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Research Papers
Impact of quality improvement interventions on facility readiness, quality and uptake of maternal and child health services in developing regions of Ethiopia: a secondary analysis of programme data
This study evaluated the impact of a Quality Improvement (QI) intervention implemented from 2018 to 2021 in health facilities across Ethiopia’s developing regional states. Using data from 56 facilities and detailed monitoring from 28, the study found that QI interventions significantly enhanced facility readiness, service availability, and the quality of maternal and child health services. The study concludes that integrated QI interventions can positively influence health service delivery, though further research is needed to enhance contraceptive service outcomes. Read More
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Research Papers
Health care workers’ self-perceived infection risk and COVID-19 vaccine uptake: A mixed methods study
This study examined healthcare workers’ (HCWs) self-perceived risk of COVID-19 infection and their uptake of the vaccine across seven regions in Tanzania using a mixed-methods approach. Among 1,368 HCWs surveyed, 53.6% reported being vaccinated, while 75.5% perceived themselves at high risk of infection—largely due to their work environment and limited access to personal protective equipment (PPE). The study recommends improving working conditions, ensuring PPE availability, and enhancing vaccine education to reduce infection risks and improve vaccine uptake among HCWs. Read More
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Research Papers
Determinants of COVID-19 Vaccine Uptake and Hesitancy among Healthcare Workers in Tanzania: A Mixed-Methods Study
This study explored COVID-19 vaccine uptake and hesitancy among 1,368 healthcare workers (HCWs) across seven zones in Tanzania in 2021, using a mixed-methods approach. Higher vaccine uptake was significantly associated with being aged 40+, working in lower-level facilities, having over six years of experience, and perceiving a high risk of infection. The study underscores the need for targeted interventions addressing contextual factors, especially among younger HCWs, those with shorter work experience, and those in varied facility levels, to improve vaccine acceptance and coverage.
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Research Papers
Continuity of essential health services amidst COVID-19 pandemic in Tanzania: a pre and post implementation support assessment
The COVID-19 pandemic has potentially caused disruptions in provision of routine, regular essential health services in different ways; through overwhelming the health system in responding to COVID-19; some of the intervention used to slow transmission of COVID-19 may inhibit access to essential services; and through supplies of medicine being interrupted.. In Tanzania, unlike many other countries, which did not follow strict lockdown measures, disruption of access to and utilization of EHS due to anxiety and fear of contact with the infection while seeking medical care was observed. Read More
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Research Papers
COVID-19 Vaccine Uptake and Associated Factors in Sub-Saharan Africa: Evidence from a Community-Based Survey in Tanzania
This study assessed COVID-19 vaccine uptake and its associated factors among 3,470 community members across eight regions in Tanzania. Despite the availability of vaccines, only 18% of respondents had been vaccinated, with uptake varying significantly—from just 8% in Dar es Salaam to 37% in Simiyu. The study emphasizes the need for region-specific strategies and educational interventions to improve vaccine coverage, particularly among women and younger populations, by enhancing awareness of vaccine benefits, availability, and target groups. Read More
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Research Papers
The role of community pharmacies in early detection of suspected COVID-19 cases in 2020: lessons from Dar es Salaam, Tanzania
A study conducted in Dar es Salaam, Tanzania, in 2020 highlighted the important role community pharmacies played in the early detection of suspected COVID-19 cases. As part of an event-based surveillance initiative, 103 pharmacies were engaged to monitor clients presenting with respiratory symptoms and influenza-like illness. This approach proved valuable for early outbreak detection and could be adapted for future public health threats in similar settings Read More >>>
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Research Papers
Risk factors for interruption in treatment among HIV-infected adolescence attending health care and treatment clinics in Tanzania
This study assessed risk factors for Interruption in Treatment (IIT) among HIV-positive adolescents aged 15–19 in Tanzania’s Tanga region, using retrospective data from 2018 to 2020. Among 2,084 adolescents on ART, 26.2% experienced IIT, defined as missing clinic visits for 90 consecutive days. Key risk factors included being male, older age within adolescence, having advanced HIV disease, and not being on dolutegravir (DTG)-based regimens. The findings highlight the urgent need for targeted interventions such as expanding DTG use, improving access to care, and enhancing patient tracking t
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Research Papers
Predictors of the observed high prevalence of loss to follow-up in ART-experienced adult PLHIV: a retrospective longitudinal cohort study in the Tanga Region, Tanzania
This study investigated the prevalence and predictors of loss to follow-up (LTFU) among adults living with HIV (PLHIV) on antiretroviral therapy (ART) in Tanzania’s Tanga region between 2018 and 2020. Despite free ART access, 26.43% of the 57,173 adults on ART were LTFU, with a higher proportion among females. The study highlights the need for targeted, evidence-based interventions to address these risk factors and improve ART retention. Read More>>>
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