ABSTRACT Background: Current increase in HIV prevalence among MSM in Greater Accra region of Ghana is a public health concern. This increase translates to a higher number of MSM being put on antiretroviral treatment. However, ART adherence amongst HIV positive MSM in Ghana is unknown. Lack of knowledge in ART adherence among MSM could affect the implementation of the 90-90-90 fast track targets. This study, therefore, sought to determine the level of ART adherence and factors influencing adh...
ABSTRACT Background: Incompetence of nurses in the prevention and management of postpartum hemorrhage, eclampsia and neonatal resuscitation may lead to severe complications and deaths for both mothers and babies. Simulation-based training on obstetric and neonatal emergencies management has demonstrated promising results. However, its impact has not been well documented particularly in low and middle income countries. Objective: The objective of this study was to determine the effectiveness o...
ABSTRACT Background: The problem of malnutrition still persists in Tanzania mainland. Tanzania is not the only country suffering from the problem of malnutrition, at least one form of malnutrition if not many is identified in every country across the world. Millions of under-fives die every year from malnutrition and those who manage to survive fail to reach their full potential when reaching adulthood due to undernutrition. Good nutrition governance is an important component in fighting aga...
ABSTRACT Background: Tanzania, like many countries globally, has continuously been implementing health sector reforms with the intent of ensuring affordable health services to the population, in alignment with the shift towards Universal Health Coverage as well as improving the quality of health services, among these reforms has been the introduction of Direct Health Facility Financing (DHFF), which has limited evidence on its implementation and outcomes with respect to its intended goals. T...
ABSTRACT Curbing water scarcity problems in semi-arid regions is a top priority for economic and social development. Alternative strategies for sustainable domestic water supply are therefore required to augment water supply with affordable cost and technology. Scant research findings in sub-Saharan Africa have, however, reported inefficiency in adapting to water scarcity problems in the region. Therefore, an investigation of domestic rainwater harvesting (RWH) reliability is important to ide...
ABSTRACT Background:Hypertension is a serious public health problem in Tanzania. Adherence of the recommended self-care practices is beneficial against poor health outcomes and health care expenditures among hypertensive patients. This study assessed theself-care practices, lifestyle behaviors and cost Evaluation among adults attending hypertension clinics in selected hospitals in Tanzania. Methods: A mixed approachescross-sectional study involved 329 participants carried from June to Septemb...
ABSTRACT Background: In 2007 the World Bank launched Results-based financing (RBF) in order to improve the quality of health services. Since its introduction, RBF has gained much attention among countries with limited resources for health. Tanzania introduced RBF in 2015 to incentivize improved quality of services at participating health facilities. Through RBF, health facilities are expected to be having improved availability of essential health commodities for maternal health care and clie...
Abstract Background: Caretakers/parents or parents figure need to be trained to promote effective communication about sexual and reproductive health to their adolescents. This study assessed the effect of an intervention aiming to improve caretaker-adolescent communication on sexual and reproductive health matters through improving information, motivation, and behavioral skills related to sexual health communication. The study also evaluated the relationship of information, motivation, and b...
ABSTRACT Background. Men’s involvement in maternity care is recognized as a key strategy in improving maternal health and accelerating reduction of maternal mortality. This study investigated the factors determining men’s involvement in maternity care in Dodoma Region, Central Tanzania. Methods. This cross-sectional survey used multistage sampling in four districts of Dodoma Region to select 966 married men participants aged 18 years and above. Data were collected using a structured quest...
Abstract Objective This study used a nationally representative sample from Tanzania as an example of low-resource setting with a high burden of maternal and newborn deaths, to assess the availability and readiness of health facilities to provide basic emergency obstetric and newborn care (BEmONC) and its associated factors. Design Health facility-based cross-sectional survey. Setting We analysed data for obstetric and newborn care services obtained from the 2014–2015 Tanzania Service Provis...
ABSTRACT Antibiotics resistance is a global concern that presents a major threat to veterinary public health as it reduces the effectiveness of antibiotic treatment in livestock and people. Many studies on antibiotics resistance have been based mainly on microbiology, biomedical and veterinary sciences in laboratory test with little attention paid to social aspects. Based on pastoralist communities in Ngorongoro District in Tanzania, the study examined how supply systems and social networks d...
ABSTRACT In dentistry HIV/AIDS patients with oral lesions are encountered regularly, hence early diagnosis and appropriate treatment is important so as to prolong patient’s life. The researcher had noticed over time, what appeared to be a significant number of patients with oral lesions who were eligible for highly active antiretroviral therapy treatment, but who were not initiated. Applicable guidelines were available on how to manage patients with oral lesions as well as rec...
ABSTRACT Background: Direct Health Facility Financing (DHFF) is meant to improve quality of health services and brings more autonomy while promoting accountability at Public Primary Health Facilities (PPHFs). This study aimed at establishing the influence of DHFF on perceived status of health service satisfaction and health system responsiveness among clients at PPHFs. Also it established perceived internal and external accountability among Health Care Workers (HCWs) and members of HFGCs resp...
ABSTRACT Background: Good nutrition governance has great influence on the improvement of health and nutrition status of people. The government of Tanzania has taken significant measures to strengthen nutrition governance as part of national efforts to improve nutrition. However, little is known on the current status of nutrition governance in Tanzania. Objective: This study determined the barriers and potential facilitators for effective Nutrition governance at Regional and administrative lev...
ABSTRACT Gender-Based Violence (GBV) is a major public health and human rights problem involving all ages and sexes throughout the world. However, the manifestations of GBV among men often go undetected and a large number of men continue living through repeated abuse and assault without any recognition of their ordeal or adequate provision for care or support. The purpose of this study was to explore and describe the perceptions of GBV by men in the Oshana Region, Namibia. The study adopted a...