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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 …

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

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 …

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

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 …

Urinary Schistosomiasis And Its Potential For Cancer And Hepato-Renal Function Alterations Among The Residents Of Asejire Dam, South-Western Nigeria, Omowumi O. Adewale, Monsurat O. Odebode, Maryam O. Mustapha, Oluwatosin A. Adetuyi, Monsuru A. Adeleke

Tanzania Journal of Science

Urinary schistosomiasis is of public health significance in sub-Saharan Africa with its prevalence being linked to carcinogenesis. However, there is a paucity of data to support this relationship. This study explored the prevalence and intensity of Schistosoma haematobium infections and its associations with cancer and hepatorenal function alterations in villages along the Asejire dam in the State of Osun, Nigeria. Urine samples from 152 consented participants (aged 18–75 years) from four communities were collected and examined for Schistosoma haematobium using the microscopy method. The blood serum of randomly selected infected and non-infected individuals (10 per group) was screened for tumor, …

The Influence Of Tai Chi Intervention On Inhibitory Function Of African College Students, Tongtong Guo, Jian Yang

International Journal of Physical Activity and Health

Inhibitory function is the core sub-function of executive function, which is mainly aimed at inhibiting the current dominant response in the cognitive process. It is embodied in the control of preventing the activation of irrelevant information, disturbing the irrelevant information, and the dominant reaction in the process. However, little research has examined the impact of Tai Chi on inhibitory function among native African students. The major purpose of this study was to conduct an experimental study on the inhibitory function of African college students through Tai Chi intervention, and to explore the non-Tai Chi local country students’ changes in the …

Identification And Larvicidal Efficacy Of Mosquito-Repelling Plants Used In Malaria Vector Control In South-East Benin, Camille O Tante, Armel Djenontin, Saïd Chitou, Wilfried Sewade, Pierre Agbani, Martin Akogbeto, Daniel C Chougourou

Tanzania Journal of Science

After identifying issues posed by some synthetic insecticides, the scientific community is now looking for other natural products with insecticidal and/or insect repellent characteristics. This study aimed to identify the plants of the Beninese flora known for their insecticidal and/or insect repellent effects and the indigenous techniques of their use and to evaluate the combined efficacy of extracts of a few on mosquito larvae for the control of malaria vectors in the South-East of Benin. A survey was conducted and the insecticidal effects of three combinations made from Azadirachta indica, Cymbopogon nardus and Hyptis suaveolens oils on Anopheles gambiae larvae …

Determination Of Factors That Contribute To The Prevalence Of Diarrhoea Among Children Under Five Years Of Age In Association With The Status Of Drinking Water Sources At Bububu, Zanzibar, Wahida M. Ali, Emmanuel S. Kigadye

Tanzania Journal of Science

This study aimed to determine the contributing factors for diarrhoea prevalence among children under-five years at Bububu, Zanzibar. The study applied a cross-sectional research design that used quantitative methods. Data were collected from 97 mothers/caregivers of the children. Structured questionnaires were used for assessing socio-economic factors contributing to diarrhoea. Laboratory experiments were carried out to assess the quality of drinking water sources. Most Probable Number (MPN) count per 100 ml was measured from drinking water sources. Multivariate logistic analysis was computed to assess independent factors of childhood diarrhoea. The prevalence of diarrhoea was significantly associated with; the caregiver’s level of …

The Impact Of Training On Self-Reported Performance In Reproductive, Maternal, And Newborn Health Service Delivery Among Healthcare Workers In Tanzania: A Baseline- And Endline-Survey, Tumbwene Mwansisya, Columba Mbekenga, Kahabi Isangula, Loveluck Mwasha, Stewart Mbelwa, Mary Lyimo, Lucy Kisaka, Victor Mathias, Eunice Pallangyo, Grace Edwards, Michaela Mantel, Sisawo Konteh, Thomas Rutachunzibwa, Marleen Temmerman

School of Nursing & Midwifery, East Africa

Background: Delivery of quality reproductive health services has been documented to depend on the availability of healthcare workers who are adequately supported with appropriate training. However, unmet training needs among healthcare workers in reproductive, maternal, and newborn health (RMNH) in low-income countries remain disproportionately high. This study investigated the effectiveness of training with onsite clinical mentorship towards self-reported performance in RMNH among healthcare workers in Mwanza Region, Tanzania.

