521 results on '"Kitua, A."'
Search Results
2. Report from the first Tanzania Liver Cancer Conference: a call for action to unite in the fight against liver cancer in Sub-Saharan Africa, 17–18 March 2023, Dar es Salaam, Tanzania
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Mwanga, Ally, Mbuguje, Eric, Alswang, Jared, Brand, Nathan, Swallow, Andrew, Mwanakulya, Deogratius Beda, Pallangyo, Charles, Wibonela, Seif, Uiso, Eva, Kitua, William, and Pazi, Saleh
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Biomedical and Clinical Sciences ,Oncology and Carcinogenesis ,Liver Disease ,Health Services ,Clinical Research ,Cancer ,Liver Cancer ,Rare Diseases ,Digestive Diseases ,Good Health and Well Being ,liver cancer ,Tanzania ,global cancer ,surgical oncology ,hepatocellular carcinoma ,Oncology and carcinogenesis - Abstract
The first Tanzania Liver Cancer Conference (TLCC2023) took place on 17-18 March 2023 in Dar es Salaam, Tanzania with the aim of raising awareness among healthcare providers on the problem that liver cancer poses to the Tanzanian population and the urgent need to address this important issue. The conference focused on the following agenda items: 1) to build awareness among local healthcare providers on the status of liver cancer in Tanzania and the available diagnostic and management options, 2) to update Tanzanian healthcare providers on the current standard of care for liver cancer provided in developed countries and recent advancements in liver cancer care and 3) to promote an inclusive and multidisciplinary approach in research and the clinical care of patients with liver cancer in Tanzania. TLCC2023 was preceded by community-facing pre-conference activities, including screening 684 community members for hepatitis B virus free of charge. The conference was attended by 161 healthcare professionals from varying disciplines across Tanzania and abroad. TLCC2023 featured over 30 speakers from Tanzania, Kenya, Egypt, India and the United States that comprehensively covered a wide range of topics related to research and clinical care of liver cancer patients. A holistic and unified approach integrating both private and public sectors is vital in improving care for patients with liver cancer, and this was a common theme ingrained in the majority of presentations. Overall, the conference was well-received by attendees and knowledge assessment scores improved from 50% pre-conference to 75% post-conference (p < 0.001), demonstrating its educational value. As Tanzania's first conference on the subject, TLCC2023 marked an important milestone in a united fight against liver cancer in the country and beyond.
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- 2023
3. Investigating bothersome lower urinary tract symptoms among people living with HIV on antiretroviral therapy: prevalence, influencing factors, and quality-of-life implications
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Imane H. S. Benyamina, Obadia V. Nyongole, Fransia A. Mushi, Daniel W. Kitua, Aubrey Otieno, and Ally H. Mwanga
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Acquired immunodeficiency syndrome ,Antiretroviral treatment ,Highly active antiretroviral therapy ,Human immunodeficiency virus ,International Prostate Symptom Score ,Lower urinary tract symptoms ,Diseases of the genitourinary system. Urology ,RC870-923 - Abstract
Abstract Background Urological complications are not uncommon among people living with HIV and are often the initial clinical manifestation of HIV and AIDS. These complications, when presenting with bothersome lower urinary tract symptoms (LUTS), can significantly impact the Quality of life (QoL) of affected individuals. We, therefore, conducted a study aiming at determining the prevalence of bothersome LUTS, identifying factors influencing the severity of these symptoms, and examining their influence on the QoL among people living with HIV on antiretroviral treatment (ART). Methods A cross-sectional study was conducted among randomly selected adult HIV-positive patients who attended the Care and Treatment Center at Muhimbili National Hospital, located in Dar es Salaam, Tanzania, from September 2021 to February 2022. Data was collected using a questionnaire that incorporated the American version of the International Prostate Symptom Score (IPSS). The IPSS was utilized to assess the severity of LUTS and their influence on the QoL. Descriptive statistics were used to summarize the results, and ordinal regression analysis was employed to assess the factors influencing the severity of LUTS. Results The prevalence of LUTS in the study population was 57.8%, with mild symptoms (mean IPSS 3.92 ± 1.92) being the most common manifestation. The mean age of the study participants who presented with LUTS was 47.89 ± 12.05 years, and the majority were females (55.6%). Factors that were significantly associated with increased severity of LUTS included male sex (OR 2.75; 95% CI 1.59–4.75; p
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- 2023
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4. Investigating bothersome lower urinary tract symptoms among people living with HIV on antiretroviral therapy: prevalence, influencing factors, and quality-of-life implications
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Benyamina, Imane H. S., Nyongole, Obadia V., Mushi, Fransia A., Kitua, Daniel W., Otieno, Aubrey, and Mwanga, Ally H.
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- 2023
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5. Incidental actinomycosis in a 44-year-old female during total abdominal hysterectomy for abnormal uterine bleeding: A case report
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Willbroad Kyejo, Allyzain Ismail, Abduel Kitua, Brenda Moshi, Gregory Ntiyakunze, Munawar Kaguta, and Ally Mwanga
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Medicine (General) ,R5-920 - Abstract
Actinomycosis, a rare chronic bacterial infection caused by Actinomyces species, presents diagnostic challenges due to diverse clinical presentations. This report presents a case of peritoneal actinomycosis incidentally discovered during a total abdominal hysterectomy in a 44-year-old female with refractory abnormal uterine bleeding and a history of long-term intrauterine contraceptive device use. The patient presented with persistent abnormal uterine bleeding despite conservative management. Intraoperative findings during total abdominal hysterectomy revealed peritoneal involvement, prompting histopathological evaluation confirming actinomycosis. This case highlights diagnostic complexities associated with actinomycosis, emphasizing the significance of histopathological confirmation. Postoperative management with antibiotics demonstrated favorable outcomes, supporting their efficacy in treating actinomycosis. The case underscores the importance of considering uncommon infections in pelvic pathology, particularly in patients with prolonged intrauterine contraceptive device usage. It prompts further exploration of actinomycosis in relation to intrauterine contraceptive device use and highlights the need for timely intervention and histopathological confirmation for optimal patient care.
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- 2024
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6. Preoperative waiting time and outcomes of non-traumatic emergency abdominal surgeries: Insights from a zonal referral hospital in northern Tanzania, a reference for health centers with similar capacities
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Mchele, Godfrey M., Mwanga, Ally H., Kitua, Daniel W., and Chugulu, Samwel
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- 2023
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7. Preoperative waiting time and outcomes of non-traumatic emergency abdominal surgeries: Insights from a zonal referral hospital in northern Tanzania, a reference for health centers with similar capacities
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Godfrey M. Mchele, Ally H. Mwanga, Daniel W. Kitua, and Samwel Chugulu
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Non-traumatic acute abdomen ,Emergency Laparotomy ,Surgery in developing countries ,Surgical emergencies ,Surgical outcomes ,Theatre waiting time ,Surgery ,RD1-811 - Abstract
Background: Non-traumatic emergency abdominal surgeries are common in most healthcare settings. To a significant extent, the outcomes of treatment are determined by the promptness of surgical interventions. However, the in-hospital waiting time which reflects perioperative promptness remains largely unexplored in developing countries. Objective: To describe the preoperative waiting time, identify the causes of delays, and determine subsequent outcomes for non-traumatic emergency abdominal surgeries. Methods: A cross-sectional study was conducted at a consultant zonal hospital in northern Tanzania from September 2012 to March 2013. Patients admitted and surgically treated for non-traumatic acute abdominal conditions were consecutively sampled. Sociodemographic and clinical data were obtained from medical records. Delays in surgical interventions were assessed based on observations at the Emergency Department and record analysis. Descriptive statistics and regression analysis were used to summarize the data and assess for factors influencing post-operative outcomes, respectively. Results: The study included 111 participants with a median age of 29 years (IQR=18-53). The median in-hospital preoperative waiting was 10.5 hours (IQR=6.6-14.7), with a substantial majority (78.4%) experiencing delays beyond 6 hours. The frequent reasons for delayed surgery included personnel shortage (37.8%), unavailable theater space (31.5%), and investigation-related factors (28.8%). Delayed hospital presentation (symptoms ≥24 hours) (OR=3.9, 95% CI=1.0-14.9) and prolonged waiting time (>6 hours) (OR=2.7, 95% CI=1.0-7.2) were significantly associated (P
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- 2023
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8. Implementing tuberculosis patient cost surveys in resource-constrained settings: lessons from Tanzania
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Andrew Martin Kilale, Charles Makasi, Melkisedeck Majaha, Chacha Dionis Manga, Sylvia Haule, Pudensiana Hilary, Omari Kimbute, Stephen Kitua, Bhavin Jani, Nyagosya Range, Bernard Ngowi, Emmanuel Nkiligi, Emmanuel Matechi, Wilbard Muhandiki, Vishnu Mahamba, Beatrice Mutayoba, and Julia Ershova
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Patient Cost Survey ,Implementation ,Experience ,Tanzania ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Tuberculosis (TB) disproportionally affects persons and families who are economically and socially disadvantaged. Therefore, a patient cost survey was conducted in Tanzania to evaluate the costs incurred by patients and their households before and after the diagnosis of TB. It was the first survey in Tanzania to ascertain baseline information and experience for subsequent surveys. This paper aims to share the experience encountered during the survey to ensure a standardized approach and elimination of potential barriers for the implementation of future surveys. A total of 777 TB patients from 30 clusters selected based on probability proportional to the size were interviewed during the study period. As the sample size was calculated based on notification data from the previous year, some health facilities experienced an inadequate number of TB patients during the study to meet the allocated cluster size for the survey. Most facilities had poor recording and recordkeeping in TB registers where deaths were not registered, and some patients had not been assigned district identification numbers. Fixed days for TB drug refills in health facilities affected the routine implementation of the survey as the interviews were conducted when patients visited the facility to pick up the drugs. Tablets used to collect data failed to capture the geographic location in some areas. The households of TB patients lost to follow-up and those who had died during TB treatment were not included in the survey. When planning and preparing for patient costs surveys, it is important to consider unforeseen factors which may affect planned activities and findings. During the survey in Tanzania, the identified challenges included survey logistics, communications, patient enrollment, and data management issues. To improve the quality of the findings of future surveys, it may be reasonable to revise survey procedures to include households of TB patients who were lost to follow-up and those who died during TB treatment; the households of such patients may have incurred higher direct and indirect costs than households whose patient was cured as a result of receiving TB treatment.
