36 research outputs found

    An Assessment Of Effectiveness Of School Feeding Programs In Primary Schools: A Case Study of Ilala Municipal Council.

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    The aim of the study was to evaluate the effectiveness of the School Feeding Programs in Tanzanian primary schools. The study posed four investigative questions which were answered in order to attain the research objectives. The range of the research questions were such as what extent does implication of SFPs adhere to policies and strategies? How government executes its roles and functions relating to SFPs? Do stakeholders and schools capable to take up designated roles as stipulated in the policy? And what are the factors affecting effective implementation of SFPs? The results obtain in the study indicated that established the extent to which SFPs adhere to policies and strategies, how government executes its roles and functions relating to SFPs, whether stakeholders and schools were capable to take up designated roles as stipulated in the policy and factors affecting effective implementation of SFPs. Based on the findings, it was concluded that amidst the fact that there are well planned policies and strategies for govern SFPs in the Tanzania, generally, SFPs is ineffective. The ineffectiveness was mainly due to the weakness of the government to execute its roles and functions relating to SFPs as well as incapability of stakeholders and schools to take up designated roles as stipulated in the policy. With regard to the weakness of government, stakeholders and schools to support sustainability of SFPs; effective implementation of SFPs has been affected by inadequate fund to run SFPs, perceived high cost of operating SFPs and maladministration among other factors

    Experiences of unmarried fathers who are denied access to their biological children among amaXhosa communities in Mqanduli, Eastern Cape province

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    This study aimed to explore the experiences of unmarried fathers who are denied access to their biological children among amaXhosa communities in Mqanduli, Eastern Cape Province. This study also endeavoured to answer the following research questions: (i). what are the challenges encountered by unmarried fathers who are denied access to their biological children among amaXhosa communities in Mqanduli, Eastern Cape Province? (ii). what are government official's perceptions on experiences of unmarried fathers who are denied access to their biological children among amaXhosa communities in Mqanduli, Eastern Cape? (iii) What are the implications of denial of access of unmarried fathers to their biological children among amaXhosa communities in Mqanduli, Eastern Cape Province? This study adopted a qualitative approach within a phenomenological case study research design. A sample of forty participants comprising twenty unmarried biological fathers, seven statutory social workers, three presiding officers of children's court and ten cultural custodians was interviewed. The study revealed the following challenges: payment of pregnancy damages and bride price, unemployment, conflict with the maternal family, poverty, psycho-emotional breakdown, cultural responsibilities, terminated intimate partner relationship with the mother of the child, financial constraints, and lack of emotional and moral intelligence. The study recommends the development of a new 'family policy' to ensure integration of customary cultural practices and the legislative frameworks to provide a detailed parental-document to assist the new generation of parents in maintaining good parenting relations. Further, the study recommends the establishment of champions against absent and uninvolved fathers, where young men will explore fatherhood roles and develop educational and preventative strategies.Thesis (MSW) -- Faculty of Social Sciences and Humanities, 202

    Experiences of unmarried fathers who are denied access to their biological children among amaXhosa communities in Mqanduli, Eastern Cape province

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    This study aimed to explore the experiences of unmarried fathers who are denied access to their biological children among amaXhosa communities in Mqanduli, Eastern Cape Province. This study also endeavoured to answer the following research questions: (i). what are the challenges encountered by unmarried fathers who are denied access to their biological children among amaXhosa communities in Mqanduli, Eastern Cape Province? (ii). what are government official's perceptions on experiences of unmarried fathers who are denied access to their biological children among amaXhosa communities in Mqanduli, Eastern Cape? (iii) What are the implications of denial of access of unmarried fathers to their biological children among amaXhosa communities in Mqanduli, Eastern Cape Province? This study adopted a qualitative approach within a phenomenological case study research design. A sample of forty participants comprising twenty unmarried biological fathers, seven statutory social workers, three presiding officers of children's court and ten cultural custodians was interviewed. The study revealed the following challenges: payment of pregnancy damages and bride price, unemployment, conflict with the maternal family, poverty, psycho-emotional breakdown, cultural responsibilities, terminated intimate partner relationship with the mother of the child, financial constraints, and lack of emotional and moral intelligence. The study recommends the development of a new 'family policy' to ensure integration of customary cultural practices and the legislative frameworks to provide a detailed parental-document to assist the new generation of parents in maintaining good parenting relations. Further, the study recommends the establishment of champions against absent and uninvolved fathers, where young men will explore fatherhood roles and develop educational and preventative strategies.Thesis (MSW) -- Faculty of Social Sciences and Humanities, 202

