Digital Commons Network^™

The 'Canada Brand' In Africa: Human Rights And Environmental Conflict In Extractive Industries, Shin Imai, Sara Ghebremusse

All Papers

The first comprehensive report on the cumulative impacts of Canadian extractive industries in Africa. There are profiles of 23 Canadian companies, operating in 17 African countries, over a period of 30 years. The report contrasts company actions against international standards for corporate accountability in eight areas: Displacement of communities; Security and Violence: The North Mara Mine; Workers: Conscription, Conflict and Deadly Accidents, Corruption; Silencing Critiques and Suppressing Investigations; Extractive Industries in Conflict-Affected Areas; Environmental Impacts; Economic Diplomacy: Canadian Support to Extractive Industries.   The cumulative impacts are alarming. For example, JCAP found documentation of over 300,000 people being displaced by Canadian …

Assessing Awareness And Use Of Artificial Intelligence Tools Among Library Personnel In Public And Private Institutions In Ekiti State, Nigeria, Thomas Aanu Ojo

Library Philosophy and Practice (e-journal)

Artificial Intelligence is a technology integrated into libraries as a tool to help eliminate tedious and repetitive tasks. However, its awareness and use in libraries are still in the early stages. Therefore, this study investigated the awareness and use of AI tools among library personnel in public and private institutions in Ekiti State, Nigeria. The study population comprised 107 library personnel in Ekiti State. The questionnaire was used to elicit data. Descriptive statistics of frequency count, percentage, mean and standard deviation were used to analyse the data. The findings revealed that the level of awareness of AI tools among library …

An Assessment Of Record-Keeping Practices And Their Role In Effective Administration In Primary And Secondary Schools In Chibombo District, Zambia., Kadeyo Mutale Kuyela Dr, Maureen Nzala Haambiya Mrs, Sututu Imasiku Ms, Glenda Ntalasha Mrs, Dalitso Mvula Mr

Library Philosophy and Practice (e-journal)

The study assessed record-keeping practices and their role in effective administration in primary and secondary schools in Chibombo District, Zambia, guided by four objectives: identifying types of records, assessing their role in administrative efficiency, recognising challenges in record management, and exploring strategies for improvement. The study employed a qualitative case study approach, and the target population involved headteachers, senior teachers, and class teachers, and the sample size had 30 participants to ensure diverse insights. Data collection was done using an interview guide for effective responses, with thematic content analysis applied to the qualitative data to identify key themes and subthemes. …

Prevalence Of Vitiligo In East Africa: Systematic Review And Meta-Analysis, Kedir Seid, Chala Getaneh Jaleta, Sintayehu Samuel Lorato, Mitiku Desalegn, Dawit Tesfaye Rundasa, Yohannes Godie Ashebir, Olyad Kuma Getahun, Gebeyehu Lakew, Mathewos Mekonnen Gemmechu, Mulualem Endeshaw Zeleke, Yibeltal Assefa Atalay, Amlaku Nigusie Yirsaw, Eyob Ketema Bogale, Abiy Hailu Tikuneh, Abas Ali Hassen, Eyasu Alem Lake, Tadesse Nigussie, Bushra Bibi, Fikiru Yigezu Y. Jaleta, Abebe Gedefaw Belete, Genanew Kassie Getahun

Research outputs 2022 to 2026

Background: Vitiligo is a chronic skin disorder characterized by the loss of melanocytes, resulting in depigmented macules and patches. No accurate estimate has been made of the prevalence of vitiligo in East Africa.

Objectives: To determine the prevalence of vitiligo in East Africa via a systematic review and meta-analysis of the literature.