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- 2022
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9. Facilitating implementation of the one health approach: A definition of a one health intervention
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Serge Nzietchueng, Andrew Kitua, Thierry Nyatanyi, and Innocent B. Rwego
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One health approach ,One health intervention ,Impact ,Medicine (General) ,R5-920 - Abstract
The last two decades has witnessed a disruption of socio-economic, security and political foundation worldwide due to surging of health events arising at the ecosystem, animal and human interface. The unprecedent magnitude of these events has led to the adoption of One Health approach. Several theoretical definitions and an operational one were released to help common user to understand the approach. To provide evidence of the impact of implementing the One Health approach and to assess the process outputs, a definition of a One Health intervention is required. We are proposing a definition and characteristics of a One Health intervention which will complement the operational definition of the One Health approach by the One Health High-Level Expert Panel.
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- 2023
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10. Development of the PIP score: A metric for predicting Intensive Care Unit admission among patients undergoing emergency laparotomy
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Kitua, Daniel W., Khamisi, Ramadhani H., Salim, Mohammed S. A., Kategile, Albert M., Mwanga, Ally H., Kivuyo, Nashivai E., Hando, Deo J., Kunambi, Peter P., and Akoko, Larry O.
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- 2022
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11. A Comprehensive Overview of In-patients Treated for Hepatocellular Carcinoma at a Tertiary Care Facility in Tanzania
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Ally Mwanga, James Mwakipesile, Daniel Kitua, and Yona Ringo
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hepatocellular carcinoma ,liver resection ,liver transplantation ,Tanzania ,Diseases of the endocrine glands. Clinical endocrinology ,RC648-665 ,Diseases of the genitourinary system. Urology ,RC870-923 - Abstract
Hepatocellular carcinoma (HCC) is one of the commonest causes of cancer-related morbidity and mortality worldwide. However, only a limited number of studies on HCC have been conducted in Tanzania. We therefore conducted a cross-sectional study among in-patients treated for HCC in a tertiary referral hospital located in Dar es Salaam, Tanzania, in order to provide a concise description of the clinical characteristics and treatment options offered in the study setting. We identified 36 in-patients treated for HCC over a 6-month data collection period. Seventy-seven percent (n = 28) of the participants were males and about two-thirds (61.2%) were aged between 40 and 60 years. Majority (44.4% [n = 16]) of the patients had Child-Pugh class B and an Eastern Cooperative Oncology Group (ECOG) performance status of 2 (33.3% [n = 12]). Patients with tumors >6.5 cm and multinodular tumors (>3 nodules) accounted for 69.4% (n = 25) and 55.6% (n = 20), respectively. Portal vascular invasion and extrahepatic metastasis were respectively present in 27.8% (n = 10) and 25% (n = 9) of the patients. Of the study participants, only two had early-stage disease as per the Barcelona Clinic Liver Cancer (BCLC) staging system, corresponding to the observed tumor resection rate of 5.6%. The most frequently reported inoperable factor among the study participants was an ECOG performance status > 0 (n = 30 [83.3%]). Findings thus reveal a high proportion of late-stage diseases among participants that could have resulted in the observed low tumor resection rate. Initiatives to facilitate identification of the disease at an early stage are therefore paramount in optimizing care.
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- 2023
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12. Choledochal cyst type I with dilated intrahepatic biliary radicles: a type IVA mimic
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Hando, Deo Justine, Kitua, Daniel William, Bitesigilwe, Mbelwa Dennis, Mutajwaha, JohnofGod Leonce, Gabolwelwe, Mogolodi, Chande, Hassan Mwinchande, Mwanga, Ally Hamisi, Bokhary, Zaitun Mohammed, and Ngiloi, Petronilla Joseph
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- 2022
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13. Implementing tuberculosis patient cost surveys in resource-constrained settings: lessons from Tanzania
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Kilale, Andrew Martin, Makasi, Charles, Majaha, Melkisedeck, Manga, Chacha Dionis, Haule, Sylvia, Hilary, Pudensiana, Kimbute, Omari, Kitua, Stephen, Jani, Bhavin, Range, Nyagosya, Ngowi, Bernard, Nkiligi, Emmanuel, Matechi, Emmanuel, Muhandiki, Wilbard, Mahamba, Vishnu, Mutayoba, Beatrice, and Ershova, Julia
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- 2022
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14. Choledochal cyst type I with dilated intrahepatic biliary radicles: a type IVA mimic
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Deo Justine Hando, Daniel William Kitua, Mbelwa Dennis Bitesigilwe, JohnofGod Leonce Mutajwaha, Mogolodi Gabolwelwe, Hassan Mwinchande Chande, Ally Hamisi Mwanga, Zaitun Mohammed Bokhary, and Petronilla Joseph Ngiloi
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Choledochal cyst excision ,Giant choledochal cyst ,Roux-en-Y hepaticojejunostomy ,Todani classification ,Surgery ,RD1-811 ,Diseases of the digestive system. Gastroenterology ,RC799-869 - Abstract
Abstract Background A choledochal cyst is a relatively rare congenital anomaly of the biliary tree requiring surgery as the definitive treatment. Amongst the five Todani variants, type I poses a diagnostic and treatment challenge owing to its infrequent, yet clinically significant mimicry for type IVA cysts. Case presentation We present a case of a 4-year-old female diagnosed to have a giant type IA choledochal cyst that mimicked a type IVA cyst on radiological imaging. The patient was treated by complete cyst excision, cholecystectomy, and restoration of the biliary-enteric communication by a Roux-en-Y hepaticojejunostomy. Regression of the dilated intrahepatic radicles that counterfeited a type IVA cyst was confirmed on follow-up imaging studies. Conclusion Such an encounter, although rare, can significantly alter the course of management. We recommend extrahepatic cyst excision with biliary reconstruction as the standard treatment when preoperative and intraoperative imaging studies fall short in differentiating the aforementioned variants.
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- 2022
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15. Development of the PIP score: A metric for predicting Intensive Care Unit admission among patients undergoing emergency laparotomy
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Daniel W. Kitua, Ramadhani H. Khamisi, Mohammed S. A. Salim, Albert M. Kategile, Ally H. Mwanga, Nashivai E. Kivuyo, Deo J. Hando, Peter P. Kunambi, and Larry O. Akoko
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Emergency general surgery ,Emergency laparotomy ,Intensive Care Unit (ICU) admission ,Postoperative triaging ,Post-emergency laparotomy ICU admission Predictive score (PIP score) ,Surgery ,RD1-811 - Abstract
Background: Emergency laparotomy cases account for a significant proportion of the surgical caseload requiring postoperative intensive care. However, access to Intensive Care Unit (ICU) services has been limited by the scarcity of resources, lack of guidelines, and paucity of triaging tools. Objective: This study aimed at developing a feasible Post-emergency laparotomy ICU admission Predictive (PIP) scoring tool. Methodology: A case-control study utilizing the records of 108 patients who underwent emergency laparotomy was conducted. The primary outcome was the postoperative disposition status. Cases were defined as emergency laparotomy patients admitted to the ICU. The control group constituted patients admitted to the general ward. Logistic regression analysis was performed to identify the perioperative predictors of outcome. The PIP score was developed as a composite of each statistically significant variable remaining in the final logistic regression model. Results: The significant positive predictors of ICU admission included a worsening American Society of Anesthesiologists - Physical Status, decreasing preoperative baseline axillary temperature, increasing preoperative baseline pulse rate, and intraoperative blood-product transfusion. The scoring system incorporating the identified predictors was presented as a numeric scale ranging from zero to four. Two levels of prediction were defined with reference to the optimum cut-off value; a score of
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- 2022
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16. Advanced prostate cancer with brain metastasis presenting with isolated severe headache without urinary symptoms.
