19 Works

Evaluation of a pay for performance programme in Pwani region in Tanzania: A controlled before and after study, PROCESS

Josephine Borghi, Masuma Mamdani, Salim Abdulla, Iddy Mayumana, Irene Mashasi, Peter Binyaruka, Edith Patouillard, Ikunda Njau & Ottar Maestad
Background: The use of supply-side incentives to increase health service utilisation and enhance service quality is gaining momentum in many low- and middle-income countries. However, there is a paucity of evidence on the impact of such schemes, their cost-effectiveness, and the process of implementation and potential unintended consequences in these settings. A pay for performance (P4P) programme was introduced in Pwani region of Tanzania in 2011.

Methods/design: An evaluation of the programme will be carried out...

Evaluation of a pay for performance programme in Pwani region in Tanzania: A controlled before and after study, IMPACT

Josephine Borghi, Masuma Mamdani, Salim Abdulla, Iddy Mayumana, Irene Mashasi, Peter Binyaruka, Edith Patouillard, Ikunda Njau & Ottar Maestad
Background: The use of supply-side incentives to increase health service utilisation and enhance service quality is gaining momentum in many low- and middle-income countries. However, there is a paucity of evidence on the impact of such schemes, their cost-effectiveness, and the process of implementation and potential unintended consequences in these settings. A pay for performance (P4P) programme was introduced in Pwani region of Tanzania in 2011. Methods/design: An evaluation of the programme will be carried...

TANZANIA - Sample Vital Registration with Verbal Autopsy, (SAVVY)

Honoraty Masanja
SAVVY is a demographic surveillance system built around vital events monitoring. It operates in a similar way to existing Health and Demographic Surveillance (HDSS) but is distributed across the country and sampled to generate estimates that are nationally representative. The system is based on a periodic census of the sample population that provides information on population age, sex, household characteristics and migration. During the year, community key informants report births and deaths and probable cause...

Effect of paying for performance on utilisation, quality, and user costs of health services in Tanzania: a controlled before and after study

Peter Binyaruka, Edith Patouillard, Timothy Powell-Jackson, Giulia Greco, Ottar Maestad & Josephine Borghi
Despite widespread implementation across Africa, there is limited evidence of the effect of payment for performance (P4P) schemes in low income countries on the coverage of quality services and affordability, consistent with universal health coverage objectives. We examined the effect of a government P4P scheme on utilisation, quality, and user costs of health services in Tanzania. We evaluated the effects of a P4P scheme on utilisation of all maternal and child immunization services targeted by...

Variations in household microclimate affect outdoor-biting behaviour of malaria vectors

Halfan S Ngowo, Emmanuel W Kaindoa, Jason Matthiopoulos, Heather M Ferguson & Fredros O Okumu
Background Mosquito behaviours including the degree to which they bite inside houses or outside is a crucial determinant of human exposure to malaria. Whilst seasonality in mosquito vector abundance is well documented, much less is known about the impact of climate on mosquito behaviour. We investigated how variations in household microclimate affect outdoor-biting by malaria vectors, Anopheles arabiensis and Anopheles funestus. Methods Mosquitoes were sampled indoors and outdoors weekly using human landing catches at eight...

Targeting swarms and mosquito nocturnal behaviours to control outdoor malaria transmission

Emmanuel Kaindoa, Halfan Ngowo, Alex Limwagu, Gustav Mkandawile, Japhet Kihonda, John Paliga Masalu, Hamis Bwanary & Abdoulaye Diabate
Malaria mosquitoes form mating swarms around sunset, often at the same locations for months or years. Unfortunately, studies of Anopheles swarms are rare in East Africa, the last recorded field observations in Tanzania having been in 1983. Mosquito swarms were surveyed by trained volunteers between August-2016 and June-2017 in Ulanga district, Tanzania. Identified Anopheles swarms were sampled using sweep nets, and collected mosquitoes killed by refrigeration then identified by sex and taxa. Sub-samples were further...

Improving newborn survival in Southern Tanzania endline impact survey 2013: Mtwara and Lindi regions

Joanna Schellenberg
The Improving Newborn Survival in Southern Tanzania (INSIST) endline survey aimed to assess newborn survival and newborn care practices in Southern Tanzania (Lindi Rural, Ruangwa, Nachingwea, Newale, Tandahimba and Mtwara Rural). The survey included 190,000 households, around 140,000 women in reproductive age, and around 50,000 livebirths. Uptake of antenatal, intrapartum and postpartum care as well as newborn care practices were assessed in 15,000 livebirths. 300 maternal deaths were recorded.