    Twelve-month observational study of children with cancer in 41 countries during the COVID-19 pandemic

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    Introduction Childhood cancer is a leading cause of death. It is unclear whether the COVID-19 pandemic has impacted childhood cancer mortality. In this study, we aimed to establish all-cause mortality rates for childhood cancers during the COVID-19 pandemic and determine the factors associated with mortality. Methods Prospective cohort study in 109 institutions in 41 countries. Inclusion criteria: children <18 years who were newly diagnosed with or undergoing active treatment for acute lymphoblastic leukaemia, non-Hodgkin's lymphoma, Hodgkin lymphoma, retinoblastoma, Wilms tumour, glioma, osteosarcoma, Ewing sarcoma, rhabdomyosarcoma, medulloblastoma and neuroblastoma. Of 2327 cases, 2118 patients were included in the study. The primary outcome measure was all-cause mortality at 30 days, 90 days and 12 months. Results All-cause mortality was 3.4% (n=71/2084) at 30-day follow-up, 5.7% (n=113/1969) at 90-day follow-up and 13.0% (n=206/1581) at 12-month follow-up. The median time from diagnosis to multidisciplinary team (MDT) plan was longest in low-income countries (7 days, IQR 3-11). Multivariable analysis revealed several factors associated with 12-month mortality, including low-income (OR 6.99 (95% CI 2.49 to 19.68); p<0.001), lower middle income (OR 3.32 (95% CI 1.96 to 5.61); p<0.001) and upper middle income (OR 3.49 (95% CI 2.02 to 6.03); p<0.001) country status and chemotherapy (OR 0.55 (95% CI 0.36 to 0.86); p=0.008) and immunotherapy (OR 0.27 (95% CI 0.08 to 0.91); p=0.035) within 30 days from MDT plan. Multivariable analysis revealed laboratory-confirmed SARS-CoV-2 infection (OR 5.33 (95% CI 1.19 to 23.84); p=0.029) was associated with 30-day mortality. Conclusions Children with cancer are more likely to die within 30 days if infected with SARS-CoV-2. However, timely treatment reduced odds of death. This report provides crucial information to balance the benefits of providing anticancer therapy against the risks of SARS-CoV-2 infection in children with cancer

    African Linguistics in Central and Eastern Europe, and in the Nordic Countries

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    AN ASSESSMENT OF EFFECTIVENESS OF SCHOOL FEEDING PROGRAMS IN PRIMARY SCHOOLS IN TANZANIA: A CASE OF ILALA MUNICIPAL COUNCIL

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    The aim of the study was to evaluate the effectiveness of the School Feeding Programs in Tanzanian primary schools. The study posed four investigative questions which were answered in order to attain the research objectives. The range of the research questions were such as what extent does implication of SFPs adhere to policies and strategies? How government executes its roles and functions relating to SFPs? Do stakeholders and schools capable to take up designated roles as stipulated in the policy? And what are the factors affecting effective implementation of SFPs? The results obtain in the study indicated that established the extent to which SFPs adhere to policies and strategies, how government executes its roles and functions relating to SFPs, whether stakeholders and schools were capable to take up designated roles as stipulated in the policy and factors affecting effective implementation of SFPs. Based on the findings, it was concluded that amidst the fact that there are well planned policies and strategies for govern SFPs in the Tanzania, generally, SFPs is ineffective. The ineffectiveness was mainly due to the weakness of the government to execute its roles and functions relating to SFPs as well as incapability of stakeholders and schools to take up designated roles as stipulated in the policy. With regard to the weakness of government, stakeholders and schools to support sustainability of SFPs; effective implementation of SFPs has been affected by inadequate fund to run SFPs, perceived high cost of operating SFPs and maladministration among other factors

