Browsing by Author "Nyagero, Josephat"

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    Accessibility to sexual and reproductive health and rights education among marginalized youth in selected districts of Tanzania
    (Pan African Medical Journal, 2016) Ngilangwa, David Paul; Rajesh, Sharanya; Kawala, Mercy; Mbeba, Rita; Sambili, Benatus; Mkuwa, Serafina; Noronha, Rita; Nyagero, Josephat; Meremo, Al-fred Jackson
    Access to information, education and services is central in the promotion of sexual and reproductive health and rights (SRHR) among young people. It enables young people make informed choices on sexuality matters, hence reduce teenage pregnancies and sexually transmitted infections (STIs). This study assessed accessibility of SRH rights information among marginalized young people in three municipalities of Iringa, Ilala and Kinondoni in Tanzania. A cross-sectional study design using mixed methods was conducted in 2013 in three selected districts of Tanzania. We randomly selected 398 young people including those with disabilities to partake in quantitative survey while 48 community members were purposely selected for qualitative part. Quantitative data analysis was done using descriptive statistics and chi square test with the assistance of the Statistical Package for Social Science (SPSS) version 20, while qualitative data was thematically analyzed. There were 396 (99%) participants (144 Males and 251 females), with a mean age of 20.1years. The majority were out of school female, cohabiting and had completed secondary education. Overall, 317 (79.6%) had SRH rights knowledge. The leading sources of SRH rights information were peer educators (36.7%) and radio (22.8%). Awareness regarding laws and policies related to SRH right was 55.1%. However, young people living with HIV and school truants had more access to SRHR education and services than the other youth groups(χ2 30.69, p< 0.0001). The qualitative study revealed that parents and teachers perceived themselves to be incompetent in providing SRH information to their youngsters despite of being mostly trusted. Access to SRH rights information is high but decreases when it is disaggregated across different age groups. There is a need for diversified approach for reaching specific groups of young people depending on their needs and circumstances
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    Assessment of diploma nursing program curriculum implementation using Kirkpatrick’s Approach: A case study at Kilimanjaro College of Health and Allied Science-Tanzania
    (East African Scholars Publisher, Kenya, 2022) Bulili, Marco Lazaro; Nyagero, Josephat; Kibusi, Stephen Mathew; Boruett, Norbert
    The study conducted at Kilimanjaro College of Health and Allied Science-Tanzania, to assess Diploma nursing program curriculum implementation using Kirkpatrick’s approach. The four levels of the model used in assessment. Microteaching steps examined classroom nurse tutors behavior of curriculum implementation process. Aimed to assess how CBET implemented, as since inception in 2008 not assessed and that if, Microteaching technique adhered to in the process besides if implementers has regulatory qualities and experience to the implementation. These help to identify gaps of the implemented curriculum besides the way forward to the solution. Census used with the study. A descriptive cross sectional design of both quantitative and qualitative methods of data collection used. Scaled Likert’s questionnaire following the model, face-to-face interview along with observation used as tools. Nurse tutors was the treatment group whereas students were the control group and tested concurrently. SPSS v20 analyzed the model; paired sample t-test tested the performance significance whereas eta- squared evaluated it. The results between pre (M=3.36, SD=2.69) and post-test [M=6.44, SD=2.64, t (305) =20.671 p< .001 indicated significant increase in performance. The eta squared statistics evaluation of 0.58 indicated a large effect size change. From the study, tutors were committed, had enough knowledge and experience with curriculum implementation. Nevertheless, they are not sufficient compared to the modules taught. Observed major and minor errors in the study, need rectification. Therefore; Kirkpatrick’s model of assessment and Microteaching skills are innovations to measure medical education competences, need campaigns. My opinion, tutors roles need promotions moreover re-defined for awareness. Keywords: Assessment, Competence, Curriculum, General Nursing, Kirkpatrick’s approach, Learning and teaching and Microteaching.