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1. Infection prevention and control of highly infectious pathogens in resource-limited countries: an experience from Marburg viral disease outbreak in Kagera Region - Tanzania

Author

Kinyenje, Erick, Hokororo, Joseph, Ngowi, Ruth, Kiremeji, Michael, Mnunga, Elice, Samwel, Angela, Sylvanus, Erasto, Mnken, Emmanuel, Yango, Missana, Mtalika, Mikidadi, Mmbaga, Vida, Saitoti, Noel, Malecha, Alex, Kundy, Faith, Rwabilimbo, Martin, Kaniki, Issessanda, Mwisomba, Godwin, Charles, Erica, Mughanga, Patrick, Kitambi, Mary, Paul, Radenta, Richard, Erick, Musyani, Atuganile, Rabiel, Irene, Haule, Gift, Marandu, Laura, Mwakapasa, Emmanuel, Manasseh, Gerald, Sindato, Calvin, Beyanga, Medard, Kapyolo, Eliakimu, Jacob, Frank, Mcharo, Jonathan, Mayige, Mary, Msemwa, Faraja, Saguti, Grace, Kauki, George, Masuma, Janeth, Mrema, George, Kohi, Mugendi, Yoti, Zabulon, Habtu, Michael, Mwengee, William, Mukurasi, Kokuhabwa, Gatei, Wangeci, Ruggajo, Paschal, Kwesi, Elias, Eliakimu, Eliudi, Horumpende, Pius, Magembe, Grace, and Nagu, Tumaini

Published
2024
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4. Sickle Cell Disease in the Islands of Zanzibar: Patients' Characteristics, Management, and Clinical Outcomes.

Author

Amour, Ahlam, Hashim, Fadya, Said, Fat-hiya, Joshua, Daniel, Kandonga, Daniel, Msangawale, Michael, Jonathan, Agnes, Kidenya, Benson, Ruggajo, Paschal, Msafiri, Marijani, Balandya, Emmanuel, and Mahmoud, Muhiddin

Subjects
SICKLE cell anemia, FOLIC acid, NEWBORN screening, THALASSEMIA, TREATMENT effectiveness
Abstract

Background: This study aimed to describe Sickle Cell Disease (SCD) phenotypes, sociodemographic characteristics, healthcare, and clinical outcomes of patients with SCD attending Mnazi Mmoja Hospital (MMH) in Zanzibar. Methods: Individuals who visited MMH between September 2021 and December 2022 and were known or suspected to have SCD were enrolled in the clinic. Sociodemographic characteristics and clinical features were documented, and laboratory tests were performed. A two-sample test of proportions was used to ascertain the significance of differences in the distribution of clinical outcomes between the follow-up visits. Results: A total of 724 patients with SCD were enrolled: 367 (50.7%) were male, and 357 (49.3%) were female. Most patients—713 (98.5%) in total—were homozygous (Hb SS), 9 (1.2%) had the Hb SC phenotype, and 2 (0.3%) had HbS β+ thalassemia. The majority of patients were aged 13 years and below—520 (71.8%) in total—and most did not have health insurance—582 (80.4%) in total. While all patients received folic acid, only a quarter received pneumococcal prophylaxis and hydroxyurea. Attendance at the third visit was associated with a reduced frequency of self-reported episodes of pain (24 patients [4.3%] vs. 11 patients [1.9%]). Conclusion: The population of patients with SCD in Zanzibar mostly comprised children who were Hb SS. Basic care services are still suboptimal, although they are associated with better outcomes when present. Thorough evaluation of SCD prevalence in Zanzibar through newborn screening programs is warranted. [ABSTRACT FROM AUTHOR]

Published
2025
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5. Trends in the epidemiology of childhood nephrotic syndrome in Africa: A systematic review

Author

Wine, Rachel, Vasilevska-Ristovska, Jovanka, Banh, Tonny, Knott, Janae, Noone, Damien, Gbadegesin, Rasheed, Ilori, Titilayo O., Okafor, Henrietta U., Furia, Francis, Ulasi, Ifeoma, Solarin, Adaobi U., Esezobor, Christopher, Batte, Anthony, Raji, Yemi, Olanrewaju, Timothy O., Muoneke, Uzoamaka, Adetunji, Adewale E., Boima, Vincent, Amira, Oluwatoyin, Osafo, Charlotte, Guemkam, Georgette, Ajayi, Samuel, Makusidi, Muhammad A., Anigilaje, Emmanuel A., Ruggajo, Paschal, Asinobi, Adanze O., Ademola, Adebowale D., and Parekh, Rulan S.

