Digital Commons Network^™

Subfascial-Cutaneous Propeller Flap For Reconstruction Of Chronic Distal Lower-Limb Wounds With Exposed Bone: Two-Case Reports, Musa Machibya, Mike Kimambo, Irfan Rajput, Raymond Oyugi, Edwin Mrema

General Surgery, East Africa

Introduction and importance: Propeller perforator flaps provide a reliable reconstructive option for distal lower-limb soft-tissue defects, particularly in resource-limited settings where microsurgical free-flap reconstruction may not be readily available. These cases highlight the practical application of propeller perforator flaps in a low-resource setting, demonstrate key surgical decision-making processes, illustrate the management of flap-related complications, and report favorable functional outcomes following reconstruction of complex distal lower-limb wounds.

Case presentation: We present two patients with distal lower-limb wounds and exposed bone: a 33-year-old man with a post-traumatic medial malleolar defect reconstructed using a posterior tibial artery perforator propeller flap, and …

Spectrum Of Neurodevelopmental Disorders In Children Attending A Developmental Clinic In Dar Es Salaam, Tanzania, Aleya Zulfikar Remtulla, Sumayyah Nasiruddin Saudin, Orujul Hassan, Mariam Noorani

Paediatrics and Child Health, East Africa

Background: Neurodevelopmental disorders (NDDs) in children present significant challenges for healthcare systems globally. In Tanzania, children with NDDs and their families face significant challenges due to late diagnosis, lack of standardized screening tools, widespread stigma and cultural beliefs that deter health-seeking behaviours. Awareness about NDDs is low, and financial constraints further complicate access to necessary medical interventions. The country suffers from a severe shortage of specialized healthcare providers, and general healthcare providers often lack adequate training. Additionally, limited specialized facilities, high treatment costs and insufficient healthcare policies dedicated to NDDs make it difficult to manage these conditions effectively. Understanding the …

The Role Of Community Libraries In Repackaging Scientifically Researched Information For Rural Farming Communities: A Review, Jackline Estomihi Kiwelu, Patrick Ngulube

Libraries

Objective

Scientifically researched information is often found in journal articles, book chapters, and conference papers, which can be technical and challenging for those without training. Repackaging information into a simpler and preferred language can make it easier for undereducated rural communities to access. This narrative review investigates the strategies community libraries can adopt to repackage scientifically researched information for easier access by rural farming communities. This study contributes to the literature gap on research-based information repackaging by community libraries for rural development.

Methods

The literature search for this narrative review was conducted across several databases, evidence Based Library and Information …

Aku Research 2025, Office Of Research And Graduate Studies

Office of Research and Graduate Studies

• With dementia surging, BMI seeks tools for prevention
• The past, present and future of teaching in Pakistan
• Transforming educations with evidence
• Research influences national teacher development programme
• Redefining the migrant experience
• Study finds women are underrepresented in East Africa’s media
• Study identifies targets for treating drug-resistant tuberculosis
• Addressing extreme heat’s impacts on the vulnerable
• Colorectal cancer detection gets an AI boost
• Addressing the quiet crisis of women’s mental health
• The pandemic was especially hard for female health workers
• Advancing reproductive health in Pakistan
• A push for advanced practice nursing and midwifery
• Major study yields essential data on maternal health
• Saving …

Asymptomatic Cryptococcal Antigenemia: A Multi-Clinic Cross-Sectional Study On The Prevalence, Associated Factors And Predictors Of Three-Month Outcomes Among Antiretroviralnaïve And Antiretroviral-Experienced Hiv Patients In Dar Es Salaam, Tanzania, Mandela Makakala, Mukasa Mohammed, Mabula Mabelele, Kamran Hameed, Philip Adebayo

Internal Medicine, East Africa

Background: Cryptococcal meningitis remains a leading cause of HIV/AIDS-related mortality, predominantly in Sub-Saharan Africa. Current screening and prevention efforts primarily target antiretroviral therapy (ART)-naïve patients, whereas strategies for ART-experienced individuals are less well defined.

Objectives: This study primarily aimed at determining the prevalence of asymptomatic cryptococcal antigenemia (ACA) among ART-naïve and ART-experienced patients, along with associated factors and predictors of three-month outcomes among HIV patients in three HIV clinics in Dar es Salaam, Tanzania. Secondarily, factors associated with serum cryptococcal antigen positivity in the overall study population were also assessed.

Methods: This cross-sectional clinic-based study recruited 273 HIV-positive participants (ART-naïve …

Unleash The Potential - Our Vision For East Africa

Vision and mission statements

No abstract provided.