Tanzania - Evaluation of Next Generation Nutrition Programme

Ester Elisaria, Geubbels Eveline, Masanja Honorati, Fatuma Manzi, Paul Smithson & Charles Festo
This is a project on evaluation of integrated nutrition interventions in Tanzania. It is a controlled before after evaluation implemented in Simiyu and Ruvuma regions, with Nzega, Uyui, Ruangwa and Lindi being the control areas. The project aims to test the hypothesis that targeted bundle of interventions spanning the 1,000 days period (increased knowledge, attitudes and practices for healthy pregnancy and infant feeding practices and treatment of severe acute malnutrition (SAM) cases) will reduce stunting...

Extended follow up of a Phase IIb vaccine trial with RTS,S in Kilifi District, Kenya

Ally Olotu, Patricia Njuguna, Philip Bejon, Edna Ogada, Margaret Mackinnon, Faith Osier, Britta Urban, Pete Bull, Trudie Lang, Norbert Peshu, Juliana Wambua & Kevin Marsh

A low technology emanator treated with the volatile pyrethroid transfluthrin confers long term protection against outdoor biting vectors of lymphatic filariasis, arboviruses and malaria

Sheila B Ogoma, Arnold S Mmando, Johnson K Swai, Sebastian Horstmann, David Malone & Gerry F Killeen
Background. The vapor phase of the volatile pyrethroid transfluthrin incapacitates mosquitoes and prevents them from feeding. Although existing emanator products for delivering volatile pyrethroids protect against outdoor mosquito bites, they are too short-lived to be practical or affordable for routine use in low-income settings. New transfluthrin emanators, comprised simply of treated hessian fabric strips, have recently proven highly protective against outdoor- biting vectors of lymphatic filariasis, arboviruses and malaria, but their full protective lifespan, minimum...

Expanded Quality Management Using Information Power for Maternal and Newborn Health in Africa (EQUIP)

Claudia Hanson, Peter Waiswa, Tanya Marchant, Michael Marx, Fatuma Manzi, Godfrey Mbaruku, Alex Rowe Rowe, Göran Tomson, Joanna Schellenberg & Stefan Peterson

Study on global ageing and adult health - 2006

Honorati Masanja & Nathan Rose
The purpose of the SAGE survey programme is to collect data on a broad range of self-reported assessments of health and well-being. An individual's self-rated health will be linked to anchoring vignettes and selected objective measures of health to:

-Improve comparability across individuals, communities and populations;

-Assess performance on measured tests in a range of different domains of health;

-Measure well-being, happiness and quality of life;

-Collect biomarker information;

-Introduce a longitudinal study design; and,

-Investigate compression of morbidity in adult...

Fine scale spatial and temporal monitoring of insecticide resistance in malaria vector in rural south- eastern Tanzania.

Nancy S Matowo, Givemore Munhenga, Marcel Tanner, Maureen Coetzee, Wim F Feringa, Halfan S. S Ngowo, Lizette L Koekemoer & Fredros O Okumu
Larvae sampling of wild mosquitoes

Determination of Causes of Death by Using Verbal Autopsy (VA) Method

Honorati Masanja
The Rufiji Health and Demographic Surveillance System (HDSS) was established in October 1998 to evaluate the impact on burden of disease of health system reforms based on locally generated data, prioritization, resource allocation and planning for essential health interventions. The Rufiji HDSS collects detailed information on health and survival and provides a framework for population-based health research of relevance to local and national health priorities. Monitoring of households and members within households is undertaken in...

Service Availability and Readiness Assessment 2012, (SARA)

Honorati Masanja, Paul Smithson & Yahya Ipuge
The Tanzania “Service Availability and Readiness Assessment” provides a snapshot of the current status of health service provision in Mainland Tanzania in 2012. The study used an international standard questionnaire instrument and indicators. Data were collected from a sample of districts and health facilities to provide a representative portrayal of health services in the country as a whole. The survey provides estimates of general health care availability and readiness, as well as detailed assessments of...

Small-scale field evaluation of push-pull against early-biting and outdoor-biting malaria mosquitoes in an area of high pyrethroid resistance in Tanzania

Arnold S Mmbando, Halfan S Ngowo, Masoud Kilalangongono, Said Abbas, Nancy S Matowo, Sarah J Moore & Fredros O Okumu
Despite high coverage of indoor interventions like insecticide-treated nets, mosquito-borne infections persist, partly because of outdoor-biting, early-biting and insecticide-resistant vectors. Push-pull systems, where mosquitoes are repelled from humans and attracted to nearby lethal targets, may constitute effective complementary interventions. A partially randomized cross-over design was used to test efficacy of push-pull in four experimental huts and four local houses, in an area with high pyrethroid resistance in Tanzania. The push-pull system consisted of 1.1% or...

Registration Year

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  • 2016
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  • 2017
    7

Resource Types

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