    A study on synchrony effects for adaptive HMI design : Effect on alertness, mental workload, situation awareness and performances

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    Le domaine des Interactions Homme Machine (IHM) s’intĂ©resse dĂšs ses dĂ©buts aux diffĂ©rences interindividuelles et Ă  leurs effets sur la performance. Pour rĂ©pondre aux difficultĂ©s posĂ©es par ces variabilitĂ©s pour la conception, 3 grands types d’IHM sont catĂ©gorisĂ©s :Les IHM adaptĂ©es, les IHM adaptables et les IHM adaptatives prenant en compte des particularitĂ©s propres Ă  l’utilisateur courant.L’implĂ©mentation de cette derniĂšre catĂ©gorie nĂ©cessite le concours de plusieurs disciplines pour dĂ©terminer les facteurs Ă  prendre en considĂ©ration par rapport Ă  la tĂąche et Ă  l’activitĂ© en cours et proposer des modĂšles utilisateurs de l’état de l’opĂ©rateur afin de modifier l’IHM. Dans ce travail de thĂšse, nous nous sommes intĂ©ressĂ©s aux variabilitĂ©s inter et intra-individuelles grĂące Ă  l'Ă©tude des effets de synchronie (moment de la journĂ©e optimal ou non en fonction du chronotype de l'individu considĂ©rĂ© (matinal/intermĂ©diaire/vespĂ©ral)) et du niveau de vigilance sur les performances. Les effets de synchronie ont Ă©tĂ© Ă©tudiĂ©s dans des domaines comme le marketing, mais sont peu Ă©tudiĂ©s en IHM. Une expĂ©rimentation a Ă©tĂ© rĂ©alisĂ©e auprĂšs de 62 participants et a permis d’étudier les effets du moment de la journĂ©e, du chronotype et de la difficultĂ© de la tĂąche sur les performances Ă  une tĂąche de simulation de navigation. Les rĂ©sultats obtenus montrent des effets significatifs de ces facteurs sur la performance et l'Ă©tat fonctionnel de l'opĂ©rateur avec des sensibilitĂ©s diffĂ©rentes en fonction de l'indicateur considĂ©rĂ©. Cela permet d'envisager des possibilitĂ©s de recommandations pour la prise en considĂ©ration de ces facteurs lors de la conception d'IHM adaptatives.The field of Human-Machine Interaction (HMI) has been interested in interindividual differences and its effect on performance since the beginning. To address the challenges posed by these variabilities in the design process, 3 types of HMI have been categorized:User-adapted HMIs, adaptable HMIs, and adaptive HMIs taking into account the current user’s characteristics. The implementation of this last category needs the support of several disciplines in order to determine the factors to take into consideration in relation to the current task and activity and products user models of the operator’s state so as to adjust the HMI accordingly. In this thesis, we were interested in interindividual and intraindividual variabilities via the study of synchrony effects (optimal or suboptimal time of day according to the considered individual’s chronotype (morning type/intermediary type/evening type)) and the level of alertness on performances. The synchrony effects have been studied in other fields such as marketing but are very under-studied in the HMI field. An experiment has been conducted with 62 participants in order to study the effect of time-of-day, chronotype and task difficulty on performances during a navigational simulation task. The results show significative effect of these factors on performance and operator’s functional state with different sensibilities depending on the indicator used, which allows possible recommendations on the consideration of those factors in adaptive HMI design

    Challenges and opportunities for hydrological drought mitigation in the Anthropocene : the case of the Upper Tana Basin in Kenya

