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View article: Barriers to adherence to cervical cancer screening care in Northern Tanzania
Barriers to adherence to cervical cancer screening care in Northern Tanzania Open
Background Cervical cancer disproportionately affects women in low- and middle-income countries compared to those in high-income countries because of the difference in quality and effectiveness of cervical cancer screening programs. An ess…
View article: The mHealth clinical decision-making tools for maternal and perinatal health care in Sub-Saharan Africa: A systematic review
The mHealth clinical decision-making tools for maternal and perinatal health care in Sub-Saharan Africa: A systematic review Open
Introduction mobile Health (mHealth) refers to use of mobile wireless technologies for health. The potential for mHealth to enhance healthcare delivery is supported by near-universal availability of mobile phones and their expanding covera…
View article: Prevalence and associated risk factors among women with oligohydramnios in third trimester: a cross-sectional survey at the Zonal Referral Hospital
Prevalence and associated risk factors among women with oligohydramnios in third trimester: a cross-sectional survey at the Zonal Referral Hospital Open
View article: Service availability and readiness to provide maternal and newborn healthcare services in Kilimanjaro region, Tanzania: a cross sectional study
Service availability and readiness to provide maternal and newborn healthcare services in Kilimanjaro region, Tanzania: a cross sectional study Open
Objective To assess service availability and readiness of health facilities to provide maternal and newborn care in the Kilimanjaro region, northern Tanzania: a study conducted between August to October 2022. Design The study used a cross-…
View article: Fetal rotation examined with ultrasound in a sub‐Saharan population: A longitudinal cohort study
Fetal rotation examined with ultrasound in a sub‐Saharan population: A longitudinal cohort study Open
Introduction Occiput posterior (OP) position rates at birth are 5%–8% in studies mainly comprising white European women. The anthropoid pelvis is common in black African women. This pelvic shape has a narrow anterior segment and an ample r…
View article: Impact of Human Immunodeficiency Virus Drug Resistance Mutations Detected in Women Prior to Antiretroviral Therapy With Efavirenz + Tenofovir Disoproxil Fumarate + Lamivudine (or Emtricitabine)
Impact of Human Immunodeficiency Virus Drug Resistance Mutations Detected in Women Prior to Antiretroviral Therapy With Efavirenz + Tenofovir Disoproxil Fumarate + Lamivudine (or Emtricitabine) Open
Background Two large studies suggest that resistance mutations to only nonnucleoside reverse transcriptase inhibitors (NNRTI) did not increase the risk of virologic failure during antiretroviral therapy (ART) with efavirenz/tenofovir disop…
View article: Primary caesarean section: trend, predictors and outcomes among low risk multiparous women at tertiary hospital northern Tanzania: a cross sectional study
Primary caesarean section: trend, predictors and outcomes among low risk multiparous women at tertiary hospital northern Tanzania: a cross sectional study Open
Background: Cesarean section rate has been increasing worldwide, surpassing the standard cesarean section rate set by WHO of 10-15%. Primary cesarean section has been a major contributor to the overall Cesarean section rates. Studies have …
View article: Perinatal loss in Tanzania: Perspectives of maternal-child healthcare providers
Perinatal loss in Tanzania: Perspectives of maternal-child healthcare providers Open
Over 98% of stillbirths and neonatal deaths occur in Low- and Middle-Income Countries, such as Tanzania. Despite the profound burden of perinatal loss in these regions, access to facility or community-based palliative and psychosocial care…
View article: D-Dimer: Predictor of Postpartum Hemorrhage among Pre-Eclampsia at Kilimanjaro Christian Medical Centre
D-Dimer: Predictor of Postpartum Hemorrhage among Pre-Eclampsia at Kilimanjaro Christian Medical Centre Open
Background: Postpartum hemorrhage (PPH) is the major contributor to maternal mortality and morbidity worldwide as well as in Tanzania. Studies have shown Pre-eclampsia as a risk indicator for Postpartum hemorrhage and D-dimer tends to rise…
View article: Abnormal Umbilical Doppler: Incidence and Neonatal Outcomes among Hypertensive Disorders in Pregnancy at KCMC: A Hospital-Based Prospective Cohort Study
Abnormal Umbilical Doppler: Incidence and Neonatal Outcomes among Hypertensive Disorders in Pregnancy at KCMC: A Hospital-Based Prospective Cohort Study Open