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Nhungo, Charles John, primary, Kitua, Daniel W., additional, Nzowa, Boniface, additional, Kasori, Mukama, additional, Sensa, Victor, additional, and Mkony, Charles, additional
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- 2024
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17. Establishing National Multisectoral Coordination and collaboration mechanisms to prevent, detect, and respond to public health threats in Guinea, Liberia, and Sierra Leone 2016–2018
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Serge Agbo, Lionel Gbaguidi, Chethana Biliyar, Seydou Sylla, Mukeh Fahnbulleh, John Dogba, Sakoba Keita, Sarian Kamara, Amara Jambai, Albert Harris, Tolbert Nyenswah, Mane Seni, Sow Bhoye, Sambe Duale, and Andrew Kitua
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One health ,National one Health Platform ,Platform ,Multisectoral coordination and collaboration ,Multisectoral coordination mechanism ,Environmental sciences ,GE1-350 ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background The governments of Guinea, Liberia, and Sierra Leone have acknowledged that weak health systems and poor coordination of efforts hampered effectiveness of the 2014–2016 Ebola outbreak response. The bitter experience of the Ebola outbreak response served as an important catalyst for increased efforts to comply with World Health Organization (WHO) International Health Regulations (IHR 2005), Performance of Veterinary Services (PVS) Pathway capacities, and Global Health Security Agenda (GHSA) goals. In November 2016, an interministerial meeting held in Dakar, Senegal, resulted in formalized commitments from the three nations to strengthen resilience to health threats by establishing a Regional Strategic Roadmap to institutionalize the One Health approach. Since then, each country has made significant progress towards establishing National One Health Platforms to coordinate health security interventions, in collaboration with international partners. This paper outlines the methodology and results of these efforts for the period June 2016–January 2019, with a specific focus on activities supported by the US Agency for International Development (USAID)-funded Preparedness & Response (P&R) project. Objectives In support of the West African Health Organization’s November 2016 Regional Strategic Roadmap for institutionalization of the One Health approach, the Preparedness & Response (P&R) project worked in coordination with national partners in Guinea, Liberia, and Sierra Leone to establish multisectoral, One Health coordinating mechanisms. Methodology The global USAID-funded P&R project was launched in 2014 to support the achievement of this objective, and began coordinating with partners in Guinea, Liberia, and Sierra Leone in 2016 to tailor its multi-step conceptual framework to fit the priorities and operating constraints of national stakeholders. Organized in phases of Collaboration (building key relationships), Formalization (defining and establishing a coordination structure), and Implementation (using newfound coordination to produce better health security outcomes), the framework features steps such as One Health sensitizations for multisectoral national stakeholders, development of One Health platform terms of reference and other operating guidelines, and application of these tools to coordination of technical assistance during outbreaks. Results In Guinea, Liberia, and Sierra Leone, in less than 3 yrs there has been a marked improvement in cross-sectoral coordination on health security actions. All three countries have passed legislation establishing permanent multisectoral coordination mechanisms referred to in this document as National One Health Platforms, or simply Platforms; instituted an annual mechanism for assessing capacity and performance of these platforms to lead health security actions; and have undertaken key steps towards developing and updating National Preparedness & Response Plans which truly reflect the multisectoral nature of emerging disease threats. However, multisectoral coordination is a work in progress: government stakeholders and their international partners continue to work together to further strengthen national ownership and investment in the newly established Platforms. Conclusion and next steps Newly established Platforms in Guinea, Liberia, and Sierra Leone offer a long-term structure for coordinating health security actions. However, given the short period of time since their formalization, they depend on continued national, regional, and international resources to build from recent progress and further improve capacity and performance. Regional programs such as the World Bank Regional Disease Surveillance Systems Enhancement (REDISSE) project are of critical importance in keeping the momentum going. The highlighted progress and outputs to date provide reasons and motivation for continued, longer-term investment in the Platforms.
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- 2019
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18. Building a functional national One Health platform: the case of Tanzania
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Andrew Y. Kitua, Susan Scribner, Mark Rasmuson, Dominic Kambarage, Janneth Mghamba, Elibariki R. Mwakapeje, Harrison Chinyuka, Jubilate Bernard, Kate Zimmerman, Sambe Duale, and David Mutonga
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One health approach ,Multisectoral coordination mechanism ,Institutionalization ,Tanzania ,Environmental sciences ,GE1-350 ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background The USAID Preparedness and Response (P&R) project’s publication on Multisectoral Coordination that Works identified five dimensions most critical to creating effective and sustainable One Health platforms: political commitment, institutional structure, management and coordination capacity, technical and financial resources, and joint planning and implementation. This case study describes Tanzania experience in using these dimensions to establish a functional One Health platform. The main objective of this case study was to document the process of institutionalizing the One Health approach in Tanzania. Methods An analysis of the process used to establish and institutionalize the MCM in Tanzania through addressing the five dimensions mentioned above was conducted between August 2018 and January 2019. Progress activity reports, annual reports and minutes of meetings and consultations regarding the establishment of the Tanzania national One Health platform were examined. Relevant One Health publications were studied as reference material. Results This case study illustrates the time and level of effort required of multiple partners to build a functional multi-sectoral coordinating mechanism (MCM). Key facilitating factors were identified and the importance of involving policy and decision makers at all stages of the process to facilitate policy decisions and the institutionalization process was underscored. The need for molding the implementation process using lessons learnt along the way -- “sailing the ship as it was being built” -- is demonstrated. Conclusions Tanzania now has a functioning and institutionalized MCM with a sound institutional structure and capacity to prevent, detect early and respond to health events. The path to its establishment required the patient commitment of a core group of One Health champions and stakeholders along the way to examine carefully and iteratively how best to structure productive multisectoral coordination in the country. The five dimensions identified by the Preparedness and Response project may provide useful guidance to other countries working to establish functional MCM.
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- 2019
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19. Incidental actinomycosis in a 44-year-old female during total abdominal hysterectomy for abnormal uterine bleeding: A case report.
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Kyejo, Willbroad, Ismail, Allyzain, Kitua, Abduel, Moshi, Brenda, Ntiyakunze, Gregory, Kaguta, Munawar, and Mwanga, Ally
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- 2024
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20. Financial Management Practices and Financial Performance of Deposit Taking Saccos in Nairobi City County, Kenya
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Amos Kitua Kyenze and Dr. Moses Odhiambo Aluoch
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General Medicine - Abstract
Purpose: The purpose of this study was to examine the effect of financial management practices on financial performance of SACCOs in Nairobi City County, Kenya. Methodology: This study adopted an explanatory research design. The target population consisted of the 215 deposit taking SACCOs in Kenya. A sample of 41 deposit taking Saccos in Nairobi city County registered by SASRA for the period 2015 to 2019 was drawn from the target population. Thus, the 41 deposit taking SACCOs as registered by SASRA and their published financial statements constitute the unit of analysis and unit of observation respectively. The census sampling method was used in order to gather enough information since the number of SACCOs is limited and justifies the requirements of efficiency, reliability and representativeness. Further, secondary data was also collected through data collection schedule. Facts and figures were collected through published financial reports and statements of deposit taking SACCOs licensed by SASRA in Nairobi County for the period 2015 to 2019 and the key financial information on the variables of concern were discerned from these reports. The data for this study was panel and therefore the STATA software was used for analysis under panel regression model. Descriptive analysis were done to explain the basic features of the data. Inferential analysis was done afterwards based on panel regression which was then used to test the research hypothesis according to the research specific objectives. The testing was under the 5% significance level. Findings: The results of the study revealed that fixed asset, loan portfolio, cash asset and financial investment management practices were positive and significantly correlated to financial performance of DT-Saccos in Nairobi City County. In addition, the results also indicated that financial investment management practices had a more positive and significant effect on financial performance, followed by loan portfolio management practices, then cash asset management practices and lastly fixed asset management practices. The moderating variable, sacco size was found to have a moderating effect on the relationship between financial management practices and financial performance of DT-Saccos in Nairobi City County. Unique Contribution to Theory, Practice and Policy: The study recommended that the management of DT-Saccos should consistently ensure they prepare cash budgets and maintaining a cash book so as to be able to manage their cashflows especially from the account receivables and account payables. They should also implement effective financial investment management practices that can help them reduce the risk of financial losses from investments such as projects or securities. The study findings may help policymakers in DT-Saccos such as the SASRA to enforce better loan portfolio management policies that encourage their customers to purchase loans and reduce cases of loan defaulting. Moreover, these policies may also be used to reduces the number of non-performing loans which have a significant effect on the ROA of the DT-Saccos. Researchers and Scholars could benefit from this study by use of the theories that were discussed in this study. They can also use the results to validate and corroborate findings of their own study.
