Reducing Overcrowding in Prisons: Public Perceptions on Community Services: The Case of Ilala Municipality, Dar –Es-Salaam.

This study explored the extent to which the community services established by the Tanzanian Ministry of Home Affairs improved the welfare of prisoners in reducing overcrowding in prisons. Specifically, this study aimed to find out the understanding and perception of the public on community services and to explore prisoners ’community services outcomes for the welfare of prisoners. The methods of data collection applied in this study included in depth interviews, questionnaires and documentary reviews conducted from prisoners, magistrate and social welfare officers or probation officers. The public responses were based on two important indicators namely: Understanding the perception of community services and outcomes of community services. The findings revealed that, the majority of respondents had knowledge on community services. The findings have also shown that, more than half of respondents had negative answers towards the importance of community service to help offenders. With regard to perceived outcomes of the community services, the findings show that, the majority of respondents said the exercise was not effective. Based on the impact of community service to the community, state, prisoners and prisons, the findings revealed that, more benefits could be acquired if the exercise was well practiced. The findings further show that, the majority of respondents indicated that the community service in the country has not succeeded to reduce overcrowding in prisons. The findings of this study have shown that, there are few resources allocated for this exercise of community services, The study recommends that, the government and the Ministry of Home Affair in partnership with other partners should work together to make sure more resources are allocated for this exercise

Assessment of Oecophylla longinoda (Hymenoptera: Formicidae) in the Control of Mango Seed Weevil (Sternochetus mangiferae) in Mkuranga District Tanzania

Mango seed weevil S. mangiferae (Fabricius) (Coleoptera:Curculionidae), is one of the most important quarantined pest in commercial mango crop grown by small and medium growers in Tanzania. Though the damaged caused by mango seed weevil is pulp damage and mango seed which is used for propagation materials. The heavy use of broad spectrum insecticides in mango production has resulted in increased production costs, environmental pollution, disputes among neighbors and the reduction in natural enemies of insect pests and pollinators. Random fruit collection of 300 fruits during the mango season was carried out from weaver ant orchard and non weaver ant orchard to assess the effect of weaver ant on the management of mango seed weevil. Fruits were sampled at an interval of 30 days 60days and 90 days near to ripening stage. Foraged fruits with weaver ants were the only fruits collected for the assessment of the effect of weaver ant on the management of mango seed weevil. The African weaver ant colonization of mango trees ranged from 60% to 80%. An overall mean percentage infested mango fruits sampled at different stages of development to maturity stage were significantly different (p = 0.0001). The results from this study conclude that African weaver ant were able to control mango seed weevil and should be considered as a suitable component of Integrated Pest Management (IPM) for mango seed weevil in mango growing areas in Tanzania. Keywords: mango seed weevil, African Weaver Ant (AWA) Integrated Pest Management (IPM

Programmatic mapping and size estimation of key populations to inform HIV programming in Tanzania

INTRODUCTION:A programmatic mapping and size estimation study was conducted in 24 districts in 5 regions of Tanzania to estimate the size and locations of female sex workers (FSW) and men who have sex with men (MSM) to inform the HIV programming for Key Populations. METHODOLOGY:Data were collected at two levels: first, interviews were conducted with informants to identify venues where FSWs and MSM frequent. Secondly, the size of MSM and FSWs were estimated through interviews with FSWs, MSM and other informants at the venue. The venue estimates were aggregated to generate the ward level estimates. Correction factors were then applied to adjust for MSM/FSW counted twice or more, absent from the venues on the mapping day or remain online and hidden. The ward size estimates for mapped wards were extrapolated to non-mapped wards and aggregated to generate district and regional level estimates. RESULTS:A total of 4,557 level I interviews were conducted. Further, 3,098 FSWs and 1,074 other informants at the FSWs venues and 558 MSM and 210 other informants at the MSM venues were interviewed during level II. The mapping survey identified 6,658 FSW, 1,099 FSW and MSM and 50 MSM venues in 75 wards. A total of 118,057 (range: 108,269 to 127,845) FSWs and 23,771 (range: 22,087 to 25,454) MSM were estimated in the study regions after extrapolation and accounting for correction factors. It was estimated that 5.6% and 1.3% of the female and male population of reproductive age (15-49 years old) could be FSWs and MSM in the study regions, respectively. CONCLUSION:This study provides the baseline figures for planning, target setting and monitoring of the HIV intervention services in the study areas and geographic prioritisation of the response by allocating more resources to areas with a large number of FSWs and MSM

