Digital Commons Network^™

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. …

Entrepreneurial Orientation And Performance Of Microfinance Cooperatives: Evidence From Tanzania, Grace Thomas Mori, Omari Khalifa Mbura

Business Management Review

Microfinance cooperatives (MFCs) play a key role in socio-economic development, predominantly in developing countries. However, studies focusing on the relationship between entrepreneurial orientation (EO) and the performance of MFCs are limited, particularly in Tanzania. This study was informed by the resource-based view to examine the influence of EO dimensions on the performance of MFCs in Tanzania. Specifically, the study focused on four dimensions of EO namely; innovativeness, proactiveness, risk taking, and competitive aggressiveness behaviours. Data were obtained from 299 stratified sampled managers of MFCs through the administration of a structured questionnaire. In testing this relationship, Partial Least Squares Structural Equation …

Asymmetrical S-Curve For Residual Load Sways Suppression For Double-Pendulum Rotary Crane Using Bayesian Optimization, Haryson Johanes Nyobuya

Tanzania Journal of Science

In rotary crane operations, one of the main difficulties lies in suppressing the load sway during its movement. This can be achieved using only horizontal boom motion, offering a solution that is energy-saving, simple, and safe. However, this approach renders the system under actuated, making the suppression objective more difficult to achieve. In this study, a double-pendulum model is adopted to capture the coupled dynamics of the suspended load and hook, which shows a realistic basis for sway suppression. An asymmetric S-curve velocity trajectory is proposed to shape the horizontal boom motion, effectively minimizing residual vibrations without requiring direct sway …

Quantitative Analysis Of Cholera Dynamics And The Impact Of Integrated Control Measures., Kazeem Abidoye Odeyemi, Mutairu Kayode Kolawole

Tanzania Journal of Science

A comprehensive mathematical evaluation of cholera dynamics, emphasizing the crucial role of optimal control strategies which include vaccination, treatment in endemic region and environmental hygiene in controlling the disease spread in Western and Mid-Eastern regions of African setting. Through analysis of the local and global stability of the model and assessing the reproduction number (��0), this research highlights how targeted interventions can influence transmission rates of cholera disease. Sensitivity analysis identifies key parameters driving cholera dynamics, underlining the urgency of timely and adequate intervention. Utilizing the innovative Homotopy Perturbation Method for the numerical simulation, the study explores the interplay between …

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 …

Hospital-Based Validation Of Bili-Ruler, A Low-Cost Icterometer For Newborn Jaundice Screening, Alyssa Shapiro, Afia Tariq, Zahra Hoodbhoy, Helga Naburi, Emily Smith

GW Research Showcase 2021-2026

No abstract provided.

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 …

Projections Of The Characteristics Of Extreme Precipitation In East Africa Using Bias-Corrected Cmip6 Models, Exavery K. Makula

Tanzania Journal of Science

In the context of ongoing global climate change, the intensification of the hydrological cycle is expected to modify the frequency, magnitude, and spatial distribution of extreme precipitation events. Understanding how precipitation extremes will evolve under climate change is critical for East Africa (EA), a region highly vulnerable to hydroclimatic hazards and strongly dependent on rainfall-driven socioeconomic systems. The region experiences two main rainfall seasons, namely the long rains (March-May, MAM) and the short rains (October-December, OND). This study investigates future projections of the characteristics of extreme precipitation across the EA using an ensemble of biascorrected CMIP6 global climate models. Extreme …

Assessment Of Fecal Indicator Bacteria And Vendors' Handling Practices For Safety Of Salads And Raw Leafy Vegetables In Dar Es Salaam, Tanzania, Gloria B. Mrisho, Thomas J. Lyimo, Godwill D. Mrema

Tanzania Journal of Science

Fresh leafy vegetables have gained popularity in Tanzanian cities due to their nutritional benefits and increased promotion by health practitioners. Assessment of their microbiological quality and safety is essential for determination of associated health risks. This study enumerated Fecal Indicator Bacteria (FIB) for determination of microbiological quality and safety of fresh leafy vegetable salads sold by street vendors and raw leafy vegetables obtained from Sinza market in Dar es Salaam. Handling practices, awareness and consumer satisfaction on the safety of leafy vegetable salads was also assessed among salad street vendors and consumers. Samples were collected from four stations and analyzed …

An Age-Structured Model For The Effects Of Time Delay On The Dynamics Of Malaria In The Presence Of Temperature And Rainfall, Alanus Mapunda, Eunice Mureithi, Nyimvua Shaban

Tanzania Journal of Science

An age-structured model with a class of pregnant women that captures the impact of time-delay on the dynamics of malaria is established in this work. The main goal is to explore the transmission dynamics of malaria in natural setting which is comprised of pregnant women and other individuals. Some weather conditions are also considered in the model. The main importance is to investigate the evolution of various states involved in the transmission of malaria in the community. The model equilibria are analyzed to study their stability, and numerical solution of the system is presented and discussed. The result shows that …

