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Despite being subject to criticism, qualitative research methodology remains a unique and valuable approach in collecting rich and informative data. However, this may vary from one context to another and researchers understanding of the context. Grounded on the decolonization notion of qualitative research, this paper explains leeways and obstacles in conducting research, reflecting upon the procedural and practical aspects that represent the reality in Tanzania based on two cases. Our paper emphasizes that it is essential to understand and capture the real-world reflective of the voices of the population whom the study targets, which may be easier for local/native researchers. This is because the local/native researchers may be able to explain the research processes and findings in consideration of the socio-cultural settings and political environment. The paper acknowledges that qualitative research requires patience and time, which may have financial implications. It also acknowledges that some populations are facing research fatigue exacerbated by inadequate research dissemination plans. Understanding the context of the study area or topic and applying appropriate methodological approaches to overcome obstacles and gather required adequate and relevant information is thus of importance. [ABSTRACT FROM AUTHOR]

Current approaches to the provision of shelter, largely driven by national governments and/or the commercial private sector, continue to fall short of what is needed to reduce housing deficits. The number of people without access to adequate housing continues to grow, especially in cities of the Global South. Increasing attention is being paid to alternative models for organizing land and housing delivery, such as those led by, or at least including, civil society. In this paper, we consider two national land and housing programs—the 20,000 Plots Project in Tanzania, and Basic Services for the Urban Poor (BSUP) in India—alongside community-led housing initiatives from each country. We explore the extent to which community participation in housing delivery can have social and environmental advantages when compared to 'business as usual' methods and find that, given appropriate state support, community-based, and civil society actors (including organizations of the urban poor) have significant potential to contribute to acquiring land, building homes and improving the quality of life of vulnerable segments of the population. This paper echoes calls for community-led housing to become a recognized part of formal housing policy whilst emphasizing the need for theoretical refinement of the process so as to prevent it from being captured by prevailing market-led narratives. [ABSTRACT FROM AUTHOR]

Organizations have to constantly monitor the changes around their internal and external environment in order to compete and maintain the business interests due to the pressure and brutal competitive conditions of technetronic age posed by globalization and Digital Revolution. Human Resources Information System (HRIS) has become an important feature of Human Resource Management (HRM) in the emerging economies including Tanzania. The system has been adopted by several organizations but evaluation of its contribution to organization performance is rarely undertaken. In this paper, we report on the usefulness associated with the Human Resources Information System (HRIS) in banking sector. This study reviews literature and provides a scholarly background to the study by including some contributions given by various researchers as well as different fields were taken into consideration with regards to online mobile adoption. 15 articles from 1996 to 2023 were extracted through systematic procedure of search, also exclusion and inclusion criteria were adopted for the study. Results were found that the HRIS has the potential to enhance the speed and quality of decision making and the realisation of the HR strategy, thereby enhancing organizational effectiveness. After reviewing the literature various benefits of using human resource information system in the banks are found such as data integration, one-time updation, Access to any number of people and accurate data. This paper also provides different suggestions for effective implementation of human resource information system to various managers, employees working in banking sector. [ABSTRACT FROM AUTHOR]

Background: Effective testing for malaria, including the detection of infections at very low densities, is vital for the successful elimination of the disease. Unfortunately, existing methods are either inexpensive but poorly sensitive or sensitive but costly. Recent studies have shown that mid-infrared spectroscopy coupled with machine learning (MIRs-ML) has potential for rapidly detecting malaria infections but requires further evaluation on diverse samples representative of natural infections in endemic areas. The aim of this study was, therefore, to demonstrate a simple AI-powered, reagent-free, and user-friendly approach that uses mid-infrared spectra from dried blood spots to accurately detect malaria infections across varying parasite densities and anaemic conditions. Methods: Plasmodium falciparum strains NF54 and FCR3 were cultured and mixed with blood from 70 malaria-free individuals to create various malaria parasitaemia and anaemic conditions. Blood dilutions produced three haematocrit ratios (50%, 25%, 12.5%) and five parasitaemia levels (6%, 0.1%, 0.002%, 0.00003%, 0%). Dried blood spots were prepared on Whatman™ filter papers and scanned using attenuated total reflection-Fourier Transform Infrared (ATR-FTIR) for machine-learning analysis. Three classifiers were trained on an 80%/20% split of 4655 spectra: (I) high contrast (6% parasitaemia vs. negative), (II) low contrast (0.00003% vs. negative) and (III) all concentrations (all positive levels vs. negative). The classifiers were validated with unseen datasets to detect malaria at various parasitaemia levels and anaemic conditions. Additionally, these classifiers were tested on samples from a population survey in malaria-endemic villages of southeastern Tanzania. Results: The AI classifiers attained over 90% accuracy in detecting malaria infections as low as one parasite per microlitre of blood, a sensitivity unattainable by conventional RDTs and microscopy. These laboratory-developed classifiers seamlessly transitioned to field applicability, achieving over 80% accuracy in predicting natural P. falciparum infections in blood samples collected during the field survey. Crucially, the performance remained unaffected by various levels of anaemia, a common complication in malaria patients. Conclusion: These findings suggest that the AI-driven mid-infrared spectroscopy approach holds promise as a simplified, sensitive and cost-effective method for malaria screening, consistently performing well despite variations in parasite densities and anaemic conditions. The technique simply involves scanning dried blood spots with a desktop mid-infrared scanner and analysing the spectra using pre-trained AI classifiers, making it readily adaptable to field conditions in low-resource settings. In this study, the approach was successfully adapted to field use, effectively predicting natural malaria infections in blood samples from a population-level survey in Tanzania. With additional field trials and validation, this technique could significantly enhance malaria surveillance and contribute to accelerating malaria elimination efforts. [ABSTRACT FROM AUTHOR]

Introduction: Patient feedback system (PFS) forms an important entry point for the medical personnel and healthcare administrators to identify healthcare service delivery gaps and develop responsive interventions. This may foster patient trust consequently increasing healthcare-seeking, engagement in decision, continuity, and satisfaction. However, research on the PFS in rural primary healthcare settings appears limited. Objective: The paper examines the perceived role and effectiveness of PFS in improving therapeutic relationships building on the recent research on patient-provider relationships in rural Tanzania. Methods: The paper examines the findings of qualitative descriptive research conducted in the Shinyanga Region which employed a human-centred design (HCD) approach to co-create an intervention package for improving nurse-client relationships between January and September 2022. The study used semi-structured interviews in Swahili to first explore drivers of poor provider-patient relationships with purposefully selected providers, patients, and administrators. The findings guided the co-designing of an intervention package in subsequent HCD steps. Interviews were concurrently translated and transcribed, then systematically coded to facilitate the development of themes using a deductive thematic analysis approach. Results: PFS emerged as one of the key themes in the deductive analysis when examining factors shaping provider–client relationships. The PFS theme was characterized by three major subthemes, which included perceived benefits, availability and accessibility, and perceived effectiveness. The perceived benefits of PFS cited by most participants included: reducing patients' confusion around the complaints process, promoting patients' positivity towards providers and hospitals, and reducing tensions between patients and providers. Suggestion boxes (SBs) were the most frequently cited PFS, but there were widespread concerns and disagreements among participants about their accessibility and effectiveness. Despite the providers (nurses) and administrators describing SBs as widely available, they stated that they had not received feedback or complaints from patients for a very long time. In contrast, most patients stated that SBs were either unavailable or ineffective in many facilities, with concerns about non-user friendliness and lack of responsiveness as the main issues when discussing effectiveness. Conclusion: Despite the many benefits of PFS in improving healthcare service quality, their availability, user-friendliness, and responsiveness still pose challenges. A call is made to providers, health administrators and researchers to prioritize the PFS as both a useful entry point to reducing tensions in therapeutic relationships and, a tool for improving patient service uptake, continuity of care and satisfaction. [ABSTRACT FROM AUTHOR]

