scholarly journals Serological Analyses of Human Brucellosis in Ngara and Kibondo Districts, Tanzania

2021 ◽  
Vol 47 (3) ◽  
pp. 1225-1235
Author(s):  
Jestina V Katandukila ◽  
Yeremia J Chuhila ◽  
Fred D Chibwana
Keyword(s):  
Health Facilities ◽  
Molecular Techniques ◽  
Human Brucellosis ◽  
The Status ◽  
Incidence Risk ◽  
Lower Health ◽  
Species Specific ◽  
Primary Health Facilities ◽  
North Western ◽  
Western Tanzania

Brucellosis, a zoonotic disease transmitted by Brucella species, is transmitted to humans from infected animals through handling dairy products like milk, blood, and semen. Although some human communities in Tanzania live close to livestock, the status of human brucellosis in Ngara and Kibondo Districts in Kagera and Kigoma regions, respectively, is poorly understood. As such, the present study aimed to investigate the status of human brucellosis in north-western Tanzania, particularly Ngara and Kibondo Districts, where the risk of contracting zoonotic diseases, including brucellosis, is high due to the abundance of livestock. Among the screened sera (n = 450), the prevalence was 13.11% with an incidence rate of 6.22% in 581,378 population size intimating that the risk is alarming. Brucellosis patients admitted in dispensaries and other lower health facilities ranged from 6% to 26%, while those admitted in hospitals ranged from 4% to 14%  indicating that communities prefer primary health facilities to hospitals when they show symptoms of brucellosis. The present study has also revealed that communities engaged in slaughtering, milking, skinning and helpers during births of livestock are at high risk of acquiring Brucella spp. because the odds ratios’ of these activities range between 1.583 and 8.400. Therefore, awareness and education should be enhanced by veterinary officers and associated stakeholders. A comprehensive study of brucellosis using molecular techniques to reveal species-specific in north-western Tanzania is highly recommended. Keywords: brucellosis; prevalence; incidence; risk factors; serum

scholarly journals Improving Tanzanian childbirth service quality

2018 ◽  
Vol 31 (3) ◽  
pp. 190-202 ◽  
Author(s):  
Jennie Jaribu ◽  
Suzanne Penfold ◽  
Cathy Green ◽  
Fatuma Manzi ◽  
Joanna Schellenberg
Keyword(s):  
Health Facility ◽  
Low Income ◽  
Healthcare Providers ◽  
Health Facilities ◽  
Rural District ◽  
Local Data ◽  
Content Type ◽  
Primary Health ◽  
Primary Health Facilities ◽  
Childbirth Care

Purpose The purpose of this paper is to describe a quality improvement (QI) intervention in primary health facilities providing childbirth care in rural Southern Tanzania. Design/methodology/approach A QI collaborative model involving district managers and health facility staff was piloted for 6 months in 4 health facilities in Mtwara Rural district and implemented for 18 months in 23 primary health facilities in Ruangwa district. The model brings together healthcare providers from different health facilities in interactive workshops by: applying QI methods to generate and test change ideas in their own facilities; using local data to monitor improvement and decision making; and health facility supervision visits by project and district mentors. The topics for improving childbirth were deliveries and partographs. Findings Median monthly deliveries increased in 4 months from 38 (IQR 37-40) to 65 (IQR 53-71) in Mtwara Rural district, and in 17 months in Ruangwa district from 110 (IQR 103-125) to 161 (IQR 148-174). In Ruangwa health facilities, the women for whom partographs were used to monitor labour progress increased from 10 to 57 per cent in 17 months. Research limitations/implications The time for QI innovation, testing and implementation phases was limited, and the study only looked at trends. The outcomes were limited to process rather than health outcome measures. Originality/value Healthcare providers became confident in the QI method through engagement, generating and testing their own change ideas, and observing improvements. The findings suggest that implementing a QI initiative is feasible in rural, low-income settings.

