Browsing by Author "Moshi, Fabiola"

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    Leveraging intelligent decision support system to promote inclusive remote teaching and learning in institutions of higher education in East Africa: Prototype development
    (Elsevier, 2023) Muchungi, Kendi; Mukami, Victoria; Mongi, Hector; Fabian, Flora; Ombui, Edward; Kiguru, Mary; Tandika, Pambas; Moshi, Fabiola; Ombeni, Joram
    The need for an intelligent system to support the decision-making process on remote teaching and learning during pandemics was realized during Covid-19. It was learned that during the pandemic most higher learning institutions could not respond as rapidly as the situation manifests to protect academic activities from disruptions. The objective of this paper is to describe the proposed prototype of an intelligent decision support system (IDSS) to inform the current and future remote teaching and learning in East African Higher Education in response to pandemics such as COVID-19. The research adopted the design science research approach to analysis, design, and development of the prototype. The development was preceded by understanding the situation where Strengths, Weaknesses, Opportunities, and Challenges (SWOCs) were analyzed. From the analysis, the requirements for the system were identified. Three stages were followed to develop the prototype. First, the development of a web interface or landing website, then designing the prototype framework with stakeholders' evaluation and actual development of the prototype. The SWOC analyses showed varying enabling environments within institutions in a country and between institutions in East Africa. Inadequate policy and legal and regulatory provisions for a rapid switch to remote teaching and learning during the pandemic were compounded by inadequate infrastructure, trained human resources, and organized rapid decision-making. Based on these findings, a prototype framework was then designed to support the decision-making on remote teaching and learning amid the pandemic in East Africa. The preliminary evaluation of the framework suggests that the system has great prospects to inform the decision-making process in the wake of pandemics thereby achieving the rapidity and efficiency of decisions. Further development and evaluation are ongoing.
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    Prevalence and factors influencing Alcohol use in pregnancy among women attending Antenatal care in Dodoma region, Tanzania: a cross-sectional study
    (Hindawi, 2018) Mpelo, Matunga; Kibusi, Stephen Matthew; Moshi, Fabiola; Nyundo, Azan; Ntwenya, Julius Edward; Mpondo, Bonaventura C. T.
    Alcohol use during pregnancy is high despite the well-established evidence on its adverse pregnancy outcomes and poor child development. Early identification and behavioural modification are of great significance. This study aimed to determine the prevalence and associated factors of alcohol use during pregnancy among women in Dodoma region. Methods. 365 randomly selected pregnant women attending antenatal care services in Dodoma region were included. Structured questionnaires were used to assess sociodemographic characteristic and alcohol use. Both descriptive and inferential analyses were used to estimate the prevalence and independent relationships of factors associated with alcohol use in pregnancy, respectively. Results showed a prevalence of 15.1% out of the 365 women attending antenatal services in Dodoma region. Prepregnancy alcohol use and having relatives who use alcohol were associated with alcohol use (AOR= 5.19; 95% CI: 4.791-34.867 and AOR=1.57; 95% CI: 1.393-6.248), respectively. Moreover, other associated factors included low education status (AOR=10.636; 95% CI: 1.89-19.844), making local brews as a source of income (AOR=11.44; 95% CI: 1.008-19.86), and not having had complications in previous pregnancies (AOR=4.93; 95% CI: 1.031-23.59). There is a significantly high prevalence of alcohol use during pregnancy in Dodoma. Social networks and low social, economic status were associated with alcohol use in pregnancy. There is a need for public health interventions to address alcohol use particularly targeting women of reproductive age with low socioeconomic status.
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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.