Background: Face to face mode of delivery has been a standard method of teaching courses in the majority of African Universities Tanzania included. The COVID-19 pandemic has caused the closure of all schools and universities worldwide; therefore, face-to-face teaching is no longer the only appropriate and feasible teaching method. This requires changes in the teaching method with the remarkable rise of e-learning, whereby teaching must be undertaken remotely and on digital platforms. Objective: The main objective of this study is to determine the perceived factors that hinder the adoption of online teaching in Tanzanian universities. Method: A mixed method dominated by a quantitative approach was used to answer the research questions. A total of 173 academic and ICT staff from nineteen universities in Tanzania participated in this study. Descriptive statistics (univariate analysis) and binary logistic regression were applied to analyse the frequency and compare the mean to describe the characteristics of respondents and determine the factors influencing the academic staff to have an online course. This was followed by content analysis to analyse the academic staff's proposed adaptation to online classes. Results: The findings indicated that the main hindrances to online teaching are lack of capacity; knowledge on how to conduct online courses; knowledge and technological factors; environmental factors; staff attitudes towards delivering online courses, and years spent using eLearning. The academic staff proposed improving ICT infrastructure and strengthening the capacity of academic staff to provide online courses. Conclusion: The study concludes that most academic staff are willing to adopt online teaching while suggesting improving the organisational and individual factors to enhance online education. The paper recommends that the university use freely available online teaching tools and platforms while simultaneously focusing on addressing the corporate and individual factors identified in this paper to enhance online teaching, which is mandatory in response to lockdown measures. [ABSTRACT FROM AUTHOR]

The mining sector in most developing countries including Tanzania has become an important sector for the economy. However, the sector still faces many challenges to realize its full potential. This paper assesses whether mining companies complied with the regulatory framework of the mining sector based on community perspectives in Kahama District. A total of 215 households were sampled for the study based on Bailey’s method using a sampling per cent of 9.3%. Within villages, respondents were selected using simple random sampling technique. Data were collected using questionnaire, focus group discussions, observations and document reviews. While content analysis was used to analyse primary qualitative data, factor analysis was employed to reduce variables which were then analyzed to find extent of compliance of large-scale mining companies with regulatory framework for sustainable mining, and documentary review was used to analyse secondary data. The findings show that consultation for views on issues, publication of anticipated effects and benefits in communities were positively attained by the mining companies. However, mining companies’ operations to a large extent have negatively affected the qualities of water, soil, air and use of the available resources within operation areas. The paper concludes that although large mining companies are required in Tanzania, addressing the existing challenges would lead to achieving sustainable mining practices. [ABSTRACT FROM AUTHOR]

This manuscript discusses the critical need for advancing genetic testing capabilities for neurological disorders (NDs) in Tanzania, emphasizing the importance, challenges, and strategies for implementation. Neurological disorders, often caused by a complex interplay of genetic and environmental factors, disproportionately affect low and middle-income countries like Tanzania. Patients with neurogenetic diagnoses in Tanzania face substantial obstacles, including lack of trust in medical professionals, stigmatization, and limited access to proper care. The manuscript underscores the infancy of genetic testing implementation for NDs in Tanzania, citing challenges such as high costs, limited availability, and the absence of routine testing in diagnostic procedures. The paper recommends establishing well-characterized cohorts, conducting a nationwide emergency census survey, and enhancing diagnostic services and healthcare financing. The paper stresses on the importance of collaboration, research, public awareness, and advocacy to address the challenges posed by NDs in Tanzania. The manuscript proposes a comprehensive plan, including training and capacity building in molecular diagnosis and bioinformatics, to establish genetic testing capabilities and reduce the burden of NDs in the country. Overall, the manuscript calls for a collaborative effort involving government support, stakeholder engagement, and international partnerships to advance genetic testing and improve healthcare outcomes for individuals with neurological disorders in Tanzania. [ABSTRACT FROM AUTHOR]

Interactions between people and large carnivores on shared landscapes can have harmful social and ecological consequences. Human–carnivore coexistence depends on an assemblage of sociological factors including effective management institutions that address the social costs of carnivore conservation and promote tolerance toward wildlife. In East Africa, large carnivores are particularly troublesome for herders who depend on livestock for subsistence and wellbeing. This paper provides an overview of human–hyena conflict in the Tarangire ecosystem of northern Tanzania. It presents descriptive results from a questionnaire survey (n = 1076) administered as part of an anthropological study (2019–2020; 2022; 2023) of human–wildlife interactions across twelve villages inhabited by Maasai agropastoralists. The survey instrument was designed through community-based participatory research methods to convey herder concerns about the impacts of spotted hyenas (Crocuta crocuta) on the livestock economy. Based on the perceptions and local ecological knowledge of Maasai interlocutors, the paper provides an overview of the spatial and temporal patterns of human–hyena interactions. Perceived frequencies of hyena attacks on kraaled livestock were unevenly distributed geographically, with those homesteads surrounding Manyara Ranch most heavily affected. Based on herder-reported livestock losses, the costs of depredation by spotted hyenas across the study area were estimated at approximately USD 904.84 per household per year. Most homesteads lacked fortified bomas and would benefit from the provision of lights and fencing materials to improve kraal structures. The paper's central finding is that spotted hyenas represent a pressing, everyday concern for local pastoralists. Unsurprisingly, herders despise hyenas and are intolerant of sharing landscapes with them. For carnivore conservation outside protected areas to thrive in Tanzania, conservationists and policy makers must engage more meaningfully with the lived experiences of local herders who bear the brunt of conservation costs on their livelihoods. [ABSTRACT FROM AUTHOR]

This paper examines the impact of Tanzania’s language policy on the promotion of the Chinese language within Tanzania. The objective is to delve into the evolution of Tanzania’s language policy across different eras, understand the factors influencing language policy in Tanzania, and analyze how the present Tanzanian language policy affects the dissemination of the Chinese language. The results reveal that Tanzania’s current language policy has both positive and negative effects on the promotion of the Chinese language within the country. Based on the research findings, the authors propose strategies to further enhance the teaching of the Chinese language in Tanzania. [ABSTRACT FROM AUTHOR]

Background: Road traffic accidents (RTAs) are a significant contributor to morbidity and mortality in East Africa. Lower extremity (LE) injuries are especially debilitating, negatively impacting quality of life and employment prospects. This systematic review characterizes the proportion of LE injuries due to RTAs in four members of the East African Community: Kenya, Rwanda, Tanzania, and Uganda. Methods: Embase, Medline, Web of Science, and PubMed were queried for studies from 2010 to 2022 providing information on lower extremity injuries caused by RTAs in the countries of interest. Proportions of RTA-related LE injuries were extracted from eligible papers. Study quality and bias were assessed using the framework for systematic reviews established by Zaza et al.1 Results: Seven studies met the eligibility criteria--four for Kenya, two for Uganda, and one for Tanzania; however, no eligible studies were found for Rwanda. The proportion of RTA-related injuries affecting the lower extremities ranged from 0.39 to 0.49. In patients presenting with LE injuries, RTAs were the most frequent cause, representing more than 70% of cases in the examined studies. Motorcycle accidents were not more likely to cause LE injuries, but they were the most significant contributor to the overall LE injury burden due to their prevalence. Conclusions: With urbanization and the increased adoption of low-cost motorcycles, RTAs will continue to pose a public health challenge. Investments in traffic enforcement and physical infrastructure will alleviate the risks to both motorists and pedestrians. In addition to primary prevention, there is a significant need for improvements in emergency care and surgical capacity. [ABSTRACT FROM AUTHOR]

For more than three decades, railway transportation in Tanzania has been in an on-and-off state even though a railway network exists. This is due to damaged tracks, a lack of proper management, and railway operational information. Recently, the Tanzanian government made efforts to revive railway transportation by reopening a few train routes and constructing a new and improved railway network. Even with revived operations, the digitalization process of railway data is still at a low pace as most data is populated in excel sheets for analysis; the major source of data being paper-based. With the use of a mixed research method, this paper provides an information system in the form of mobile and web applications, which provide a platform for populating railway data through the web application accessible to the railway corporation and disseminating railway information to the public through the mobile application. With these platforms, data aggregation and analysis have been made easier and more understandable than the use of excel sheets alone. The results show great possibilities for increased use of digital techniques such as web mapping, which contribute to higher data accuracy and better visualization of railway information that can be disseminated to the public. [ABSTRACT FROM AUTHOR]

The paper deals with gender politics in Tanzania through a social, historical and literary perspective. This analysis is the result of a two months fieldwork based in the rural area of the Iringa region, where I collected data related to genderbased issues expressed by women and girls of several ages and generations thanks to the collaboration with two NGO's that operate in the area, namely the Tanzanian PSBF and the Italian CEFA. Through a historical analysis, this paper sheds the light on the women's active participation in the liberation movements since pre-colonial time in Tanganyika and then Tanzania, presenting the path of several women's struggles that contributed to the ideation of the gender politics of today. Nowadays, patriarchal oppression is strictly bounded to globalization and cashbased economy. These topics are analysed in the Swahili literal repertoire and discussed by the contemporary African feminist movements that will be presented above. [ABSTRACT FROM AUTHOR]

