A5002430876- Global Maternal and Child Health
- Healthcare Systems and Reforms
- HIV/AIDS Research and Interventions
- HIV/AIDS Impact and Responses
- Healthcare Policy and Management
- Malaria Research and Control
- Global Health and Surgery
- Vaccine Coverage and Hesitancy
- COVID-19 epidemiological studies
- Mosquito-borne diseases and control
- Cardiac, Anesthesia and Surgical Outcomes
- Mobile Health and mHealth Applications
- Global Public Health Policies and Epidemiology
- SARS-CoV-2 and COVID-19 Research
- Child Nutrition and Water Access
- Electronic Health Records Systems
- HIV, Drug Use, Sexual Risk
- Primary Care and Health Outcomes
- Global Health Care Issues
- Pharmaceutical Economics and Policy
- Telemedicine and Telehealth Implementation
- Artificial Intelligence in Healthcare
- Health Policy Implementation Science
- Adolescent Sexual and Reproductive Health
- HIV Research and Treatment
Ministry of Health, Community Development, Gender, Elderly and Children
2017-2025
East, Central and Southern Africa Health Community
2025
Ministry of Health and Social Welfare
2019-2024
Local Government Association
2024
Swiss Tropical and Public Health Institute
2023
Ministry of Education and Vocation Training
2022-2023
Oxfam
2023
Boca Raton Regional Hospital
2023
Health Information Management
2023
Technologies pour la Santé
2023
Background: Immunization plays a substantial role in reducing the under-five mortality rate. However, Tanzania still has significant number of zero-dose and under-vaccinated children was ranked among top ten African countries with highest numbers 2022. The human-centered design (HCD) approach is more ethical effective at addressing public health challenges complex sociocultural settings. This study aimed to use HCD aid identifying, prioritizing, implementing community-centric interventions...
Abstract Background Despite implementation of effective interventions in the past two decades, malaria is still a major public health problem Tanzania. This study assessed prevalence and drivers infections among symptomatic asymptomatic members selected communities from five regions with varying endemicity mainland Methods A cross-sectional community survey was conducted districts, including one district/region Kagera, Kigoma, Njombe, Ruvuma Tanga July to August 2023. Participants aged ≥ 6...
Globally, good health system performance has resulted from continuous reform, including adaptation of Decentralisation by Devolution policies, for example, the Direct Health Facility Financing (DHFF). Generally, role decentralisation in sector is to improve efficiency, foster innovations and quality, patient experience accountability. However, such improvements have not been well realised most low- middle-income countries, with main reason cited being poor mechanism disbursement funds, which...
Abstract Background Infrastructure development and upgrading to support safe surgical services in primary health care facilities is an important step the journey towards achieving Universal Health Coverage (UHC). Quality service provision together with equitable geographic access delivery are components that constitute UHC. Tanzania has been investing infrastructure offer essential surgery close communities at affordable costs while ensuring better outcomes. This study aimed understand...
Investment in community health workers is essential.
Abstract Background Although Tanzania adopted and has been implementing effective interventions to control eventually eliminate malaria, the disease is still a leading public health problem, country experiences heterogeneous transmission. Recent studies reported emergence of parasites with artemisinin partial resistance (ART-R) in Kagera region high prevalence (> 10.0%) two districts Karagwe Kyerwa. This study assessed predictors/risk malaria infections among asymptomatic individuals...
We evaluated the effectiveness of short-term cash and food assistance to improve adherence antiretroviral therapy (ART) retention in care among people living with HIV Tanzania.
Abstract Background Health system performance is one of the important components health care delivery; its achievement depends on quality services rendered and responsiveness beneficiaries. a multi-dimensional concept usually measured through several domains. (HSR) remains to be key indicator for evaluation in any settings. This study aimed at assessing situation primary facilities Tanzania prior introduction Direct Facility Financing (DHFF) program. Methods was cross sectional conducted...
COVID-19 is a major public health threat associated with the increased global burden of infectious diseases, mortality, and enormous economic loss to countries communities. Safe efficacious vaccines are crucial in halting pandemic. We assessed vaccine uptake factors among community members from eight regions Tanzania. The interviewer-administered questionnaire collected data. Multiple logistic regression models determined uptake. median age 3470 respondents was 37 years (interquartile range...
