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Lazaro Mollel, Neserian, and Daniel Oduor Onyango. "The Role of Adult Education Graduates in Improving Secondary School Education: A Case of Nyamagana District, Tanzania." EAST AFRICAN JOURNAL OF EDUCATION AND SOCIAL SCIENCES, Issue 2 (April to June 2021) (April 28, 2021): 65–71. http://dx.doi.org/10.46606/eajess2021v02i02.0076.
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This study aimed at establishing the contribution of adult education graduates to the improvement of secondary education in Nyamagana District, Tanzania. The study used the mixed approach and employed the descriptive research design. Data were collected by using the questionnaires. Out of 480 subjects, the study sampled 82 respondents including 25 heads of secondary schools, 40 adult education graduates, 12 heads of adult education centers and 5 adult education officials. Data was analyzed by using tables, frequencies and percentages. The findings revealed a significant contribution of adult education graduates in improving the secondary education. Therefore, adult education graduates are among important stakeholders toward the improvement of secondary education in Tanzania. The study recommends that adult education graduates should be taken as key stakeholders in decision-making regarding changes in education so as to bring a significant improvement in the secondary education system in Tanzania.
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Smide, Bibbi, Leif Ekman, and Karin Wikblad. "Diabetes Self-Care and Educational Needs in Tanzanian and Swedish Diabetic Patients: A Cross-Cultural Study." Tropical Doctor 32, no. 4 (October 2002): 212–16. http://dx.doi.org/10.1177/004947550203200410.
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The aim was to compare self-care and perceived educational needs in adult Tanzanian and Swedish diabetic patients. One hundred and fifty Tanzanians were matched with Swedes ( n=150). All 300 patients filled in questionnaires about their self-care and educational needs. The comparison indicated the Tanzanians were almost as satisfied with their self-care as the Swedes, but Tanzanians were dissatisfied with the lack of drugs and wanted more diabetes education while the Swedes were more dissatisfied with their own self-care behaviour. None of the Tanzanians monitored their own blood glucose, whereas half the patients in the Swedish group did so weekly or monthly. The findings suggest that diabetes education in Tanzania should concentrate more on basic diabetes knowledge. In Sweden, however, the main points to be stressed should be life style and psychology.
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Mushi, Philemon A. K. "Origins and development of adult education innovations in Tanzania." International Review of Education 37, no. 3 (1991): 351–63. http://dx.doi.org/10.1007/bf00619206.
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Mushi, P. A. K. "Misconceptions about adult education innovations in the United Republic of Tanzania." Prospects 18, no. 3 (September 1988): 363–68. http://dx.doi.org/10.1007/bf02194156.
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Glover, Nikolas. "The “Aidification” of National Experiences: Swedish-Supported Correspondence Education in Tanzania, ca 1960–1975." Nordic Journal of Educational History 6, no. 1 (March 11, 2019): 25–47. http://dx.doi.org/10.36368/njedh.v6i1.123.
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This article deals with the foundational juncture in a 60-year long (and counting) relationship between Swedish and Tanzanian adult educators. It analyses how Swedish correspondence education methods and objectives were adapted as they entered the emerging field of foreign aid. Two educational institutions in Tanzania, in which Swedish funds and personnel played a central role are studied: the Nordic-funded Co-operative Educational Centre in Moshi founded in 1964, and the Swedish-funded National Correspondence Institute in Dar es Salaam (1971–). The analysis shows how international NGOs and individual policy entrepreneurs created the initial arenas for policy transfer. It emphasises how the ideal of creating an equal partnership affected the policies that were being lent and borrowed. The article argues that the concept of aidification can be used to capture the ways in which transnational policy areas such as education were transformed in the wake of decolonisation.
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Torres, Carlos Alberto, and Daniel Schugurensky. "The Politics of Adult Education in Comparative Perspective: models, rationalities and adult education policy implementation in Canada, Mexico and Tanzania." Comparative Education 30, no. 2 (January 1994): 131–52. http://dx.doi.org/10.1080/0305006940300205.
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Mushi, Philemon A. K. "Innovations in adult education: The changing perspective of the post-literacy curriculum in Tanzania." International Review of Education 40, no. 2 (1994): 173–77. http://dx.doi.org/10.1007/bf01103692.
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Rogers, Alan. "The homelessness of adult education: Some lessons from the folk development colleges of Tanzania." Studies in the Education of Adults 51, no. 1 (January 2, 2019): 15–35. http://dx.doi.org/10.1080/02660830.2018.1548721.
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Jacob Seni, Abdallah. "Causes and Effects of Begging Style Involving Children as Guides in Dodoma Municipality, Tanzania: Liability in Basic Education Access." International Journal of Education and Literacy Studies 5, no. 1 (January 31, 2017): 1. http://dx.doi.org/10.7575/aiac.ijels.v.5n.1p.1.
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This paper explores the causes and effects of a unique begging style involving children as guides in Dodoma Municipality, Tanzania. The rationale for Dodoma Municipality to be the study location is that the begging phenomenon using children as guides is rampant. The study sample involved 40 respondents, of whom 6 were young carers of visually impaired adult beggars, 6 visually impaired adult beggars, 6 young carers of visually impaired adult beggars’ family members and 22 influential community members. Purposeful sampling technique was used to obtain these respondents. Data collection methods entailed interviews and observations. Artifacts were also used to portray issues under investigation more vividly. The data were analyzed using content analysis in which themes and sub-themes were determined by organization, reduction and interpretation of the information collected. The study discovered that lack of education, sympathy attraction, lack of proper orientation, laziness and poverty were the major causes for the existence of begging involving children as guides. The study revealed that minor causes include parents’ negligence and alcoholism, Single Parenthood as well as drought and hunger. The begging style using children as guides resulted into notable limited basic education access among these vulnerable children hence a liability and not asset. The study recommends that young carers of visually impaired adult beggars should be enrolled to basic education and revitalize education for self-reliance.
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Francis, Simon, and Obadia V. Nyongole. "What is known about Prostate Cancer? Response from Men Aged 50 Years and Above in Lindi Municipal, Tanzania." Tanzania Medical Journal 31, no. 2 (July 23, 2020): 33–44. http://dx.doi.org/10.4314/tmj.v31i2.363.
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Background: The incidence of prostate cancer in Tanzania is among the highest recorded in Africa. Prostate cancer is also the most common cancer among men aged 50 years and above in Tanzania. Our study aimed to determine the awareness, knowledge, and attitudes among adult men with age 50 years and above regarding prostate cancer.Methods: This was a cross-sectional study that included 250 adult men aged 50 years and above in Lindi municipal being purposively selected and we interviewed them by using a structured questionnaire. A stratified random sampling method was used for obtaining our participants. All men who had stayed for not less than one year in Lindi and willing to participate were enrolled in the study. These men were selected at households without screening whether or not they had taken prostate screening test or had been diagnosed with prostate cancer Quantitative data were cleaned and analyzed with SPSS version 20.Results: Majority, 216(86.7%) of our study participants were aged 50–69 years and most of them, 142(56.8%) had primary education with 93.2% of them being married. Among the study subjects 7.2% had positive family history of cancer and 195(78%) were aware of prostate cancer with source of information being mass media (62.6%). Majority of them, 63.2%, did not know the risk age group. Few, 20.8% of our participants had good knowledge while majority, 95.2% had negative attitude toward prostate cancer. We found a statistically significant association between level of education, family history and level of knowledge regarding prostate cancer with p < 0.005.Conclusion: This study revealed high level of awareness, but poor knowledge regarding prostate cancer and negative attitude toward prostate cancer among men with age ≥50 years in Lindi municipal Tanzania.
Key words: Awareness, knowledge, attitude, prostate cancer.
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Lotto, Josephat. "Towards Improving Households’ Investment Choices in Tanzania: Does Financial Literacy Really Matter?" International Journal of Financial Studies 8, no. 2 (May 18, 2020): 29. http://dx.doi.org/10.3390/ijfs8020029.
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This paper primarily aims to assess the impact of financial literacy on households’ investment choices. The paper employs secondary data from the FinScope survey (2017) conducted by Financial Sector Deepening Trust (FSDT). In particular, the study aims at establishing whether the choices of investment platforms are influenced by the financial literacy level of the heads of households. To do so, the study employed both bivariate and multivariate analytical techniques. The study finds that financial literacy is positively and significantly associated with household investment choices. More specifically, as households become more financially literate, they divert from investing in informal groups towards more formal investment platforms such as investment accounts, agricultural ventures as well as personal business. Such observations may be partly attributable to the facts that individuals whose financial literacy is sound enough are more likely to be equipped with skills and knowledge of risks associated with investment opportunities and some other several financial products. The study also reveals that financial literacy is significantly associated with households’ socio-demographic factors, and that the adult population exhibits a large financial literacy gap and, therefore, adults should not be considered as a homogenous group—instead, gender, age, education and income levels of the households, which are showcased in this study, should also be taken into consideration. The study opines that, because most of households, as revealed in the survey from which the employed dataset is based, are hailing from rural settings where agriculture is the main economic activity, we establish that agricultural ventures require a complete revamp for Tanzania to become a middle-income economy through its industrialization agenda. The study also proposes the financial literacy programmes to be rolled on to students from early stage of their education such as secondary schools.