scholarly journals Uganda’s increasing dependence on development partner’s support for immunization – a five year resource tracking study (2012 – 2016)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Carol Kamya ◽  
Christabel Abewe ◽  
Peter Waiswa ◽  
Gilbert Asiimwe ◽  
Faith Namugaya ◽  
...  
Keyword(s):  
Vaccine Coverage ◽  
National Level ◽  
Health Financing ◽  
Health Facilities ◽  
Development Partner ◽  
National Medical ◽  
External Sources ◽  
Lower Health ◽  
Health Accounts ◽  
The Government

Abstract Background In Uganda, there are persistent weaknesses in obtaining accurate, reliable and complete data on local and external investments in immunization to guide planning, financing, and resource mobilization. This study aimed to measure and describe the financial envelope for immunization from 2012 to 2016 and analyze expenditures at sub-national level. Methods The Systems of Health Accounts (SHA) 2011 methodology was used to quantify and map the resource envelope for immunization. Data was collected at national and sub-national levels from public and external sources of immunization. Data were coded, categorized and disaggregated by expenditure on immunization activities using the SHA 2011. Results Over the five-year period, funding for immunization increased fourfold from US$20.4 million in 2012 to US$ 85.6 million in 2016. The Ugandan government was the main contributor (55%) to immunization resources from 2012 to 2014 however, Gavi, the Vaccine Alliance contributed the majority (59%) of the resources to immunization in 2015 and 2016. Majority (66%) of the funds were managed by the National Medical Stores. Over the five-year period, 80% of the funds allocated to immunization activities were spent on facility based routine immunization (expenditure on human resources and outreaches). At sub-national level, districts allocated 15% of their total annual resources to immunization to support supervision of lower health facilities and distribution of vaccines. Health facilities spent 5.5% of their total annual resources on immunization to support outreaches. Conclusion Development partner support has aided the improvement of vaccine coverage and increased access to vaccines however, there is an increasing dependence on this support for a critical national program raising sustainability concerns alongside other challenges like being off-budget and unpredictable. To ensure financial sustainability, there is need to operationalize the immunization fund, advocate and mobilize additional resources for immunization from the Government of Uganda and the private sector, increase the reliability of resources for immunization as well as leverage on health financing reforms like the National Health Insurance.

scholarly journals Trichothecene Genotypes of Fusarium graminearum Populations Isolated from Winter Wheat Crops in Serbia

Toxins ◽  
2018 ◽  
Vol 10 (11) ◽  
pp. 460 ◽  
Author(s):  
Vesna Krnjaja ◽  
Slavica Stanković ◽  
Ana Obradović ◽  
Tanja Petrović ◽  
Violeta Mandić ◽  
...  
Keyword(s):  
Fusarium Graminearum ◽  
Gene Clusters ◽  
Sensu Stricto ◽  
Molecular Techniques ◽  
Weather Data ◽  
Morphological Observation ◽  
Specific Primer ◽  
Head Blight ◽  
As Species ◽  
Species Specific

Fusarium graminearum as the main causal agent of Fusarium head blight (FHB) and its ability to produce trichothecenes was investigated by molecular techniques. A total of 37 strains isolated from the wheat, harvested in Serbia in 2005, 2008 and 2015, and previously designated by morphological observation as F. graminearum, were used for trichothecene genotypes characterization. The strains were identified using the species-specific primer set FG16R/FG16F while genotypic characterization was done using specific TRI13 and TRI3 sequences of the trichothecene gene clusters. The PCR assays identified all strains as species of F. graminearum sensu stricto with the DON/15-ADON genotype. The quantification of the mycotoxin (DON) was performed using the biochemical assay. The high levels of DON (>20,000 µg kg−1) were recorded in all of the strains from 2005, four strains from 2008 and two strains from 2015. Weather data of the investigated seasons, showed that the optimal temperature, frequent rains and high relative humidity (RH) was very favourable for the development of F. graminearum, affecting the DON biosynthesis.