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- 2022
21. Facilitating implementation of the one health approach: A definition of a one health intervention
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Nzietchueng, Serge, primary, Kitua, Andrew, additional, Nyatanyi, Thierry, additional, and Rwego, Innocent B., additional
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- 2023
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22. Report from the first Tanzania Liver Cancer Conference: a call for action to unite in the fight against liver cancer in Sub-Saharan Africa, 17–18 March 2023, Dar es Salaam, Tanzania
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Mwanga, Ally, primary, Mbuguje, Eric, additional, Alswang, Jared, additional, Brand, Nathan, additional, Swallow, Andrew, additional, Mwanakulya, Deogratius Beda, additional, Pallangyo, Charles, additional, Wibonela, Seif, additional, Uiso, Eva, additional, Kitua, William, additional, and Pazi, Saleh, additional
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- 2023
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23. Pre-referral Rectal Artesunate Treatment by Community-Based Treatment Providers in Ghana, Guinea-Bissau, Tanzania, and Uganda (Study 18): A Cluster-Randomized Trial
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Study 18 Research Group, Warsame, Marian, Gyapong, Margaret, Mpeka, Betty, Rodrigues, Amabelia, Singlovic, Jan, Babiker, Abdel, Mworozi, Edison, Agyepong, Irene, Ansah, Evelyn, Azairwe, Robert, Biai, Sidu, Binka, Fred, Folb, Peter, Gyapong, John, Kimbute, Omari, Machinda, Zena, Kitua, Andrew, Lutalo, Tom, Majaha, Melkzedik, Mamadu, Jao, Mrango, Zakayo, Petzold, Max, Rujumba, Joseph, Ribeiro, Isabela, and Gomes, Melba
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- 2016
24. Establishing National Multisectoral Coordination and collaboration mechanisms to prevent, detect, and respond to public health threats in Guinea, Liberia, and Sierra Leone 2016–2018
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Agbo, Serge, Gbaguidi, Lionel, Biliyar, Chethana, Sylla, Seydou, Fahnbulleh, Mukeh, Dogba, John, Keita, Sakoba, Kamara, Sarian, Jambai, Amara, Harris, Albert, Nyenswah, Tolbert, Seni, Mane, Bhoye, Sow, Duale, Sambe, and Kitua, Andrew
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- 2019
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25. Building a functional national One Health platform: the case of Tanzania
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Kitua, Andrew Y., Scribner, Susan, Rasmuson, Mark, Kambarage, Dominic, Mghamba, Janneth, Mwakapeje, Elibariki R., Chinyuka, Harrison, Bernard, Jubilate, Zimmerman, Kate, Duale, Sambe, and Mutonga, David
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- 2019
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26. Determinants of Antenatal Healthcare Services Utilisation: A Case of Dodoma, Tanzania
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J Kibesa, Saraphina, primary, W Kitua, Yona, additional, and W Kitua, Daniel, additional
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- 2022
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27. Determinants of Antenatal Healthcare Services Utilisation: A Case of Dodoma, Tanzania
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Saraphina J Kibesa, Yona W Kitua, and Daniel W Kitua
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Background: Antenatal Care (ANC) coverage is a key determinant of maternal and perinatal morbidity and mortality. Low utilization of ANC services and high Maternal Mortality Ratio (MMR) have been reported in the East African Region. Due to the paucity of information on the determinants of ANC utilization in this region, we conducted the study aiming at exploring factors influencing the utilization of ANC services. We further sought opinions that will aid the improvement of utilization of ANC services. Methods: A triangulation mixed-method study was conducted in August 2021 among forty-five women and ten healthcare providers in a selected health center located in Dodoma Urban District, Tanzania. Information was gathered using semi-structured questionnaires and in-depth interviews. Quantitative data were analysed using IBM SPSS Statistics. The relationship between the outcome variable and the predictor variables was assessed by either the Chi-square test or Fisher’s exact test and a p value
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- 2022
28. A Comprehensive Overview of In-patients Treated for Hepatocellular Carcinoma at a Tertiary Care Facility in Tanzania
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Mwanga, Ally, primary, Mwakipesile, James, additional, Kitua, Daniel, additional, and Ringo, Yona, additional
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- 2023
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29. Financial Management Practices and Financial Performance of Deposit Taking Saccos in Nairobi City County, Kenya
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Kyenze, Amos Kitua, primary and Aluoch, Dr. Moses Odhiambo, additional
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- 2022
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30. Report from the first Tanzania Liver Cancer Conference: a call for action to unite in the fight against liver cancer in Sub-Saharan Africa, 17-18 March 2023, Dar es Salaam, Tanzania
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Ally Mwanga, Eric Mbuguje, Jared Alswang, Nathan Brand, Andrew Swallow, Deogratius Beda Mwanakulya, Charles Pallangyo, Seif Wibonela, Eva Uiso, William Kitua, and Saleh Pazi
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liver cancer ,Cancer Research ,surgical oncology ,Good Health and Well Being ,Oncology ,Clinical Research ,Liver Disease ,global cancer ,hepatocellular carcinoma ,Health Services ,Digestive Diseases ,Tanzania ,Cancer - Abstract
The first Tanzania Liver Cancer Conference (TLCC2023) took place on 17-18 March 2023 in Dar es Salaam, Tanzania with the aim of raising awareness among healthcare providers on the problem that liver cancer poses to the Tanzanian population and the urgent need to address this important issue. The conference focused on the following agenda items: 1) to build awareness among local healthcare providers on the status of liver cancer in Tanzania and the available diagnostic and management options, 2) to update Tanzanian healthcare providers on the current standard of care for liver cancer provided in developed countries and recent advancements in liver cancer care and 3) to promote an inclusive and multidisciplinary approach in research and the clinical care of patients with liver cancer in Tanzania. TLCC2023 was preceded by community-facing pre-conference activities, including screening 684 community members for hepatitis B virus free of charge. The conference was attended by 161 healthcare professionals from varying disciplines across Tanzania and abroad. TLCC2023 featured over 30 speakers from Tanzania, Kenya, Egypt, India and the United States that comprehensively covered a wide range of topics related to research and clinical care of liver cancer patients. A holistic and unified approach integrating both private and public sectors is vital in improving care for patients with liver cancer, and this was a common theme ingrained in the majority of presentations. Overall, the conference was well-received by attendees and knowledge assessment scores improved from 50% pre-conference to 75% post-conference (p < 0.001), demonstrating its educational value. As Tanzania's first conference on the subject, TLCC2023 marked an important milestone in a united fight against liver cancer in the country and beyond.
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- 2023
31. Experience in fostering regional collaboration and Coordination to use data for battling infectious diseases in sub-Saharan Africa
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Frank Adjei Benin, Serge Manituo Somda, Fatuma Adan, Martin Weiss, Wayne Naidoo, Geoffrey Arunga, Christopher A. LeGrand, Andrew Yona Kitua, Ahmed Bashir, Todd Malone, Tome Ca, and Patricia Odero
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Economic growth ,Sub saharan ,Geography ,Short Report - Abstract
The emergence of COVID-19 highlights globalisation realties, where diseases may emerge from anywhere and rapidly spread globally. Lessons emphasise the necessity for strengthening regional and global collaboration and coordination to allow rapid risk identification, resource mobilisation and joint actions. We report the experience of the Regional Action through Data (RAD) partnership in fostering regional cooperation and collaboration to use data for battling infectious diseases and the effects of COVID-19. The Partnership comprised;BoadReach company, The West African Health Organization (WAHO) and the Intergovernmental Authority on Development (IGAD); Duke University Global Health Centre and the Jembi Health Systems, South Africa. Main objective: To address the problem of limited used of data to drive performance in healthcare service delivery in sub-Saharan Africa; by changing how and why data is collected, analysed, and then used to achieve results. Specific objectives: 1. Regional level: To equip and empower IGAD and WAHO with evidence-based analytics to drive data use for evidence-based policy and program action in public health (regional level). 2. Patient -provider level: To deploy and implement a digital health solution for child-hood vaccination services focused on mobile cross-border populations along the Uganda-Kenya border. Engagement approaches used included; meetings, workshops, technical working groups, establishing monitoring system and annual implementation revision. Targeted training and capacity building were conducted. All activities were built on existing systems and structures to strengthen ownership and sustainability. Regional level achievements: 1. Regional health data sharing and protection policy, 2. Strengthened regional health information platform. Patient provider level: Deployment of a cloud based digital health solution to enhance childhood access to vaccination services for cross border populations of Kenya and Uganda, 3. Both regions developed resource mobilisation plans for sustainability. RAD established the foundation for building trust and strengthening regional collaboration and coordination in health in Sub-Saharan Africa.
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- 2021
32. Kampala manifesto: Building community-based One Health approaches to disease surveillance and response-The Ebola Legacy-Lessons from a peer-led capacity-building initiative.
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Petra Dickmann, Andrew Kitua, Franklin Apfel, and Nigel Lightfoot
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Arctic medicine. Tropical medicine ,RC955-962 ,Public aspects of medicine ,RA1-1270 - Abstract
International activities to respond to the Ebola crisis in West Africa were mainly developed and focussed around the biomedical paradigm of Western health systems. This approach was often insensitive to societal perception, attitude, and behavioural determinants and clashed with community-based health traditions, narratives, and roles, e.g., of community health workers. In this peer-led capacity-building initiative, these deficiencies were identified and analysed. Innovative, more locally focussed, community-based solutions were articulated. The new approaches described put local people at the centre of all preparedness, response, and recovery strategies. This paradigm shift reframed the role of communities from victims to active managers of their response and reacknowledged the strength of community-based One Health. We conclude that strategies should aim at empowering, not just engaging, communities. Communities can improve short-term crisis management and build longer-term resilience and capacities that are much needed in the current global health climate.The Ebola outbreak in West Africa, 2014-2016, was unprecedented in scale, extent, and duration. The international community was slow to step up its assistance in this global public health emergency and then faltered when its infection control management approaches clashed with West African realities [1]. Outbreak response evaluations have identified the need to better integrate social science intelligence [2], better collaborate with communities [3,4], more effectively draw on the strength of community health workers [5], and critically question the paradigm of Western health systems, which focus on imposing 'evidence-based' solutions that lack external validity in affected communities; i.e., they too often recommend actions that are inconsistent with, ignore, or violate traditional behaviours [6]. While there appears to be a consensus now on what needs to be done, how to achieve these goals remains a challenge.
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- 2018
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33. Porta hepatis lymphnode mimicking biliary atresia: A case report
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Ngowi, Elisamia, Kwayu, Juliana, Kitua, Abduel, Ebrahim, Mohamedraza, Mwamanenge, Naomi, and Abdallah, Yaser
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- 2024
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34. COVID-19 Awakening: Preparedness, Readiness and Response during the pandemic
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Daniel W Kitua and Andrew Y Kitua
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Mainland China ,medicine.medical_specialty ,Public health ,Outbreak ,Disease ,medicine.disease_cause ,medicine.disease ,Preparedness ,Political science ,Pandemic ,medicine ,Medical emergency ,China ,Coronavirus - Abstract
At the end of December 2019, the China public health authorities were informed on cases of unusual pneumonia detected in Wuhan City, mainland China. The causative agent was later identified to be a novel coronavirus (2019-nCoV) currently referred to as the severe acute respiratory syndrome coronavirus 2 (SARS CoV-2). The World Health Organization declared the disease a public health emergency of international concern on 30thJanuary 2020 and named it Coronavirus disease 2019 (COVID-19) on 11thFebruary 2020. By 20thApril 2020, over 2.4 million cases of COVID-19 had been reported from 210 countries and territories worldwide. The rate at which COVID-19 spreads and the fact that asymptomatic individuals can transmit the disease has risen concerns on how to control the pandemic in resource-constrained countries. We conducted a review of literatures and summarized the key lessons to inform policy and decision makers on strategies necessary for an effective response during the pandemic. We recommend comprehensive implementation of the proposed approaches that encompass robust containment strategies and flexible transition to scaling up mitigation strategies.
