Status and Management of Cashew Disease in Tanzania

Cashew (Anacardium occidentale L.)is one of the most important export cropsand the main source of cash income in the southern part of Tanzania. However it is challenged by a number of factors such as drought, declining soil fertility, un-improved low yielding cashew genotypes, insect pests and diseases. Of these factors, diseases have been cited to result in high production costs, poor nut quality and low market price. The most devastating diseases that attack cashew are powdery mildew, cashew leaf and nut blight, dieback and fusarium wilt.Other minor diseasesinclude anthracnose, damping off and leaf spots.Despite the negative role that these diseases possess to cashew growers, there is limited or no critical updated information on their current infection status and management in Tanzania. Thus, this review articlediscusses the status of the most important cashew diseases and their management options in the country. Such informationwill be vital to cashewfarmers and other stakeholdersin making appropriate improvements in cashew production in Tanzania

The burden of co-existing dermatological disorders and their tendency of being overlooked among patients admitted to muhimbili national hospital in Dar es Salaam, Tanzania

\ud Skin diseases are underestimated and overlooked by most clinicians despite being common in clinical practice. Many patients are hospitalized with co-existing dermatological conditions which may not be detected and managed by the attending physicians. The objective of this study was to determine the burden of co-existing and overlooked dermatological disorders among patients admitted to medical wards of Muhimbili National hospital in Dar es Salaam. A hospital-based descriptive cross-sectional study conducted at Muhimbili National hospital in Dar es Salaam, Tanzania. Patients were consecutively recruited from the medical wards. Detailed interview to obtain clinico-demographic characteristics was followed by a complete physical examination. Dermatological diagnoses were made mainly clinically. Appropriate confirmatory laboratory investigations were performed where necessary. Data was analyzed using the 'Statistical Package for Social Sciences' (SPSS) program version 10.0. A p-value of < 0.5 was statistically significant. Three hundred and ninety patients admitted to medical wards were enrolled into the study of whom, 221(56.7%) were females. The mean age was 36.7 ± 17.9 (range 7-84 years). Overall, 232/390 patients (59.5%) had co-existing dermatological disorders with 49% (191/390) having one, 9% (36/390) two and 5 patients (1%) three. A wide range of co-existing skin diseases was encountered, the most diverse being non-infectious conditions which together accounted for 36.4% (142/390) while infectious dermatoses accounted for 31.5% (123/390). The leading infectious skin diseases were superficial fungal infections accounting for 18%. Pruritic papular eruption of HIV/AIDS (PPE) and seborrheic eczema were the most common non-infectious conditions, each accounting for 4.3%. Of the 232/390 patients with dermatological disorders, 191/232 (82.3%) and 154/232 (66.3%) had been overlooked by their referring and admitting doctors respectively. Dermatological disorders are common among patients admitted to medical wards and many are not detected by their referring or admitting physicians. Basic dermatological education should be emphasized to improve knowledge and awareness among clinicians.\u

Breeding cassava for brown streak resistance: regional cassava variety development strategy based on farmers and consumer preferences

Cassava is an important food crop in the East African coastal lowlands. However, yields are low due to various reasons amongst which are pests and diseases. Cassava brown streak virus disease (CBSD) is one of the major diseases of economic importance in Kenya, Tanzania, Mozambique and Malawi. Yield losses attributed to CBSD ranging from 49-74% have recently been reported in some coastal areas of Tanzania. It is estimated that in Tanzania alone, CBSD causes economic losses of more than USD 16,000,000 annually. The wide adoption of resistant varieties is the best sustainable control strategy. However, only a hand full of resistant/tolerant varieties is available in each of the severely affected countries. In order to increase the number of resistant varieties available to farmers, a seedling nursery was raised at Kibaha, Tanzania. About 513 seedlings were selected and cloned for further evaluation. At Kibaha, CBSD disease pressure and spread was very high. Therefore, 88% of the harvested seedling were infected. This indicated that this site was ideal for screening cassava genotypes for resistance to CBSD. Although the vector is still unknown, it was very active and infective at this site. Because the seedlings were raised from botanical seeds, ruling out the chance of vegetative plant material transmission, these results prove that vector transmission can account for a large percentage of plants infected in a field. Families with a high percentage of number of seedlings selected {PNSS} included Kiroba, 71762 and 188/00188. The importance of marking diseased seedlings during the growing season is discussed. Furthermore, massive introduction of germplasm through open quarantine, the establishment of crossing blocks to generate improved genotypes and the use of a decentralized participatory evaluation procedure have been initiated as important strategies towards availing farmers with a wider choice of improved varieties

Role of health facility governing committees in strengthening social accountability to improve the health system in Tanzania : protocol for a participatory action research study

INTRODUCTION: Social accountability is important for improving the delivery of health services and empowering citizens. The government of Tanzania has transferred authority to plan, budget and manage financial resources to the lower health facilities since 2017. Health facility governing committees (HFGCs) therefore play a pivotal role in ensuring social accountability. While HFGCs serve as bridges between health facilities and their communities, efforts need to be made to reinforce their capacity. This project therefore aims to understand whether, how and under what conditions informed and competent HFGCs improve social accountability. METHODS AND ANALYSIS: This study adopts a participatory approach to realist evaluation, engaging members of the HFGCs, health managers and providers and community leaders to: (1) map the challenges and opportunities of the current reform, (2) develop an initial programme theory that proposes a plan to strengthen the role of the HFGCs, (3) test the programme theory by developing a plan of action, (4) refine the programme theory through multiple cycles of participatory learning and (5) propose a set of recommendations to guide processes to strengthen social accountability in the Tanzanian health system. This project is part of an ongoing strong collaboration between the University of Dar es Saalam (Tanzania), and Umeå University (Sweden), providing opportunities for action learning and close interactions between researchers, decision-makers and practitioners. ETHICS AND DISSEMINATION: Ethical approval to conduct the study was obtained from the National Ethical Review Committee in Tanzania- National Institute for Medical Research (NIMR/HQ/R.8a/Vol.IX/3928). Permissions to conduct the study in the health facilities were given by the President's Office Regional Administration and Local Government and relevant regional and district authorities. The results will be published in open-access, peer-reviewed journals and presented at scientific conferences