This paper reviews the literature on the relationship between teachers' salaries and their performance in Tanzania. The study highlights the importance of teachers and their role in shaping future generations. However, the low salary levels of teachers have resulted in low motivation, high turnover, and low performance. The review methodology involved a systematic search of electronic databases using keywords related to Tanzania, teacher salaries, teacher performance, motivation, turnover, and job satisfaction through publish or perish software. Databases such as Semantic Scholar, ERIC, Science Direct, SCOPUS, and Google Scholar were searched to identify relevant studies published between 2010 and 2023. The study used established inclusion and exclusion criteria, and sixteen studies met the criteria, including three quantitative, eight mixed-method, and five qualitative studies. The findings reliably showed that low salaries negatively affect teacher performance worldwide. Teachers receiving low salaries are less motivated, have lower job satisfaction, and are more likely to engage in absenteeism and moonlighting. Moreover, low salaries lead to a brain drain of highly qualified teachers from the public education system to private schools or other professions. The study highlights the importance of addressing the issue of low salaries for teachers in Tanzania to improve teacher performance and the quality of education. The findings showed the role of policymakers, educators, and stakeholders, underscoring the need for a policy addressing the issue of low teacher salaries to improve the quality of education. [ABSTRACT FROM AUTHOR]

Background: A significant number of women experience labour without effective pain management and thus suffer from unbearable labour pain to the extent they term labour as the most agonizing event in their lives. Unresolved labour pain can lead to stress, fear, and confusion, which may compromise placental perfusion and lead to birth asphyxia. Although various pharmacological and non-pharmacological labour pain management methods exist, the use of non-pharmacological methods (NPMs) to manage labour pain has remained low in low-resource settings. This paper explored the barriers for using NPMs to manage labour pain by nurse-midwives in eastern Tanzania. Methods: We conducted an exploratory qualitative study with 18 nurse-midwives purposefully recruited from the labour wards of two selected district hospitals in eastern Tanzania. Qualitative content analysis guided the data analysis. Results: Two categories illustrating barriers to using NPMs were generated: individual-level and institutional-level barriers. Individual-level barriers include (i) limited competencies of nurse-midwives on the use of NPMs for managing labour pain, (ii) inadequate exposure to labour pain management practices, (iii) misconceptions about labour pain relief, and (iv) a lack of opportunities for knowledge acquisition. The institutional barriers include (i) a critical staff shortage amidst many clients and (ii) an unfavourable healthcare facility environment. Conclusion: The implementation of NPMs for labour pain management by nurse-midwives in eastern Tanzania faces several institutional and individual barriers. We recommend addressing both supply- and demand-side barriers. Strengthening nurse midwives' competencies in NPMs adoption and use and improving the facility environment to ensure privacy during labour can be a starting point for addressing supply-side issues. We recommend dispelling myths and misconceptions through health promotion education to address demand-side barriers. [ABSTRACT FROM AUTHOR]

Background: Sub-Saharan Africa bears the highest burden of sickle cell disease (SCD) globally with Nigeria, Democratic Republic of Congo, Tanzania, Uganda being the most affected countries. Uganda reports approximately 20,000 SCD births annually, constituting 6.67% of reported global SCD births. Despite this, there is a paucity of comprehensive data on SCD from the African continent. SCD registries offer a promising avenue for conducting prospective studies, elucidating disease severity patterns, and evaluating the intricate interplay of social, environmental, and genetic factors. This paper describes the establishment of the Sickle Pan Africa Research Consortium (SPARCo) Uganda registry, encompassing its design, development, data collection, and key insights learned, aligning with collaborative efforts in Nigeria, Tanzania, and Ghana SPARCo registries. Methods: The registry was created using pre-existing case report forms harmonized from the SPARCo data dictionary and ontology to fit Uganda clinical needs. The case report forms were developed with SCD data elements of interest including demographics, consent, baseline, clinical, laboratory and others. That data was then parsed into a customized REDCap database, configured to suit the optimized ontologies and support retrieval aggregations and analyses. Patients were enrolled from one national referral and three regional referral hospitals in Uganda. Results: A nationwide electronic patient-consented registry for SCD was established from four regional hospitals. A total of 5,655 patients were enrolled from Mulago National Referral Hospital (58%), Jinja Regional Referral (14.4%), Mbale Regional Referral (16.9%), and Lira Regional Referral (10.7%) hospitals between June 2022 and October 2023. Conclusion: Uganda has been able to develop a SCD registry consistent with data from Tanzania, Nigeria and Ghana. Our findings demonstrate that it's feasible to develop longitudinal SCD registries in sub-Saharan Africa. These registries will be crucial for facilitating a range of studies, including the analysis of SCD clinical phenotypes and patient outcomes, newborn screening, and evaluation of hydroxyurea use, among others. This initiative underscores the potential for developing comprehensive disease registries in resource-limited settings, fostering collaborative, data-driven research efforts aimed at addressing the multifaceted challenges of SCD in Africa. [ABSTRACT FROM AUTHOR]

During the COVID-19 outbreak – a paradigmatic global health challenge – multiple African countries, including Tanzania, mobilised indigenous forms of healing as both preventive and curative measures to curb the pandemic. However, despite this effort to curtail the crisis, the place of indigenous medical knowledge in decolonising global health interventions remains unexamined. Drawing on ethnographic fieldwork in Tanzania, as well as political speeches and newspaper sources, this paper examines how the government, under the late President John Pombe Magufuli, responded to the COVID-19 pandemic. The paper demonstrates that the late Magufuli’s approach to the pandemic, and especially the mobilisation of local practices of self-care like steaming with nyungu, stirred debates on decolonising global health and the role of African traditional medicines in the COVID-19 pandemic response. Building on scholarship regarding the efforts to promote indigenous healing knowledge in postcolonial states in Africa, I argue that colonial history and postcolonial political positionings towards this history were the ‘cause’ for Magufuli’s resistance towards global health interventions of COVID-19 in Tanzania. This draws our attention to the possibility of new thinking when it comes to how global health, colonialism, national politics, and local practices of self-care like nyungu, interact with one another in contemporary Tanzania. [ABSTRACT FROM AUTHOR]

Marburg viral disease (MVD) is a highly infectious disease with a case fatality rate of up to 90%, particularly impacting resource-limited countries where implementing Infection Prevention and Control (IPC) measures is challenging. This paper shares the experience of how Tanzania has improved its capacity to prevent and control highly infectious diseases, and how this capacity was utilized during the outbreak of the MVD disease that occurred for the first time in the country in 2023. In 2016 and the subsequent years, Tanzania conducted self and external assessments that revealed limited IPC capacity in responding to highly infectious diseases. To address these gaps, initiatives were undertaken, including the enhancement of IPC readiness through the development and dissemination of guidelines, assessments of healthcare facilities, supportive supervision and mentorship, procurement of supplies, and the renovation or construction of environments to bolster IPC implementation. The official confirmation and declaration of MVD on March 21, 2023, came after five patients had already died of the disease. MVD primarily spreads through contact and presents with severe symptoms, which make patient care and prevention challenging, especially in resource-limited settings. However, with the use of a trained workforce; IPC rapid needs assessment was conducted, identifying specific gaps. Based on the results; mentorship programs were carried out, specific policies and guidelines were developed, security measures were enhanced, all burial activities in the area were supervised, and both patients and staff were monitored across all facilities. By the end of the outbreak response on June 1, 2023, a total of 212 contacts had been identified, with the addition of only three deaths. Invasive procedures like dialysis and Manual Vacuum Aspiration prevented some deaths in infected patients, procedures previously discouraged. In summary, this experience underscores the critical importance of strict adherence to IPC practices in controlling highly infectious diseases. Recommendations for low-income countries include motivating healthcare providers and improving working conditions to enhance commitment in challenging environments. This report offers valuable insights and practical interventions for preparing for and addressing highly infectious disease outbreaks through implementation of IPC measures. [ABSTRACT FROM AUTHOR]