Aga Khan University Hospital, Kampala – Overview And Mission

Vision and mission statements

No abstract provided.

Uptake Of Covid-19 Vaccination And Associated Factors Among Patients Attending Oncology Services At The Ocean Road Cancer Institute In Dar Es Salaam, Tanzania: Insights From Mixed Design Methods’ Trajectory, David Makoko, Anthony Kapesa, Micheal Mugerwa, Mamsau Ngoma, Mark Mseti, Mary Lyimo, Lucy Kisaka, Ntuli Kapologwe, Jeremiah Seni

School of Nursing & Midwifery, East Africa

Background

COVID-19 vaccination campaigns have reduced disease severity and fatalities around the globe. Global data shows that 67.7% of the general population are vaccinated, and Tanzania has reported appealing findings of over 70% coverage among individuals over 18 years of age. However, a group-specific assessment of vaccination coverage is needed in sub-Saharan Africa. This study aimed at assessing the COVID-19 vaccination uptake and associated factors among cancer patients owing to their vulnerability.

Methods

A cross-sectional analytical study design was conducted in September 2022 at Ocean Road Cancer Institute (ORCI) in Dar es Salaam, Tanzania. A multistage sampling approach was employed …

Fostering Belonging And Social-Emotional Literacy: Strategies For Inclusive Early Childhood Education In Southern Tanzania, Frolence Lwegoshora Paschal Paschal, Nipael Mrutu

Libraries

Inclusive early childhood education aims to create environments where children of diverse abilities and backgrounds can learn and grow together, emphasizing social-emotional literacy alongside academic skills. The purpose of this study was to explore strategies to enhance socialemotional literacy and development in such settings, drawing insights from educators and families. Conducted at Nyangao primary school in the Lindi region, the research employed a qualitative case study design, using interviews, observations, and focus group discussions with 3 teachers and 15 parents. Findings reveal five key strategies which are creating a positive and inclusive environment, utilizing peer modeling and peer support, providing …

Innovative Analysis Of Half-Century (1973–2022) Spatial-Temporal Variability And Trends In Climate Indices Across The Czech Republic, Yves Theoneste Murindangabo

Arusha Climate and Environmental Research Centre

No abstract provided.

The Rise Of E-Patients In Tanzania: Reflections On The Unregulated Growth Of Digital Health Consultations, Kahabi Isangula

School of Nursing & Midwifery, East Africa

Background: Digital technologies have significantly transformed healthcare delivery globally, enabling patients to access healthcare services through electronic and mobile platforms. In Tanzania, this transformation has manifested in the rise of “e-patients” — individuals who actively seek health advice, consultation, or treatment through unregulated digital platforms. This paper examines the drivers, patterns, and implications of this trend in Tanzania.

Methods: A descriptive approach was employed, synthesising peer-reviewed and grey literature from global and sub-Saharan African sources, with a particular focus on Tanzania. Insights were also drawn from expert discussions, public digital platforms, and the author’s experiential reflections to contextualize …

Quality & Patient Safety Gazette : Volume 4, Issue 3 - 2025, Quality & Patient Safety Department And Infection Prevention & Hospital Epidemiology

Quality and Patient Safety Archives

• Advancing Healthcare Excellence: Structured Journey to JCI Clinical Care Program Certification (CCPC)
• Sindh Healthcare Commission Monitoring Visit at AKUH Clifton Medical Services
• SafeCare Recertification Assessment of Four Off-Campus Hospitals, Pakistan
• Comprehensive Unit Based Safety Program (CUSP) Grand Round
• AKDN-HS Quality KPI Training Program Strengthens Alignment Across AKDN Health System
• JCI Patient Safety Pathways Grand Round-Pediatric Patient Safety I International Webinar
• International Webinar - Protecting our littlest Patients: Unmasking Pediatric Pain as a Safety Issue - Health Standards Organization
• Wed-Webinar Series 2025 JCI 8th Edition I Introductory Session
• Wed-Webinar | International Patient Safety Goals (IPSG)
• Wed-Webinar | Patient Centered Care (PCC) …

Unnoticed Early Pregnancy During Myomectomy With Favorable Outcome: Case Report, Ronak Mulji, Lusajo Mwagobele, Farhat Seif, Zainab Fidaali, Munawar Kaguta

Obstetrics and Gynaecology, East Africa

Introduction

Uterine fibroids are a common cause of infertility, and myomectomy remains a key surgical intervention to improve reproductive outcomes. However, the occurrence of an undetected pregnancy during myomectomy is rare and poses significant clinical risks.

