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Improving Nursing Education Curriculum As A Tool For Strengthening The Nurse–Client Relationships In Maternal And Child Healthcare: Insights From A Human-Centered Design Study In Rural Tanzania, Kahabi Isangula, Eunice Pallangyo, Eunice Ndirangu

School of Nursing & Midwifery, East Africa

Background. There are growing evidence of poor nurse–client relationships in maternal and child health (MCH). The nursing curriculum forms an important entry point for strengthening such relationships, consequently improving client satisfaction with nurses' competencies, confidence in the formal healthcare system, healthcare-seeking practices, continuity with care, and MCH outcomes.

Objective. MCH nurses and clients were invited to design an intervention package (prototype) to improve nurse–client relationships using a human-centered design (HCD) approach.

Methods. A multi-step HCD approach was employed to first examine the contributors of poor nurse–client relationships using nine focus group discussions with nurses and clients and 12 key informant …

Cultural Factors Associated With Human Trafficking Of Girls And Women In Northern Tanzania: The Case Of Arusha Region, Rehema John Magesa

Dignity: A Journal of Analysis of Exploitation and Violence

Human trafficking is persistent in many regions of Tanzania despite different efforts to reduce the practice by the Government and other stakeholders. Girls and young women are more affected by this practice in violation of their human rights than men and boys. This study explored the cultural factors attributing to the trafficking of girls and women in Northern Tanzania. The study involved 400 girls and young women for a quantitative and qualitative study on cultural determinants of human trafficking. The study found the following cultural practices pushed girls and women towards situations in which they could be trafficked: female genital …

The Efficacy Of Blended Learning In A Pediatric Spine Deformity Management Program In Sub-Saharan Africa, Alaaeldin Ahmad, Abdallah Abushehab, François Waterkeyn, Beverly Cheserem, Massimo Balsano, Christopher Bonfield, Hamisi Shabani, Juma Magogo, Bryson Mcharo, Costansia Bureta

General Surgery, East Africa

Introduction: Our study assessed the efficacy of blended learning, which combines in-person learning and e-learning, in a pediatric scoliosis training program through an international collaborative effort.

Methods: The course comprised two parts: the online portion, where participants reviewed educational materials for 3 weeks and met with faculty once/week for discussion, and the in-person session, where participants reviewed cases in a team-based approach and came to a consensus on treatment strategy, followed by discussion with an international expert. All participants completed a needs assessment (NA) and clinical quiz at three points: before the course, after the online session, and after the …

The Nexus Between Leadership And Implementation Of Education Infrastructure Development Policy Goals In Tanzania: Reflections From Kinondoni Municipal Council, Theresia Mdanya, Mrisho Malipula Dr

BISNIS & BIROKRASI: Jurnal Ilmu Administrasi dan Organisasi

This study assessed the association between leadership attributes and qualities in the implementation of education infrastructure development policy goals in Tanzania using Kinondoni Municipal Council as a case. A concurrent mixed-method triangulation of qualitative and quantitative data was employed to explore the nexus between leadership attributes and qualities in implementing education infrastructure development policy goals in Tanzania. The data used in this study was garnered from face-to-face interviews with 92 respondents recruited from a population of 288 Kinondoni Municipal Council workers and a review of documentary sources relevant to the study. The application of primary data from interviews and desk …

Potrait Of Public Private Partnership Policy Substances In Regional Hospitals In Indonesia, Masyitoh Basabih

Journal of Indonesian Health Policy and Administration

Public Private Partnership (PPP) is a strategy of the Indonesian Government to deal with budget constraints and overcome gaps in infrastructure, access, and quality of health services. PPP on the operational cooperation (KSO) model is the oldest and most widely applied practice by regional hospitals in Indonesia. The implementation of KSO must refer to government policies in the form of laws and regulations. Since its initial implementation until today, the Ministry of Home Affairs, as the body that oversees the local government, has not carried out a comprehensive evaluation of the KSO policy. This study was carried out by conducting …