Methods: The study used a quasi-experimental design with pre-and post-intervention evaluation strategy. The baseline was compared with two endline groups: those with intervention (training and onsite mentorship) and those without. The differences …

Distribution And Pattern Of An Insurance Health Claim System: A Time Series Approach, Maxwell Mashasha, Praise Mutize, Felix Mazunga

Tanzania Journal of Science

There is a continuous increase in health costs, thereby increasing pressure on individuals and consequently making the amounts claimed by the insured to be on the increase. In this study, data was collected from a large local insurance company in Zimbabwe for the period from January 2012 to December 2016. The aim of this study was to analyse the distribution and future pattern of insurance health claim system using time series approach. Akaike information criterion and Schwarz Bayesian criterion were used to select the adequate model through maximum likelihood estimation methods.  ARIMA (0, 0, 0) (1, 0, 1) [12] is …

The Covid-19 Pandemic: Exploring E-Learning Experience During Schools Closure In Tanzania, Fabian Gallus Mahundu

Journal of Humanities and Social Sciences

of parents and guardians in supporting their children’s e-learning activities during the COVID-19 lockdown in Tanzania. The study adopted an exploratory qualitative research design. Data were collected using telephone interviews and open-ended questions (using google forms), which inquired parents’ and guardians’ experience in supporting home based e-learning activities among students during the COVID-19 lockdown. The paper argues that giving students free access to online learning materials during COVID-19 lockdowns is paramount. However, parents’ and guardians’ support through sharing one’s phones must be monitored to safeguard learners from accessing irrelevant materials. Findings show that parents and guardians had different experiences in …

Antibacterial And Anti-Hiv-1 Gp120 Activities Of Selected Medicinal Plants, Rose J. Masalu, Cyprian B. Mpinda

Journal of Humanities and Social Sciences

Medicinal plants play an important role in traditional medicine and drug development research because of their numerous bioactivities. However, some concerns have risen on the inefficiencies of such products due to improper use of medicinal plant products, notably when mixed with other traditional remedies. This study evaluates the antibacterial and anti-human immunodeficiency virus 1 glycoprotein 120/CD4 (anti-HIV-1 GP120/CD4) activities of medicinal plants species Sapium ellipticum, Pseudospondias microcarpa, and Capparis erythrocarpos; and their respective combinations effects. Results revealed that aqueous and ethyl acetate extracts of S. ellipticum and P. microcarpa had antimicrobial activities against S. aureus (ATCC 25923), E. coli (ATCC …

Characteristics And Birth Outcomes Of Pregnant Adolescents Compared To Older Women: An Analysis Of Individual Level Data From 140,000 Mothers From 20 Rcts, Nadia Akseer, Emily Catherine Keats, Pravheen Thurairajah, Simon Cousens, Ana Pilar Bétran, Brietta M. Oaks, David Osrin, Ellen Piwoz, Exnevia Gomo, Zulfiqar Ahmed Bhutta

Department of Paediatrics and Child Health

Background: Adolescence is a critical period of maturation when nutrient needs are high, especially among adolescents entering pregnancy. Using individual-level data from 140,000 participants, we examined socioeconomic, nutrition, and pregnancy and birth outcomes for adolescent mothers (10-19 years) compared to older mothers in low and middle-income countries.
Methods: This study was conducted between March 16, 2018 and May 25, 2021. Data were obtained from 20 randomised controlled trials of micronutrient supplementation in pregnancy. Stratified analyses were conducted by age (10-14 years, 15-17 years, 18-19 years, 20-29 years, 30-39 years, 40+ years) and geographical region (Africa, Asia). Crude and confounder-adjusted means, …

Effects Of Perpetrator Types And Gender-Based Violence On Condom Use Among Tanzanian Female Sex Workers, Lashonda Hall

Walden Dissertations and Doctoral Studies

HIV status among female sex workers (FSWs) continues to be a significant public health concern. Condom use is associated with HIV cases among FSWs. Gender-based violence (GBV) plays a role in FSWs HIV status. While studies have investigated the relationship between GBV and condom use, little is known about the impact of factors such as perpetrator type and substance use. I aimed to examine whether perpetrator type and substance use affect the relationship between GBV and condom use among FSWs in Tanzania. Secondary data analysis was performed on 1,502 FSWs extracted from the 2020 Tanzanian, John Hopkins Program for International …

Risk Factors Associated With Mother-To-Child Transmission Of Hiv In Dar Es Salaam, Tanzania, Felix Elias, Nyimvua Shaban, Edwin Rutalebwa

