Browsing by Author "Kibusi, Stephen"

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    Client satisfaction with family planning services in the area of high unmet need:evidence from Tanzania service provision assessment survey, 2014-2015
    (BMC, 2018) Bintabara, Deogratius; Ntwenya, Julius; Maro, Isaac I.; Kibusi, Stephen; Gunda, Daniel W.; Mpondo, Bonaventura C. T.
    Client satisfaction has been found to be an important factor for the uptake and continuation of family planning services. This study aimed to examine the current status of and factors associated with clients satisfaction with family planning services in Tanzania, which has a high unmet need for family planning. Methods: The study used data from the Tanzania Service Provision Assessment survey of 2014–2015. A facility was classified as having high service readiness for FP if it scored at least 67.7% on a composite score based on three domains (staff training and guidelines, basic diagnostic equipment, and basic medicines), following criteria developed by the World Health Organization. The exit interview questionnaire was used to collect information from women about their level of satisfaction, whether very satisfied more or less satisfied, or not satisfied with the services received. The response was dichotomized into Yes if the woman reported being very satisfied with services received otherwise coded as No. Unadjusted and adjusted logistic regression models were used to assess the association between the client satisfaction and covariate variables; service readiness, facility type, managing authority, location, management meetings, supervision, providers sex, and working experience, clients age and education. All analyses were weighted to correct for non-response, disproportionate and complex sampling by using the SVY command in Stata 14. Out of the 1188 facilities included in the survey, 427 (35.9%) provided family planning services. A total of 1746 women participated in observations and exit interviews. Few (22%) facilities had a high readiness to provide family planning services. While most facilities had the recommended equipment available, only 42% stocked contraceptives (e.g. oral pills, injectable contraceptives and/or condoms). Further, trained staff and clinical guidelines were present in only 30% of services. Nevertheless, the majority (91%) of clients reported that they were satisfied with services. In the multivariate analysis, a high service readiness score [AOR=2.5, 95% CI; 1.1–6.0], receiving services from private facilities [AOR=2.3, 95% CI; 1.1–5.0], and being in the age group 20 to 29 years [AOR=0.3, 95% CI; 0.1–0.7] were all significantly associated with clients’ satisfaction with family planning services.
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    Effectiveness of web based training system on knowledge and skills for pandemic preparedness and response among frontline nurses in Zanzibar.
    (Opast Publishing Group, 2023) Omar, Hamad M; Kibusi, Stephen
    Background: Web based learning can provide nurses with the opportunity to develop new knowledge and skills for management and prevention of diseases [1] including the emergence outbreak. However, with regard to covid-19 outbreak in Zanzibar only traditional method of face-to-face was employed to train nurses which resulted into a very low number of nurses who received proper training on prevention and management of covid-19. Aim: To design and tests the effect of web based training tool on knowledge and skills for pandemic preparedness and responses among frontline nurses from Zanzibar. Methods: A pre-posttest single group quasi-experimental study was conducted in set of 139 nurses from Zanzibar to compare change in knowledge and skills followed by web based educational intervention. A web based training system was developed by researcher, learning content were adapted and modified from CDC, WHO and MoHCDGEC Tanzania. A computer-generated questionnaire with a total of 60 items was used and data were analyzed using SPSS software. Results: Findings from the study indicates significant change in the knowledge scores followed by web based intervention with mean difference of 3.58 (P < 0.001) and cognitive skills scores, mean difference of 3.07 (P < 0.001). Only baseline scores were found to be significant predictors for changes among covariates (β = -0.66 and P < 0.001) for knowledge and (β= -0.62, and P <0.001) for cognitive skills. The range of system rating by users was varied across quality and usability variables from (M = 2.50, SD = 1.265) to (M = 4.04, SD = 1.188) indicating the level of satisfaction toward the developed web based system. Conclusion: The developed web-based system was successful improved nurses’ knowledge and skills for pandemic preparedness and response. Nurses positively evaluated the system in term of quality and usability.
