Digital Commons Network^™

Cascade Approach On Teachers' Continuous Professional Development To Improve Learning Outcomes In Pre-Primary And Primary Education: Experience In The Implementation Of The F4l Project In East Africa., Fortidas Bakuza, Nyagwegwe Wango, Jane Rarieya

Institute for Educational Development, East Africa

The cascade method in education is a scalable and affordable continuous professional development (CPD) strategy that entails training a subset of teachers who impart newly learned knowledge to their peers. Enhancements to teachers' knowledge and abilities are among its positive results; nonetheless, problems such as content misunderstandings show how much improvement is required. This paper presents a study that examined the efficacy of a cascading approach to teacher professional development. According to this study, the most effective training approaches emphasize reflection and experience. Thus far, the cascade approach has shown potential for improving teaching methods and fits in with the …

Credit Scoring In Digital Lending: A Stepwise Logistic Regression And Weight Of Evidence Approach In Kenya, Howard Omukami, Cynthia Mwau, Denis Kuria Wangui, Andrew Mbuya

Institute for Educational Development, East Africa

Mobile money lending has grown rapidly in recent years, with one of the major challenges being the determination of borrowers' creditworthiness, a classification problem complicated by credit risk and the choice of appropriate scoring models. Credit scoring, which uses statistical analysis of historical borrower data to estimate repayment likelihood, remains a critical tool for financial institutions in assessing lending risk. This study evaluates borrower creditworthiness using historical data from Mobipesa Limited, a digital lending company based in Nairobi, Kenya. Data were collected from 495 borrowers over one year, comprising 33 predictor variables (32 numeric and one categorical). Stepwise logistic regression …

Annual Report 2025 Cime Pakistan & East Africa, Cime

Centre for Innovation in Medical Education (CIME) Archives

• Directors’ Message
• Sustainability in Simulation SIMPACT: 2025
• Updates from Pakistan
• Updates from East Africa
• Homegrown Innovations
• Advancing Research
• SeeMe Around the Globe
• The Dream Sim Team

Role Of Online Health Information Resources In Shaping Self Confidence Of Nursing And Midwifery Students In The Digital Era At Aga Khan University, Tanzania, Getrude Ngowi, Jackline Estomihi Kiwelu

Book Chapters / Conference Papers

Digital technologies have transformed the way people learn in the current age. Innovative multimedia online nursing and midwifery information resources have improved nursing education and brought about adaptive, interactive, and collaborative learning. This study aims to find out whether the online nursing information resources provided at Aga Khan University Tanzania are shaping the self-confidence of nurses and midwives in the digital era, to understand gaps and areas for improvement. This study used both quantitative and qualitative research approach were used. The researchers collecting data using online Google Forms, which were analysed thematically through Atlas ti. The results revealed that persistent …

Aku Libraries Annual Report - 2025, Office Of The University Librarian

Office of the University Librarian Reports

- Message by Peter Gatiti Associate Vice Provost & University Librarian

- The Beautiful Nakawa Campus Library

- AKU Author’s Day 2025

- Celebrating 5 Years of AKU Author’s Day: Bold Voices, Powerful Stories, Lasting Impact.

- A Student’s Journey into Co-Authoring Neuroscience

- My Fear of Academic Writing

- University Library Strategic Plan 2024-2029

- Lecture Series on Open Science

- Behind the Scenes

- Our Libraries & Students

- Book Conversations…

- RFID Technology at AKU Libraries

- Video Editing: Where Vision Meets Creativity

- Preserving Today for Tomorrow

- “Our Collections Matter”

- The FMIC Library

- …

The Aga Khan University Prospectus 2025, The Aga Khan University

The Aga Khan University Prospectuses and Brochures

• Message from the President
• Message from the Provost & Vice President, Academic
• About AKU
• Our Mission, Vision & Values
• Why AKU?