Supply chain management of laboratory supportive services and its potential implications on the quality of HIV diagnostic services in Tanzania

Background: Reliable supply of laboratory supportive services contributes significantly to the quality of HIV diagnostic services. This study assessed the status of supply chain management of laboratory supportive services and its potential implications on the quality of HIV diagnostic services in selected districts of Tanzania.Methods: The study was conducted in 39 health facilities (HFs) from eight districts in four regions of Tanzania, namely Iringa, Mtwara, Tabora and Tanga. Facilities with care and treatment centres for HIV/AIDS patients were purposively selected for the study. The study utilized a quantitative method of data collection. A questionnaire was administered to heads of laboratories to obtain information on laboratory supply chain management.Results:  A total of 39 health facilities (HF) were included in the study. This included 23 public and 16 private facilities. In 82% of the HFs, ordering of supplies was performed by the laboratory departments. The information commonly used to forecast requirements of the laboratories included the number of tests done (74.4%; n=29), current stock levels (69.2%; n=27), average monthly consumption (64.1%, n=25) and minimum and maximum stock levels (10.2%, n=4). Emergency orders were significantly common in public than private facilities (73.9% vs. 56.3%, p=0.004).  Delivery of ordered supplies took 1 to 180 days with a significantly longer period for public than private facilities (32.5 vs. 13.1 days, p=0.044). Most of the public HFs ordered supplies from diverse sources compared to private facilities (68.2% vs. 31.8%).Conclusion: There was a weak inventory management system and delays in delivery of supplies in the majority of HFs, which are likely to impede quality of HIV care and treatment. Strengthening capacity for data management and ensure constant supply will potentially improve the quality of HIV diagnostic services

Cash Transfer to Adolescent Girls and Young Women to Reduce Sexual Risk Behavior (CARE): Protocol for a Cluster Randomized Controlled Trial.

BACKGROUND: The HIV epidemic in Eastern and Southern Africa is characterized by a high incidence and prevalence of HIV infection among adolescent girls and young women (AGYW) aged 15-24 years. For instance, in some countries, HIV prevalence in AGYW aged 20-24 years exceeds that in AGYW aged 15-19 years by 2:1. Sauti (meaning voices), a project supported by the United States Agency for International Development, is providing HIV combination prevention interventions to AGYW in the Shinyanga region, Tanzania. OBJECTIVE: The aim of this study is to determine the impact of cash transfer on risky sexual behavior among AGYW receiving cash transfer and HIV combination prevention interventions. This paper describes the research methods and general protocol of the study. Risky sexual behavior will be assessed by herpes simplex virus type 2 (HSV-2) incidence, compensated sex (defined as sexual encounters motivated by exchange for money, material support, or other benefits), and intergenerational sex (defined as a sexual partnership between AGYW and a man 10 or more years older). Through a qualitative study, the study seeks to understand how the intervention affects the structural and behavioral drivers of the HIV epidemic. METHODS: The trial employs audio computer-assisted self-interviewing, participatory group discussions (PGDs), and case studies to collect data. A total of 30 matched villages (15 intervention and 15 control clusters) were randomized to either receive cash transfer delivered over 18 months in addition to other HIV interventions (intervention arm) or to receive other HIV interventions without cash transfer (control arm). Study participants are interviewed at baseline and 6, 12, and 18 months to collect data on demographics, factors related to HIV vulnerabilities, family planning, sexual risk behavior, gender-based violence, and HSV-2 and HIV infections. A total of 6 PGDs (3 intervention, 3 control) were conducted at baseline to describe perceptions and preferences of different intervention packages, whereas 20 case studies are used to monitor and unearth the dynamics involved in delivery and uptake of cash transfer. RESULTS: The study was funded in June 2017; enrollment took place in December 2017. A total of two rounds of the follow-up survey are complete, and one round has yet to be conducted. The results are expected in December 2019 and will be disseminated through conferences and peer-reviewed publications. CONCLUSIONS: This study will document the synergetic impact of cash transfer in the presence of HIV combination prevention interventions on risky sexual behavior among out-of-school AGYW. The results will strengthen the evidence of cash transfer in the reduction of risky sexual behavior and provide feasible HIV prevention strategies for AGYW. TRIAL REGISTRATION: Clinicaltrials.gov NCT03597243; https://clinicaltrials.gov/ct2/show/NCT03597243. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/14696

