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2023

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Using Information And Communication Technology Among Nsukka Yellow Pepper Farmers In Enugu State, Nigeria, Ugonna Fidelugwuowo Mar 2023

Using Information And Communication Technology Among Nsukka Yellow Pepper Farmers In Enugu State, Nigeria, Ugonna Fidelugwuowo

Library Philosophy and Practice (e-journal)

This study assessed use of Information and Communication Technology (ICT) among Nsukka yellow pepper farmers in Enugu State, Nigeria. The specific objectives of the study were to: present some socio-economic characteristics of Nsukka Yellow Pepper farmers; evaluate the ICT use by the farmers; determine the types and frequency of use of various ICTs; and identify some challenges in the use of ICTs in the study area. Multi-stage sampling procedure was used to select two hundred Nsukka yellow pepper farmers. Data were collected using semi structured questionnaire and interview schedule and were subjected to descriptive and inferential statistics. The results of …


Second Language Acquiescence Of Multilingual Students In Tanzania, Ann E. Roemer Mar 2023

Second Language Acquiescence Of Multilingual Students In Tanzania, Ann E. Roemer

World Languages and Cultures Faculty Publications

This research, conducted at a major university in Tanzania, investigated the personal experiences of multilingual students vis-à-vis the government's language policy requiring Swahili as the language of instruction (LoI) at the primary level and English at the secondary level. The participants, who spoke 25 different languages as their L1, were placed into 49 different language groups and asked to write what they remembered about the language policy where they attended school. The data show that Gramsci's cultural hegemony is occurring in Tanzania. The 'common sense' is that people truly believe English is symbolic of prestige and power–even though few people …


Using Social Media Platforms To Enhance Marketing Of Library Services By Staff At Hamu Mukasa Library, Uganda Christian University, Mukono., Mayira Kizito, Nina Olivia Rugambwa, Vivian Kansiime Mar 2023

Using Social Media Platforms To Enhance Marketing Of Library Services By Staff At Hamu Mukasa Library, Uganda Christian University, Mukono., Mayira Kizito, Nina Olivia Rugambwa, Vivian Kansiime

Library Philosophy and Practice (e-journal)

The study focused on use of social media platforms by library staff to market library services at Uganda Christian University, Mukono. The study objectives included; to identify the types of library services offered by the library, social media used in marketing library services and challenges faced by library staff. The study adopted a case study research design. The study population consisted of 12 library staff who were selected purposively. Data was collected using in-depth interviews and observation methods and was analyzed qualitatively using content and thematic analysis. The study findings revealed that both traditional and online library services were provided …


Barriers Of Iucd Uptake Among Sexually Active Nulliparous University Students In Dar Es Salaam Tanzania, Fatma Shaib Mohamed Mar 2023

Barriers Of Iucd Uptake Among Sexually Active Nulliparous University Students In Dar Es Salaam Tanzania, Fatma Shaib Mohamed

Master of Medicine in Family Medicine

Background Family planning contributes an important role in prevention of unintended pregnancy, unsafe abortion, maternal and child mortality. One of the methods used is an IUCD that help in preventing unintended pregnancy. Un intended pregnancy is a public he alth concern worldwide among younger women, resulting into unsafe abortion. Preventing unintended pregnancies in youth is crucial yet challenging. Few studies have addressed the problem of the low utilization of IUCD among university students. This group is overwhelmed with physiological, social, and economic issues in relation to reproductive health especially on family planning accessibility and use. Gap of knowledge and skills …


Breast Cancer Molecular Subtype Classification According To Immunohistochemistry Markers And Its Association With Pathological Characteristics Among Women Attending Tertiary Hospitals In Tanzania., Allyzain Ismail Mar 2023

Breast Cancer Molecular Subtype Classification According To Immunohistochemistry Markers And Its Association With Pathological Characteristics Among Women Attending Tertiary Hospitals In Tanzania., Allyzain Ismail

Master of Surgery

Background: Breast cancer immunohistochemistry is a biological characteristic of the tumour which has a role to diagnose molecular subtype, prognosticate and guide treatment and categorised into 4 subtypes, Luminal A, Luminal B, Human Epidermal Growth Factor Receptor 2 (HER2) enriched and Triple Negative Breast Cancer (TNBC). Objectives: To determine the prevalence of each molecular subtype of breast cancer and determine their association with pathological and demographic characteristics. Methods: A retrospective cross-sectional study was carried out at two tertiary referral hospitals on participants who were recruited from the cancer registries from 2015-2022 and had a breast tissue biopsy confirming primary breast …