Published
2021
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7. Management of idiopathic childhood nephrotic syndrome in sub-Saharan Africa: Ibadan consensus statement

Author

Ashuntantang, Gloria, Georgette, Guemkam, Adu, Dwamoa, Adabayeri, Victoria May, Boima, Vincent, Osafo, Charlotte, Tannor, Elliot Koranteng, Okyere, Perditer, Antwi, Sampson, Plange-Rhule, Jacob, Mamven, Manmak, Ajayi, Samuel, Anigilaje, Emmanuel, Okoye, Ogochukwu, Okperi, Ofejiro, Ighosewe, Okiroro, Ulasi, Ifeoma, Muoneke, Uzoamaka, Odetunde, Odutola, Okafor, Henrietta U., Salako, Babatunde, Ademola, Adebowale, Amodu, Kemi, Raji, Yemi, Adanze, Asinobi O., Arogundade, Fatiu, Olowu, Wasiu, Olanrewaju, Timothy Olusegun, Adedoyin, Olanrewaju, Obiagwu, Patience, Abdu, Aliyu, Solarin, Adaobi, Amira, Oluwatoyin, Esezobor, Christopher, Odenigbo, Charles, Jisieike-Onuigbo, Nonyelum, Musa, Adesola, Audu, Rosemary, Jinadu, Olanrewaju, Adetunji, Adewale E., Makusidi, Muhammad, Jiya Bello, Fatima Nma, Awobusuyi, Jacob Olugbenga, McCulloch, Mignon, Nourse, Peter, Furia, Francis Frederick, Ruggajo, Paschal, Shoo, Jacqueline, Kalyesubula, Robert, Kansiime, Grace, Batte, Anthony, Parekh, Rulan S., Noone, Damien, Vasilevska-Ristovska, Jovanka, Banh, Tonny H.M., Ojo, Akinlolu O., Wilson, Jillian, Smith, Donna, Ilori, Titilayo, Gbadegesin, Rasheed, Ademola, Adebowale D., Anigilaje, Emmanuel A., Jiya-Bello, Fatima N., Furia, Francis F., and Tannor, Elliot K.

Published
2021
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8. National Non-Communicable Diseases Conferences- A Platform to Inform Policies and Practices in Tanzania

Author

Amani, Davis E., primary, Ndumwa, Harrieth P., additional, Ngowi, Jackline E., additional, Njiro, Belinda J., additional, Munishi, Castory, additional, Mboya, Erick A., additional, Mloka, Doreen, additional, Kikula, Amani I., additional, Balandya, Emmanuel, additional, Ruggajo, Paschal, additional, Kessy, Anna T., additional, Kitambala, Emilia, additional, Kengia, James T., additional, Kiologwe, James, additional, Ubuguyu, Omary, additional, Salum, Bakari, additional, Kamuhabwa, Appolinary, additional, Ramaiya, Kaushik, additional, Sunguya, Bruno F., additional, and Kapologwe, Ntuli, additional

Published
2024
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9. Dental Caries in Children with Sickle Cell Disease and Its Association with the Use of Hydroxyurea and Penicillin Prophylaxis in Dar Es Salaam

Author

Minja,Irene, Wilson,Evarist, Machibya,Ferdinand, Jonathan,Agnes, Cornel,Fortunata, Ruggajo,Paschal, Makani,Julie, Balandya,Emmanuel, Minja,Irene, Wilson,Evarist, Machibya,Ferdinand, Jonathan,Agnes, Cornel,Fortunata, Ruggajo,Paschal, Makani,Julie, and Balandya,Emmanuel

Abstract

Irene Kida Minja,1,2,* Evarist Mulyahela Wilson,1,2,* Ferdinand M Machibya,3 Agnes Jonathan,2 Fortunata Cornel,1 Paschal Ruggajo,2,4 Julie Makani,2,5 Emmanuel Balandya2,6 1Department of Restorative Dentistry, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania; 2The Sickle Pan African Research Consortium (SPARCO) – Tanzania Site Project, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania; 3Department of Orthodontics, Pedodontics and Community Dentistry, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania; 4Department of Internal Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania; 5Department of Hematology and Blood Transfusion, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania; 6Department of Physiology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania*These authors contributed equally to this workCorrespondence: Irene Kida Minja, Department of Restorative Dentistry, Muhimbili University of Health and Allied Sciences, P. O. Box 65014, Dar es Salaam, Tanzania, Tel +255 763 00 0333, Fax +255 22 215 0465, Email ikminja@blood.ac.tzPurpose: This comparative study sets out to report dental caries status among individuals with Sickle Cell Disease (HbSS) against those with sickle cell trait (HbSA) and those without the disease (HbAA) as controls. The study further assessed the impact of penicillin chemoprophylaxis and hydroxyurea use on dental caries among Sickle Cell Disease participants.Methods: This was a comparative cross-sectional study in which 93 children aged 30 to 60 months were recruited. There were 60 participating children who had SCD (HbSS), 17 with SCD trait (HbAS) and 16 were without SCD or SC trait (HbAA). A questionnaire was used to record sociodemographic details including mean age in months and sex and on haemoglobin genotype for all the participants. Specifically, for th