Methods: A systematic review and meta-analysis were performed in accordance with the PRISMA guidelines. Eleven articles were retrieved from PubMed/MEDLINE, Embase, Scopus, Google Scholar, Science Direct, Web of Science and African Journals Online. Microsoft Excel was used to extract the data, which were then exported to STATA 17 …

Skin Carotenoid Scores Reflect Immune Status Among Children Living With Hiv In Tanzania, Wilbert Mbuya, Thobias Boniphace, Michael Mwagala, Peter Agrea, Nazareth M Mbilinyi, Nancy E Moran, Andrew R Dinardo, Mkunde Chachage

Children’s Nutrition Research Center Staff Publications

Many individuals living with HIV experience persistent inflammation despite antiretroviral treatment, increasing their risk for cardiovascular diseases, cognitive decline, and other noncommunicable diseases. Carotenoids can inhibit this inflammation by reducing lipid peroxidation. Carotenoid intake and plasma concentrations can be approximated using a noninvasive cutaneous spectrophotometer. This study quantified skin carotenoid levels in Tanzanian children ages 5 to 15 years old (N = 185) both with and without HIV. Over 95% had low to moderate skin carotenoid scores (< 400 units). In children living with HIV, higher viral loads were linked to lower skin carotenoid scores (rho = -0.57, P < 0.001), whereas higher CD4 counts correlated with increased skin carotenoid scores (rho = 0.52, P < 0.001). Overall, carotenoid levels were low and associated with immune status, suggesting that elevated carotenoid scores correlate with lower inflammation in children living with HIV. Future studies investigating dietary carotenoid interventions to support immune function are warranted.

Lessons From Tanzania’S Ujamaa For Smart Settlements In Nepal: Social Justice And Economic Development, Keshav Bhattarai, Ambika P. Adhikari

Himalayan Research Papers Archive

Nepal’s constitutional commitment to a “socialism-oriented” state places social justice, equitable access to resources and housing, and protection of marginalized populations at the center of national development discourse. However, persistent landlessness, informal settlements, unemployment, youth outmigration, and unequal access to infrastructure reveal a significant gap between constitutional aspirations and socioeconomic realities.

This article examines lessons Nepal can draw from Tanzania’s experience with Ujamaa, the African socialist development model initiated by President Nyerere in 1967. Using comparative policy analysis, published research, official documents, and exploratory field observations from selected Tanzanian locations, including the capital and villages in the Iringa Region, the …

Co-Creation Of Global Public Health Interventions Within The Context Of Limited Resources: A Conceptual Qualitative Framework For Modest Co-Creation, Kahabi Isangula, Constance Constance Shumba

School of Nursing & Midwifery, East Africa

Co-creation is increasingly promoted in global public health as a participatory methodology that centres lived experiences, the preferences, and structural realities of those most affected by health interventions. Within human-centred design (HCD), co-creation is typically operationalised through intensive cycles of qualitative inquiry, in-person workshops, facilitation, and iterative prototyping. While these approaches are methodologically robust, they are often resource-intensive and difficult to implement in low- and middle-income countries (LMICs) and other low resource settings, precisely where context-sensitive and equitable intervention design is most needed. Despite this tension, existing literature offers limited guidance on how co-creation can be meaningfully adapted to such …

The Coupled Hydrology–Human Activity Information (Chhai) Dataset: A Global Benchmark Dataset For Model Comparison And Evaluation, Azara Boschee, Aneseh Alborzi, Augustina Clara Alexander, Berit Arheimer, Salsebil Bel Hadj Ali, Günter Blöschl, Andrea Castelletti, Xi Chen, Aniya Dogra, Erhu Du, Jesse Duku, Aldo Fiori, Margaret Garcia, Salvatore Grimaldi, Naota Hanasaki, Yeonjoo Kim, Heidi Kreibich, Chenyuan Li, Ali Mehran, For Full Author List, See Comments Below

Faculty Research, Scholarly, and Creative Activity

To enhance hydrologic modeling, the hydrology community has developed benchmark datasets (e.g. Model Parameter Estimation Experiment, MOPEX), providing standardized data for model evaluation and parameter estimation. However, these datasets primarily focus on modeling natural hydrologic processes, leaving a critical gap in understanding the role of human influences. Here, we introduce the Coupled Hydrology-Human Activity Information (CHHAI) dataset, a benchmark dataset that integrates coupled human–water data from regions across all continents, excluding Antarctica. CHHAI incorporates data from 25 regions that cover various human impacts such as reservoir management, flood protection, river management policies, land use changes, and water use. Each basin …

Just Opt For Caesarean Section And Pick The Birthdate': A Qualitative Study Exploring Women's Delivery Preferences After Caesarean Section In Urban Tanzania, Daudi Gidion, Columba Mbekenga, Miriam Mgonja, Marleen Temmerman, Muzdalfat Abeid

Obstetrics and Gynaecology, East Africa

Objectives To explore perspectives, preferences and decision-making regarding mode of delivery after a previous caesarean section among women in urban Tanzania.