Experiences Of Diverse Health Care Workers’ Providing Maternal Care During The Covid-19 Pandemic: A Qualitative Study At Five Hospitals In Dar Es Salaam, Tanzania., Fatma Zahran Mar 2023

Experiences Of Diverse Health Care Workers’ Providing Maternal Care During The Covid-19 Pandemic: A Qualitative Study At Five Hospitals In Dar Es Salaam, Tanzania., Fatma Zahran

Master of Family Medicine

Background There are drastic changes in patient care with respect to maternity due to the COVID-19 pandemic with negative impact to health care workers. With Interruption of everyday basic services, arose the need to redistribute the scanty health care workers across health care facilities in sub-Saharan Africa. Its effects and involvement on maternity practice in Sub-Saharan Africa are nevertheless to be analyzed. This study aims to explore the likely ramifications for obstetrics and gynecologic practice in Tanzania. At present there are limited studies looking at impacts of COVID-19 in sub-Saharan Africa and Tanzania. No study has been carried out to …


An Assessment Of High-Performance Work System On The Survival Of The Print Media In Tanzania, Frank Sanga Mar 2023

An Assessment Of High-Performance Work System On The Survival Of The Print Media In Tanzania, Frank Sanga

Master of Arts in Digital Journalism

This study assessed the high-performance work system (HPWS) on the survival of print media in Tanzania. The study was guided by three specific objectives namely; (i) to assess the extent to which the high-performance work system is practised in Mwananchi and Nipashe newsrooms, (ii) to assess the correlation between the high-performance work system and the performance of Mwananchi and Nipashe newspapers, and (iii) to examine challenges of practicing HPWS in Mwananchi and Nipashe newspapers. The study was based on qualitative research approach. This approach was applied for the purpose of getting in-depth information from the sample of 24 respondents from …


Implementation Of Evidence-Based Multiple Focus Integrated Intensified Tb Screening To End Tb (Exit-Tb) Package In East Africa: A Qualitative Study, Kahabi Isangula, Doreen Philbert, Florence Ngari, Tigest Ajeme, Godfather Kimaro, Getnet Yimer, Nicholaus P. Mnyambwa, Winters Muttamba, Irene Najjingo, Aman Wilfred Mar 2023

Implementation Of Evidence-Based Multiple Focus Integrated Intensified Tb Screening To End Tb (Exit-Tb) Package In East Africa: A Qualitative Study, Kahabi Isangula, Doreen Philbert, Florence Ngari, Tigest Ajeme, Godfather Kimaro, Getnet Yimer, Nicholaus P. Mnyambwa, Winters Muttamba, Irene Najjingo, Aman Wilfred

School of Nursing & Midwifery, East Africa

Introduction Tuberculosis (TB) remains a major cause of morbidity and mortality, especially in sub-Saharan Africa. We qualitatively evaluated the implementation of an Evidence-Based Multiple Focus Integrated Intensified TB Screening package (EXIT-TB) in the East African region, aimed at increasing TB case detection and number of patients receiving care.

Objective We present the accounts of participants from Tanzania, Kenya, Uganda, and Ethiopia regarding the implementation of EXIT-TB, and suggestions for scaling up.

Methods A qualitative descriptive design was used to gather insights from purposefully selected healthcare workers, community health workers, and other stakeholders. A total of 27, 13, 14, and 19 …


Exploring Current And Future Research Trends On Safety Climate In Construction Projects, Kamugisha Joseph Kajumulo Feb 2023

Exploring Current And Future Research Trends On Safety Climate In Construction Projects, Kamugisha Joseph Kajumulo

Tanzania Journal of Engineering and Technology (TJET)

Clients, consultants, and contractors in the construction industry can benefit from a safety climate by obtaining knowledge of attitudes and perceptions for better safety outcomes. However, the current and future research trends for safety climate in construction projects have not yet been fully examined. In order to solve this problem, a systematic review of previous research findings using a social network approach must be conducted, and future trends for the safety climate in building projects must be identified. Sixty-three peer reviewed articles were gathered to study the literature on safety climate in construction projects. A social network approach was employed …


The Fourth Industrial Revolution: Opportunities And Challenges To The Future Of Mechanical Engineering, Ulingeta O.L. Mbamba Feb 2023