• Programmes of Study

  Undergraduate Programmes

• School of Nursing and Midwifery, East Africa
• School of Nursing and Midwifery, Pakistan
• Medical College, East Africa
• Medical College, Pakistan
• Faculty of Arts and Sciences, Pakistan
• Institute for Educational Development, Pakistan

• Graduate Programmes

• School of Nursing and Midwifery, East Africa
• School of Nursing and Midwifery, Pakistan
• Institute for Educational Development, East Africa
• Institute for Educational Development, Pakistan
• Medical College, East Africa
• Medical College, Pakistan
• Graduate School of Media and Communications, East Africa
• Institute for …

---

Go to article

Pathways To Nursing And Midwifery Education In Tanzania With Reflection To The Global Perspectives: A Narrative Review, Tumbwene Mwansisya, Mary Lyimo, Eunice Pallangyo

School of Nursing & Midwifery, East Africa

Background/Objectives:

This review aimed to explore the pathways of nursing and midwifery education in Tanzania and compare them with global perspectives. The goal was to identify similarities, differences, and areas for potential improvement to align with international standards.

Methods:

A narrative literature review was carried out through databases with published studies in nursing and gray literature. The database search included Medline, PubMed, Google Scholar, EBSCO, PsycINFO, clinical nursing, and gray literature from January 2014 up to December 2024. The search process was carried out by the authors with the following key words: admission, pathway to nursing profession, delivery mode, …

Co-Designing An International Nursing Course On Workplace Violence In Ethiopia, Sweden, And Tanzania: A Collective Autoethnography, Martin Salzmann-Erikson, Elisabet Eriksson, Tilahun Saol Tura, Tumbwene Mwansisya, Loveluck Mwasha, Malin Jordal

School of Nursing & Midwifery, East Africa

This study explores whether and how the co-creation of an international university course on workplace violence served as a site of transformative learning for us as nursing educators across Sweden, Ethiopia, and Tanzania. Using collaborative autoethnography, our team of six faculty members critically reflected on pedagogical assumptions, educator identities, and experiences of cross-cultural collaboration. The data comprised written reflections, meeting transcripts, and observational notes. Through this process, our pedagogical approaches and professional identities were reshaped, shifting from content deliverers to reflective co-learners within the cross-cultural partnership. Our analysis highlights the interplay of cultural negotiation, logistical frictions, and unspoken yet influential …

Accessing Online And Remote Learning Platforms In Kenyan Remote Areas During Covid-19 Pandemic, Florence Deya, Jane Rarieya

Institute for Educational Development, East Africa

Online learning has taken root and with the advancement in technology more and more educators are embracing online learning. During the COVID-19 pandemic, with total shut down of face-to-face learning, the Kenyan government had moved learning online and remotely. To find out on how learners in remote areas were experiencing learning during the COVID-19 pandemic, a study was carried out using rapid ethnography design. Five final year secondary students were sampled. Data was collected through interviews, observations, and document analysis. This paper reports on the findings of online and remote learning platforms, which were available, accessed, and preferred by the …

Management Of Possible Serious Bacterial Infections In Young Infants Where Referral Is Not Possible In The Context Of Existing Health System Structure In Mbeya, Tanzania: Experience And Lessons From The End Line Assessment, Esther Ngadaya, Alexander Manu, Mary Mmweteni, Dorica Burengelo, Doreen Philbert, Gibson Kagaruki, Kahabi Isangula, Mbazi Senkoro, Godfather Kimaro, Amos Kahwa

School of Nursing & Midwifery, East Africa

Severe bacterial infections (SBIs) are a leading cause of neonatal deaths in low- and middle-income countries. World Health Organization’s (WHO’s) guideline for outpatient management of danger signs indicating possible serious bacterial infections (PSBI) when referral is not possible was adopted by three pilot district councils in Mbeya Region, in Tanzania (Busekelo, Kyela and Mbarali Districts) in 2018 (the PSBI project). This study documented changes in practice during the PSBI project, and lessons learned. A cross-sectional study was conducted using both qualitative and quantitative data collection methods between July 2021 and January 2022, post-implementation. The study participants comprised stakeholders, health workers, …

Ten-Year Review Of St-Segment Elevation Myocardial Infarction (Stemi) In Tanzania: A Single Center Retrospective Review, Nadeem Kassam, Mohamed Varwani, Mzee Ngunga, Jeilan Mohamed, Mangaro Mabusi, James Orwa, Salim Surani, Robert Mvungi, Nasiruddin Jamal

