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Articles 151 - 180 of 790
Full-Text Articles in Entire DC Network
Prevalence Of Endoparasites And Haematology In Redbelly Tilapia From A Shallow Tropical Reservoir In Ghana, Elliot H. Alhassan, Samuel A. Osei, Akwasi Ampofo-Yeboah, Samuel O. Dandi
Prevalence Of Endoparasites And Haematology In Redbelly Tilapia From A Shallow Tropical Reservoir In Ghana, Elliot H. Alhassan, Samuel A. Osei, Akwasi Ampofo-Yeboah, Samuel O. Dandi
Tanzania Journal of Science
The goal of this study was to assess common endoparasites on Tilapia zillii in the Tono Reservoir, as well as to investigate the mean intensity and prevalence of these parasites. A total of 175 fish specimens were examined during the study. Endoparasites of three metazoans and one protozoan were observed from the Tilapia zillii gills, intestines, and stomach. The findings showed that the most common endoparasites affecting Tilapia zillii are Ichthyopthirius multifiliis, Bothriocephalus sp., Contracaecum sp., and Dactylogyrus sp. Also, Contracaecum sp had the highest prevalence of 29.71, followed by Bothriocephalus sp (18.86), Ichthyopthirius multifiliis (12), and Dactylogyrus sp (6.86). …
Predictors Of Attrition From Care And Treatment Centres Among Hiv-Positive Pregnant And Breastfeeding Adult Women In Dar Es Salaam, Tanzania, Felix Elias, Nyimvua Shaban, Edwin Rutalebwa
Predictors Of Attrition From Care And Treatment Centres Among Hiv-Positive Pregnant And Breastfeeding Adult Women In Dar Es Salaam, Tanzania, Felix Elias, Nyimvua Shaban, Edwin Rutalebwa
Tanzania Journal of Science
In Tanzania, poor retention rates among pregnant and breastfeeding mothers continue to be a problem, contributing to a mother-to-child HIV transmission rate of 11% in 2019, compared to a global target of 5%. The goal of this study was to determine the influence of retention on clinical outcomes and identifying predictors of attrition among HIV-positive pregnant and breastfeeding women from follow-up care in Dar es Salaam. A retrospective cohort study included HIV-positive women who engaged in PMTCT services in public and private health facilities between January 2016 and December 2019. Secondary data were extracted from databases used for routine follow-up …
Household And Community Factors Affecting Nutritional Status Of Under-Five Children (6-59 Months) In Gairo District Using Composite Index Of Anthropometric Failure, Tausi M. Mohamed, Cornelio N. Nyaruhucha
Household And Community Factors Affecting Nutritional Status Of Under-Five Children (6-59 Months) In Gairo District Using Composite Index Of Anthropometric Failure, Tausi M. Mohamed, Cornelio N. Nyaruhucha
Tanzania Journal of Science
In Tanzania, where the majority of under-five children are affected, undernutrition is still a significant public health concern. The study aimed at assessing the prevalence of undernutrition and its determinants among under-five children in Gairo District using a Composite Index of Anthropometric Failure (CIAF). A household-based cross-sectional study was employed involving 300 under-five children with their mothers/caregivers in three wards in the Gairo District. Data collection on socio-demographics, dietary diversity, and healthcare factors were collected by interviewer-based semi-structured questionnaires. Anthropometric measurements using standard procedures were performed to collect anthropometric data. Odds ratios with a 95% confidence interval and p-value ≤ …
Dosimetric Comparison Between Two And Six Beams Conformal Radiotherapy Plans For Paediatric Wilm's Tumour Patients At Ocean Road Cancer Institute, Tanzania, Rashid M. Mruma, Nazima Dharsee, Christina V. Malichewe, Jumaa D. Kisukari, Geofrey F. Soko, Hemed S. Myanza, Furahini Yoram
Dosimetric Comparison Between Two And Six Beams Conformal Radiotherapy Plans For Paediatric Wilm's Tumour Patients At Ocean Road Cancer Institute, Tanzania, Rashid M. Mruma, Nazima Dharsee, Christina V. Malichewe, Jumaa D. Kisukari, Geofrey F. Soko, Hemed S. Myanza, Furahini Yoram
Tanzania Journal of Science