The Fourth Industrial Revolution: Opportunities And Challenges To The Future Of Mechanical Engineering, Ulingeta O.L. Mbamba

Tanzania Journal of Engineering and Technology (TJET)

This paper provides a conceptual overview of the developments of the Fourth Industrial Revolution (4IR) and derives challenges and opportunities for the future of the mechanical engineering profession. The paper broadly defines 4IR as the fusion of technologies and interaction across physical, digital and biological aspects, while defining mechanical engineering as "a multi-faceted discipline that encompasses the teaching, practice and guidance of others in the development and application of scientific principles to mechanical systems". The paper looks specifically at developments in the Internet of Things (IoT), blockchain technology, robotics, Big Data analytics, biotechnology, nanotechnology, 3D printing and artificial intelligence and …


3d Printed Composite Structures For Bone Repair And Drug Delivery Application, Innocent J. Macha Feb 2023

3d Printed Composite Structures For Bone Repair And Drug Delivery Application, Innocent J. Macha

Tanzania Journal of Engineering and Technology (TJET)

Due to the increase in traffic accidents, industrial contingencies, and natural disasters, there is a high demand for bone regeneration biomaterials. Although bone can regenerate and self-repair, it is difficult to do so when the defect area exceeds the critical repair area due to trauma, tumour resection, or congenital diseases. The traditional methods for bone repair are autograft, allograft, and xenograft. However, these methods have flaws and limitations, such as complications in the donor bone area, a limited number of donors, rejection, and infectious diseases. However, in recent years, the use of additive manufacturing technologies in bone tissue engineering has …


Towards Lean Manufacturing In Developing Countries: Research Gaps And Directions In Tanzania, Francis D. Sinkamba Feb 2023

Towards Lean Manufacturing In Developing Countries: Research Gaps And Directions In Tanzania, Francis D. Sinkamba

Tanzania Journal of Engineering and Technology (TJET)

In the current knowledge-driven economy, many industries across the globe are forced to adopt manufacturing technologies such as lean manufacturing to remain competitive in the globalized world. Despite the increase in lean manufacturing implementations, the adoption rate in Tanzania is very low and estimated to be 8 percent. Likewise, the sustainability of lean manufacturing tools and practices is still questionable, which shows the need to develop lean maturity models. To date, several lean maturity models have been developed but there is ARTICLE INFO Submitted: July 5, 2022 Revised: Sept. 28, 2022 Presented: Oct. 20, 2022 a lack of maturity models …


Design Of International Airport Hybrid Renewable Energy System, Aviti Thadei Mushi Feb 2023

Design Of International Airport Hybrid Renewable Energy System, Aviti Thadei Mushi

Tanzania Journal of Engineering and Technology (TJET)

This paper presents the design and simulation of a hybrid renewable energy system utilizing solar and wind energy sources with a backup generator. The demand for reliable electric energy in support of investments in large social and economic development activities such as airport operations has been an agenda worldwide. In Tanzania, Mwanza International Airport (MIA) expects to consume about 18 MVA of electric power annually to support its operations for the next 25 years. About 78-80% of the world's commercial energy comes from fossil fuels. Non-renewable fuels and other negative effects contribute to global warming through greenhouse gas emissions and …


Optimal Energy Management For Off-Grid Hybrid Renewable Energy Systems, Owdean M. Suwi Feb 2023

Optimal Energy Management For Off-Grid Hybrid Renewable Energy Systems, Owdean M. Suwi

Tanzania Journal of Engineering and Technology (TJET)

A photovoltaic (PV)/wind/battery/Generator-Set hybrid power system's energy dispatch is discussed in this research, along with the ideal solution. The optimization model enables the hybrid power system's generating devices to share power appropriately. The main goals are to minimize fuel consumption and costs and maximize the usage of Renewable Energy Sources (RES). The proposed simulation plan succeeds in lowering fuel costs because the diesel generator only kicks on at night and in the early morning when the energy from RES is insufficient to supply the load. The load is supplied with power, and the battery is charged throughout the day, when …


Sensible Heat Bean Cooker, Casiana Lwiwa Feb 2023

Sensible Heat Bean Cooker, Casiana Lwiwa

Tanzania Journal of Engineering and Technology (TJET)