scholarly journals Outcome and Effectiveness of Inpatient Care of Malnourished under Five Children in District Hospitals of Mwanza Region, North Western Tanzania

2014 ◽  
Vol 04 (05) ◽  
pp. 293-298 ◽  
Author(s):  
Sospatro E. Ngallaba ◽  
Daniel J. Makerere ◽  
Anthony Kapesa ◽  
Stella Mongela ◽  
Basinda Namanya
Keyword(s):  
Inpatient Care ◽  
Under Five ◽  
Under Five Children ◽  
District Hospitals ◽  
North Western ◽  
Western Tanzania

scholarly journals LA COMPOSICIÓN DE LA PERSONA EN EL PENSAMIENTO RARÁMURI

2007 ◽  
Vol 2 (4) ◽  
Author(s):  
María Isabel Martínez Ramírez
Keyword(s):  
The Body ◽  
Western Mexico ◽  
The Status ◽  
North Western

El objetivo de este artículo es identificar la composición de la persona rarámuri y describir cada uno de sus elementos. Más allá de reconocer la noción de cuerpo y de las entidades que lo animan, en el análisis se enfatizarán las relaciones que dan pie a nuevos componentes de tipo emocional, cognitivo y onírico. La salida del alma es un eje fundamental en el pensamiento rarámuri, a través de ella se explican los estados de salud-enfermedad y vida-muerte. El presente es un texto etnográfico que busca contribuir al conocimiento antropológico de las culturas del norte de México, particularmente del noroeste.   ABSTRACT The proposal of this paper is to identify the composition of the raramuri person and, to describe each part of its components. Beyond recognizing the notion of the body and the entities that animate it, this investigation emphasizes those relations that allow new emotional, cognitive and oniric components to be formed. The outcoming of the soul is a fundamental axis in the Raramuri thought by which the status of the health-illness and life-death is explained. The following ethnographic text pretends to contribute to the anthropological knowledge about the cultures in northern, particularly north-western, Mexico.  

scholarly journals An Outbreak of Anthracnose Caused by <i>Colletotrichum gloesporioides f.sp. manihotis</i> in Cassava in North Western Tanzania

2012 ◽  
Vol 03 (05) ◽  
pp. 596-598 ◽  
Author(s):  
Magdalena N. M. William ◽  
Ernest R. Mbega ◽  
Robert B. Mabagala
Keyword(s):  
North Western ◽  
Western Tanzania

scholarly journals Балцкія элементы ў граматыцы традыцыйных мясцовых гаворак паўночна‑заходняй Беларусі

2015 ◽  
Vol 36 ◽  
pp. 51-59
Author(s):  
Вера [Vera] Астрэйка [Astrėĭka]
Keyword(s):  
The Other ◽  
North West ◽  
Language Support ◽  
The North ◽  
The Status ◽  
Formal Level ◽  
The Baltic ◽  
Language Assimilation ◽  
The Given ◽  
North Western