Prevalence and correlates of partner violence among adolescent girls and young women: Evidence from baseline data of a cluster randomised trial in Tanzania.

BACKGROUND: Little has been documented about partner violence among adolescent girls and young women (AGYW) who are out of school, a factor associated with HIV acquisition. To understand areas for prioritising HIV prevention intervention efforts, we explored the prevalence and correlates of partner violence among out of school AGYW in Shinyanga, Tanzania. METHODS: A cross-sectional analysis of data from AGYW aged 15-23 years recruited in a cluster randomised trial conducted between October and December 2017 was used to examine correlates of partner violence. Data were collected through an Audio Computer-Assisted Self-interview. Multivariate logistic regression analysis was used to evaluate the association. RESULTS: 2276 (75.5%) AGYW were sexually active. Of these, 816 (35.9%) reported having experienced violence from partners in the last six months. After adjusting for other covariates, being formerly married (AOR = 1.55, 95% CI:1.02, 2.37), having children (AOR = 1.79, 95% CI:1.47, 2.16), anxiety and depression symptoms (AOR = 3.27, 95%CI: 2.15, 4.96), having engaged in sex work in the past six months (AOR = 1.92, 95% CI: 1.45, 2.53) and economic deprivation (AOR = 1.61, 95% CI: 1.34,1.92) were significantly associated with partner violence. CONCLUSIONS: Almost one in three sexually active AGYW had experienced partner violence in the 6 months preceding the survey. The findings underscore the need for future research to focus on understanding the reasons and dynamics underlying high level of partner violence among AGYW. Furthermore, there is a need for implementing intervention programs that aim to reduce economic deprivation among AGYWs and address social norms and structures perpetuating violence against AGYW. TRIAL REGISTRATION: ClinicalTrials.gov-ID NCT03597243

Emergence of Epidemic Neisseria meningitidis Serogroup X Meningitis in Togo and Burkina Faso

Serogroup X meningococci (NmX) historically have caused sporadic and clustered meningitis cases in sub-Saharan Africa. To study recent NmX epidemiology, we analyzed data from population-based, sentinel and passive surveillance, and outbreak investigations of bacterial meningitis in Togo and Burkina Faso during 2006–2010. Cerebrospinal fluid specimens were analyzed by PCR. In Togo during 2006–2009, NmX accounted for 16% of the 702 confirmed bacterial meningitis cases. Kozah district experienced an NmX outbreak in March 2007 with an NmX seasonal cumulative incidence of 33/100,000. In Burkina Faso during 2007–2010, NmX accounted for 7% of the 778 confirmed bacterial meningitis cases, with an increase from 2009 to 2010 (4% to 35% of all confirmed cases, respectively). In 2010, NmX epidemics occurred in northern and central regions of Burkina Faso; the highest district cumulative incidence of NmX was estimated as 130/100,000 during March–April. Although limited to a few districts, we have documented NmX meningitis epidemics occurring with a seasonal incidence previously only reported in the meningitis belt for NmW135 and NmA, which argues for development of an NmX vaccine

