Digital Commons Network^™

The Status Of Counselling Services For Students With Visual Impairments In Tanzanian Universities, Batista Francis Mgumba

Journal of Humanities and Social Sciences

This article assesses the extent to which counselling services address the special needs of students with visual impairments in Tanzanian universities. The objectives are to: (i) analyse supportive counselling services available for handling social-psychological and educational problems facing students with visual impairments; and (ii) assess the extent to which the available counselling services are capable of addressing social-psychological and educational needs of students with visual impairments. To a great extent, the study was informed by the solution-focused therapy; the cognitive-behavioural therapy; and by the sensory integration therapy. The research employed a multiple case study design with a qualitative approach. Three …

Structural Analysis Of Code-Switching In Tanzanian Swahili-English Online Telecom Adverts, Emmanuel Ilonga Dr

Journal of Humanities and Social Sciences

This study analyses structural configurations of code-switching from Swahili-English online business-related advertisements in Tanzania. The study uses advertisements disseminated by telecom corporations on Facebook. Through the matrix language frame (MLF), and the 4–M models of code-switching, the study discloses the dominance of Swahili as the matrix language (ML), supplying a relatively higher quantity of content morphemes (CM) in clauses; whilst English becomes the embedded language (EL). The Swahili’s supremacy in larger mixed language structures reflects the higher application of Swahili in day-to-day interactions in Tanzania, while English ‘chips in’ at times. In bundle names, which are phrases in structure, the …

Facilitating Accommodation Of Learners With Disabilities In Summative Assessment Of Literacies In Tanzania Through Mobile Application, Musa Saimon, Fredrick Mtenzi

Institute for Educational Development, East Africa

Summative Assessment of Language Literacies in Tanzania is administered in the form of a Paper-and-pencil assessment. This kind of assessment hardly accommodates learners with disabilities such as visually impaired ones because it does not allow adjustment of the font size to suit the reader’s needs. As a result, such students might end up being judged as failures in such assessments while their failure is attributed to the nature of the assessment rather than their lack of competence in language literacies. Therefore, to improve the existing situation, the present study investigated the contribution of mobile applications to accommodating learners with diverse …

Gender: A Useful Category Of Analysis For Tanzanian Researchers, Florence Wenzek

Journal of International Women's Studies

This article enriches reflections on the circulation of the concept of gender in the Global South by looking at the transformations of Tanzanian research on gender in education between the 1970s and the early 1990s. A close reading of the texts shows how the concept of gender has been used in this field of study since 1990; it considers variations depending on authors and their positioning. Comparing this with the writings of the 1970s and 1980s, when no one used the concept, reveals how it contributed to epistemological change. The article also reflects on the respective role of local factors …

Barriers And Facilitators Of Availability Of Hydroxyurea For Sickle Cell Disease In Tanzania; A Qualitative Study Of Pharmaceutical Manufacturers, Importers, And Regulators, Hamu J. Mlyuka, Manase Kilonzi, Ritah F. Mutagonda, Lulu Chirande, Wigilya P. Mikomangwa, David T. Myemba, Godfrey Sambayi, Dorkasi L. Mwakawanga, Joyce Ndunguru, Paschal Ruggajo

Internal Medicine, East Africa

Despite three decades of proven safety and effectiveness of hydroxyurea in modifying sickle cell disease (SCD), its accessibility is limited in Sub-Saharan Africa, which shares 75% of the world’s SCD burden. Therefore, it is time to explore the barriers and facilitators for manufacturing and importation of hydroxyurea for SCD in Tanzania. This was qualitative research that employed a case study approach. Purposive sampling followed by an in-depth interview (IDI) using a semi-structured questionnaire aspired by data saturation enabled us to gather data from 10 participants. The study participants were people with more than three years of experience in pharmaceuticals importation, …

Elephants In The Room: Covid-19 Pandemic Political Ecologies Of Tourism In Tanzania, Helen C. Richardson