Case Presentation

We report a 34-year-old woman, nulliparous with a history of secondary infertility and three first-trimester miscarriages. She had multiple fibroids and was managed for polycystic ovarian syndrome and hyperprolactinemia. Scheduled for abdominal myomectomy, the surgery proceeded uneventfully, with six fibroids removed and no breach of the endometrial cavity. Five weeks postoperatively, she presented with symptoms suggestive of early pregnancy. Ultrasound confirmed a …

Shaping Inclusive Futures: Gender-Responsive Practices In Pre-Primary Teacher Training Colleges In Tanzania And Uganda, Jane Rarieya, Nyagwegwe Wango, Tage Biswalo

Institute for Educational Development, East Africa

This paper examines the role of gender-responsive pedagogy in advancing inclusive pre-primary education through a qualitative case study of teacher training colleges in Uganda and Tanzania. Conducted under the Foundation for Learning (F4L) initiative, the study engaged tutors, student teachers, and administrators to explore how gender equity is integrated into teaching practices, institutional policies, and community engagement. Findings demonstrate that gender-responsive approaches were systematically embedded in lesson plans, classroom practices, and teaching resources, moving beyond rhetoric to tangible change. Student teachers demonstrated effective application of inclusive strategies during practicum, reflecting both conceptual understanding and practical competence. Colleges also adopted visual …

Empowering Rural Smallholder Farmers: Access To Maize Postharvest Handling Information For Sustainable Food Security In Uganda, Jackline Estomihi Kiwelu, Patrick Ngulube

Libraries

This paper presents a model for improving access to scientifically researched information on maize postharvest handling among rural smallholder farmers in Uganda. The model was developed from a study that examined the influence of evidence-based information practices (EBIPs) on farmers’ ability to access and use such information effectively. A convergent mixed-methods design was employed, combining both qualitative and quantitative approaches. Data were collected through interviews with 22 agricultural extension officers, four information officers, and 312 rural smallholder farmers, as well as focus group discussions and analysis of relevant government documents. The study found that access to verified information was intermittent. …

Out-Of-Field Teaching In Junior Secondary Schools: Unveiling Challenges And Professional Development Needs In Kenya, Caleb Kaleli Kisangau, Tage Biswalo, George Nyaboga Nyarieko

Institute for Educational Development, East Africa

Background

Magnetron sputtering was employed to deposit thin niobium films onto biochar surfaces to increase selectivity for electrostatic interactions.

Methods

Biochar samples were coated with niobium under various power levels and deposition times by magnetron sputtering. Each material was then characterized and tested for adsorption performance with an anionic model molecule.

Significant findings

Niobium impregnation raised the point of zero charge of the biochar by 0.33 to 0.94 pH units, expanding the pH range in which the niobium-coated adsorbents maintain a positively charged surface. Optimal adsorption was observed at 298 K with an adsorbent dose of 1 g L⁻1 and …

Al-Kalam 1994 - National Essay Competition Canada

University anniversary celebration materials

No abstract provided.

Leadership For East Africa

Vision and mission statements

No abstract provided.

Graduate School Of Media And Communications - Foundation Ceremony

Inaugural addresses and related documents

No abstract provided.

The Aga Khan Health Services

University press releases and calendars

No abstract provided.

Can Tanzanian Neurosurgeons Access Tanzanian Neurosurgical Literature? A Systematic Review And Survey Of Neurosurgical Publications, Sabas Romani R, Woodfield Julie, Ikwuegbuenyi Chibuikem Anthony, Cadieux Magalie, Shayo Consolata, Shabhay Zarina, Rabiel Happiness, Beverly Cheserem, Bwemelo Joel, Wright Drew N

General Surgery, East Africa

BACKGROUND AND OBJECTIVES: Free and open access to research data and findings promotes equity in access to healthcare knowledge and equity in patient care and treatment. To benefit the health care of the population studied, research findings must be accessible to clinicians, academics, and policymakers serving those populations. The aim of this study was to assess the extent of published Tanzanian neurosurgical data and its accessibility to those practicing within the country.

METHODS: A systematic review of all published neurosurgical studies from Tanzania was conducted. Authorship, funding, and open-access status were recorded. Tanzanian neurosurgeons were surveyed by telephone …

Aga Khan University Medical Centre

University press releases and calendars

No abstract provided.

Developing Leaders For East Africa - An Overview Of Aku's Values, Achievements And Vision For The Next 15 Years

Vision and mission statements

No abstract provided.

