A5089376028- Mosquito-borne diseases and control
- Malaria Research and Control
- Global Maternal and Child Health
- Viral Infections and Outbreaks Research
- Healthcare Systems and Reforms
- Healthcare Policy and Management
- Healthcare cost, quality, practices
- Poverty, Education, and Child Welfare
- Patient Satisfaction in Healthcare
- Health Systems, Economic Evaluations, Quality of Life
- Viral Infections and Vectors
- Antibiotic Resistance in Bacteria
- Grief, Bereavement, and Mental Health
- Travel-related health issues
- Genetics, Bioinformatics, and Biomedical Research
- Infection Control and Ventilation
- Parasites and Host Interactions
- Anthropological Studies and Insights
- COVID-19 and healthcare impacts
- Child Nutrition and Water Access
- Sex work and related issues
- Adolescent Sexual and Reproductive Health
- COVID-19 epidemiological studies
- Antibiotic Use and Resistance
Ifakara Health Institute
2010-2025
Muhimbili University of Health and Allied Sciences
2023
Guangxi Center for Disease Prevention and Control
2020
Center for Disease Control
2020
Durham University
2014
As coronavirus disease 2019 (COVID-19) spreads, weak health systems must not become a vehicle for transmission through poor infection prevention and control practices. We assessed the compliance of workers with practices relevant to COVID-19 in outpatient settings Tanzania, before pandemic.
Self-medication has been widely practiced worldwide particularly in developing countries including Tanzania. In sub-Saharan Africa high incidences of malaria have contributed to self-medication with anti-malarial drugs. recent years, there a gain control, which led decreased transmission, morbidity and mortality. Therefore, understanding the patterns during this period when most instances fever are presumed be due non-malaria febrile illnesses is important. study, practice was assessed among...
Introduction Although malaria has been the leading cause of fever for many years, with improved control regimes transmission, morbidity and mortality have decreased. Recent studies increasingly demonstrated importance non-malaria fevers, which significantly our understanding etiologies febrile illnesses. A number illnesses including Rift Valley Fever, dengue fever, Chikungunya virus infection, leptospirosis, tick-borne relapsing Q-fever reported in Tanzania. This study aimed at assessing...
Abstract Background Strengthening malaria control activities in Tanzania has dramatically declined human infections. However, there is an increasing epidemiological shift the burden on school-age children. The underlying causes for such remain unknown this context. This study explored and behaviours that could increase vulnerability of children to transmission risk provide insight into protection gap with existing interventions opportunities supplementary interventions. Methods...
Bed nets reduce malaria-related illness and deaths, by forming a protective barrier around people sleeping under them. When impregnated with long-lasting insecticide formulations they also repel or kill mosquitoes attempting to feed upon humans, can even suppress entire populations of malaria vectors that predominantly humans. Nevertheless, an epidemiological study in 2012 demonstrated higher prevalence among bed net users than non-users urban Dar es Salaam, Tanzania. Focus group discussions...
Abstract Background In 2015, a China-UK-Tanzania tripartite pilot project was implemented in southeastern Tanzania to explore new model for reducing malaria burden and possibly scaling-out the approach into other malaria-endemic countries. The 1,7-malaria Reactive Community-based Testing Response (1,7-mRCTR) which is locally-tailored reporting febrile cases endemic villages developed stop transmission Plasmodium life-cycle. utilizes existing health facility data locally trained community...
The effectiveness of malaria prevention with long-lasting insecticidal nets and indoor residual spraying is limited by emerging insecticide resistance, evasive mosquito behaviours that include outdoor biting, sub-optimal implementation inappropriate use. New vector control interventions are required their potential will be enhanced if existing household perceptions practices integrated into intervention design. This qualitative descriptive study used focus groups discussions, in-depth...
Male involvement in maternal and child health is recognised as a valuable strategy to improve care-seeking uptake of optimal home care practices for women children low- middle-income settings. However, the specific mechanisms by which involving men can lead observed behaviour change are not well substantiated. A qualitative study conducted explore men's women's experiences male interventions Tanzania Zimbabwe found that, some men, had fostered more loving partner relationships. Both female...