Theses and Dissertations--Geography

The COVID-19 pandemic brought forth unprecedented and ever-changing crisis and disruption to societies and economies around the globe.[1] As the COVID-19 pandemic continues to interrupt travel worldwide, the tourism industry, and the countries who rely on it as a major source of income, are in crisis. These processes have reconfigured economic capital flows and foreign investment in the global south. This is particularly the case in Tanzania, as tourism was Tanzania’s highest foreign exchange earner and accounted for 17% of Tanzania’s gross domestic product in 2019.[2] This project draws upon a political ecology framework to examine the Tanzanian …

Outcomes Of Surgical Tracheostomy On Mechanically Ventilated Covid-19 Patients Admitted To A Private Tertiary Hospital In Tanzania, Nadeem Kassam, Ally Zain, Sajida Panjwani, Kamran Hameed, Samina Somji, Hanifa Mbithe, Fatma Bakshi, Bonvetura Mtega, Gloria Kinasa, Blessing Mathew, Harrison Chuwa

Internal Medicine, East Africa

Objectives: The coronavirus disease 2019 (COVID-19) pandemic has resulted in an increase in the number of patients necessitating prolonged mechanical ventilation. Data on patients with COVID-19 undergoing tracheostomy indicating timing and outcomes are very limited. Our study illustrates outcomes for surgical tracheotomies performed on COVID-19 patients in Tanzania.

Methods: This was a retrospective observational study conducted at the Aga Khan Hospital in Dar es Salaam, Tanzania.

Results: Nineteen patients with COVID-19 underwent surgical tracheotomy between 16 th March and 31st December 2021. All surgical tracheostomies were performed in the operating theatre. The average duration of intubation prior to tracheotomy …

Examining Factors Influencing Intention To Use M-Health Applications For Promoting Healthier Life Among Smartphone Users In Tanzania, Herman Mandari, Mahija Yahaya

Journal of International Technology and Information Management

Deaths related with Non-Communicable Diseases (NCDs) have recently increases, similarly, development of mobile technologies have paved a way in which Smartphone users can use m-health applications to address high level of sedentary behaviours that relates to negative health consequences. Therefore, this study was conducted to examine factors which may influence generation Y who are Smartphone users to adopt m-health applications in controlling NCDs in Tanzania. TAM theory was extended with awareness, trust and perceived cost to develop a research conceptual model of this study. Google form was used to developed online questionnaire which was distributed through social media platforms to …

Resource Development For Mission Achievement In Tanzania’S Rural Ngos, Aine Onesmo Robert Mushi

Walden Dissertations and Doctoral Studies

Failure of most rural-based nongovernmental organizations (NGOs) in Tanzania to accomplish their mission objectives effectively is a challenge that impacts most of the rural population. Researchers have yet been able to establish what resource development strategies could help rural-based NGOs accomplish their mission objectives. The purpose of this study was to examine resource development measures and management activities currently implemented by local NGOs in a rural district of Tanzania for mission achievement. The resource dependence perspective was applied to frame the research questions on what resource development measures and management activities support the local rural-based NGOs to achieve their mission …

Resource Development For Mission Achievement In Tanzania’S Rural Ngos, Aine Onesmo Robert Mushi

Walden Dissertations and Doctoral Studies

Failure of most rural-based nongovernmental organizations (NGOs) in Tanzania to accomplish their mission objectives effectively is a challenge that impacts most of the rural population. Researchers have yet been able to establish what resource development strategies could help rural-based NGOs accomplish their mission objectives. The purpose of this study was to examine resource development measures and management activities currently implemented by local NGOs in a rural district of Tanzania for mission achievement. The resource dependence perspective was applied to frame the research questions on what resource development measures and management activities support the local rural-based NGOs to achieve their mission …

Food Security Through Disaster Planning In Tanzania: How Agriculture-Based Disaster Preparedness Can Improve Food Security In Tanzania, Savannah A. Emerich

