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This study examined the extent, motives and impact of mobile phone photo note-taking on students' learning at Dar es Salaam University College of Education (DUCE) in Tanzania. It employed the mixed methods approach. A sample of 310 respondents was drawn using a multi stage sampling technique which involved stratified random sampling at the first stage and convenient sampling at the second stage. Questionnaires and interviews were used to obtain data for the study. The findings revealed that mobile photo note-taking was a common practice at DUCE. The time consuming nature of handwritten notes, Speedy lecturing, easy access to notes, peer and technological influence were claimed to be the motives behind students' fondness to the practice. It was also revealed that the distraction of concentration, impairment of handwriting skills and speed, poor attendance to the lecture sessions, and distortion of students' ability to compose and organize their own work were the impact of the practice. The study recommends that the University should create better teaching and learning environment to allow university students to use variables and multiple note-taking methods for best results underlying each method.

This study examined the extent, motives and impact of mobile phone photo note-taking on students' learning at Dar es Salaam University College of Education (DUCE) in Tanzania. It employed the mixed methods approach. A sample of 310 respondents was drawn using a multi stage sampling technique which involved stratified random sampling at the first stage and convenient sampling at the second stage. Questionnaires and interviews were used to obtain data for the study. The findings revealed that mobile photo note-taking was a common practice at DUCE. The time consuming nature of handwritten notes, Speedy lecturing, easy access to notes, peer and technological influence were claimed to be the motives behind students' fondness to the practice. It was also revealed that the distraction of concentration, impairment of handwriting skills and speed, poor attendance to the lecture sessions, and distortion of students' ability to compose and organize their own work were the impact of the practice. The study recommends that the University should create better teaching and learning environment to allow university students to use variables and multiple note-taking methods for best results underlying each method. [ABSTRACT FROM AUTHOR]

The article presents consideration of Ruth First's works during her final year at the University of Dar es Salaam in Tanzania and Universidade Eduardo Mondlane in Maputo, Mozambique (UEM). It states that, this consideration has been done with reference to her own biographical trajectory. It also states that reconsideration of her work has been given just because of her own views on public spheres, personal papers and pedagogical practices.

Background: Monitoring mortality and morbidity attributable to malaria is paramount to achieve elimination of malaria. Diagnosis of malaria is challenging and PCR is a reliable method for identifying malaria with high sensitivity. However, blood specimen collection and transport can be challenging and obtaining dried blood spots (DBS) on filter paper by finger-prick may have advantages over collecting whole blood by venepuncture. Methods: DBS and whole blood were collected from febrile children admitted at the general paediatric wards at a referral hospital in Dar es Salaam, Tanzania. DNA extracted from whole blood and from DBS was tested with a genus-specific PCR targeting the mitochondrial Plasmodium genome. Positive samples by PCR of DNA from whole blood were tested with speciesspecific PCR targeting the 18S rRNA locus, or sequencing if species-specific PCR was negative. Rapid diagnostic test (RDT) and thin blood smear microscopy was carried out on all patients where remnant whole blood and a blood slide, respectively, were available. Results: Positivity of PCR was 24.5 (78/319) and 11.2% (52/442) by whole blood and DBS, respectively. All samples positive on DBS were also positive on Plasmodium falciparum species-specific PCR. All RDT positive cases were also positive by DBS PCR. All but three cases with positive blood slides were also positive by DBS. Conclusions: In this study, PCR for malaria mitochondrial DNA extracted from whole blood was more sensitive than from DBS. However, DBS are a practical alternative to whole blood and detected approximately the same number of cases as RDTs and, therefore, remain relevant for research purposes. [ABSTRACT FROM AUTHOR]

Gender equality and equity has long been a focus area in Tanzanian government, encouraging the increased recruitment of female students in to higher education. This article investigates the effectiveness of affirmative action policy interventions that introduced and designed to increase female students' enrolment at the University of Dar es Salaam. The study based on the data obtained from University of Dar es Salaam records and report, documentary of key policies, online articles, publications and ministry of higher education website. Using the case of the University of Dar es Salaam (UDSM) was justified by, is the oldest and largest institution of higher education in Tanzania that has a large in terms population and offers a verity of disciplines in both science and Humanities. The findings from this study reveal that affirmative action policy interventions have positive effect towards increasing recruitment female students at the University of Dar es salaam. However the date shows that the number of female students is still low in Sciences and Engineering disciplines compared to that of their male peers. This suggests that men dominated all specializations in the faculty of science.

The article presents a report on experiences with paper- and personal digital assistant (PDA)-based data collection, during a study of community-acquired bloodstream infections in Pemba Island, Zanzibar, Tanzania. It is concluded that electronic data collection has several merits and has the potential to replace paper-based data collection. As stated, direct data entry using an electronic device is gaining popularity and has been able to replace the paper-based data entry system in several studies. The background, methods, results, and conclusions of the report, are discussed in detail.