Background: Malaria transmission in Tanzania is driven by mosquitoes of the Anopheles gambiae complex and Anopheles funestus group. The latter includes An. funestus s.s., an anthropophilic vector, which is now strongly resistant to public health insecticides, and several sibling species, which remain largely understudied despite their potential as secondary vectors. This paper provides the initial results of a cross-country study of the species composition, distribution and malaria transmission potential of members of the Anopheles funestus group in Tanzania. Methods: Mosquitoes were collected inside homes in 12 regions across Tanzania between 2018 and 2022 using Centres for Disease Control and Prevention (CDC) light traps and Prokopack aspirators. Polymerase chain reaction (PCR) assays targeting the noncoding internal transcribed spacer 2 (ITS2) and 18S ribosomal DNA (18S rDNA) were used to identify sibling species in the An. funestus group and presence of Plasmodium infections, respectively. Where DNA fragments failed to amplify during PCR, we sequenced the ITS2 region to identify any polymorphisms. Results: The following sibling species of the An. funestus group were found across Tanzania: An. funestus s.s. (50.3%), An. parensis (11.4%), An. rivulorum (1.1%), An. leesoni (0.3%). Sequencing of the ITS2 region in the nonamplified samples showed that polymorphisms at the priming sites of standard species-specific primers obstructed PCR amplification, although the ITS2 sequences closely matched those of An. funestus s.s., barring these polymorphisms. Of the 914 samples tested for Plasmodium infections, 11 An. funestus s.s. (1.2%), and 2 An. parensis (0.2%) individuals were confirmed positive for P. falciparum. The highest malaria transmission intensities [entomological inoculation rate (EIR)] contributed by the Funestus group were in the north-western region [108.3 infectious bites/person/year (ib/p/y)] and the south-eastern region (72.2 ib/p/y). Conclusions: Whereas An. funestus s.s. is the dominant malaria vector in the Funestus group in Tanzania, this survey confirms the occurrence of Plasmodium-infected An. parensis, an observation previously made in at least two other occasions in the country. The findings indicate the need to better understand the ecology and vectorial capacity of this and other secondary malaria vectors in the region to improve malaria control. [ABSTRACT FROM AUTHOR]

Quality of teaching and learning in higher education is explained by the teaching and learning milieus through which academic staff and students interact. Subsequently, governments across the globe have been establishing standards that aim at improving the teaching and learning milieus in universities as part of the efforts to facilitate the provision of quality university education that address national and global needs and contexts simultaneously. This paper draws evidence from the quantitative data gauging the reflection and experiences of academic staff and students regarding the extent to which milieus for the provision of education in post-1995 universities reflect the goals of the standards established to govern the operation of universities in Tanzania. Overall, the study found dissatisfactions from both academic staff and students regarding the extent to which the teaching and learning milieus in post-1995 universities in Tanzania reflect the standards. This poor reflection may have negative impacts on the realisation of the goals the standards intend to achieve. The study therefore underscores the need for the government to plan, design and enforce the appropriate standards that would have notable impacts on the academic experiences of academic staff and students and subsequently provision of education for national and global needs. [ABSTRACT FROM AUTHOR]

This paper investigates the determinants and prospects of household lighting choices in rural Tanzania using a Multinomial Logit Regression Model. The analysis is based on data from 4671 households, focusing on three lighting options: electricity, solar energy, and candle lighting. The results reveal significant factors influencing these choices, including household head characteristics, household size, marital status, education, employment status, number of rooms, and income. Key findings indicate that the age of the household head negatively influences the likelihood of choosing grid-electricity, while having a male head of household significantly reduces the probability of opting for any lighting option. Larger household size is negatively associated with choosing electricity and candle lighting. Marital status shows that married households are more likely to use candle lighting. Employment status positively impacts the likelihood of adopting all three lighting options, with employed household heads being more likely to choose modern lighting solutions. Income levels are crucial, as higher income significantly increases the probability of selecting electricity and candle lighting, but not solar energy. These findings provide valuable insights for policymakers and stakeholders aiming to enhance sustainable energy access in rural Tanzania. It highlights the importance of addressing socio-economic factors to promote the adoption of modern and sustainable lighting technologies. [ABSTRACT FROM AUTHOR]

This paper aimed at examining the influence of political interference, investment guidelines and investment ethical guidelines on pensions investment decision in Tanzania. The structural equation modelling was employed to analyse primary data collected using five-point Likert scale structured questionnaires with closed-ended questions. The study reveals that political interference has a negative influence on investment decisions, indicating that increased political interference leads to a decrease in the quality of investment decisions. To ensure quality investment decisions, governance mechanisms should be strengthened, promoting independence and insulating investment managers from undue political pressures. The negative influence of political interference on investment decisions highlights the need for establishment of robust governance mechanisms to safeguard against undue political pressures. Conversely, investment guidelines demonstrate a positive influence, where following guidelines directives enhance investment decisions. This underscore the importance of well-defined and comprehensive investment guidelines that provide clear directions, criteria and restrictions. By establishing a framework for decision-making, investment guidelines can enhance the quality of investment decisions within pension funds. However, the study found no significant influence of ethical guidelines on investment decisions, suggesting that ethical guidelines do not play a significant role in shaping the investment decisions of pension funds in Tanzania. This finding raises questions about the effectiveness of ethical guidelines in ensuring quality pensions funds investment decisions. While ethical guidelines may not directly shape investment decisions, it is important for the funds to recognize the broader societal and reputational implications of their investment practices. Funds should consider incorporating ethical considerations into their investment frameworks. [ABSTRACT FROM AUTHOR]

The challenge of reduced dental treatment and education infrastructure in the Tanzanian highlands affects the oral health situation of both the general population and local healthcare workers. The aim of this study was to investigate the oral health status of healthcare workers at Ilembula Lutheran Hospital (ILH), Tanzania, during the COVID-19 pandemic. In total, 134 healthcare workers (62 women, 72 men; mean age 36.48 ± 9.56 years, range 19–59 years; median age 35.00 years) participated in this cross-sectional study, conducted from 12 February to 27 February. A dental examiner trained in oral health screening performed the oral health data collection. Data collection was performed by probability sampling using the Ilembula Data Collection Form—Oral Health (IDCF-Oral Health) questionnaire distributed in paper form. Ethical approval was obtained from the National Institute for Medical Research/Tanzania. The decayed, missing, and filled teeth (DMF/T) index proposed by the World Health Organization (WHO) was used with the associated caries measurement method and the simplified oral hygiene index (OHI-S). Details regarding edentulism, nutritional habits, and socio-economic factors were collected. Statistical analysis was performed using linear regression (α = 0.05). The average DMF-T index was 3.33 ± 0.82, with age, gender, meal frequency, and soft drink consumption significantly influencing the index. No evidence of dental plaque was detected in 43.3% of the participants. Of the participants, 32.8% required prosthetic treatment (Kennedy Class III), while 16.4% needed it for acute malocclusions. Oral hygiene products were used in 97% of cases. A total of 35.8% of the participants had an OHI-S score of up to 1.0, with (p < 0.001) age and (p < 0.001) sex having a significant influence on the index. The current oral health situation of healthcare workers at ILH shows a moderate need for restorative and prosthetic treatment in rural Tanzania. Despite the COVID-19 pandemic, there was no change in the need for dental treatment, which may be explained by the generally restricted access to dental healthcare in the investigated region. The development of an interdisciplinary oral health prophylaxis system could help to reduce the need for future treatments. [ABSTRACT FROM AUTHOR]

This paper gives empirical evidence from Tanzania on the influence of financing decisions on the performance of non-financial firms listed in the Dar Es Salaam Stock Exchange (DSE). The study used secondary data from 2007 to 2021. EViews software was used to perform the analysis in which descriptive statistics, correlation, and regression analysis were performed. Two leverage ratios were used to measure financing decisions, short-term debt to total assets (STDTA) and total debt to total assets (TDTA), and three accounting-based measures, return on assets (ROA), return on equity (ROE) and gross profit margin (GPM) as a proxy of firm performance. At the same time, firm size (FS) and sales growth (GR) were used as control variables. The findings based on descriptive statistics revealed that non-financial firms depend mainly on shortterm debt for their investments. Also, the panel regression model results indicated that STDTA and TDTA negatively impact ROA. Similarly, TDTA was statistically significant with ROA. Moreover, STDTA and TDTA showed mixed results for ROE and GPM, with a significant negative and positive association with ROE, respectively. FS is reported to significantly impact firms' performance, while GR appears to impact ROA positively. The study concludes that the financing decisions of listed non-financial firms in Tanzania weakly influence the performance of firms. Researchers suggest that companies should make suitable financing decisions with attention to lower the cost of capital, enhancing financial stability, and maintaining firm performance. [ABSTRACT FROM AUTHOR]