Masters Theses

In Tanzania, half the population lives below the poverty line and suffers from food insecurity. Of the population, women and children primarily suffer from malnutrition due to food insecurity. For Tanzania, the problem is so severe that some women do not name their newborns for weeks or months due to their unlikely survival. This problem worsens for those who have a significant reliance on agriculture and live in the nation’s rural areas. These rural communities face more traumatic burdens when floods and droughts destroy crops, fields, and tools and ruin livelihoods. A solution has not been implemented thus far due …

Absence Of Germline Brca1 C.68_69delag And C.5266dupc Mutations Among Hormone Receptor-Negative Breast Cancer Patients: A First Impression At A Tertiary Cancer-Care Facility In Tanzania, Linus P Rweyemamu, Gokce Akan, Christopher H Mbotwa, Nazima Dharsee, Lucy A Namkinga, Sylvester L Lyantagaye, Ted F Mselle, Fatmahan Atalar

Tanzania Journal of Science

The germline BRCA1 c.68_69delAG (185delAG) and c.5266dupC (5382insC) mutations are associated with hormone receptor-negative breast cancer (BC).  Limited studies have examined their contribution to alarming BC incidence in Sub Saharan Africa (SSA). Our study aimed to examine the contribution of  germline BRCA1 c.68_69delAG and c.5266dupC mutations to BC incidence among hormone receptor-negative BC patients admitted to Ocean Road Cancer Institute in Tanzania. Face-to-face interviews were conducted to capture socio-demographic characteristics, anthropometric measurements, family history of cancer and reproductive information from each patient. Their  histopathological data were extracted from the hospital medical records. The germline BRCA1 founder mutations were analyzed on …

Tanzania Modern Librarians In Research And Development Enquiry: A Literature Review, Kardo Mwilongo, Gladness Kotoroi

Library Philosophy and Practice (e-journal)

The modern and advanced development in Information and Communication Technology (ICT) has influenced various changes in the universe and resulted to phases of paradigm shifts and affected individuals, groups, organisations, institutions and states. The globalization of everything has similarly modernized and impacted the academic libraries and librarians. Modern academic libraries strive and undertake this development in facilitating sharing of research data and outputs with its potential stakeholders for Research and Development (R&D). Librarians and have to adapt new and emerging technologies, deploy the web technologies for cyberspaces, smart or digital library information and services, transform to embedded librarians for dynamic …

Academic Coping Mechanisms Among Learners With Hearing Impairment In Inclusive Public Secondary Schools In Tanzania, Vincent J. Cosmas, Mwajabu Possi

Journal of Humanities and Social Sciences

This study sought to explore academic coping mechanisms against educational challenges among learners with hearing impairment (HI) in inclusive public secondary schools in Tanzania. Specifically, it was guided by two research questions: (i) What coping mechanisms are employed by learners with HI in inclusive public secondary schools to cope with academic challenges? (ii) How often do learners with HI seek academic help within the school environment? The study was informed by the critical theory (CT) to facilitate the understanding of educational barriers and coping mechanisms. Being a qualitative study, it drew on purposive and convenient sampling strategies to obtain 108 …

Factors Facilitating And Challenges Facing Community-Based Interventions In Improving Antenatal Care In Rural Tanza, Stephen Maluka, Chakupewa J. Mpambije

Journal of Humanities and Social Sciences

The improvement of antenatal care has remained a topical global concern as signalled by maternal deaths, which have remained unacceptably high, especially in low- and middle income countries. In response to this concern, community-based interventions through women’s groups have been implemented to improve antenatal care; and have shown promising results in rural settings. However, factors contributing to the success or failure of these interventions vary across geographical settings, thereby necessitating area specific considerations. This paper sets out to unveil significant facilitators and barriers to the implementation of women’s group interventions in Tanzania. A qualitative case study design was employed involving …

The Effects Of Household Shocks On Child Nutrition Status In Tanzania, Monica Sebastian Kauky, Martin Chegere, Razack Bakari Lokina

