Castory Munishi

ORCID: 0000-0002-3100-3066
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About
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Research Areas
  • Global Maternal and Child Health
  • HIV/AIDS Research and Interventions
  • Global Public Health Policies and Epidemiology
  • HIV Research and Treatment
  • Child Nutrition and Water Access
  • Emergency and Acute Care Studies
  • HIV, Drug Use, Sexual Risk
  • Health Systems, Economic Evaluations, Quality of Life
  • HIV/AIDS drug development and treatment
  • Mobile Health and mHealth Applications
  • Healthcare Systems and Reforms
  • Trauma and Emergency Care Studies
  • Pharmaceutical studies and practices
  • Antibiotic Use and Resistance
  • Digital Mental Health Interventions
  • Vaccine Coverage and Hesitancy
  • Global Health Care Issues
  • Hepatitis B Virus Studies
  • Urinary Tract Infections Management
  • Hepatitis C virus research
  • Impact of Technology on Adolescents
  • Health Promotion and Cardiovascular Prevention
  • Pharmacovigilance and Adverse Drug Reactions
  • Data-Driven Disease Surveillance
  • Cardiovascular Health and Risk Factors

Muhimbili University of Health and Allied Sciences
2020-2025

The University of Dodoma
2023

Ministry of Health, Community Development, Gender, Elderly and Children
2023

Puerto Rico Department of Health
2022

Centers for Disease Control and Prevention
2022

Introduction Antimicrobial resistance (AMR) is a current global health threat and challenge to the treatment of infectious diseases. The WHO advocates strategy antibiotic stewardship programs (ASP) in optimizing antimicrobial use hospitals. assessment local ASP implementation critical for monitoring activities. This study aimed at assessing existence hospital AMR surveillance hospitals Tanzania year following launch National Action Plan (NAP). Methodology From December 2017 through July...

10.3389/fpubh.2020.00454 article EN cc-by Frontiers in Public Health 2020-08-27

To meet lofty human papillomavirus (HPV) immunization goals in Tanzania, the Ministry of Health integrated HPV vaccination with adolescent health services using a school-based approach. A qualitative study was conducted June-July 2021, examining feasibility and sustainability an service package, Plus. In-depth interviews 46 programme implementers (i.e. health-care workers teachers) planning stakeholders government officials school administrators) Dar es Salaam Njombe Regions explored...

10.1093/heapol/czad014 article EN Health Policy and Planning 2023-02-11

Background Poor handling practices and infrastructures for vaccine management, especially in remote rural areas, pose a challenge to the accessibility of safe efficacious vaccines. This study assessed conformity cold chain systems Tanzania.

10.1080/20523211.2025.2479062 article EN cc-by-nc Journal of Pharmaceutical Policy and Practice 2025-03-27

The neonatal mortality rate in Tanzania has remained persistently high, at 24 deaths per 1000 live births. To halve the current death by 2030, WHO recommends that 2025, least 80% of districts should have a care unit (NCU) and use continuous positive airway pressure (CPAP) device for respiratory support, among small sick newborns. This study describes availability functioning NCUs facility-based Tanzania. From December 2020 to March 2021, cross-sectional was conducted 127 health facilities...

10.1136/bmjgh-2024-018758 article EN cc-by-nc-nd BMJ Global Health 2025-05-01

Tanzania has one of the highest cervical cancer incidence and mortality rates in sub-Saharan Africa. The Tanzanian Ministry Health developed an integrated adolescent health program, HPV-Plus , that combines HPV vaccination with additional services: nutritional assessments, vision screening, for girls, education all genders. This qualitative descriptive study evaluated acceptability program two districts Tanzania. Key informants comprising parents, planners, implementers Njombe Dar es Salaam...

10.1371/journal.pgph.0001394 article EN cc-by PLOS Global Public Health 2023-01-04

Abstract Tanzania adopted a Dolutegravir (DTG)-based regimen as first-line treatment in 2019 following the World Health Organization recommendation. Data on DTG safety profile from sub-Saharan Africa including are limited. We investigated incidence of DTG-related adverse events (AEs) and associated factors among people living with HIV (PLHIV) initiated regimen. A prospective cohort study was conducted 25 Care Treatment Clinics mainland Tanzania. PLHIV aged 12 years above who were DTG-based...

10.1038/s41598-023-51144-7 article EN cc-by Scientific Reports 2024-01-05

Aims Development of non-invasive and minimally invasive glucose monitoring devices (NI-MI-GMDs) generally takes place in high-income countries (HICs), with HIC’s attributes guiding product characteristics. However, people living diabetes (PLWD) low-income middle-income (LMICs) encounter different challenges to those HICs. This study aimed define requirements for NI-MI-GMDs LMICs inform a target profile guide development selection suitable devices. Methods was multiple-methods, exploratory,...

10.1136/bmjopen-2023-076685 article EN cc-by-nc BMJ Open 2024-02-01

Objective This study aimed to document lessons learnt and best practices for scaling up an innovative emergency transportation system, drawing insights from the m-mama programme implemented in Shinyanga, Tanzania. The pilot was phases 2014 2016 two districts later scaled include all Shinyanga region 2017. employed system technical operational support of health address three delays leading maternal neonatal mortality. Design Cross-sectional, qualitative research with key healthcare...