Published
2024

15. Outcomes of Hydroxyurea Accessed via Various Means and Barriers Affecting Its Usage Among Children with Sickle Cell Anaemia in North-Western Tanzania

Author

Ambrose,Emmanuela E, Kidenya,Benson R, Charles,Mwesige, Ndunguru,Joyce, Jonathan,Agnes, Makani,Julie, Minja,Irene K, Ruggajo,Paschal, Balandya,Emmanuel, Ambrose,Emmanuela E, Kidenya,Benson R, Charles,Mwesige, Ndunguru,Joyce, Jonathan,Agnes, Makani,Julie, Minja,Irene K, Ruggajo,Paschal, and Balandya,Emmanuel

Abstract

Emmanuela E Ambrose,1 Benson R Kidenya,2 Mwesige Charles,3 Joyce Ndunguru,4 Agnes Jonathan,4 Julie Makani,4 Irene K Minja,4,5 Paschal Ruggajo,4,6 Emmanuel Balandya4,7 1Department of Paediatrics and Child Health, Catholic University of Health and Allied Sciences, Mwanza, Tanzania; 2Department of Biochemistry and Molecular Biology, Catholic University of Health and Allied Sciences, Mwanza, Tanzania; 3Department of Laboratory Services, Bugando Medical Centre, Mwanza, Tanzania; 4Department of Haematology and Blood Transfusion, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania; 5Department of Restorative Dentistry, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania; 6Department of Internal Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania; 7Department of Physiology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, TanzaniaCorrespondence: Emmanuela E Ambrose, Department of Paediatrics and Child Health, Catholic University of Health and Allied Sciences, P.O. Box 1464, Mwanza, Tanzania, Tel +255789733833, Fax +255282500799, Email emmanuelaambrose@gmail.comPurpose: To assess clinical and haematological outcomes of Hydroxyurea accessed via various access means and uncover the barriers to its utilization in children with Sickle cell anaemia (SCA), North-western Tanzania.Patients and Methods: A retrospective study was conducted between October 2020 and April 2021 at Bugando Medical Centre (BMC) through review of medical files to compare the clinical and haematological outcomes among children with SCA at baseline and followed up retrospectively for at least one year of hydroxyurea utilization, accessed via cash, insurance and projects. Subsequently, a cross-sectional survey was conducted among parents and caregivers to ascertain the barriers to access of hydroxyurea via the various means. The p-values < 0.05 were considered statistically significant.Results: We identified

Published
2023

18. Efforts to Address the Burden of Non-Communicable Diseases Need Local Evidence and Shared Lessons from High-Burden Countries

Author

Ngowi, Jackline E., primary, Munishi, Castory, additional, Ndumwa, Harrieth P., additional, Njiro, Belinda J., additional, Amani, Davis E., additional, Mboya, Erick A., additional, Mloka, Doreen, additional, Kikula, Amani I., additional, Balandya, Emmanuel, additional, Ruggajo, Paschal, additional, Kessy, Anna T., additional, Kitambala, Emilia, additional, Kapologwe, Ntuli, additional, Kengia, James T., additional, Kiologwe, James, additional, Ubuguyu, Omary, additional, Salum, Bakari, additional, Kamuhabwa, Appolinary, additional, Ramaiya, Kaushik, additional, and Sunguya, Bruno F., additional

Published
2023
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21. Pharmacological management of hypertension and outcome among patients on hemodialysis at National Hospital, Tanzania: a cross-sectional study.