Journal of Humanities and Social Sciences

The main objective of this paper is to examine the effects of household shocks on the nutrition status of children between 0–59 months in Tanzania. The study employed the national panel survey data of Tanzania collected in three waves: 2008/09, 2010/11, and 2012/13. The study used the panel random-effects probit model to estimate the effects of household shocks on child nutrition status, measured by binary variables: stunting, wasting, and underweight. Findings indicated that weather shocks increase the probability of a child being stunted and underweight. Moreover, the results revealed that food price rise shocks and the death of a family …

Market-Driven Rice Farming And Water Use Change In Mbarali District From The Mid-1980s To The 2010s, George K. Ambindwile

Journal of Humanities and Social Sciences

This paper examines the effects of market-driven rice farming on the use of water in Mbarali District from about the mid-1980s to 2010s. It specifically traces the development of both peasant and state rice farming and their subsequent effects on water use in the district. The study is essentially qualitative, although in some cases it uses quantitative data to validate its arguments. Thus, it adopts political economy and historical ecology theories to understand changes brought by market-driven rice farming; and the ways peasants struggled to accommodate those changes in their agricultural practices. The area of study included six villages, namely …

Firm Characteristics And Environmental Disclosure In An Extractive Industry In Tanzania, Ponsian Prot Ntui, Siasa Mzenzi, Henry Chalu

Business Management Review

This study investigates the influence of firm characteristics on environmental disclosure in an extractive industry in Tanzania. The study applies legitimacy theory as the foundation for theoretical perspective. The study uses the panel data of 18 firms from 2004 to 2018 as reported in Tanzania Extractive Industry Transparency Initiative (TEITI). Data was extracted from annual reports, and a Random Effects General Least Square (GLS) regression analysis model was used for analysis. The results show that firm age, firm size, capital structure, and firm and ownership structure are significant factors that positively influence environmental disclosure. This indicates that older firms, large …

Performance In Mortality Prediction Of Saps 3 And Mpm-Iii Scores Among Adult Patients Admitted To The Icu Of A Private Tertiary Referral Hospital In Tanzania: A Retrospective Cohort Study, Nadeem Kassam, Eric Aghan, Samina Somji, Omar Aziz, James Orwa, Salim R. Surani

Internal Medicine, East Africa

Background: Illness predictive scoring systems are significant and meaningful adjuncts of patient management in the Intensive Care Unit (ICU). They assist in predicting patient outcomes, improve clinical decision making and provide insight into the effectiveness of care and management of patients while optimizing the use of hospital resources. We evaluated mortality predictive performance of Simplified Acute Physiology Score (SAPS 3) and Mortality Probability Models (MPM0-III) and compared their performance in predicting outcome as well as identifying disease pattern and factors associated with increased mortality.

Methods: This was a retrospective cohort study of adult patients admitted to the ICU of the …

Demographic Factors As Determinants Of Adolescents’ Help-Seeking Intention For Sexual Exploitation In Tanzania, Budeba Petro Mlyakado, Jessica Chi-Mei Li

Journal of Humanities and Social Sciences

This study examines the influence of adolescents’ gender, age, locality, and history of sexual victimisation on adolescents’ help-seeking intention for sexual exploitation. It compares how these demographic variables influence adolescents’ intention to seek help from formal sources (teachers, police, doctors/nurses, counsellors/social workers, local government leaders, and religious leaders); informal sources (parents, i.e., father and mother), guardians (uncles, aunts and grandparents); siblings (brothers, sisters or cousins), and friends. In this study, a cross-sectional survey is used to examine responses from a stratified random sample of 1,116 adolescents aged 13-17 years (M = 15.66; SD = 1.09), recruited from rural and urban …

Analysing Climate Change Mitigation Policy Options In The Renewable Energy Sub-Sector In Tanzania, Ladislaus Kyaruzi, Patrick M Ndaki, Richard Ym Kangalawe

