A5033796754- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- Sex work and related issues
- Global Maternal and Child Health
- Adolescent Sexual and Reproductive Health
- Mobile Health and mHealth Applications
- ICT in Developing Communities
- HIV/AIDS Impact and Responses
- Child Nutrition and Water Access
- Pneumonia and Respiratory Infections
- HIV/AIDS drug development and treatment
- Poverty, Education, and Child Welfare
- HIV-related health complications and treatments
- Mosquito-borne diseases and control
- Parasites and Host Interactions
- Vaccine Coverage and Hesitancy
- Malaria Research and Control
- Hepatitis C virus research
- HIV Research and Treatment
- Organizational Change and Leadership
- Hemostasis and retained surgical items
- Healthcare Systems and Technology
- Business Strategies and Management Research
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Environmental and Social Impact Assessments
Management and Development for Health
2023
National Institute for Medical Research
2014-2022
Weatherford College
2022
Johns Hopkins University
2019
Swiss Tropical and Public Health Institute
2014-2016
University of Basel
2015-2016
Introduction The decline of malaria and scale-up rapid diagnostic tests calls for a revision IMCI. A new algorithm (ALMANACH) running on mobile technology was developed based the latest evidence. objective to ensure that ALMANACH safe, while keeping low rate antibiotic prescription. Methods Consecutive children aged 2–59 months with acute illness were managed using (2 intervention facilities), or standard practice control facilities) in Tanzania. Primary outcomes proportion cured at day 7...
The impact of the Integrated Management Childhood Illness (IMCI) strategy has been less than anticipated because poor uptake. Electronic algorithms have potential to improve quality health care in children. However, feasibility studies about use electronic protocols on mobile devices over time are limited. This study investigated constraining as well facilitating factors that influence uptake a new Algorithm for (ALMANACH) among primary workers Dar es Salaam, Tanzania. A qualitative approach...
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...
Background In sub-Saharan Africa, adolescent girls and young women (AGYW) who are out of school at higher risk depressive anxiety disorders compared to their attending peers. However, little is known about the prevalence factors for these conditions among out-of-school AGYW. This study examines depression associated in a community sample AGYW Tanzania. Methods A cross-sectional analysis baseline data from an on-going cluster randomized controlled trial North-West Tanzania was conducted....
In Tanzania, HIV infection remains much higher among female sex workers (FSWs) than other adult women. addition to HIV, sexually transmitted infections (STIs) and pregnancy prevention are major concerns for FSWs in Tanzania. This study used a programmatic surveillance approach examine protection against STIs/HIV unintended (dual method use) an outreach-based prevention, care, treatment program 119,728 made first visit services served by the Sauti Project from January 2016 September 2017. Of...
To review the available knowledge on epidemiology and diagnoses of acute infections in children aged 2 to 59 months primary care setting develop an electronic algorithm for Integrated Management Childhood Illness reach optimal clinical outcome rational use medicines.A structured literature Medline, Embase Cochrane Database Systematic Review (CDRS) looked estimations diseases prevalence outpatients 2-59 months, evidence i) accuracy predictors, ii) performance point-of-care tests targeted...
In low-resource settings, where qualified health workers (HWs) are scarce and childhood mortality high, rational antimicrobial prescription for illnesses is a challenge. To assess whether smartphones running guidelines, as compared with paper support, improve consultation process use of medicines children, pilot cluster-randomized controlled study was conducted in Tanzania. Nine primary health-care facilities (HFs) were randomized into three arms: 1) algorithm, 2) electronic algorithm on...
Background HIV-infected female sex workers (FSWs) have poor linkage to HIV care in sub-Sahara Africa. Methods We conducted 21 participatory group discussions (PGDs) explore factors influencing among FSWs tested for through a comprehensive community-based prevention project Tanzania. Results Influences on were present at the system, societal and individual levels. System-level included unfriendly service delivery environment, including lengthy pre-enrolment sessions, concerns about...
To curb HIV infection rate in Tanzania, antiretroviral therapy (ART) has been scaled up since 2006, and 2019, the country shifted to regimen including dolutegravir as a default first line. We assessed success of ART contribution drug resistance (HIVDR) unsuppressed viral loads. Between February May 2023 cross-sectional survey with random sampling was conducted six clinics an urban cohort Dar es Salaam. Patients unsuppresed loads (local criteria load (VL) ≥ 1000 copies/mL) were tested for...