This study aimed to compare the dose distributions of three-dimensional conformal treatment planning using two and six radiation beams among paediatric patients receiving radiotherapy for Wilms tumour at Ocean Road Cancer Institute. CT scans of 53 patients were used to generate 106 treatment plans, 53 plans for two beams, and 53 plans for six beams. Planning target volumes and organs at risk parameters were compared between both plans using paired samples t-test. A p-value < 0.05 was considered statistically significant. The findings showed that the D95% and Dmean of the target are better with six beams than with the two-beam plans (p ˂ 0.001). The conformity index and monitor unit are significantly better with two-beam plans than with six-beam plans (p ˂ 0.001). No volume of the contralateral kidney received more than 12 Gy for both two and six plans. There were no differences in Dmax for the spinal cord (p = 0.208), while Dmean was observed to be lower in two compared to six beams (p ˂ 0.001) for the liver. Six beam plans have good target coverage, while two beam plans have good conformity index and monitor unit. The observed doses to the organs at risk in both plans were lower than their normal tolerance. Keywords: Wilm's tumour, Three-dimensional conformal radiotherapy, whole abdomen radiotherapy, paediatric radiotherapy, Dosimetry
Barriers Of Iucd Uptake Among Sexually Active Nulliparous University Students In Dar Es Salaam Tanzania, Fatma Shaib Mohamed
Barriers Of Iucd Uptake Among Sexually Active Nulliparous University Students In Dar Es Salaam Tanzania, Fatma Shaib Mohamed
Master of Medicine in Family Medicine
Background Family planning contributes an important role in prevention of unintended pregnancy, unsafe abortion, maternal and child mortality. One of the methods used is an IUCD that help in preventing unintended pregnancy. Un intended pregnancy is a public he alth concern worldwide among younger women, resulting into unsafe abortion. Preventing unintended pregnancies in youth is crucial yet challenging. Few studies have addressed the problem of the low utilization of IUCD among university students. This group is overwhelmed with physiological, social, and economic issues in relation to reproductive health especially on family planning accessibility and use. Gap of knowledge and skills …
Breast Cancer Molecular Subtype Classification According To Immunohistochemistry Markers And Its Association With Pathological Characteristics Among Women Attending Tertiary Hospitals In Tanzania., Allyzain Ismail
Master of Surgery
Background: Breast cancer immunohistochemistry is a biological characteristic of the tumour which has a role to diagnose molecular subtype, prognosticate and guide treatment and categorised into 4 subtypes, Luminal A, Luminal B, Human Epidermal Growth Factor Receptor 2 (HER2) enriched and Triple Negative Breast Cancer (TNBC). Objectives: To determine the prevalence of each molecular subtype of breast cancer and determine their association with pathological and demographic characteristics. Methods: A retrospective cross-sectional study was carried out at two tertiary referral hospitals on participants who were recruited from the cancer registries from 2015-2022 and had a breast tissue biopsy confirming primary breast …
Experiences Of Diverse Health Care Workers’ Providing Maternal Care During The Covid-19 Pandemic: A Qualitative Study At Five Hospitals In Dar Es Salaam, Tanzania., Fatma Zahran
Master of Family Medicine
Background There are drastic changes in patient care with respect to maternity due to the COVID-19 pandemic with negative impact to health care workers. With Interruption of everyday basic services, arose the need to redistribute the scanty health care workers across health care facilities in sub-Saharan Africa. Its effects and involvement on maternity practice in Sub-Saharan Africa are nevertheless to be analyzed. This study aims to explore the likely ramifications for obstetrics and gynecologic practice in Tanzania. At present there are limited studies looking at impacts of COVID-19 in sub-Saharan Africa and Tanzania. No study has been carried out to …
Implementation Of Evidence-Based Multiple Focus Integrated Intensified Tb Screening To End Tb (Exit-Tb) Package In East Africa: A Qualitative Study, Kahabi Isangula, Doreen Philbert, Florence Ngari, Tigest Ajeme, Godfather Kimaro, Getnet Yimer, Nicholaus P. Mnyambwa, Winters Muttamba, Irene Najjingo, Aman Wilfred
Implementation Of Evidence-Based Multiple Focus Integrated Intensified Tb Screening To End Tb (Exit-Tb) Package In East Africa: A Qualitative Study, Kahabi Isangula, Doreen Philbert, Florence Ngari, Tigest Ajeme, Godfather Kimaro, Getnet Yimer, Nicholaus P. Mnyambwa, Winters Muttamba, Irene Najjingo, Aman Wilfred
School of Nursing & Midwifery, East Africa
Introduction Tuberculosis (TB) remains a major cause of morbidity and mortality, especially in sub-Saharan Africa. We qualitatively evaluated the implementation of an Evidence-Based Multiple Focus Integrated Intensified TB Screening package (EXIT-TB) in the East African region, aimed at increasing TB case detection and number of patients receiving care.