View article: COVID-19 infection in pregnancy, clinical characteristics, maternal and neonatal outcomes among women admitted at KCMC, Tanzania April 2021-March 2022
COVID-19 infection in pregnancy, clinical characteristics, maternal and neonatal outcomes among women admitted at KCMC, Tanzania April 2021-March 2022 Open
View article: mHealth clinical decision-making tools for maternal and perinatal health care in Sub-Saharan Africa: A systematic review protocol
mHealth clinical decision-making tools for maternal and perinatal health care in Sub-Saharan Africa: A systematic review protocol Open
Background Mobile health (mHealth) tools are increasingly being used in Sub-Saharan Africa (SSA) to improve the quality of health services. mHealth clinical decision-making tools have several established roles in maternal and perinatal hea…
View article: Factors associated with respectful maternity care and influence of <scp>HIV</scp> status among women giving birth in Kilimanjaro, Tanzania
Factors associated with respectful maternity care and influence of <span>HIV</span> status among women giving birth in Kilimanjaro, Tanzania Open
Background Respectful maternity care (RMC) is a rights‐based approach to childbirth that centers the dignity, autonomy, and well‐being of birthing women. This study aimed to examine factors associated with RMC among women giving birth in T…
View article: A simulation and experiential learning intervention for labor and delivery providers to address HIV stigma during childbirth in Tanzania: study protocol for the evaluation of the MAMA intervention
A simulation and experiential learning intervention for labor and delivery providers to address HIV stigma during childbirth in Tanzania: study protocol for the evaluation of the MAMA intervention Open
Background The experience of HIV stigma during intrapartum care can impact women’s trust in the health care system and undermine their long-term commitment to HIV care engagement. Delivery of respectful maternity care (RMC) to women living…
View article: A simulation and experiential learning intervention for labor and delivery providers to address HIV stigma during childbirth in Tanzania: Study protocol for the evaluation of the MAMA intervention
A simulation and experiential learning intervention for labor and delivery providers to address HIV stigma during childbirth in Tanzania: Study protocol for the evaluation of the MAMA intervention Open
Background : The experience of HIV stigma during intrapartum care can impact women’s trust in the health care system and undermine their long-term commitment to HIV care engagement. Delivery of respectful maternity care (RMC) to WLHIV can …
View article: PRISMA-P Checklist
PRISMA-P Checklist Open
Evidence has shown that healthcare providers can be empowered to adopt and utilize mHealth tools when they are aligned with their needs, workload, training, and skills (Abejirinde et al., 2018). mHealth interventions may be effective solut…
View article: Search Strategy
Search Strategy Open
Evidence has shown that healthcare providers can be empowered to adopt and utilize mHealth tools when they are aligned to their needs, workload, training and skills (Abejirinde et al., 2018). mHealth interventions may be effective solution…
View article: Maternal and infant renal safety following tenofovir disoproxil fumarate exposure during pregnancy in a randomized control trial
Maternal and infant renal safety following tenofovir disoproxil fumarate exposure during pregnancy in a randomized control trial Open
Background Tenofovir disoproxil fumarate (TDF) in combination with other antiretroviral (ARV) drugs has been in clinical use for HIV treatment since its approval in 2001. Although the effectiveness of TDF in preventing perinatal HIV infect…
View article: Early neonatal mortality is modulated by gestational age, birthweight and fetal heart rate abnormalities in the low resource setting in Tanzania – a five year review 2015–2019
Early neonatal mortality is modulated by gestational age, birthweight and fetal heart rate abnormalities in the low resource setting in Tanzania – a five year review 2015–2019 Open
Background Early Neonatal mortality (ENM) (< 7 days) remains a significant problem in low resource settings. Birth asphyxia (BA), prematurity and presumed infection contribute significantly to ENM. The study objectives were to determine: f…
View article: Postoperative complications and risk factors among women who underwent caesarean delivery from Northern Tanzania: a hospital-based analytical cross-sectional study
Postoperative complications and risk factors among women who underwent caesarean delivery from Northern Tanzania: a hospital-based analytical cross-sectional study Open