Design A descriptive qualitative study using semi-structured in-depth interviews. Data were analysed using thematic analysis.

Setting A private tertiary hospital in Dar es Salaam, Tanzania.

Participants 11 women with one previous caesarean section who delivered at the study site were interviewed on the third day after delivery. Participants were purposively sampled to include both modes of delivery: five women underwent repeat caesarean section and six attempted a trial of labour after caesarean (TOLAC).

Results Thematic analysis identified four key …

The Self-Taught Generation: Here’S How Libraries Can Unlock Youth Employment, Jackline Estomihi Kiwelu

Libraries

No Abstract

Co-Designed Interventions Package For Enhancing Women's Resilience In Reproductive And Child Health Through Income-Generating Associations: A Human-Centered Design Study In Tanzania, Kahabi Isangula, Aminieli Itaeli Usiri, Eunice Pallangyo

School of Nursing & Midwifery, East Africa

Background: Maternal and under-five mortality remain major public health concerns in many low- and middle-income countries, including Tanzania. Despite their widespread use in strengthening economic resilience, income-generating associations (IGAs) have not fully utilized their potential as platforms for addressing reproductive and child health (RCH) challenges.

Objective: This study aimed to co-design an intervention package with women participating in income-generating associations to enhance their preparedness and resilience in addressing RCH challenges in Tanzania.

Methods: A qualitative descriptive study guided by a Human-Centered Design (HCD) framework was conducted in the Arusha and Shinyanga regions of Tanzania. The study followed …

Records Management For Improving Service Delivery In Local Government Authorities In Tanzania, Grace Msiga Gm, Grace Msiga Gm, Grace Msiga Gm

Library Philosophy and Practice (e-journal)

The study examined the role of records management in improving service delivery in Local Government Authorities (LGAs) in Tanzania. Specifically, it aimed to explore the state of records management practices within Local Government Authorities (LGAs), to assess the link between records management and service delivery in Local Government Authorities (LGAs), and identify possible barriers in records management that prevent Local Government Authorities (LGAs) from achieving better service delivery. A survey or census sampling method was used to select 240 respondents from a population consisting of 168 Action Officers (AOs), 60 records management staff (RMS), and 12 key informants. The study …

Cracks In The Earth: Why Is East Africa Losing Its Soil?, Maarten Wynants, Aloyce Amasi, Will Blake, Pascal Boeckx, Andrew Brooks, Claire Kelly, Ivan Lizaga, Linus Munishi

School of Geography, Earth and Environmental Sciences

No abstract provided.

Enhancing Hope In Mathematics From An East African Perspective, Howard Omukami

Institute for Educational Development, East Africa

No abstract provided.

2026 Spring Commencement, Tennessee State University

TSU Commencements 2025-Present – Mr. Dwayne Tucker, President

No abstract provided.

Inclusive Instructional Practices: System-Wide Support For Students With Disabilities In Technical, Vocational Education And Training In Vihiga County, Kenya, Maurine Kageriza, Howard Omukami

Institute for Educational Development, East Africa

Kenya’s TVET sector has fully transitioned to the Competency-Based Education and Training (CBET) framework, with one of the major challenges being the adoption of instructional requirements for students with disabilities, an inclusion issue compounded by exclusionary risk, and the choice of appropriate instructional experiences. Inclusive instructional practices remain a critical practice for mitigating marginalisation in mastering competencies. This study investigates inclusive instructional practices for SWDs in TVET in Vihiga County, Kenya. A convergent mixed methods with embedded case study design was employed in two public TVET institutions in Vihiga County, Kenya, involving 36 students with disabilities, 46 trainers, and 8 …

Social Protection To Foster Inclusive, Resilient Early Childhood Education In Kenya, Uganda, And Tanzania, Nyagwegwe Wango