Objective We present the accounts of participants from Tanzania, Kenya, Uganda, and Ethiopia regarding the implementation of EXIT-TB, and suggestions for scaling up.
Methods A qualitative descriptive design was used to gather insights from purposefully selected healthcare workers, community health workers, and other stakeholders. A total of 27, 13, 14, and 19 …
Patient-Level And System-Level Determinants Of Stroke Fatality Across 16 Large Hospitals In Ghana And Nigeria: A Prospective Cohort Study, Fred S. Sarfo, Onoja M. Akpa, Bruce Ovbiagele, Albert Akpalu, Kolawole Wahab, Reginald Obiako, Morenikeji Komolafe, Lukman Owolabi, Godwin Ogbole, Philip Adebayo
Patient-Level And System-Level Determinants Of Stroke Fatality Across 16 Large Hospitals In Ghana And Nigeria: A Prospective Cohort Study, Fred S. Sarfo, Onoja M. Akpa, Bruce Ovbiagele, Albert Akpalu, Kolawole Wahab, Reginald Obiako, Morenikeji Komolafe, Lukman Owolabi, Godwin Ogbole, Philip Adebayo
Internal Medicine, East Africa
Background: Every minute, six indigenous Africans develop new strokes. Patient-level and system-level contributors to early stroke fatality in this region are yet to be delineated. We aimed to identify and quantify the contributions of patient-level and system-level determinants of inpatient stroke fatality across 16 hospitals in Ghana and Nigeria.
Methods: The Stroke Investigative Research and Educational Network (SIREN) is a multicentre study involving 16 sites in Ghana and Nigeria. Cases include adults (aged ≥18 years) with clinical and radiological evidence of an acute stroke. Data on stroke services and resources available at each study site were collected and analysed as …
Improving Nursing Education Curriculum As A Tool For Strengthening The Nurse–Client Relationships In Maternal And Child Healthcare: Insights From A Human-Centered Design Study In Rural Tanzania, Kahabi Isangula, Eunice Pallangyo, Eunice Ndirangu
Improving Nursing Education Curriculum As A Tool For Strengthening The Nurse–Client Relationships In Maternal And Child Healthcare: Insights From A Human-Centered Design Study In Rural Tanzania, Kahabi Isangula, Eunice Pallangyo, Eunice Ndirangu
School of Nursing & Midwifery, East Africa
Background. There are growing evidence of poor nurse–client relationships in maternal and child health (MCH). The nursing curriculum forms an important entry point for strengthening such relationships, consequently improving client satisfaction with nurses' competencies, confidence in the formal healthcare system, healthcare-seeking practices, continuity with care, and MCH outcomes.
Objective. MCH nurses and clients were invited to design an intervention package (prototype) to improve nurse–client relationships using a human-centered design (HCD) approach.
Methods. A multi-step HCD approach was employed to first examine the contributors of poor nurse–client relationships using nine focus group discussions with nurses and clients and 12 key informant …
The Efficacy Of Blended Learning In A Pediatric Spine Deformity Management Program In Sub-Saharan Africa, Alaaeldin Ahmad, Abdallah Abushehab, François Waterkeyn, Beverly Cheserem, Massimo Balsano, Christopher Bonfield, Hamisi Shabani, Juma Magogo, Bryson Mcharo, Costansia Bureta
The Efficacy Of Blended Learning In A Pediatric Spine Deformity Management Program In Sub-Saharan Africa, Alaaeldin Ahmad, Abdallah Abushehab, François Waterkeyn, Beverly Cheserem, Massimo Balsano, Christopher Bonfield, Hamisi Shabani, Juma Magogo, Bryson Mcharo, Costansia Bureta
General Surgery, East Africa
Introduction: Our study assessed the efficacy of blended learning, which combines in-person learning and e-learning, in a pediatric scoliosis training program through an international collaborative effort.