Tanzania Journal of Science

Despite Tanzania's efforts and substantial progress in PMTCT, about 11% new infections were recorded among Tanzanian children in 2019 (UNAIDS 2020a). The objective of this study was to determine the rate of HIV transmission and to identify its risk factors among HIV exposed infants born to HIV-positive mothers in Dar es Salaam, Tanzania. A cross-sectional study was conducted using retrospective data collected from HIV-positive mothers and their exposed babies who were followed and registered in health facilities in four administrative districts (Ilala, Temeke, Kinondoni, and Ubungo) in Dar es Salaam between January 2016 and December 2019.  To identify risk factors …

Absence Of Germline Brca1 C.68_69delag And C.5266dupc Mutations Among Hormone Receptor-Negative Breast Cancer Patients: A First Impression At A Tertiary Cancer-Care Facility In Tanzania, Linus P Rweyemamu, Gokce Akan, Christopher H Mbotwa, Nazima Dharsee, Lucy A Namkinga, Sylvester L Lyantagaye, Ted F Mselle, Fatmahan Atalar

Tanzania Journal of Science

The germline BRCA1 c.68_69delAG (185delAG) and c.5266dupC (5382insC) mutations are associated with hormone receptor-negative breast cancer (BC).  Limited studies have examined their contribution to alarming BC incidence in Sub Saharan Africa (SSA). Our study aimed to examine the contribution of  germline BRCA1 c.68_69delAG and c.5266dupC mutations to BC incidence among hormone receptor-negative BC patients admitted to Ocean Road Cancer Institute in Tanzania. Face-to-face interviews were conducted to capture socio-demographic characteristics, anthropometric measurements, family history of cancer and reproductive information from each patient. Their  histopathological data were extracted from the hospital medical records. The germline BRCA1 founder mutations were analyzed on …

Mitigating The Spread Of Measles Under Constrained Health Care Resources In Tanzania Using Social Contact Network Models, Herieth Rwezaura, Seán Mcgarraghy

Tanzania Journal of Science

Tanzania revaccinates individuals during measles outbreaks, despite having scant healthcare resources. We construct epidemiological models of measles spread by employing a hybrid of existing social contact networks models to develop SEIR simulation model. Using demographic and measles surveillance data from three rural villages in Tanzania, we simulate the spread of measles and examine which vaccination strategies can effectively control outbreaks. Results strongly indicate the spread of measles largely depends on contact rates among infected individuals within a population. Findings indicate a need for targeted vaccination for children of 6 months to 15 years of age, but equally for unvaccinated older …

Does Digital Literacy Empower Adolescent Girls In Low- And Middle-Income Countries: A Systematic Review, Salima Meherali, Komal Abdul Rahim, Sandra Campbell, Zohra S. Lassi

School of Nursing & Midwifery

Background: The vast majority (90%) of the world's adolescents aged 10-19 live in low- and middle-income countries (LMICs); and in those resource-limited settings, girls face distinct challenges across multiple health, social, and economic domains. Gender equality and girls' empowerment are key goals in their own right and are central to all other development goals. Digital literacy is a great enabler for the empowerment of young girls. This systematic review aims to assess the range and nature of digital literacy interventions implemented to empower adolescent girls in LMICs and identify evidence about adolescent girls' access and use of digital technologies in …

Young Key Populations Left Behind: The Necessity For A Targeted Response In Mozambique, Makini A. S. Boothe, Cynthia Semá Baltazar, Isabel Sathane, Henry F. Raymond, Erika Fazito, Marleen Temmerman, Stanley Luchters

Obstetrics and Gynaecology, East Africa

Introduction: The first exposure to high-risk sexual and drug use behaviors often occurs during the period of youth (15–24 years old). These behaviors increase the risk of HIV infection, especially among young key populations (KP)–men how have sex with men (MSM), female sex workers (FSW), and people who inject drugs (PWID). We describe the characteristics of young KP participants in the first Biobehavioral Surveillance (BBS) surveys conducted in Mozambique and examine their risk behaviors compared to adult KP.

Methods: Respondent-driven sampling (RDS) methodology was used to recruit KP in three major urban areas in Mozambique. RDS-weighted pooled estimates were calculated …

Harnessing Nutritional Benefits Of Spirulina Platensis: Standardization Of Cultivating Conditions Of Spirulina In Kilimanjaro, David O. Nyakundi, Phocus Cleophas

Tanzania Journal of Science

Malnutrition remains a challenge in Tanzania, notwithstanding government initiatives and health education geared towards assuaging the problem. According to the World Health Organization (WHO), there will be more than 600,000 severely malnourished children in Tanzania by the year 2030. In particular, protein based malnutrition remains the greatest challenge due to the irreplaceable nature of its essential amino acids. Macronutrients and micronutrients which are found in Spirulina platensis have been recommended by WHO to address malnutrition in developing countries. Spirulina platensis is a filamentous Cyanobacterium microalgae with the highest recorded protein content of plant origin with several immune boosting nutrients. Spirulina …