Author

Mhagama, Devis, Kilonzi, Manase, Kunambi, Peter, Buma, Deus, Kalokola, Fredrick, Ruggajo, Paschal, and Mutagonda, Ritah Francis

Subjects
HEMODIALYSIS patients, PUBLIC hospitals, BLOOD pressure, HYPERTENSION, CALCIUM antagonists
Abstract

Introduction: hypertension is prevalent among patients attending hemodialysis. However, published information on hypertension management among patients on hemodialysis in African countries is scarce. This study assessed antihypertensive medication prescribing patterns and blood pressure control among patients with hypertension on hemodialysis in Tanzania. Methods: an analytical cross-sectional study was conducted at Muhimbili National Hospital in Dar es Salaam from April to June 2022. The study population consisted of patients with hypertension undergoing hemodialysis. Data on demographic, clinical characteristics and the antihypertensive medications used by the patients was collected using a structured questionnaire. Analysis was performed using Statistical Package for the Social Sciences software version 26. Uncontrolled pre-dialysis blood pressure determinants were assessed using a modified Poisson regression model. A p-value < 0.05 was considered statistically significant. Results: out of 314 participants, the majority (68.2%, n= 214) were male, and the median age was 52 (interquartile range: 42, 60) years. Only 16.9% (n= 53) of patients had their pre-dialysis blood pressure controlled. The most frequent antihypertensive medications prescribed were calcium channel blockers (73.2%, n= 230). Patients with less than three dialysis sessions were 20% more likely to have uncontrolled blood pressure than those with three sessions in a week (adjusted prevalence ratio = 1.2). Conclusion: most patients on hemodialysis with hypertension had poor blood pressure control, according to the study. Patients with hypertension should be strongly encouraged to adhere to at least three hemodialysis treatments to achieve optimal blood pressure control. [ABSTRACT FROM AUTHOR]

Published
2023

23. Barriers and Facilitators of Availability of Hydroxyurea for Sickle Cell Disease in Tanzania; A Qualitative Study of Pharmaceutical Manufacturers, Importers, and Regulators

Author

Mlyuka, Hamu J., primary, Kilonzi, Manase, additional, Mutagonda, Ritah F., additional, Chirande, Lulu, additional, Mikomangwa, Wigilya P., additional, Myemba, David T., additional, Sambayi, Godfrey, additional, Mwakawanga, Dorkasi L., additional, Ndunguru, Joyce, additional, Jonathan, Agnes, additional, Makani, Julie, additional, Ruggajo, Paschal, additional, Minja, Irene K., additional, Balandya, Emmanuel, additional, and Kamuhabwa, Appolinary A. R., additional

Published
2022
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24. Predictors of the Effectiveness of Health Education Intervention and Infant Diagnosis for Sickle Cell Disease Among Pregnant Women Attending Antenatal Clinics in Dar-es-salaam, Tanzania: a Quasi Experimental Study

Author

Tutuba, Hilda J., primary, Jonathan, Agnes, additional, Lloyd, William, additional, Masamu, Upendo, additional, Marco, Emanuela, additional, Makani, Julie, additional, Ruggajo, Paschal, additional, Kidenya, Benson R., additional, Minja, Irene K., additional, and Balandya, Emmanuel, additional

Published
2022
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25. Nasopharyngeal Carriage and Antibiogram of Pneumococcal and Other Bacterial Pathogens from Children with Sickle Cell Disease in Tanzania

Author

Mutagonda, Ritah F, primary, Bwire, George, additional, Sangeda, Raphael Zozimus, additional, Kilonzi, Manase, additional, Mlyuka, Hamu, additional, Ndunguru, Joyce, additional, Jonathan, Agnes, additional, Makani, Julie, additional, Minja, Irene Kida, additional, Ruggajo, Paschal, additional, Balandya, Emmanuel, additional, and Kamuhabwa, Appolinary AR, additional

Published
2022
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27. The Effects of Sickle Cell Disease on the Quality of Life: A Focus on the Untold Experiences of Parents in Tanzania

Author

Kilonzi, Manase, primary, Mwakawanga, Dorkasi L., additional, Felician, Fatuma Felix, additional, Mlyuka, Hamu J., additional, Chirande, Lulu, additional, Myemba, David T., additional, Sambayi, Godfrey, additional, Mutagonda, Ritah F., additional, Mikomangwa, Wigilya P., additional, Ndunguru, Joyce, additional, Jonathan, Agnes, additional, Ruggajo, Paschal, additional, Minja, Irene Kida, additional, Balandya, Emmanuel, additional, Makani, Julie, additional, and Sirili, Nathanael, additional

Published
2022
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28. Oxygen Saturation in Primary Teeth of Individuals With Sickle Cell Disease and Sickle Cell Trait