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- 2020
35. BJS commission on surgery and perioperative care post-COVID-19
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Abahuje, E, Abbas, A, Abd El Aziz Abd El Maksoud, M, Abdelhady, A, Abdelhamid, S, Abdelkarem Ahmed Faraj, H, Abdelqader, B, Abdelrahman, T, Abdou, H, Abdullah, A, Abedua Harrison, M, Abem Owusu, E, Aboalazayem, A, Aboulhosn, R, Abu Oda, S, Abubakar, A, Abutaka, A, Acevedo Fontalvo, D, Acuna, S, Adefemi, A, Adegbola, S, Adenuga, T, Adeyeye, A, Adil Hilmi, A, Adisa, A, Aditya, K, Adjeso, T, Aftab, R, Afzal, A, Aggarwal, V, Aggarwal, A, Aguilera, R, Aguilera-Arevalo, M, Aguirre Salamanca, E, Aguirre-Allende, I, Ahari, D, Ahmad, H, Ahmad Rauf, F, Ahmad Zartasht Khan, A, Ahmed, S, Ahmed Fieturi, N, Ahmed Mohamed, S, Ahmed-Bakhsh, Z, Ahsan Javed, M, Akano, L, Akbar, A, Akhbari, M, Akhmedov, P, Aksit, G, Akula, Y, Alagaratnam, A, Al Majid, S, Al Mukhtar, O, Al Omran, H, Alasali, N, Al-Azzawi, M, Al-Habsi, R, Al-Iraqi, H, Al-Naggar, H, Alameer, E, Albirnawi, H, Alderson, D, Aldulaijan, F, Alejandro Miranda Ojeda, R, Alhasan, A, Ali, S, Ali, A, Ali Khan, M, Alimova, Y, Aljanadi, F, Aljubure, R, Allopi, N, Almedbal, H, Almubarak, M, Alqaidoom, Z, Alselaim, N, Alshaar, M, Alshammari, R, Altaf, K, Altiner, S, Altunpak, B, Alvarez Lozada, L, Amal Nahal, E, Amer, A, Amin, K, Aminu, U, Amisi Numbi, N, Amjad, T, Amoah, R, An, Y, Anastasopoulos, N, Andres Urrutia, J, Angarita, F, Angarita, K, Angel Freiria Eiras, M, Antypas, A, Anwar, M, Anwar, H, Apampa, T, Apostolou, K, Aquina, C, Arachchige Adithi Himika Randeni, R, Archila Godinez, M, Arez, O, Arezzo, A, Armonis, P, Arshad, S, Arshad Salman, M, Arshid, A, Arteaga Asensio, P, Arthur, T, Arumuga Jothi, A, Aryo Damara, F, Asensio Gomez, L, Ashcroft, J, Ashraf, S, Asif, A, Atif, M, Attaullah Khan, M, Avellaneda, N, Awad, S, Awadh, M, Axiaq, A, Ayad Mohammed Shuwayyah, A, Ayalew, D, Aytac, E, Azam, F, Azevedo, J, Azhar, B, Aziz, J, Aziz, A, Azzam, A, Baba Ndajiwo, A, Baig, M, Baker, D, Bakko, F, Balachandran, R, Balachandran, G, Balagizi Mudekereza, J, Balai, E, Balci, B, Balduzzi, A, Balhareth, A, Bandyopadhyay, S, Banerjee, D, Bangalore Mahalinga, D, Bankhead-Kendall, B, Bankole, N, Banwell, V, Baris Bengur, F, Baris Ozmen, B, Barnard, M, Barnett, R, Barreras Espinoza, J, Barrios, A, Bass, G, Bass, M, Bausys, A, Bavikatte, A, Bayram, J, Belousov, M, Berardi, A, Beamish, A, Beattie, C, Belia, F, Bellato, V, Bellikatti, S, Benjamens, S, Benlice, C, Bennedsgaard, S, Bennett, S, Bentounsi, Z, Bergenfeldt, H, Bergenfelz, A, Besselink, M, Bhandoria, G, Bhangu, E, Bhatia, M, Bhatti, M, Bilgili, Z, Bislenghi, G, Bisset, C, Biswas, S, Blake, J, Blanco, R, Boccalatte, L, Boden, R, Bojanic, C, Boland, M, Boland, P, Bollen, E, Bonci, E, Boni, L, Booth, A, Booth, R, Borakati, A, Borunda Escudero, G, Bosco, S, Bostrom, P, Botelho De Alencar Ferreira Cruz, P, Bouchagier, K, Bouhuwaish, A, Boutros, M, Boyce, K, Boyle, C, Bradshaw, L, Brandl, A, Brar, A, Brat, G, Brenkman, H, Brennan, C, Brines, C, Brookmyre, A, Brosnan, C, Brouwers, L, Brown, A, Brown, L, Brown, C, Brown, J, Bs, V, Buksh, M, Bunani Emmanuel, M, Burbano, D, Burelli, A, Burke, A, Burke, J, Burlov, N, Burns, A, Burton, O, Butt, A, Buzra Ozkan, B, Cabrera Silva, L, Caicedo, E, Calderbank, T, Cambridge, W, Campelo, G, Can Tatar, O, Carbone, F, Carrano, F, Casallas, D, Casanova Portoles, D, Casciani, F, Cassimjee, I, Castaneda Ramirez, O, Catalan, V, Caviedes, J, Cayetano, L, Ceresoli, M, Chan, M, Chan, V, Chandrasinghe, P, Chapman, S, Chaturvedi, A, Chaudhry, D, Chaudry, H, Chen, H, Cheng, A, Chernykh, M, Cherrie, A, Cheruiyot, I, Cheung, J, Chia, C, Chica, J, Chinai, N, Chirwa, A, Chiwaligo, J, Choi, A, Choi, J, Chowdhury, M, Christopher, E, Christou, N, Chu, T, Chua, D, Chua, H, Chung, C, Cihat Yildirim, A, Cillo, M, Cioffi, S, Claireaux, H, Clermonts, S, Clifford, R, Climent, M, Clynch, A, Coelen, R, Colas-Ruiz, E, Collar, A, Collard, M, Conlon, K, Connelly, T, Connor, K, Cook, J, Correia De Sa, T, Cosgun Acar, N, Costa, T, Couch, D, Cowper, S, Creavin, B, Crook, B, Curell, A, D'Alessio, R, Dale, J, Damgaard Eriksen, J, Dario Martin Gonzalez, I, Darwish, A, Das, M, Das, R, Das, K, Dave, R, David, S, Davies, T, Davis, C, Davison, S, Davletshina, V, Dawidziuk, A, Dawson, A, De Andres Crespo, M, De Berker, H, De Dieu Ngo, P, Dekker, E, De La Caridad Espinosa Luis, R, De Lacy, B, Demartines, N, De Montserrat Medina Sifuentes, A, De Silva, S, Del Rio, C, Delaune, V, Dell, A, Demirbas, I, Demirli Atici, S, Deniz Tepe, M, Derebey, M, Desai, G, Desai, M, Devarakonda, S, Deveras, N, Di Franco, G, Di Martino, M, Di Marzo, F, Diaz, A, Diaz Del Gobbo, G, Diazcastrillon, C, Dick, L, Dickinson, K, Diego, E, Dimasi, I, Ding, A, Dingemans, S, Dixon, L, Dixon, B, Doherty, W, Dooreemeah, D, Donohue, C, Dornseifer, M, Dossa, F, Dossou, W, Drake, T, Drami, I, Drevin, G, Du Plessis, M, Dudi-Venkata, N, Dudley, R, Duffy, S, Duklas, D, Dumbrava, B, Duygu Avlar, F, Dworzynska, A, Ebrahim, W, Ebrahim, A, Efren Lozada Hernandez, E, Ehigie, N, El Boghdady, M, El Hasnaoui, C, El Sheikh, M, El-Hussuna, A, Eldurssi, O, Elfeki, H, Elhadi, M, Elhassan, M, Elhissi, A, Elliot, B, Elsenbroek, C, Elsolh, B, Elson, N, Eltyeb, H, Emerson, H, Emile, S, Endalle, G, English, W, Ercisli, C, Espinosa, G, Essam Abdelraheem, M, Essangri, H, Etienne, P, Evans, M, Evans, T, Ezeme, C, Ezzahraa, F, Fadalla, T, Fagan, J, Fahmy, M, Fairfield, C, Falade, O, Famularo, S, Faqar-Uz-Zaman, F, Farid, Y, Farooq, A, Farooq, H, Farooqui, F, Farquharson, B, Faruqi, A, Faulder, R, Faut, M, Fechner, K, Feenstra, T, Fehervari, M, Fernandez, L, Fernandez Alberti, J, Ferrario, L, Field, D, Fiore, L, Fingerhut, S, Finlayson, S, Fleming, N, Fleming, C, Florial, E, Fok, M, Fokin, D, Foley, M, Forero, M, Forgan, T, Fornasiero, M, Fowler, H, Fowler, G, Franchi, E, Franklin, L, Fredriksson, A, Fruhling, P, Fuentes Navarrette, G, Fulop, A, Furtado, M, Gaarder, T, Galbraith, N, Gallagher, I, Gallo, G, Gana, T, Gaskin, E, Gasparini, M, Gatan, R, Geary, E, Gelaye Wudineh, K, Gemenetzis, G, Georgi, M, Ghalige, H, Ghareeb, W, Ghatwary Tantawy, T, Ghomsi, C, Ghuman, A, Giannakis, P, Giron, F, Gjengedal, K, Gkotsis, E, Glasbey, J, Godahewa, S, Godula, D, Goffredo, P, Goh, S, Golriz, M, Gomez, L, Gomez Gomez, D, Gonzalez, R, Gonzalez, D, Gonzalez Gutierrez, E, Gopar, D, Gordini, L, Gori, A, Gortazar, S, Gousy, N, Gowda, R, Gowda, M, Gqada, J, Grechenig, M, Greer, J, Gregorio, L, Grigorova, A, Grimes, H, Groot, V, Grossman, R, Gruber, R, Gruter, A, Guest, R, Gujjuri, R, Gulcek, E, Gulcu, B, Gull, K, Gulmez, M, Gupta, V, Gutlic, A, Guven, T, Gwatirisa, T, Gwini, G, Gwodog, P, Gysling, S, Habib, M, Hafeez Bhatti, A, Hallesmith, J, Halloran, S, Hamza Sadiq, M, Haney, C, Hanna, N, Hanna, L, Hannington, M, Harbjerg, J, Haribaskaran, D, Harran, N, Harrington, B, Harrison, E, Hasan, R, Hashmi, S, Hassan, M, Hassan, A, Haverkamp, L, Hazen, S, Heer, B, Heil, J, Helliwell, J, Henriksen, N, Henshall, D, Hermanson, M, Hermena, S, Hettiarachchi, D, Hextall, C, Hidalgo, M, Hidayat, H, Hider, A, Higgins, P, Hinchliffe, R, Hirani, D, Hirpara, D, Hisham, I, Hite, M, Hoh, S, Holmberg, C, Holmich, E, Holst, F, Hossam, A, Hossam