Browsing by Author "New-Aaron, Moses"

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    Cervical cancer screening among women receiving antiretroviral therapy in a resource-limited environment
    (Asian Pacific Journal of Cancer Prevention, 2020) New-Aaron, Moses; Meza, Jane L; Goedert, Martha H; Kibusi, Stephen M; Mkhoi, Mkhoi L; Mayengo, Caroline Damian; Charles, James; Shabani, Siraji; Musil, Kelsie M; Cheney, Anlan; Sumba, Samwel
    Background: Cervical cancer is among the most prevalent cancer among women worldwide and women living with HIV are at increased risk, especially in a resource-limited environment. Objective: This study aimed to determine levels of awareness, knowledge, uptake, and willingness to screen for cervical cancer among women receiving care in an HIV clinic at Dodoma Regional Referral Hospital (DRRH), Tanzania. Methods: Data were collected for a period of three weeks from July 21 to August 11, 2017, using a mobile phone data collection App. A total of 421 Women aged 18-50 years old were included in the study. Results: Majority of the women interviewed (n=306, 73%) were aware of cervical cancer. Among those who were aware, 84% (n=257) did not recall ever being screened for cervical cancer, and the majority had poor knowledge of cervical cancer. Educational level completed (p=0.01), income per month (p=0.02), age group (p<0.0001), and area of residence (p<0.0001) were all significantly associated to awareness of cervical cancer. Most of the women who have never screened (n=231, 91%) expressed a willingness to be screened. Prior uptake of cervical cancer screening was associated with a number of live births (p=0.001) and area of residence (p=0.04). And Willingness to the screen was significantly associated with age groups (p=0.03) and the number of live births (p=0.03). Moreover, we found that younger age and urban residence was positively associated with awareness and uptake of cervical cancer screening. Willingness was found to decrease as age increased. Conclusion: The study found that despite older women’s higher risk of cervical cancer, those who indicated a willingness to screen were younger. Additional education, health promotion, and integration of cervical cancer screening services are needed to improve cervical cancer awareness and screening uptake at the HIV clinic.
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    Prevalence and factors aassociated with diarrhoea among children between 6 and 59 months of age in Mwanza city Tanzania
    (Oxford University, 2018) Kabhele, Silas; New-Aaron, Moses; Kibusi, Stephen Matthew; Gesase, Ainory P.
    Childhood diarrhoea is a global public health problem especially in unplanned settlements of low- and middle-income countries. Different studies have associated household settlement and childhood diarrhoea, but the prevalence and risk factors associated with childhood diarrhoea at the community level are not clearly known. A community-based cross-sectional study was performed to determine the prevalence and risk factors associated with diarrhoea in among 480 children between 6 and 59months of age in Mwanza city from June to August 2016. Risk factors associated with childhood diarrhoea in Mwanza city were determined using univariate, bivariate and multivariate analysis. The study showed a prevalence of diarrhoea of 20.4% and an association between type of settlement and childhood diarrhoea (p<0.001) in a chi-square analysis. During bivariate analysis, and logistic regression, after controlling for other factors, unplanned settlement was significantly associated with childhood diarrhoea (odds ratio¼3.475, p<0.001 and AOR¼3.469, p<0.001). Other factors associated with childhood diarrhoea were behaviour of mother washing hands before preparing food (AOR¼0, 193, p<0.001), mother washing hands after changing child’s napkins (AOR¼0.544, p<0.036) and the behaviour of the child washing hands after toilet (AOR¼0.447, p<0.006). Risk factors associated with childhood diarrhoea in Mwanza city are unplanned settlement and behaviour of mother and child washing hands during critical time; hence, continuous community health promotion insisting on washing hands with soap and water during critically time is the best method for fighting childhood diarrhoea in Mwanza city.