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ELIRINGIA MARIKI, BELINGTONE. "Girls' Multimedia Learning Experiences on Skills Development in Rukwa and Dodoma Regions, Tanzania." EAST AFRICAN JOURNAL OF EDUCATION AND SOCIAL SCIENCES 1, no. 1 (June 25, 2020): 120–29. http://dx.doi.org/10.46606/eajess2020v01i01.0013.
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This article is a case study of the Girls Inspire Project (GIP) of the Institute of Adult Education in in Rukwa and Dodoma regions in Tanzania. It aimed at exploring the GIP girls' multimedia learning experiences in skills development. Specifically, it focused at exploring on how the girls participate in skills development through multimedia learning as well as their multimedia learning experiences. The study employed exploratory research design with qualitative research approach. It involved 32 girls by snowball sampling. The researcher analyzed data using content analysis. Findings indicate that; the girls participated in multimedia learning using LCD projectors, conducted discussions and later, practical sessions. Subsequently, they practiced hands-on skills in groups, with reference to learning contents and facilitators' guidance. The study concludes that the girls had a commendable multimedia learning experience on skills development. However, based on the offline learning challenges observed, the researcher recommends a feasibility study for online multimedia learning in rural parts of Tanzania prior to establishing similar interventions so as to enhance flexible access to learning contents and effective learning experiences.
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Musalam, Kauther, Karpal S. Sohal, Sira S. Owibingire, and Baraka Kileo. "Magnitude and Determinants of Dental Anxiety among Adult Patients Attending Public Dental Clinics in Dar-Es-Salaam, Tanzania." International Journal of Dentistry 2021 (May 8, 2021): 1–7. http://dx.doi.org/10.1155/2021/9965204.
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Introduction. It is estimated that, about 40% of the population suffer from dental anxiety. Dental anxiety is considered to be complex and multifactorial with a wide range of provoking factors which may be patient, provider, or environment-related. Aim. This study aimed to assess the magnitude and determinants of dental anxiety among adult patients attending public dental clinics in Dar es Salaam, Tanzania. Methodology. This was a descriptive cross-sectional study carried out in 4 public hospitals in Dar es Salaam, Tanzania. It included 300 adult patients who had dental caries, periodontal diseases, or dental trauma. Data were collected using a self-administered Modified Dental Anxiety Scale (MDAS) questionnaire. Data were analyzed using the SPSS computer software version 23. A one-way Analysis of Variance (ANOVA) was used to assess the association between variables, and the significance level was set at p < 0.05 . Results. The mean age of participants was 32.18 years (±11.06 SD) with a male-to-female ratio of 1 : 1.43. The means MDAS score was 12.84 ± 4.99. Tooth extraction had the highest mean MDAS score. The majority (261, 87%) of participants had mild-to-severe anxiety. The most common (72.2%) anxiety-provoking factor was an unsympathetic dentist; others included unawareness of the procedure to be carried out (58.3%) and the presence of apprehensive patients (52.0%). The level of anxiety was found to be statistically significantly associated ( p < 0.05 ) with young age [ p = 0.009 , AOR 3.06 (95% CI, 1.32, 7.09), female patients [ p < 0.001 , AOR 4.45 (95% CI, 2.05, 9.70)], and a higher education level [ p < 0.05 , AOR 2.32 (95% CI, 1.03, 5.25)]. Conclusion. The prevalence of dental anxiety was high among the participants of this study. Female gender, young age, and a higher level of education constituted determinants of dental anxiety. An unsympathetic practitioner, unawareness of the procedure, and presence of apprehensive patients were the common anxiety-provoking factors.
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Roe, C., S. Safic, L. Mwaipopo, C. Dotchin, J. Klaptocz, K. Gray, M. Joseph, and R. Walker. "426 PREVALENCE OF, AND RISK FACTORS FOR, DEMENTIA IN ADULT OUTPATIENT REFERRALS TO A REGIONAL REFERRAL HOSPITAL IN ARUSHA, TANZANIA." Age and Ageing 50, Supplement_2 (June 2021): ii5—ii7. http://dx.doi.org/10.1093/ageing/afab118.01.
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Abstract Introduction The global burden of dementia is increasing, with the greatest increase predicted to occur in sub-Saharan Africa (SSA). Despite this there are limited previous data on the prevalence of, and risk factors for, dementia in SSA. This study aimed to estimate the prevalence of dementia, and investigate its associations, in those aged 60 years and older attending the outpatient department of Mount Meru Hospital in northern Tanzania. This is the first hospital-based outpatient dementia prevalence and risk factors study to be conducted in an east African population. Methods This was a one-phase cross-sectional study. Adults aged 60 years and over attending medical outpatients were screened for dementia using The Identification and Intervention for Dementia in Elderly Africans cognitive screening tool. Those who scored ≤9 were clinically assessed using the DSM-IV criteria. Demographic, medical comorbidity and lifestyle information were collected during a clinical assessment. Results Prevalence of dementia was 5.0% (95% confidence interval: 3.7–6.3). Binary logistic regression found female sex (odds ratio (OR) = 2.778), having no formal education (OR = 6.088), quantity of alcohol consumption (units/week) (OR = 1.080), uncorrected visual impairment (OR = 4.260), body mass index <18.5 kg/m2 (OR = 6.588) and stroke (OR = 15.790 with wide 95% confidence interval (3.48–74.475)) to be significantly, independently associated with dementia. Conclusions The prevalence of dementia in this population is lower than previously reported community-based rates in Tanzania, and similar to those in high-income countries. This is the first time the association between uncorrected visual impairment and dementia has been reported in SSA. Other associations identified are in keeping with previous literature. Further research on the management of dementia and its risk factors, and the support and education of carers and patients in east African populations is required.
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Roe, Caitlin, Ssenku Safic, Lawtiko Mwaipopo, Catherine Dotchin, Johanna Klaptocz, Keith Gray, Marcella Joseph, and Richard Walker. "#3064 Prevalence of, and risk factors for, dementia in adult outpatient referrals to a regional referral hospital in Arusha, Northern Tanzania." Journal of Neurology, Neurosurgery & Psychiatry 92, no. 8 (July 16, 2021): A17.1—A17. http://dx.doi.org/10.1136/jnnp-2021-bnpa.38.
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ObjectivesThe global burden of dementia is increasing, with the greatest increase predicted to occur in sub-Saharan Africa (SSA). Despite this there are limited previous data on the prevalence of, and risk factors for, dementia in SSA. This study aimed to estimate the prevalence of dementia, and investigate its associations, in those aged 60 years and older attending the outpatient department of Mount Meru Hospital in northern Tanzania. This is the first hospital-based outpatient dementia prevalence and risk factors study to be conducted in an east African population.MethodsThis was a one-phase cross-sectional study. Adults aged 60 years and over attending medical outpatients were screened for dementia using The Identification and Intervention for Dementia in Elderly Africans cognitive screening tool. Those who scored ≤9 were clinically assessed using the DSM-IV criteria. Demographic, medical comorbidity and lifestyle information were collected during a clinical assessment.ResultsPrevalence of dementia was 5.0% (95% confidence interval: 3.7-6.3). Binary logistic regression found female sex (odds ratio (OR)=2.778), having no formal education(OR=6.088), quantity of alcohol consumption (units/week) (OR=1.080), uncorrected visual impairment (OR=4.260), body mass index <18.5kg/m2 (OR=6.588) and stroke (OR=15.790with wide 95% confidence interval (3.48-74.475)) to be significantly, independently associated with dementia.ConclusionsThe prevalence of dementia in this population is lower than previously reported community-based rates in Tanzania, and similar to those in high-income countries.This is the first time the association between uncorrected visual impairment and dementia has been reported in SSA. Other associations identified are in keeping with previous literature. Further research on the management of dementia and its risk factors, and the support and education of carers and patients in east African populations is required to advise future policy.
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Wandera, Moses. "Indigenous African Education for Socio- Economic Development." Msingi Journal 1, no. 1 (August 27, 2018): 267–316. http://dx.doi.org/10.33886/mj.v1i1.64.
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Education in Africa has been in existence since time immemorial. This study sought to examine the activities of Lantana in Benin on their specialised training, Dogon of Mali in their world view, Futo Toro of Senegal in their various trades, Poro of Sierra Leone in the training of the youth, Takensi of Ghana in their social order and the Akan of Ghana. Also examined are the activities of the Chamba and Yoruba of Nigeria in their adult centred training and forecasting of the future respectively. The Chagga of Tanzania and the Abakwayaare were also examined on their initiative plays and economic activities. The paper also studied the Ndembu of Zambia on the past analysis and the activities of the Mijikenda of Kenya among other Kenyan tribes. The study used the theoretical framework of Emile Durkheim on the social and moral order, while the design of the study was on content analysis of available information and expectations. The study recommends positive approaches in the indigenouseducation that can be adapted, mainly for Kenya in its desire to achieve Vision 2030. However, further research should be done on specific values, foods, attitudes and the rule of law, how achieve social, political and economic progress in African nations and especially how the current economic integration blocks have followed the same pattern of the communities and their values.