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    Emotional and relationship dynamics between HIV sero discordance and concordance couples: a narrative literature review and theoretical framework
    (ARC Publications Private Limited, 2017) Mwakalapuka, Amani; Mwampagatwa, Ipyana; Bali, Theodora; Mwashambwa, Masumbuko; Kibusi, Stephen
    Tanzania is among the countries with high prevalence of HIV prevalence in the World. Despite the fact that the epidemic has been, and still is a threat to persons of all ages, recent studies have suggested that most new infections occur among couples in stable relationships. Infected couples are categorised into two: the positive concordant, where both the partners are HIV positive; and sero-discordant couples, where one partner is HIV positive while the other is negative. Recently, researchers and many other stake-holders working on the HIV/AIDS epidemic have given a remarkable attention to this astonishing reality. For instance one study in East and Southern Africa indicates that there are great variations of discordancy varying from 36% to 85%, with an overall rate of 49%. HIV couple sero-discordancy is responsible for varied levels of psychological distress including heightened levels of anxiety, poor emotional adaptation and increased or excessive substance use, most often coupled with exclusion and social isolation within family and in the neighbourhood. However, to date the influence of sero-discordancy on family and couple relationship functioning and how it differs from that among concordant couples remains elusive. Discordancy have been associated with more difficulties as compared to the seroconverted couples, these include relationship and emotional disturbances, sexual contact distancing, marital separation and disruptions. The Lazarus and Folkmans (1984)s Transactional Model can be helpful in understanding individuals with HIV discordancy on their emotional response, coping strategies and the ultimate decisions towards their marital relationships fate. Couple sero-discordancy, HIV/AIDS, Theory, Emotional problems, psychosocial problems, Literature review.
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    Revolutionizing decision support: a systematic literature review of contextual implementation models for electronic health records systems
    (Emerald, 2024) Mwogosi, Augustino; Shao, Deo; Kibusi, Stephen; Kapologwe, Ntuli
    Purpose This study aims to assess previously developed Electronic Health Records System (EHRS) implementation models and identify successful models for decision support. Design/methodology/approach A systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The data sources used were Scopus, PubMed and Google Scholar. The review identified peer-reviewed papers published in the English Language from January 2010 to April 2023, targeting well-defined implementation of EHRS with decision-support capabilities in healthcare. To comprehensively address the research question, we ensured that all potential sources of evidence were considered, and quantitative and qualitative studies reporting primary data and systematic review studies that directly addressed the research question were included in the review. By including these studies in our analysis, we aimed to provide a more thorough and reliable evaluation of the available evidence. Findings The findings suggest that the success of EHRS implementation is determined by organizational and human factors rather than technical factors alone. Successful implementation is dependent on a suitable implementation framework and management of EHRS. The review identified the capabilities of Clinical Decision Support (CDS) tools as essential in the effectiveness of EHRS in supporting decision-making. Originality/value This study contributes to the existing literature on EHRS implementation models and identifies successful models for decision support. The findings can inform future implementations and guide decision-making in healthcare facilities.
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    The role of EHRs interoperability towards facilitating informed decision making in healthcare facilities in Tanzania: conceptual framework
    (International Journal of Innovative Science and Research Technology, 2022) Mwogosi, Augustino; Shao, Deo; Kibusi, Stephen; Kapologwe,Ntuli A.
    EHRs facilitate sharing of healthcare from clinicians involved in patient care within and across health facilities. Interoperable EHRs can facilitate this exchange of information and as a result be able to facilitate decision making. Despite increasing adoption of EHRs in Tanzania, the realization of benefits that EHRs could offer through interoperability still lags behind. Currently most EHRs are not interoperable thus making it difficult to facilitate exchange of information between systems. The aim of the study therefore was to contribute to final conceptual frameworks that relate Interoperability and Decision making in the healthcare. Integrated Literature review was conducted to understand concepts related to Interoperability and decision making. Six propositions emerged from relevant studies that contribute in understanding the role of EHRs interoperability in facilitating decision making. Interoperability allows for collaboration which is an important aspect in decision making. Several studies have identified the benefits of having interoperable EHRs, but few have explored on how such benefits can contribute on decision-making