Institute for Educational Development, East Africa

In order to evaluate the efficacy of systems approaches in enhancing early childhood education (ECE), this study summarizes outcomes from the SESEA and F4L programs in Kenya, Tanzania, and Uganda. The study investigates how context-responsive ECE, social-emotional learning (SEL), and social protection (SP) interventions contribute to improvements in teaching practices, inclusion, and learner outcomes using mixed-methods data, including teacher surveys, classroom observations, and policy analysis. The findings show significant improvements in inclusive classroom practices, gender-sensitive pedagogy, and teacher confidence, especially when reflective peer learning and continuous mentoring are incorporated. Children’s academic performance and well-being have been linked to the integration …

Heavy Metal, Heavy Costs: Soil Copper Contamination Undermines Bee Communities In Urban Agriculture, Penelope Fisher

Honors Theses

As city populations grow, the need for fresh produce in cities to feed people also grows. One such growing urban environment is Dayton, Ohio, which has begun to implement measures aiming to limit the hunger experienced by underserved individuals in the city. According to The Dayton Food Bank, in Montgomery County alone 14.2% of individuals living in the county experience food insecurity, a majority of whom are children. Urban farming has proven to be a lucrative solution to some of these issues. However, these farms are often established in areas where the soil is degraded due to previous land use, …

Cameras Or Divers? How Baited Remote Underwater Videos And ‘Long Swims’ Underwater Visual Census Complement Each Other On Coral Reefs, Kennedy Osuka-Edeye, Melita Samoilys, Bryce D. Stewart, Colin J. Mcclean, Peter Musembi, Saleh Yahya

School of Biological and Marine Sciences

Conventional methods for surveying coral reefs, such as underwater visual census (UVC), often underestimate large-bodied, mobile, or cryptic fish species due to limitations in diver mobility and visual detection. To address these limitations, rapid timed ‘Long Swim’ (LS) UVC protocols have been developed to better capture large predator assemblages, yet their performance relative to baited remote underwater videos (BRUV) remains poorly evaluated in topographically complex oceanic reef environments. This study provides the first site-specific comparison of BRUVS and LS-UVC protocols for predatory reef fish from nine selected families on the reefs of Pemba Island, Tanzania. To ensure robustness, we implemented …

Ramifications Of Not Digitalising Registries And Records Centres In Civil Service In Zambia, Glenda Ntalasha, Tuesday Bwalya, Chrispin Hamooya, Sututu Imasiku, Kadeyo Mutale Kuyela, Dalitso Mvula, Matilda Mercy Muchinga

Library Philosophy and Practice (e-journal)

Digitalisation of records management among other things, improves access to records and results in efficiency and effectiveness in the functions of an organisation. Because of the potential benefits of digitalisation, several governments globally have automated registries and records centres. However, governments in the Global South, Zambia inclusive have not digitalised the records sub sector. This study investigated the consequences of not digitalising registries and records centres in public service in Zambia. A survey research design was used combining both quantitative and qualitative research techniques. Data was collected from a sample 118 respondents and key informants. Qualitative data was collected through …

Diabetes Mellitus And Its Association With Tuberculosis Clinical Presentation And Treatment Outcomes: Results From A Prospective Cohort Study In Ghana, Monica Baaba Jones, Kwadwo Ansah Koram, Francis Anto, Michael Lauzardo, Blanca I. Restrepo, Margaret Lartey, Hafisatu Gbadamosi, Awewura Kwara

School of Medicine Publications

Background: Tuberculosis (TB)-diabetes is a growing public health threat in TB-endemic settings. We aimed to determine diabetes prevalence among TB patients in Greater Accra and its association with TB clinical presentation and treatment outcomes.

Methods: We enrolled 204 adults (≥20 years) with bacteriologically confirmed pulmonary TB across 14 health facilities. At treatment initiation, participants were screened for diabetes using self-report, fasting plasma glucose, and glycated hemoglobin, following standard diagnostic criteria. Baseline characteristics were recorded, and participants were followed to determine TB treatment outcomes. Associations between diabetes, baseline characteristics and treatment outcomes were assessed using bivariate and multivariate analysis in STATA. …

A Review Of Yellow Fever: Epidemiology, Pathogenesis, Clinical Manifestations, Treatment, Prevention, And Prognosis, Farah Ebrahim, Samina Somji, Reena Shah, Salim Surani