Author

Wilson,Evarist Mulyahela, Minja,Irene Kida, Machibya,Ferdinand Mabula, Jonathan,Agnes, Makani,Julie, Ruggajo,Paschal, Balandya,Emmanuel, Wilson,Evarist Mulyahela, Minja,Irene Kida, Machibya,Ferdinand Mabula, Jonathan,Agnes, Makani,Julie, Ruggajo,Paschal, and Balandya,Emmanuel

Abstract

Evarist Mulyahela Wilson,1 Irene Kida Minja,1,2 Ferdinand Mabula Machibya,3 Agnes Jonathan,4 Julie Makani,2,4 Paschal Ruggajo,5 Emmanuel Balandya2,6 1Department of Restorative Dentistry, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania; 2Sickle Pan-African Research Consortium (SPARCO), Dar es Salaam, Tanzania; 3Department of Orthodontics, Pedodontics and Community Dentistry, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania; 4Department of Hematology and Blood Transfusion, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania; 5Department of Internal Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania; 6Department of Physiology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, TanzaniaCorrespondence: Evarist Mulyahela Wilson, Department of Restorative Dentistry, Muhimbili University of Health and Allied Sciences, P. O. Box 65014, Dar es Salaam, Tanzania, Tel +255757352296, Email evarist1818@gmail.comPurpose: To determine oxygen saturation in the pulp of primary teeth in children with sickle cell disease (SCD) and sickle cell trait (SCT) for establishing the usefulness of pulse oximetry in screening and monitoring of SCD or therapy.Materials and Methods: A cross-sectional study among 30– 60 months children with sickle cell disease (SCD) and sickle cell trait (SCT) compared with healthy children (HbAA). A pulse oximeter (BCI 3301) recorded oxygen saturation on six anterior primary maxillary teeth and on index fingers. Data were analyzed using SPSS version 20.0. Mean oxygen saturation for teeth and fingers was calculated. Comparison of Mean across groups was done using post hoc analysis in one-way ANOVA (Bonferroni test). Pearson correlation coefficient was calculated for mean oxygen saturation on fingers and teeth. Level of significance was set at 0.05.Results: Altogether 360, 102, and 96 teeth were examined from children with SCD, SCT, and

Published
2022

29. Nasopharyngeal Carriage and Antibiogram of Pneumococcal and Other Bacterial Pathogens from Children with Sickle Cell Disease in Tanzania

Author

Mutagonda,Ritah F, Bwire,George, Sangeda,Raphael Zozimus, Kilonzi,Manase, Mlyuka,Hamu, Ndunguru,Joyce, Jonathan,Agnes, Makani,Julie, Minja,Irene Kida, Ruggajo,Paschal, Balandya,Emmanuel, Kamuhabwa,Appolinary AR, Mutagonda,Ritah F, Bwire,George, Sangeda,Raphael Zozimus, Kilonzi,Manase, Mlyuka,Hamu, Ndunguru,Joyce, Jonathan,Agnes, Makani,Julie, Minja,Irene Kida, Ruggajo,Paschal, Balandya,Emmanuel, and Kamuhabwa,Appolinary AR

Abstract

Ritah F Mutagonda,1,2 George Bwire,3 Raphael Zozimus Sangeda,2,3 Manase Kilonzi,1 Hamu Mlyuka,1 Joyce Ndunguru,2,4 Agnes Jonathan,2,4 Julie Makani,2,4 Irene Kida Minja,2,5 Paschal Ruggajo,2,6 Emmanuel Balandya,2,7 Appolinary AR Kamuhabwa1 1Department of Clinical Pharmacy and Pharmacology, Muhimbili University of Health and Allied Sciences, Dar es salaam, Tanzania; 2Sickle Cell Programme, Muhimbili University of Health and Allied Sciences, Dar es salaam, Tanzania; 3Department of Pharmaceutical Microbiology, Muhimbili University of Health and Allied Sciences, Dar es salaam, Tanzania; 4Department of Hematology and Blood Transfusion, Muhimbili University of Health and Allied Sciences, Dar es salaam, Tanzania; 5Department of Restorative Dentistry, Muhimbili University of Health and Allied Sciences, Dar es salaam, Tanzania; 6Department of Internal Medicine, Muhimbili University of Health and Allied Sciences, Dar es salaam, Tanzania; 7Department of Physiology, Muhimbili University of Health and Allied Sciences, Dar es salaam, TanzaniaCorrespondence: Ritah F Mutagonda, Department of Clinical Pharmacy and Pharmacology, Muhimbili University of Health and Allied Sciences, P.O BOX 65013, Dar es salaam, Tanzania, Tel +255 713 816481, Email mutagonda@muhas.ac.tz; rittdavisrida@yahoo.comBackground: Bacterial infections contribute significantly to morbidity and mortality in sickle cell disease (SCD) patients, particularly children under five years of age. In Tanzania, prophylaxis against pneumococcal infection among children with SCD advocates the use of both oral penicillin V (PV) and pneumococcal vaccines (PNV). Therefore, this study aimed to investigate nasopharyngeal carriage and antibiogram of Streptococcal pneumoniae (S. pneumoniae) and Staphylococcus aureus (S. aureus) in children with SCD in Tanzania.Methods: This cross-sectional study was undertaken at the two Sickle Pan-African Research Consortium (SPARCO) study sites in Dar es salaam, Tanzania. The study was conducted fo

