Browsing by Author "Katalambula, Leonard"
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Item Enrollment status and determinants of improved community health fund among households in Dodoma Tanzania(International Journal of Innovative Science and Research Technology, 2021) Modest, Andrea R.; Ngowi, Agatha Fabian; Katalambula, LeonardCommunity Health Funds (CHFs) is a promising means for enhancing social economic security to low socio-economic households. In 2015 the government of Tanzania set a goal of achieving 30% of CHF enrolment amongst households, however only 16.4% was achieved. The government of Tanzania is continually reforming the Health Fund and the most recent reform started implementation on 2018 which changed the name to Improved Community Health Fund (ICHF). There is a need of knowing if the changes have affected enrolment status and what could be the driving factors. Therefore, this study aimed to establish enrolment status of ICHF and its determinants among households in Dodoma region. This study was a cross sectional study design which employed multi stage sampling technique Structured questionnaire was used to obtain information from a total number of 424 head of the HH; Descriptive statistics were used to determine status of enrolment while chi square test and logistic regression were used to determine factors. This study found that, of all 424 respondents only 19.1% were enrolled in ICHF. Wealthiest households were 2.224 (AOR); p-value (0.034) at CI of 95% (1.063, 4.657) more likely to be enrolled to the ICHF as compared to poor households. Households with more than two elders with 60 years old and above, were 2.986 (AOR); p-value 0.006 at the CI of 95% (1.373, 6.496) more likely to be enrolled in ICHF compared to households with no elderly. And there were statistical significance between motivational benefits and availability of health care services with the enrollment status, household who perceived to receive motivational benefits once visit health facility were more enrolled as compared to those who do not and household who perceive health care service to be available were more enrolled as compared to who do not, they had chi-square of 16.017a and 64.084, p-value of 0.00 and 0.00 at CI of 95% respectively. Wealth status, presence of elders above 60 years old, motivational benefits and availability of the HCs were the determining factors for HH to be enrolled in ICHF. The government should consider poor households by helping them to pay ICHF enrollment fees.Item Enrollment status and determinants of improved Community Health Fund among households in Dodoma Tanzania(Hemant, 2021) Ngowi, Agatha Fabian; Katalambula, Leonard; Modest, Andrea R.Community Health Funds (CHFs) is a promising means for enhancing social economic security to low socioeconomic households. In 2015 the government of Tanzania set a goal of achieving 30% of CHF enrolment amongst households, however only 16.4% was achieved. The government of Tanzania is continually reforming the Health Fund and the most recent reform started implementation on 2018 which changed the name to Improved Community Health Fund (ICHF). There is a need of knowing if the changes have affected enrolment status and what could be the driving factors. Therefore, this study aimed to establish enrolment status of ICHF and its determinants among households in Dodoma region. This study was across sectional study design which employed multi stage sampling technique Structured questionnaire was used to obtain information from a total number of 424 head of the HH; Descriptive statistics were used to determine status of enrollment while chi square test and logistic regression were used to determine factors. This study found that, of all 424 respondents only 19.1% were enrolled in ICHF. Wealthiest households were 2.224 (AOR); p-value (0.034) at CI of 95% (1.063, 4.657) more likely to be enrolled to the ICHF as compared to poor households. Households with more than two elders with 60 years old and above, were 2.986 (AOR); p-value 0.006 at the CI of 95% (1.373, 6.496) more likely to be enrolled in ICHF compared to households with no elderly. And there were statistical significance between motivational benefits and availability of health care services with the enrollment status, household who perceived to receive motivational benefits once visit health facility were more enrolled as compared to those who do not and household who perceive health care service to be available were more enrolled as compared to who do not, they had chi-square of 16.017aand 64.084, p-value of 0.00 and 0.00 at CI of 95% respectively. Wealth status, presence of elders above 60 years old, motivational benefits and availability of the HCs were the determining factors for HH to be enrolled in ICHF. The government should consider poor households by helping them to pay ICHF enrollment fees.Item Factors associated with low antiretroviral therapy enrollment of children in the Simiyu region A cross-sectional Creswell mixed-methods sequential explanatory design(Lippincott Williams & Wilkins, 2023) Mageda, Kihulya; Kulemba, Khamis; Kapologwe, Ntuli; Katalambula, Leonard; Petrucka, PammlaDespite substantial antiretroviral therapy (ART) coverage in other groups with the human immunodeficiency virus (HIV) in Tanzania, there is a progressive decline in ART enrolment among HIV-infected children. This study aimed to determine the factors affecting the enrolment of children with HIV in ART and to identify an effective, sustainable intervention to address children’s ART care enrolment. To achieve this, we conducted a cross-sectional study using a mixed-method sequential explanatory design, including children with HIV aged 2 to 14 years in the Simiyu region. Stata™ and NVIVO™ software were used to perform quantitative and qualitative data analyses, respectively. In the quantitative analyses, we considered 427 children, with a mean age of 8.54 ± 3.54 years and a median age of 3 years (interquartile range: 1–6 years). The mean length of ART initiation delay was 3.71 ± 3.21 years. Additionally, independent child enrolment predictors included distance to the facility (adjusted odds ratio [AOR]: 3.31; 95% confidence interval [CI]:1.14–9.58), caregivers’ income (AOR: 0.17; 95% CI: 0.07–0.43), and fear of stigma (AOR: 3.43; 95% CI: 1.14–10.35). In qualitative analyses, 36 respondents reported that stigma, distance, and lack of HIV-positive status disclosure to their fathers were causes for low enrolment in ART. Overall, this study demonstrated that a caregiver’s income, distance to obtain HIV care services, HIV-positive status non-disclosure to the father, and fear of stigma played a significant role in children’s enrolment in HIV care. As such, HIV/acquired immunodeficiency syndrome programs would benefit from having intensive interventions to address distance, such as scaling up care and treatment centers, as well as techniques to reduce stigma in the population.Item Linear programming for instant complimentary food formulations among Tanzanian infants aged 6 to 23 months(SCIK Publishing Corporation, 2023) Lyeme, Halidi Ally; Katalambula, LeonardIt is challenging to follow all nutritional requirements simultaneously. A good mathematical tool for converting nutrient-based suggestions into realistically nutritionally ideal food combinations integrating locally accessible foods is the diet optimization model. The objective of this study is to design a linear programming model that figures out how many grams of each food type need to be mixed to produce an instant meal complement for infants between the ages of 6 and 23 months. The mathematical model developed computes the grams of each food type – Quelea mixed with either Green Banana or White Rice or Irish Potato and Onions, Tomatoes, Carrots and Green bell Pepper. When those foods were combined, an instant food complement will be created and entirely satisfy the present needs of malnourished infants. Thus, Tanzanian public health technologists and nutritionists may apply the linear programming approach explored in this study to create new ready-to-use food formulations.