Browsing by Author "Kibusi, S. M."
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Item Assessment of the association between intimate partner violence and posttraumatic stress disorder among women in Dodoma municipality(Tamilnadu Nurses and Midwives Council, 2020) Nzigo, E. G.; Kibusi, S. M.; Ngweshemi, S. K.This study was conducted in Dodoma Municipality with the aim of determining socio-cultural determinants for intimate partner violence and its impacts to the post-traumatic stress disorder among women in Dodoma municipality. Across sectional study was conducted amongst 440 women aged 18–60 years from March to April 2016. Data were collected through interviewing women by using structured questionnaires. Multiple logistic regression models were used to assess Socio cultural determinants and post-traumatic stress disorder of IPV. Marriage involving dowry was found to associate with intimate partner violence (AOR 95% CI 0.309- 0.988). PTSD was associated with intimate partner violence, participants who had experienced physical violence found to be more like experience PTSD compared to those who did not (AOR 0.153 95%CI 0.093–0.252), also participants who had experienced psychological violence were more likely to experience PTDS compared to those who did not (AOR 0.255 95%CI 0.143–0.457) while victims of sexual violence were more likely to experience PTSD compared to those who did not experience (AOR 0. 95% 0.889–0.023). Respondents who reported to experience physical violence life time were reported to experience PTSD 180 (80.4%) of them reported to experience this form of violence, showing a significant relationships (X2, 146.54 P < 0.05). Psychological violence had also shown a strong significant relationship with PTSD on which 204 (68.2%) of the respondents reported to experience IPV life time (X2, 204 P < 0.05).Furthermore respondents who were reported to experience sexual violence life time were reported to experience PTSD 215(63.0) of them reported to experience this violence, showing a significant relationship (X2, 73.54 P<.05). Study findings indicated that prevalence of intimate partner violence in Dodoma Municipal has been decreased. Majority of women who experienced intimate partner violence did not take any action. However, findings from this study showed that majority who had IPV also had PTSD.Item Exploring the effect of problem based facilitatory teaching approach on motivation to learn: a quasi-experimental study of nursing students in Tanzania(Springer Nature, 2021) Millanzi, W. C.; Kibusi, S. M.Academic motivation is most important as a key determinant of competent and motivated nurses who are often considered as front line healthcare providers who devote most of their time taking care of clients and patients. However, most of them demonstrate remarkable differences in their academic performances during their schooling that might be due to the differences in their academic motivation and achievement motivation. There appears a growing concern to rethink the approaches on how nurses are prepared, explore, and test novel approaches for delivering the nursing curricula. This study tested the effect of Problem Based Facilitatory Teaching pedagogy on academic motivation among nursing students in Tanzania, higher learning institutions. A pre-post-test controlled quasi-experimental study of 401 purposively selected participants was conducted between February and June 2018. The study was not a clinical randomized controlled trial and thus it has not been identified in the title and no summary of trial design, its methods, results, and conclusion. The Auditing Inventory developed by the researcher measured the intervention and a Questionnaire titled “Academic Motivation Scale,” was adopted to measure academic motivation. Statistical Product for Service Solutions software program version 23 was used to perform descriptive analysis to establish participants’ sociodemographic profiles. Regression analysis was performed to determine the association between variables. Findings revealed that 65.8% of participants were males. Post-test findings showed 70.3% of participants demonstrated the motive to learn contrary to 34.9% at baseline. The odds of an intervention to influence academic motivation among participants was higher than the control (AOR=1.720; p <0.05; 95%CI: 1.122, 2.635). However, the intervention demonstrated little influence on the extrinsic motivation to learn (AOR=0.676, p >0.05, 95%CI: 0.405, 1.129) and Amotivation to learn (AOR=0.538, p >0.05; 95%CI: 0.283, 1.022) compared to the control. The Problem Based Facilitatory Teaching pedagogy was a predictive factor to intrinsic academic motivation among nursing students. The approach demonstrated educational potentials to change the spectrum of nursing competency and quality of care to patients or clients. This