Enhancing quality of health care delivered in public facilities developing countries is a key prerequisite to increase utilization and sustainability services the population. The aim study was determine patients' level satisfaction on at out-patient department (OPD) Mwananyamala hospital Dar es Salaam, Tanzania. A cross-sectional design conducted from April May, 2012. systematic sampling method employed select 422 subjects. pre-tested SERVQUAL questionnaire used collect data one-sample...

Background Optimally, expanded HIV testing programs should reduce barriers to while attracting new and high-risk testers. We assessed risk among clients participating in mobile voluntary counseling (MVCT) campaigns four rural villages the Kilimanjaro Region of Tanzania. Methods Between December 2007 April 2008, 878 MVCT participants 506 randomly selected community residents who did not access were surveyed. Gender-specific logistic regression models used describe differences socioeconomic...

Background Efforts to reduce Human Immunodeficiency Virus (HIV) transmission through treatment rely on HIV testing programs that are acceptable broad populations. Yet, preferences among diverse at-risk populations in Sub-Saharan Africa poorly understood. We fielded a population-based discrete choice experiment (DCE) evaluate factors influence HIV-testing low-resource setting. Methods Using formative work, pilot study, and pretesting, we developed DCE survey with five attributes: distance...

HIV counseling and testing (HCT), an effective preventive strategy entry point for care, remains under-utilized in Tanzania. Limited uptake of HCT, despite the widespread availability varied options, suggests that existing options may not align well with population preferences testing. Between October December 2011, we conducted exploratory study Kilimanjaro Region to develop a conceptual framework understanding which characteristics are associated Forty individuals (55% women, 53% never...

The Confidential Social Network Referrals for HIV Testing (CONSORT) intervention leverages the ubiquity of mobile phones and social networks to nudge at-risk populations test HIV. Pilot results suggest that confidential SMS testing invitations are acceptable among diverse may reach those at above-average risk infection.

Abstract It is estimated that 5.6% of the Tanzanian population ages 15–49 are infected with HIV, but only 30% adults have ever had an HIV test. Couples' testing has proven to increase coverage and introduce prevention, barriers include access services unequal gender dynamics in relationships. Innovative approaches needed address couple's uptake testing. Using qualitative data collection methods, a formative study was conducted assess acceptability home-based couples counseling (HBCCT)...

According to the 2016-2017 Tanzania HIV Impact Survey, 55% of men diagnosed with during survey self-reported that they were unaware their status. As a response, Government launched Test and Treat campaign in June 2018 focus on reaching developed 2018-2020 Male Catch-Up plan. This article reports (1) enablers barriers testing services (HTS) uptake among (2) describes strategies proposed as part Plan address some these barriers.Qualitative in-depth interviews conducted 23 Dar es Salaam explore...

Abstract Background Achieving the 95–95-95 global targets by 2030, innovative HIV testing models, such as self-testing are needed for people, who unaware of their status. We aimed to explore key informants, mountain climbing porters, and female bar workers’ attitudes, perceived norms, personal agency related self-testing. Methods This was a formative qualitative study inform design an intervention in Northern Tanzania. Informed Integrated Behaviour Model, we conducted four focus group...

Condoms remain a cost-effective and relatively simple intervention to prevent HIV infection. However, condom use is still very low, particularly among youths aged 15 24. 348 individuals (186 males 162 females) completed pre-tested questionnaire. Logistic regression analysis was used identify factors associated with use. Out of respondents, 296 (85.0%) were sexually experienced, 260 (87.8%) reported noncondom in the past 3 months prior study. Among men, independently feeling shy buy condoms...

In order to maximize the effectiveness of "Seek, Test, and Treat" strategies for curbing HIV epidemic, new approaches are needed increase uptake testing services, particularly among high-risk groups. Low rates such groups suggest that current services may not align well with preferences these populations. Female bar workers male mountain porters have been identified as two important in Kilimanjaro Region Tanzania. We used conventional survey methods a discrete choice experiment (DCE),...

