Browsing by Author "Mpondo, Bonaventura"

Now showing 1 - 4 of 4
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    Acute renal failure in a caucasian traveler with severe malaria: A case report
    (US National Library of Medicine, 2014) Meremo, Alfred J.; Kilonzo, Semvua B.; Munisi, David; Kapinga, Janet; Juma, Mwinyikondo; Mwanakulya, Simfukwe; Mpondo, Bonaventura
    Acute renal failure (ARF) secondary to severe malaria is uncommon. We report a case of a patient visiting Africa for the first time presenting with malaria and ARF. There was complete recovery after hemodialysis. Early initiation of hemodialysis proves to be useful in the restoration of renal function.
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    Barriers to accessibility and utilization of HIV testing and counseling services in Tanzania: experience from Angaza Zaidi programme
    (The PAMJ, 2016) Meremo, Alfred; Mboya, Beati; Ngilangwa, David Paul; Dulle, Robert; Tarimo, Edith; Urassa, David; Michael, Emillian; Gibore, Nyasiro; Mpondo, Bonaventura; Mchonde, Gabriel; Ernest, Alex; Noronha, Rita; Ilako, Festus
    Introduction: While HIV testing and counseling (HTC) services remain to be amongst the effective strategies in slowing HIV transmission, its accessibility and uptake in Tanzania is low. In 2011, 50% of adults have been ever tested and received their results. We conducted this study to assess barriers to accessibility and utilization of HTC services in Tanzania. Methods: A mixed methods study was conducted using both quantitative and qualitative approaches. Data were collected in in 9 regions of Tanzania in 2012. Twelve (12) in-depth interviews, 8 Focus Group Discussions and 422 clients were approached for data collection. Quantitative data were entered and analysed using SPSS, proportions were compared using chi-square test. Qualitative data, content analysis approach was used. Results: Overall 422 exit clients were enrolled into the study, 4.9% clients reported spending >2 hours at the HTC centre before they were attended (p<0.0001). Of the 422 clients in our study 5.7 % received HIV testing before getting HIV counseling (p=0.0001). Of those clients who received counseling, 21.8% of reported counseling to be done in a group (p=0.0001). Majority of study participants reported that the counselling sessions were private, with sufficient information, and interactive (p<0.0001). Mobile services clinics, the Post Test Clubs and couple counselling and testing were effective approaches in stimulating demand for and use of HTC services. Conclusion: Findings show that coverage of HTC was high, however long waiting time and lack of confidentiality impeded its accessibility and utilization. We recommend increase of staff and adherence to counselling ethics to safeguard clients' privacy.
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    Health facility service availability and readiness to provide basic emergency obstetric and newborn care in a low-resource setting: evidence from a Tanzania National survey
    (BMJ Publishing Group Ltd, 2019) Bintabara, Deogratius; Ernest, Alex; Mpondo, Bonaventura
    This study used a nationally representative sample from Tanzania as an example of low-resource setting with a high burden of maternal and newborn deaths, to assess the availability and readiness of health facilities to provide basic emergency obstetric and newborn care (BEmONC) and its associated factors. Design Health facility-based cross-sectional survey. Setting: We analyzed data for obstetric and newborn care services obtained from the 2014–2015 Tanzania Service Provision Assessment survey, using WHO-Service Availability and Readiness Assessment tool. Primary and secondary outcome measures Availability of seven signal functions was measured based on the provision of ‘parental administration of antibiotic’, ‘parental administration of oxytocic’, ‘parental administration of anticonvulsants’, ‘assisted vaginal delivery’, ‘manual removal of placenta’, ‘manual removal of retained products of conception’ and ‘neonatal resuscitation’. Readiness was a composite variable measured based on the availability of supportive items categorised into three domains: staff training, diagnostic equipment and basic medicines. Results: Out of 1188 facilities, 905 (76.2%) were reported to provide obstetric and newborn care services and therefore were included in the analysis of the current study. Overall availability of seven signal functions and average readiness score were consistently higher among hospitals than health centres and dispensaries (p<0.001). Furthermore, the type of facility, performing quality assurance, regular reviewing of maternal and newborn deaths, reviewing clients’ opinion and number of delivery beds per facility were significantly associated with readiness to provide BEmONC. Conclusion: The study findings show disparities in the availability and readiness to provide BEmONC among health facilities in Tanzania. The Tanzanian Ministry of Health should emphasise quality assurance efforts and systematic maternal and newborn death audits. Health leadership should fairly distribute clinical guidelines, essential medicines, equipment and refresher trainings to improve availability and quality BEmONC
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    Uptake of cervical cancer screening services and its association with cervical cancer awareness and knowledge among women of reproductive age in Dodoma, Tanzania: a cross-sectional study
    (East African Health Research Commission, 2019) Moshi, Fabiola V; Bago, Musa; Ntwenya, Julius; Mpondo, Bonaventura; Kibusi, Stephen M
    Background: There is a close link between an individual’s knowledge about a given disease and uptake of screening and ultimately treatment. This study aimed to determine the link between knowledge levels and awareness and uptake of cervical cancer screening among women of reproductive age (15 to 49 years) in Dodoma, Tanzania. Methods: A cross-sectional study of 1,587 women aged between 15 and 49 years was conducted in Dodoma City, Tanzania. A structured questionnaire, adapted from Montgomery and others, was pretested and used to collect data from March to April, 2016 via multistage sampling. Univariate and multiple regression analyses were used to determine factors associated with the level of knowledge about cervical cancer and the association between knowledge and uptake of cervical cancer screening. Results: The mean age of the participants was 26.99±8.026 years. Only 165 (10.4%) of the 1,587 participants were knowledgeable about cervical cancer; 1,051 (66.2%) were aware of cervical cancer screening, and only 125 (7.9%) had undergone cervical cancer screening. Predictors of knowledge about cervical cancer were education level (secondary education adjusted odds ratio [AOR] 2.23; 95% confidence interval [CI], 1.030-4.811; P<.05; university level AOR 2.59; 95% CI, 1.179 to 5.669; P<.05); residence (rural AOR 1.85; 95% CI, 1.282 to 2.679; P=.001); parity (multipara AOR 1.88; 95% CI, 1.125 to 3.142; P<.05). After adjusting for confounders, knowledge about cervical cancer significantly influenced both cervical cancer screening awareness (AOR 2.91; 95% CI, 1.821 to 4.640; P<.001) and uptake (AOR 2.065; 95% CI, 1.238 to 3.444; P=.005). Conclusion: The level of knowledge about cervical cancer was extremely low. Women with less knowledge about cervical cancer were those with less education, those living in rural areas, and those without children. A low level of knowledge was associated with poor uptake of screening services, highlighting the need for integrating health education pertaining to cervical cancer and screening when providing reproductive health care in Tanzania.