Bernard Mbwele
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A Perspective on Innovating Qualitative Research Methods to Optimise Women’s Health Research Open
Qualitative research methods have historically been centered on framework analysis and narrative reporting, particularly in contexts like healthcare, where patient experiences are paramount. While this approach has yielded invaluable insig…
The use of Childbirth Experience Questionnaire (CEQ) and Birth Satisfaction Scale-Revised (BSS-R) in comparing the experiences of mothers with and without HIV in Tanzania Open
Introduction Mothers’ experiences at birth and respectful maternal care are critical to achieving Sustainable Development Goal number 3 in Tanzania. However, little is known about the differences in perinatal experience quality between wom…
Exploring the availability and acceptability of hormone replacement therapy in LMICs using insights of pharmacists (MARIE Sri Lanka WP2a) Open
Hormone Replacement Therapy (HRT) remains underutilised and under-researched in low- and middle-income countries (LMICs), despite its potential to alleviate menopausal symptoms. This study explored pharmacists' perspectives on the use, cos…
Beyond the Hot Flush: Menopausal Health in Oman (Marie Oman WP2a) Open
Objective Menopause is a pivotal stage in women’s lives, shaped by biological, psychological, sociocultural, and health system factors. In Oman, where religious beliefs and cultural norms strongly influence health behaviours, menopause rem…
Menopause in Brazil: Lived Experiences, Inequities, and Opportunities for Inclusive Care (MARIE-Brazil WP2a) Open
Background Menopause, whether natural, surgical, or medically induced, represents a significant transition in women’s health, often accompanied by biological, psychological, and social challenges. Despite its global prevalence, evidence on…
Clinical Epidemiological Profile of Perimenopausal, Menopausal, and Post-Menopausal Women in Sri Lanka Open
Background: Menopause is a critical life stage for women’s health, yet it remains under-recognised in Sri Lanka despite an ageing female population. Previous studies have reported symptom prevalence and mean age at menopause but lacked an …
Menopause as an Embodied and Occupational Disruption: A Qualitative Study of Women’s Experiences in Ghana (MARIE-WP2a) Open
Objective This paper explores Ghanaian women’s experiences of menopause, focusing on its occupational, sociocultural, and healthcare dimensions and considering implications for national and diaspora health strategies.Design Qualitative stu…
Breaking the Silence and Building Strength: Rethinking Menopause Care through Exercise and Cultural Insight Open
Menopause remains a largely neglected aspect of women’s health in many low- and middle-income countries (LMICs), particularly across Asia, Africa, and the Middle East. Despite the profound physical, cognitive, and emotional changes it enta…
An Exploration of the Physical and Mental Health Impact among a Diverse Population in the United Kingdom Experiencing Perimenopause and Menopause (MARIE UK-WP2a) Open
Background Menopause is associated with diverse physical and mental symptoms, yet variation across menopausal stages and modes of onset remains poorly characterised in United Kingdom (UK) based populations. This study aimed to evaluate sym…
A Perspective on Innovating Qualitative Research Methods to Optimise Women’s Health Research Open
Qualitative research methods have historically been centered on framework analysis and narrative reporting, particularly in contexts like healthcare, where patient experiences are paramount. While this approach has yielded invaluable insig…
The Role of Antimicrobial Stewardship in Combating Antimicrobial Resistance: Learning from a Global Point Prevalence Survey in Mbeya, Tanzania Open
Background: Antimicrobial resistance (AMR) poses a significant threat to human and animal health, with 27.3 deaths per 100,000 infections in sub-Saharan Africa. Tanzania has developed systems to fight misuse of antibiotics causing AMR but …
Exploring the Availability and Acceptability of Hormone Replacement Therapy in Low- and Middle-Income Countries: Insights of Pharmacists Using a Cross-Sectional Study (MARIE-Sri Lanka WP2a) Open
Background: Hormone Replacement Therapy remains underutilised and under-researched in low- and middle-income countries (LMICs), despite its potential to alleviate menopausal symptoms. Pharmacists, as accessible healthcare providers, play a…
View article: Menstrual Health and Endometriosis: An Urgent Issue in Africa
Menstrual Health and Endometriosis: An Urgent Issue in Africa Open
Menstrual health in Africa is often neglected due to stigma, poor access to products, sanitation, and education, disproportionately affecting marginalized groups. Common menstrual disorders like dysmenorrhoea and menorrhagia are frequently…
View article: A Rapid Scoping Review on the Use of Artificial Intelligence Applications in Women’s Health (MARIE WP1)
A Rapid Scoping Review on the Use of Artificial Intelligence Applications in Women’s Health (MARIE WP1) Open
Background: Artificial Intelligence (AI) has exponentially grown over recent years in women’s health, gaining momentum globally, offering transformative potential in diagnostics, personalized treatment, and healthcare delivery. AI technolo…
View article: A Perspective on Economic Barriers and Disparities to Access Hormone Replacement Therapy in Low and Middle-Income Countries (MARIE-WP2d)
A Perspective on Economic Barriers and Disparities to Access Hormone Replacement Therapy in Low and Middle-Income Countries (MARIE-WP2d) Open
Background Women globally spend a significant portion of their lives experiencing perimenopausal and menopausal symptoms, which can severely affect their quality of life. Hormone Replacement Therapy (HRT) has proven effective in alleviatin…
A Rapid Assessment of Knowledge, Attitudes and Practices of Mothers and Caregivers on Childhood Diarrhea in Zanzibar, Tanzania Open
Childhood diarrhea is the third cause of admission and deaths with overall incidence remaining unacceptably high while knowledge, attitude and practices (KAP) of the mothers present affecting vitality of the childhood in most affected comm…
View article: Variations in caesarean section outcome reporting in low- and middle-income countries: A systematic review
Variations in caesarean section outcome reporting in low- and middle-income countries: A systematic review Open
The protocol was registered (PROSPERO CRD42022353939).