Elfallal, A, Howard, P, Huaman, E, Huang, Y, Huang, L, Huang, D, Huber, T, Hugh, J, Hughes, J, Huttner, F, Huynh, R, Hylands, A, Iannuzzi, J, Ielpo, B, Iftikhar Talib, A, Ignacio, J, Ignatavicius, P, Ike, S, Ikwu, C, Inama, M, Ing, A, Ingels, A, Isik, A, Islam, N, Ives, I, Al-Hasan, A, Perez Rivera, C, Jacome, F, Jaffer, T, Jagiella-Lodise, O, Jain, M, Jain, K, Jakubauskas, M, Jalal, M, James, H, Jang, Y, Janssen, B, Jansson, H, Jariod-Ferrer, U, Javanmard, H, Javed, S, Jayarajah, U, Jayasuriya, I, Je, J, Jessop, Z, Jia Lin Tang, E, Jiang, H, Jiayan, Y, Jih Huei, T, Jimenez-Rodriguez, R, Joh, D, Johnson, A, Jones, N, Jones, C, Jordan, C, Jose Nunez Ju, J, Jose Pizarro, M, Jose Salazar, C, Joseph, J, Justiniano, C, Kabir, T, Kadhum, M, Kalfountzos, C, Kalogiannaki, E, Kalyanasundaram, K, Kamarajah, S, Kamil Quraishi, M, Kanemitsu, Y, Kapila, A, Kapila, V, Karagiannidis, G, Kashif, M, Kathiravelupillai, S, Kathiravelupillai, A, Katsogridakis, E, Kaur, K, Kaur Sekhon Inderjit Singh, H, Kausur, N, Kawka, M, Keehan, G, Kehlet Watt, S, Kelly, M, Kelvin Egbuchulem, I, Kembuan, G, Khajeh, E, Khaled Elfaitur, A, Khan, M, Khan, S, Khan, D, Khan, H, Khatkar, H, Khatkov, E, Khaw, R, Kim, B, Kishore Siddiraju, K, Kitua, D, Kirimtay, B, Kmezic, S, Knight, S, Koeter, T, Koh, A, Koh Hong Xiang, F, Kojo Anyomih, T, Kok, A, Kokelaar, R, Koliarakis, I, Kolli, S, Kong, J, Konig, D, Koshy, M, Kotze, P, Kourdouli, A, Kowal, M, Kraima, A, Kramer, F, Kryzauskas, M, Kuchynskyi, I, Kuemmerli, C, Kuiper, S, Kumar, S, Kumar, A, Kumar, L, Kumar, H, Kumar, N, Kumar Bandyopadhyay, S, Kumar Garg, P, Kumar Venkatappa, S, Kung, J, Kural, S, Kushairi, A, Kuuzie, E, Kvietkauskas, M, Kwek, I, La, J, Lai, L, Lakpriya, S, Lam, K, Lami, M, Lansdorp-Vogelaar, I, Lapolla, P, Larsen, H, Latif, J, Laudari, U, Laurnezi, A, Lawal, A, Lawday, S, Lederhuber, H, Lednev, A, Lee, R, Van Leerdam, M, Lefevbre, G, Lesmus, M, Leyva Moraga, F, Leyva Moraga, E, Li, H, Li, A, Li, Z, Licardie, E, Light, A, Lightner, A, Lin, A, Lincango, E, Litta, F, Liu, H, Lofthouse, B, Londono, M, Lopes, R, Lopes De Freitas, R, Lopez, L, Lopez, A, Lopez-Gomez, J, Lopez-Pena, G, Lowe, R, Lowe, D, Lowey, M, Loy, G, Lozanovski, V, Luzon, J, Lynn, P, Maccabe, T, Machielsen, A, Mafla Herreria, C, Maggino, L, Mahawar, K, Mahmood, D, Mahmoud, M, Mahtani, K, Maitra, I, Maji, S, Majiet, I, Mal, L, Malherbe, J, Malhotra, K, Malkomes, P, Man, E, Manan Sheikh, A, Manjunath, S, Manzano Nunez, R, Manzoor, S, Maqsood, R, Marchegiani, G, Marchegiani, F, Marin, D, Marin, A, Marks, I, Marson, E, Martensen, A, Martin, D, Martin Martin, G, Martin-Perez, B, Martinez, P, Marwaha, P, Mashauri, C, Mashbari, H, Masior, L, Masri, R, Masud, L, Masudi, S, Mateu Calabuig, G, Math, S, Matrachisia, A, Mayol, J, Mazingi, D, Mazzotta, A, Mcalinden, J, Mccabe, G, Mccolm, L, Mcelvaney, H, Mcgivern, K, Mcgovern, J, Mcguinness, E, Mcinerney, N, Mckay, S, Mckee, C, Mckenna, M, Mckenna, N, Mclean, K, Mediratta, S, Medkova, Y, Medzhidov, O, Mehraj, A, Mekhael, M, Mekinde, O, Mellenthin, C, Melucci, A, Mentor, K, Merchant, J, Messias, H, Messeha, M, Meza, C, Mhango, P, Miladinov, M, Milagros Niquen Jimenez, M, Miller, P, Mills, E, Milton, A, Minayeva, O, MinHua Zheng, Z, Mischlinger, H, Mockli, B, Modi, R, Mohamed, H, Mohamed, M, Mohamed Abulghasm, T, Mohammad, S, Mohammed, T, Mohammed, A, Mohan, H, Mohan, M, Moin, I, Mok, V, Molina, G, Moloney, J, Moneim, J, Monfort Mira, M, Montcusi Ventura, B, Montouri, M, Moossdorff, M, Mora-Guzman, I, Moran, B, Moran, R, Moreno-Ordaz, S, Morera, A, Morgan, R, Morley, R, Moro-Valdezate, D, Moros, S, Moss, J, Morven, A, Morton, D, Moynihan, A, Moyon, M, Muduli, N, Mugla, N, Mugla, W, Muller, P, Mun, G, Mundhada, R, Munir, I, Munoz, F, Munoz, E, Munoz, A, Munoz Balderas, D, Murgitroyd, E, Murray, V, Murthy, S, Mushiwokufa, W, Mustafa, H, Mustakimov, B, Mutambanengwe, P, Myint, P, Nadkarni, S, Naess, P, Nahar, S, Naidoo, P, Nam, R, Nandhra, S, Nanjappa, N, Narasimhan, V, Nardi, W, Nasir, M, Naughton, A, Naumann, D, Navarro, S, Nawaaz Karimbocus, M, Nazir, A, Ndereya, S, Ndong, A, Negoi, I, Nel, D, Nelson, D, Nepal, S, Nugent, T, Nepogodiev, D, Neufeld, J, Ng, J, Ng, D, Ng, C, Ngaserin, S, Ngu, L, Ngwenya, E, Fhearaigh, R, Nikolousakis, T, Ninkovic, M, Nita, G, Nitschke, C, Noren, E, Noton, T, Novikova, A, Nowinka, Z, Nyakunengwa, T, Nyalundja, A, Nzenwa, I, Kristensen, H, O'Brien, C, O'Brien, L, O'Brien, S, O'Reilly, J, O'Rourke, S, O'Sullivan, M, O'Dwyer, M, Ochieng, L, Oderoha, E, Oh, K, Ohlberger, L, Olcum, M, Olkina, A, Omkumar, M, Omnitel, B, Oncel Yakar, D, Ong, K, Ong Wei Lin, L, Ooi, R, Ooi, S, Oomman, A, Oon Tyjet, D, Opiyo, S, Oscullo Yepez, J, Osei-Kuffour, N, Osunronbi, T, Ottlakan, A, Oussama Kacimi, S, Ovaere, S, Ozair, A, Pachler, F, Pai Oo, S, Paiella, S, Panaiotti, L, Panda, N, Pandarinath, S, Pandey, D, Pandrowala, S, Papa Mamadou, F, Paranathala, M, Park, J, Parmar, C, Parvez, A, Pasovic, L, Pasquer, A, 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P., Forgan T., Fornasiero M., Fowler H., Fowler G., Franchi E., Franklin L., Fredriksson A., Fruhling P., Fuentes Navarrette G., Fulop A., Furtado M., Gaarder T., Galbraith N., Gallagher I. T. K., Gallo G., Gana T., Gaskin E., Gasparini M., Gatan R. G., Geary E., Gelaye Wudineh K., Gemenetzis G., Georgi M., Ghalige H., Ghareeb W., Ghatwary Tantawy T., Ghomsi C., Ghuman A., Giannakis P., Giron F., Gjengedal K., Gkotsis E., Glasbey J., Godahewa S., Godula D., Goffredo P., Goh S., Golriz M., Gomez L., Gomez Gomez D., Gonzalez R., Gonzalez D., Gonzalez Gutierrez E., Gopar D., Gordini L., Gori A., Gortazar S., Gousy N., Gowda R., Gowda M., Gqada J., Grechenig M., Greer J., Gregorio L., Grigorova A., Grimes H., Groot V., Grossman R. C., Gruber R., Gruter A., Guest R., Gujjuri R., Gulcek E., Gulcu B., Gull K., Gulmez M., Gupta V., Gutlic A., Guven T., Gwatirisa T., Gwini G., Gwodog P., Gysling S., Habib M., Hafeez Bhatti A. B., Hallesmith J., Halloran S., Hamza Sadiq M., Haney C., Hanna N., Hanna L., Hannington M., Harbjerg J., Haribaskaran D., Harran N., Harrington B., Harrison E., Hasan R., Hashmi S., Hassan M., Hassan A., Haverkamp L., Hazen S., Heer B., Heil J., Helliwell J., Henriksen N., Henshall D., Hermanson M., Hermena S., Hettiarachchi D., Hextall C., Hidalgo M., Hidayat H., Hider A., Higgins P., Hinchliffe R., Hirani D., Hirpara D., Hisham I., Hite M., Hoh S. M., Holmberg C., Holmich E., Holst F., Hossam A., Hossam Elfallal A., Howard P., Huaman E., Huang Y., Huang L., Huang D., Huber T., Hugh J., Hughes J., Huttner F., Huynh R., Hylands A., Iannuzzi J., Ielpo B., Iftikhar Talib A., Ignacio J., Ignatavicius P., Ike S., Ikwu C., Inama M., Ing A., Ingels A., Isik A., Islam N., Ives I. J., Al-Hasan A. J. M. S., Perez Rivera C. 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A., Nahar S., Naidoo P., Nam R., Nandhra S., Nanjappa N., Narasimhan V., Nardi W., Nasir M., Naughton A., Naumann D., Navarro S., Nawaaz Karimbocus M., Nazir A., Ndereya S., Ndong A., Negoi I., Nel D., Nelson D., Nepal S., Nugent T., Nepogodiev D., Neufeld J., Ng J., Ng D., Ng C. E., Ngaserin S., Ngu L., Ngwenya E., Fhearaigh R. N., Nikolousakis T. -K., Ninkovic M., Nita G., Nitschke C., Noren E., Noton T., Novikova A., Nowinka Z., Nyakunengwa T., Nyalundja A., Nzenwa I., Kristensen H. O., O'Brien C., O'Brien L., O'Brien S., O'Reilly J., O'Rourke S., O'Sullivan M., O'Dwyer M., Ochieng L., Oderoha E., Oh K. E., Ohlberger L., Olcum M., Olkina A., Omkumar M., Omnitel B., Oncel Yakar D., Ong K., Ong Wei Lin L., Ooi R., Ooi S., Oomman A., Oon Tyjet D., Opiyo S., Oscullo Yepez J. 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- Abstract