Methods: The course comprised two parts: the online portion, where participants reviewed educational materials for 3 weeks and met with faculty once/week for discussion, and the in-person session, where participants reviewed cases in a team-based approach and came to a consensus on treatment strategy, followed by discussion with an international expert. All participants completed a needs assessment (NA) and clinical quiz at three points: before the course, after the online session, and after the …
Potrait Of Public Private Partnership Policy Substances In Regional Hospitals In Indonesia, Masyitoh Basabih
Potrait Of Public Private Partnership Policy Substances In Regional Hospitals In Indonesia, Masyitoh Basabih
Journal of Indonesian Health Policy and Administration
Public Private Partnership (PPP) is a strategy of the Indonesian Government to deal with budget constraints and overcome gaps in infrastructure, access, and quality of health services. PPP on the operational cooperation (KSO) model is the oldest and most widely applied practice by regional hospitals in Indonesia. The implementation of KSO must refer to government policies in the form of laws and regulations. Since its initial implementation until today, the Ministry of Home Affairs, as the body that oversees the local government, has not carried out a comprehensive evaluation of the KSO policy. This study was carried out by conducting …
Trends Of Intra-Facility Births Outcomes Before And During Covid-19 Era In Dar Es Salaam, Tanzania, Willbroad Kyejo
Trends Of Intra-Facility Births Outcomes Before And During Covid-19 Era In Dar Es Salaam, Tanzania, Willbroad Kyejo
Master of Medicine in Family Medicine
Background While substantial progress had been made in reducing maternal deaths, there was a risk that the COVID-19 pandemic might have reversed the progress made in maternal and newborn health in the last two decades. As such, maternal and newborn outcomes had been a topic of interest during the pandemic. Objectives This study aimed to compare the number of childbirths as an indicator of maternal health service utilization and to assess maternal and newborn outcomes before COVID-19 (2011-2019) and during the COVID-19 pandemic (2020/2021) in 22 health facilities in Dar es Salaam. Methodology A retrospective cohort study was conducted at …
Current Status And Priorities Of Paediatric Oncology Nursing In Africa: A Synthesis Of Perspectives From Siop Africa Nurses, Glenn M. Afungchwi, Elianeth Kiteni, Mariam Ndagire, Biemba Maliti, Julia M. Challinor, Rachel Hollis
Current Status And Priorities Of Paediatric Oncology Nursing In Africa: A Synthesis Of Perspectives From Siop Africa Nurses, Glenn M. Afungchwi, Elianeth Kiteni, Mariam Ndagire, Biemba Maliti, Julia M. Challinor, Rachel Hollis
School of Nursing & Midwifery, East Africa
Introduction. As African countries adopt the global goal of improving childhood cancer survival to 60% by 2030, intentional actions are required to improve nursing. This report aims to describe the current status of paediatric oncology nursing in Africa.
Methods. We report on nursing-related aspects of a survey to map paediatric oncology services in Africa (2018–2019), document perceived nursing strengths and weaknesses (2017) and share nurses’ research priorities (2019). Additionally, we report on a survey to identify topics for a foundation course (2019) and the expressed perspective of African nurses about the status of paediatric oncology nursing across the continent (2022). …
Views And Opinions Of Mass Media Key Informants On Coverage Of Issues Related To Maternal, Newborn And Child Health In Lake Zone, Tanzania, Violeth A. Mbuni, Nyagwegwe Wango, Elias C. Nyanza
Views And Opinions Of Mass Media Key Informants On Coverage Of Issues Related To Maternal, Newborn And Child Health In Lake Zone, Tanzania, Violeth A. Mbuni, Nyagwegwe Wango, Elias C. Nyanza
Institute for Educational Development, East Africa
In Tanzania, the mass media is a primary means of communicating health information to urban and rural populations. While unsafe abortion is the leading cause of maternal deaths and complications in Tanzania, this has increased the high unintended pregnancy rate. Journalists, editors, program managers and producers play a significant role in determining the health-related issues reported. In the present study, the views, and opinions of mass media key informants on coverage of issues related to maternal, newborn and child health in Lake Zone were investigated. This qualitative study was conducted with key informants from 24 mass media outlets that covered …
A Rare Case Report Of Tuberculosis Endometritis In A Private Hospital Dar Es Salaam, Tanzania, Willbroad Kyejo, Brenda Moshi, Daudi Gidion, Muzdalfat Abeid, Samina Somji, Munawar Kaguta, Miriam Mgonja
A Rare Case Report Of Tuberculosis Endometritis In A Private Hospital Dar Es Salaam, Tanzania, Willbroad Kyejo, Brenda Moshi, Daudi Gidion, Muzdalfat Abeid, Samina Somji, Munawar Kaguta, Miriam Mgonja
Faculty of Health Sciences, East Africa
