National report of IFMP catch assessment survey (CAS) for August 2005

The first comprehensive CAS was carried out during the month of July 2005 This is the second report of CAS for the month of August 2005 following the July report. The design and methodology followed was the same as in July. This report highlights the results obtained in August catch assessment survey. The report gives estimates of mean catch rates in Kgs./boat/day, total catches in M.tons and values of the catch by species. The total catch for August was 31,633.0 M. tons. This is lower when compared with the July catch which was 39,745.1 M. tons. In August the catch composed of Dagaa (45%), Nile perch (33%), Haplochromines (16%), Tilapiines (5%) and all other species combined (1%). (PDF contains 14 pages

Relationship between body size of adult Anopheles gambiae s.l. and infection with the malaria parasite Plasmodium falciparum

The influence of adult female body size of Anopheles gambiae s.l. on development of midgut and salivary gland infections by the parasite Plasmodium falciparum was investigated in a field study carried out in Tanzania. The proportion of mosquitoes infected during a blood meal was independent of size. However, the number of oocysts harboured by infected mosquitoes increased with size of the mosquito. The proportion of mosquitoes with sporozoites, and thus potentially infective to humans, was highest in intermediate-sized mosquitoes, whereas the largest and smallest mosquitoes were less likely to have sporozoites. This pattern is interpreted as a combination of high survival rate of large, uninfected mosquitoes and of low survival rate of mosquitoes infected with many oocyst

Gender Roles in Small Holder Dairy Farming: Pertinent Issues on Access and Control over Dairy Farming in Arumeru District, Tanzania

A study on gender roles in dairy farming and management was conducted in Arumeru district, Tanzania. The study involved women in dairy farming groups and those not in groups. The objective of this study was to assess gender role in dairy farming and management, access and control over income obtained as well as, animal ownership, decision making  and opportunities in dairy farming system in Arumeru. Cross sectional research design was adopted using structured questionnaires to collect information from households from six villages namely Bangata, Sasi, Inshupu, Enaboishu, Sokoni II and Nkoaranga. Descriptive analysis and Chi-square were used to test the statistical significance of categorical and continuous data respectively. The results showed that women contribute more labour force in dairy management than men, those women who were not in groups did not have a full access and control over dairy farming enterprise. Furthermore, it was observed that those women in groups were in a good position to overcome traditional practice. Women who belonged to groups controlled and had access to resources such as livestock (dairy cattle) and income generated from them. However, since most of the farmer groups were still infants, it has been recommended that the women groups should get financial assistance from the government agencies. Similarly, in conjunction with encouraging more women to join groups, gender relations in dairy management should be reassessed to minimize the work load burden to women which affects the level of production and sustainability of the dairy enterprise. Keywords: Access and control, dairy management, gender, women groups.

Agriculture is the main driver of deforestation in Tanzania

Reducing deforestation can generate multiple economic, social and ecological benefits by safeguarding the climate and other ecosystem services provided by forests. Understanding the relative contribution of different drivers of deforestation is needed to guide policies seeking to maintain natural forest cover. We assessed 119 randomly selected plots from areas deforested between 2010 and 2017, in Tanzania. Through ground surveys and stakeholder interviews we assessed the proximate deforestation drivers at each point. Crop cultivation was the most commonly observed driver occurring in 89% of plots, compared to livestock grazing (69%) and charcoal (35%). There was evidence of fire in 77% of plots. Most deforestation events involved multiple drivers, with 83% of plots showing signs of two or more drivers. Stakeholder interviews identified agriculture as the primary deforestation driver in 81% of plots, substantially more than charcoal production (12%), timber harvesting (1%) and livestock (1%). Policy-makers in Tanzania have sought to reduce deforestation by reducing demand for charcoal. However, our work demonstrates that agriculture, not charcoal, is the main driver of deforestation in Tanzania. Beyond protected areas, there is no clear policy limiting the conversion of forests to agricultural land. Reducing deforestation in Tanzania requires greater inter-sectoral coordination between the agriculture, livestock, land, energy and forest sectors

A descriptive qualitative case study of the experiences, perceptions, and attitudes of pregnant women on Unguja island, Zanzibar, towards antischistosomal treatment