Background: Coronavirus disease 2019 (COVID-19) was declared a pandemic by the WHO on 11 March 2020 and global surgical practice was compromised. This Commission aimed to document and reflect on the changes seen in the surgical environment during the pandemic, by reviewing colleagues experiences and published evidence. Methods: In late 2020, BJS contacted colleagues across the global surgical community and asked them to describe how severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) had affected their practice. In addition to this, the Commission undertook a literature review on the impact of COVID-19 on surgery and perioperative care. A thematic analysis was performed to identify the issues most frequently encountered by the correspondents, as well as the solutions and ideas suggested to address them. Results: BJS received communications for this Commission from leading clinicians and academics across a variety of surgical specialties in every inhabited continent. The responses from all over the world provided insights into multiple facets of surgical practice from a governmental level to individual clinical practice and training. Conclusion: The COVID-19 pandemic has uncovered a variety of problems in healthcare systems, including negative impacts on surgical practice. Global surgical multidisciplinary teams are working collaboratively to address research questions about the future of surgery in the post-COVID-19 era. The COVID-19 pandemic is severely damaging surgical training. The establishment of a multidisciplinary ethics committee should be encouraged at all surgical oncology centres. Innovative leadership and collaboration is vital in the post-COVID-19 era.
- Published
- 2021
36. BJS commission on surgery and perioperative care post-COVID-19
- Author
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Zhukova, L, Zivanovic, M, Zmuc, J, Zope, M, Zubayraeva, A, Zucker, B, Aguilera-Arévalo, M -L, Aguirre Salamanca, E J, Al-Asali, N, Altıner, S, Alvarez Lozada, L A, Anastasopoulos, N -A, Andrés Urrutia, J, Angarita, K -L, Ángel FreirÍa Eiras, M, Anwar, M A, Apampa, T O, Archila Godínez, M I, Arteaga Asensio, P C, Bankole, N D A, Barreras Espinoza, J A, Bhatti, M T, Bonci, E -A, Borunda Escudero, G E, Bosco, S J, Boström, P, Botelho de Alencar Ferreira Cruz, P, Caicedo, E Y, Castañeda Ramírez, O A, Catalán, V, Chen, H W, Chowdhury, M R, Chua, H W, Coelen, R -J, Colás-Ruiz, E, Correia de Sá, T, Coşgun Acar, N, D’Alessio, R, David, S O, de Andres Crespo, M, de Berker, H, de Dieu Ngo, P, de la Caridad Espinosa Luis, R, de Lacy, B, de Montserrat Medina Sifuentes, A, del Rio, C, Demirbaş, I, Díaz, Á, Diaz del Gobbo, G, Diaz-Castrillon, C, du Plessis, M C, Dumbrava, B -D, Efrén Lozada Hernández, E, Fernández Alberti, J, Forero, M P, Fredriksson, Å, Fülöp, A, Gatan, R G, Gortázar, S, Gregório, 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A S, Racoviţă, A, Rahiri, J -L, Rey Chaves, C E, Roalsø, M, Rodríguez, F, Rodriguez, M C, Ruiz-Úcar, E, Rutegård, M, Sá-Marta, E, Sam, Z H, Emile, Sameh H, Sánchez Fonseca, S, Sgrò, A, Sia, T C, Smart, Y W, Sneep-van Kessel, C, Solórzano Pineda, O, Stephen, B -J, Takoutsing Dongmo, A B, Tamás, T, Tan, J L, Thyø, A, Tölgyes, T, Torrent Jansà, L, Tovani Palone, M R, Valdez Gonzalez, R A, van Beek, D -J, van Dalen, A S, van den Hondel, D, van der stok, E, van Dorp, M, van Oostendorp, S, van Praag, E, van Rees, J, van Silfhout, L, Vasilica, A -M, Vásquez Ojeda, X, Vilar Alvarez, M E, Viscasillas Pallàs, G, Vizcaya Rodríguez, V, Wang, Y Y, Wellington, M J, Wirsik, M M, Wong, W J, Wong, K -Y, Wright, O Wroe, Yang, P -C, Yanzon de la Torre, A, Younis, M U, Zamora, A T, and Surgery
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Adult ,Male ,medicine.medical_specialty ,Biomedical Research ,Coronavirus disease 2019 (COVID-19) ,International Cooperation ,Practice Patterns ,Commission ,Global Health ,Health Services Accessibility ,Perioperative Care ,Education ,Surgeon ,COVID-19 ,surgery ,perioperative care ,Medical ,Pandemic ,Humans ,Medicine ,Practice Patterns, Physicians' ,Graduate ,Pandemics ,Surgeons ,Health Resource ,Infection Control ,Physicians' ,Surgical Procedures ,business.industry ,General surgery ,Middle Aged ,Operative ,Education, Medical, Graduate ,Surgical Procedures, Operative ,Perioperative care ,Health Resources ,Surgery ,Female ,business ,Human - Abstract
Background Coronavirus disease 2019 (COVID-19) was declared a pandemic by the WHO on 11 March 2020 and global surgical practice was compromised. This Commission aimed to document and reflect on the changes seen in the surgical environment during the pandemic, by reviewing colleagues’ experiences and published evidence. Methods In late 2020, BJS contacted colleagues across the global surgical community and asked them to describe how severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) had affected their practice. In addition to this, the Commission undertook a literature review on the impact of COVID-19 on surgery and perioperative care. A thematic analysis was performed to identify the issues most frequently encountered by the correspondents, as well as the solutions and ideas suggested to address them. Results BJS received communications for this Commission from leading clinicians and academics across a variety of surgical specialties in every inhabited continent. The responses from all over the world provided insights into multiple facets of surgical practice from a governmental level to individual clinical practice and training. Conclusion The COVID-19 pandemic has uncovered a variety of problems in healthcare systems, including negative impacts on surgical practice. Global surgical multidisciplinary teams are working collaboratively to address research questions about the future of surgery in the post-COVID-19 era. The COVID-19 pandemic is severely damaging surgical training. The establishment of a multidisciplinary ethics committee should be encouraged at all surgical oncology centres. Innovative leadership and collaboration is vital in the post-COVID-19 era.