Multi-Objective Optimization Of Waste Incineration For Minimal Carbon Monoxide And Sulfur Dioxide Emission And Rate Maximization: A Case Study Of Mbezi, Mkuranga-Pwani, Tanzania, Grangay M. Nyanghura, Enock W. Nshama

Tanzania Journal of Science

Incineration is widely employed for hazardous waste disposal, but results in harmful flue gas emissions. This study optimizes a double-chamber incineration process to reduce sulfur dioxide (SO2) and carbon monoxide (CO) emissions while maximizing the incineration rate. The effects of waste mass, primary chamber temperature (PT), and secondary chamber temperature (ST) were analyzed using a full factorial design of 27 experiments. ANOVA revealed that mass had the greatest impact on emissions and incineration time, ST had a moderate effect, and PT had little influence. Regression analysis provided models for incineration time, CO, and SO2 emissions. Single-objective optimization using sequential quadratic …

Comparative Study Of Cement-Rice Husk Ash Stabilized Bricks And Fired Clay Bricks, Daniel R. Samson, Emmanuel S. Leo

Tanzania Journal of Science

In some countries, fired clay bricks (FCBs) are widely used for construction, but their production is energy-intensive, relies largely on firewood, and contributes to deforestation and carbon emissions. This study explores unfired clay bricks stabilised with cement and rice husk ash (RHA) as a sustainable alternative, using Dakawa ward in the Morogoro Region, Tanzania, as a case study. The bricks, with a clay of plasticity index 17%, were stabilized with 6%, 10%, and 14% cement by mass, moulded into 40 mm cubes, and cured for 28 days. The compressive strengths achieved were 1.5, 3.6, and 4.1 MPa with water absorption …

Honey Bees (Apis Mellifera) Pollination Enhances Watermelon (Citrullus Lanatus) Yield In Kibaha Tanzania, Beatrice Tonola, Charles Olambo Joseph, Mkabwa L.K. Manoko, Shibonage K. Mashilingi

Tanzania Journal of Science

Honey bees are essential pollinators of the world’s food crops. However, information on the influence of honey bee pollination on watermelon yield is limited in Tanzania. This study assessed efficiency of honey bee pollination on watermelon yield. The study tested three improved watermelon varieties (Zebra F1, Candy F1 and Sukari F1) and three pollination environments: (Caged with Apis mellifera (CAM), Caged without insects (CW) and Open pollination (OP) in two seasons. The experiment was arranged in a split-plot design in randomized complete block design (RCBD) with three replications. Results showed no significant interaction between pollination environment and varieties. Significant difference …

Effects Of Substrate–Supplement Interactions On Yield Performance Of Oyster Mushroom (Pleurotus Ostreatus), Charles O. Joseph, Faraja Makwinja

Tanzania Journal of Science

Different substrates and supplements are used in mushroom production, however their interaction effects and growth variables affected is little known. This study was conducted to compare the effects of substrate-supplement interactions on growth and yield of oyster mushrooms Pleurotus ostreatus. Two substrates (banana leaves and sawdust) and two supplements (chicken manure and sugar) were investigated. The substrates were reduced to 2 cm pieces and steam sterilized at 80–100°C for 3 hours. In each bag containing specific substrate, the supplements were added as 2% of the total substrate. The spawn was inoculated from each bag; misting was applied to maintain constant …

Heavy Metal Contamination In Agricultural Soils And Potential Human Health Risks, Debora Michael Mwenda, Leonard Masesa Jumanne, Daudi Salvius Mgaya, Amos Vincent Ntarisa

Tanzania Journal of Science

Heavy metal contamination in agricultural soils is a growing concern due to potential human health risks via ingestion, dermal contact, and inhalation. However, data on fertiliser-related contamination in rural Tanzanian settings remain limited. This study assessed contamination levels and associated health risks in Kibwabwa village, Iringa, Tanzania. A total of 48 soil samples were collected from eight farms at a depth of 0–15 cm. Concentrations of Cu, Zn, Ni, Cd, Cr, and Pb were determined using Atomic Absorption Spectroscopy (AAS). Health risks were evaluated using chronic daily intake (CDI), hazard quotient (HQ), hazard index (HI), and carcinogenic risk (CR) models …

Antibacterial Activity Of Sapium Ellipticum, Securidaca Longepedunculata, And Allophylus Africanus Against Drug-Resistant Pseudomonas Aeruginosa Isolates, Eleonora A. Mbare, Rose J. Masalu, Cyprian B. Mpinda