Internal Medicine, East Africa

Yellow fever is a mosquito-borne viral illness caused by the yellow fever virus (YFV), a member of the Flaviviridae family. Despite the availability of an effective live-attenuated vaccine, the disease remains endemic in regions of Africa and South America. Transmission occurs primarily via an infected mosquito called Aedes aegypti, with distinct urban, sylvatic, and intermediate transmission cycles. Clinically, infection ranges from mild febrile illness to severe disease, which is characterized by jaundice, hemorrhage, and multiorgan failure. Pathogenesis involves viral replication in hepatocytes, immune-mediated injury, and dysregulated inflammatory responses, leading to characteristic hepatic mid-zone necrosis. Diagnosis relies on molecular detection …

Developing A Pediatric Pain Curriculum For Pediatric Anesthesia Fellows In Sub-Saharan Africa: A Delphi Study, Anisa Bhettay, Rebecca Gray, Romy Parker, Nikki Allorto, Abigail Amponsah, Brian Anderson, Lillian Baranzila, Charles Carapinha, Susan Carolus, O' Brien Kyololo

School of Nursing & Midwifery, East Africa

Background Comprehensive pain management in children requires a specialized skillset, with a limited number of clinicians possessing the level of expertise required to successfully navigate the complexities of holistic care. The emergence of pediatric anesthesia fellowship programs in sub-Saharan Africa presents an opportunity to embed a pediatric pain curriculum for trainees, improving the availability of specialist skill and knowledge in the field. Existing pain curricula fall short in addressing the sociocultural aspects of pediatric pain identified through research as being unique to the African context, and do not include elements of leadership and advocacy training required to navigate the complexities …

How Can Librarians In Developing Countries Apply Evidence-Based Information Practices To Enhance Library Services In The Digital Era? A Scoping Review, Jackline Estomihi Kiwelu, Martha Lyaka, Patrick Ngulube

Libraries

This scoping review maps existing literature on how librarians in developing countries apply evidence-based information practice (EBIP), identifying key themes and evidence gaps for future research. The review followed Arksey and O’Malley’s five-stage framework and applied the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 checklist alongside the Critical Appraisal Skills Programme for appraising study quality. From 6,693 records retrieved, ten studies met the inclusion criteria. The mapped studies suggest that librarians apply EBIP in diverse professional activities such as collection development, advocacy, reference services, information literacy instruction, decision-making, evaluation, monitoring performance, and enhancing service quality. Evidence-based approaches were …

Staphylococcus Aureus Prostatic Abscess In A Young Diabetic Patient: A Case Report And Literature Review, Hellen Mram, Musa Machibya, Samina Somji, Arafa Mahmoud, Hussam Uddin

Internal Medicine, East Africa

Introduction: Prostatic abscess is a rare complication of acute bacterial prostatitis, accounting for approximately 0.5% of urologic conditions. It is mostly caused by gram-negative organisms such as Escherichia coli, although Staphylococcus aureus is an increasingly recognized but uncommon pathogen. Clinical presentation is often non-specific with lower urinary tract symptoms, frequently leading to delayed diagnosis. Imaging plays a crucial role in confirming the diagnosis and guiding management.

Case presentation: A 41-year-old diabetic man who initially presented with lower urinary tract symptoms for 1 week that progressed to urinary retention and fever. Was initially diagnosed with acute prostatitis and initiated …

Disseminated Tuberculosis Presenting With A Nodo-Colonic Fistula In A Newly Diagnosed Hiv-Positive Patient: A Case Report From Tanzania, Samina Somji, Salim Surani, Joshua Ngimbwa, Tevin Kahwa, Frank Swai, Fatema Tayabali, Bishoy Rofaeil

Population Health, East Africa

We present the case of a 35-year-old male with no known comorbidities who presented with chronic gastrointestinal (GI) and constitutional symptoms and was empirically treated with several antibiotics during multiple clinic visits at different health facilities. The laboratory test sent included a stool GeneXpert, which was positive for Mycobacterium tuberculosis (MTB). CT imaging revealed multiple necrotic abdominal and retroperitoneal lymph nodes, hypoenhancing splenic lesions, a nodo-colonic fistula between the necrotic retroperitoneal lymph nodes and the adjacent colon, and a mild left-sided pleural effusion. Colonoscopy demonstrated caseating discharge from the fistulous tract 40 cm from the anal verge, and histology showed …