Internal Medicine, East Africa

Introduction: Ischemic Heart Disease (IHD) is an emerging epidemic in sub-Saharan Africa (SSA). Although the true burden may be underreported in the African continent, it still remains one of the leading causes of death among adults aged above 60 years. ST-Segment Elevation Myocardial Infarction (STEMI) is a clinically time-sensitive fatal sequela of IHD with timely reperfusion by primary Percutaneous Coronary Intervention (PCI) being the gold standard of care. There has been steady progress in coronary care services in Tanzania, alongside a rise in IHD-related risk factors. However, data on this is limited. This study aimed to examine trends in …

Addressing Barriers To Post-Graduate Research Training In Low Resource Settings: An Innovative Approach In An Institution Of Higher Learning In Kenya, Eunice Muthoni, Rosebella Iseme, Roselyter Riang’A, James Orwa, Ken Njenga, Anthony Ngugi

Population Health, East Africa

Background: Numerous barriers hinder health research training in Post-Graduate Medical Education Programs, especially in developing countries. Research training is pivotal for medical residency, providing essential knowledge and skills for dissertation completion, fostering evidence-based medical practice, and nurturing future independent clinical researchers. A holistic approach to research education is imperative to surmount these barriers. We describe here a dissertation-centric research curriculum, delivered longitudinally, an innovative strategy undertaken by Aga Khan University's Medical College in East Africa (AKU-MCEA) to deliver postgraduate research.

Methods: A review of AKU-MCEA post-graduate research methods curriculum was conducted based on implementing Departments' experience, institutional policies, and residency …

Sexual Behavior Among Emerging Adults In Africa: A Systematic Review And Meta-Analysis, Stevenson Chea, Vincent A. Kagonya, Osman Abdullahi, Amina Abubakar, Souheila Abbeddou, Kristien Michielsen, Amin Hassan

Institute for Human Development, East Africa

Background: Estimates on sexual behavior (SB) among emerging adults (EmA) is varied in literature, which presents a challenge when designing targeted interventions. We aimed to summarize literature on prevalence and risk factors of SB among EmA in Africa.

Methods: A search for studies published in PubMed, Embase, and Psych Info by March 2023 was done. Studies involving EmA (18–25 years), conducted in Africa, and reporting 1 or more of 7 SBs were reviewed. Pooled prevalence estimates were summarized using forest plots. Heterogeneity in SB was explored. Risk factors were synthesized using a modified socioecological model.

Results: Overall, …

Beyond The Classroom Volume 11 July 2024 - Athlos And Arete, Students Affairs And Services Pakistan

Student Affairs and Services (SAS) - Beyond the Classroom Archives

• Global Orientations Week
• AKU Sports Olympiad 2024
• Open Discussion with Student Executive Council
• Meeting Between Vice Provost and AKUSA
• Mini Marathon for Heart Health
• AKU Rowing Club hosts inaugural Rowing Regatta
• Workshop on Supporting Student Well-Being
• Promoting Gender Equality at AKU
• IED Students and MC Residents Connect
• Student Representative attends ICM Conference
• First-Ever TEDx Event at AKU
• Managing Stress for PGME Residents
• Suicide Prevention Day Event
• Student Meeting with Leadership
• Mental Health Symposium
• Farewell Celebration for the EN-RN Class of 2024
• International Self-Care Day Celebration
• Trivia Night
• Branding Yourself with Dr. Fahad Mirza
• Conflict Resolution Workshop
• BScN 2024 Tours Heritage …

Is Mechanism Of Injury Associated With Outcome In Spinal Trauma? An Observational Cohort Study From Tanzania, Chibuikem Ikwuegbuenyi, Julie Woodfield, François Waterkeyn, Scott Zuckerman, Beverly Cheserem, Andreas Leidinger, Albert Lazaro, Hamisi Shabani, Roger Härtl, Halinder Mangat

General Surgery, East Africa

Background Traumatic spinal injury (TSI) is a disease of significant global health burden, particularly in low and middle-income countries where road traffic-related trauma is increasing. This study compared the demographics, injury patterns, and outcomes of TSI caused by road traffic accidents (RTAs) to non-traffic related TSI.