Ubuntu’S Ontological Account In African Philosophy And Its Cross-Tradition Engagement On The Issue Of Being Versus Becoming, Anthony Chimankpam Ojimba

Comparative Philosophy

This paper x-rays Ramose’s ubuntu ontological account in African philosophy and its cross-tradition engagement on the issue of being versus becoming (such as the Yin-Yang, Heraclitean, Nietzschean, Whiteheadean and the Buddhists’ accounts) with a view to showing how convergence and divergence of thoughts in the African, European, and Asian philosophy contexts can advance cross-cultural philosophizing or cross-tradition approach to doing philosophy. Ramose’s ubuntu ontology designates a reconstruction of reality within the framework of motion, as captured in his concept of be-ing-becoming, while the Heraclitean, Nietzschean, Whiteheadean and the Buddhists’ ontological accounts also conceive reality within the confines of endless …

Kaunda And The Liberation Of Namibia: Towards An Assessment, Chris Saunders

Zambia Social Science Journal

When he died in June 2021, Kenneth Kaunda was widely hailed for his support for Southern African liberation movements. This paper considers the case of Namibia and the South West Africa People’s Organisation (SWAPO) and asks how Kaunda went about trying to bring about the liberation of Namibia in the 1970s and 1980s. He initially let SWAPO military operations take place from Zambia. SWAPO had its headquarters in Zambia in the 1970s, and many thousand Namibian refugees settled in Zambia. In international fora Kaunda gave SWAPO full support, and he backed the establishment of a United Nations (UN) Institute for …

Momentum: Research & Innovation For Spring 2023, University Of Rhode Island

Publications (Research and Economic Development)

The Spring 2023 issue of Research & Innovation, a periodical focused on research at the University of Rhode Island.

Integrated Support And Network Systems For Waste Management And Poverty Reduction: Formalisation Of Informal Waste Pickers In Northern Malawi, Ambelire Ghambi

Regis University Student Publications (comprehensive collection)

This paper seeks to explore an integrated support and network systems for waste management and poverty reduction through formalisation of informal waste pickers in northern Malawi. A systematic literature review on 50 peer reviewed papers, articles and books found that 70% of Malawi’s waste goes uncollected (United Nations Habitat, 2011) and is left in open dumpsites, roadside, streets, and river banks. Waste management (waste handling, collection, and disposal) remains a challenge in all municipalities and cities of Malawi. The local government’s inefficient and ineffective waste management is because of poor policy environment, centralised control of decision on waste, lack …

Trends Of Intra-Facility Births Outcomes Before And During Covid-19 Era In Dar Es Salaam, Tanzania, Willbroad Kyejo

Master of Medicine in Family Medicine

Background While substantial progress had been made in reducing maternal deaths, there was a risk that the COVID-19 pandemic might have reversed the progress made in maternal and newborn health in the last two decades. As such, maternal and newborn outcomes had been a topic of interest during the pandemic. Objectives This study aimed to compare the number of childbirths as an indicator of maternal health service utilization and to assess maternal and newborn outcomes before COVID-19 (2011-2019) and during the COVID-19 pandemic (2020/2021) in 22 health facilities in Dar es Salaam. Methodology A retrospective cohort study was conducted at …

Current Status And Priorities Of Paediatric Oncology Nursing In Africa: A Synthesis Of Perspectives From Siop Africa Nurses, Glenn M. Afungchwi, Elianeth Kiteni, Mariam Ndagire, Biemba Maliti, Julia M. Challinor, Rachel Hollis

School of Nursing & Midwifery, East Africa

Introduction. As African countries adopt the global goal of improving childhood cancer survival to 60% by 2030, intentional actions are required to improve nursing. This report aims to describe the current status of paediatric oncology nursing in Africa.