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Kabir, Russell, Anwarul Azim Majumder, SM Yasir Arafat, Rocky Khan Chodwhury, Shireen Sultana, SM Moslehuddin Ahmed, Dioneia Motta Monte-Serrat, and Esmot Zarin Chowdhury. "Impact of Intimate Partner violence on ever married women and utilization of antenatal care services in Tanzania." Journal of College of Medical Sciences-Nepal 14, no. 1 (March 30, 2018): 7–13. http://dx.doi.org/10.3126/jcmsn.v14i1.17802.
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Background and Objectives:Sub Saharan Africa region is considered as one of the deprived regions of this world and women from this part of the world are suffering from intimate partner violence. This study was undertaken to assess the impact of intimate partner violence on utilization of antenatal care services among the ever married women.Materials and Methods:This is a descriptive cross-sectional study design. The data used in this research was extracted from the Tanzania Demographic Health Survey 2015-16. A total of 13, 266 women were interviewed.Results:The mean age of the respondents is 28.69 years. About 74% women visited antenatal care services more than 4 times. Logistic regression results indicate that the middle-aged adult women (35-49 years age group) were identified having lower odds (Odds ratio: 0.807, 95% CI: 0.693-0.940, P<0.001) than women in younger age group. Women who did not complete their secondary education were less likelihood to experience IPV (Odds ratio: 0.705, 95% CI: 0.540-0.922, P<0.010).Conclusion:Intimate partner violence is one main challenge to women’s health and wellbeing during pregnancy period. Proper implementation and community based interventions to support pregnant women to seek antenatal care services and to raise awareness regarding intimate partner violence are advocated.
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Emerson, C., B. Ng'eno, B. Ngowi, S. Pals, W. Kohi, M. Godwin, A. Date, and S. Modi. "Assessment of routine screening of pediatric contacts of adults with tuberculosis disease in Tanzania." Public Health Action 9, no. 4 (December 21, 2019): 148–52. http://dx.doi.org/10.5588/pha.19.0034.
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Setting: Ten selected healthcare facilities in Tanzania, March–April 2016.Objective: To assess the implementation of screening among pediatric contacts of adults with tuberculosis (TB) disease.Design: Using a mixed-methods approach, we conducted a questionnaire study among sputum smear-positive adult TB patients and abstracted data from their patient cards to assess the implementation of a child contact management (CCM) intervention. We also conducted in-depth interviews with healthcare workers (HCWs) to solicit their views on clinical practices and challenges in CCM.Results: A total of 141 adult smear-positive TB patients reported 396 children living in households; detailed information on 346 (87.4%) was available. Only 37 (10.7%) children were clinically assessed for TB, 5 (13.5%) were diagnosed with TB, and 22 started on isoniazid preventive therapy (IPT) (59.0%). Of the 320 children whose caregivers responded to whether their children had undergone human immunodeficiency virus (HIV) testing, 55 (17.2%) had been tested and one (1.8%) was HIV-positive. Forty-one HCWs described passive CCM without use of contact or IPT registers.Conclusion: We identified gaps in the implementation of TB screening, IPT provision, and HIV testing in pediatric contacts of adults with sputum smear-positive TB. Systematic efforts, including increasing HCW training and educating the community, may improve implementation.
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Nyorobi, John Michael, Lorna Celia Carneiro, and Msafiri Nicodemus Kabulwa. "Knowledge and Practices on Periodontal Health among Adults, Misungwi, Tanzania." International Journal of Dentistry 2018 (November 1, 2018): 1–7. http://dx.doi.org/10.1155/2018/7189402.
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The level of knowledge and practices on periodontal health of 388 adults in Misungwi District, Tanzania, was assessed. Analysis included frequency distributions and the chi-square test at apvalue of 0.05. Many more participants were males (n=197; 50.8%) and of younger age group (n=215; 55.4%) and having seven years of education (n=257; 66.2%). Higher number of participants reported owning a mobile phone (n=289; 74.5%) and a radio (n=298; 76.8%), while few (n=45; 11.6%) had their houses connected to electricity. Study participants who were males (n=101; 51.3%), had more than seven years of schooling (n=67; 72.3%), who owned a mobile phone (n=143; 49%), owned a radio (n=144; 48.3%), and resided in houses having electricity (n=37; 82.2%) were statistically significantly more knowledgeable on periodontal health when compared to their counterparts. A statistical significant difference was seen in oral health practices conducive to periodontal health among those who were males (n=133; 67.0%), having more than seven years of education (n=78; 83.0%), owning a mobile phone (n=189; 65.4%), owning a radio (n=195; 65.4%), and residing in house having electricity (n=35; 77.8%). This study observed that participants who were males, owned a mobile phone, owned a radio, resided in houses having electricity, and having more than seven years of education were more knowledgeable and had more conducive oral health practices on periodontal health.
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Kazaura, Method. "Knowledge, attitude and practices about dengue fever among adults living in Pwani Region, Tanzania in 2019." African Health Sciences 20, no. 4 (December 16, 2020): 1601–9. http://dx.doi.org/10.4314/ahs.v20i4.12.
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Background: Dengue fever (DF) is currently widespread in tropical and sub-tropical countries. Among the triggers of ep- idemic include urbanization and internal migrations. Within the past few years, there have been DF outbreaks in Tanzania. Although Pwani region is among the predicted risk areas for the DF, there is insufficient data about people’s knowledge, attitude and practices towards prevention of DF in their settings. Therefore, the aim of this study was to assess knowledge, attitude and practices about DF among adults in Pwani region in Tanzania.
Methods: The cross-sectional study conducted in Mkuranga District, Pwani region in Tanzania. We used face-to-face inter- views to collect data. The main analytical procedure was descriptive using frequencies.
Results: The majority, 97.7%, were aware of DF. Nevertheless, almost 80% had a low knowledge on symptoms, transmis- sion and vector control measures. Furthermore, less than 20% had positive attitude towards dengue fever prevention, sever- ity of the illness and health seeking behavior.
Conclusion: Lack of enough knowledge and positive attitude about disease transmission, symptoms and preventive meas- ures put the population at high risk of contracting the disease. There is need to create and improve friendly, correct and simple information, education and education messages for the rural populations.
Keywords: Attitude; Dengue; knowledge; practice; rural.
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Muiruri, Charles, Scholastica J. Swai, Habib O. Ramadhani, Brandon A. Knettel, Michael J. Mahande, Sia E. Msuya, and John A. Bartlett. "Individual and partner characteristics associated with HIV testing and counseling uptake among individuals 50 years or older in Tanzania." International Journal of STD & AIDS 30, no. 14 (November 20, 2019): 1425–31. http://dx.doi.org/10.1177/0956462419874990.
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HIV prevention efforts have historically focused on people aged 15–49 years, despite mounting evidence of risk behavior and increased disease burden among older adults. We analyzed survey data from 600 adults aged ≥50 years in the Rombo District of Tanzania. Logistic regression models were performed to evaluate individual and partner-level factors associated with HIV testing and counseling (HTC) uptake. In this sample, more than half of participants were sexually active and condom use was rare, but only 57% had ever been tested for HIV. Ten were HIV infected (1.7%); this prevalence was approximately one-third that observed among the general population in Tanzania (4.7%). Individual factors associated with increased HTC uptake included younger age, female gender, greater educational attainment, and having health insurance. Partner factors associated with increased HTC uptake included lower partner age and higher partner education. This population demonstrated substantial HIV risk, warranting tailored interventions to raise awareness and increase HTC uptake.
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Mashili, Fredirick L., Gibson B. Kagaruki, Joseph Mbatia, Alphoncina Nanai, Grace Saguti, Sarah Maongezi, Ayoub Magimba, et al. "Physical Activity and Associated Socioeconomic Determinants in Rural and Urban Tanzania: Results from the 2012 WHO-STEPS Survey." International Journal of Population Research 2018 (January 31, 2018): 1–10. http://dx.doi.org/10.1155/2018/4965193.
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Background. Physical inactivity contributes to the rising prevalence of noncommunicable diseases (NCDs). Given the rapidly increasing prevalence of NCDs in Low-Income Countries (LICs), comprehensive evaluation and documentation of physical activity (PA) status in this setting are crucial. Methods. We examined the demographic and social-economic antecedents of PA among adults (5398) from the 2012 Tanzania STEPS survey data. Statistical significance at the level of 0.05 was used to measure the strength of associations. Results. Majority of study participants attained the WHO-recommended levels of physical activity (96.7%). Levels were higher among those living in rural than in urban settings (98% versus 92%, p<0.0001) and generally, urban residency, female gender, higher education achievement, and employment were significantly associated with low levels of PA. Participation in the different domains of PA (work, transport, and recreational) varied with living setting, levels of education, and employment status. Conclusion. These results describe PA status and associated social-economic determinants among adults in rural and urban Tanzania. The findings contribute to the growing evidence that implicates urbanization as a key driver for the growing prevalence of physical inactivity in LICs and underscore the need for tailored PA interventions based on demography and social-economic factors.