Opening Ceremony Of The Heart And Cancer Centre

Inaugural addresses and related documents

No abstract provided.

The Internationalisation Of Aku

Letters from dignitaries highlighting significant achievements

No abstract provided.

Integrating Of The Unesco Digital Teacher Course In The Teacher Education Program: A Case Of Aku-Ied Med Program, Esther Kibga, Oluwakemi Olurinola, Fredrick Mtenzi

Institute for Educational Development, East Africa

Purpose:

This study planned to explore the effect of the UNESCO advanced educator course in the M.Ed. instructor training program at the Aga Khan College, Dar es Salaam specifically on digital pedagogical competency.

Methodology:

The research study employed a pre-experimental research design and fifty-nine (59) Aga Khan University M. Ed Education students from the three East African countries were involved. The research instruments involved in this study include a competency level rating scale (SelfieForTeachers) and a pre-post-training survey.

Findings:

The findings revealed the influence of the UNESCO Digital Teacher course on enhancing participants' digital pedagogical competencies, with a specific emphasis …

Labour Companionship And Respectful Treatment Of Women During Childbirth: A Cross-Sectional Study Across 16 Hospitals In Benin, Malawi, Tanzania And Uganda, Soha El-Halabi, Kristi Sidney Annerstedt, Christian Agossou, Fadhlun Al-Beity, Andrea B. Pembe, Phillip Wanduru, Bianca Kandeya, Jean-Paul Dossou, Helle Molsted-Alvesson, Claudia Hanson

Centre of Excellence in Women and Child Health

Introduction: Evidence suggests that women value and benefit from having a labour companion during childbirth. However, the applicability of the evidence to low-income and lower-middle-income countries is limited and varies. Thus, we assessed the association between the presence of labour companions and mistreatment in 16 hospitals of Benin, Malawi, Tanzania and Uganda.

Methods: We conducted a cross-sectional survey using a validated questionnaire administered to women at discharge after birth between December 2021 and March 2024. The main outcomes were factor-weighted respectful treatment score and its subscores on maintained respect and dignity, privacy and maintained confidentiality and no physical and verbal …

The Aga Khan Health Services - International Newsletter No. 22, Aga Khan University

The Aga Khan Health Services Archives

• Her Highness Inaugurates Extension of Kisumu Hospital

• Medical and Nursing Student Survey Reveals Health Oddity in Orangi

• Student Survey Reveals Health Oddity

• Appointments at Aga Khan University and Hospital

• School of Nursing Graduates 49% of Karachi Nurses

• Continuing Education Workshops for Lady Health Visitors

• Pakistan Burmah Shell

• Hospitals in the Muslim Near East A Historical Overview

• Good Luck Corporation

• Dr. Dan Kasege

• Aga Khan Health Services Co-Sponsors Conference on Diarrhoeal Diseases

• UNICEF Assists Dar-es-Salaam Hospital

• Nutrition Campaign Launched in U.K.

• Blood Donor Clinic in Toronto

• …

Embracing Digital Disruption In Tanzania: Insights From Mwananchi Communications Ltd's Print-To-Digital Multimedia Journey, Absalom Norman Kibanda

Executive Masters in Media Leadership and Innovation

This capstone study investigates the profound impact of digital transformation on print media, employing Mwananchi Communications Ltd (MCL) in Tanzania as a case study, elucidating the intricate fusion of cultural transformation and strategic shifts in response to this disruption. With an in-depth exploration of theoretical frameworks like Networked Communication Theory and Media Convergence Theory, this study underscores the evolution of MCL's culture and the paradigm shift in the mindset of its staff and readers since the company's strategic embrace of multimedia strategies. MCL's transformative journey, characterized by the adoption of innovative multimedia platforms, including a website, paywall approaches, subscription models, …

Navigating Barriers: Challenges And Strategies For Adopting Artificial Intelligence In Qualitative Research In Low-Income African Contexts, Kahabi Isangula

School of Nursing & Midwifery, East Africa

Introduction:

 AI is transforming qualitative research. It enhances efficiency, accuracy, and depth in studies. Technologies like machine learning (ML), natural language processing (NLP), and large language models (LLMs) simplify tasks like transcription, coding, and thematic analysis. However, in low-income African settings, there are barriers to AI adoption. These include ethical concerns, infrastructure limitations, financial constraints, and technical skill gaps. Issues around data privacy and the dehumanization of research also add challenges.

Methods: 

This paper explores the challenges and opportunities of AI in qualitative research in low-income African contexts. It uses a descriptive approach, reviewing literature and personal experiences from rural …