A5045843919- Global Maternal and Child Health
- Global Public Health Policies and Epidemiology
- Chronic Disease Management Strategies
- Health Systems, Economic Evaluations, Quality of Life
- COVID-19 and healthcare impacts
- Cardiac, Anesthesia and Surgical Outcomes
- Healthcare cost, quality, practices
- Pregnancy and preeclampsia studies
- Hip and Femur Fractures
- Maternal and fetal healthcare
- Pneumonia and Respiratory Infections
- Diabetes Management and Education
- Hemodynamic Monitoring and Therapy
- Colorectal Cancer Surgical Treatments
- Enhanced Recovery After Surgery
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Policy Implementation Science
- Emergency and Acute Care Studies
- Preterm Birth and Chorioamnionitis
- Migration, Health and Trauma
- Healthcare Systems and Reforms
- Antibiotic Use and Resistance
- Primary Care and Health Outcomes
- Global Health Care Issues
London School of Hygiene & Tropical Medicine
2024-2025
Kilimanjaro Christian Medical Centre
2018-2020
Christian Medical College & Hospital
2020
Irrational use of antibiotics includes prescription incorrect doses, self-medication and treatment non-bacterial illness. As a direct consequence irrational antibiotic use, resistance to the commonly available has been increasing rapidly. This phenomenon is associated with poorer health outcomes, longer hospitalization, increased cost both patient government, mortality. The aim this study was determine prevalence of, examine factors with, in Moshi municipality, Northern Tanzania.We conducted...
In this commentary, we advocate for the wider implementation of integrated care models NCDs within humanitarian preparedness, response, and resilience efforts. Since experience evidence on NCD in settings is limited, discuss potential benefits, key lessons learned from other settings, integration conditions that may be useful stakeholders considering an model care. We also introduce our ongoing project North Lebanon as a case example currently undergoing parallel tracks program process...
Non-communicable diseases (NCDs) are the leading cause of death globally, and many humanitarian crises occur in countries with high NCD burdens. Peer support is a promising approach to improve care these settings. However, evidence on peer for people living NCDs settings limited. We evaluated implementation groups (PSGs) diabetes and/or hypertension as part an integrated model four primary centers Lebanon. Our objectives were to: (1) evaluate reach PSGs; (2) association PSGs patient-reported...
Abstract Background Albumin is an important protein that transports hormones, fatty acids, and exogenous drugs; it also maintains plasma oncotic pressure. considered a negative active phase because decreases during injuries sepsis. In spite of other factors predicting surgical outcomes, the effect pre postoperative serum albumin to complications can be assessed by calculating percentage decrease in (delta albumin). This study aimed explore perioperative as predictor adverse outcomes major...
Inter-pregnancy interval is an important determinant of both maternal and child health. Suboptimal inter-pregnancy has been associated with adverse outcomes -including postpartum hemorrhage hypertensive disorders, direct causes mortality. Both overall mortality the contribution on have increased in Tanzania. If we are to achieve sustainable development goal (SDG) number 3.1 reduce global ration less than 70 per 100,000 live births by 2030, it highly that such contributors dealt with. This...
Background Preterm birth is a public health problem particularly in low- and middle-income countries especially sub-Saharan Africa. It associated with infant morbidity mortality. Survivor of preterm suffers long term consequences such as respiratory, hearing visual problems well delivering infants. also tends to recur subsequent pregnancies. Little known about recurrent rate factors Tanzania. This study aimed determine the recurrence among women who delivered at Kilimanjaro Christian Medical...
In Kenya, non-communicable diseases (NCDs) are estimated to account for almost one-third of all deaths and this is likely rise by over 50% in the next 10 years. The Primary Health Integrated Care Chronic Conditions (PIC4C) project aims strengthen primary care integrating comprehensive NCD into existing HIV platform. This paper evaluates association PIC4C implementation on clinical outcomes.
In line with the peer reviewers comments, authors have added highlights in stead of an abstract. It was felt that it better able to capture findings and is more paper's target audience.
There is a growing burden of acute coronary syndrome (ACS) and heart failure (HF) in sub-Saharan Africa (SSA), yet outcomes remain poor compared to high-income countries. The European Society Cardiology (ESC) international guidelines are pivotal the delivery evidence-based care; however, their representation populations from SSA remains unclear. purpose study was evaluate randomized controlled trials (RCTs) that inform ESC ACS HF guidelines. We systematically analyzed pharmacotherapeutic...
The objective was to determine the prevalence, predictors and reasons for home delivery amongst women of childbearing age in Dodoma, Tanzania.A cross-sectional study conducted living Dodoma Municipality. Data were collected using adapted questionnaires analysed SPPS version 23. A multivariable logistic regression model used assess independent delivery.A total 425 enrolled this study. mean (± SD) participants 28.7 (±7.1) years. prevalence 35.5% (n=150, 95% CI 30.9 - 40.2). Women with...
<title>Abstract</title> Background The COVID-19 pandemic and response severely impacted people living with non-communicable diseases (PLWNCDs) globally. It exacerbated pre-existing health inequalities, disrupted access to care, worsened clinical outcomes for PLWNCDs, who were at higher risk of morbidity mortality from the virus. pandemic’s effects likely magnified in humanitarian settings, where there gaps continuity care (NCDs). We sought explore factors affecting implementation NCD crises...
Abstract Background Albumin is an important protein that transports hormones, fatty acids, and exogenous drugs; it also maintains plasma oncotic pressure. considered a negative active phase because decreases during injuries sepsis. In spite of other factors predicting surgical outcomes, the effect pre postoperative serum albumin to complications could be assessed by calculating percentage decrease in (Delta albumin). This study aimed explore perioperative as predictor adverse outcomes major...