A5005091968- Global Maternal and Child Health
- Malaria Research and Control
- Vaccine Coverage and Hesitancy
- Healthcare Systems and Reforms
- Adolescent Sexual and Reproductive Health
- Global Health Workforce Issues
- HIV/AIDS Research and Interventions
- Child Nutrition and Water Access
- Mosquito-borne diseases and control
- Poverty, Education, and Child Welfare
- Global Health and Surgery
- Prostate Cancer Diagnosis and Treatment
- Virology and Viral Diseases
- Maternal and Perinatal Health Interventions
- Global Cancer Incidence and Screening
- Economic and Financial Impacts of Cancer
- Electronic Health Records Systems
- Mobile Health and mHealth Applications
- ICT in Developing Communities
- Maternal and fetal healthcare
- Data Quality and Management
- Parasites and Host Interactions
- E-Government and Public Services
- Technology Adoption and User Behaviour
- Immune responses and vaccinations
Muhimbili University of Health and Allied Sciences
2014-2025
Karolinska Institutet
2009-2011
Marymount University
2008
Introduction There are concerns about the impact of COVID-19 pandemic on continuation essential health services in sub-Saharan Africa. Through Countdown to 2030 for Women’s, Children’s and Adolescents’ Health country collaborations, analysts from global public institutions ministries assessed trends selected maternal, newborn child health, general service utilisation. Methods Monthly routine facility data by district period 2017–2020 were compiled 12 teams adjusted after extensive quality...
Summary Objective WHO recommends artemisinin suppository formulations as pre‐referral treatment for children who are unable to take oral medication and cannot rapidly reach a facility parenteral treatment. We investigated factors influencing caretakers’ adherence referral advice following of their with rectal artesunate suppositories. Methods The study was nested within an intervention that involved all came community dispenser because they were medications repeated vomiting, lethargy,...
Malaria kills. A single rectal dose of artesunate before referral can reduce mortality and prevent permanent disability. However, the success this intervention depends on caretakers' adherence to advice for follow-up care. This paper explores dilemma facing caretakers when they are in process deciding whether or not transit their child a health facility after pre-referral treatment with artesunate. Four focus group discussions were held each three purposively selected villages Mtwara rural...
Abstract Although the mother‐to‐child transmission (MTCT) contributes only 5% of HIV infection, its impact has reversed decline in infant and child mortality rates. With antenatal service coverage over 90%, integration prevention MTCT (PMTCT) infection into Reproductive Child Health (RCH) services Tanzania, this is likely to overstretch staff capacity undermine already compromised quality health care services. A retrospective study was conducted assess integrating scaling‐up PMTCT routine...
Background Effective and timely case management remains one of the fundamental pillars for control malaria. Tanzania introduced artemisinin-combination therapy [ACT] uncomplicated malaria; however, policy change is challenged by limited availability ACTs due to high cost. This study aimed determine factors influencing prompt access among febrile children in rural Kilosa, Tanzania. Methods Findings In a community-based study, 1,235 randomly selected under five were followed up weekly six...
A follow-up study was conducted to determine the magnitude of and factors related adherence artemether/lumefantrine (ALu) treatment in rural settings Tanzania. Children five villages Kilosa District treated at health facilities were followed-up their homes on Day 7 after first dose ALu. For those found be positive using a rapid diagnostic test for malaria with ALu, caretakers interviewed drug administration habits. In addition, capillary blood samples collected lumefantrine concentrations....
Abstract The ‘urban penalty’ in health refers to the loss of a presumed survival advantage due adverse consequences urban life. This study investigated levels and trends neonatal, post-neonatal under-5 mortality rate key determinants child using data from Tanzania Demographic Health Surveys (TDHS) (2004/05, 2010 2015/16), AIDS Indicator Survey (AIS), Malaria survey (MIS) facility mainland. We compared Dar es Salaam results with other rural areas mainland, between poorest richest wealth...
Despite its importance in providing evidence for health-related policy and decision-making, an insufficient amount of health systems research (HSR) is conducted low-income countries (LICs). Schools public (SPHs) are key stakeholders HSR. This paper, one a series four, examines human financial resources capacities, policies organizational support HSR seven Africa Hub SPHs East Central Africa. Capacity assessment done included document analysis to establish staff numbers, qualifications...
Private sector drug shops are an important source of medicines in Tanzania. In 2003, the government introduced accredited dispensing outlet (ADDO) program to improve access good-quality rural and peri-urban areas that have frequent shortages public health facilities few or no registered pharmacies. However, increasing may also contribute antimicrobial resistance (AMR) due potential overuse misuse drugs.We conducted a cross-sectional household survey four regions mainland Tanzaniato...