Methods A retrospective analysis was conducted using a neurotrauma registry from the Muhimbili Orthopaedic Institute (MOI) in Tanzania, a national referral center for spinal injuries. Patient sociodemographic characteristics, injury level, and severity were compared across mechanisms of injury. Neurological improvement, neurological deterioration, and mortality were compared between those sustaining TSI through an RTA versus …

Aspects Of The Informal Economy That Influence Voluntary Contributions To Social Security Fund, Nyagwegwe Wango

Institute for Educational Development, East Africa

The study explored the factors within the informal economy that drive voluntary contributions to social security funds, presenting findings across three key attributes: economic, social, and institutional. Voluntary contributions were evident in all three associations studied. Economic incentives, such as loans and cash assistance during sickness and death, motivated members to contribute willingly. Additionally, the allowance for small contributions during regular meetings further facilitated participation. The study found that these meetings fostered member engagement and provided social benefits. Regularly scheduled meetings, as stipulated in the associations’ constitutions, helped to organize and structure the associations. The frameworks, including rules and regulations, …

Voluntary Contributions To Pension Schemes: A Study Among Actors In The Informal Economy In Tanzania, Nyagwegwe Wango

Institute for Educational Development, East Africa

The research delves into the participation of informal economic actors in voluntary contributions to pension schemes. It sheds light on the difficulties faced by the Social Security Fun d in reaching out to informal actors regarding membership and voluntary contribution s. The study investigates the operations and strategies employed by informal social organizations, such as the bodaboda association, food vending network, and fishing group, to encourage members to contribute voluntarily. Through qualitative methods, inter views with pension scheme participants were conducted to comprehend the initiatives aimed at including excluded individuals, particularly those engaged in the informal economy. Following the NSSF …

Governance And Islam In East Africa: Muslims And The State In Kenya And Tanzania, Farouk Topan, Kai Kresse, Erin E. Stiles, Hassan Mwakimako

Exploring Muslim Contexts

Explores the relationship between Muslim communities and the State in East Africa in political, institutional and legal contexts

• Focuses on the relationship between Muslims and the State in Kenya and Tanzania
• Asks which factors, both within and outside the Muslim community, shape and affect this relationship in contemporary times
• Presents 13 case studies exploring governance issues within and across the categories of politics, institutions and law in Kenya and Tanzania
• Identifies cross-cutting issues of governance and Muslim communities which are relevant beyond East Africa

Recent studies of Muslims in Kenya and Tanzania have tended either to examine governance of Muslims …

The Influence Of Informal Economy On Voluntary Contributions To Informal Social Organisations, Nyagwegwe Wango

Institute for Educational Development, East Africa

This study explores the dynamics of the informal economy and the voluntary contributions made to groups, associations, and memberships within this sector. It provides an overview of the background information on these organizations, their operations, and the issues surrounding protection and risk mitigation. Additionally, the study delves into the practices of voluntary contributions within the informal economy. Qualitative research methods, including interviews and focus group discussions, were employed to gather data from informal economy actors participating in informal social organizations such as the bodaboda association, food vending networks, and beach groups. The findings suggest that informal workers often pool money …

Establishing Kidney Transplantation In A Low-Income Country: A Case In Tanzania, Francis F. Furia, Jaqueline G. Shoo, Paschal Ruggajo, Jonathan W. Jonathan W. Mngumi, Valentine Valentine, Mahmoud A. Muhiddin, Kim Kim, Isaack Mlatie, Moses Mulungu, Namala Mkopi

Internal Medicine, East Africa

Background

Sub-Saharan African countries, including Tanzania, have a high burden of chronic kidney diseases (CKDs) and limited capacity for the provision of services. Tanzania and other countries in the region have made signifcant improvements in the provision of services for patients with CKD, including hemodialysis. Few countries are ofering kidney transplantation services, which is the defnitive treatment for patients with CKD and kidney failure. This study was conducted to review the steps taken by Muhimbili National Hospital (MNH) to establish a kidney transplantation service in Tanzania.

Methods

This study was based on the review of the activities that were undertaken …

Maternal And Neonatal Outcome In Pregnant Women Undergone Induction Of Labor At Muhimbili National Hospital, Dar Es Salaam, Tanzania, Shweta Jaiswal, Willbroad Kyejo, Charles Kilewo

Family Medicine, East Africa

Introduction

Labor induction is a common obstetric intervention aimed at initiating labor when spontaneous onset is delayed or deemed necessary for maternal or fetal well-being. Despite its widespread use, the practice’s impact on maternal and neonatal outcomes remains a subject of ongoing research and debate. This study aims to evaluate the maternal and neonatal outcomes associated with labor induction in a tertiary hospital setting in Tanzania.