study suggests problem-based facilitatory teaching pedagogy be integrated into the nursing curriculum in Tanzania as it is feasible.Item Improving pregnant women’s knowledge on danger signs and birth preparedness practices using an interactive mobile messaging alert system in Dodoma region, Tanzania: a controlled quasi experimental study(Reproductive Health, 2019) Masoi, T. J.; Kibusi, S. M.Background Unacceptably high maternal and perinatal mortality remain a major challenge in many low income countries. Early detection and management of danger signs through improved access to maternal services is highly needed for better maternal and infant outcomes. The aim of this study was to test the effectiveness of an interactive mobile messaging alert system on improving knowledge on danger signs, birth preparedness and complication readiness practices among pregnant women in Dodoma region, Tanzania. Methods A controlled quasi experimental study of 450 randomly selected pregnant women attending antenatal care was carried in Dodoma municipal. Participants were recruited at less than 20 weeks of gestation during the first visit where 150 were assigned to the intervention and 300 to the control group. The intervention groups was enrolled in an interactive mobile messaging system and received health education messages and were also able to send and receive individualized responses on a need basis. The control group continued receiving usual antenatal care services offered at the ANC centers. Pregnant women were followed from their initial visit to the point of delivery. Level of knowledge on danger signs and birth preparedness were assessed at baseline and a post test was again given after delivery for both groups. Analyses of covariance, linear regression were employed to test the effectiveness of the intervention. Results The mean age of participants was 25.6 years ranging from 16 to 48 years. There was significant mean scores differences for both knowleadge and birth preparedness between the intervention and the control group after the intervention (p < .001). The mean knowleadge score was (M = 9.531,SD = 2.666 in the intervention compared to M = 6.518,SD = 4.304 in the control, equivalent to an effect size of 85% of the intervention. Meanwhile, the mean score for IBPACR was M = 4.165,SD = 1.365 for the intervention compared to M = 2.631,SD = 1.775 in the control group with an effect size of 90% A multivariate linear regression showed a positive association between the intervention (p < 0.001) and level of knowledge (B = 2.910,95%CI = 2.199–3.621) and birth preparediness (B = 1.463,95%CI = 1.185–1.740). Conclusion The Interactive mobile messaging alert system demonstrated to be effective in increasing women’s knowledge on danger signs and improving their birth preparedness practices. Keywords: Messaging system, Obstetric and newborn danger signs, Birth preparedness, Antenatal care, Maternal and child health, Health information systems, And mHealthItem Knowledge and health seeking behavioural patterns of caregivers on managing childhood febrile conditions in Singida region–Tanzania(Science Publishing Group, 2023) Shilla, E. K.; Kibusi, S. M.; Ng’weshemi, S. K.; Ngowi, A. F.; Machenje, A. S.Although the trend of under-five mortality revealed to decline worldwide but still a global burden, since the under five children continue to die every day especially those from poor setting. Early diagnosis and prompt treatment of childhood febrile conditions are essential for reducing the progression of the illness to severe disease and, therefore, decrease mortality among under five children. This study aimed to assess knowledge and health seeking behavioral patterns of caregivers on managing childhood febrile conditions in Singida region. A community-based analytical cross-sectional study was conducted at Iramba, Itigi and Mkalama District Council from April to May 2019. A sample size of 751 care givers were involved meanwhile 7 destroyed byrain. Participants were selected using simple random sampling. Interviewer-administered structured questionnaire was used to collect data. Data were entered and analyzed using SPSS version 20. Multiple logistic regression analysis was done to determine the strength of association on factors influencing knowledge and health seeking behavioral patterns and controlling the confounders. Among 744 caregivers participated, 57%(425) had high knowledge on managing childhood febrile conditions. Influencing factors were education level (P< 0.05) and Marital status (P< 0.05). Only 41.5% of caregivers seek health care to the health facility, 38% went to community doctors, 10% went to neighbours, 6.8% went to religious leaders and 3% went to traditional healers. Knowledge and health-seeking behavioural patterns have an influence on self-medication practices among caregivers.