Tuberculosis endometritis is a pathological diagnosis and has been always over shadowed by pelvic tuberculosis. It is usually asymptomatic, but patients could complain of menstrual irregularity and per vaginal discharge. We report a case of a 37-year-old female who presented with per vaginal discharge for 2 years. Histopathology showed numerous caseating and non-caseating granulomas with plasma cells, Ziehl–Neelsen stain for acid fast bacillus is positive, and she was initiated on anti-tuberculosis treatment. On subsequent follow-up visits, patient was doing well with complete resolution of symptoms. Genital tuberculosis is usually caused by reactivation of organism from systemic distribution during primary infection. …
In-Vision : Issue 11 - Jan - Dec 2023, Department Of Education Development
In-Vision : Issue 11 - Jan - Dec 2023, Department Of Education Development
IN-VISION – Department of Educational Development Archives
- Message from Dr Naveed Yousuf Chair, Department of Education Development
- Faculty in Focus Dr. Sana Saeed
- Hallmark of the Year 2023
- Education Grand Rounds (EGR)
- Introductory Short Course in Health Professions Education (ISC-HPE)
- Master of Health Professions Education (MHPE)
- MHPE Elective Course
- Meet the MHPE Graduates - 2023
- Continuous Faculty Development Programme in Health Professions Education
- Other Faculty Development Initiatives
- Mega Question Review
- Faculty & Staff Highlights
- Awards & Appointments
- Meet the new DED members
- Publications
- Learning Resources
- Upcoming events
- Med Ed How to Increasing the Impact of Teaching Presentations
- Med Ed How to: Case Based Learning
Disrespect And Abuse In Maternity Care In A Low-Resource Setting In Tanzania: Provider’S Perspectives Of Practice, Loveluck Mwasha, Lucy Kisaka, Eunice Pallangyo
Disrespect And Abuse In Maternity Care In A Low-Resource Setting In Tanzania: Provider’S Perspectives Of Practice, Loveluck Mwasha, Lucy Kisaka, Eunice Pallangyo
School of Nursing & Midwifery, East Africa
Background
Globally, women experience disrespectful and abusive care from maternity healthcare providers at health facilities, committed intentionally or unintentionally, particularly during labor and delivery. Disrespectful care affects women’s childbirth experience and birth outcomes.
Methods
This study used a descriptive qualitative design to obtain thick and rich data on disrespect and abuse in maternity care in a low-resource setting in Tanzania. Three days workshop was conducted at the Aga Khan University comprising maternity healthcare providers from diverse settings. The workshop was designed based on the existing evidence and anecdotal data and inspired by the authors’ experiences of disrespectful and abusive care …
Couvelaire Uterus In A Previable Pregnancy: Complication In Abruptio Placenta, Case Series From Tanzanian Tertiary Hospital, Vicky Kapesi, Brenda Moshi, Willbroad Kyejo, Ahmed Jusabani, Miriam Mgonja, Munawar Kaguta
Couvelaire Uterus In A Previable Pregnancy: Complication In Abruptio Placenta, Case Series From Tanzanian Tertiary Hospital, Vicky Kapesi, Brenda Moshi, Willbroad Kyejo, Ahmed Jusabani, Miriam Mgonja, Munawar Kaguta
Imaging & Diagnostic Radiology, East Africa
Introduction and importance: Couvelaire uterus, also previously known as uteroplacental apoplexy. This is a life-threatening condition resulting from bleeding into the myometrium that may extend to the parametrium and peritoneum. Couvelaire uterus is typically associated with abruptio placentae, the premature separation of the placenta. This syndrome can only be diagnosed by direct visualization during caesarean section or biopsy (or both). For this reason, its prevalence is under-reported and underestimated in the literature. Cases findings We present a rare case series of two patients with Couvelaire uterus in previable pregnancy at Aga Khan Hospital, Dar es salaam. This combination is a …
Effectiveness Of An Integrated Multilevel Early Child Development Intervention On Caregiver Knowledge And Behavior: A Quasi-Experimental Evaluation Of The Malezi Program In Tanzania, Gretchen Antelman, Josephine Ferla, Michelle M. Gill, Heather J. Hoffman, Teopista Komba, Amina Abubakar, Pieter Remes, Ola Jahanpour, Martha Mariki, Mary A. Mang’Enya, Roland Van De Ven
Effectiveness Of An Integrated Multilevel Early Child Development Intervention On Caregiver Knowledge And Behavior: A Quasi-Experimental Evaluation Of The Malezi Program In Tanzania, Gretchen Antelman, Josephine Ferla, Michelle M. Gill, Heather J. Hoffman, Teopista Komba, Amina Abubakar, Pieter Remes, Ola Jahanpour, Martha Mariki, Mary A. Mang’Enya, Roland Van De Ven
Institute for Human Development, East Africa
Background The quality of caregiving and the parent-child relationship is critical for early child development (ECD) and has been shown to be modifiable. This study evaluated an ECD project in Tanzania, assessing the effectiveness of radio messaging (RM) alone and a combined radio messaging/video job aids/ECD (RMV-ECD) intervention.