Alternative cooking energy to replace wood fuels is needed in the African context. Liquified Natural Gas (LNG) is a solution but is still based on burning fossil fuel. Electrical cookers can be an alternative as well. However, for off-grid systems this means electrical batteries are required, as the solar electricity from Photovoltaic (PV) panels is intermittent, and as cooking is also to be made after sunset. Heat storage technologies can provide solutions where available energy is stored in the form of heat for cooking when needed. The challenge is then to develop systems which are robust, safe, and technically simple. …


Factors Influencing Total Productive Maintenance Implementation For Thermal Generation Plants, Ismail W. R. Taifa Dr Feb 2023

Factors Influencing Total Productive Maintenance Implementation For Thermal Generation Plants, Ismail W. R. Taifa Dr

Tanzania Journal of Engineering and Technology (TJET)

This study accepts that the technical and administrative factors can amplify effective total productive maintenance (TPM) implementation at thermal generation plants. It is noted that there is a limited number of studies that have attempted to understand the subject of TPM implementation in the energy sector. Noting this shortcoming, the authors thought it crucial to generate empirical evidence on the factors influencing effective TPM implementation for thermal generation plants, with evidence from gas-fired plants. A sample of 88 respondents was selected and consulted. Data were collected through questionnaires and analyzed quantitatively by inferential statistics and qualitatively through thematic analysis using …


Preparation And Characterization Of Microporous Cellulose Membranes As Potential Pathogen Filters, Peresi M. Bulemo Feb 2023

Preparation And Characterization Of Microporous Cellulose Membranes As Potential Pathogen Filters, Peresi M. Bulemo

Tanzania Journal of Engineering and Technology (TJET)

Growth and development in the textile and fashion industry have resulted in the generation of large amounts of industrial pre consumer textile wastes. It is estimated that 10 to 20% of textile fabrics are wasted during garment manufacturing, with most of the wastes being burned or landfilled. Reusing pre-consumer fabric wastes is therefore considered a viable approach to alleviate environmental impacts associated with their disposal. To achieve a higher porosity membrane, pre-consumer cotton fabrics were partially dissolved in a solution of dimethyl acetamide (DMAc) and lithium chloride (LiCl), and the resulting fibre suspension was utilized to prepare a microporous cellulose …


Development Of Solar Pv Systems For Mini-Grid Applications In Tanzania, Seleman Mayanjo Feb 2023

Development Of Solar Pv Systems For Mini-Grid Applications In Tanzania, Seleman Mayanjo

Tanzania Journal of Engineering and Technology (TJET)

Access to electricity offers great benefits to development through the provision of reliable and efficient energy sources in the country. Majority of the population living in the remote and rural areas of developing countries mostly sub-Saharan Africa are not supplied with electricity. Although the governments through their electricity companies put their effort to extends the grid distribution networks to remote and rural areas still the coverage were not sufficiently enough due to growing demands for safe and reliable electricity. However, solar as a source of energy remains the least utilized energy source in many countries including Tanzania. Solar Photovoltaic (PV) …


A Mathematical Algorithm Approach For Estimating Water-Based Paint Requirements For A Given Wall, Ismail W. R. Taifa Dr Feb 2023

A Mathematical Algorithm Approach For Estimating Water-Based Paint Requirements For A Given Wall, Ismail W. R. Taifa Dr

Tanzania Journal of Engineering and Technology (TJET)

The research aimed to improve the accuracy of estimating water based paint requirements for a given wall using mathematical algorithms. The approach used in this study included a survey and document review to obtain details concerning paint. The study focused on water-based paints, including silk, weather guard, emulsion hi-cover and polyvinyl acetate (PVA) roof paint used in Tanzania’s building and construction industry. Data collected from the field study were analysed systematically. It was observed that there is a high level of familiarity in improving the accuracy of estimation of the required water-based paints, namely silk, weather guard, emulsion hi-cover and …


Extraction And Characterization Of Collagen From Cattle Horns For Potential Wound Healing, Yeriko Halson Feb 2023

Extraction And Characterization Of Collagen From Cattle Horns For Potential Wound Healing, Yeriko Halson

Tanzania Journal of Engineering and Technology (TJET)

The need for bandages and gauze for wound dressing and healing is inevitable due to the high increase in accidents. Most of the material used for the production of bandages and gauzes for wound healing are from non-renewable synthetic material. The sustainability of non renewable resources is at jeopardy due to the health and associated environmental impact. Consequently, the use of naturally occurring and biodegradable material is a promising solution to the sustainability challenges of synthetic material. In this paper, the extraction of collagen films from cattle horns for potential wound healing is reported. Collagen was extracted from cattle horns …


