Background Delivery of quality reproductive health services has been documented to depend on the ... more Background Delivery of quality reproductive health services has been documented to depend on the availability of healthcare workers who are adequately supported with appropriate training. However, unmet training needs among healthcare workers in reproductive, maternal, and newborn health (RMNH) in low-income countries remain disproportionately high. This study investigated the effectiveness of training with onsite clinical mentorship towards self-reported performance in RMNH among healthcare workers in Mwanza Region, Tanzania. Methods The study used a quasi-experimental design with pre-and post-intervention evaluation strategy. The baseline was compared with two endline groups: those with intervention (training and onsite mentorship) and those without. The differences among the three groups in the sociodemographic characteristics were analyzed by using chi-square test for categorical variables, independent-sample t-test for continuous variables and Mann–Whitney U test for ordinal or...
BackgroundDelivery of quality reproductive health services has been documented to depend on the a... more BackgroundDelivery of quality reproductive health services has been documented to depend on the availability of healthcare workers who are adequately supported with appropriate training. However, unmet training needs among healthcare workers in reproductive, maternal, and newborn health (RMNH) in low-income countries remain disproportionately high. This study investigated the effectiveness of trainings with onsite clinical mentorship towards perceived importance and performance in RMNH among healthcare workers in Mwanza Region of Tanzania.MethodsThe study used a quasi-experimental design using single group pre-and post-intervention evaluation strategy. The training needs of healthcare workers from the selected health facilities were assessed, skills gaps identified and ranked according to priority. Training courses that addressed skills gaps were developed and delivered with adaptations of the national guidelines followed by onsite clinical mentorship for one year. The baseline and ...
Background: The increasing prevalence of chronic kidney disease means it has become a leading cau... more Background: The increasing prevalence of chronic kidney disease means it has become a leading cause of death worldwide and a global health concern. The prevalence of chronic kidney disease in Tanzania is 12.4%. A major cause of mortality among patients with chronic kidney disease is non-adherence to dietary prescription. However, factors associated with non-adherence to dietary prescription remain unknown. Methods: This study used a quantitative descriptive cross sectional design, To investigate determinants of adherence to dietary prescription among patients with end-stage renal disease undergoing hemodialysis in Dar es Salaam Region, Tanzania. Data were collected using a self-administered structured questionnaire. Result: Data were obtained from 150 participants; 56.7% adhered to their prescribed diet. Factors significantly associated with adherence to dietary prescription were permanent residence in the city where the hospital was located (p=0.018), age (p=0.000), employment stat...
Reasons for delay in seeking treatment among women with obstetric fistula in Tanzania: a qualitative study, 2019
Background: Obstetric fistula is among the serious and distressing maternal morbidities in Tanzan... more Background: Obstetric fistula is among the serious and distressing maternal morbidities in Tanzania. Obstetric fistula is a childbirth-related injury caused by prolonged and obstructed labor which has a devastating impact on affected women and their families. The aim of this study was to explore reasons why women with obstetric fistula admitted to the Comprehensive Community-Based Rehabilitation in Tanzania (CCBRT) hospital delayed seeking fistula treatment. Methods: This exploratory study incorporated qualitative approach. In-depth interviews were used to collect data from 18 women with obstetric fistula admitted to CCBRT hospital. The interviews were conducted in Kiswahili and lasted for 40-45 min. Audio-recordings of the interviews were transcribed verbatim and translated into English. Thematic analysis was used to extract reasons for the delay in seeking treatment for obstetric fistula.
Background Delivery of quality reproductive health services has been documented to depend on the ... more Background Delivery of quality reproductive health services has been documented to depend on the availability of healthcare workers who are adequately supported with appropriate training. However, unmet training needs among healthcare workers in reproductive, maternal, and newborn health (RMNH) in low-income countries remain disproportionately high. This study investigated the effectiveness of training with onsite clinical mentorship towards self-reported performance in RMNH among healthcare workers in Mwanza Region, Tanzania. Methods The study used a quasi-experimental design with pre-and post-intervention evaluation strategy. The baseline was compared with two endline groups: those with intervention (training and onsite mentorship) and those without. The differences among the three groups in the sociodemographic characteristics were analyzed by using chi-square test for categorical variables, independent-sample t-test for continuous variables and Mann–Whitney U test for ordinal or...
BackgroundDelivery of quality reproductive health services has been documented to depend on the a... more BackgroundDelivery of quality reproductive health services has been documented to depend on the availability of healthcare workers who are adequately supported with appropriate training. However, unmet training needs among healthcare workers in reproductive, maternal, and newborn health (RMNH) in low-income countries remain disproportionately high. This study investigated the effectiveness of trainings with onsite clinical mentorship towards perceived importance and performance in RMNH among healthcare workers in Mwanza Region of Tanzania.MethodsThe study used a quasi-experimental design using single group pre-and post-intervention evaluation strategy. The training needs of healthcare workers from the selected health facilities were assessed, skills gaps identified and ranked according to priority. Training courses that addressed skills gaps were developed and delivered with adaptations of the national guidelines followed by onsite clinical mentorship for one year. The baseline and ...
Background: The increasing prevalence of chronic kidney disease means it has become a leading cau... more Background: The increasing prevalence of chronic kidney disease means it has become a leading cause of death worldwide and a global health concern. The prevalence of chronic kidney disease in Tanzania is 12.4%. A major cause of mortality among patients with chronic kidney disease is non-adherence to dietary prescription. However, factors associated with non-adherence to dietary prescription remain unknown. Methods: This study used a quantitative descriptive cross sectional design, To investigate determinants of adherence to dietary prescription among patients with end-stage renal disease undergoing hemodialysis in Dar es Salaam Region, Tanzania. Data were collected using a self-administered structured questionnaire. Result: Data were obtained from 150 participants; 56.7% adhered to their prescribed diet. Factors significantly associated with adherence to dietary prescription were permanent residence in the city where the hospital was located (p=0.018), age (p=0.000), employment stat...
Reasons for delay in seeking treatment among women with obstetric fistula in Tanzania: a qualitative study, 2019
Background: Obstetric fistula is among the serious and distressing maternal morbidities in Tanzan... more Background: Obstetric fistula is among the serious and distressing maternal morbidities in Tanzania. Obstetric fistula is a childbirth-related injury caused by prolonged and obstructed labor which has a devastating impact on affected women and their families. The aim of this study was to explore reasons why women with obstetric fistula admitted to the Comprehensive Community-Based Rehabilitation in Tanzania (CCBRT) hospital delayed seeking fistula treatment. Methods: This exploratory study incorporated qualitative approach. In-depth interviews were used to collect data from 18 women with obstetric fistula admitted to CCBRT hospital. The interviews were conducted in Kiswahili and lasted for 40-45 min. Audio-recordings of the interviews were transcribed verbatim and translated into English. Thematic analysis was used to extract reasons for the delay in seeking treatment for obstetric fistula.
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