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- 2021
37. Implementing tuberculosis patient cost surveys in resource-constrained settings: lessons from Tanzania
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Kilale, Andrew Martin, primary, Makasi, Charles, additional, Majaha, Melkisedeck Lolakeha, additional, Manga, Chacha Dionis, additional, Haule, Sylvia, additional, Hilary, Pudensiana, additional, Kimbute, Omari, additional, Kitua, Stephen, additional, Jani, Bhavin, additional, Range, Nyagosya, additional, Ngowi, Bernard James, additional, Nkiligi, Emmanuel, additional, Matechi, Emmanuel, additional, Muhandiki, Wilbard, additional, Mahamba, Vishnu, additional, Mutayoba, Beatrice Kemilembe, additional, and Ershova, Julia, additional
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38. Additional file 3 of Implementing tuberculosis patient cost surveys in resource-constrained settings: lessons from Tanzania
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Kilale, Andrew Martin, Makasi, Charles, Majaha, Melkisedeck, Manga, Chacha Dionis, Haule, Sylvia, Hilary, Pudensiana, Kimbute, Omari, Kitua, Stephen, Jani, Bhavin, Range, Nyagosya, Ngowi, Bernard, Nkiligi, Emmanuel, Matechi, Emmanuel, Muhandiki, Wilbard, Mahamba, Vishnu, Mutayoba, Beatrice, and Ershova, Julia
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Additional file 3. TB patient cost survey report
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39. Additional file 1 of Implementing tuberculosis patient cost surveys in resource-constrained settings: lessons from Tanzania
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Kilale, Andrew Martin, Makasi, Charles, Majaha, Melkisedeck, Manga, Chacha Dionis, Haule, Sylvia, Hilary, Pudensiana, Kimbute, Omari, Kitua, Stephen, Jani, Bhavin, Range, Nyagosya, Ngowi, Bernard, Nkiligi, Emmanuel, Matechi, Emmanuel, Muhandiki, Wilbard, Mahamba, Vishnu, Mutayoba, Beatrice, and Ershova, Julia
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Additional file 1. Patient cost report.
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40. Additional file 4 of Implementing tuberculosis patient cost surveys in resource-constrained settings: lessons from Tanzania
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Kilale, Andrew Martin, Makasi, Charles, Majaha, Melkisedeck, Manga, Chacha Dionis, Haule, Sylvia, Hilary, Pudensiana, Kimbute, Omari, Kitua, Stephen, Jani, Bhavin, Range, Nyagosya, Ngowi, Bernard, Nkiligi, Emmanuel, Matechi, Emmanuel, Muhandiki, Wilbard, Mahamba, Vishnu, Mutayoba, Beatrice, and Ershova, Julia
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Additional file 4. TBPCS field report.
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41. Additional file 5 of Implementing tuberculosis patient cost surveys in resource-constrained settings: lessons from Tanzania
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Kilale, Andrew Martin, Makasi, Charles, Majaha, Melkisedeck, Manga, Chacha Dionis, Haule, Sylvia, Hilary, Pudensiana, Kimbute, Omari, Kitua, Stephen, Jani, Bhavin, Range, Nyagosya, Ngowi, Bernard, Nkiligi, Emmanuel, Matechi, Emmanuel, Muhandiki, Wilbard, Mahamba, Vishnu, Mutayoba, Beatrice, and Ershova, Julia
- Abstract
Additional file 5. Team number one.
- Published
- 2022
- Full Text
- View/download PDF
42. Additional file 2 of Implementing tuberculosis patient cost surveys in resource-constrained settings: lessons from Tanzania
- Author
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Kilale, Andrew Martin, Makasi, Charles, Majaha, Melkisedeck, Manga, Chacha Dionis, Haule, Sylvia, Hilary, Pudensiana, Kimbute, Omari, Kitua, Stephen, Jani, Bhavin, Range, Nyagosya, Ngowi, Bernard, Nkiligi, Emmanuel, Matechi, Emmanuel, Muhandiki, Wilbard, Mahamba, Vishnu, Mutayoba, Beatrice, and Ershova, Julia
- Abstract
Additional file 2. Report Nothern Zone
- Published
- 2022
- Full Text
- View/download PDF
43. The use of placebo in a trial of rectal artesunate as initial treatment for severe malaria patients en route to referral clinics: ethical issues
- Author
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Kitua, Andrew, Folb, Peter, Warsame, Marian, Binka, Fred, Faiz, Abul, Ribeiro, Isabela, Peto, Tom, Gyapong, John, Yunus, Emran Bin, Rahman, Ridwan, Baiden, Frank, Clerk, Christine, Mrango, Zakayo, Makasi, Charles, Kimbute, Omari, Hossain, Amir, Samad, Rasheda, and Gomes, Melba
- Published
- 2010
44. Conquering malaria: Enhancing the impact of effective interventions towards elimination in the diverse and changing epidemiology
- Author
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A Y Kitua, OAT Ogundahunsi, J Lines, and C S Mgone
- Subjects
Effective interventions ,Elimination and eventual eradication ,Malaria global burden ,Preventable ,Regional and subregional collaboration ,Universal coverage ,Infectious and parasitic diseases ,RC109-216 - Abstract
Malaria remains a major global disease burden causing just under a million deaths each year, mainly of children and pregnant women in sub-Saharan Africa. It consumes up to 40% of public health expenditure of these poor countries, causing in Africa US$ 12 billion in lost GDP every year. This should not be acceptable since malaria is preventable, and there is clear evidence that optimal use of current tools can reduce much of the suffering and deaths. Three major factors allowing this to happen include: (i) inadequate funding to implement a massive initial surge, to achieve universal coverage, (ii) weak country capacities for rapid scale up of such interventions and little or no use of evidence-guided methods, and (iii) insufficient coordination of efforts between national programmes, donors and technical agencies in strategic planning for sustaining gains and in building capacity. We discuss the importance of the surge and the kind of approaches that would accelerate the pace toward elimination and eventual eradication.
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- 2011
- Full Text
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45. The Untapped Potential of Bed Nets
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Kitua, Andrew Y., Mboera, Leonard, Magesa, Stephen M., Maxwell, Caroline A., and Curtis, Christopher F.
- Published
- 2008
46. Experience in fostering regional collaboration and Coordination to use data for battling infectious diseases in sub-Saharan Africa
- Author
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Arunga, Geoffrey, primary, Ca, Tome, additional, Odero, Patricia, additional, Bashir, Ahmed, additional, Manituo Somda, Serge, additional, Adan, Fatuma, additional, Weiss, Martin, additional, Naidoo, Wayne, additional, Adjei Benin, Frank, additional, Malone, Todd, additional, A. LeGrand, Christopher, additional, and Yona Kitua, Andrew, additional
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- 2021
- Full Text
- View/download PDF
47. C1-C2 fixation with C1 lateral mass and C2 pars screws, a case series technique and outcomes
- Author
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Maina, A.M. and Kitua, M.
- Abstract
Background: Atlantoaxial fixation can be done either trans-orally, through the anterior retropharyngeal route, laterally or posteriorly. The posterior approach is the most frequently utilized. Posterior fusion with C1 lateral mass screws and C2 pars screws has been shown to produce better clinical outcomes than posterior C1/C2 wiring. In addition, it is safer than the C1 lateral mass-C2 pedicle screw construct (Goel-Harms technique) and biomechanically as strong.Objective: To describe the results of a case series of C1-C2 fixation via C1 lateral mass and C2 Pars screws for traumatic C1-C2 injuries at AIC Kijabe Hospital and Nakuru Teaching and Referral Hospital in Kenya.Design: This was a retrospective review of prospectively collated data between 2016 and 2019.Methods: All the eight patients, with an average age of 37 years, were followed up for at least six months after surgery; and all had C1-C2 instability secondary to significant trauma. There were six male and two female patients. The ASIA Impairment Scale and Oswestry Neck Disability Index werethe clinical outcome measuring tools. Radiographically, plain X-rays and/or CT scan were used to assess radiologic union.Results: Clinically, no patient deteriorated and all (100%) attained ASIA Scale E. On the Oswestry Neck Disability Index grading, there was no disability in one (12.5%) and minimal disability in seven (87.5%). All (100%) of the patients attained radiographic union. There was one (12.5%) acute deep infection in a diabetic patient.Conclusion: The use of C1 lateral mass screws and C2 pars screws is safe and effective for fixation of C1-C2 instability.
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- 2021
48. Using Lessons Learned from Previous Ebola Outbreaks to Inform Current Risk Management
- Author
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Petra Dickmann, Andrew Kitua, Paul Kaczmarek, Julius Lutwama, Justin Masumu, Esron Karimuribo, Yunus Karsan, Nigel Lightfoot, and Mark Rweyemamu
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Ebola ,outbreaks ,risk management ,risk communication ,infectious diseases ,preparedness planning ,Medicine ,Infectious and parasitic diseases ,RC109-216 - Published
- 2015
- Full Text
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49. Overdiagnosis Of Malaria In Patients With Severe Febrile Illness In Tanzania: A Prospective Study
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Reyburn, Hugh, Mbatia, Redempta, Drakeley, Chris, Carneiro, Ilona, Mwakasungula, Emmanuel, Mwerinde, Ombeni, Saganda, Kapalala, Shao, John, Kitua, Andrew, Olomi, Raimos, Greenwood, Brian M., and Whitty, Christopher J. M.
- Published
- 2004
- Full Text
- View/download PDF
50. Coordinating Health Research To Promote Action: The Tanzanian Experience
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Kitua, Andrew Y., Mashalla, Yohana J. S., and Shija, Joseph K.
- Published
- 2000
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