Background : Caesarean section is one of the most performed surgeries across the whole globe. However, just like any major surgery, CS is associated with complications like haemorrhage, surgical site infection, Venous thromboembolism and a…
View article: Postoperative Complications and Risk Factors among Women Who Underwent Caesarean Delivery from Northern Tanzania: A Hospital-Based Analytical Cross-Sectional Study
Postoperative Complications and Risk Factors among Women Who Underwent Caesarean Delivery from Northern Tanzania: A Hospital-Based Analytical Cross-Sectional Study Open
Introduction: Caesarean section (CS) causes some complications. We here attempted to determine the rate of CS complications, characterize their timing, and identify their risk factors among women delivered at Kilimanjaro Christian Medical …
View article: Neonatal Mortality is Modulated by Gestational Age, Birthweight and Fetal Heart Rate Abnormalities in the Low Resource Setting in Tanzania – a Five Year Review 2015-2019
Neonatal Mortality is Modulated by Gestational Age, Birthweight and Fetal Heart Rate Abnormalities in the Low Resource Setting in Tanzania – a Five Year Review 2015-2019 Open
Background Neonatal mortality (NM) remains a significant problem in low resource settings. Birth asphyxia (BA) and prematurity contribute significantly to NM. The study objectives were to determine first, the overall NM as well as yearly n…
View article: Placental pathology and maternal factors associated with stillbirth: An institutional based case-control study in Northern Tanzania
Placental pathology and maternal factors associated with stillbirth: An institutional based case-control study in Northern Tanzania Open
Objective To determine the placental pathologies and maternal factors associated with stillbirth at Kilimanjaro Christian Medical Centre, a tertiary referral hospital in Northern Tanzania. Methods A 1:2 unmatched case-control study was car…
View article: Brief Report: Impact of ART on Maternal Health After Cessation of Breastfeeding
Brief Report: Impact of ART on Maternal Health After Cessation of Breastfeeding Open
IMPAACT PROMISE 1077BF/FF was a sequentially randomized study of pregnant and postpartum women living with HIV to investigate the efficacy and safety of antiretroviral therapy (ART). This Maternal Health Component investigated efficacy for…
View article: Effect of Interpregnancy Interval on Adverse Maternal and Perinatal Outcomes at Katutura Regional Referral Hospital in Namibia: A Retrospective Cohort Study, 2005 to 2015
Effect of Interpregnancy Interval on Adverse Maternal and Perinatal Outcomes at Katutura Regional Referral Hospital in Namibia: A Retrospective Cohort Study, 2005 to 2015 Open
Objective: To determine the effect of interpregnancy interval (IPI) on adverse and perinatal outcomes among Namibian women who delivered at Katutura regional referral Hospital from January 2005 to December 2015. Methods:Retrospective cohor…
View article: Slow Acceptance of Universal Antiretroviral Therapy (ART) Among Mothers Enrolled in IMPAACT PROMISE Studies Across the Globe
Slow Acceptance of Universal Antiretroviral Therapy (ART) Among Mothers Enrolled in IMPAACT PROMISE Studies Across the Globe Open
The PROMISE trial enrolled asymptomatic HIV-infected pregnant and postpartum women not eligible for antiretroviral treatment (ART) per local guidelines and randomly assigned proven antiretroviral strategies to assess relative efficacy for …
View article: Using fetal scalp stimulation with Doppler ultrasonography to enhance intermittent auscultation in low-resource settings: a diagnostic trial from Tanzania
Using fetal scalp stimulation with Doppler ultrasonography to enhance intermittent auscultation in low-resource settings: a diagnostic trial from Tanzania Open
View article: Benefits and Risks of Antiretroviral Therapy for Perinatal HIV Prevention
Benefits and Risks of Antiretroviral Therapy for Perinatal HIV Prevention Open
Antenatal ART resulted in significantly lower rates of early HIV transmission than zidovudine alone but a higher risk of adverse maternal and neonatal outcomes. (Funded by the National Institutes of Health; PROMISE ClinicalTrials.gov numbe…
View article: Frequency, risk factors and feto-maternal outcomes of abruptio placentae in Northern Tanzania: a registry-based retrospective cohort study
Frequency, risk factors and feto-maternal outcomes of abruptio placentae in Northern Tanzania: a registry-based retrospective cohort study Open
View article: IL-10, IL-15, IL-17, and GMCSF levels in cervical cancer tissue of Tanzanian women infected with HPV16/18 vs. non-HPV16/18 genotypes
IL-10, IL-15, IL-17, and GMCSF levels in cervical cancer tissue of Tanzanian women infected with HPV16/18 vs. non-HPV16/18 genotypes Open