Browsing by Author "Mageda, Kihulya"

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    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, Pammla
    Despite 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.
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    The effectiveness of perineal cold pack application on postpartum perineal pain and timely breastfeeding initiation among women after spontaneous vaginal delivery in Dodoma region a randomized control clinical trial (RCCT) research protoco
    (Walters kluwer, 2024) Augustino, Joyce; Moshi, Fabiola; Joho, Angelina; Mageda, Kihulya
    Vaginal delivery is the most standard and safest delivery model worldwide used by pregnant women. Despite the negative impact on a woman’s daily activities, perineal pain following birth is neglected by caregivers and usually not reported by women who may consider it an expected outcome of giving birth. The main objective of this Trial is to determine the effectiveness of perineal cold pack application on postpartum perineal pain and timely initiation of breastfeeding among women after spontaneous vaginal delivery in the Dodoma Region.
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    The effectiveness of perineal cold pack application on postpartum perineal pain and timely breastfeeding initiation among women after spontaneous vaginal delivery in Dodoma region: A randomized control clinical trial (RCCT) research protocol
    (Wolters Kluwer Health, Inc., 2024) Augustino, Joyce; Moshi, Fabiola; Joho, Angelina; Mageda, Kihulya
    Introduction: Vaginal delivery is the most standard and safest delivery model worldwide used by pregnant women. Despite the negative impact on a woman’s daily activities, perineal pain following birth is neglected by caregivers and usually not reported by women who may consider it an expected outcome of giving birth. The main objective of this Trial is to determine the effectiveness of perineal cold pack application on postpartum perineal pain and timely initiation of breastfeeding among women after spontaneous vaginal delivery in the Dodoma Region. Methods: The study design will be a randomized clinical control trial among postpartum women aged 18 to 49. The study will be conducted in 2 randomly selected health facilities in the Dodoma region. The participants will be allocated randomly to the intervention and control arm. The intervention arm will receive the perineal cold pack, and the control arm will receive the oral paracetamol 1000 mg. The eligibility will be singleton birth, birth weight (2500 g and above), full-term, 18 to 49 years of age. All postpartum mothers with medical problems or obstetric complications will be excluded. The primary objective is to reduce postpartum perineal pain with the subsequence of timely breastfeeding initiation as a secondary outcome. An estimate of the intervention’s strength of the treatment effect will be measured using an analysis variance. An effect size will be calculated by omega square to measure the effectiveness. This will be an open-label intervention. Discussion: The research data for this study will also provide evidence of whether perineal cold application to postnatal mothers immediately after delivery will relieve pain and subsequently trigger early and timely infant breastfeeding initiation. This finding will impose the importance of early relief of pain as an initial and the importance of initiating breastfeeding. It will encourage the policymakers to emphasize the application of colds for relieving pain in all health facilities in the country.