Methodology

A descriptive analytical cross-sectional study was conducted over a seven-month period from January 2021 to July 2021 at Muhimbili National Hospital in Dar es Salaam, Tanzania. A total of 120 pregnant women who …

Male Infertility: A Retrospective Review Of Laboratory Charts At A Tertiary Teaching Hospital In Nairobi City County, Festus Mulakoli, Doris Machaki, Abednego Ongeso, Maureen Akolo, Ruth Wagathu

School of Nursing & Midwifery, East Africa

Background: Globally, approximately 50 million couples experience one form of infertility, and 10 million cases of subfertility have been reported in sub-Saharan Africa. Infertility is characterized by a lack of clinical conception among couples who live together for more than one year with regular coitus, without the use of contraception. Factors related to fertility vary by sex and geographical region. These factors include age, lifestyle, infectious diseases, and genetic disorders. In African culture, children are considered a simple inheritance and a measure of masculinity, so efforts are needed to address the growing problem of male infertility in this context. …

Stillbirth Mortality By Robson Ten-Group Classification System: A Cross-Sectional Registry Of 80 663 Births From 16 Hospital In Sub-Saharan Africa, Claudia Hanson, Kristi Annerstedt, Maria Alsina, Muzdalfat Abeid, Hussein Kidanto, Helle Alvesson, Andrea Pembe, Peter Waiswa, Jean-Paul Dossou, Effie Chipeta

Centre of Excellence in Women and Child Health

Objective To assess stillbirth mortality by Robson ten-group classification and the usefulness of this approach for understanding trends.

Design Cross-sectional study.

Setting Prospectively collected perinatal e-registry data from 16 hospitals in Benin, Malawi, Tanzania and Uganda.

Population All women aged 13–49 years who gave birth to a live or stillborn baby weighting >1000 g between July 2021 and December 2022.

Methods We compared stillbirth risk by Robson ten-group classification, and across countries, and calculated proportional contributions to mortality.

Main outcome measures Stillbirth mortality, defined as antepartum and intrapartum stillbirths.

Results We included 80 663 babies born to 78 085 women; …

Incidental Actinomycosis In A 44-Year-Old Female During Total Abdominal Hysterectomy For Abnormal Uterine Bleeding: A Case Report, Willbroad Kyejo, Ally Zain Ismail, Abduel Kitua, Gregory Ntiyakunze, Munawar Kaguta, Ally Mwawnga

Family Medicine, East Africa

Actinomycosis, a rare chronic bacterial infection caused by Actinomyces species, presents diagnostic challenges due to diverse clinical presentations. This report presents a case of peritoneal actinomycosis incidentally discovered during a total abdominal hysterectomy in a 44-year-old female with refractory abnormal uterine bleeding and a history of long-term intrauterine contraceptive device use. The patient presented with persistent abnormal uterine bleeding despite conservative management. Intraoperative findings during total abdominal hysterectomy revealed peritoneal involvement, prompting histopathological evaluation confirming actinomycosis. This case highlights diagnostic complexities associated with actinomycosis, emphasizing the significance of histopathological confirmation. Postoperative management with antibiotics demonstrated favorable outcomes, supporting their efficacy …

Incidental Actinomycosis In A 44-Year-Old Female During Total Abdominal Hysterectomy For Abnormal Uterine Bleeding: A Case Report, Willbroad Kyejo, Allyzain Ismail, Abduel Kitua, Brenda Moshi, Gregory Ntiyakunze, Munawar Kaguta, Ally Mwanga

Internal Medicine, East Africa

Actinomycosis, a rare chronic bacterial infection caused by Actinomyces species, presents diagnostic challenges due to diverse clinical presentations. This report presents a case of peritoneal actinomycosis incidentally discovered during a total abdominal hysterectomy in a 44-year-old female with refractory abnormal uterine bleeding and a history of long-term intrauterine contraceptive device use. The patient presented with persistent abnormal uterine bleeding despite conservative management. Intraoperative findings during total abdominal hysterectomy revealed peritoneal involvement, prompting histopathological evaluation confirming actinomycosis. This case highlights diagnostic complexities associated with actinomycosis, emphasizing the significance of histopathological confirmation. Postoperative management with antibiotics demonstrated favorable outcomes, supporting their efficacy …

Leveraging Ai And Machine Learning To Develop And Evaluate A Contextualized User-Friendly Cough Audio Classifier For Detecting Respiratory Diseases: Protocol For A Diagnostic Study In Rural Tanzania, Kahabi Isangula, Rogers John Haule

School of Nursing & Midwifery, East Africa

Background:

Respiratory diseases, including active tuberculosis (TB), asthma, and chronic obstructive pulmonary disease (COPD), constitute substantial global health challenges, necessitating timely and accurate diagnosis for effective treatment and management.