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Gray, William Keith, Stella-Maria Paddick, Adesola Ogunniyi, Olaide Olakehinde, Catherine Dotchin, John Kissima, Sarah Urasa, et al. "Population normative data for three cognitive screening tools for older adults in sub-Saharan Africa." Dementia & Neuropsychologia 15, no. 3 (September 2021): 339–49. http://dx.doi.org/10.1590/1980-57642021dn15-030005.
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ABSTRACT In sub-Saharan Africa (SSA),cognitive screening is complicated by both cultural and educational factors, and the existing normative values may not be applicable. The Identification of Dementia in Elderly Africans (IDEA) cognitive screen is a low-literacy measure with good diagnostic accuracy for dementia. Objective: The aim of this study is to report normative values for IDEA and other simple measures [i.e., categorical verbal fluency, the Consortium to Establish a Registry for Alzheimer’s Disease (CERAD) 10-word list] in representative community-dwelling older adults in SSA. Methods: Individuals aged ≥60 years resident in 12 representative villages in Kilimanjaro, Tanzania and individuals aged ≥65 years resident within three communities in Akinyele Local Government Area, Oyo State, Nigeria underwent cognitive screening. The normative data were generated by the categories of age, sex, and education. Results: A total of 3,011 people in Tanzania (i.e., 57.3% females and 26.4% uneducated) and 1,117 in Nigeria (i.e., 60.3% females and 64.5% uneducated) were screened. Individuals with higher age, lower education, and female gender obtained lower scores. The 50th decile values for IDEA were 13 (60–64 years) vs. 8/9 (above 85 years), 10–11 uneducated vs. 13 primary educated, and 11/12 in females vs. 13 in males. The normative values for 10-word list delayed recall and categorical verbal fluency varied with education [i.e., delayed recall mean 2.8 [standard deviation (SD) 1.7] uneducated vs. 4.2 (SD 1.2) secondary educated; verbal fluency mean 9.2 (SD 4.8) uneducated vs. 12.2 (SD 4.3) secondary educated], substantially lower than published high-income country values. Conclusions: The cut-off values for commonly used cognitive screening items should be adjusted to suit local normative values, particularly where there are lower levels of education.
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Macpherson, Ian. "The Rights‐Based Approach to adult education: implications for NGO–government partnerships in Southern Tanzania1." Compare: A Journal of Comparative and International Education 39, no. 2 (March 2009): 263–79. http://dx.doi.org/10.1080/03057920902750517.
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Losioki, Bertha Erasto. "Education Opportunities and Support for Orphans and Vulnerable Children in Bagamoyo District Tanzania." East African Journal of Education Studies 2, no. 1 (December 14, 2020): 187–97. http://dx.doi.org/10.37284/eajes.2.1.250.
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Education is a fundamental and universal basic need for all, especially orphans and vulnerable children in Tanzania. Education imparts knowledge, skills, and competencies to individuals. This study assessed educational opportunities and the support available to orphans and vulnerable children (OVC) in Bagamoyo District to determine socioeconomic and psychological factors that limit access to education. Data were collected using in-depth interviews, non-participant observation and documentary review. The study involved 102 orphans and vulnerable children aged between 7 and 15 years and 35 adults key informants aged 25 years and above. The findings showed that OVC had access to free primary education but had limited access to secondary education. Access to education among OVC was constrained by limited and unreliable sources of funds to meet the necessary basic needs and school requirements including food, learning materials, school uniform, and fees. The findings show further that, OVC living in extended family experience more challenges compared to those staying in orphanage homes. OVC in the family and orphanage homes experience psychological challenges such as depression, loneliness, and stress. The study recommends that community programmes aimed at assisting orphans and vulnerable children should be strengthened to enable Orphanage homes and the extended family in taking care of orphans and vulnerable children. The relevant ministry (POR-LAG) should facilitate the availability of educational resources among orphans and vulnerable children to enable them to realise their educational goals.
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Manavalan, Preeti, Linda Minja, Lisa Wanda, Julian T. Hertz, Nathan M. Thielman, Nwora Lance Okeke, Blandina T. Mmbaga, and Melissa H. Watt. "“It’s because I think too much”: Perspectives and experiences of adults with hypertension engaged in HIV care in northern Tanzania." PLOS ONE 15, no. 12 (December 3, 2020): e0243059. http://dx.doi.org/10.1371/journal.pone.0243059.
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Background Hypertension, a leading risk for cardiovascular mortality, is an important co-morbidity among people living with HIV (PLHIV). In Tanzania, hypertension prevalence among PLHIV approaches 20 to 30%. However, most patients are unaware of their diagnosis and are not receiving treatment. Understanding the barriers to hypertension care is a critical first step in developing interventions to improve cardiovascular outcomes among PLHIV in Tanzania and similar settings. Methods Between September 1st and November 26th, 2018 thirteen semi structured in-depth interviews were conducted with hypertensive patients engaged in HIV care in two HIV clinics located in government health facilities in northern Tanzania. Interviews were audio-recorded, translated into English, transcribed and thematically coded using NVivo. Data analysis was conducted using applied thematic analysis. Results Participants had a median age of 54 (IQR 41–65) years. Of the 13 participants, eight stated they had used antihypertensive medication previously, but only one participant described current use of antihypertensive therapy. All participants were currently using antiretroviral therapy. The data revealed a range of themes including limited hypertension knowledge. Universally, all participants believed that “thinking too much”, i.e. stress, was the major contributor to hypertension and that by “reducing thoughts”, one may control hypertension. Additional emerging themes included a perceived overlap between hypertension and HIV, delays in hypertension diagnosis and linkage to care, challenges with provider communication and counseling, reluctance towards antihypertensive medication, lack of integration of hypertension and HIV care, and additional structural barriers to hypertension care. Conclusions Participants described multiple, intersecting challenges related to hypertension management. Barriers specific to PLHIV included siloed care, HIV-related stigma, and burden from multiple medical conditions. Multifaceted strategies that seek to address structural barriers, hypertension education, psychosocial stressors and stigma, and that are integrated within HIV care are urgently needed to improve cardiovascular outcomes among PLHIV in sub-Saharan Africa.
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Snavely, Michael E., Michael J. Maze, Charles Muiruri, Lilian Ngowi, Flora Mboya, Julia Beamesderfer, Glory F. Makupa, et al. "Sociocultural and health system factors associated with mortality among febrile inpatients in Tanzania: a prospective social biopsy cohort study." BMJ Global Health 3, no. 1 (February 2018): e000507. http://dx.doi.org/10.1136/bmjgh-2017-000507.
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IntroductionCommunicable diseases are the leading causes of death in Tanzania despite the existence of effective treatment tools. We aimed to assess the sociocultural and health system factors associated with mortality from febrile illness in northern Tanzania.MethodsWe interviewed febrile inpatients to determine prevalence of barriers in seeking or receiving care and grouped these barriers using the Three Delays model (delays at home, in transport and at healthcare facilities). We assessed 6-week mortality and, after matching on age, gender and severity of illness, measured the association between delays and mortality using conditional logistic regression.ResultsWe enrolled 475 children, of whom 18 (3.8%) died, and 260 adults, of whom 34 (13.0%) died. For children, home delays were not associated with mortality. Among adults, a delay in care-seeking due to not recognising severe symptoms was associated with mortality (OR: 3.01; 95% CI 1.24 to 7.32). For transport delays, taking >1 hour to reach a facility increased odds of death in children (OR: 3.27; 95% CI 1.11 to 9.66) and adults (OR: 3.03; 95% CI 1.32 to 6.99). For health system delays, each additional facility visited was associated with mortality for children (OR: 1.59; 95% CI 1.06 to 2.38) and adults (OR: 2.00; 95% CI 1.17 to 3.41), as was spending >4 days between the first facility visit and reaching tertiary care (OR: 4.39; 95% CI 1.49 to 12.93).ConclusionOur findings suggest that delays at home, in transport and in accessing tertiary care are risk factors for mortality from febrile illness in northern Tanzania. Interventions that may reduce mortality include community education regarding severe symptoms, expanding transportation infrastructure and streamlining referrals to tertiary care for the sickest patients.
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Henke, A., O. Henke, and F. Serventi. "Cancer Awareness Among Adults in the Kilimanjaro Region." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 195s. http://dx.doi.org/10.1200/jgo.18.78502.