Diabetes is an emerging public health problem in sub-Saharan Africa. Diabetic retinopathy the commonest microvascular complication of diabetes and a leading cause blindness, mainly adults working age. Follow-up crucial to effective management diabetic retinopathy, however, follow-up rates are often poor The aim this study was assess proportion patients not presenting for reasons after screening Kilimanjaro Region Tanzania.All referred tertiary ophthalmology hospital 2012 were eligible...

Infection with Human Immunodeficiency Virus is a serious public health problem that threatens the lives of many people including care workers. Health workers are frequently exposed to occupational hazards throughout their careers. at risk being infected by virus when caring for patients in facilities. Utilization HIV Post-exposure Prophylaxis (HIV PEP) very vital once an individual exposed.The aim this study determine prevalence exposure, knowledge of, availability and utilization post...

Almost 65% of the Tanzanian population is under age 24 and almost 20 % aged 15-24 years. Yet, this important group faces many significant health challenges, such as early sexual debut, pregnancies, risky behaviours sexually transmitted infections. The objective study was to assess knowledge, attitudes practices on family planning services among adolescents in secondary schools Hai District northern Tanzania. A cross sectional conducted between April June 2011 316 randomly selected students...

In recent years, Performance Based Financing (PBF); a form of result based financing, has attracted global attention in health systems developing countries. PBF promotes autonomous facilities, motivates and introduces financial incentives to motivate facilities workers attain pre-determined targets. To achieve this, the Tanzanian government through Christian Social Services Commission initiated pilot project Rungwe district, Mbeya region. Kilimanjaro Medical Center was given role training on...

Despite substantial public health efforts to increase HIV testing, testing rates have plateaued in many countries and of repeat for those with ongoing risk are low. To inform policies aimed at increasing uptake we identified characteristics associated individuals' willingness-to-accept (WTA) an test a general population sample among two high-risk populations Moshi, Tanzania.In total, 721 individuals, including randomly selected community members (N = 402), female barworkers 135), male...

Sexual behavior change is a complex issue influenced by variables, intrinsic and extrinsic. This study aimed to assess factors influencing actual use of male condom among secondary school students in southern Tanzania. In all, 227 sexually experienced participants aged 14 18 completed pretested questionnaire. Out active participants, 120 (53%) reported consistent (62.5%) had multiple sexual partnerships. Of who use, 42 (35%) tested for HIV. Among males, age was positively correlated with...

Abstract Background HIV Self-Testing (HIVST) is universally accepted as an innovative strategy complimenting existing testing services to archive the UNAIDS, 95-95-95 goals by 2030. However, adoption of HIVST lagging in most sub-Saharan countries, including Tanzania. This study aimed determine level knowledge, acceptability, and willingness use among Medical students Kilimanjaro region, Methods A descriptive cross-sectional using a self-administered, semi-structured questionnaire was...

Cervical cancer is an important public health problem among adult women worldwide. It the second commonest malignancy in female worldwide and leading Tanzania. In mostdeveloping countries, of cervix tends to be diagnosed its later stages when less treatable. This study aimed at assessing factors associated with management cervical KCMC Hospital northern A purpose sampling was used select a total 200 patient records out 374 complete information. Median age patients 51 years (range 21-84...

Abstract Background In 1995, Tanzania introduced the voluntary Community Health Fund (CHF) with aim of ensuring universal health coverage by increasing financial investment in sector. The uptake CHF is low, an enrolment only 6% compared to national target 75%. Mandatory models community financing have been suggested increase and capacity. This study explores communities’ views on introduction a mandatory model, Compulsory (CCHF) Liwale district Tanzania. Methods A cross-sectional which...

Objective Tanzania has a policy of free provision inpatient care for young children in order to promote timely access and thus reduce the current levels mortality. However, little is known about out-of-pocket costs that may be incurred by families seeking sick children. We conducted this study identify magnitude these relation family income. Methods Five hundred ten caretakers were interviewed on day discharge their child from 11 hospitals north-east Tanzania. Caretakers asked report...