Current And Future Trends Of Construction Project Performance Models: A Review, Method Mtana Feb 2023

Current And Future Trends Of Construction Project Performance Models: A Review, Method Mtana

Tanzania Journal of Engineering and Technology (TJET)

The construction industry (CI) has experienced outstanding growth and contributed to economic growth for many countries, with enormous foreign investments that require quality projects. High pressure to reduce the construction cost and time commonly put the industry at risk of lower quality and safety of the construction facilities. Like many other developing countries, Tanzania needs more stringent quality control measures in the construction sector to contribute positively to sustainable growth. This study thus reviews current and future trends in construction industry performance in Tanzania. The literature review on construction projects (CPs) performance is based on information on time overruns from …


Studying Dielectric Losses Of Serially Combined Silicone Rubber And Epoxy Resin, Aviti Thadei Mushi Feb 2023

Studying Dielectric Losses Of Serially Combined Silicone Rubber And Epoxy Resin, Aviti Thadei Mushi

Tanzania Journal of Engineering and Technology (TJET)

High voltage outdoor insulation systems are conventionally ceramics and glass with several advantages, such as proven in the field, excellent dielectric properties, durability, and long life. However, they are heavy, attract vandals and break easily, and they can lose their dielectric properties easily when subjected to high voltage transients, arcing, and surges. To curb this, polymer insulators are used because they have excellent dielectric properties, such as those of ceramics and glass, with the added advantages that they do not break easily and recover their lost dielectric properties after any electrical transients. Therefore, this paper investigates the dielectric properties of …


Towards The Development Of A Framework For Assessing Organizational Governance Maturity For Technical Audit Of Public Works, George Haule Feb 2023

Towards The Development Of A Framework For Assessing Organizational Governance Maturity For Technical Audit Of Public Works, George Haule

Tanzania Journal of Engineering and Technology (TJET)

The quality of the audit work and its products is often associated with the organizational maturity of the audit function. The absence of a well-defined organizational maturity for an audit function leads to poor quality of audit work or products and ineffective audit function. The lack of a framework for measuring governance maturity was identified as a major deterrent factor to the attainment of quality audit work. Measuring the governance maturity of the technical audit of public works is challenging due to the absence of a maturity framework that fits its needs. The noted shortcomings include: (a) existing maturity frameworks …


Cellulose-Keratin Supramolecular Composite: Conformation By Combined Fourier Transform Spectroscopy And Partial Least Square Regression Coefficient, Ngesa Ezekiel Mushi Dr Feb 2023

Cellulose-Keratin Supramolecular Composite: Conformation By Combined Fourier Transform Spectroscopy And Partial Least Square Regression Coefficient, Ngesa Ezekiel Mushi Dr

Tanzania Journal of Engineering and Technology (TJET)

Keratin and cellulose are important nano components with excellent mechanical and biological properties. However, the preparation route through dissolution in organic solvents to make manmade materials is challenging because of their intensive bonding interaction characteristics. Structural modification of the natural attributes is difficult to maintain after polymer regeneration. A new technique by a green route was devised to dissolve keratin from wool, hair, and feather with cellulose in situ using 1-Butyl-3-methylimidazolium chloride [BMIm] + Cl- ionic liquid as a solvent. The mixture of keratin and cellulose homogeneously and synergistically resulted in a supramolecular composite film through non-derivatized mechanochemical interactions. The …


Comparison Of On-Line Partial Discharge Detection Techniques For High Voltage Power Cable Joints And Terminations, Aviti Thadei Mushi Feb 2023

Comparison Of On-Line Partial Discharge Detection Techniques For High Voltage Power Cable Joints And Terminations, Aviti Thadei Mushi

Tanzania Journal of Engineering and Technology (TJET)

Cable joints and terminations play a vital role in providing dependable electrical connection, mechanical support and physical safeguard. These provide electrical stress control to shielded power cables. Despite their usefulness, they suffer from partial discharges (PD) because of enhanced voltage stress, moisture ingress and poor workmanship (during installation). Therefore, it is necessary to undertake on-line PD detection to determine their state. Some of these techniques are capacitive coupler (CC); acoustic emission (AE); and high frequency current transducer (HFCT). This article presents a literature review of these techniques based on the cost, availability, and applicability. The comparative analysis is also provided …