Background: Loop mediated isothermal amplification (LAMP) provides an opportunity for improved, field-friendly detection of malaria infections in endemic areas. However data on the diagnostic accuracy of LAMP for active case detection, particularly low-density parasitaemias, are lacking. We therefore evaluated the performance of a new LAMP kit compared with PCR using DNA from filter paper blood spots., Methods and Findings: Samples from 865 fever patients and 465 asymptomatic individuals collected in Zanzibar were analysed for Pan (all species) and Pf (P. falciparum) DNA with the Loopamp MALARIA Pan/Pf kit. Samples were amplified at 65°C for 40 minutes in a real-time turbidimeter and results were compared with nested PCR. Samples with discordant results between LAMP and nested PCR were analysed with real-time PCR. The real-time PCR corrected nested PCR result was defined as gold standard. Among the 117 (13.5%) PCR detected P. falciparum infections from fever patients (mean parasite density 7491/µL, range 6-782,400) 115, 115 and 111 were positive by Pan-LAMP, Pf-LAMP and nested PCR, respectively. The sensitivities were 98.3% (95%CI 94-99.8) for both Pan and Pf-LAMP. Among the 54 (11.6%) PCR positive samples from asymptomatic individuals (mean parasite density 10/µL, range 0-4972) Pf-LAMP had a sensitivity of 92.7% (95%CI 80.1-98.5) for detection of the 41 P. falciparum infections. Pan-LAMP had sensitivities of 97% (95%CI 84.2-99.9) and 76.9% (95%CI 46.2-95) for detection of P. falciparum and P. malariae, respectively. The specificities for both Pan and Pf-LAMP were 100% (95%CI 99.1-100) in both study groups., Conclusion: Both components of the Loopamp MALARIA Pan/Pf detection kit revealed high diagnostic accuracy for parasite detection among fever patients and importantly also among asymptomatic individuals of low parasite densities from minute blood volumes preserved on filter paper. These data support LAMPs potential role for improved detection of low-density malaria infections in pre-elimination settings.

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]

Background: Successful priority setting is increasingly known to be an important aspect in achieving better family planning, maternal, newborn and child health (FMNCH) outcomes in developing countries. However, far too little attention has been paid to capturing and analysing the priority setting processes and criteria for FMNCH at district level. This paper seeks to capture and analyse the priority setting processes and criteria for FMNCH at district level in Tanzania. Specifically, we assess the FMNCH actor's engagement and understanding, the criteria used in decision making and the way criteria are identified, the information or evidence and tools used to prioritize FMNCH interventions at district level in Tanzania., Methods: We conducted an exploratory study mixing both qualitative and quantitative methods to capture and analyse the priority setting for FMNCH at district level, and identify the criteria for priority setting. We purposively sampled the participants to be included in the study. We collected the data using the nominal group technique (NGT), in-depth interviews (IDIs) with key informants and documentary review. We analysed the collected data using both content analysis for qualitative data and correlation analysis for quantitative data., Results: We found a number of shortfalls in the district's priority setting processes and criteria which may lead to inefficient and unfair priority setting decisions in FMNCH. In addition, participants identified the priority setting criteria and established the perceived relative importance of the identified criteria. However, we noted differences exist in judging the relative importance attached to the criteria by different stakeholders in the districts., Conclusions: In Tanzania, FMNCH contents in both general development policies and sector policies are well articulated. However, the current priority setting process for FMNCH at district levels are wanting in several aspects rendering the priority setting process for FMNCH inefficient and unfair (or unsuccessful). To improve district level priority setting process for the FMNCH interventions, we recommend a fundamental revision of the current FMNCH interventions priority setting process. The improvement strategy should utilize rigorous research methods combining both normative and empirical methods to further analyze and correct past problems at the same time use the good practices to improve the current priority setting process for FMNCH interventions. The suggested improvements might give room for efficient and fair (or successful) priority setting process for FMNCH interventions.

This article offers responses from various authors to the article "Incarnational immersion-based learning in cultural contexts: A charity model," by Dr. John Trokan (2005.) Mount St. Joseph's program on incarnational immersion-based learning, as described in the article by Dr. John Trokan, will have the participating students' eyes opened to the richness and complexity of spiritual, social, political, and economic issues among peoples of different culture. Civille shares that in his classes, he uses films and case studies to give the students some sense of seeing the world through the eyes of others. But he believes nothing compares to the firsthand experience of living in another culture and experiencing with the people their joys and hopes, their anxieties and fears. Mount St. Joseph College should be commended for its program. As Beckman reads Trokan's essay, she indeed also sees differences between the community-based learning efforts at Mount St. Joseph and her school's own. She attempts to allow Trokan's words to help her rethink what they do. For Green, the Trokan article tells the story of one particular program at one particular school. It shows a willingness that needs to be replicated at other universities and Catholic schools around the country to engage our students' faith formation by creating meaning. It shows that there is an ever increasing awareness to bring students back into relationships and service to others for the common good.

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]

The article presents a study focusing on district level priority setting processes and criteria for family planning, maternal, newborn and child health (FMNCH) interventions in Tanzania. It states that the improvement strategy should use research methods to further analyze and correct past problems at the same time by using the good practices to improve the current priority setting process for FMNCH interventions.