The Baltic elements in the grammar of traditional local dialects of north-western BelarusThe article analyzes a number of grammatical features typical for the North-West dialect zone of the Belarusian language. These peculiarities are interpreted as a possible result of Slavic-Baltic contacts in the region. Some phenomena can be explained as a Baltic (mainly (great)Lithuanian) substratum in North-West Belarusian dialects.The factor of areal neighborhood has to be taken into consideration too. Such phenomenon as language support has effect just in connection with the last one. A lot of the appropriate lingual facts are in restricted and inconsistent use. However, it is possible to be said about more or less significant (now or/and before) tendencies of regional lingual development. These tendencies has not got the status of a structural (= constitutional) lingual regularity. As a rule the wide and compact areas are characterized of some lingual facts (= lexemes), which illustrate the given transformations in the system of Belarusian dialects. Baltic influence upon the North-West Belarusian dialects grammar is detected on as the formal level so the structural one. And it is not noticeable at all times. The definite changes in the sphere of morphology and syntax can provoke different modifications in the other parts of a language system (word building, semantics). The results of this process are the evidences of ethnic and language assimilation of native Balts by Slavs in the region. That comes in support of forming the singular North-West Belarusian regiolect (= the regionally marked variety of a dialect language). Балтийские грамматические элементы в говорах северо-западной БеларусиВ статье анализируется ряд грамматических черт, характерных для говоров северо-западной диалектной зоны беларусского языка. Эти особенности квалифицируются автором как весьма вероятное следствие славяно-балтского языкового взаимодействия в соответствующем регионе. Отдельные явления есть основания рассматривать в качестве возможного проявления балтского (главным образом (пра-) литовского) субстрата в северо-западных беларусских говорах. Фактор ареальной смежности здесь также должен быть принят во внимание. В связи с последним следует упомянуть и действие феномена языковой поддержки. Многие соответствующие языковые факты имеют существенные ограничения в употреблении, в говорах выступают не всегда последовательно и регулярно. В некоторых случаях, однако, можно говорить о действии более или менее выраженных (в настоящем и/или прошлом) тенденций регионального языкового развития, которые пока не приобрели статус структурно значимой (= конститутивной) языковой закономерности. Широкие и компактные ареалы образуют, как правило, лишь отдельные языковые факты (= лексемы), иллюстрирующие данные трансформации в системе традиционных беларусских говоров. Балтское влияние на грамматический строй беларусских говоров северо-западной диалектной зоны выявляется как в плане формального выражения, так и на внутриструктурном уровне. Оно не всегда может быть заметно на первый взгляд. Определенные сдвиги в сфере морфологии и синтаксиса могут повлечь за собой изменения в других областях языковой системы (словообразовании, семантике). Результаты этого процесса являются ярким свидетельством того, что на отмеченной территории действительно имела место этноязыковая ассимиляция неславянского (= балтского) населения и происхо- дило формирование своеобразного северо-западного беларусского региолекта (= регионально обусловленной разновидности диалектной речи).

scholarly journals Heterogeneity in Average Cost per Patient with type 2 Diabetes at Primary Health Facilities in Mexico: Comparing Comprehensive Diabetes Management Medical Offices with General Practice

2020 ◽  
Author(s):  
M. Arantxa Colchero ◽  
Rousellinne Gómez ◽  
Ruy López-Ridaura ◽  
Daniel López-Hernández ◽  
Iyari Sánchez-Díaz ◽  
...  
Keyword(s):  
General Practice ◽  
Diabetes Care ◽  
Diabetes Management ◽  
Unit Cost ◽  
Health Facilities ◽  
Patient Knowledge ◽  
Factors Associated ◽  
Unit Costs ◽  
Primary Health ◽  
Primary Health Facilities

Abstract Background. Despite the high health and financial burden imposed by diabetes in Mexico, few studies have estimated the cost per patient treated. The objective of this study was to estimate the average annual cost per patient (unit cost) with diabetes among 60 primary health facilities in Mexico comparing comprehensive diabetes management medical offices (MIDE) and those from general practice (Non-MIDE). Methods. We described the variation in unit costs across these two types of medical offices and explored factors associated. Unit costs were the sum of staff, medications, laboratory tests, and equipment. We show descriptive statistics to analyze the heterogeneity of unit costs, and the distribution of total costs by input and the distribution of staff costs by personnel all by medical office. We estimated a multivariate linear regression model to explore factors associated with the unit costs. Results. Unit costs vary from $267.2 USD in Non-MIDE offices to $410.6 for MIDE. Unit costs were negatively associated with scale, Non-MIDE offices, medical competence, patient knowledge of diabetes and positively associated with comorbidities. Conclusions. Results from this study might help design more efficient programs for diabetes care in primary health facilities to reduce the burden of diabetes in the system. Investing in staff training and educational interventions to increase patient knowledge of diabetes could be promising interventions to reduce diabetes care costs in primary care settings.

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