Tanzania Journal of Science

Public policies influence reduction of greenhouse gas emissions. Also the extent to which policies are developed and implemented can influence the achievement of the national, regional and international climate change mitigation policy framework in the renewable energy sub-sector. This paper provides a critical overview of key policy options influencing the development of renewable energy sub-sector through climate change mitigation policy options in Tanzania. Questionnaire surveys were used to collect primary data from 100 relevant experts who represented 64 organizations in Tanzania. Secondary data were collected by literature review. The state of climate change mitigation policy options in the renewable energy …

Vulnerability And Responses Of Smallholder Farmers To Climate Change Effects In Semiarid Areas Of Bahi And Kongwa Districts, Tanzania, Helena Elias Myeya

Tanzania Journal of Science

This study examined the vulnerability and responses of smallholder farmers to climate change effects in Semiarid Areas of Bahi and Kongwa Districts. A total of 366 household heads were involved in this study. The study employed questionnaire, interviews and documentary review as data collection techniques. Archival data for temperature, rainfall and crop yields were collected for trend analysis. Descriptive and inferential statistics were used to analyse quantitative data, content analysis was employed to analyse qualitative data. Simple linear trend analysis and Mann Kendall were used to establish trends. The findings indicate that smallholder farmers in the study area have noted …

Predictors Of Fear Of Childbirth And Depressive Symptoms Among Pregnant Women: A Cross-Sectional Survey In Pwani Region, Tanzania, Agnes Fredrick Massae, Margareta Larsson, Sebalda Leshabari, Columba Mbekenga, Andrea Barnabas Pembe, Agneta Skoog Svanberg

School of Nursing & Midwifery, East Africa

Background: Many women experience fear of childbirth (FoB) and depressive symptoms (DS) during pregnancy, but little is known about FoB among Tanzanian women. The current study aimed to assess the prevalence of FoB and DS among pregnant women and determine predictors of each and both, focusing on sociodemographic and obstetric predictors.

Methods: A cross-sectional study was conducted at six health facilities in two districts in Tanzania between 2018 and 2019. In total, 694 pregnant women with gestational age between 32 and 40weeks and expecting vaginal delivery were consecutively recruited and assessed for FoB and DS. We collected data …

Men’S Comfort In Distributing Or Receiving Hiv Self-Test Kits From Close Male Social Network Members In Dar Es Salaam, Tanzania: Baseline Results From The Step Project, Joseph K.B. Matovu, Gaspar Mbita, Akeen Hamilton, Frank Mhando, Wynton M. Sims, Noah Thompson, Albert N. Komba, Jackson Lija, Jiajia Zhang Ph.D., Thomas Van Den Akker, Dustin T. Duncan, Augustine T. Choko, Donaldson F. Conserve

Faculty Publications

Background

A variety of strategies have been used to reach men with HIV self-testing services, including social network-based HIV self-test kits distribution. However, few studies have assessed men’s comfort to distribute to or receive HIV self-test kits from close male friends within the same social network. In this study, we assessed men’s comfort to distribute to and/or receive HIV self-test kits from close male friends and associated factors among men who socialize in networks locally referred to as “camps” in Tanzania.

Methods

Data are from the baseline survey of a cluster-randomized controlled trial conducted in June 2019 with 18 social …

Residency Training On The Frontlines Of The Covid-19 Pandemic - A Qualitative Study From Tanzania, Mariam Noorani, Hussein Manji, Elizabeth Mmari, Samina Somji, Nahida Z. Walli, Sherin Kassamali, Shabbir Adamjee, Nancy Matillya, Hanifa Mbithe, Aliasger Nagri, Neelam Ismail

Paediatrics and Child Health, East Africa

Introduction: the Coronavirus Disease 2019 pandemic has affected residency training globally. The aim of this study was to understand how the pandemic affected teaching and learning in residency programs in low resource settings where residents and faculty were working on the front line treating patients with the disease.

Methods: this qualitative study enrolled residents and faculty from the Aga Khan University in Tanzania who were providing front line care during the pandemic. Purposeful sampling was used and data was collected using focus group discussions and in-depth interviews between August and September 2020. Analysis was done using qualitative content analysis.

