safe, high-quality healthcare. It can enable healthcare workers conduct locally relevant apply findings strengthen their delivery systems. However, lack of funding, experience, know-how, weak infrastructures hinders ability. Understanding capacity, engagement, contextual factors that either promote or obstruct efforts by inform national strategies aimed at...
Contingency management in addiction behaviors has been widely applied high income settings. entails modification of behavior via the control or manipulation consequences (contingencies) to behavior. While a need exists for contingency low- and middle- settings, specifically those sub-Saharan Africa region, uptake is low relative This study assessed barriers implementation methadone treatment clients at outpatient clinic tertiary hospital Tanzania. employed qualitative design was conducted...
To determine patients' acceptability, satisfaction and adherence to shorter all-oral multidrug-resistant tuberculosis (MDR-TB) regimen in Tanzania. A two-phase cross-sectional study with data collected within 6 months of Removed Injectable modified Short-course regimens for EXpert MDR-TB (RISE) implementation the second phase 15 using same reference populations. 18 health facilities across eight regions Rifampicin-resistant TB/MDR-TB patients enrolled RISE study. We assessed an interval...
Despite the declining trends of Human immunodeficiency virus (HIV) infection in Sub-Saharan Africa (SSA), unsafe sexual behaviours among adolescents still represent a public health challenge. It is important to understand factors acting at different levels influence behaviour adolescents. This study examined perceived control, subjective norms, attitudes and empowerment on intention use condoms reported rural Tanzania. We used questionnaire collect data from 403 aged 14 through 19 years nine...
Understanding birth control and child spacing methods used by inhabitants of conflict afflicted settings is important in designing interventions to improve uptake family planning services. In addressing the dearth knowledge on use these settings, this study aimed at identifying influencing factors contraceptives among women Juba city South Sudan. Using a population based cross-sectional study, 380 aged 15–49 years filled guided questionnaire between April May 2015. We collected contraceptive...
Background Universal coverage remains a challenging pursuit around the world, even among highest-income countries. Strengthening financial management capacity is essential towards attaining three universal health (UHC) goals, namely, expanded coverage, quality service, and protection. In this regard, Tanzania introduced Facility Financial Accounting Reporting System (FFARS) in line with introduction of Direct Health Financing (DHFF) initiative primary care (PHC) 2017–2018. We aim to assess...
Background Adherence to option B+ antiretroviral treatment (ART) is vital a successful implementation of Prevention Mother Child Transmission (PMTCT) program. Further studies show that optimal viral suppression also crucial for PMTCT program, however barriers adherence exist and differ among populations particularly within few years its adoption in Tanzania. This study therefore aimed at investigating the level predictors ART pregnant lactating women rural urban settings eastern Methodology...
Despite acceleration of remote consulting throughout the COVID-19 pandemic, many health care professionals are practicing without training to offer teleconsultation their patients. This is especially challenging in resource-poor countries, where telephone has not previously been widely used for care.As pandemic dawned, we designed a modular online program REmote Consulting primary Health (REaCH). To optimize upscaling knowledge and skills, employed train-the-trainer approach, workers (tier...
BackgroundDespite the implementation of various initiatives to address low enrollment in voluntary micro health insurance (MHI) schemes sub-Saharan Africa, problem remains unresolved. The lack process evaluations such interventions makes it difficult ascertain whether their poor results are because design failures or weaknesses.ObjectiveIn this paper, we describe a evaluation protocol aimed at opening ‘black box’ evaluate processes Redesigned Community Health Fund (CHF) program Dodoma region...
Social cohesion, defined as a glue holding society together, has been found to influence several aspects of human behavior. being composed social trust and participation, is factor that may sexual behaviors. Unfortunately, studies investigating the cohesion on behaviors among young people are scarce. This study examined safe behavior adolescents in rural Tanzania. A cross-sectional was conducted 403 school Newala district, between May August 2010. Socio-demographic characteristics, (social...
Objective Remote or mobile consulting is being promoted to strengthen health systems, deliver universal coverage and facilitate safe clinical communication during coronavirus disease 2019 beyond. We explored whether a viable option for communities with minimal resources in low- middle-income countries. Methods reviewed evidence published since 2018 about countries undertook scoping study (pre-coronavirus disease) two rural settings (Pakistan Tanzania) five urban slums (Kenya, Nigeria...
The novel Coronavirus disease 2019 (COVID-19) presents a major threat to public health but can be prevented by safe and effective COVID-19 vaccines. Vaccine acceptance among healthcare workers (HCWs) is essential promote uptake. This study, aimed determine the vaccination uptake hesitancy its associated factors HCWs in Tanzania. We employed convergent-parallel mixed-methods design 1368 across facilities seven geographical zones Tanzania 2021. collected quantitative data using an...
Introduction Achieving universal health coverage requires using research evidence to inform decision-making. However, little information is available on the use of in planning lower middle-income countries, including Tanzania. This paper presents a protocol that aims investigate usage planning, determinants and readiness team members knowledge translation tools Methods analysis study will employ sequential exploratory mixed-methods design, with participants selected from national, regional...
The need to understand how an intervention is received by the beneficiary community well recognised and particularly neglected in micro-health insurance (MHI) domain. This study explored views reactions of redesigned Community Health Fund (CHF) implemented Dodoma region Tanzania. We collected data from focus group discussions with 24 groups villagers (CHF members nonmembers) in-depth interviews 12 key informants (enrolment officers health care workers). transcribed material was analysed...
Despite wide agreement that stakeholder acceptability plays a critical role in an intervention's effectiveness, gaps remain on understanding of complex health financing interventions. We aimed to understand the moderators Direct Health Facility Financing (DHFF) initiative across primary facilities Tanzania. Employing mixed methods approach and guided by theoretical framework for (TFA), we collected data from implementers their supervisors using structured questionnaire semi-structured...
Abstract Background: Infrastructure development and upgrading to support safe surgical services in primary health care facilities is an important step the journey towards achieving Universal Health Coverage (UHC). This study aimed understand public sector's efforts improve infrastructure of between 2005 2019. We assessed construction rates, geographic coverage, physical status each facility, safety rendered facilities. Methods : Data was collected from existing policy reports, Services...