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    Drought is a complex natural hazard that is increasingly causing major socio-economic and environmental losses across the globe. The arrival of the Anthropocene (human modified era) has complicated how the drought propagates from meteorological to hydrological. A number of recent studies have indicated that hydrological drought is not only caused by natural climate variability, but it is increasingly influenced and modified by human activities. Mitigating human induced or modified hydrological drought is a non-trivial challenge. In the light of this, this research presents a case study of a heavily modified catchment in Kenya, the Upper Tana basin. Kenya has experienced more than 30 droughts in the last 100 years, with the 2009-2011 drought event being the worst in 60 years. Using precipitation, temperature and runoff data (1976-2016), Standard drought indices, including SPEI/SPI and SRI, were used to characterize meteorological and hydrological droughts. Reservoir levels were also analysed. Drought features such as severity, lag, pooling, attenuation and lengthening, were identified. These are of practical importance to understanding drought impacts and mitigation options. A socio-hydrological framework was utilized to understand the feedbacks between the water users and hydrological droughts. This was done through qualitative study using semi-structured interviews, administered to 42 respondents, seeking to know how they were impacted by hydrological droughts and how they mitigated the impacts, as well as understanding any feedback loops. Results indicated a notable increase in frequency, severity and duration of meteorological and hydrological droughts from the 1990s. Satisfactory cross-correlation values of r, ~0.50, between SPI/SPEI and SRI, across the basin, at one month lag, indicated that it took one month for meteorological drought to be observed in the streamflow. The feedbacks resulting from the interplay between the water users and hydrological droughts revealed that measures implemented by the water users, aggravated the drought situation on the one hand, while others alleviated it. Unplanned consequences due to increased and unregulated surface and groundwater abstractions and cultivating on the riparian zone were identified. It was, however, not possible to ascertain the percentage with which human activities aggravate or alleviate hydrological drought impacts. This requires further research Monitoring of hydrological drought, in a human-influenced catchment like the Upper Tana basin, was a challenge due to limited institutional, human, knowledge and technological capacities, among others. Therefore, it is recommended that among the possible actions and approaches that a hydrological drought monitoring and early warning system is essential. In addition, monitoring of water demands against the available resources and proactive governance and regulating of human activities is recommended. Besides, the co-development of hydrological drought products and climate services, timely communication of hydrological drought information and bridging the gap between society, science (information providers) and politics is further recommended. This research contributes towards a foundation for further exploration of feedbacks between hydrological droughts and society in the Anthropocene. While this research was developed in the Upper Tana basin, the approach is equally applicable to other basins in the world. The research also contributes to the activities of the Scientific Decade (2013-2022), named “Phanta Rhei”, that promotes research activities that bridge the gap between the natural and social science (socio-hydrology) and between science and practice

    Étude de l'effet de synchronie pour la conception d'IHM adaptatives : Effet sur la vigilance, la charge mentale, la conscience de la situation et les performances

    No full text
    The field of Human-Machine Interaction (HMI) has been interested in interindividual differences and its effect on performance since the beginning. To address the challenges posed by these variabilities in the design process, 3 types of HMI have been categorized:User-adapted HMIs, adaptable HMIs, and adaptive HMIs taking into account the current user’s characteristics. The implementation of this last category needs the support of several disciplines in order to determine the factors to take into consideration in relation to the current task and activity and products user models of the operator’s state so as to adjust the HMI accordingly. In this thesis, we were interested in interindividual and intraindividual variabilities via the study of synchrony effects (optimal or suboptimal time of day according to the considered individual’s chronotype (morning type/intermediary type/evening type)) and the level of alertness on performances. The synchrony effects have been studied in other fields such as marketing but are very under-studied in the HMI field. An experiment has been conducted with 62 participants in order to study the effect of time-of-day, chronotype and task difficulty on performances during a navigational simulation task. The results show significative effect of these factors on performance and operator’s functional state with different sensibilities depending on the indicator used, which allows possible recommendations on the consideration of those factors in adaptive HMI design.Le domaine des Interactions Homme Machine (IHM) s’intĂ©resse dĂšs ses dĂ©buts aux diffĂ©rences interindividuelles et Ă  leurs effets sur la performance. Pour rĂ©pondre aux difficultĂ©s posĂ©es par ces variabilitĂ©s pour la conception, 3 grands types d’IHM sont catĂ©gorisĂ©s :Les IHM adaptĂ©es, les IHM adaptables et les IHM adaptatives prenant en compte des particularitĂ©s propres Ă  l’utilisateur courant.L’implĂ©mentation de cette derniĂšre catĂ©gorie nĂ©cessite le concours de plusieurs disciplines pour dĂ©terminer les facteurs Ă  prendre en considĂ©ration par rapport Ă  la tĂąche et Ă  l’activitĂ© en cours et proposer des modĂšles utilisateurs de l’état de l’opĂ©rateur afin de modifier l’IHM. Dans ce travail de thĂšse, nous nous sommes intĂ©ressĂ©s aux variabilitĂ©s inter et intra-individuelles grĂące Ă  l'Ă©tude des effets de synchronie (moment de la journĂ©e optimal ou non en fonction du chronotype de l'individu considĂ©rĂ© (matinal/intermĂ©diaire/vespĂ©ral)) et du niveau de vigilance sur les performances. Les effets de synchronie ont Ă©tĂ© Ă©tudiĂ©s dans des domaines comme le marketing, mais sont peu Ă©tudiĂ©s en IHM. Une expĂ©rimentation a Ă©tĂ© rĂ©alisĂ©e auprĂšs de 62 participants et a permis d’étudier les effets du moment de la journĂ©e, du chronotype et de la difficultĂ© de la tĂąche sur les performances Ă  une tĂąche de simulation de navigation. Les rĂ©sultats obtenus montrent des effets significatifs de ces facteurs sur la performance et l'Ă©tat fonctionnel de l'opĂ©rateur avec des sensibilitĂ©s diffĂ©rentes en fonction de l'indicateur considĂ©rĂ©. Cela permet d'envisager des possibilitĂ©s de recommandations pour la prise en considĂ©ration de ces facteurs lors de la conception d'IHM adaptatives