The South African Journal of Information Management explores the latest developments and trends in information knowledge management to offer research that can be used further application sound practice.
The rate of caesarean section (CS) at Muhimbili National Hospital (MNH) in Tanzania has been on progressive increase for past three decades. Concerns have raised if this is justified by rational decisions but no study so far investigated problem. aim the was to find out whether made CS comply with a set locally standards, an assumption that standards are met, then seen MNH genuine. five most common indications were identified from obstetric electronic data base. Most included obstructed...
Community based distribution (CBD) programmes were introduced as a strategy to ensure access of contraceptives the needy. The is reported increase contraceptive knowledge and use. Although CBD agents have advantage reaching poor in rural areas, wealth gap does exist even these settings. objective this study was determine information modern services among people different status setting Muheza, Tanzania. This cross-sectional conducted following six year project promotion using community-based...
Although gender mainstreaming has been long recognized as a strategy for addressing inequalities and associated negative health outcomes; its implementation remained challenge, even in the area of prevention mother to child transmission HIV (PMTCT). Despite recognition Tanzania's political arena prioritization PMTCT by sector, there is very little information on how well mainstreamed into National guidelines organizational practices at service delivery level. Using case study methodology, we...
Men in developing countries play an important role the adoption of family planning (FP), either as actual users or supporters their partners. Notwithstanding universal knowledge on contraceptive methods, approval and use have been low among men Tanzania. This study determined magnitude factors that influence to approve modern methods with spouses.A cross sectional, community-based was conducted Kibaha, Pwani region 2014. A total 365 randomly selected married cohabiting men; aged 18 60 years...
Although Tanzania is operating a decentralized health system, most of the workers’ retention strategies are designed at central level and implemented local level. This study sought to explore bottom-up by analyzing experiences from two rural districts, Rombo Kilwa in conducting cross-sectional exploratory qualitative said districts. Nineteen key informants were purposefully selected based on their involvement scheme district then interviewed. These included managers, government leaders,...
Abstract Background Routine health facility data provides the opportunity to monitor progress in quality and uptake of care continuously. Our study aimed assess reliability usefulness emergency obstetric including temporal regional variations over past five years Tanzania Mainland. Methods Data were compiled from routine monthly district reports as part management information systems for 2016–2020. Key indicators maternal neonatal coverage, complications, interventions computed. Assessment...
The World Health Organization aims at universal access to effective antimalarial treatment by the year 2015. Consequently, an enormous financial resource has been invested on Artemisinin Combination Therapy (ACT))) subsidy. In Tanzania, strategies increase of artemether-lumufantrine (ALu) rural areas, where burden is highest, includes subsidy Faith-based Organisations (FBO) facilities and accredited drug dispensing outlets (ADDOs). This study was done assess extent which children suffering...
While over 70% of the population in Tanzania reside rural areas, only 25% physicians and 55% nurses serve these areas. operates a decentralised health system which aims to bring services closer its people through collaborative citizen efforts. community engagement was intended as mechanism support retention workforce reality on ground does not always match this ideal. This study explored role local communities workers Tanzania.An exploratory qualitative completed two districts from...
Abstract Tanzania is among the first countries to adopt District Health Information System version 2 (DHIS2) as national health management information system (HMIS). In this article, we share experiences on achievements and challenges encountered in process of customizing rolling out DHIS2 Tanzania. This instrumental case study was conducted using a qualitative approach involving desk reviews, key informant interviews, field observations. successfully adopted evidenced by innovation new...
Globally, rural–urban migration has been the focus in addressing question of availability health workers rural areas. Often, rural–rural workers, another important dimension is neglected. This study aimed to analyze magnitude and underlying factors for two districts Tanzania. An exploratory comparative cross-sectional adopting both quantitative qualitative approaches was carried out Kilwa Lindi region, southern Tanzania, Rombo Kilimanjaro northern In a approach, 174 (both clinicians...
Prompt access to artemesinin-combination therapy (ACT) is not adequate unless the drug taken according treatment guidelines. Adherence schedule important preserve efficacy of drug. Although some community based studies have reported fairly high levels adherence, data on factors influencing adherence artemether-lumefantrine (AL) remain inadequate. This study was carried-out explore provider’s instructions caretakers, caretakers’ understanding and how that likely influence their practice with...