Results: …

Climate Change And The Ancestors: Rain, Gender And Politics In An African Water Catchment, Jessie Fredlund

Dissertations, Theses, and Capstone Projects

Uluguru, a small mountain range in eastern Tanzania and one of the rainiest places in East Africa, serves as the principal water catchment for Tanzania’s largest city, Dar es Salaam, and for commercial farms along the country’s central coast. Home to smallholder farmers who cultivate a variety of crops on mostly rain-fed farms, the catchment has been a site of struggle over water and nature since the nineteenth century. Today, climate change has rendered rainfall increasingly unpredictable, and a wave of “sustainable development” interventions has pressured farmers to change their practices and to engage in unpaid forms of ecological labor …

Zooarchaeology And Taphonomic Aspects Of Later Stone Age Faunal Assemblage From Loiyangalani Site In Serengeti National Park, Tanzania, Frank Masele

Tanzania Journal of Science

The paper presents detailed zooarchaeological and taphonomic results on the Later Stone Age (LSA) faunal assemblage. The contributions of various taphonomic agents in the formation of the assemblage are accentuated. The assemblage is well-preserved and the majority of specimens are not highly weathered. Fluvial disturbance did not play a significant role and can be ruled out as a significant taphonomic agent in the formation. Results indicate that LSA humans exploited high-quality nutritional resources mainly of the large-sized animals and aquatic resources as extra sources of meat and fat. The assemblage preserves stone tools butchery marks (cut marks and percussion marks) …

Barriers To Timely Disclosure Of Hiv Serostatus: A Qualitative Study At Care And Treatment Centers In Dar Es Salaam, Tanzania, Neelam Ismail, Nancy Matillya, Riaz Ratansi, Columba Mbekenga

Family Medicine, East Africa

Introduction: Disclosure of Human Immunodeficiency Virus (HIV) status is important to prevent the spread of HIV and maintain the health of people living with HIV, their spouses, and the community. Despite the benefits of disclosure, many people living with HIV delay disclosing their status to those close to them thereby increasing the risk for disease transmission. This study aimed to determine the barriers to timely disclosure of HIV serostatus for people living with HIV in Dar es Salaam, Tanzania, and identify what motivated disclosure.

Methods: A qualitative descriptive study using in-depth individual interviews was conducted with10 participants attending …

Smart Watch Detection Of Supraventricular Tachycardia (Svt): First Case From Tanzania, Nadeem Kassam, Omar Aziz, Eric Aghan, Samina Somji, Hanifa Mbithe, Mustaafa Bapumia, Robert Mvungi, Salim Surani

Internal Medicine, East Africa

Smartwatches like the Apple Watch have been on the rise worldwide and their use is gaining popularity in developing countries. Their ability to detect dysrhythmias is well documented. Present practice discourages the use of these devices as a diagnostic tool. Nevertheless, atypical findings from these devices should be clinically investigated. This case demonstrates an eventual diagnosis of supraventricular tachycardia (SVT) based on an Apple watch alert which was subsequently confirmed by electrophysiological evaluation.

Factors Associated With Mortality Among Hospitalized Adults With Covid-19 Pneumonia At A Private Tertiary Hospital In Tanzania: A Retrospective Cohort Study, Nadeem Kassam, Eric Aghan, Omar Aziz, Hanifa Mbithe, Kamran Hamid, Reena Shah, Salim Surani, James Orwa, Samina Somji

Internal Medicine, East Africa

Background: The emergence of the novel coronavirus disease 2019 (COVID-19) has caused millions of deaths worldwide. There has been paucity of data for hospitalized African patients suffering from COVID-19. This study aimed to identify factors associated with in-hospital mortality in patients suffering from COVID-19 in Tanzania.

Methods: This was a single center, retrospective, observational cohort study in adult patients hospitalized with confirmed COVID-19 infection. Demographics, clinical pattern, laboratory and radiological investigations associated with increased odds of mortality were analyzed.

Results: Of the 157 patients, 107 (68.1%) patients survived and 50 (31.8%) died. Mortality was highest in patients …