Methods This two-arm pre-post evaluation study enrolled a cohort of caregivers of children 0–24 months in four districts of Tabora region, following them for 9 months. ECD radio messages were broadcast on popular stations at least 10 times/day reaching all study districts. In two districts, community health workers (CHW), trained in UNICEF’s …
Understanding Maternity Care Providers’ Use Of Data In Southern Tanzania, Regine Unkels, Fadhlun Alwy Al-Beity, Zamoyoni Julius, Elibariki Mkumbo, Andrea B. Pembe, Claudia Hanson, Helle Molsted-Alvesson
Understanding Maternity Care Providers’ Use Of Data In Southern Tanzania, Regine Unkels, Fadhlun Alwy Al-Beity, Zamoyoni Julius, Elibariki Mkumbo, Andrea B. Pembe, Claudia Hanson, Helle Molsted-Alvesson
Obstetrics and Gynaecology, East Africa
Introduction: Health information management system data is collected for national planning and evaluation but is rarely used for healthcare improvements at subnational or facility-level in low-and-middle-income countries. Research suggests that perceived data quality and lack of feedback are contributing factors. We aimed to understand maternity care providers’ perceptions of data and how they use it, with a view to co-design interventions to improve data quality and use.
Methods: We based our research on constructivist grounded theory. We conducted 14 in-depth interviews, two focus group discussions with maternity care providers and 48 hours of observations in maternity wards to understand …
Africa Guidelines For Hepatocellular Carcinoma Buildup Process, Ghassan Abou-Alfa, Mary Afihene, Marinela Capanu, Joanne Chou, Akwi Asombang, Olusegun Alatise, Adda Bounedjar, Lina Cunha, Hailemichael Mekonnen, Papa Diop, Reda Elwakil, Mahamat Ali, Ntokozo Ndlovu, Jerry Ndumbalo, Precious Makondi, Christian Tzeuton, Tiago Castria, Adwoa Afrakoma Agyei-Nkansah, Fiyinfolu Balogun, Alain Bougouma, Blaise Ibara, Eduard Jonas, Stephen Kimani, Peter Kingham, Reshad Kurrimbukus, Nazik Hammad, Mona Fouad, Noha S. El Baghdady, Eloumou Fiacre, Vikash Sewram, C. Wendy Spearman, Ju Yang, Lewis Roberts, Ashraf Abdelaziz
Africa Guidelines For Hepatocellular Carcinoma Buildup Process, Ghassan Abou-Alfa, Mary Afihene, Marinela Capanu, Joanne Chou, Akwi Asombang, Olusegun Alatise, Adda Bounedjar, Lina Cunha, Hailemichael Mekonnen, Papa Diop, Reda Elwakil, Mahamat Ali, Ntokozo Ndlovu, Jerry Ndumbalo, Precious Makondi, Christian Tzeuton, Tiago Castria, Adwoa Afrakoma Agyei-Nkansah, Fiyinfolu Balogun, Alain Bougouma, Blaise Ibara, Eduard Jonas, Stephen Kimani, Peter Kingham, Reshad Kurrimbukus, Nazik Hammad, Mona Fouad, Noha S. El Baghdady, Eloumou Fiacre, Vikash Sewram, C. Wendy Spearman, Ju Yang, Lewis Roberts, Ashraf Abdelaziz
Pharmacy
Abstract
Purpose
Hepatocellular carcinoma (HCC), the fourth most common cancer in Africa, has a dismal overall survival of only 3 months like in sub-Saharan Africa. This is affected by the low gross domestic product and human development index, absence of coherent guidelines, and other factors.