Rubella is a viral disease that can lead to severe health complications, especially in pregnant women and their unborn babies. Understanding the dynamics of the Rubella disease model is crucial for developing effective strategies to control its spread. This paper introduces a major innovation by employing a novel piecewise approach that incorporates two different kernels. This innovative approach significantly enhances the accuracy of modeling Rubella disease dynamics. In the first interval, the Caputo operator is employed to address initial conditions, while the Atangana–Baleanu derivative is utilized in the second interval to account for anomalous diffusion processes. A thorough theoretical analysis of the piecewise derivative for the problem is provided, discussing mathematical properties, stability, and convergence. To solve the proposed problem effectively, the piecewise numerical Newton polynomial technique is employed and the numerical scheme for both kernels is established. Through extensive numerical simulations with various fractional orders, the paper demonstrates the approach's effectiveness and flexibility in modeling the spread of the Rubella virus. Furthermore, to validate the findings, the simulated results are compared with real data obtained from Rubella outbreaks in Uganda and Tanzania, confirming the practical relevance and accuracy of this innovative model. [ABSTRACT FROM AUTHOR]

The year 2021 marked sixty years of Tanzania's independence. Tanzania passed through different phases of development and attempted innumerable interventions, including a series of "development alternatives" to fight poverty, hunger, and infectious diseases. These efforts towards effective health services provision treated humans, animals, and environmental health separately. Due to the increase in human, livestock, wildlife, and environment interactions, the efforts did not result in the anticipated health outcomes. This prompted the government to search for an alternative approach. Cognizant of this, the government introduced the "One Health Approach (OHA)", which recognizes health as one, without a dividing line between humans, animals, and environmental health. This paper, therefore, analyzes (i) the debates for advancing effective health services delivery sixty years after independence; (ii) an emerging approach for interdisciplinary collaboration for human, animal, and environmental health, which is considered to have the potential for effective delivery of health services; and, (iii) the relevance of the OHA towards minimizing the undesirable impacts of human, livestock, and wildlife interactions on health. A documentary analysis (documentary research method) was employed to gather the information for the study. OHA is at its infancy stage, though this initiative signifies an essential landmark towards dealing with health-related challenges reflected at the convergence of humans, animals, and the environment. The milestone is outstanding as it leads to building fundamental capacities concerning public health, particularly regarding preparedness and response as per International Health Regulations. The OHA underscores the need for collaborative working efforts involving human, livestock, wildlife, and environmental health professionals for optimal human, animal, and environmental health attainment. There is a need to upscale the OHA and further understand the consequences of the interactions for optimum human, animal, and environmental health. Therefore, it conveys the idea that it is necessary to expand and enhance the OHA and the importance of comprehending the implications of the interactions for the well-being of humans, animals, and the environment. [ABSTRACT FROM AUTHOR]

This work explores the nexus between ethical leadership and the effective management of public resources. The major force is that any nation's performance, seeking to achieve its goals, depends on its leadership. This is especially true when ethical leadership translates into wise public policy design and implementation and good public service delivery to meet citizens' needs and ambitions. Unfortunately, the post-independence period in Africa has been characterized by a never-ending quest for the depressing trajectory of African economies. This paper employs a literature review of various sources. The objective is to better understand ethical leadership and effective management of public resources for African development by bringing out the Tanzanian experience. This study is based on findings from the literature review. Further studies are needed to include findings from Africa and elsewhere to give an informative work from a global perspective. This work is expected to inform researchers and all stakeholders concerned with leadership and development to get crucial information on the theoretical and policy gaps that must be addressed when dealing with ethical leadership. Topical gaps in the literature are suggested as prospective research areas. [ABSTRACT FROM AUTHOR]

In Dar es Salaam, Tanzania, small-scale and everyday disasters are a manifestation of the multidimensional inequalities faced by residents of informal settlements. The co-production of knowledge about disaster and other risks, bringing together residents with local NGOs and local government representatives, is a potential entry point for addressing inequalities. This paper reports on such a co-production process in two informal settlements, carried out by the Centre for Community Initiatives with the Tanzania Urban Poor Federation and local government at the Mtaa level, and it looks at how community assessments of risks travel into local governance and policymaking. The involvement of Mtaa officials in this process has led to incremental changes in local governance, for example better linking of local budgets with disaster risk reduction (DRR) priorities and the representation of civil society on the municipal disaster management committees. The paper also points to the challenges of achieving integration of DRR and development activities at the local level. [ABSTRACT FROM AUTHOR]

Background: Stakeholder engagement is essential to the design, implementation and evaluation of complex mental health interventions like peer support. Theory of Change (ToC) is commonly used in global health research to help structure and promote stakeholder engagement throughout the project cycle. Stakeholder insights are especially important in the context of a multi-site trial, in which an intervention may need to be adapted for implementation across very different settings while maintaining fidelity to a core model. This paper describes the development of a ToC for a peer support intervention to be delivered to people with severe mental health conditions in five countries as part of the UPSIDES trial. Methods: One hundred thirty-four stakeholders from diverse backgrounds participated in a total of 17 workshops carried out at six UPSIDES implementing sites across high-, middle- and low-income settings (one site each in India, Israel, Uganda and Tanzania; two sites in Germany). The initial ToC maps created by stakeholders at each site were integrated into a cross-site ToC map, which was then revised to incorporate additional insights from the academic literature and updated iteratively through multiple rounds of feedback provided by the implementers. Results: The final ToC map divides the implementation of the UPSIDES peer support intervention into three main stages: preparation, implementation, and sustainability. The map also identifies three levels of actors involved in peer support: individuals (service users and peer support workers), organisations (and their staff members), and the public. In the UPSIDES trial, the ToC map proved especially helpful in characterising and distinguishing between (a) common features of peer support, (b) shared approaches to implementation and (c) informing adaptations to peer support or implementation to account for contextual differences. Conclusions: UPSIDES is the first project to develop a multi-national ToC for a mental health peer support intervention. Stakeholder engagement in the ToC process helped to improve the cultural and contextual appropriateness of a complex intervention and ensure equivalence across sites for the purposes of a multi-site trial. It may serve as a blueprint for implementing similar interventions with a focus on recovery and social inclusion among people with mental ill-health across diverse settings. Trial registration: ISRCTN26008944 (Registration Date: 30/10/2019). [ABSTRACT FROM AUTHOR]

A laboratory-based lateral flow (LF) test that utilizes up-converting reporter particles (UCP) for ultrasensitive quantification of Schistosoma circulating anodic antigen (CAA) in urine is a well-accepted test to identify active infection. However, this UCP-LF CAA test requires sample pre-treatment steps not compatible with field applications. Flow, a new low-cost disposable, allows integration of large-volume pre-concentration of urine analytes and LF detection into a single field-deployable device. We assessed a prototype Flow-Schistosoma (Flow-S) device with an integrated UCP-LF CAA test strip, omitting all laboratory-based steps, to enable diagnosis of active Schistosoma infection in the field using urine. Flow-S is designed for large-volume (5–20 mL) urine, applying passive paper-based filtration and antibody-based CAA concentration. Samples tested for schistosome infection were collected from women of reproductive age living in a Tanzania region where S. haematobium infection is endemic. Fifteen negative and fifteen positive urine samples, selected based on CAA levels quantified in paired serum, were analyzed with the prototype Flow-S. The current Flow-S prototype, with an analytical lower detection limit of 1 pg CAA/mL, produced results correlated with the laboratory-based UCP-LF CAA test. Urine precipitates occurred in frozen banked samples and affected accurate quantification; however, this should not occur in fresh urine. Based on the findings of this study, Flow-S appears suitable to replace the urine pre-treatment required for the laboratory-based UCP-LF CAA test, thus allowing true field-based applications with fresh urine samples. The urine precipitates observed with frozen samples, though less important given the goal of testing fresh urines, warrant additional investigation to evaluate methods for mitigation. Flow-S devices permit testing of pooled urine samples with applications for population stratified testing. A field test with fresh urine samples, a further optimized Flow-S device, and larger statistical power has been scheduled. [ABSTRACT FROM AUTHOR]