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Background: Approximately 14 million new cases were diagnosed with cancer internationally and 8 million of these new cases were diagnosed in low-resource regions according to the International Agency for Research on Cancer (IARC). For Tanzania, it is estimated that the cancer incidence will double in the year 2030, from 37,000 new cases in 2015 to more than 61,000 cases. In Tanzania is a high prevalence of Burkitt´s lymphoma in children, cervical and breast cancer in women, and prostate and esophagus/stomach cancer in men. Many types of cancer could be prevented by modifying lifestyle choices (e.g., reduce of alcohol consumption and HPV-vaccinations etc). In Tanzania very few studies were published about cancer awareness. A Kilimanjaro Christian Medical Center (KCMC) based-registry shows that the majority of patients come in the late stages of cancer to the hospital. In 2017 came in total 760 patient and 85% of them showed up in stage III and IV. Reasons why patients come so late is a lack of knowledge about the cancer symptoms and risk factors and the people in the Kilimanjaro Region are not aware of the new Cancer Care Centre at KCMC which opened in December 2016. Aim: A cross-section study want to gain a deep understanding of the cancer knowledge in the community for future focus programs. This survey want to identify the knowledge of cancer, awareness of cancer risk factors and treatment options among adults in the Kilimanjaro Region. Methods: In collaboration with Berlin Charité in 2017 started a cross-section study about prevention and awareness among adults in the Kilimanjaro Region. In total over 5000 people will be interviewed in all 7 districts in the Kilimanjaro Region from October 2017 until April 2019. The study use will a valid questionnaire with 46 items about cancer awareness, cancer knowledge, risk factors and treatment options. First preliminary results: Since October 2017 over 2000 people were interviewed in Siha, Moshi Urban and Moshi Rural district. First preliminary results give already a overview about the demographic characteristics in the Kilimanjaro Region and the knowledge about cancer and the awareness about cancer risk factors in the community. 52% of the community members consider cancer as a problem in the community. 12% of this people have currently somebody with cancer in the household. Most known cancer types are cervical cancer and breast cancer. 14% of the people have never heard about cancer. Only (35.0%) knew ≥1 risk of cancer. Majority were not even able to justify their specific aspects in related to cancer. Results: About 2 cancer risk factors: 28% of the community members drink 2 times per week and more alcohol, only 3% smoke cigarettes currently and 31% eat more than 3 times a week red meat. Conclusion: Overall about cancer in the community is very poor. Especially in the rural areas is a strong need for more education and awareness.
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MWANGA, J. R., P. MAGNUSSEN, THE LATE C. L. MUGASHE, THE LATE R. M. GABONE, and J. AAGAARD-HANSEN. "SCHISTOSOMIASIS-RELATED PERCEPTIONS, ATTITUDES AND TREATMENT-SEEKING PRACTICES IN MAGU DISTRICT, TANZANIA: PUBLIC HEALTH IMPLICATIONS." Journal of Biosocial Science 36, no. 1 (January 2004): 63–81. http://dx.doi.org/10.1017/s0021932003006114.
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A study on perceptions, attitudes and treatment-seeking practices related to schistosomiasis was conducted among the Wasukuma in the rural Magu district of Tanzania at the shore of Lake Victoria where Schistosoma haematobium and mansoni infections are endemic. The study applied in-depth interviews, focus group discussions and a questionnaire survey among adults and primary school children. The perceived symptoms and causes were incongruous with the biomedical perspective and a number of respondents found schistosomiasis to be a shameful disease. Lack of diagnostic and curative services at the government health care facilities was common, but there was a willingness from the biomedical health care services to collaborate with the traditional healers. Recommendations to the District Health Management Team were: that collaboration between biomedical and traditional health care providers should be strengthened and that the government facilities’ diagnostic and curative capacity with regard to schistosomiasis should be upgraded. Culturally compatible health education programmes should be developed in collaboration with the local community.
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Muhamedhussein, M. S., Z. I. Nagri, and K. P. Manji. "Prevalence, Risk Factors, Awareness, and Treatment and Control of Hypertension in Mafia Island, Tanzania." International Journal of Hypertension 2016 (2016): 1–5. http://dx.doi.org/10.1155/2016/1281384.
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Introduction. The prevalence of hypertension in Africa ranges from 29.7% in Cameroon to 47% in South Africa. Only 10% receive treatment in Cameroon while 32% are on medications in Ghana. Control rates vary from 0.4% to 16.8%. This study was done to assess prevalence, risk factors, awareness, treatment, and control of hypertension in Mafia Island, Tanzania, which has never been documented before, so that necessary interventions can be undertaken accordingly.Methodology. Data was collected through questionnaires and anthropometric measurements were taken. Descriptive statistics were done and potential correlations were analyzed.Results. Out of 570 adults who were included in the study, 154 (27%) were aged 41–50 and the male-to-female ratio was 1 : 1.05. Almost half (49.5%) of the participants fit into the criteria of hypertension. Out of the 118 participants who were aware of having hypertension, 68 (57.6%) were currently taking medication. From those taking medication, only 14 (20.6%) had controlled hypertension.Conclusion. This study tried to show the extent of hypertension and find out risk factors which could explain the high prevalence of hypertension. This is very alarming and a dire need to raise awareness through health education, availability of screening, and treating and follow-up should be given priority.
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Oboho, Ikwo, Allahna L. Esber, Nicole Dear, Heather Paulin, Michael Iroezindu, Emmanuel Bahemana, Hannah Kibuuka, et al. "113. Advanced HIV Disease Among Adults in the African Cohort Study (AFRICOS)." Open Forum Infectious Diseases 7, Supplement_1 (October 1, 2020): S185. http://dx.doi.org/10.1093/ofid/ofaa439.423.
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Abstract Background In the “test and treat” era, early ART may decrease the prevalence of advanced HIV disease (AHD), defined as having a CD4 cell count < 200 cells/µL or World Health Organization (WHO) clinical stage III or IV disease. We assessed trends in AHD and ART coverage and describe factors associated with AHD among adults living with HIV (LWH) across four countries before and during the “test and treat” era. Methods The African Cohort Study (AFRICOS) is a prospective cohort enrolling adults at risk for HIV or LWH from 12 facilities in Uganda, Kenya, Tanzania and Nigeria. Clinical history review and laboratory testing were performed at enrollment and every 6 months. Serum cryptococcal antigen screening (CrAg) was performed in a subset with CD4 < 200 at enrollment. Logistic regression was used to estimate odds ratios for factors associated with CD4 < 200. Results From January 2013–December 2019, 2934 adults LWH were enrolled (median age 38 years [interquartile range, 31–46 years], 41.5% men). Of 2903 with CD4 results at enrollment, 567 (19.5%) had CD4 < 200. Despite consistent increases in ART coverage since 2016, across all countries the prevalence of AHD did not decline below levels observed in 2013 until 2019. The prevalence of CD4 < 200 did not significantly decline from 11.9% (range 9.1–25.0%) in 2013 to 10.3% (range 0–16%) in 2019, p=0.7, while ART coverage increased from 74.7% (range 68.3–93.8%) in 2013 to 97.5% (range 86–100%) in 2019, p= < 0.01 (Figure 1). Factors associated with a higher risk of CD4 < 200 at enrollment were being enrolled in Tanzania, male sex, age >29 years, having a primary or some secondary education or above, and WHO stage II disease or higher. Factors associated with a lower risk of CD4 < 200 were >1 year since HIV diagnosis and being on ART for at least 6 months (Table 1). Among those with CD4 < 200 at enrollment, the most commonly reported comorbidities included HIV wasting syndrome (9.3%) and tuberculosis (TB) (2.3%); 19 (3.4%) of 564 adults screened were CrAg positive. Figure 1: Trends in Percentage of Participants with CD4 <200 and ART coverage at Study Enrollment by Country and Year Table 1: Factors associated with CD4 <200 cells/mm3 at Study Enrollment Conclusion Despite the scale-up of ART in the era of “test and treat”, AHD prevalence has only recently trended downward. Continued efforts towards early HIV diagnosis and timely ART initiation are needed to reduce the risk for CD4< 200. Strategies to increase TB screening, prophylaxis, and treatment are essential to reduce morbidity. Disclosures All Authors: No reported disclosures
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Lwoga, Edda Tandi. "Online and offline information seeking behaviours of people living with HIV in a clinic-based setting." Global Knowledge, Memory and Communication 68, no. 6/7 (September 2, 2019): 517–33. http://dx.doi.org/10.1108/gkmc-03-2019-0031.
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Purpose The purpose of this study sought to determine the characteristics that distinguish online from offline information seekers among people living with human immunodeficiency virus (PLHIV) in selected regional hospitals of Tanzania. Design/methodology/approach Questionnaire-based survey was conducted among 341 adults with human immunodeficiency virus (HIV) infection attending the HIV clinics in the regional referral hospitals in Mwanza, Mbeya and Dar es Salaam, Tanzania. The study used multivariate logistic regressions to determine factors that distinguish online HIV information seekers from offline HIV information seekers. Findings One in every five survey participants sought online HIV information (19.6 per cent, n = 67). Both higher level of education (odds ratio (OR) = 1.765, 95 per cent confidence interval (CI) = 1.208-2.58) and intention to use internet in future (OR = 1.566, 95 per cent CI 1.148-2.136) were predictors of online HIV information seeking behaviour at multivariate analysis. Respondents who sought online information reported to have gained knowledge such as; to understand their conditions better (77.4 per cent, n = 41) and understand information received from health care workers (66 per cent, n = 35), as well as acquisition of health promoting behaviour such as; asking questions during doctor’s visit (55 per cent, n = 35) and consulting a clinician when they have problems (64.3 per cent, n = 33). The offline HIV information seekers (n = 274) did not use internet due to lack of information seeking skills (44.3 per cent, n = 113) and lack of access to internet connectivity (30.2 per cent, n = 77). Originality/value This is a comprehensive study that differentiates online from offline HIV information seekers in the context of sub-Saharan Africa. The results suggest that interventions to improve online access information will empower patients and probably positively affect their health knowledge and health promoting behaviours.