Methods
An open forum for HCC-experienced health care workers from Africa and the rest of the world was held in October 2021. Participants completed a survey to help assess the real-life access to screening, diagnoses, and treatment in the North and Southern Africa (NS), East and West Africa (EW), Central Africa (C), and the rest …
Midwives’ Experiences Of The Consequences Of Navigating Barriers To Maternity Care, Yakubu Ismaila, Sara Bayes, Sadie Geraghty
Midwives’ Experiences Of The Consequences Of Navigating Barriers To Maternity Care, Yakubu Ismaila, Sara Bayes, Sadie Geraghty
Research outputs 2022 to 2026
Midwives in Low- and middle-income countries, experience myriad barriers that have consequences for them and for maternity care. This article provides insight into the consequences of the barriers that Ghanaian midwives face in their workplaces. Glaserian Grounded Theory methodology using semi-structured interviews and non-participant observations was applied in this study. The study participants comprised of 29 midwives and a pharmacist, a social worker, a health services manager, and a National Insurance Scheme manager in Ghana. Data collection and analysis occurred concurrently while building on already analyzed data. In this study it was identified that barriers to Ghanaian midwives’ ability to …
Knowledge, Attitudes And Practices On Urinary Schistosomiasis-Related Morbidity Among Communities In Itilima District, Tanzania, Coletha Yohana, Safari M. Kinung’Hi, Bruno A. Nyundo, Peter F. Rambau, Jared S. Bakuza
Knowledge, Attitudes And Practices On Urinary Schistosomiasis-Related Morbidity Among Communities In Itilima District, Tanzania, Coletha Yohana, Safari M. Kinung’Hi, Bruno A. Nyundo, Peter F. Rambau, Jared S. Bakuza
Tanzania Journal of Science
Long-term infections by urinary schistosomiasis can result in urinary tract morbidities and increase the threats to public health. Information on the community’s knowledge, attitudes, and practices (KAP) on various aspects of urinary schistosomiasis, caused by Schistosoma haematobium has been lacking in Itilima District, which is likely to perpetuate the transmission of the disease and its negative health consequences. This study assessed knowledge, attitudes and practices on schistosomiasis-related morbidities in Itilima District from February to June 2021. A cross-sectional survey using a structured questionnaire was used, and a total of 657 participants were involved in the study. A total of 575 …
Application Of Mobilenets Convolutional Neural Network Model In Detecting Tomato Late Blight Disease, Richard C Rajabu, Juma S Ally, Jamal F Banzi
Application Of Mobilenets Convolutional Neural Network Model In Detecting Tomato Late Blight Disease, Richard C Rajabu, Juma S Ally, Jamal F Banzi
Tanzania Journal of Science
Late blight (LB) disease causes significant annual losses in tomato production. Early identification of this disease is crucial in halting its severity. This study aimed to leverage the strength of Convolutional Neural Networks (CNNs) in automated prediction of tomato LB. Through transfer learning, the MobileNetV3 model was trained on high-quality, well-labeled images from Kaggle datasets. The trained model was tested on different images of healthy and infected leaves taken from different real-world locations in Mbeya, Arusha, and Morogoro. Test results demonstrated the model's success in identifying LB disease, with an accuracy of 81% and a precision of 76%. The trained …
Contextualising The Pillars Of Household Food Security: Evidence From Iringa District, Tanzania, Tiemo Romward Haule
Contextualising The Pillars Of Household Food Security: Evidence From Iringa District, Tanzania, Tiemo Romward Haule
Journal of Humanities and Social Sciences
This paper contextualises the pillars of food security based on the perceptions of local communities in Iringa district, Tanzania. The pillars are food availability, food accessibility, food affordability, food adequacy, food acceptability and food stability. The study involved 376 participants. Structured interviews, field observation, focused group discussions, in depth interviews and documentary review were the methods used for data collection. Findings reveal that many households (76.2%) in Iringa were facing food shortage. The findings show that food insecurity in the district was exacerbated by the lack of steadiness in the six pillars of household food security. Given its semi-arid climatic …
The Ward Round: Friend Or Foe In Postgraduate Training? A Grounded Theory Study Of Residents’ Perspectives, Mariam Noorani