Background: Tanzania is currently implementing therapeutic efficacy studies (TES) in areas of varying malaria transmission intensities as per the World Health Organization (WHO) recommendations. In TES, distinguishing reinfection from recrudescence is critical for the determination of anti-malarial efficacy. Recently, the WHO recommended genotyping polymorphic coding genes, merozoite surface proteins 1 and 2 (msp1 and msp2), and replacing the glutamate-rich protein (glurp) gene with one of the highly polymorphic microsatellites in Plasmodium falciparum to adjust the efficacy of antimalarials in TES. This study assessed the polymorphisms of six neutral microsatellite markers and their potential use in TES, which is routinely performed in Tanzania. Methods: Plasmodium falciparum samples were obtained from four TES sentinel sites, Kibaha (Pwani), Mkuzi (Tanga), Mlimba (Morogoro) and Ujiji (Kigoma), between April and September 2016. Parasite genomic DNA was extracted from dried blood spots on filter papers using commercial kits. Genotyping was done using six microsatellites (Poly-α, PfPK2, TA1, C3M69, C2M34 and M2490) by capillary method, and the data were analysed to determine the extent of their polymorphisms and genetic diversity at the four sites. Results: Overall, 83 (88.3%) of the 94 samples were successfully genotyped (with positive results for ≥ 50.0% of the markers), and > 50.0% of the samples (range = 47.6–59.1%) were polyclonal, with a mean multiplicity of infection (MOI) ranging from 1.68 to 1.88 among the four sites. There was high genetic diversity but limited variability among the four sites based on mean allelic richness (RS = 7.48, range = 7.27–8.03, for an adjusted minimum sample size of 18 per site) and mean expected heterozygosity (He = 0.83, range = 0.80–0.85). Cluster analysis of haplotypes using STRUCTURE, principal component analysis, and pairwise genetic differentiation (FST) did not reveal population structure or clustering of parasites according to geographic origin. Of the six markers, Poly-α was the most polymorphic, followed by C2M34, TA1 and C3M69, while M2490 was the least polymorphic. Conclusion: Microsatellite genotyping revealed high polyclonality and genetic diversity but no significant population structure. Poly-α, C2M34, TA1 and C3M69 were the most polymorphic markers, and Poly-α alone or with any of the other three markers could be adopted for use in TES in Tanzania. [ABSTRACT FROM AUTHOR]

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Heavy rainfall in eastern Africa between late 2019 and mid 2020 caused devastating floods and landslides throughout the region. These rains drove the levels of Lake Victoria to a record-breaking maximum in the second half of May 2020. The combination of high lake levels, consequent shoreline flooding, and flooding of tributary rivers caused hundreds of casualties and damage to housing, agriculture, and infrastructure in the riparian countries of Uganda, Kenya, and Tanzania. Media and government reports linked the heavy precipitation and floods to anthropogenic climate change, but a formal scientific attribution study has not been carried out so far. In this study, we characterize the spatial extent and impacts of the floods in the Lake Victoria basin and then investigate to what extent human-induced climate change influenced the probability and magnitude of the record-breaking lake levels and associated flooding by applying a multi-model extreme event attribution methodology. Using remote-sensing-based flood mapping tools, we find that more than 29 000 people living within a 50 km radius of the lake shorelines were affected by floods between April and July 2020. Precipitation in the basin was the highest recorded in at least 3 decades, causing lake levels to rise by 1.21 m between late 2019 and mid 2020. The flood, defined as a 6-month rise in lake levels as extreme as that observed in the lead-up to May 2020, is estimated to be a 63-year event in the current climate. Based on observations and climate model simulations, the best estimate is that the event has become more likely by a factor of 1.8 in the current climate compared to a pre-industrial climate and that in the absence of anthropogenic climate change an event with the same return period would have led lake levels to rise by 7 cm less than observed. Nonetheless, uncertainties in the attribution statement are relatively large due to large natural variability and include the possibility of no observed attributable change in the probability of the event (probability ratio, 95 % confidence interval 0.8–15.8) or in the magnitude of lake level rise during an event with the same return period (magnitude change, 95 % confidence interval 0–14 cm). In addition to anthropogenic climate change, other possible drivers of the floods and their impacts include human land and water management, the exposure and vulnerability of settlements and economic activities located in flood-prone areas, and modes of climate variability that modulate seasonal precipitation. The attribution statement could be strengthened by using a larger number of climate model simulations, as well as by quantitatively accounting for non-meteorological drivers of the flood and potential unforced modes of climate variability. By disentangling the role of anthropogenic climate change and natural variability in the high-impact 2020 floods in the Lake Victoria basin, this paper contributes to a better understanding of changing hydrometeorological extremes in eastern Africa and the African Great Lakes region. [ABSTRACT FROM AUTHOR]

The projected population increase and drastic climate changes are a great setback to food security through sustainable agriculture. However, governments need to play key roles in supporting the agriculture sector, which creates considerable employment and contributions to most countries' Gross Domestic Product (GDP) outcomes. In many countries, the governments already support the agriculture sector with services based on Information and Communication Technology (ICT) to reach many stakeholders, including smallholder farmers. This paper investigated the status of e-Government services in the agriculture sector for farmers in order to understand the functions and scope of e-services, the challenges faced by farmers, both addressed and unaddressed, and the challenges of ICT-based services for farmers and other stakeholders in Tanzania. We used a qualitative research approach to interview the Ministry of Agriculture, farmers, extension workers, and agriculture processing industries. The main finding reveals that e-government services play a major role in the agriculture sector in Tanzania. Our results show that the pre-existing ICT services identified for farmers cannot meet the needs of farmers in a complete farming cycle. Moreover, lack of awareness, digital illiteracy, and poor infrastructure are the major challenges faced by farmers and other stakeholders when it comes to ICT-based services. These results justify the need for a comprehensive digital platform, particularly the proposed Farmers Digital Information System (FDIS) to enable farmers and other stakeholders to access essential services in a complete farming cycle for a more sustainable agriculture. [ABSTRACT FROM AUTHOR]

Land conflicts remain the major character of informal settlements in urban areas. Goal and Objectives This paper explores the nature and characteristics of land conflicts in areas with informal settlements as experienced from regularization projects in Tanzania. Methodology The study used field observations to collect data on boundary conflicts and household interviews to collect data on border conflicts, land use conflicts, and ownership conflicts. The data was collected through a combination of primary and secondary methods. The focus discussion was conducted with members of the Mtaa Regularisation Committee for different sub-wards. Results The study discovered that the major types of land conflicts in informal settlements include boundary conflicts, land use conflicts, inheritance conflicts, accessibility conflicts, sales, and transfer of ownership. Boundary conflicts remain the main form of conflict appearing in informal settlements. Regularization of informal settlements is now seen as a tool to address the problem of informal settlement conflicts in urban areas. [ABSTRACT FROM AUTHOR]

Nature‐based tourism provides an outlet for people to experience non‐material nature's contributions to people (NCP) and can even promote care for nature. Yet, the literature on NCP is still dominated by studies on regulating and material NCP, with limited research on non‐material contributions.Semi‐structured interviews and photo‐elicitation methods were conducted online with 38 former tourists who have hiked Mount Kilimanjaro, Tanzania, to investigate NCP experiences during their hiking journey. Drawing on the guiding principles of the Intergovernmental Panel on Biodiversity and Ecosystem Services (IPBES), an interwoven approach was used to link context‐specific NCP expressed by tourists to the generalizing perspective.Ten context‐specific non‐material NCP emerged including Aesthetic experiences; Learning and life‐changing perspectives; New and unique experiences; and Social cohesion and bonding. All context‐specific NCP were linked back to the generalizing perspective, with most NCP falling under the generalizing category of Physical and psychological experiences.This paper reveals the unique and diverse ways that nature contributes to people's lives, promoting the visibility of multiple perspectives and their incorporation into biodiversity conservation and sustainable management strategies. Through an interwoven approach, NCP can be compared on a universal scale while respecting the context‐specificity of human–nature interactions across different social‐ecological contexts. Read the free Plain Language Summary for this article on the Journal blog. Read the free Plain Language Summary for this article on the Journal blog. [ABSTRACT FROM AUTHOR]

Background: Amref Health Africa, with support from Global Affairs Canada, examines if women's access to reproductive health services in Tanzania is affected by Gender social norms, decision-making power, roles and responsibility, and access to resources in relation to the utilization of reproductive Health Services in Tanzania. A Gender Need Assessment (GNA) was conducted in five districts in ' 'Tanzania Simiyu Region to improve the infrastructure, supply, quality, and demand for integrated Reproductive, Maternal, Newborn, and Child and Adolescent Health (RMNCAH), Nutrition, and Water, Sanitation, and Hygiene (WASH) services. The analysis identifies gender as a fundamental maternal and child health driver through existing gender inequality at the household and community levels that dictates women's status. Methods: The qualitative assessment involved data collected from gender- and age-desegregated focus group discussions (FGDs) and in-depth interviews (IDIs) of key informants in three districts; Bariadi, Busega, and Meatu, in Simiyu region, Tanzania. Participants comprised 8-10 married women and men, unmarried women and men, and adolescent boys and girls. A total of 129 participants were involved in the FGDs. Results: This paper reports the critical drivers influencing gender inequality in Simiyu by detailing how Gender inequality affected women's access to reproductive health care in relation to; gender social norms, decision-making power, access to resources at the household and community level, roles and responsibilities, including men's and 'boys' roles are more valued than the roles and responsibilities of women and girls resulted to limited free time to do things for themselves, such as visiting the health facilities for RMNCAH. Conclusions: This paper explored gender-based enablers and/or barriers influencing women and girls' realization of their sexual and reproductive health and rights. It was found that social norms, decision-making powers, and lack of access to and control over resources presented as key barriers. In contrast, continuous community sensitization and increased scope of women's participation in decision-making served as enabling environment to overcome gender inequities that influence woman's use of RMNCAH services in Tanzania. Such insights will shape interventions geared towards valuing differences in a manner that overcome gender inequities that influence woman's use of RMNCAH services in Tanzania. [ABSTRACT FROM AUTHOR]