Published
2022

30. Prevalence of Hemoglobin-S and Baseline Level of Knowledge on Sickle Cell Disease Among Pregnant Women Attending Antenatal Clinics in Dar-Es-Salaam, Tanzania

Author

Tutuba, Hilda J., primary, Jonathan, Agnes, additional, Lloyd, William, additional, Luoga, Fredrick, additional, Marco, Emanuela, additional, Ndunguru, Joyce, additional, Kidenya, Benson R., additional, Makani, Julie, additional, Ruggajo, Paschal, additional, Minja, Irene K., additional, and Balandya, Emmanuel, additional

Published
2022
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33. Mitigating the Rising Burden of Non-Communicable Diseases through Locally Generated Evidence-Lessons from Tanzania.

Author

Ndumwa, Harrieth P., Amani, Davis E., Ngowi, Jackline E., Njiro, Belinda J., Munishi, Castory, Mboya, Erick A., Mloka, Doreen, Kikula, Amani I., Balandya, Emmanuel, Ruggajo, Paschal, Kessy, Anna T., Kitambala, Emilia, Kapologwe, Ntuli, Kengia, James T., Kiologwe, James, Ubuguyu, Omary, Salum, Bakari, Kamuhabwa, Appolinary, Ramaiya, Kaushik, and Sunguya, Bruno F.

Subjects
POLICY sciences, MEDICAL protocols, HUMAN services programs, HEALTH policy, GLOBAL burden of disease, DESCRIPTIVE statistics, PATIENT advocacy, NON-communicable diseases, WORLD health, GOVERNMENT programs, COMMITMENT (Psychology)
Abstract

Background: The burden of Non-Communicable Diseases (NCDs) is rapidly increasing globally, and low- and middle-income countries (LMICs) bear the brunt of it. Tanzania is no exception. Addressing the rising burden of NCDs in this context calls for renewed efforts and commitment by various stakeholders. This paper highlights local initiatives and strategies to combat NCDs in Tanzania and provides lessons for countries with similar contexts. Methods: We reviewed published and grey literature and conducted policy analysis on NCDs in Tanzania to examine the burden of NCDs and the national response addressing it. The documents included National NCD strategic plans, NCD research agenda, and reports from the World Diabetes Foundation and the World Health Organization. Moreover, a scoping review of ongoing NCD activities and programs in other countries was also conducted to supplement the evidence gathered. Results: The rising burden of NCDs as a result of the epidemiological transition in Tanzania called for the launching of a dedicated National NCD Control and Prevention Program. The Ministry of Health collaborates with local, national, and international partners on NCD prevention and curative strategies. This led to the development of important guidelines and policies on NCDs, including strengthening the capacity of health facilities and healthcare workers, increased community engagement and awareness of NCDs, and increased advocacy for more resources in NCD initiatives. Strong governmental commitment has been vital; this is demonstrated by a renewed commitment to the fight through national NCD week and related advocacy activities conducted annually. To ensure multi-stakeholders' engagement and political commitment, all these activities are coordinated at the Prime Minister's office and provide strong lessons for countries with contexts similar to Tanzania. Conclusion: Multi-stakeholders' engagement, innovative approaches, and coordinated governmental efforts to address NCDs have shone a light on addressing the burden of NCDs and may be sustainable if aligned with locally available resources. Such initiatives are recommended for adoption by other nations to address the burdens of NCDs. [ABSTRACT FROM AUTHOR]

Published
2023
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34. Barriers and Facilitators of Use of Hydroxyurea among Children with Sickle Cell Disease: Experiences of Stakeholders in Tanzania