Microfilter absorbed whole blood samples from 223 Tanzanian babies and 189 adults from Cameroon have been examined. Blood specimens are difficult to obtain from African suburban and rural areas, and lack of storage and transportation facilities can prevent the collection of samples. We evaluated some microassays employing whole blood collected on filter paper. This method is a well established technique in neonatal screening for endocrinometabolic diseases. We also developed microassays for whole dried blood spots to type AB0 blood groups and HIV disease using commercial reagents. Phenotype and gene frequencies for AB0 and hemoglobin systems as well as our results concerning the typings of thyroxine (T4), thyroid stimulating hormone (TSH), human immunodeficiency virus (HIV) and hepatitis B virus (HBV) are reported.

Although gender mainstreaming has been long recognized as a strategy for addressing gender inequalities and associated negative health outcomes; its implementation has remained a challenge, even in the area of prevention of mother to child transmission of HIV (PMTCT). Despite recognition of gender in Tanzania's political arena and prioritization of PMTCT by the health sector, there is very little information on how well gender has been mainstreamed into National PMTCT guidelines and organizational practices at service delivery level. Using a case study methodology, we combined document review with key informant interviews to assess gender mainstreaming in PMTCT on paper and in practice in Tanzania. We reviewed PMTCT policy/strategy documents using the WHO's Gender Responsive Assessment Scale (GRAS). The scale differentiates between level 1 (gender unequal), 2 (gender blind), 3 (gender sensitive), 4 (gender specific), and 5 (gender transformative). Key informant interviews were also conducted with 26 leaders purposively sampled from three government health facilities in Mwanza city to understand their practices. The gender responsiveness of PMTCT policy/strategy documents varies, with some being at GRAS level 3 (gender sensitive) and others at GRAS level 4 (gender specific). Those which are gender sensitive indicate gender awareness, but no remedial action is developed; while those which are gender specific go beyond indicating how gender may hinder PMTCT to highlighting remedial measures, such as the promotion of couple counselling and testing for HIV. In addition, interviews on organizational processes and practices suggested that there has been little attention to the holistic integration of gender in the delivery of PMTCT services. The study has revealed limited integration of gender concerns in PMTCT policy documents. Similarly, health facility leader responses indicate perspectives and practices that pay little attention to the holistic integration of gender in the delivery PMTCT services. [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: Data entry at the point of collection using mobile electronic devices may make data-handling processes more efficient and cost-effective, but there is little literature to document and quantify gains, especially for longitudinal surveillance systems. Objective: To examine the potential of mobile electronic devices compared with paper-based tools in health data collection. Methods: Using data from 961 households from the Rufiji Household and Demographic Survey in Tanzania, the quality and costs of data collected on paper forms and electronic devices were compared. We also documented, using qualitative approaches, field workers, whom we called ‘enumerators’, and households’ members on the use of both methods. Existing administrative records were combined with logistics expenditure measured directly from comparison households to approximate annual costs per 1,000 households surveyed. Results: Errors were detected in 17% (166) of households for the paper records and 2% (15) for the electronic records (p < 0.001). There were differences in the types of errors (p = 0.03). Of the errors occurring, a higher proportion were due to accuracy in paper surveys (79%, 95% CI: 72%, 86%) compared with electronic surveys (58%, 95% CI: 29%, 87%). Errors in electronic surveys were more likely to be related to completeness (32%, 95% CI 12%, 56%) than in paper surveys (11%, 95% CI: 7%, 17%).The median duration of the interviews (‘enumeration’), per household was 9.4 minutes (90% central range 6.4, 12.2) for paper and 8.3 (6.1, 12.0) for electronic surveys (p = 0.001). Surveys using electronic tools, compared with paper-based tools, were less costly by 28% for recurrent and 19% for total costs. Although there were technical problems with electronic devices, there was good acceptance of both methods by enumerators and members of the community. Conclusions: Our findings support the use of mobile electronic devices for large-scale longitudinal surveys in resource-limited settings. [ABSTRACT FROM PUBLISHER]

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]

Electronic Journal of Information System in Developing Countries (EJISDC) has already published a bibliometric study from 2000-2013, and this study is a further continuation of the pervious study from 2014-2021. The data retrieved from the Scopus database was analyzed through VOS viewer, biblioshiny, Microsoft Excel, and MS Access. This bibliometric study found the different aspects of the EJISDC, i.e., document types, publishing trends, authorship patterns, most productive countries, prolific authors, organizations, frequently used keywords, and country collaboration during 2014-21. The result found that total 346 publications having 1513 citation and most of the documents type was published research articles. The maximum publication was 51 in 2017 and received 313 citations in 2014. Authorship patterns showed that two author patterns produce maximum publications (142) with 666 citations. Heeks was the most prolific author in terms of paper publication (8 papers). South Africa and the University of Cape Town are at the top of the list to produce maximum articles during 2014-21. ICT4D was the most used keyword by the authors, and Tanzania is the top country to collaborate with other countries. Results for this study showed that the publications trend had been changed during 2014-21. [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]