Tanzania Journal of Science

Pseudomonas aeruginosa poses a major clinical challenge due to its high levels of antibiotic resistance. This study evaluated the antibacterial activity of three medicinal plant extracts Allophylus africanus (leaves), Securidaca longepedunculata (root bark), and Sapium ellipticum (stem bark), against 30 drug-resistant P. aeruginosa isolates. Antibacterial screening was conducted using the agar well diffusion method, followed by determination of minimum inhibitory concentrations (MICs) via a 96-well microtiter plate assay. All three plant extracts demonstrated inhibitory activity against three resistant P. aeruginosa strains (gentamicin-resistant strains F4 and GR4RAU-AI, and ceftazidime-resistant strain 19-10), with inhibition zones of varying diameters. MIC values showed strain-specific …

Water Sources And Livelihood Choices Among Pastoralist Households In Monduli District, Tanzania, Fredrick Alleni Mfinanga, Jacqueline Temba, Monica F. Timbuka

Journal of Humanities and Social Sciences

This paper investigates the association between types of water sources for livestock and livelihood choices of pastoralist households in semi-arid areas of Monduli District, Tanzania. Specifically, it aims to examine the influence of the types of water sources for livestock on livelihood diversification of pastoralist households. Using a mixed research methods approach, the data were collected from 367 households through three methods: surveys, interviews, and focus group discussions. The quantitative data were analysed using descriptive statistics such as frequencies and counts, and inferential statistics, Chi-square tests and correlation, while the qualitative data were analysed using content analysis. The findings revealed …

The Nexus Between Perceived And Scientific Weather Patterns And Its Effects On Cereal Crop Production In Manyoni District, Tanzania, Fadhili Lufunyo Ngajilo, Helena Elias Myeya, Evarist Fundisha Swai

Journal of Humanities and Social Sciences

This study examines the nexus between perceived and scientific weather patterns, and its effects on cereal crop production in Manyoni District; and involved 157 participants. Both quantitative and qualitative data were collected through a mixed methods research approach. The data were collected through a household survey, FGDs, in-depth interviews and documentary review methods for triangulation and complementarity purposes. The quantitative data were analysed through descriptive and inferential statistics with IBM SPSS (version 27) and Microsoft Excel Office (version 2007). The results indicate that smallholder farmers perceived that rainfall had been fluctuating with increasing trends, while temperature and wind had been …

Constraints To Adopting Locally Based Innovation Systems In Adapting To Climate Change Impacts In Serengeti District, Tanzania, Donald Mwiturubani

Journal of Humanities and Social Sciences

Smallholder farmers in rural Tanzania depend mainly on rain-fed agriculture, which makes them vulnerable to the impacts of climate change. This paper is based on a study conducted in Burunga and Musati villages in Serengeti District, Tanzania. The study employed a mixed methods approach; combining qualitative and quantitative methods. It involved 154 participants and employed household surveys, key informant interviews, and focus group discussions as data collection methods. The findings suggest that smallholder farmers in the study area are aware of climate change and do, indeed, develop, adopt, and use locally-based innovation systems that avert or minimise its impacts. Smallholder …

Analysis Of Traditional Wisdom For Ecological Sustainability In Tanzania: A Case Study Of Metaphorical Source Domains In Pangwa Ritual Texts, Winne Stephen Mtega, Angelus Mnenuka

Journal of Humanities and Social Sciences

Campaigns for ecological sustainability have gained a great currency in the contemporary academic discourse. Nonetheless, from time immemorial, Africans have pushed the ecological sustainability agenda through cultural taboos and regulated resource harvesting. Many African societies have embedded ecological consciousness in daily life expressions, and have intricately expressed it through literary and ritual texts. This study focuses on ecological awareness in the ritual texts of the Pangwa community. It analyses how environmental domains—such as land, seeds, and fruits—serve as the basis for metaphors in the Pangwa community to prove the use of wisdom to promote and sustain ecological practices (ecocriticism). The …

Ecomusicological Representation Of Climate Change And Environmental Sustainability In Selected Bongo Fleva Lyrics In Tanzania, Auson N. Wincheslaus

Journal of Humanities and Social Sciences

This article critically explores how Bongo Fleva’s lyrics engage with environmental themes; and the interrelationship between nature and culture in the context of the Anthropocene. The data were purposively sampled from YouTube via content analysis, from which 50 Bongo Fleva songs were listened to, and only 10 environmentally-themed songs were analysed. Then, the selected songs were subjected to transcription (from oral to written form), translation (from Kiswahili into English), and close reading and textual analysis. The close reading of the selected songs focused on the employed aesthetic and rhetorical strategies, such as anthropomorphism, symbolism, antithesis, apocalyptic tones, solastalgia, rhetorical questions, …

Influential Factors In Agricultural Technology Adoption By Maize Farmers In Tanzania: Insights From The 2020–21 National Panel Survey, Rebecca Yauleni, Wiggins Kyatikila, Cornel Joseph