Methods. We report on nursing-related aspects of a survey to map paediatric oncology services in Africa (2018–2019), document perceived nursing strengths and weaknesses (2017) and share nurses’ research priorities (2019). Additionally, we report on a survey to identify topics for a foundation course (2019) and the expressed perspective of African nurses about the status of paediatric oncology nursing across the continent (2022). …

Reflections On The Victorian(Ist) Impulse To Totalize Africa, Adrian S. Wisnicki

Department of English: Faculty Publications

IN this essay, I offer some reflections on how Victorianists might understand nineteenth- and early twentieth-century discursive practices for mapping Africa. In doing this, I respond to what Sukanya Banerjee, our panel organizer, asked us to do in determining the focus for our essays—namely, that we direct “attention to topics in Victorian studies that [we] feel might otherwise be overlooked or viewed differently.” In what follows I introduce and problematize a series of Victorian-era maps or, more specifically, problematize what such maps represent conceptually, then offer some alternate means by which Victorianists might critically engage with cultural and social reality …

Investigating Students’ Conceptualization Of Linear Programming In Mathematics, A Case Of A Secondary School In Rachuonyo East Sub-County, Kenya, Opiyo Collince Oyaya

Master of Education

Mathematics is a compulsory subject in the Kenyan education system from pre-primary to secondary education. The ministry of education through the introduction of the 8-4-4 system of education in 1985 made Mathematics compulsory owing to its vast application in a wide range of spheres and professions. It is argued that proficiency in mathematics propels both economic and technological advancements. To further enhance delivery in this subject area, the ministry of education initiated SMASSE for science and mathematics teachers to help in simplifying the ‘high order’ concepts such as calculus, loci, and linear programming among others. Linear programming is applicable in …

Exploration Of Factors Contributing To Low Achievement Of Learners In Chemistry At Ordinary Secondary Level. A Case Study Of A Mixed Secondary School In Katrini Sub-County, Terego District, Uganda., Andrew Ababo

Master of Education

The performance of learners in the ordinary secondary section has been low over the years in Uganda. Many learners fail to pass chemistry at ordinary secondary level as such, very few students offer the subject at higher levels. The general purpose of this study was to explore factors contributing to low achievement of learners in chemistry at ordinary secondary section in a mixed secondary school in Katrini sub-county, Terego district, Uganda. A qualitative research approach with a case study design was applied. The sample size had twenty-two participants made up of ten females and twelve males in the following categories: …

Investigating The Role Of Play In Children’S Socio-Emotional And Cognitive Development: A Study In Three Public Preprimary Schools In Temeke Municipality., Farida Idd

Master of Education

Whilst play has been initiated by various philosophers and psychologists in early childhood education, the researcher sought to investigate the role of play in children’s socio-emotional and cognitive development in selected public pre-primary schools in Temeke Municipality and found out that teachers encourage a different kind of play to stimulate children’s development. This was a qualitative research approach whereby the researcher employed a case study design to get in-depth details from participants’ insights, expressions, and feelings based on their natural setting concerning the role of play in children’s development, and multiple ways of data collection were considered. The findings from …

Exploring The Use Of Digital Technologies In Early Childhood Teacher Education: A Case Of A Core Primary Teachers’ College In Uganda., Richard Anywar

Master of Education

This qualitative case study interrogated the use of digital technologies in Tera CPTC (pseudonym) in Northwestern Uganda under three research questions, namely: (1) What are the digital technologies teacher educators use to improve ECTE at Tera (pseudonym) CPTC? (2) How do teacher educators use digital technologies to improve Early Childhood Teacher Education? (3) What challenges do the ECE teacher educators face with the use of digital technologies to improve teaching and learning at Tera CPTC? Data was collected using classroom observation, focus group discussion, and semi-structured interviews. Three tutors and twenty-four teacher trainees participated in the study. Study findings revealed …

An Investigation On How Lower Primary School Teachers Are Developing Learners’ Digital Literacy Competencies: A Case Study Of A Primary School In Mtwapa, Kilifi County, Kenya, Judy Kinyanjui Wangui

