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Research Papers
Women’s Participation in Water Sanitation and Hygiene Projects and Associated Factors: A Case of Misungwi and Magu Districts
Women’s participation in WASH projects in Misungwi and Magu districts of Tanzania remains limited despite the critical role they play in promoting public health and sustainable development. This qualitative study, conducted through focus group discussions, key informant interviews, and a participation scorecard, found that women’s involvement is largely passive and heavily shaped by socio-cultural and structural barriers. Deeply rooted patriarchal norms, unequal household power relations, and the need for male permission restrict women’s ability to take part in decision-making, conf Read MoreResearch PapersThe role of communities and leadership in ending female genital mutilation in Tanzania: an exploratory cross-sectional qualitative study in Tanga
Female genital mutilation (FGM) is one of the diehard cultures in the Mediterranean and sub-Saharan Africa. The act involves chopping off part of the female genitals in varying degrees depending on the society. The motive behind this practice includes reducing female sexual desire, a sign of maturation, and retaining the culture. The current study explored the roles of community members and leaders in the fight against FGM; and the reasons for continuing the practice in some societies. Read More >>
Read MoreResearch PapersIntegrated community based child survival, reproductive health and water and sanitation program in Mkuranga district, Tanzania
Over decades, evidence has accumulated to justify the concern that top-down approaches do not work and may result in lack of program ownership and sustainability. As a result, participatory approaches have increasingly become popular. An example of such an approach is hereby presented. Read More >>>>
Read MoreResearch PapersHealth 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
Research PapersDeterminants 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.
Read MoreResearch PapersContinuity 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
Research PapersCOVID-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
Research PapersThe 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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