Almost two decades since the initiation of Safe motherhood Initiative, Maternal Mortality is still soaring high in most developing countries. In 2000 WHO estimated a life time risk maternal death 1 16 Sub- Saharan Africa while it was only 2800 developed This huge discrepancy rate deaths due to differences access and use health care services. It known that having skilled attendant at every delivery can lead marked reductions mortality. For this reason, proportion births attended by personnel...

In Tanzania, maternal mortality ratio remains unacceptably high at 578/100,000 live births. Despite a coverage of antenatal care (96%), only 44% deliveries take place within the formal health services. Still, "Ensure skilled attendant birth" is acknowledged as one most effective interventions to reduce deaths. Exploring potential community-based in increasing utilization obstetric care, study aimed developing, testing and assessing safe motherhood intervention Mtwara rural District...

Intimate partner violence (IPV) is a public health problem that affects millions of women worldwide. The role as an underlying factor in poor birth outcomes remains area where strong evidence lacking. aim this study was to determine the association between intimate and preterm delivery (PTB) low weight (LBW).A prospective cohort conducted among 1112 pregnant attending antenatal care Moshi-Tanzania. were enrolled before 24 weeks gestation, followed-up at week 34 exposure during pregnancy,...

With the increasing number of people surviving into old age in Africa, dementia is becoming an important public health problem. Understanding social dynamics resource-poor settings critical for developing effective interventions. We explored socio-cultural beliefs surrounding and life experience with (PWD) their caregivers Hai District Kilimanjaro, Tanzania. Cross-sectional qualitative design. Forty one PWD were purposively sampled from Kilimanjaro. Twenty five paired interviews caregivers,...

To design effective, tailored interventions to support antiretroviral therapy (ART) adherence, a thorough understanding of the barriers and facilitators ART adherence is required. Factors at individual interpersonal level, treatment characteristics health care factors have been proposed as important determinants. identify most relevant determinants in northern Tanzania, in-depth interviews were carried out with 61 treatment-experienced patients from four different clinics. The ad-verbatim...

We have previously described the development of Identification and Intervention for Dementia in Elderly Africans (IDEA) cognitive screen use populations with low levels formal education. The IDEA was developed field-tested an elderly, community-based population rural Tanzania a relatively high prevalence impairment. aim this study to validate as assessment major impairment hospital settings Nigeria Tanzania.In Nigeria, 121 consecutive elderly medical clinic outpatients reviewed at University...

Intimate Partner Violence (IPV) is a significant public health problem with negative consequences for women and their pregnancies. While social support has protective effect against IPV reduces of violence, its association experiencing during pregnancy remain less explored. In our study we aimed to determine the on among attending antenatal care in Moshi, Tanzania The was part prospective cohort that assessed impact violence reproductive 1,116 participants. Pregnant were enrolled below 24...

ABSTRACT Background: Cognitive stimulation therapy (CST) is a psychosocial group-based intervention for dementia shown to improve cognition and quality of life with similar efficacy cholinesterase inhibitors. Since CST can be delivered by non-specialist healthcare workers, it has potential use in low-resource environments, such as sub-Saharan Africa (SSA). We aimed assess the feasibility clinical effectiveness rural Tanzania using stepped-wedge design. Methods: Participants their carers were...

BackgroundThe dementia diagnosis gap in sub-Saharan Africa (SSA) is large, partly due to difficulties assessing function, an essential step diagnosis.ObjectivesAs part of the Identification and Intervention for Dementia Elderly Africans (IDEA) study, develop, pilot, validate Instrumental Activities Daily Living (IADL) questionnaire use a rural Tanzanian population assist identification people with alongside cognitive screening.DesignThe was developed at workshop primary healthcare workers,...

low diagnostic rates are a barrier to improving care for the growing number of people with dementia in sub-Saharan Africa. Many thought visit traditional healers (THs) and Christian faith (FHs) these groups may have role identifying dementia. We aimed explore practice attitudes regarding rural Tanzania investigate their patients patients' carers. this was qualitative study conducted Hai district, Tanzania. Semi-structured interviews were convenience sample THs FHs purposive-stratified...

Abstract Background Achieving the 95–95-95 global targets by 2030, innovative HIV testing models, such as self-testing are needed for people, who unaware of their status. We aimed to explore key informants, mountain climbing porters, and female bar workers’ attitudes, perceived norms, personal agency related self-testing. Methods This was a formative qualitative study inform design an intervention in Northern Tanzania. Informed Integrated Behaviour Model, we conducted four focus group...

Background In most countries of Sub-Saharan Africa, control lymphatic filariasis (LF) is based on annual mass drug administration (MDA) with a combination ivermectin and albendazole. Treatment coverages are however often suboptimal for programmes to reach the goal transmission interruption within reasonable time. The present study aimed identify predictors barriers individual uptake during MDA implementation by National LF Elimination Programme in Tanzania. Methods A questionnaire cross...

Intimate partner violence (IPV) against pregnant women is common with severe health consequences to and their babies. The aim of the present study measure association between IPV signs depression among attending antenatal care in a semi-urban setting northern Tanzania. A cross-sectional was conducted from March 1, 2014, May 30, 2015, routine Moshi Municipality, During third trimester, self-reported exposure assessed using validated structured questionnaire adopted World Health Organization’s...

Cognitive stimulation therapy is a non-pharmacological intervention for people with dementia. Its use has been associated substantial improvements in cognition and quality of life studies from high-income countries, equivalent to those achieved by pharmacological treatments. may be particularly suited low resource settings, such as sub-Saharan Africa, because it requires little specialist equipment can delivered non-specialist health workers. The aim this study was adapt cognitive Africa...

Diabetes is an emerging public health problem in sub-Saharan Africa. Diabetic retinopathy the commonest microvascular complication of diabetes and a leading cause blindness, mainly adults working age. Follow-up crucial to effective management diabetic retinopathy, however, follow-up rates are often poor The aim this study was assess proportion patients not presenting for reasons after screening Kilimanjaro Region Tanzania.All referred tertiary ophthalmology hospital 2012 were eligible...

An often-used tool to measure adherence antiretroviral therapy (ART) is the Medication Event Monitoring System (MEMS), an electronic pill-cap that registers date and time of pill-bottle openings. Despite its strengths, MEMS-data can be compromised by inaccurate use acceptability problems due design. These barriers remain, however, investigated in resource-limited settings. We evaluated feasibility using MEMS-caps monitor among HIV-infected patients attending a rural clinic Tanzania's...

Summary Lymphatic filariasis is one of several neglected tropical diseases with severely disabling and stigmatizing manifestations that are referred to as ‘neglected poverty’. It a mosquito-borne disease found endemically exclusively in low-income contexts where, concomitantly, general public health care often deeply troubled fails meet the basic needs impoverished populations. This presents particular challenges for implementation mass drug administration (MDA), which currently principal...

Intimate Partner Violence (IPV) has serious negative health effects to millions of women around the globe. While disclosing IPV could open doors for support and eventually prevent partner abuse, factors associated with disclosure during pregnancy are not well known. The aim this study was examine influencing any person interest or organization supporting in Moshi Municipality, Tanzania.Data were from a prospective cohort 1123 pregnant followed-up by project aiming assess impact violence...

The objective of this study was to examine whether exposure Intimate Partner Violence (IPV) is associated with premature termination Exclusive Breastfeeding (EB). Per WHO recommendations, defined as ceasing breastfeeding or supplementing other foods liquids before the child 6 months old.It a prospective cohort set in Moshi, Tanzania consisting 1128 pregnant women live singleton births. Women were enrolled during pregnancy and followed up interviews pregnancy, after birth 2-3 years...