Journal of Humanities and Social Sciences

Abstract

In many developing countries, agriculture remains a vital source of food, employment, and income. The adoption of agricultural technologies can boost farm revenue and productivity, reduce food insecurity, and lessen poverty. This study investigates the main factors influencing farmers’ decisions to adopt fertilizers, improved seeds, soil conservation practices, and pesticides in Tanzania. The analysis uses cross-sectional data from the fifth wave of the Tanzania National Panel Survey (TNPS), and employs an ordered probit model. The findings revealed that access to extension services, higher household years of schooling, poor soil quality, livestock ownership, and use of hired labour significantly increase …

Ecosystem-Based Flood Disaster Risk Reduction In The Little Ruaha River Basin, In The Southern Highlands Of Tanzania, Mawazo Ghambi, Tiemo Romward Haule

Journal of Humanities and Social Sciences

Ecosystem-based approach that integrates floods and environmental risk management is believed to reduce flood disaster risk while providing socio-economic and environmental benefits to floodplain occupants. This study examined the socio-economic and environmental benefits of the ecosystem-based approach in managing flood disaster risk in the Little Ruaha River Basin in the southern highlands of Tanzania. The study involved 157 participants and employed the mixed research design to collect quantitative and qualitative data. Semi-structured interviews, in-depth interviews, direct field observation and Focus Group Discussions were used to collect primary data, whereas documentary review was used to collect secondary data. Findings revealed that …

Resilience Among Smallholder Irish Potato Farmers To The Impacts Of Climate Variability In Wanging’Ombe District, Tanzania, Timotheo Bilary Ngalaga, Digna Wolfram Mlengule, Jackson Raymond Sawe

Journal of Humanities and Social Sciences

This paper examines smallholder farmers’ adaptation strategies to climate variability, and their resilience in enhancing their capacity to adopt. The data was collected from 98 heads of households using both quantitative and qualitative approaches. The methods of data collection included household surveys, focus group discussions (FGDs), in-depth interviews, and document review. The quantitative data were analysed using the IBM SPSS (Version 23), while the qualitative data were analysed using thematic analysis. The findings indicate that 69.4% of respondents reported a decrease in rainfall, while 89.8% reported an increase and fluctuations in temperature over the past 29 years. Moreover, the findings …

Climate Change Vulnerability And Adaptation Pathways: Stakeholders’ Synergies In Building Climate Resilience In The Semi-Arid Area Of Central Tanzania, Helena Elias Myeya

Journal of Humanities and Social Sciences

This article examines the perceived effect of climate change on cereal crop production and the responses of various stakeholders aimed at enhancing the resilience of smallholder farmers in semi-arid areas of central Tanzania. A total of 366 household heads, 28 participants in focus group discussions (FGDs), and 8 key informants from Bahi and Kongwa districts in Dodoma, Tanzania, were involved in this study. Both quantitative and qualitative data were gathered through a structured interview schedule, FGDs, in-depth interviews, and documentary reviews. Descriptive statistics and content analysis were used to analyse quantitative and qualitative data, respectively. The findings indicate that smallholder …

Developing And Delphi-Validating A Phase-Based Sustainable Bsc Framework For Contractors' Sustainable Productivity Management In Developing Countries, Truong Van Luu, Le Minh Long Nguyen

HBRC Journal

This study develops and validates, using the Delphi method, a conceptual decision-support framework for construction contractors' sustainable productivity management (CSPM) in developing-country settings. Guided by KAMET rules, semi-structured interviews were conducted with 15 experts to elicit, refine, and reach consensus on a set of productivity management attributes that construction contractors can realistically apply. The outcome is 29 feasible productivity management attributes, organized under the four Sustainable Balanced Scorecard (SBSC) perspectives and mapped onto five management phases (planning, organizing, staffing, leading/coordination, and controlling). Rather than predicting or demonstrating productivity gains, the framework provides a practical roadmap for diagnosing capability gaps, prioritizing …

Determination Of The Prevalence Of Viral Aetiology Of Diarrhea In Children Less Than 5 Years Of Age In Baghdad Province, Basim M. Hussan

Al-Qadisiyah Medical Journal

Determination the prevalence of viral, parasitic and bacterial etiology of gastroenteritis in children less than 5 years of age with diarrhea in various hospitals of Baghdad province. A total of 250 stool samples were collected from various hospitals of Baghdad province .Samples were investigated for bacterial and parasitic enteropathogens using microscopic examination. Bacterial culture of stool samples was done in different culture media including MacConkey, XLD, DCA, TCBS and campylobacter media, TCBS and selenite F broth and bacterial growth was examined by analytical profile index (Api20E) system , commercial antisera and colonies characteristics. Enzyme immunoassays were used to identify Group …