Many countries exclude pregnant and lactating women from mass drug administration (MDA) programmes with praziquantel against schistosomiasis due to historic safety concerns over drug use during gestation and breast feeding. More than 10 years of empirical evidence from the field and a growing body of dedicated research has prompted the World Health Organisation and schistosomiasis control initiatives to advocate the inclusion of this vulnerable group into MDA. This qualitative descriptive case study explored, over a five-week period, the subjective experiences, perceptions, opinions, and attitudes of pregnant women attending government supported clinics on Unguja island, United Republic of Tanzania, towards praziquantel use during pregnancy in MDA programmes. The aim of the study was to identify and determine how to overcome potential barriers to effective use of MDA medications during pregnancy. Additionally, it was to determine trusted communication channels for future messaging and discover behavioural and community opportunities to increase participation of pregnant women in future MDA efforts. A 60-minute, semi-structured qualitative interview was undertaken with 25 pregnant women recruited from 4 health centres on Unguja along with testing for Schistosoma haematobium infection. Using a modified-grounded theory approach, narrative data were transcribed, coded and analysed using a thematic analysis of the emergent themes. Women reported they rely on traditional home remedies to stay healthy during pregnancy. Influenced by their mothers, husbands and neighbours, women predominately made medication choices during pregnancy and breastfeeding based on what they heard at home. Most women had been excluded from government MDA programmes in the past due to pregnancy. Women valued healthcare services for antenatal education and pregnancy advice. Women reported they would trust and follow direction from healthcare providers about taking praziquantel during pregnancy. Antenatal clinics offer an excellent opportunity to educate and expand praziquantel treatment to this cohort. Efforts should be augmented with training for providers and behavioural education for the community as a whole and family members of pregnant women

The rise and fall of Anopheles arabiensis (Diptera: Culicidae) in a Tanzanian village

The continual recruitment of new individuals makes it difficult to study both the survival of multivoltine mosquitoes, and the size of the infectious reservoir in narural populations of malaria vectors. During long-term surveillance of a population of Anopheles gambiae Giles sensu lato in a Tanzanian village by daily light trapping, a temporary dry spell resulted in the cessation of recruitment for a period of 33 days, and a decline in numbers of A. arabiensis Patton caught from over 2000 to less than 10 in a sentinel house. Traps placed elsewhere in the village indicated similar proportionate declines although numbers caught varied according to location. A survival rate of 83% per day was estimated from the rate of population decline. Survival was unrelated to the size of the mosquitoes. The infectious reservoir (the chance of a mosquito acquiring an infection) was estimated to be 2% per feed. The exploitation of fortuitous events which temporarily eliminate a single stage in the life cycle has general applicability in the study of the bionomics of multivoltine insect

Routine delivery of artemisinin-based combination treatment at fixed health facilities reduces malaria prevalence in Tanzania: an observational study

BACKGROUND Artemisinin-based combination therapy (ACT) has been promoted as a means to reduce malaria transmission due to their ability to kill both asexual blood stages of malaria parasites, which sustain infections over long periods and the immature derived sexual stages responsible for infecting mosquitoes and onward transmission. Early studies reported a temporal association between ACT introduction and reduced malaria transmission in a number of ecological settings. However, these reports have come from areas with low to moderate malaria transmission, been confounded by the presence of other interventions or environmental changes that may have reduced malaria transmission, and have not included a comparison group without ACT. This report presents results from the first large-scale observational study to assess the impact of case management with ACT on population-level measures of malaria endemicity in an area with intense transmission where the benefits of effective infection clearance might be compromised by frequent and repeated re-infection. METHODS A pre-post observational study with a non-randomized comparison group was conducted at two sites in Tanzania. Both sites used sulphadoxine-pyrimethamine (SP) monotherapy as a first-line anti-malarial from mid-2001 through 2002. In 2003, the ACT, artesunate (AS) co-administered with SP (AS + SP), was introduced in all fixed health facilities in the intervention site, including both public and registered non-governmental facilities. Population-level prevalence of Plasmodium falciparum asexual parasitaemia and gametocytaemia were assessed using light microscopy from samples collected during representative household surveys in 2001, 2002, 2004, 2005 and 2006. FINDINGS Among 37,309 observations included in the analysis, annual asexual parasitaemia prevalence in persons of all ages ranged from 11% to 28% and gametocytaemia prevalence ranged from <1% to 2% between the two sites and across the five survey years. A multivariable logistic regression model was fitted to adjust for age, socioeconomic status, bed net use and rainfall. In the presence of consistently high coverage and efficacy of SP monotherapy and AS + SP in the comparison and intervention areas, the introduction of ACT in the intervention site was associated with a modest reduction in the adjusted asexual parasitaemia prevalence of 5 percentage-points or 23% (p < 0.0001) relative to the comparison site. Gametocytaemia prevalence did not differ significantly (p = 0.30). INTERPRETATION The introduction of ACT at fixed health facilities only modestly reduced asexual parasitaemia prevalence. ACT is effective for treatment of uncomplicated malaria and should have substantial public health impact on morbidity and mortality, but is unlikely to reduce malaria transmission substantially in much of sub-Saharan Africa where individuals are rapidly re-infected.Financial support for IMPACT-Tz came primarily from CDC, the U.S. Agency for International Development and the Wellcome Trust