Introduction of a health insurance scheme is one the ways to enhance access care services and protect individuals from catastrophic expenditures. Little known on influence socio-demographic social marketing strategies enrollment re-enrollment in Community Health Fund/Tiba Kwa Kadi (CHF/TIKA) Tanzania. This cross-sectional study employed quantitative methods for data collection between November 2014 March 2015 Singida Shinyanga regions. Relationship variables was obtained through Chi-square...
Abstract Background Malaria control in Tanzania currently relies primarily on long-lasting insecticidal nets and indoor residual spraying, alongside effective case management behaviour change communication. This study explored opinions of key stakeholders the national progress towards malaria elimination, potential available vector interventions helping achieve elimination by 2030, need for alternative that could be used to supplement efforts Tanzania. Methods In this exploratory qualitative...
The availability of medicines in public health facilities Tanzania is problematic. Medicines shortages are often caused by unavailability at Medical Stores Department, the national supplier for facilities. During such stock-outs, districts may purchase from private suppliers. However, this procedure intransparent, bureaucratic and uneconomic. To complement supply chain case stock-outs with a simplified, transparent efficient procurement based on public-private partnership approach prime...
COVID-19 is a major public health threat associated with increased disease burden, mortality, and economic loss to countries communities. Safe efficacious vaccines are key in halting reversing the pandemic. Low confidence has been one of factors leading hesitancy. We aimed assess vaccine (safety effectiveness), factors, its effects on uptake among general community members Tanzania. This was community-based cross-sectional survey conducted from December 2021 April 2022 six regions Tanzania...
Abstract Background Building health research capacity in low- and middle-income countries is essential to achieving universal access safe, high-quality healthcare. It can enable healthcare workers conduct locally relevant apply findings strengthen their delivery systems. However, lack of funding, experience, know-how, weak infrastructures hinders ability. Understanding capacity, engagement, contextual factors that either promote or obstruct efforts by inform national strategies aimed at...
Background Universal coverage remains a challenging pursuit around the world, even among highest-income countries. Strengthening financial management capacity is essential towards attaining three universal health (UHC) goals, namely, expanded coverage, quality service, and protection. In this regard, Tanzania introduced Facility Financial Accounting Reporting System (FFARS) in line with introduction of Direct Health Financing (DHFF) initiative primary care (PHC) 2017–2018. We aim to assess...
The Government of Tanzania (GoT) has in the last decade made progress strengthening health system financing with towards Universal Health Coverage (UHC). major reforms includes development strategy, reforming Community Fund (CHF) and introduction Direct Facility Financing (DHFF). DHFF was introduced all district councils 2017/18 financial year. One anticipated goals is to improve availability commodities. objective this study assess effect improving commodities primary care facilities. This...
Negative experiences of care may act as a deterrent to current and/or future utilization facility-based health services. To examine the situation in Tanzania, we conducted sub-analysis cross-sectional household survey April 2016 Mara and Kagera regions Tanzania. The sample included 732 women aged 15–49 years who had given birth facility during previous two years. Log binomial regression models were used investigate association between women’s childbirth receipt early postnatal checks before...
The novel Coronavirus disease 2019 (COVID-19) presents a major threat to public health but can be prevented by safe and effective COVID-19 vaccines. Vaccine acceptance among healthcare workers (HCWs) is essential promote uptake. This study, aimed determine the vaccination uptake hesitancy its associated factors HCWs in Tanzania. We employed convergent-parallel mixed-methods design 1368 across facilities seven geographical zones Tanzania 2021. collected quantitative data using an...
Background Recent reports showed the persistence of malaria transmission and disease burden in rural communities, which have limited impact ongoing control elimination strategies. This study investigated trends prevalence among community members from three regions Mainland Tanzania with varying intensities. Methods Community surveys were conducted 2021 to 2023 involved individuals aged < 6 months Kigoma Ruvuma (with high intensities) Tanga (moderate transmission). Interviews using...