The Ward Round: Friend Or Foe In Postgraduate Training? A Grounded Theory Study Of Residents’ Perspectives, Mariam Noorani
Paediatrics and Child Health, East Africa
The ward round has traditionally been a learning activity in medical education. Apart from education, ward rounds have multiple roles including patient care and communication. Some studies have described the ward round as an ideal place to learn patient management while others reported that little learning happens on rounds due to lack of time and patient volume. This study aimed to develop a deeper understanding of ward round learning from the perspec-tive of postgraduate trainees. A constructivist grounded theory approach was used and data was collected during focus group discussions. Data were analyzed by initial coding, then grouped into focused …
To Err Is Human; Acute Appendicitis A Mistaken Clinical Identity For Metastatic Follicular Thyroid Carcinoma, A Case Report, Ahmed Jusabani, Neelam Ismail, Zainab Fidaali, Ramadhani Mjejwa, Tausi Maftah, Ally Zain Ismail
To Err Is Human; Acute Appendicitis A Mistaken Clinical Identity For Metastatic Follicular Thyroid Carcinoma, A Case Report, Ahmed Jusabani, Neelam Ismail, Zainab Fidaali, Ramadhani Mjejwa, Tausi Maftah, Ally Zain Ismail
Faculty of Health Sciences, East Africa
Introduction and importance: Thyroid cancer accounts for majority of endocrine cancers with follicular thyroid cancer the second most common. It tends to spread via hematogenous route with distant metastasis thus besides presenting as a neck mass it may also present with symptoms tallying to regions of metastasis which may misguide the diagnosis. We report a case of a 50-year-old man who presented with features of appendicitis only to discover metastatic right iliac bone follicular thyroid cancer. We describe our experience on diagnostic formulation, radiological work up, surgery, radioactive iodine therapy and follow up.
Case presentation: 50-year-old man presenting with acute …
Medical Education And Population Health—A Framework In The Design Of A New Undergraduate Program, Robert Armstrong, Michaela Mantel, Gijs Walraven, Lukoye Atwoli, Anthony Ngugi
Medical Education And Population Health—A Framework In The Design Of A New Undergraduate Program, Robert Armstrong, Michaela Mantel, Gijs Walraven, Lukoye Atwoli, Anthony Ngugi
Internal Medicine, East Africa
Health sciences curricular planners are challenged to add new content to established education programs. There is increasing pressure for content in public health, health systems, global health, and planetary health. These important areas often compete for curricular time. What is needed is a convergence model that builds a common framework within which students can integrate areas and better align this knowledge to the individual client or patient who they have responsibility to support. A population health framework is proposed for health sciences education programs that supports a common conceptual understanding of population health. The framework links five thematic areas that …
Epidemiology And Antimicrobial Resistance Of Staphylococci Other Than Staphylococcus Aureus From Domestic Animals And Livestock In Africa: A Systematic Review, Remous Ocloo, Justin Nyasinga, Mohammed Munshi, Aisha Hamdy, Tessa Marciniak, Manonmani Soundararajan, Mae Newton-Foot, Wilma Ziebuhr, Manonmani Soundararajan, Gunturu Revathi
Epidemiology And Antimicrobial Resistance Of Staphylococci Other Than Staphylococcus Aureus From Domestic Animals And Livestock In Africa: A Systematic Review, Remous Ocloo, Justin Nyasinga, Mohammed Munshi, Aisha Hamdy, Tessa Marciniak, Manonmani Soundararajan, Mae Newton-Foot, Wilma Ziebuhr, Manonmani Soundararajan, Gunturu Revathi
Pathology, East Africa
Introduction: Staphylococci other than Staphylococcus aureus (SOSA) in animals are becoming more pathogenic and antibiotic resistant and can potentially disseminate to humans. However, there is little synthesized information regarding SOSA from animals in Africa. This systematic review provides a comprehensive overview of the epidemiology and antimicrobial resistance of SOSA in companion animals (pets) and livestock in Africa.
Method: This systematic review (PROSPERO-CRD42021252303) was conducted according to the PRISMA guidelines, and 75 eligible studies from 13 countries were identified until August 2022. Three electronic databases (Pubmed, Scopus and Web of Science) were employed.
Results: The frequently isolated SOSA …