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Mcharo, Ruby Doryn, Willyhelmina Olomi, Philippe Mayaud, and Sia E. Msuya. "Risky sexual behaviours among young adults attending Higher Learning Institutions in Mbeya, Tanzania: implications for STIs and HIV preventive programs." AAS Open Research 3 (August 27, 2020): 41. http://dx.doi.org/10.12688/aasopenres.13123.1.
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Background: High-risk sexual behaviours (HRSBs) among young adults are a key risk for Sexually Transmitted Infections (STIs), HIV and unplanned pregnancies. The World Health Organization has identified the 15-24 year age-group as high-risk for STIs. Students at Higher Learning Institutions (HLIs) may be at higher risk because they are free of immediate parental supervision, a transient migratory population, and probably at peak years of sexual activity. Here, we describe risky sexual behaviours and preventive practices among young adults attending HLIs in Mbeya, Tanzania. Methods: Cross-sectional study was conducted from March 2019 to January 2020 among students aged 18-24 years enrolled in HLIs within Mbeya. A self-administered questionnaire was used to collect information on sexual health education, activity, behaviour and STI knowledge. Results: 504 students were enrolled; mean age of 21.5 (SD 1.74) years. 377 (74.8%) students were sexually active. Mean age of first sexual encounter was 18.4 years and 11.6% reported their sexual debut was <15 years. A higher proportion of male students (59.7%) reported their sexual debut with non-steady partners compared with female students (40.9%). Lack of condom use at sexual debut was reported by 43.3% of sexually active students. Consistent condom use during the past 4-weeks was reported at 23.3% and 16.9% among men and women, respectively. Almost 1 in 10 students reported being forced into having sex by someone they were dating. Sex under the influence of alcohol was reported by 25.5% of the students. Nearly 7 in 10 (77%) students had heard of STIs, but only 15% were aware STIs could be asymptomatic. Conclusion: STI prevention programs need to recognize young adults in HLIs as an at-risk population. HLIs must advocate targeted messages to minimize risks to acquiring STIs, offer counselling and support for those experiencing sexual violence, and promote condom use and safer-sex negotiation skills.
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Munyogwa, Mariam John, and Abdalla Hussein Mtumwa. "The Prevalence of Abdominal Obesity and Its Correlates among the Adults in Dodoma Region, Tanzania: A Community-Based Cross-Sectional Study." Advances in Medicine 2018 (October 17, 2018): 1–8. http://dx.doi.org/10.1155/2018/6123156.
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Introduction. Overweight and obesity are a threat to the public health following their association with noncommunicable diseases, such as type 2 diabetes mellitus, cardiovascular disease, and some cancers. Despite this fact, the information on overweight and obesity, particularly in most developing countries, is still scarce to address the problem. This article partly addresses the gap through the findings of a cross-sectional survey that was conducted in Dodoma Region, Central Tanzania, to determine the prevalence and correlates of abdominal obesity among adults. Methods. Using a community-based cross-sectional survey, data were generated from the participants who aged 18 years and above. Simple random sampling and Kish selection table techniques were used to get the sample who responded through a face-to-face-administered questionnaire. Waist circumference was measured using the guideline of the WHO protocol of measuring waist and hip circumference. Abdominal obesity is defined as a condition with waist circumference >102 cm for men and >88 cm for women. Prevalence was computed with a 95% confidence interval. Simple and multiple logistic regression models were fitted to identify the risk factors associated with abdominal obesity. Results. A total of 840 respondents took part in the study. The overall prevalence of abdominal obesity was found to be 24.88% (209/840). The prevalence of abdominal obesity was significantly higher among women than men (35.14% vs. 6.89%, p<0.0001) and higher among urban dwellers (33.56%) than their rural counterparts (15.56%). Correlates of abdominal obesity was found to be gender, marital status, place of residence, age, education level, and the time used in watching television. Conclusion. This study revealed a high prevalence of abdominal obesity among the people living in the Dodoma Region. Increased age, urban residence, more time spent on television, less walking per day, and being ever married were all associated with having abdominal obesity in this population.
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Masika, Golden Mwakibo, Doris S. F. Yu, and Polly W. C. Li. "P2-452: APPLICABILITY OF THE KISWAHILI VERSION OF MONTREAL COGNITIVE ASSESSMENT AMONG OLDER ADULTS WITH VERY LITTLE AND NO EDUCATION IN RURAL TANZANIA: A VALIDATION SURVEY." Alzheimer's & Dementia 15 (July 2019): P787—P788. http://dx.doi.org/10.1016/j.jalz.2019.06.2859.
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Cosmas, Juhudi K. "Perceived Challenges and Recommendations for Overcoming Challenges by Diploma in Adult Education Student, Teachers through Open and Distance Learning in Tanzania: A Case of Institute of Adult Education, Dodoma Centre, Tanzania." International Journal of Innovative Research and Development 7, no. 10 (October 31, 2018). http://dx.doi.org/10.24940/ijird/2018/v7/i10/oct18011.
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Kamazima, Switbert R., Method Kazaura, and Jane S. Mlimbila. "“Don’t Distribute Free Food … Improve Our Dietary Diversification Knowledge and Skills”: Borderlanders’ Perceived Root Causes of Malnutrition in Kagera Border Region, Tanzania." European Journal of Medical and Health Sciences 2, no. 6 (November 26, 2020). http://dx.doi.org/10.24018/ejmed.2020.2.6.561.
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Nutrition is a very important component for the growth and development of any society, specifically for the prevention and control of a range of diseases. In Tanzania, despite a great variability of nutrition status by different characteristics, generally the majority of the populations have poor nutrition. Kagera is among the 26 regions of mainland Tanzania with a total projected population of about 2.5 million. The nutrition status among residents is poor with multifactorial determinants. In this paper, we present qualitative data collected using in-depth interviews with key adult men and women informants in the four Tanzania-Uganda border districts. The main objective was to establish possible causes of the reported low nutrition in Kagera Region. Majority of study participants were affirmative of the availability and plenty of food; the main problem being poor dietary diversification knowledge, attitudes, skills, and practices. They recommend various measures that could improve the current nutrition status. These measures include nutrition education at primary, secondary and tertiary levels; health education at health facility level that will include nutrition topics and peer education at community level; introduction of nutrition bylaws in the community and vitalizing peer education social groups among males and females about the importance of dietary diversification. Therefore, future nutrition research should include culture, religion, and traditional indicators to inform food and nutrition interventions and policy in similar populations to the Tanzania-Uganda borderlanders.
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Bliznashka, Lilia, Goodarz Danaei, Günther Fink, Valerie L. Flax, Chrissie Thakwalakwa, and Lindsay M. Jaacks. "Cross-country comparison of dietary patterns and overweight and obesity among adult women in urban Sub-Saharan Africa." Public Health Nutrition, May 11, 2020, 1–11. http://dx.doi.org/10.1017/s1368980019005202.
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Abstract Objective: To derive dietary patterns (DP) among women of reproductive age (WRA) and older women in urban Sub-Saharan Africa (SSA), and to examine their association with body mass index (BMI), overweight and obesity. Design: We used principal component analysis to derive DP. Their association with BMI, overweight and obesity was assessed using linear and multinomial logistic regression models controlling for age, marital status, education and wealth. Setting: Cross-sectional data from prospective studies in Accra, Ghana (2008–2009), Dar es Salaam, Tanzania (2014) and Lilongwe and Kasungu, Malawi (2017–2018) were used. Participants: We compared WRA in Ghana (18–54 years, n 1762) and Malawi (19–48 years, n 137), and older women in Ghana (≥55 years, n 514) and Tanzania (≥50 years, n 134). Results: Among WRA, protein and healthy DP were identified in both Ghana and Malawi. In Ghana, the protein DP was associated with higher odds of overweight or obesity (adjusted OR 1·82, 95 % CI 1·27, 2·60 for quintile 2). Among older women, three DP were identified in Ghana (cereal, protein and healthy) and two DP in Tanzania (protein and healthy). The protein DP was associated with higher BMI in Ghana (adjusted mean difference 2·83, 95 % CI 0·95, 4·71 for quartile 3). Conclusions: Higher quintiles of the protein DP were associated with higher BMI and odds of overweight or obesity among women in urban Ghana, but not in Malawi or Tanzania. Further research is needed to understand how DP influence overweight and obesity among adult women in urban SSA.