This paper is intended to study various approaches of legal framework for protection of geographical indications as applied in different countries with the view of ascertaining the strength and weakness of each approach in order to recommended the right approach for Tanzania. The main problem which prompted the study is results from flexibility of the system for protection of geographical indications allowed by the WTO Agreement on Trade Related Aspects of Intellectual Property Rights of 1994 The study was centered on the main objective of examining three approaches of protection of geographical indications which trademark system, sue generis system and the unfair competition system. On part of methodology, the study is qualitative in nature and uses mainly secondary date derived by using documentary review of various international legal instruments, reports, legal text books, articles and conference papers based on protection of geographical indications. Data were analyzed by using content analysis in which the researcher sorted data basing on the relevancy of the content on the study objectives of the study. Generally, the findings has revealed that, apparently states protects geographical indications by using trademark laws, sue generis or specific laws and unfair competition system. However, the more comprehensive and effective approach that Tanzania can adopt is the sue generis system because it provided for specific standards for protection of geographical indications which cannot be mixed with trade mark or competition laws. [ABSTRACT FROM AUTHOR]

The concept of payments for ecosystem services (PES) has been identified as a promising mechanism for use in Kenya, Uganda, and Tanzania, with several potential advantages and benefits, including the ability to raise new funding for landscape management, increase the efficiency of conservation approaches, secure ecosystem services (ES), and benefit poor rural communities. Starting from understanding the complex relationship between human dependence on natural resources and the environment, this paper aims to determine the degree to which the various criteria affect the success of PES that involve forests. Primary data were collected using a mixed questionnaire that was sent to institutions that had implemented PES schemes in the region and 25 case studies of PES implemented in the region from various publications were used for the secondary data. The data were mainly analyzed using comparative analysis. The results indicated that PES success is higher when bundled ES are considered, financing is medium- to long-term, implementation is at the regional level, combined transaction types (cash and in-kind) are used, and both private buyers and public sellers are involved. This paper provides a good benchmark for decision makers on PES performance and the model presented may serve as one of the tools for improving livelihoods and ensuring the achievement of sustainable development goals. [ABSTRACT FROM AUTHOR]

This paper reflects on the development process (2015-2020) of the Learning Initiative for Norms, Exploitation, and Abuse (LINEA) Intervention. The LINEA Intervention is a multi-component social norms intervention to prevent agedisparate transactional sex in Tanzania. This paper aims to: (1) critically reflect on the LINEA Intervention development process by retrospectively comparing it with a pragmatic, phased framework for intervention development in public health, the Six Essential Steps for Quality Intervention Development (6SQuID); and (2) discuss the usefulness and applicability of this framework to guide intervention development for gender-based violence prevention. This paper contributes to a growing field of intervention development research to improve the designs of interventions to prevent gender-based violence. Findings showed that the LINEA Intervention development approach mostly aligned with the steps in 6SQuID framework. However, the LINEA Intervention development process placed particular emphasis on two phases of the 6SQuID framework. First, the LINEA Intervention development process included significant investment in formative research, feasibility testing, and refinement; and second, the LINEA Intervention was informed by a clearly articulated behavior change theory--social norms theory. Beyond the 6SQuID framework the LINEA Intervention development process: (i) followed a non-linear, iterative process; (ii) applied ongoing feasibility testing to refine the intervention, and (iii) relied on co-development with local implementers and participants. This paper suggests future components for a robust intervention development process, highlighting beneficial additions to the 6SQuID approach, a well-recognized intervention development sequence. Particularly useful additions include incorporating sufficient time, flexibility, and resources to foster meaningful collaborations and iteration on the intervention design. [ABSTRACT FROM AUTHOR]

One of the challenges confronting higher learning institutions in the global south is the constrained capacity to carry out research, expand student enrolment and address pertinent problems facing local communities. This challenge has compelled institutions to solicit resources and forge partnerships to build the needed capacity for improved functioning as viable academic entities nationally and internationally. This paper analyses the capacity-building programme that has been and is still being implemented by Ardhi University in Dar es Salaam, Tanzania and examines its impacts. The methods employed in examining capacity included a literature review, programme documents, reports from the University website, workshop proceedings, evaluation and facts and figure reports. Empirical evidence from these reports indicates that the capacitybuilding programme has increased staff with Doctoral (PhD) qualifications, increased student enrolment, research projects and publications, and national and international collaboration links. On a broader scale, the capacity built has increased Ardhi University's contribution to the national development agenda, increased national and international relations and innovative approaches to addressing community problems. This paper recommends continued capacity-building to sustain the achievements registered over the two decades and contribute to national development. [ABSTRACT FROM AUTHOR]

Background: Insecticide resistance is a serious threat to the continued effectiveness of insecticide-based malaria vector control measures, such as long-lasting insecticidal nets (LLINs) and indoor residual spraying (IRS). This paper describes trends and dynamics of insecticide resistance and its underlying mechanisms from annual resistance monitoring surveys on Anopheles gambiae sensu lato (s.l.) populations conducted across mainland Tanzania from 2004 to 2020. Methods: The World Health Organization (WHO) standard protocols were used to assess susceptibility of the wild female An. gambiae s.l. mosquitoes to insecticides, with mosquitoes exposed to diagnostic concentrations of permethrin, deltamethrin, lambdacyhalothrin, bendiocarb, and pirimiphos-methyl. WHO test papers at 5× and 10× the diagnostic concentrations were used to assess the intensity of resistance to pyrethroids; synergist tests using piperonyl butoxide (PBO) were carried out in sites where mosquitoes were found to be resistant to pyrethroids. To estimate insecticide resistance trends from 2004 to 2020, percentage mortalities from each site and time point were aggregated and regression analysis of mortality versus the Julian dates of bioassays was performed. Results: Percentage of sites with pyrethroid resistance increased from 0% in 2004 to more than 80% in the 2020, suggesting resistance has been spreading geographically. Results indicate a strong negative association (p = 0.0001) between pyrethroids susceptibility status and survey year. The regression model shows that by 2020 over 40% of An. gambiae mosquitoes survived exposure to pyrethroids at their respective diagnostic doses. A decreasing trend of An. gambiae susceptibility to bendiocarb was observed over time, but this was not statistically significant (p = 0.8413). Anopheles gambiae exhibited high level of susceptibility to the pirimiphos-methyl in sampled sites. Conclusions: Anopheles gambiae Tanzania's major malaria vector, is now resistant to pyrethroids across the country with resistance increasing in prevalence and intensity and has been spreading geographically. This calls for urgent action for efficient malaria vector control tools to sustain the gains obtained in malaria control. Strengthening insecticide resistance monitoring is important for its management through evidence generation for effective malaria vector control decision. [ABSTRACT FROM AUTHOR]