Assessing frailty amongst older people admitted to hospital in a low-income setting: a multicentre study in northern Tanzania

\ua9 The Author(s) 2024.Background: Populations are ageing globally and Low- and Middle-Income Countries (LMICs) are experiencing the fastest rates of demographic change. Few studies have explored the burden of frailty amongst older people in hospital in LMICs, where healthcare services are having to rapidly adapt to align with the needs of older people. This study aimed to measure the prevalence of frailty amongst older people admitted to hospital in Tanzania and to explore their demographic and clinical characteristics. Methods: This study had a prospective observational design. Over a six-month period, all adults ≥ 60 years old admitted to medical wards in four hospitals in northern Tanzania were invited to participate. They were screened for frailty using the Clinical Frailty Scale (CFS) and the Frailty Phenotype (FP). Demographic and clinical characteristics of interest were recorded in a structured questionnaire. These included the Barthel Index, the Identification of Elderly Africans Instrumental Activities of Daily Living (IADEA-IADL) and Cognitive (IDEA-Cog) screens, the EURO-D depression scale and Confusion Assessment Method. Results: 540 adults aged ≥ 60 were admitted, and 308 completed assessment. Frailty was present in 66.6% using the CFS and participants with frailty were significantly older, with lower levels of education and literacy, greater disability, greater comorbidity, poorer cognition and higher levels of delirium. Using the FP, 57.0% of participants were classed as frail though a majority of participants (n = 159, 51.6%) could not be classified due to a high proportion of missing data. Conclusions: This study indicates that the prevalence of frailty on medical wards in northern Tanzania is high according to the CFS. However, the challenges in operationalising the FP in this setting highlight the need for future work to adapt frailty screening tools for an African context. Future investigations should also seek to correlate frailty status with long-term clinical outcomes after admission in this setting

KINET: A social marketing programme of treated nets and net treatment for malaria control in Tanzania, with evaluation of child health and long-term survival

We present a large-scale social marketing programme of insecticide-treated nets in 2 rural districts in south-western Tanzania (population 350 000) and describe how the long-term child health and survival impact will be assessed. Formative and market research were conducted in order to understand community perceptions, knowledge, attitudes and practice with respect to the products to be socially marketed. We identified Zuia Mbu (Kiswahili for ‘prevent mosquitoes') as a suitable brand name for both treated nets and single-dose insecticide treatment sachets. A mix of public and private sales outlets is used for distribution. In the first stage of a stepped introduction 31 net agents were appointed and trained in 18 villages: 15 were shop owners, 14 were village leaders, 1 was a parish priest and 1 a health worker. For net treatment 37 young people were appointed in the same villages and trained as agents. Further institutions in both districts such as hospitals, development projects and employers were also involved in distribution. Promotion for both products was intense and used a variety of channels. A total of 22 410 nets and 8072 treatments were sold during the first year: 18 months after launching, 46% of 312 families with children aged under 5 years reported that their children were sleeping under treated nets. A strong evaluation component in over 50 000 people allows assessment of the long-term effects of insecticide-treated nets on child health and survival, anaemia in pregnancy, and the costs of the intervention. This evaluation is based on cross-sectional surveys, and case-control and cohort studie