Author

Kilonzi, Manase, primary, Mlyuka, Hamu J., additional, Felician, Fatuma Felix, additional, Mwakawanga, Dorkasi L., additional, Chirande, Lulu, additional, Myemba, David T., additional, Sambayi, Godfrey, additional, Mutagonda, Ritah F., additional, Mikomangwa, Wigilya P., additional, Ndunguru, Joyce, additional, Jonathan, Agnes, additional, Ruggajo, Paschal, additional, Minja, Irene Kida, additional, Balandya, Emmanuel, additional, Makani, Julie, additional, and Sirili, Nathanael, additional

Published
2021
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38. Management of idiopathic childhood nephrotic syndrome in sub-Saharan Africa: Ibadan consensus statement

Author

Esezobor, Christopher, primary, Ademola, Adebowale D., additional, Adetunji, Adewale E., additional, Anigilaje, Emmanuel A., additional, Batte, Anthony, additional, Jiya-Bello, Fatima N., additional, Furia, Francis F., additional, Muoneke, Uzoamaka, additional, McCulloch, Mignon, additional, Nourse, Peter, additional, Obiagwu, Patience, additional, Odetunde, Odutola, additional, Okyere, Perditer, additional, Solarin, Adaobi, additional, Tannor, Elliot K., additional, Noone, Damien, additional, Gbadegesin, Rasheed, additional, Parekh, Rulan S., additional, Ashuntantang, Gloria, additional, Georgette, Guemkam, additional, Adu, Dwamoa, additional, Adabayeri, Victoria May, additional, Boima, Vincent, additional, Osafo, Charlotte, additional, Tannor, Elliot Koranteng, additional, Antwi, Sampson, additional, Plange-Rhule, Jacob, additional, Mamven, Manmak, additional, Ajayi, Samuel, additional, Anigilaje, Emmanuel, additional, Okoye, Ogochukwu, additional, Okperi, Ofejiro, additional, Ighosewe, Okiroro, additional, Ulasi, Ifeoma, additional, Okafor, Henrietta U., additional, Salako, Babatunde, additional, Ademola, Adebowale, additional, Amodu, Kemi, additional, Raji, Yemi, additional, Adanze, Asinobi O., additional, Arogundade, Fatiu, additional, Olowu, Wasiu, additional, Olanrewaju, Timothy Olusegun, additional, Adedoyin, Olanrewaju, additional, Abdu, Aliyu, additional, Amira, Oluwatoyin, additional, Esezobor, Christopher, additional, Odenigbo, Charles, additional, Jisieike-Onuigbo, Nonyelum, additional, Musa, Adesola, additional, Audu, Rosemary, additional, Jinadu, Olanrewaju, additional, Makusidi, Muhammad, additional, Jiya Bello, Fatima Nma, additional, Awobusuyi, Jacob Olugbenga, additional, Furia, Francis Frederick, additional, Ruggajo, Paschal, additional, Shoo, Jacqueline, additional, Kalyesubula, Robert, additional, Kansiime, Grace, additional, Vasilevska-Ristovska, Jovanka, additional, Banh, Tonny H.M., additional, Ojo, Akinlolu O., additional, Wilson, Jillian, additional, Smith, Donna, additional, and Ilori, Titilayo, additional

Published
2021
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46. Update on SickleInAfrica: a collaborative and multidimensional approach to conduct research and improve health

Author

Nkya, Siana, Masamu, Upendo, Kuona, Patience, Kiguli, Sarah, Guindo, Aldiouma, Sarfo, Fred Stephen, Nnodu, Obiageli, Wonkam, Ambroise, Balandya, Emmanuel, Makani, Julie, Bruno, Mmbando, Bukini, Daima, Mgaya, Josephine, Manongi, Janeth, Maro, Jason, Paul, Stella, Ondego, Jesca, Shabani, Sawabati, Hokororo, Justin, Makundi, Frank, Sangeda, Raphael Zozimus, Jonathan, Agnes, Minja, Irene Kida, Bodzo, Paidamoyo, Amuzu, Evans, Paintsil, Vivian, Ansong, Daniel, Kene, Sekou, Keita, Ibrahima, Toure, Boubacari A, Sarro, Yeya dit Sadio, Ackerman, Hans, Ruhl, Parker, Idriss, Abdoul Malik, Hassan, Abdul Aziz, Madu, Anazoeze, Brown, Bioebele, Okocha, Emmanuel, Peprah, Emmanuel, Oyekanmi, Nash, Isa, Hezekiah, Nwegbu, Maxwell, Asala, Samuel, Kandonga, Daniel, Ambrose, Emmanuela, Urio, Florence, Mutagonda, Ritah, Chirande, Lulu, Ruggajo, Paschal, Mupere, Ezekiel, Ssemitala, Fred, Jjingo, Daudi, Opoka, Robert, Munube, Deogratious, Namazzi, Ruth, Joloba, Moses, Ndeezi, Grace, Phiri, Cynthia, Mtisi, Takudzwa, Masimirembwa, Collen, Mantina, Hamakwa, Ruredzo, Ian Machingura, Gorejena, Pamela, Sambo, Pauline, Kandawasvika, Gwendoline Q., Liyoka, Catherine Chunda, Akoto, Alex Osei, Ofori-Aquah, Solomon, Mulder, Nicola, Nembaware, Victoria, Jonas, Mario, Hotchkiss, Jade, Pascal, Andre, Munung, Syntia, Mupfururirwa, Wilson, Mnika, Khuthala, Bitoungi, Valentina Ngo, Ohene-Frempong, Kwaku, Tshilolo, Leon, and Olopade, Fumni