10.1136/bmjopen-2023-073859 article EN cc-by-nc-nd BMJ Open 2024-02-01

In achieving the sustainable development goal 3.1, Tanzania needs substantial investment to address three delays which responsible for most of maternal deaths. To this end, government piloted a community-based emergency transport intervention second delay through m-mama program. This study examined secondary data determine cost-effectiveness in comparison standard ambulance system alone. The program was implemented six councils Shinyanga region. analyzed included costs referral services...

10.1371/journal.pgph.0001487 article EN cc-by PLOS Global Public Health 2023-08-02

Annals of Global Health is a peer-reviewed, fully open access, online journal dedicated to publishing high quality articles all aspects global health. The journal's mission advance health, promote research, and foster the prevention treatment disease worldwide. Its goals are improve health well-being people, equity, wise stewardship earth's environment. latest impact factor 2.90. supported by Program for Public Common Good at Boston College. It was founded in 1934 Icahn School Medicine Mount...

10.5334/aogh.4116 article EN cc-by Annals of Global Health 2023-01-01

Maternal mortality comprises about 10% of all deaths among women reproductive age (15-49 years). More than 90% such occur in low- and middle-income countries (LMIC). In this study, we aimed to document lessons learnt best practices toward sustainability the m-mama program for reducing maternal newborn Tanzania. We conducted a qualitative study from February March 2022 Kahama Kishapu district councils Shinyanga region. A total 20 Key Informant Interviews (KII) four Focused Group Discussions...

10.1371/journal.pgph.0002097 article EN cc-by PLOS Global Public Health 2023-06-21

Background: Non-communicable diseases (NCDs) arise from diverse risk factors with differences in the contexts and variabilities regions countries. Addressing such a complex challenge requires local evidence. Tanzania has been convening stakeholders every year to disseminate discuss scientific evidence, policies, implementation gaps, inform policy makers NCDs responses. This paper documents these dissemination efforts how they have influenced response landscape region. Methods: Desk review...

10.5334/aogh.4112 article EN cc-by Annals of Global Health 2024-03-04

Engaging in clinical trials Africa not only enhances researchers' comprehension of local health concerns but also plays a crucial role tackling global challenges. In Tanzania, there has been surge research for the past 10 years indicating need to improve ethical and trial regulatory capacity. Several initiatives address ethics challenges have done. Lessons from such are important inform evidence-based decision-making sustainability. The ASCEND project with theme "Moving Tanzania's Clinical...

10.1186/s12982-024-00180-3 article EN cc-by-nc-nd Deleted Journal 2024-08-12

The use of chiral medicines (possessing center(s) asymmetric carbon) may cause adverse drug reactions (ADRs). safety assurance these is critical. We aimed to evaluate registered and commonly used anti-infective circulating in the Tanzanian market establish their profile protect public health. A mixed prospective-retrospective cohort study was conducted assess amoxicillin, amoxicillin-clavulanic acid ceftriaxone injection. ADRs causality assessment by using World Health Organization...

10.1177/00469580241273323 article EN cc-by-nc INQUIRY The Journal of Health Care Organization Provision and Financing 2024-01-01

Tanzania reported its first COVID-19 case on 16 March 2020. We conducted event-based surveillance of suspect cases among pharmacy clients presenting with respiratory symptoms and influenza-like illness to increase early rapid detection mitigate transmission. conveniently sampled 103 pharmacies from Dar es Salaam, the epicentre for pandemic in at time. Between 23 April 2020 18 May 2020, 67% (69/103) an observed number compared 1 month before outbreak. In 1-month period, participating recorded...

10.1136/bmjgh-2022-009928 article EN cc-by-nc BMJ Global Health 2023-02-01

ABSTRACT Background With the increasing numbers of people with drug use disorders (PWDUD) in Tanzania as other parts world need for innovative interventions specifically tailored this population has increased. Tanga, a coastal region on Northeast second highest number PWDUD Tanzania. Evidence additional benefit treatment and recovery process among using digital health is lacking. This study aimed to describe acceptability intervention increase information access Tanga region, Methods A...

10.1101/2023.04.14.23288562 preprint EN cc-by medRxiv (Cold Spring Harbor Laboratory) 2023-04-17

Background: The burden of renal diseases is increasing in developing countries like Tanzania. Drug accumulation exposes patients with impairment to drug toxicity that may lead adverse reactions, poor adherence treatment, and increased healthcare costs. There limited information on the appropriateness dosage regimen adjustment for impairment, particularly such as This study aimed investigate dosing hospitalized Methods: was a retrospective cross-sectional study. It conducted between November...

10.1177/00185787231188921 article EN Hospital Pharmacy 2023-08-01

Evidence on the additional benefit in treatment and recovery process among PWDUD using digital health interventions is lacking. This study aimed to describe acceptability of a intervention increase information access for Tanga region, Tanzania. was conducted 465 participants Tanga, coastal region Northeast Tanzania has second highest number cross-sectional descriptive used both quantitative qualitative approaches. The majority 67.6% do not own mobile phones. Out 156 with phones, only 6.4%...

10.1371/journal.pdig.0000257 article EN cc-by PLOS Digital Health 2023-09-27
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