Master of Education

Digital literacy has become a prerequisite in today’s learning due to the much-needed technological skills required in the 21st century for academic achievements, career development, and daily living. With the introduction of the Competency-Based Curriculum (CBC) in Kenya, studies have shown that teachers received limited in-service induction on CBC, raising questions on how teachers are developing learners’ digital literacy competencies (LDLC), yet little has been done to enhance teachers’ understanding of how this specific competence ‘digital literacy’ should be developed. This study investigated how primary school teachers are developing lower primary school LDLC. The study employed a qualitative approach that …

Factors That Influence Girl Child Performance In Science In Upper Primary Classes: A Case Of Two Selected Primary Schools In Arua District, Uganda., Ajuko Anna Grace

Master of Education

This study explored the factors that influence girl child performance in integrated science in upper primary classesin two primary schools in Arua district, Uganda. The findings are reflected in the themes; how girls perform in integrated science, factors that influence girls’ performance and strategies that can be used to improve girls’ performance in integrated science in primary schools. This study embraced a qualitative research approach and a case study design. The study sample comprised of thirty (30) participants which included two head teachers from the two selected primary schools, four teachers of science two from each school of study who …

An Analysis Of Tpd: Approaches, Challenges And Implication For The Transfer Of Knowledge And Skills To The Workplace, Baraka Mumo Kilonzo

Master of Education

This study explored transfer of knowledge and skills from teacher professional learning activities to the workplace. A concurrent mixed method was adopted. Data was collected using questionnaire, FGD and interview. The study was carried out among teachers in public secondary schools in Makueni county in Kenya. The respondents included classroom teachers, principal as well as TPD provider. Findings suggest that the transfer of training into the classroom is influenced by trainee characteristics, training design and work environment which were studied. In addition, findings revealed that while there is a sufficient supply of subject based TPL programs, the quality of these …

Exploring Head Teachers’ Support For Online Learning During The School Closure As A Result Of Covid-19: A Case Of Two Primary Schools In Mombasa County, Kenya, Juma Rashid Haji

Master of Education

The emergence and spread of COVID-19 in the world prompted most governments to close all educational institutions to halt the spread of the virus. Schools in Kenya were closed for nearly 7 months, resulting in a learning loss. The Kenyan government promoted online learning through mass media such as television and radio, while the Kenya Institute of Curriculum Development (KICD) uploaded learning resources to their i-cloud educational portal. However, students and teachers faced several challenges that made it difficult for such headteachers to provide effective support for online learning. The researcher selected two primary schools, two headteachers, two deputy headteachers, …

Examining The Status Of Professional Learning Communities In Private And Public Secondary Schools In Makindye Division, Kampala, Uganda, Bugembe Steven

Master of Education

The power of collective synergy while participating in professional learning communities is a relatively recent phenomenon in educational professional development. It has received a great deal of attention on the educational scene due to its roots in the majority of developed countries. Fortunately, professional learning communities are equated to what is referred to as site-based learning for teachers in Uganda's continuous professional development framework for teachers. This is a teacher-led initiative aimed at improving teacher quality and encouraging collaborative professional development. Since its introduction by the Education Ministry (MoES, 2017), the practice and implementation, as well as the rate of …

Effectiveness Of Teachers’ Continuous Professional Development (Cpd) In Enhancing Learners’ Achievement In Selected Primary Schools In Abim District, Akech Venty Obura

Master of Education

This qualitative study using case study design sought to explore the effectiveness of Teachers’ Continuous Professional Development (CPD) in enhancing learners’ achievement in primary schools of Abim district in Uganda. There are numerous CPDs in Abim district whose expected outcome is improved learners’ achievement but there is little evidence to authenticate that. A total sample of thirteen (13) respondents participated. The study used interviews and Focussed Group Discussion as methods of collecting data from sampled participants. Data collected, consisted of information about respondents’ understanding of CPD, organisation, implementation, and evaluation. The participants understood CPDs in many different ways. The study …

Exploring The Influence Of One-On-One Peer Support On Academic Performance And Career Pathway Choice For Students With Visual Impairment: A Case Of A Selected Secondary School In Kilimanjaro Region, Gerald John Kimaro