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"Adult Literacy for Social Equality or Economic Growth? Changing Agendas for Mass Literacy in China and Tanzania." Comparative Education Review 35, no. 1 (February 1991): 44–75. http://dx.doi.org/10.1086/446995.
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Abels, Monika, Andrew Kilale, and Paul Vogt. "Speech acts addressed to Hadza infants in Tanzania: Cross-cultural comparison, speaker age, and camp livelihood." First Language, November 20, 2020, 014272372097200. http://dx.doi.org/10.1177/0142723720972000.
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This study deals with speech acts addressed to Hadza infants in Tanzania, a group that has traditionally lived off hunting and gathering. Three research questions are addressed: How do Hadza speech acts compare with those found in previous studies in other cultures? Are there differences between child and adult speakers? And do speech acts differ with camp livelihood patterns? Speech acts are seen as a part of language socialization, which reflects overarching cultural values and socialization goals. The results indicate that Hadza infants experience many requests for action/imperatives—a way of expressing hierarchies—more than the infants in the comparative cultural communities, in spite of the fact that hunter–gatherers have been described as egalitarian in the past. Children’s and adults’ speech acts differ in several ways: adults use more requests for action and information (questions) with infants, while children use more assertives. Finally, the comparison of camp livelihoods revealed differences mainly between camps living off tourism and those that are more isolated from outside influence. The former use more imperatives, the latter more vocatives. The results are discussed in terms of cultural change toward more hierarchical structure related to livelihood activities, particularly tourism, and different activities that children and adults engage in when interacting with infants.
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Nyalile, Kenan B., Emmanuel H. P. Mushi, Epiphania Moshi, Beatrice J. Leyaro, Sia E. Msuya, and Orgeness Mbwambo. "Prevalence and factors associated with erectile dysfunction among adult men in Moshi municipal, Tanzania: community-based study." Basic and Clinical Andrology 30, no. 1 (December 2020). http://dx.doi.org/10.1186/s12610-020-00118-0.
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Abstract Background Erectile dysfunction (ED) has a negative impact on ones’ relationships with poor quality of life as inevitable result. The effects of ED maybe worse in developing countries setting like Tanzania because men’s sexual health has been forgotten. Men’s sexual and reproductive health needs are not in the national reproductive health strategic. This study aimed to determine the prevalence and factors associated with erectile dysfunction among adult men in Moshi municipality, northern Tanzania. Results The mean age of the 381 men was 39.6 (SD ±16.8) years. The overall prevalence of ED on this study was 29.7%. The severity of ED among study participants was; 13.4% (51), 9.7% (37), 3.7% (14), 2.9% (11) had mild, mild to moderate, moderate and severe erectile dysfunction respectively. Age 40–54 years (Adjusted OR 5.0, 95% CI 2.5–9.9), > 55 years (aOR 11.7, 95% CI 5.8–23.7) and hypertension (aOR 2.6, 95% CI 1.1–6.4) were independent predictors of ED respectively. Conclusion The prevalence of ED is high among men in Moshi municipal as 1 out of 3 men have ED. Age and hypertension were independent predictors of ED. These results point to the need of community awareness and education programs to raise awareness among men about existence of ED problem, its consequence and where they can get advice and care in this setting. Further, health providers taking care of hypertensive and men with DM should be equipped with knowledge and skills on early detection for ED and how to counsel and where to refer patients for help.
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Arafat, S. M. Yasir. "Impact of Intimate Partner violence on ever married women and utilization of antenatal care services in Tanzania." Journal of College of Medical Sciences-Nepal 14, no. 1 (March 26, 2018). http://dx.doi.org/10.3126/jcmsn.v14i1.17851.
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<p><strong>Background and Objectives:</strong> Sub Saharan Africa region is considered as one of the deprived regions of this world and women from this part of the world are suffering from intimate partner violence. This study was undertaken to assess the impact of intimate partner violence on utilization of antenatal care services among the ever married women.</p><p><strong>Materials and Methods:</strong> This is a descriptive cross-sectional study design. The data used in this research was extracted from the Tanzania Demographic Health Survey 2015-16. A total of 13, 266 women were interviewed.</p><p><strong>Results:</strong> The mean age of the respondents is 28.69 years. About 74% women visited antenatal care services more than 4 times. Logistic regression results indicate that the middle-aged adult women (35-49 years age group) were identified having lower odds (Odds ratio: 0.807, 95% CI: 0.693-0.940, P<0.001) than women in younger age group. Women who did not complete their secondary education were less likelihood to experience IPV (Odds ratio: 0.705, 95% CI: 0.540-0.922, P<0.010).</p><p><strong>Conclusion:</strong> IPV is one main challenge to women’s health and wellbeing during pregnancy period. Proper implementation and community based interventions to support pregnant women to seek antenatal care services and to raise awareness regarding intimate partner violence are advocated.</p>
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Rogy, Pierre, and Anthony R. E. Sinclair. "Long-term surveys of age structure in 13 ungulate and one ostrich species in the Serengeti, 1926–2018." Scientific Data 7, no. 1 (October 21, 2020). http://dx.doi.org/10.1038/s41597-020-00701-0.
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Abstract The Serengeti ecosystem spans an extensive network of protected areas in Tanzania, eastern Africa, and a UNESCO Wold Heritage Site. It is home to some of the largest animal migrations on the planet. Here, we describe a dataset consisting of the sample counts of three age classes (infant, juvenile and adult) of 13 ungulate and one ostrich species. Sample counts were tallied visually from the ground, or, in some instances, aerial photographs, during a period extending from 1926 to 2018. Observed animals were assigned to age classes based on specific criteria for each species. For nine of the 14 species of this dataset, the number of sampling years is over 30. This resulted in a total of 533 different records of count across age classes. By computing age-class ratios, these data can be used to measure long-term recruitment success at different ages of the tallied species. In particular, the temporal extent of these data allows comparison of patterns to other long-term processes, such as the El Niño-Southern Oscillation (ENSO).
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Nolan, C. P., P. J. M. O'Donnell, B. M. Desderius, M. Mzombwe, M. L. McNairy, R. N. Peck, and J. R. Kingery. "Depression screening in HIV-positive Tanzanian adults: comparing the PHQ-2, PHQ-9 and WHO-5 questionnaires." Global Mental Health 5 (2018). http://dx.doi.org/10.1017/gmh.2018.31.
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Background.HIV-positive individuals are at significantly increased risk of depression. In low- and middle-income countries, depression is frequently under-detected, hampered by a lack of data regarding available screening tools. The 5-item World Health Organization Well-Being Index (WHO-5) is widely used to screen for depression, yet its validity in African adults with HIV has yet to be examined.Methods.In this cross-sectional study, we enrolled HIV-positive adults presenting to an outpatient HIV clinic in Mwanza, Tanzania. Patients were administered the Patient Health Questionnaires (PHQ)-2/9 and WHO-5 questionnaires. The rate of positive screens was calculated. Fisher's exact test and Pearson's correlation coefficients between PHQ-2/9 and WHO-5 scores were calculated.Results.We enrolled 72 HIV-positive adults: rates of positive depression screen were 62.5%, 77.8%, and 47.2% according to PHQ-2, PHQ-9, and WHO-5, respectively. PHQ and WHO results for depression were significantly associated (Fisher's exact test: PHQ-2 v. WHO-5, p = 0.028; PHQ-9 v. WHO-5, p = 0.002). The level of correlation between PHQ and WHO results for depression was moderate (Pearson's correlation coefficient: PHQ-2 v. WHO-5 −0.3289; PHQ-9 v. WHO-5 −0.4463).Per Mantel–Haenszel analysis, screening results were significantly more concordant among patients in the following strata: men, age >40, Sukuma ethnicity, Christian, unmarried, self-employed, at least primary school education completed, and higher than the median income level.Conclusions.WHO-5 scores correlated well with those of the PHQ-9, suggesting that the WHO-5 represents a valid screening tool. The concordance of PHQ-9 and WHO-5 results was poorer in marginalized socioeconomic groups. Positive depression screens were exceedingly common among HIV-positive Tanzanian adults according to all three questionnaires.
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Sirili, Nathanael, Amani Anaeli, Lilian Mselle, Obadia Nyongole, and Siriel Massawe. "“ … we were like tourists in the theatre, the interns assisted almost all procedures … ” Challenges facing the assistant medical officers training for the performance of caesarean section delivery in Tanzania." BMC Medical Education 21, no. 1 (January 25, 2021). http://dx.doi.org/10.1186/s12909-020-02480-z.