Published
2024
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48. Trends in the Epidemiology of Childhood Nephrotic Syndrome in Africa: A Systematic Review

Author

Wine, Rachel, primary, Vasilevska-Ristovska, Jovanka, additional, Banh, Tonny, additional, Knott, Janae, additional, Noone, Damien, additional, Gbadegesin, Rasheed, additional, Ilori, Titilayo Omolara, additional, Okafor, Henrietta, additional, Furia, Francis, additional, Ulasi, Ifeoma, additional, Esezobor, Christopher, additional, Batte, Anthony, additional, Raji, Yemi, additional, Olanrewaju, Timothy Olusegun, additional, Muoneke, Uzoamaka, additional, Adetunji, Adewale, additional, Boima, Vincent, additional, Amira, Oluwatoyin, additional, Osafo, Charlotte, additional, Guemkam, Georgette, additional, Makusidi, Muhammad, additional, Anigilaje, Emmanuel Ademola, additional, Ruggajo, Paschal, additional, Asinobi, Adanze, additional, Ademola, Adebowale, additional, and Parekh, Rulan S., additional

Published
2020
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49. Update on SickleInAfrica: a collaborative and multidimensional approach to conduct research and improve health

Author

Bruno, Mmbando, Bukini, Daima, Mgaya, Josephine, Manongi, Janeth, Maro, Jason, Paul, Stella, Ondego, Jesca, Shabani, Sawabati, Hokororo, Justin, Makundi, Frank, Sangeda, Raphael Zozimus, Jonathan, Agnes, Minja, Irene Kida, Bodzo, Paidamoyo, Amuzu, Evans, Paintsil, Vivian, Ansong, Daniel, Kene, Sekou, Keita, Ibrahima, Toure, Boubacari A, Sarro, Yeya dit Sadio, Ackerman, Hans, Ruhl, Parker, Idriss, Abdoul Malik, Hassan, Abdul Aziz, Madu, Anazoeze, Brown, Bioebele, Okocha, Emmanuel, Peprah, Emmanuel, Oyekanmi, Nash, Isa, Hezekiah, Nwegbu, Maxwell, Asala, Samuel, Kandonga, Daniel, Ambrose, Emmanuela, Urio, Florence, Mutagonda, Ritah, Chirande, Lulu, Ruggajo, Paschal, Mupere, Ezekiel, Ssemitala, Fred, Jjingo, Daudi, Opoka, Robert, Munube, Deogratious, Namazzi, Ruth, Joloba, Moses, Ndeezi, Grace, Phiri, Cynthia, Mtisi, Takudzwa, Masimirembwa, Collen, Mantina, Hamakwa, Ruredzo, Ian Machingura, Gorejena, Pamela, Sambo, Pauline, Kandawasvika, Gwendoline Q., Liyoka, Catherine Chunda, Akoto, Alex Osei, Ofori-Aquah, Solomon, Mulder, Nicola, Nembaware, Victoria, Jonas, Mario, Hotchkiss, Jade, Pascal, Andre, Munung, Syntia, Mupfururirwa, Wilson, Mnika, Khuthala, Bitoungi, Valentina Ngo, Ohene-Frempong, Kwaku, Tshilolo, Leon, Olopade, Fumni, Nkya, Siana, Masamu, Upendo, Kuona, Patience, Kiguli, Sarah, Guindo, Aldiouma, Sarfo, Fred Stephen, Nnodu, Obiageli, Wonkam, Ambroise, Balandya, Emmanuel, and Makani, Julie

Published
2024
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