BackgroundQuality of care is consistently shown to be inadequate in health-care settings many low-income and middle-income countries, including private facilities, which are rapidly growing number but often do not have effective quality stewardship mechanisms. The SafeCare programme aims address this gap care, using a standards-based approach adapted low-resource settings, involving assessments, mentoring, training, access loans, improve clinical facility business performance. We assessed...
Abstract Background Poor quality of care, including overprovision (unnecessary care) is a global health concern. Greater provider effort has been shown to increase the likelihood correct treatment, but its relationship with less clear. Providers who make more may give treatment overall, both and unnecessary, or have lower rates overprovision; we test which true in Tanzanian private sector. Methods Standardised patients visited 227 private-for-profit faith-based facilities Tanzania,...
Overprovision-healthcare whose harm exceeds its benefit-is of increasing concern in low- and middle-income countries, where the growth private-for-profit sector may amplify incentives for providing unnecessary care, achieving universal health coverage will require efficient resource use. Measurement overprovision has conceptual practical challenges. We present a framework to conceptualize measure overprovision, comparing for-profit not-for-profit private outpatient facilities across 18...
Abstract We measure the adoption of management practices in over 220 private for-profit and non-profit health facilities 64 districts across Tanzania link these data to process quality-of-care metrics, assessed using undercover standardised patients clinical observations. find that better managed are more likely provide correct treatment accordance with national guidelines, adhere a checklist essential questions examinations, comply infection prevention control practices. Moving from 10th...
In this paper, we use the funeral space and its liminal nature as a milieu for exploring how 'modern' health intervention, mosquito bednet, is negotiated by recipients in relation to (non)-usage such spaces. With focus on sleeping arrangements at funerals drawing empirical data from participants living rural southern Tanzania, discuss bednet linked notion of being unsympathetic death. Viewed symbol modernity reflection wealth individual pride, becomes physically symbolically inappropriate...
This paper examines connections between sustainable livelihoods and the ability to deal with health risks, in Kilombero Valley Tanzania where rates of mortality morbidity from malaria remain high. Application Sustainable Livelihoods Approach (SLA) a narrative daily lives demonstrates that villagers have experienced reduction assets, income, capital, which limits their follow promotion advice. The focus on highlights possible local developmental interventions could significant impact...
Antimicrobial resistance is one of the most serious threats to global health, but little progress has been made in reversing its spread. Inappropriate use antibiotics humans a major driver antimicrobial resistance, and rates are high growing lower- middle-income countries. Antibiotics thought be subject supplier-induced demand, whereby providers prescribe them patients who do not know they unnecessary. We conducted randomized field experiment 227 private health facilities Tanzania, with...
Abstract Background: Strengthening malaria control activities in Tanzania has dramatically declined human infections. However, the burden is now higher among school-age children, but with inconsistency of evidence on risk factors and underlying causes for such an epidemiological shift. This study explored behaviors that increase vulnerability children to transmission risk. Methods: Twenty-four focus group discussions (FGDs) were conducted three districts Rufiji, Kibiti Kilwa south-eastern...
We measure the adoption of management practices in over 220 private for-profit and non-profit health facilities 64 districts across Tanzania link these data to process quality care metrics, assessed using undercover standardised patients clinical observations. find that better managed are more likely provide correct treatment accordance with national guidelines, adhere a checklist essential questions examinations, comply infection prevention control practices. Moving from 10th 90th...
Abstract Background: In 2015, a China-UK-Tanzania tripartite pilot project was implemented in south-eastern Tanzania to explore new model for reducing malaria burden and possibly scaling-out the approach into other endemic countries. The 1,7-malaria Reactive Community-based Testing Response (1,7-RCTR) which is locally-tailored reporting febrile cases villages developed stop transmission plasmodium life-cycle. utilizes existing health facility data locally trained community workers conduct...