Prevalence and Antimicrobial Susceptibility Patterns of Salmonella Species, Shigella Species and Escherichia coli among Children Suffering from Diarrhoea in Unguja - Zanzibar, Tanzania Open
Aims: This study aimed at providing evidence of the prevalence and antimicrobial susceptibility patterns towards Salmonella spp., Shigella spp. and Escherichia coli among under-five children in Unguja – Zanzibar, Tanzania. Study Design: Cr…
View article: Cognitive domains affected <scp>post‐COVID</scp>‐19; a systematic review and <scp>meta‐analysis</scp>
Cognitive domains affected <span>post‐COVID</span>‐19; a systematic review and <span>meta‐analysis</span> Open
Background and purpose This review aims to characterize the pattern of post‐COVID‐19 cognitive impairment, allowing better prediction of impact on daily function to inform clinical management and rehabilitation. Methods A systematic review…
The impact of a blended multidisciplinary training for the management of obstetric haemorrhage in Mbeya, Tanzania Open
Background The Maternal Mortality Rate (MMR) in Tanzania is 78 times higher than that of the UK. Obstetric haemorrhage accounts for two-thirds of these deaths in Mbeya, Tanzania. A lack of healthcare providers' (HCPs') competencies has bee…
The role of cognitive reserve in mediating HIV‐associated neurocognitive disorders in older adults living with‐treated HIV in Mbeya, Tanzania: A cross‐sectional observational study Open
Introduction HIV‐associated neurocognitive disorders (HAND) are a spectrum of cognitive impairments in chronic HIV infection. HAND is common in sub‐Saharan Africa (SSA), despite combination antiretroviral therapy (cART). Older people appea…
Determining the Minimum Dataset for Surgical Patients in Africa: A Delphi Study Open
Background It is often difficult for clinicians in African low‐ and middle‐income countries middle‐income countries to access useful aggregated data to identify areas for quality improvement. The aim of this Delphi study was to develop a s…
The role of cognitive reserve in mediating cognitive impairment in cART-treated HIV positive older adults in Mbeya, Tanzania Open
Introduction : HIV-associated neurocognitive disorders (HAND) are a spectrum of cognitive impairments occurring in chronic HIV infection. HAND are highly prevalent in sub-Saharan Africa (SSA), despite combination antiretroviral therapy (cA…
Epidemiological Linkages of Diarrheagenic Vibrio Species from Sea water, Seafood and Patients and their Antimicrobial Susceptibility Patterns in Zanzibar, Tanzania Open
Background Vibrio species are reported to cause diarrhea in developing countries, particularly in Africa. The typical species of Vibrio have an association with seawater, seafood and patient stool which have been rarely studied in Zanzibar…
Screening for delirium and dementia in older hospitalised adults in Zambia Open
Delirium prevalence and aetiology in older people in hospital or community settings in sub-Saharan Africa (SSA) is largely unknown. Cognitive screening tools designed for high-income countries (HICs) may be inappropriate due to cultural an…
A Rapid Assessment of Knowledge, Attitudes and Practices of Mothers Admitted with Diarrhoea Suffering Children in West Urban Region of Unguja-Zanzibar Open
BackgroundThe knowledge, attitude and health practices of the mothers directly reflect on the health and vitality of the child in most of diarrhoea affected communities. The aim of the study was to determine the knowledge, attitude and pra…
Enhanced postoperative surveillance versus standard of care to reduce mortality among adult surgical patients in Africa (ASOS-2): a cluster-randomised controlled trial Open
For the Arabic, French and Portuguese translations of the abstract see Supplementary Materials section.
Saving lives through voluntary blood donation: learning from medical students in ruvuma, southern Tanzania Open
Background: Medical students present a high merit and potential source of blood in hospitals due to their medical knowledge, physiological potential by age however their use has been rarely described in southern Tanzania. Objectives: The m…
Status of Infection Prevention and Control in Tanzanian Primary Health Care Facilities: Learning From Star Rating Assessment Open
Assessment and rating of quality and organization of health services plus management support to healthcare facilities, leads to improved adherence to IPC principles.
Parent - adolescent communication on sexual and reproductive health: the qualitative evidences from parents and students of Addis Ababa, Ethiopia Open
Background Repeatedly adolescents in Africa have been experiencing early pregnancy by more than 50%, early parenthood by 30% and new HIV infections by more than 80%. Parent - Adolescent communication as an effective strategy on sexual and …