Comparison Of Nutritional And Anti-Nutritional Qualities Of Grewia Forbesii Hav. Ex Mast And Grewia Bicolor Juss Fruits From Kitapilimwa Forest Reserve In Iringa District, Vendeline E. Tairo

Tanzania Journal of Science

The Grewia forbesii and Grewia bicolor fruits were collected from Kitapilimwa Forest Reserve and were analysed for proximate, nutrients and anti-nutrients compositions. Results showed low moisture contents in G. forbesii and G. bicolor amounting to 14.14 and 13.98 percent, respectively. Crude fibre percent was slightly higher in G. bicolor (33.15%) than G. forbesii (31.95%). Lipid content was slightly higher in G. bicolor (1.37%) compared to G. forbesii (1.28%). The crude protein content of G. forbesii (7.44%) was slightly higher than G. bicolor (7.00%). Total carbohydrate content of G. forbesii (68.9%) was higher than that of G. bicolor (70%). Mineral analysis …

Pre-Exposure Prophylaxis (Prep) Knowledge, Willingness To Use & Uptake Among Black Heterosexual Men, Akeen Lowell Hamilton

Theses and Dissertations

INTRODUCTION: Pre-exposure prophylaxis (PrEP) is a pill, taken orally, that has been shown to be effective at reducing the chance that someone who is HIV-negative and at-risk for HIV will contract the disease during sexual intercourse with someone who is living with HIV. One demographic group that has been under-researched is Black heterosexual men. This dissertation presents research on evaluating the heterosexual Black men’s awareness of, prior use, and network of friends/family’s perceived interest in learning more about PrEP.

METHODS: Two-hundred and six Black heterosexual men living in Brooklyn, New York City, were surveyed about their sexual behaviors and PrEP …

Men’S Comfort In Distributing Or Receiving Hiv Self-Test Kits From Close Male Social Network Members In Dar Es Salaam, Tanzania: Baseline Results From The Step Project, Joseph K.B. Matovu, Gaspar Mbita, Akeen Hamilton, Frank Mhando, Wynton M. Sims, Noah Thompson, Albert N. Komba, Jackson Lija, Jiajia Zhang Ph.D., Thomas Van Den Akker, Dustin T. Duncan, Augustine T. Choko, Donaldson F. Conserve

Faculty Publications

Background

A variety of strategies have been used to reach men with HIV self-testing services, including social network-based HIV self-test kits distribution. However, few studies have assessed men’s comfort to distribute to or receive HIV self-test kits from close male friends within the same social network. In this study, we assessed men’s comfort to distribute to and/or receive HIV self-test kits from close male friends and associated factors among men who socialize in networks locally referred to as “camps” in Tanzania.

Methods

Data are from the baseline survey of a cluster-randomized controlled trial conducted in June 2019 with 18 social …

A Susceptible Exposed Infected Recovered Susceptible (Seirs) Model For The Transmission Of Tuberculosis, Latifat M Erinle-Ibrahim, Waheed O Lawal, Olukayode Adebimpe, Gbemisola R Sontan

Tanzania Journal of Science

In this paper, a deterministic mathematical model was proposed and analyzed to understand the dynamics of tuberculosis based on the SEIRS model. The disease-free equilibrium, the endemic equilibrium, and their stabilities were examined. The R0 (basic reproduction number) was derived using the Next Generation Matrix method and its sensitivity analysis showed that the birth rate and infectious rate were the most sensitive parameters of R0. The behaviour of exposed individuals at the latent period with varied treatment rates were examined through numerical simulation. From the analysis carried out, the effect of variations of the treatments of latent TB shows that …

An Age-Structured Model For Transmission Dynamics Of Malaria With Infected Immigrants And Asymptomatic Carriers, Asha S Kalula, Eunice Mureithi, Theresia Marijani, Isambi Mbalawata

Tanzania Journal of Science

Abstract An age-structured (children and adults) model for the transmission dynamics of malaria with asymptomatic carriers and infected immigrants has been analyzed. We first analyze a model without infected immigrants. It shows that the disease-free equilibrium exists and is stable when and unstable for . Also, we compute the sensitivity indices of the basic reproduction number. The basic reproduction number is most sensitive to the mosquito biting rate. Besides, the sensitivity of the basic reproduction number shows that the children's class parameters are more sensitive than those of adults. In the presence of infected immigrants, the model does not admit …