Master of Education

This study explored the influence of one-on-one peer support on the performance and career pathway choice of students with Visual Impairment (VI) in secondary school. The study adopted a qualitative research approach with a case study design. The sampling was purposive and the sample size comprises four teachers (One academic teacher, the head of the special need department, one teacher from STEM and one teacher from the social science department) and ten students (five pairs of one-on-one peer support from Form three class). The study employed an interview guide, focus group discussion guide and document analysis protocol as the instruments …

Exploring How Advanced-Level Biology Teachers Integrate Ict In Teaching And Learning,A Case Of One Public Secondary School In Songwe Region, Tanzania, Rose John Shiyo

Master of Education

Information and Communications Technology (ICT) has pedagogical advantages that can help teachers design, teach, and assess biology lessons. The aim of this study was to explore how teachers integrate ICT during the teaching of Biology at A-level classes in Songwe region, Southern Tanzania. The research site of this study is one public advanced-level secondary school in the Mbozi district. The purposive sampling technique was used to get the sample comprising two, A-level biology teachers, one ICT technician, one laboratory technician, and six students from A-level classes who were persuing a science subject combination known as CBG (Chemistry Biology Geography). This …

Views And Opinions Of Mass Media Key Informants On Coverage Of Issues Related To Maternal, Newborn And Child Health In Lake Zone, Tanzania, Violeth A. Mbuni, Nyagwegwe Wango, Elias C. Nyanza

Institute for Educational Development, East Africa

In Tanzania, the mass media is a primary means of communicating health information to urban and rural populations. While unsafe abortion is the leading cause of maternal deaths and complications in Tanzania, this has increased the high unintended pregnancy rate. Journalists, editors, program managers and producers play a significant role in determining the health-related issues reported. In the present study, the views, and opinions of mass media key informants on coverage of issues related to maternal, newborn and child health in Lake Zone were investigated. This qualitative study was conducted with key informants from 24 mass media outlets that covered …

Exploring Student Teachers’ Knowledge And Use Of Problem-Solving Teaching Strategy In A Science Classroom: A Case Of A Selected Ptc In Lira District, Uganda., Okelo Geofrey

Master of Education

The problem-solving teaching strategy is the key scientific pedagogy that develops a conceptual and contextual understanding of scientific knowledge, skills, and attitude in real life. This study aimed to explore the student teachers' knowledge and use of problem-solving teaching strategies in a science classroom. The study involved a case study at one specifically selected Primary Teachers' College in the Lira district. It purposefully involved 10 student teachers from a selected PTC conducting their final school practice while their learners participated in science lessons. Semi-structured interviews with the student teachers, classroom observations, document reviews, and analysis were used to gather qualitative …

Exploring Ways In Which Teachers Use Low-Cost No-Cost Resources To Develop Learners’ English Language Skills In A Public Primary School In Ilala District In Dar Es Salaam-An Action Research, Hannah Edwin Kimaro

Master of Education

The use of teaching and learning resources by teachers influences the development of the four English language skills. Literature has demonstrated the significance of resources in English classrooms, particularly for English language learners whose first language is not English. In Tanzania, the majority of learners attend public primary schools where the language of instruction is Kiswahili in all subjects except English, and thus the majority of them struggle to achieve the desired level of effective English development even as they progress to secondary school because of their poor English language background. Several factors, including a lack of use of English …

A Rare Case Report Of Tuberculosis Endometritis In A Private Hospital Dar Es Salaam, Tanzania, Willbroad Kyejo, Brenda Moshi, Daudi Gidion, Muzdalfat Abeid, Samina Somji, Munawar Kaguta, Miriam Mgonja

Faculty of Health Sciences, East Africa

Tuberculosis endometritis is a pathological diagnosis and has been always over shadowed by pelvic tuberculosis. It is usually asymptomatic, but patients could complain of menstrual irregularity and per vaginal discharge. We report a case of a 37-year-old female who presented with per vaginal discharge for 2 years. Histopathology showed numerous caseating and non-caseating granulomas with plasma cells, Ziehl–Neelsen stain for acid fast bacillus is positive, and she was initiated on anti-tuberculosis treatment. On subsequent follow-up visits, patient was doing well with complete resolution of symptoms. Genital tuberculosis is usually caused by reactivation of organism from systemic distribution during primary infection. …