Designing And Manufacturing Of Vegetable Slicing Machine, Juma Nuhu Msuya Feb 2023

Designing And Manufacturing Of Vegetable Slicing Machine, Juma Nuhu Msuya

Tanzania Journal of Engineering and Technology (TJET)

Agro-processing industry is faced with a challenge of slicing of vegetables for immediate consumption. This stems from the fact that the traditional slicing methods use bare hands, and knives. This method is faced with shortcomings of inefficiency, poor hygiene, and significant dangers to injury. If vegetables are not sliced, their drying takes longer, may possibly be spoiled, and cannot be stored for future uses. Therefore, this paper strives to design a vegetable slicing machine to increase the efficiency of the drying process as a post-processing step. The study employed a Pugh’s design model to design the machine and manufacture it. …


Using Of Open Access Institutional Repository Policy For Collecting Content In Oairs, Anna Mbughuni Feb 2023

Using Of Open Access Institutional Repository Policy For Collecting Content In Oairs, Anna Mbughuni

Library Philosophy and Practice (e-journal)

The main objective of this study is to investigate how OAIRs policy can be used to collect the content in OAIRs. Systematic random and purposive sampling procedures were used to obtain a total of 292 respondents and 8 key informants. A structured questionnaire, in depth interview and secondary data were used to collect quantitative data and qualitative data. Quantitative data were analyzed by using SPSS version 22 and qualitative data were analyzed by using content analysis. Key findings revealed that 46.2% of respondents were aware of the OAIR policies and more than half (54.8%) were not aware of the OAIR …


Advancing The Agenda In Girls’ Education Research, Benta Abuya, David Evans, Selim Gulesci, Nicole Haberland, Susannah Hares, Rabea Malik, Alessia Mortara, Pauline Rose Feb 2023

Advancing The Agenda In Girls’ Education Research, Benta Abuya, David Evans, Selim Gulesci, Nicole Haberland, Susannah Hares, Rabea Malik, Alessia Mortara, Pauline Rose

Adolescents and Young People

No abstract provided.


Analysis Of Kenya’S Print Media Framing Of The Dusit D2 Terror Suspects, Ibrahim Galgalo Bocha Feb 2023

Analysis Of Kenya’S Print Media Framing Of The Dusit D2 Terror Suspects, Ibrahim Galgalo Bocha

Master of Arts in Digital Journalism

The reporting of Terror Incidents (TIs) by the media in Kenya started when the first case was reported under the reign of President Jomo Kenyatta (1963-1978), with the first incident reported in 1980, when Palestinian militants staged an attack at Norfolk Hotel on New Year’s eve. Whereas the media has had to balance covering TIs in a timely, factual and objective manner, journalists also need to frame their narratives to reflect the event's social, economic and psychological dimensions. They strive to avoid sensationalism, bias and a presentation of facts that could be seen to fan militants’ propaganda. This study aimed …


Patient-Level And System-Level Determinants Of Stroke Fatality Across 16 Large Hospitals In Ghana And Nigeria: A Prospective Cohort Study, Fred S. Sarfo, Onoja M. Akpa, Bruce Ovbiagele, Albert Akpalu, Kolawole Wahab, Reginald Obiako, Morenikeji Komolafe, Lukman Owolabi, Godwin Ogbole, Philip Adebayo Feb 2023

Patient-Level And System-Level Determinants Of Stroke Fatality Across 16 Large Hospitals In Ghana And Nigeria: A Prospective Cohort Study, Fred S. Sarfo, Onoja M. Akpa, Bruce Ovbiagele, Albert Akpalu, Kolawole Wahab, Reginald Obiako, Morenikeji Komolafe, Lukman Owolabi, Godwin Ogbole, Philip Adebayo

Internal Medicine, East Africa

Background: Every minute, six indigenous Africans develop new strokes. Patient-level and system-level contributors to early stroke fatality in this region are yet to be delineated. We aimed to identify and quantify the contributions of patient-level and system-level determinants of inpatient stroke fatality across 16 hospitals in Ghana and Nigeria.

Methods: The Stroke Investigative Research and Educational Network (SIREN) is a multicentre study involving 16 sites in Ghana and Nigeria. Cases include adults (aged ≥18 years) with clinical and radiological evidence of an acute stroke. Data on stroke services and resources available at each study site were collected and analysed as …