Objective:

This research seeks to develop and evaluate a noninvasive user-friendly artificial intelligence (AI)–powered cough audio classifier for detecting these respiratory conditions in rural Tanzania.

Methods:

This is a nonexperimental cross-sectional research with the primary objective of collection and analysis of cough sounds from patients with active TB, asthma, and COPD in outpatient clinics to generate and evaluate a noninvasive cough audio classifier. Specialized cough sound recording devices, designed to be …

Early Childhood Education Leadership In Tanzania: A Missing Link For Quality Good Start In Basic Education, Fortidas Bakuza

Institute for Educational Development, East Africa

Early Childhood is a foundational period in the life of every child that is very important in the growth and development of each human being. In most literature, policy documents and program interventions, Early Childhood covers the period between conceptions to eight years. It is during this period in the human life cycle that young children acquire knowledge of themselves, people around them and the environments in which they live. Early Childhood as a foundation period for future development is demanding specialized leadership training opportunities, so that those in decision making positions do not only view Early Childhood Education as …

Abdominal Wall Endometriosis In Cesarean Scar: A Case Report, Willbroad Kyejo, Brenda Moshi, Euphraim Massanga, Gregory Ntiyakunze, Miriam Mgonja, Munawar Kaguta, Ernest Mdachi

Family Medicine, East Africa

Abdominal wall endometriosis refers to the presence of endometrial tissue within surgical scars, most commonly occurring following gynecological procedures such as cesarean sections. This case report presents a rare case of abdominal wall endometriosis in a cesarean scar. The patient, a 32-year-old woman with a history of two previous cesarean sections, presented with cyclic pain and swelling in the lower abdominal region. Physical examination revealed a tender, well-defined mass within the cesarean scar. Surgical excision of the mass was performed, and histopathological examination confirmed the presence of endometrial tissue. This case highlights the importance of considering abdominal wall endometriosis in …

Entrance Surface Air Kerma To Patients During Digital Radiographic Examinations In Tanzania, Atumaini Makoba, Ahmed Jusabani, Wilbroad Muhogora, Abdallah Kileo, Musa Ndukeki, Huruma Mammba, Hilda Makungu, Haika Maro, Erick Onoka, Miguta Ngulimi

Imaging & Diagnostic Radiology, East Africa

The aim of this study was to determine the entrance surface air kerma (ESAK) in adult patients during digital radiography and to evaluate the optimisation potential in five common X-ray examinations in Tanzania. Based on a sample of 240–610 patients, ESAK was estimated using X-ray tube output measurements, patient information and backscatter factors. The results show that the mean ESAK values were higher or comparable to data from the literature. The diagnostic reference values of ESAK for digital radiography were 0.31 mGy (chest PA), 4 mGy (lumbar spine AP), 5.4 mGy (lumbar spine LAT), 3.8 mGy (abdomen AP) and 2.4 …

A Case Of Parkinsonian Symptoms Secondary To Chronic Subdural Hematoma, Willbroad Kyejo, Frank Swai, Clement Mugisha, Philip Adebayo

Internal Medicine, East Africa

Chronic subdural hematoma is a known neurosurgical entity often associated with a spectrum of neurological manifestations. While primarily recognized for its characteristic accumulation of blood between the dura mater and arachnoid membrane, emerging literature suggests a rare association between chronic subdural hematoma and Parkinsonian symptoms. This report aims to underscore this unique neurological relationship by presenting a case of a 70-year-old male who developed Parkinsonism following chronic subdural hematoma post-head trauma. This case underscores the rare association between chronic subdural hematoma and Parkinsonian symptoms, emphasizing the importance of timely diagnosis and intervention in managing such cases.