    Health seeking and health related behaviour for type 2 diabetes mellitus among adults in an urban community in Tanzania

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    Early in the 20th century, diabetes mellitus was considered to be a rare medical condition in African countries, and mostly in sub-Saharan Africa. Over the past 30 or 40 years however, the situation has changed. Diabetes is now regarded as a major public health problem throughout Africa particularly among urban communities. The disease is little understood in the general population and is often poorly detected. Previous research, for example, shows about 50 percent of people with type 2 diabetes mellitus in Tanzania are unaware of their condition and more than 80 percent diabetes cases are undiagnosed. This thesis aims to explore factors influencing health-seeking and health related behaviour among adult patients with type 2 diabetes mellitus in an urban community in Tanzania. It seeks to answer the following key question: What are the key factors influencing health seeking and health related behaviour and care management for type 2 diabetes mellitus? Data collection was carried out from March to June 2007 in two diabetes clinics in Dar es Salaam, the commercial capital city of Tanzania. The main study population consisted of patients aged 35 years and above who had been diagnosed with the disease more than one year before the time of the current study. In-depth interviews were carried out with 20 frequent and 10 infrequent clinic attendees, their 14 caregivers, and seven health care workers; while key informant interviews were carried out with six key national health officials. Furthermore, eight focus group discussions were carried out with people with diabetes and selected community members. Multiple influences on health-seeking behaviour were identified, many of which affected clinic attendance, adherence to treatment programmes, and outcomes. These influences included poor accessibility to diabetes drugs and other services at the clinics, lack of financial resources for transport to the clinic and purchasing of drugs, overcrowded and inadequate public transport, lay beliefs and models of disease causation and treatment which accentuate the role of traditional healers, and poor organisation of the clinics leading to long queues and waiting times. The findings suggest that improving the delivery of care to people with diabetes will require action to address a range of structural, financial, cultural, and administrative issues. These might include improving the distribution and accessibility of essential diabetes drugs, as well as the accessibility and affordability of health care services, patient and public education, involvement of traditional healers, better provision of public transport and more patient-centred organisation of care in public health clinics. The findings have significant policy implications. First, the government needs to decentralise the current diabetes services from regional and district facilities to primary health care centres and existing dispensaries, along with procuring adequate drugs, equipment and health care providers to enhance access to services. Second, the government should develop mechanisms for working with traditional health practitioners as a strategy to enhance early referral of people with diabetes by these practitioners to biomedical care facilities to improve the rates of early diagnosis and management of this disease. Finally, the government needs to acknowledge the growing threat of NCDs such as diabetes and develop national prevention and control strategies including general public education about the disease
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