ABSTRACT Background: Anastomotic leak following gastrointestinal surgery is the most postoperative complication that causes significant morbidity and mortality. Its burden is high in low and middle income countries likes Tanzania with lack of supportive data on incidence of Anastomotic leak, predictors and outcome. Objective: This study aims to determine the predictors and early outcomes of anastomotic leak among patients who underwent primary bowel resection and anastomosis at Iringa Regio...
ABSTRACT Background: Burn injury is a significant health problem worldwide, where in Africa, it is estimated that over a million patients are burned annually, wherein in Tanzania, the prevalence is 16%. It contributes to 18% of all hospital admission, with a 6% mortality to 10% (Peden et al., 2008; Roman, Lewis, Kigwangalla, & Wilson, 2012). In addition, the common causes of early (less than 48 hours) mortality and morbidity in burn injury are; burns shock, inhalational injury, and systemic i...
ABSTRACT Background: Extrauterine growth restriction affects a large proportion of the population of infants born prematurely and contributes to under-5 mortality as well as both short and long term adverse medical, neurological and functional outcomes of the premature babies. The prevalence of EUGR and knowledge regarding predictors of EUGR in Tanzania are lacking. In this study the aim was to establish the prevalence of EUGR and associated predictors among premature babies in selected hosp...
ABSTRACT Background: Over 50% of postpartum women have the risk of developing postpartum anaemia in the world. Postpartum anaemia contributes to maternal morbidity and mortality. In Tanzania, maternal anaemia contributes to 8.8% of all maternal deaths. The prevalence of postpartum anaemia is unknown in the country as little attention is given on it. This study aimed to assess the prevalence and risk factors of postpartum anaemia among postnatal women in Dodoma City, Tanzania. Method: A cross-...
ABSTRACT Background: Birth asphyxia is reported to be higher in developing countries and sub Saharan Africa where neonates’ mortality rate is higher as 40-50/1000 live births. Methods: A matched case-control study of 517 random selected neonates was conducted in five districts in Kagera region from April to end of June 2018, controls were matched to the cases based on gestation age and birth weight of newborn with ratio 1:3 making a sample of 129 cases and 388 control. Partograph completene...
ABSTRACT Background: The problem of malnutrition still persists in Tanzania mainland. Tanzania is not the only country suffering from the problem of malnutrition, at least one form of malnutrition if not many is identified in every country across the world. Millions of under-fives die every year from malnutrition and those who manage to survive fail to reach their full potential when reaching adulthood due to undernutrition. Good nutrition governance is an important component in fighting aga...
SUMMARY We present a joint analysis of newly acquired gravity and teleseismic data in the North Tanzanian Divergence, where the lithospheric break-up is at its earliest stage. The impact of a mantle upwelling in more mature branches of the East African Rift has been extensively studied at a lithospheric scale. However, few studies have been completed that relate the deep-seated mantle anomaly detected in broad regional seismic tomography with the surface deformation observed in the thick Arc...
ABSTRACT Human Immunodeficiency Virus, a cause of Acquired immunodeficiency syndrome (AIDS) is becoming a concern to most Surgeons. Tanzania is listed in the top 10 countries most affected by HIV in sub-Saharan. Iringa region is mentioned the second in top 3 regions most affected in Tanzania.So far the burden of HIV in patients undergoing Emergency Laparotomy inTanzania has not been clearly audited. This is a Hospital-based Prospective Cohort study design involving HIV infected patients who h...
Abstract Background: Cancer is one of the leading causes of morbidity and mortality worldwide. Seventy percent of deaths of cancer occur in low or middle-income countries, where the resources to provide cancer treatment and care are minimal. Tanzania currently has very inadequate facilities for cancer treatment as there are only five sites, some with limited services; two are in Dar es Salaam and one each in Mwanza, Kilimanjaro and Mbeya that offer cancer treatment. Despite cancer being a pre...
ABSTRACT Despite notable achievement in skills laboratory implementation in Tanzania, there have been some challenges; such as inadequate and poor physical infrastructure, lack of laboratory equipment and large number of students being trained in these facilities. This study aimed to evaluate the skill laboratory methodology implementation and its effectiveness in improving competencies in Infection Prevention and Control among nursing students‟ in Tanzania’. An analytical cross-sectional...
ABSTRACT Background: Despite a national target of 80% cervical cancer screening for all women from 30 to 50 years old by 2020, Mara Region managed to screen only 4% of all eligible women. In spite of several efforts to scale up cervical cancer screening the uptake is still low. Basing on these reasons, client based reasons for low uptakes on cervical cancer screening are to be addressed. . Methods: This study employed across-sectional design where by 296 women of reproductive age 18-49 years ...
ABSTRACT Background Implementing the recommended management protocols for Hypertensive disorders of pregnancy is a key for delivery quality maternal care. Appropriate care to pregnant women is needed to reduce the risk of complications related to this condition. Early detection, careful monitoring and appropriate treatments of hypertensive disorders of pregnancy is required for the better maternal outcome. Objectives The aim of this study was to assess the quality of antenatal care for hypert...
ABSTRACT Introduction: Postnatal period is the most crucial period for the survival of mothers and neonates. This study, used the Health Belief Model in explaining the association between postnatal services utilization and the associated prevalence of neonatal illnesses in Zanzibar. Methods: Community based analytical cross-sectional study design was employed. A total of 395 of post-delivery women and their neonates were randomly selected. The study used the Health Belief components to de...
ABSTRACT Background: Diabetes mellitus is an independent risk factor for significant bacteriuria and hence severe and non-severe forms of urinary tract infections. There is a considerable regional variation in sensitivity profile of uropathogens in diabetics. Objectives: To determine prevalence, aetiologies, sensitivity profiles and factors associated with significant bacteriuria among patients with diabetes mellitus attending Dodoma Regional Referral Hospital. Methods: A case – control stu...
Abstract Background Undernutrition and anaemia remains to be a major public health problem in many developing countries, where they mostly affect children. Intestinal parasitic infections are known to affect both growth and haemoglobin levels. Much has been reported on the impact of geohelminths on anaemia and undernutrition, leaving that of Schistosoma mansoni not well studied. Therefore this study intended to determine the association between S.mansoni infections, anaemia and undernutrition...