Effects Of Hydroxyurea Treatment On Haemolysis In Patients With Sickle Cell Disease At Muhimbili National Hospital, Tanzania, Azra Gangji, Upendo Masamu, Josephine Mgaya, Joyce Ndunguru, Agnes Jonathan, Irene Kida Minja, Julie Makani, Emmanuel Balandya, Paschal Ruggjao, Siana Nkya

Tanzania Journal of Science

Tanzania is one of the countries with a high burden of sickle cell disease (SCD). Haemolytic anaemia is a clinical feature of SCD, and has been linked to major complications leading to morbidity and mortality. Treatment with hydroxyurea (HU) has shown to induce foetal haemoglobin (HbF) which in turn decreases haemolysis in patients. This study aimed to investigate the effects of HU on haemolysis in SCD patients attending Muhimbili National Hospital, Tanzania by comparing their haemolytic parameters before and after therapy. Patients meeting the criteria were initiated on HU therapy for 3 months. Two haemolytic biomarkers: unconjugated plasma bilirubin levels …

Spatial Modelling For Cholera Incidence Rates In Morogoro Municipality, Tanzania, Caroline Ngereza, Rosalia S. Katapa, Ali R. Mniachi

Tanzania Journal of Science

Spatial modelling was conducted to examine community factors associated with cholera incidence rates in Morogoro Municipality. The study employed both secondary (cholera cases) and primary (geographic coordinates of community risk factors) data. Spatial lag model was applied in examining association between the variables. All wards of Morogoro Municipality were considered in the study to capture their variations because cholera cases have a tendency to be clustered. Results indicated that market density, distance to the market and distance to the dumpster are significant factors associated with cholera incidence rates in the wards (p < 0.05). Geographically weighted Poisson model was used to show the variations of those factors between the wards in Municipality. A statistically significant positive association of cholera incidence rates; and market density was only found in Mazimbu ward (p < 0.05) and distance from the community to the dumpster was found in Kihonda, Kingolwira, Bigwa, Kichangani, Kilakala and Boma wards (p < 0.001) and some wards at the centre of the municipality which are Mji Mkuu and Kingo (p < 0.05). A statistically significant negative association of cholera incidence rates and distance from the centre of the community to the market was found in Kihonda, Kingolwira and Kichangani (p < 0.001) and Bigwa wards (p < 0.05). Therefore, measures taken to control and prevent cholera disease should base on the variations of the risk factors found in the Municipal wards.  Keywords:    Cholera incidence rate, Spatial lag regression model, Community risk factor, Geographically weighted Poisson model

Translation And Validation Of Training Needs Analysis Questionnaire Among Reproductive, Maternal And Newborn Health Workers In Tanzania, Tumbwene Mwansisya, Columba Mbekenga, Kahabi Isangula, Loveluck Mwasha, Eunice Pallangyo, Grace Edwards, James Orwa, Michaela Mantel, Micheal Mugerwa, Leonard Subi, Secilia Mrema, David Siso, Edna Selestine, Marleen Temmerman

School of Nursing & Midwifery, East Africa

Background: Continuous professional development (CPD) has been reported to enhance healthcare workers’ knowledge and skills, improve retention and recruitment, improve the quality of patient care, and reduce patient mortality. Therefore, validated training needs assessment tools are important to facilitate the design of effective CPD programs.

Methods: A cross-sectional survey was conducted using self-administered questionnaires. Participants were healthcare workers in reproductive, maternal, and neonatal health (RMNH) from seven hospitals, 12 health centers, and 17 dispensaries in eight districts of Mwanza Region, Tanzania. The training needs analysis (TNA) tool that was used for data collection was adapted and translated into …

Using A Global Food Environment Framework To Understand Relationships With Food Choice In Diverse Low- And Middle-Income Countries, Shilpa V. Constantinides, Christopher Turner, Edward A. Frongillo Jr., Shiva Bhandari, Ligia I. Reyes, Christine E. Blake

Faculty Publications

This study aimed to determine if the Turner et al. (2018) framework allows researchers to identify and study relationships between food environments and individual food choice in diverse contexts and if updates to the framework are warranted. We mapped evidence from 15 drivers of food choice projects to the framework, using thematic analysis to identify common drivers within the food environment across countries and emergent characteristics not listed in the framework. The framework contained breadth and depth of content necessary to identify common drivers – prices and affordability, availability, and vendor and product properties. Insights regarding common drivers and emergent …