Introduction: Schistosomiasis is a parasitic disease in Tanzania affecting over 50% of the population. Current control strategies involve mass drug administration (MDA) campaigns at the district level, which have led to problems of over- and under-treatment in different areas. WHO guidelines have called for more targeted MDA to circumvent these problems, however a scarcity of prevalence data inhibits decision makers from prioritizing sub-district areas for MDA. This study demonstrated how geostatistics can be used to inform planning for targeted MDA. Methods: Geostatistical sub-district (ward-level) prevalence estimates were generated through combining a zero-inflated poisson model and kriging approach (regression kriging). To make predictions, the model used prevalence survey data collected in 2021 of 17,400 school children in six regions of Tanzania, along with several open source ecological and socio-demographic variables with known associations with schistosomiasis. Results: The model results show that regression kriging can be used to effectively predict the ward level parasite prevalence of the two species of Schistosoma endemic to the study area. Kriging was found to further improve the regression model fit, with an adjusted R-squared value of 0.51 and 0.32 for intestinal and urogenital schistosomiasis, respectively. Targeted treatment based on model predictions would represent a shift in treatment away from 193 wards estimated to be over-treated to 149 wards that would have been omitted from the district level MDA. Conclusions: Geostatistical models can help to support NTD program efficiency and reduce disease transmission by facilitating WHO recommended targeted MDA treatment through provision of prevalence estimates where data is scarce. Author summary: In Tanzania, schistosomiasis is a vast public health problem treated through mass drug administration (MDA) campaigns that target large groups of the population. Such mass drug administration (MDA) campaigns require significant amounts of resources challenging the capacity of chronically underfunded schistosomiasis control programs to sustain annually. The way in which MDA campaigns have been conducted, by targeting whole districts believed to be endemic, have not had optimal results for reducing disease transmission, have facilitated problems of under-treating in many population groups while over-treating other non-endemic areas, and have placed a significant strain on the limited resources available. To circumvent such problems, the World Health Organization (WHO) has recommended that treatment efforts need to be more targeted to endemic communities and administrative areas within districts, and that MDA campaigns should be conducted at a sub-district level. The WHO also provides explicit guidelines for treatments of communities based on parasitological prevalence of schistosomiasis. While there is sound rationale in making this switch, most schistosomiasis endemic countries including Tanzania do not have adequate surveillance data to make such informed decisions at this level. Limited data on schistosomiasis prevalence inhibits disease control programs from making data informed decision on where to treat, as well as adhering to WHO recommendations for conducting targeted treatment at the sub-district level. Geostatistical models are spatial analysis tools that have been used in the past to help predict the likelihood of disease prevalence in nearby areas where there is limited data. They are particularly helpful in predicting diseases like schistosomiasis that have strong associations with environmental and socio-demographic elements that we do have data on widespread across much of the world. Publications on the use geostatistical models to predict schistosomiasis prevalence in different settings date back more than 20 years, but have not yet been integrated to aid the decision process of making of national programs, nor have they been specifically advocated for by the WHO. The study seeks to examine the implications of using model predictions to guide targeted, sub-district level treatment, in terms of populations requiring treatments when compared with conventional district level approaches. This publication demonstrates that use of geostatistical models for predicting schistosomiasis is possible, can be a valuable tool to inform where to treat. It furthermore estimates that the populations eligible for targeted treatment are considerably different than the populations who would be receiving treatment under conventional district level treatment approached, placing emphasis on the importance of switching to targeted treatment. The paper argues that uptake of geostatistical models can enable targeted planning below the district level, a major step to facilitate a systematic change that the WHO believes will drive down transmission of the disease, the importance of which cannot be understated in an area that is so historically burdened by the disease and its associated health complications. [ABSTRACT FROM AUTHOR]

Country's economic growth depends among other factors on the extent to which labour particularly female labour force participates on economic growth enhancing activities. Being the largest contributor in economic activities particularly agriculture in developing countries (over 50%), their participation enables economies to grow in response to higher labour inputs injected. As an outcome, as countries develop; women's capabilities typically improve as well, whereas social constraints weaken, which enables females to participate on work outside the home. However, the existing literature on this topic is scant and has mixed results. This study sought to analyse female fertility rate and its influence on provision of labour in Tanzania using females aged 15–49 years from the Tanzania Demographic and Health Survey 2015–2016. The study used instrumental variable-probit and a two-stage residual inclusion as methods of analysis. Results showed that, an increase in female's fertility rate reduces participation of females in provision of market labour by about 1.1–13%. Similarly, household size, education, contraceptive use, self-employment of their husbands and residing in rural areas was associated with increased participation while female's age exhibited an inverted U-shaped relationship with female participation. The results imply that, to foster a more sustainable female participation in labour force, family planning, educating females as well as fostering self-employment and improving rural infrastructures is inevitable. [ABSTRACT FROM AUTHOR]

Background: After a decade of successful control, malaria is on the rise again. The prevalence of malaria in Tanzania has increased from 7% in 2017 to 8% in 2022 and reached 18% in Kagera region in the North West of Tanzania. Malaria vectors in Muleba district Kagera have high level of pyrethroid resistance. The aim of this paper is to explore factors associated with malaria infection prevalence in children aged 6 months to 14 years in Muleba, where Long Lasting Insecticidal Net (LLIN) combining a pyrethroid insecticide and synergist piperonyl butoxide (PBO) that counteract resistance in the mosquitoes, was first distributed under trial conditions in 2015. Methods: The trial was a community randomized control in which there were two malaria prevalence cross-sectional household surveys each year (June and December) from 2015 to 2017 in Muleba. In this study we conducted a secondary data analysis of the December surveys only. Multilevel Poisson regression analysis was used to assess factors associated with malaria infection. Results: A total of 10,941 children and 4,611 households were included in this study. Overall malaria prevalence was 35.8%, 53.3% and 54.4% in the year 2015, 2016 and 2017 respectively. Living in an area with standard LLIN as opposed to the novel PBO synergist LLIN, being a male child, above 5 years of age, living in a house with open eaves, living in house without IRS, having head of household with no formal education, lower socioeconomic status and survey year were associated with increased risk of malaria infection. Conclusions: Using PBO LLIN reduced the risk of malaria infection. However, additional measures could further reduce malaria infection in areas of insecticide resistance such as housing improvement. [ABSTRACT FROM AUTHOR]

Many higher learning Institutions (HLIs) in underdeveloped nations, especially in Tanzania, are not moving quickly enough to embrace eLearning. This study seeks to design a model for enhanced adoption and use of eLearning at Tanzanian higher learning Institutions. A quantitative cross-section survey design was used for data collection. Data were examined using SEM under AMOS software. The results showed that the level of eLearning adoption and use was significantly influenced by technological, user, pedagogical, social, and environmental factors. Based on this paper, policymakers and other stakeholders should embrace this model to give enough support for the adoption of eLearning and to enhance the performance in teaching and learning. To develop an appropriate, successful, effective, and long-lasting eLearning environment, decision makers can have a clear image of how to implement an appealing, conducive, and positive meaningful learning environment. As a result, the paper adds to the body of knowledge the factors (such as social, environmental, and human ones) that significantly affect the adoption of eLearning in Tanzania's HLIs. In addition, a model for the adoption and use of successful and improved eLearning in Tanzanian's HLIs and other countries with comparable features was developed and validated in the paper. [ABSTRACT FROM AUTHOR]

Accountability and transparency procurement principles have played a significant role in establishing good governance in any procurement regime. These principles also safeguard the protection of human rights under human rights principles. These principles if well utilized and implemented, also encourage compliance with human rights norms. In the Tanzanian procurement regime, accountability and transparency procurement principles are also covered under procurement statutory rules. The covered principles are also articulated under regional and international procurement rules to which Tanzania is a party. Accountability as a principle is a form of liability that introduces to whom for what and what is accountable in procurement undertakings. The transparency principle, on the other hand, its essence is to show openness during in entire procurement process. The liability created by the accountability principle and openness in the entire procurement process by authorities, in general, promote good governance and enhance compliance with human rights norms in procurement regimes. Compliance with accountability and transparency procurement principles also improves public confidence in government performance. Absolute compliance with these procurement principles in the procurement regimes ensures taxpayers' resource utilization trust. In particular, accountability and transparency procurement principles have a close link with good governance and human rights. The two procurement principles are inseparable. The author of this article believes that there is a close link between accountability and transparency procurement principles with good governance and human rights. As earlier noted, it is strongly believed that good governance and human rights play a significant role in enhancing implementation and compliance with procurement principles in public procurement. Further in this paper that despite Tanzania to belief in various human rights principles as articulated by human rights norms, and also belief in human good governance as enshrined under the national Constitution, the current procurement system lacks a constitutional base, and procurement principles under discussion are only recognized under enabling Acts of the Parliament. This article emphasizes that there is a need for the current procurement system to be constitutionalized so that public entities conduct procurement based on the procurement principles named above in order to ensure that human rights and good governance goals are fully achieved by public entities, without which value for money will never be accomplished in Mainland Tanzania. [ABSTRACT FROM AUTHOR]

Open and Distance Learning (ODL) is increasingly gaining popularity and is seen as a viable means to promote access to education. This paper stems from a study--originally conducted in 2014-- that examined the students’ perceptions towards the provision of higher education through ODL at the Open University of Tanzania (OUT). The issue was subsequently re-visited by examining the students’ perceptions toward the provision of support services, curriculum design and the use of Information and Communication Technology (ICT). Findings demonstrate that support services, curriculum design and the use of ICT are generally perceived as satisfactory by students. However, still some challenges exist. These challenges potentially inhibit them from learning at a distance successfully. It is recommended that OUT should secure right technologies, such as employing video-conferencing and teletutoring, with the view to refraining from the use of costly outdated technologies. It should also review its support services system to allow flexible learning environment to students. [ABSTRACT FROM AUTHOR]