Aim: To estimate the prevalence and risk factors for metabolic syndrome (MetS) among HIV positive patients on antiretroviral therapy (ART) in Tanzania. Study Design: A cross sectional study was conducted adults aged ≥18years living with Original Research Article Kagaruki et al.; BJMMR, 5(10): 1317-1327, 2015; no.BJMMR.2015.15
Type2 Diabetes and Hypertension (T2DM/HTN) have become serious threats to the health socio-economic development in developing countries. People living with HIV (PLHIV) infection are more vulnerable of T2DM/HTN due itself antiretroviral treatments. The situation is worse when behavioral biological risk factors pervasive PLHIV. Despite this vicious circle; information on level knowledge perception regarding prevention T2DM/HTN, risks associated complications among PLHIV not well documented...
In Tanzania, significant effort has been made to reduce under-5 mortality rates, and somewhat successful in recent years. Many factors have contributed this, such as using standard treatment protocols for sick children. Using mobile technology become increasingly popular health care delivery. This study examines whether the use of can leverage a standardized protocol improve impact counseling children's caretakers result better understanding what needs be done at home after clinical visit. A...
Introduction A programmatic mapping and size estimation study was conducted in 24 districts 5 regions of Tanzania to estimate the locations female sex workers (FSW) men who have with (MSM) inform HIV programming for Key Populations. Methodology Data were collected at two levels: first, interviews informants identify venues where FSWs MSM frequent. Secondly, estimated through FSWs, other venue. The venue estimates aggregated generate ward level estimates. Correction factors then applied...
Malaria remains as an important public health and a major cause of childhood death paediatric hospital admission in sub-Saharan Africa. This prospective based cross sectional study was conducted from April 2007 to 2008. The main objective assess clinical manifestations outcomes severe malaria children admitted district Rungwe Kyela south-western Tanzania. A total 1371 were selected screening group which 409 (29.8%) tested positive for malaria. Mean age the 2.7 (95%CI= 2.5, 2.8) years...
The HIV epidemic in Eastern and Southern Africa is characterized by a high incidence prevalence of infection among adolescent girls young women (AGYW) aged 15-24 years. For instance, some countries, AGYW 20-24 years exceeds that 15-19 2:1. Sauti (meaning voices), project supported the United States Agency for International Development, providing combination prevention interventions to Shinyanga region, Tanzania.The aim this study determine impact cash transfer on risky sexual behavior...
Implementing user-centered design (UCD) principles and conducting usability testing is especially critical in projects where developers do not originate from the deployed environment. However, traditional techniques cross-cultural settings can be problematic may produce unexpected results. Measures should taken to identify mitigate any cultural factors that influence UCD deployment . In this paper, we focus on think-aloud method. We use a current mHealth development research project Tanzania...
Background Poverty and social inequality exacerbate HIV risk among adolescent girls young women (AGYW) in sub-Saharan Africa. Cash transfers can influence the structural determinants of health, thereby reducing risk. Objective This study assessed effectiveness cash transfer delivered along with combination prevention (CHP) interventions risky sexual behavior AGYW Tanzania. The incidence herpes simplex virus type 2 (HSV-2) infection was used as a proxy for behavior. Methods A cluster...
Background: The impact of Integrated Management Childhood Illness (IMCI) worldwide has been less than anticipated because poor uptake. Electronic IMCI the potential to improve quality health care in children. However, feasibility studies for electronic protocols mobile devices over time are limited. This study investigated barriers and facilitators that influence uptake an Algorithm (ALMANACH) among primary workers Dar es Salaam, Tanzania. Methods & Materials: A qualitative approach was...
Abstract Background HIV-infected female sex workers (FSWs) have poor linkage to HIV care in sub-Sahara Africa. Methods We conducted 21 focus group discussions (FGDs) explore factors influencing among FSWs tested for through a comprehensive community-based prevention project Tanzania. Results Influences on were present at the system, societal and individual levels. System-level included unfriendly service delivery environment, including lengthy pre-enrolment sessions, concerns about...
Abstract Background: HIV testing is a gateway to care and treatment for those positive can link with negative results preventive services. Despite the importance of services (HTS) in control, uptake HTS among female sex workers (FSWs) across sub-Saharan Africa (SSA) remains sub optimal. Concerns about stigma associated work fear loss livelihood if status becomes known, are some restrictions FSWs utilize offered through health facilities. Introduction self-testing (HIVST) may mitigate...