การเปรียบเทียบอัลกอริทึมวิเคราะห์หาสาเหตุการตายโดยการสัมภาษณ์เมื่อมีข้อมูลไม่สมบูรณ์, ณัชชา สุวันทารัตน์

Chulalongkorn University Theses and Dissertations (Chula ETD)

การศึกษาการเปรียบเทียบประสิทธิภาพของอัลกอริทึมในการวิเคราะห์หาสาเหตุการตายจากการสัมภาษณ์ (Verbal Autopsy) เมื่อมีระดับความไม่สมบูรณ์ของข้อมูลที่ต่างกัน ทำโดยเปรียบเทียบ 5 อัลกอริทึมในการแปลผลหาสาเหตุการตาย คือ InSilicoVA InterVA-5 Tariff Naïve Bayes Classifiers (NBC) และ Random Forest (RF) ในการจำแนกหาสาเหตุการตายเมื่อไม่มีการหายของข้อมูล มีการหายของข้อมูล 5% มีการหายของข้อมูล 10% และ มีการหายของข้อมูล 20% โดยเกณฑ์วัดในการประเมินประสิทธิภาพของอัลกอริทึมคือ ระยะเวลาในการทำงาน ค่าความถูกต้อง ค่า Chance-Concordance Corrected (CCC) ค่า Cause Specific Mortality Fraction (CMSF) accuracy ค่า Sensitivity และ ค่า Specificity ซึ่งข้อมูลที่นำการวิเคราะห์ในงานวิจัยนี้คือข้อมูล PHMRC Gold Standard ที่เป็นข้อมูลของผู้ใหญ่จำนวน 7,841 ตัวอย่าง จากการศึกษาพบว่าข้อมูลสมบูรณ์ทำให้มีประสิทธิภาพดีกว่าข้อมูลที่มีการทำให้หาย มีค่าตัวชี้วัดดีกว่าในทุกระดับการหายของข้อมูลและตัวชี้วัดข้างต้นที่กล่าวมาจะค่อยๆ ลดลงตามระดับการหายที่เพิ่มขึ้น VA อัลกอริทึมที่มีประสิทธิภาพในการแปลผลดีที่สุดคือ RF ในทุกระดับการหายของข้อมูลจากทุกดัชนีชี้วัดยกเว้นระยะเวลาในการทำงานและกลุ่มที่ใช้วิธีคิดแบบ data-driven อัลกอริทึมเช่น RF, Tariff และ NBC จะมีประสิทธิภาพในการแปลผลดีกว่า InSilicoVA และ InterVA 5 อาจเป็นเพราะเมื่อข้อมูลที่ใช้ในชุดเรียนรู้ในมีความครบถ้วนและสะท้อนกับข้อมูลชุดทดสอบแตกต่างกับวิธีที่ใช้หลักทางสถิติที่จะใช้ข้อมูลในการแปลผลข้อมูลมาจากแพทย์หรือผู้เชี่ยวชาญมากกว่าให้อัลกอริทึมการแปลผลเรียนรู้จากชุดเรียนรู้

Exploring Science Teachers' Preparedness For The Implementation Of The Competency-Based Curriculum In Secondary Schools In Rachuonyo South Sub-County, Kenya, Godwin Otieno Oduor

Master of Education

The purpose of the study was to find out how well prepared science teachers are for the implementation of the Competency-Based Curriculum (CBC) at the Secondary Education Level (SEL) in Rachuonyo South Sub-County. The study also looked at science teachers' training, Pedagogical Content Knowledge, technological skills, and attitudes toward CBC implementation. A descriptive survey design was used in the study, with a target population of 344 people, including 43 secondary school deputy head teachers, 43 science department heads, and 258 science teachers from all 43 secondary schools in the study area. Questionnaires were administered to science teachers and interview guides …