Knowledge towards cervical cancer prevention and screening practices among women who attended reproductive and child health clinic at Magu district hospital, Lake Zone Tanzania: a cross-sectional study

Abstract Background Cervical cancer is a global leading cause of morbidity and mortality, attributable to the death of approximately 266,000 women every year. Majority (87%) of cervical cancer deaths occur in developing countries including Tanzania. Though knowledge of cervical cancer is an important determinant of women’s participation in prevention and screening for cervical cancer, little is known about this topic in Tanzania. This study aimed to determine the knowledge of cervical cancer prevention services and screening practices among women who attended Reproductive Child Health clinic at a district hospital in Lake Zone, Tanzania. This information is important to help designing appropriate interventions and scaling up cervical cancer control programs, hence accelerate the achievement towards Sustainable Development Goals. Methods A cross-sectional study was conducted from March to June 2017, involving 307 women attending reproductive and child health clinic at Magu district hospital. A questionnaire adopted from the validated Cervical Cancer Awareness Measure was used to collect data from the study participants. Data was analysed using SPSS version 20. Descriptive statistics were summarized using frequencies and percentages for categorical variables while mean and standard deviation was used for continuous variables. Multivariable logistic regressions model was used to estimate Adjusted Odds ratio with 95% CI for factors associated with knowledge. Results Knowledge of cervical cancer was low, where 82.7% of the women scored less than 50%. Majority (82.4%) were aware about cervical cancer. Secondary education or higher (OR = 7.77, 95% CI: 1.70-35.48) and “knowing someone who has ever had cervical cancer” (OR = 2.19, 95% CI: 1.16-4.13) were significantly associated with higher knowledge. Only 14.3% of participants practiced cervical cancer screening. Conclusions Majority of women lack comprehensive knowledge of cervical cancer and only few utilize screening services. Strategies for awareness creation about cervical cancer may help to improve knowledge and utilization of cancer screening practices

Crop losses in cowpea due to the pod-sucking bugs Riptortus dentipes, Mirperus jaculus, Anoplocnemis curvipes and Nezara viridula

The effects of increasing population densities of the cowpea pod-sucking bugs (PSB) Riptortus dentipes, Mirperus jaculus, Anoplocnemis curvipes and Nezara viridula were studied in caged potted cowpea (Vigna unguiculata) plants with infestation levels from 0 (control) to 12 adult bugs per cage. Generally, there was an increase in damage to cowpea (measured as damage to pods and seeds) with increasing in insect density. There was also a highly significant correlation between the number of infesting adult bugs and damage to pods and seeds, and a significant negative correlation between bug numbers and cowpea yield. The results suggest that control measures should be initiated at: 4 bugs (fourth instar and above) per 10 plants for R. dentipes and M. jaculus; 2 bugs per 10 plants for A. curvipes and 6 bugs per 10 plants for N. viridula at podding stage. RÉSUMÉ Les effets de l'augmentation des densités de population des punaises suceuses de gousses de niébé, Riptortus dentipes, Mirperus jaculus, Anoplocnemis curvipes et Nezara viridula ont été étudiés en utilisant des plants de niébé (Vigna unguiculata) en pots, mis en cage avec des niveaux d'infestations compris entre 0 (témoin) et 12 punaises adultes. En général, on constate une augmentation des dégâts (sur gousses et graines) avec l'augmentation des densités d'insectes. Nous avons également pu établir une corrélation hautement significative entre le nombre de punaises adultes et les dégâts sur gousses et graines, et une corrélation significativement négative entre le nombre de punaises et la production de niébé. Les résultats suggèrent que pendant la formation des gousses, les mesures de lutte devraient être initiées à 4 punaises pour 10 plantes pour R. dentipes et M. jaculus, à 2 punaises pour 10 plantes pour A. curvipes et à 6 punaises pour 10 plantes pour N. viridula