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Abstract Background Training of mid-level providers is a task-sharing strategy that has gained popularity in the recent past for addressing the critical shortage of the health workforce. In Tanzania, training of mid-level providers has existed for over five decades; however, concerns exist regarding the quality of mid-level cadres amidst the growing number of medical universities. This study sought to explore the challenges facing the Assistant Medical Officers training for the performance of Caesarean section delivery in Tanzania. Methods An exploratory qualitative case study was carried out in four regions to include one rural district in each of the selected regions and two AMO training colleges in Tanzania. A semi-structured interview guide was used to interview 29 key informants from the district hospitals, district management, regional management, AMO training college, and one retired AMO. Also, four focus group discussions were conducted with 35 AMO trainees. Results Training of AMOs in Tanzania faces many challenges. The challenges include: use of outdated and static curriculum, inadequate tutors (lack of teaching skills and experience of teaching adults), inadequate teaching infrastructure in the existence of many other trainees, including interns, and limited or lack of scholarships and sponsorship for the AMO trainees. Conclusions The findings of this study underscore that the challenges facing AMO training for the performance of Caesarean section delivery have the potential to negatively impact the quality of Caesarean sections performed by this cadre. A holistic approach is needed in addressing these challenges. The solutions should focus on reviewing the curriculum, deploying qualified tutors, and improving the competencies of the available tutors through continuing medical education programmes. Furthermore, the government in collaboration with other stakeholders should work together to address the challenges in teaching infrastructure and providing financial support to this cadre that has continued to be the backbone of primary healthcare in Tanzania. Long-term solutions should consider deploying medical officers at the primary facilities and phasing out the performance of Caesarean section by AMOs.
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Minja, Irene K., Anne N. Astrom, and Joyce R. Masalu. "Prevalence and distribution of oral health knowledge according to sociodemographic, behavioural and clinical characteristics in selected coastal districts of Tanzania." Tanzania Journal of Health Research 18, no. 3 (July 27, 2016). http://dx.doi.org/10.4314/thrb.v18i3.1.
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Background: Having knowledge about health issues is necessary for making informed decisions related to practicing lifestyles conducive to good health. The aim of this study was to identify socio-demographic, behavioural and clinical covariates of knowledge related to the cause and prevention of oral diseases among older adults in Tanzania.Methods: A cross sectional household survey was conducted in two regions of Tanzania; Pwani and Dar es Salaam city. A total 1031 older adults aged 55 and above were personally interviewed, before undergoing a full mouth examination.Results: the proportion of older adults with knowledge (total knowledge score≥ 1) on dental caries and gum disease was 14.9% and 2.3%, respectively. Having low education level, belonging to a lower wealth quartile and lack of perceived need to see a dentist, were strongly associated with having no knowledge on dental caries. None of the covariates were significantly associated with knowledge on gum disease.Conclusion: Knowledge on the two oral diseases is low among older adults interviewed. Factors associated with knowledge demonstrate substantial socio economic disparities. Development of policies and health education programs that target behavioural and socio economic determinants is recommended.
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Masika, Golden M., Doris S. F. Yu, and Polly W. C. Li. "Accuracy of the Montreal Cognitive Assessment in Detecting Mild Cognitive Impairment and Dementia in the Rural African Population." Archives of Clinical Neuropsychology, January 13, 2020. http://dx.doi.org/10.1093/arclin/acz086.
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Abstract Objective The incidence of dementia in the sub-Saharan Africa is rising. However, screening tools for cognitive decline that fits their linguistic and cultural context are lacking. The aim of this study was to determine the accuracy of the Kiswahili version of Montreal Cognitive Assessment (K-MoCA) to detect mild cognitive impairment or dementia among older adults in the rural Tanzania. Methods We recruited 259 community-dwelling older adults in Chamwino district, Tanzania. The concurrent validity and discriminatory power of K-MoCA were examined by comparing its score with IDEA cognitive screening and psychiatrist’s diagnosis using DSM-V, respectively. All the questionnaires were administered in face-to-face interview. Results K-MoCA demonstrated acceptable reliability (Cronbach’s alpha = 0.780). Concurrent validity was evident by its significant correlation with the IDEA screening test (Pearson’s r = 0.651, p < 0.001). Using the psychiatrist’s rating as the reference, the optimal cut-off score for MCI and dementia was 19 and 15, respectively, which yielded the sensitivity of 70% and specificity of 60% for MCI, and sensitivity of 72% and specificity of 60% for dementia. Further analysis indicated that education and age influence performance on K-MoCA. Conclusion Overall, the K-MoCA is a reliable and valid tool for measuring cognitive decline. However, its limited discriminatory power for MCI and dementia may be compromised by the cultural irrelevance of some items.
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MARIKI, Belingtone Eliringia. "Teachers' Experiences In Educationalmulti-Media Content Development: The Case Of Tanzania’s Institute Of Adult Education." Turkish Online Journal of Distance Education 15, no. 4 (December 1, 2014). http://dx.doi.org/10.17718/tojde.18424.
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Muhihi, Alfa J., Amani Anaeli, Rose N. M. Mpembeni, Bruno F. Sunguya, Germana Leyna, Deodatus Kakoko, Anna Tengia Kessy, Mary Mwanyika Sando, Marina Njelekela, and David P. Urassa. "Public knowledge of risk factors and warning signs for cardiovascular disease among young and middle-aged adults in rural Tanzania." BMC Public Health 20, no. 1 (November 30, 2020). http://dx.doi.org/10.1186/s12889-020-09956-z.
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Abstract Background Improving cardiovascular health requires public knowledge and reduction of modifiable cardiovascular disease (CVD) risk factors. This study assessed knowledge of risk factors and warning signs for CVDs among young and middle-aged adults in Morogoro, Tanzania. Methods We conducted a community-based survey as part of cluster randomized controlled study of community health workers (CHWs) intervention for reduction of blood pressure among young and middle-aged adults in rural Morogoro. Information on socio-demographic characteristics, knowledge of risk factors and warning signs for CVDs was collected using an interviewer administered questionaire. Knowledge was assessed using open-ended questions followed by closed-ended questions. Descriptive statistics were used to describe knowledge of risk factors and warning signs. Logistic regression analysis was used to investigate factors associated with adequate knowledge of risk factors and warning signs for CVDs. Results Two-thirds (65.7%) of the participants had heard about CVDs. The main sources of information were mainly relatives/ neighbors (64.8%) and radio (53.0%). Only 28.3% of the participants reported health care providers as source of information about CVDs. More than half of the participants (52.4%) did not mention even one risk factor spontaneously while 55.2% were unable to mention any warning sign. When asked to select from a list, 6.9% were unable to correctly identify any risk factor whereas 11.8% could not correctly identify even a single warning sign. Quarter of participants (25.4%) had good knowledge score of risk factors, 17.5% had good knowledge score of warning signs and 16.3% had overall good knowledge of both risk factors and warning signs. Residing in Ulanga, having higher education level, having ever checked blood pressure and being overweight/obese predicted adequacy of knowledge score for both risk factors and warning signs. Conclusion Knowledge of risk factors and warning signs in this rural population of young and middle-aged adults was generally low. Health care providers were less likely to provide health education regarding risk factors and warning signs for CVDs. Health promotion interventions to increase population knowledge of risk factors and warning signs should be implemented for successful reduction of CVDs in Tanzania.
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Mcharo, Ruby Doryn, Philippe Mayaud, and Sia E. Msuya. "Where and how do young people like to get their sexual and reproductive health (SRH) information? Experiences from students in higher learning institutions in Mbeya, Tanzania: a cross-sectional study." BMC Public Health 21, no. 1 (September 16, 2021). http://dx.doi.org/10.1186/s12889-021-11728-2.
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Abstract Background Sexual and reproductive health (SRH) among young adults in low- and middle-income countries (LMIC) is still a major public health challenge. Early school-based sexuality education programs and sexual health information sharing between teachers, parents and young people have been considered protective against the sexual health risks to which young people are exposed. There is, however, limited information on the preferred choices of “where”, “how” and “from whom” young people would like to receive SRH information. We aimed to describe the experience and preferences of young people regarding their SRH education and learning and in particular communication with their parents/guardians. Methods We conducted a cross-sectional study among randomly selected students aged 18-24y attending Higher Learning Institutions (HLIs) in Mbeya, Tanzania. We used a self-administered questionnaire to collect information on SRH education received, ability to discuss SRH matters with a parent/guardian and SRH information gaps encountered during their early sexual experience. Results We enrolled 504 students from 5 HLIs, of whom 446 (88.5%) reported to be sexually active, with mean age at sexual debut of 18.4y (SD 2.2). About 61% (307/504) of the participants found it difficult to discuss or did not discuss SRH matters with their parent/guardian while growing up. Learning about SRH matters was reported from peers (30.2%) and teacher-led school curriculum (22.7%). There was a strong gender-biased preference on SRH matters’ discussions, female and male participants preferred discussions with adults of their respective sex. Peers (18.2%), media (16.2%) and schools (14.2%) were described as the preferred sources of SRH information. On recalling their first sexual experience, sexually-initiated participants felt they needed to know more about sexual feelings, emotions and relationships (28.8%), safer sex (13.5%), how to be able to say ‘No’ (10.7%) and how to use a condom correctly (10.2%). Conclusion Young people have a gender preference when it comes to learning about SRH matters from their parents; however, such conversations seldom occur. Community health education should focus on building skills of parents on parent-child communication on SRH matters so as to empower them to confidently initiate and convey accurate SRH information. Comprehensive SRH education and skills building need to be strengthened in the current school SRH curriculum in order to meet the demand and needs of students and increase the competence of teachers.