Evaluating The Effectiveness Of Ai Text Humanising Tools In Reducing Ai Detection In Ai-Generated Texts By Ai Detectors, Samuel Nicodemus Epaphras, Fredrick Mtenzi

Institute for Educational Development, East Africa

The use of Generative Artificial Intelligence (AI) tools, such as Gemini and ChatGPT,  is  on  the  rise,  and  it  has  revolutionised  content  generation  in professional and academic domains. However, their increasing sophistication presents challenges in distinguishing AI-generated texts from human-written ones,  raising  concerns  about  integrity,  especially  in  academic  writing.  This study   evaluated   the   effectiveness   of   three   AI   text   humanising   tools: Writesonic, QuillBot paraphraser, and WriteHuman in refining texts generated by ChatGPT and  Gemini.  The study employed  a  comparative  experimental design.  By  employing  quantitative  analysis,  the  study  compares  baseline  AI detection    rates    with    those    after    successive    humanisation    iterations. Comparison  was  also …

Benefits, Challenges, And The Way Forward: Medical Specialists' Perception On Family Physician Integration In Healthcare System In Tanzania, Juvenalius Anselm, Roselyter Riang’A, Neelam Ismail, Davis Rubagumya, Jesca Munishi, Sumayyah Saudin, Lynn Moshi, Willbroad Kyejo, Nancy Matillya

Family Medicine, East Africa

Background Family medicine provides comprehensive care by integrating biomedical, behavioral, and social sciences. While established in some sub-Saharan countries, it remains new and unintegrated in Tanzania’s public health system. Its integration is vital for healthcare reform to enhance patient care and system quality.This study aimed to understand the perceptions of medical specialists regarding the integration of family physicians into the Tanzanian healthcare system.

Methods A descriptive qualitative study was conducted through in-depth interviews with ten medical specialists from Aga Khan Hospital and Muhimbili National Hospital in Dar es Salaam. Thematic analysis was employed in this study.

Results Integration of family …

Mentorship Practices And Perceptions Of Nursing Faculty At The Aga Khan University In Uganda: A Qualitative Study, Mary Namuguzi, Sarah Nakaziba, Shamim Namukasa, Carolyne Namukwaya, Dinah Kassaman, Arnold Mwanzu, Jackline Estomihi Kiwelu, Duncan Osuka, Nazahed Mkiramweni, Ahmed Sarki

School of Nursing & Midwifery, East Africa

Background Mentorship of new faculty helps to reduce the challenges associated with their new roles, as some lack knowledge of teaching pedagogies. This study assessed the mentorship experiences regarding practices and perceptions of new nursing and midwifery faculty at the Aga Khan University School of Nursing and Midwifery (SONAM) in Uganda.

Methodology This study used a phenomenological design. Data were collected in semistructured interviews with 11 participants, and data saturation was reached. Data were organized with NVivo 12 Pro and analyzed using framework analysis.

Findings The main themes that emerged were mentorship practices, perceptions about mentorship, and proposed mentorship guidelines. …

Early Insights From A Multi-Centre National Stroke Surveillance Initiative In Tanzania, Sarah Shali Matuja, Azan Nyundo, Emmanuel Assey, Joel Bwelemo, Marieke Dekker, Sarah Urasa, Emanuel Makarius, Peter Kishimbo, Philip Adebayo, Paschal Ruggajo

Internal Medicine, East Africa

Background: Stroke is a leading cause of death and disability globally, with sub-Saharan Africa, bearing the greatest burden. Tanzania has only one active stroke registry, limiting evidence-based care and policy development. We aimed to expand the registry into a multi-centre study across eight major tertiary hospitals to generate baseline data for a national stroke registry.

Methods: From January to August 2024, we analysed de-identified data from adults (≥18 years) admitted with a World Health Organisation defined stroke. Data collected included demographics, risk factors, imaging, and in-hospital mortality. Logistic regression identified predictors of mortality.

Results: A total of 1000 patients were …