Effects of Foreign Banks Presence on Emerging Economies: Evidence from Tanzania

Foreign banks presence has increased rapidly since 1990 where emerging economies lifted restrictions in their financial systems. Currently the ownership of foreign banks in many developing countries is more than 50%. Academically the positive effects of foreign banks participation are widely accepted in these emerging markets. However unlike studies of foreign investment in real sectors, little has been done to understand the negative effects from foreign banks to domestic banks and society in general. The importance of such understanding is crucial, especially after the break out of the global financial crisis and pandemic Covid 19 which raises certain concerns regarding the market – driven model of these emerging markets. The paper highlights this trend and survey the existing literature in order to explore the effects of foreign banks presence in emerging economies paying particular attention to Tanzania banking sector. It has been observed that; Competition and efficiency, stability and access to credits are among the effects that have been influenced by foreign banks participation. The descriptive results also revealed that foreign banks perform better in term of ROA and ROE than domestic banks in Tanzania during 2017 – 2021, but the performance of foreign banks is unstable and risky as compared to domestic banks. Keywords: Foreign banks presence, Domestic banks, Emerging Economies, Return on Asset, Return on Equity. DOI: 10.7176/RJFA/14-12-04 Publication date:June 30th 202

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Organochlorine pesticides and polycyclic aromatic hydrocarbons in marine sediments and polychaete worms from the west coast of Unguja island, Tanzania

The coastal areas of Stone Town, on the island of Unguja that is part of Zanzibar, are subjected to different anthropogenic activities and receive untreated municipal wastes that are likely to carry organic pollutants that can bio-accumulate in marine organisms. Sediments and polychaete worms Capitella capitata collected from coastal sites north and south of Stone Town were analysed for organochlorine pesticides (OCPs) and polycyclic aromatic hydrocarbons (PAHs) using GC-MS to assess their pollution status in the coastal environment and uptake by the food web. The analysis revealed quantifiable concentrations of DDTs, cyclodienes, and HCHs, and six of the 11 USEPA-priority PAHs. The concentration ranges of ΣOCPs were 0.1–100 ng/g dm (dry mass) and 8.5–96 ng/g lm (lipid mass) in sediments and worms, respectively. The concentrations of ΣPAHs6 ranged from non-detectable to 27 ng/g dm in sediments and non-detectable to 18 ng/g lm (lipid mass) in worms. Malindi harbour was the most contaminated of all sites with respect to the pollutants we measured in both sediments and worms. The relative compositions of the OCPs suggest legacy use of DDT and technical HCH, and more recent use of lindane. The relatively higher proportion of low molecular mass PAHs to high molecular mass PAHs suggests major contributions from petrogenic sources in the study area. The results demonstrated bioavailability and uptake of OCPs and PAHs to the food web via C. capitata. Concentrations of DDTs, HCHs, and dieldrin exceed sediment quality guidelines, indicating risk to sediment-dwelling organisms, as well as organisms that eat them. It is likely that other toxic compounds are present, suggesting that the current assessment may underestimate the risk. Due to the indicated risk, further work is needed to look at coastal distributions, terrestrial concentrations, and accumulation of pollutants into higher trophic level organisms of Zanzibar and associated seas.Funding agencies: Building Stronger University (BSU-II) programme of the State University of Zanzibar, Tanzania; Western Indian Ocean Marine Science Association (WIOMSA), Tanzania through a MARG II programme</p

The key organizational factors in healthcare waste management practices of Libyan public hospitals

From MDPI via Jisc Publications RouterHistory: accepted 2021-11-10, pub-electronic 2021-11-19Publication status: PublishedThis study aims to investigate factors contributing to healthcare waste management practices among Libyan public hospitals. The organizational culture and structure are proposed to have their effect upon hospital organizational units in charge of healthcare waste production by a theoretical review to develop two main hypotheses. Hence, this study used the stratified random sampling technique to select respondents such as top management officials, heads of departments, and administrators who work in all the hospitals located in the south of Libya, from whom data was collected. The data for the study was gathered via a survey questionnaire from Libyan public hospitals in the country’s southern region. A total of 210 questionnaires were distributed and 171 usable responses were received, yielding a 70% response rate. Though the findings of the study show some inconsistency, the two dimensions of the culture examined in this study are found to have a positive relationship and significant influence on the management practices of health waste. Besides, it shows the positive relationship between organizational structure and healthcare waste management practices (HWMP). However, the findings of this study suggested that nurses and cleaners’ practices should critically consider structure dimensions such as formalization as well as moderating variables such as hospital location and type of services supplied on the interactions to improve the management of healthcare waste in Libya’s public hospitals.13pubpub2

Abstracts of Tanzania Health Summit 2020

This book contains the abstracts of the papers/posters presented at the Tanzania Health Summit 2020 (THS-2020) Organized by the Ministry of Health Community Development, Gender, Elderly and Children (MoHCDGEC); President Office Regional Administration and Local Government (PORALG); Ministry of Health, Social Welfare, Elderly, Gender, and Children Zanzibar; Association of Private Health Facilities in Tanzania (APHFTA); National Muslim Council of Tanzania (BAKWATA); Christian Social Services Commission (CSSC); &amp; Tindwa Medical and Health Services (TMHS) held on 25–26 November 2020. The Tanzania Health Summit is the annual largest healthcare platform in Tanzania that attracts more than 1000 participants, national and international experts, from policymakers, health researchers, public health professionals, health insurers, medical doctors, nurses, pharmacists, private health investors, supply chain experts, and the civil society. During the three-day summit, stakeholders and decision-makers from every field in healthcare work together to find solutions to the country’s and regional health challenges and set the agenda for a healthier future. Summit Title: Tanzania Health SummitSummit Acronym: THS-2020Summit Date: 25–26 November 2020Summit Location: St. Gasper Hotel and Conference Centre in Dodoma, TanzaniaSummit Organizers: Ministry of Health Community Development, Gender, Elderly and Children (MoHCDGEC); President Office Regional Administration and Local Government (PORALG); Ministry of Health, Social Welfare, Elderly, Gender and Children Zanzibar; Association of Private Health Facilities in Tanzania (APHFTA); National Muslim Council of Tanzania (BAKWATA); Christian Social Services Commission (CSSC); &amp; Tindwa Medical and Health Services (TMHS)

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background: Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods: This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was coprioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low-middle-income countries. Results: In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of 'single-use' consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low-middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion: This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high- and low-middle-income countries