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Essential Coaching for Every Mother Tanzania (ECEM-TZ): Protocol for a Type 1 Hybrid Effectiveness-Implementation Randomized Controlled Trial

Essential Coaching for Every Mother Tanzania (ECEM-TZ): Protocol for a Type 1 Hybrid Effectiveness-Implementation Randomized Controlled Trial

Due to the severe shortage of health care providers and the low rate of in-person postnatal contacts in Tanzania [12], Essential Coaching for Every Mother Tanzania (ECEM-TZ) is poised to bridge this gap without adding a significant burden to the health system. The goal of the ECEM-TZ intervention is to improve maternal access to knowledge during the immediate 6-week postnatal period, and to increase maternal self-efficacy and improve mental health outcomes.

Justine Dol, Lilian Teddy Mselle, Marsha Campbell-Yeo, Columba Mbekenga, Thecla Kohi, Douglas McMillan, Cindy-Lee Dennis, Gail Tomblin Murphy, Megan Aston

JMIR Res Protoc 2024;13:e63454

Toward a Clinical Decision Support System for Monitoring Therapeutic Antituberculosis Medical Drugs in Tanzania (Project TuberXpert): Protocol for an Algorithm' Development and Implementation

Toward a Clinical Decision Support System for Monitoring Therapeutic Antituberculosis Medical Drugs in Tanzania (Project TuberXpert): Protocol for an Algorithm' Development and Implementation

We will then, in Tanzania, expose a cohort of clinicians to these reports and collect their input through semistructured interviews. We expect to reach 10 clinicians from different facilities, in Tanzania. We also aim to ask 10 non-Tanzanian clinicians to obtain helpful information about varying preferences regarding information representation depending on culture or background.

Yann Thoma, Annie E Cathignol, Yuan J Pétermann, Margaretha L Sariko, Bibie Said, Chantal Csajka, Monia Guidi, Stellah G Mpagama

JMIR Res Protoc 2024;13:e58720

Multicomponent Intervention to Improve Acute Myocardial Infarction Care in Tanzania: Protocol for a Pilot Implementation Trial

Multicomponent Intervention to Improve Acute Myocardial Infarction Care in Tanzania: Protocol for a Pilot Implementation Trial

Against this backdrop, AMI outcomes in Tanzania are currently poor: approximately 90% of AMI cases are misdiagnosed, and 30-day mortality among patients with AMI is 43% [12]. In response to these findings, an interdisciplinary design team consisting of providers from the study hospital and global experts in implementation science, emergency medicine, and cardiology, developed a multicomponent intervention to improve the uptake of evidence-based AMI care in Tanzania.

Julian T Hertz, Francis M Sakita, Faraan O Rahim, Blandina T Mmbaga, Frida Shayo, Vivian Kaboigora, Julius Mtui, Gerald S Bloomfield, Hayden B Bosworth, Janet P Bettger, Nathan M Thielman

JMIR Res Protoc 2024;13:e59917

Capitalizing on Community Groups to Improve Women’s Resilience to Maternal and Child Health Challenges: Protocol for a Human-Centered Design Study in Tanzania

Capitalizing on Community Groups to Improve Women’s Resilience to Maternal and Child Health Challenges: Protocol for a Human-Centered Design Study in Tanzania

In Tanzania, MMR has continued to be alarming despite some improvements. The Tanzania Demographic and Health Survey and Malaria Indicator Survey have been indicating a fluctuation in MMR. For instance, a decrease from 578 to 454 per 100,000 live births in 2005 and 2010 respectively, followed by a rise to 524 per 100,000 live births in 2017 [6].

Kahabi Ganka Isangula, Aminieli Itaeli Usiri, Eunice Siaity Pallangyo

JMIR Res Protoc 2024;13:e54323

Mobile Phone–Based Confidential Social Network Referrals for HIV Testing (CONSORT): Protocol for a Randomized Controlled Trial

Mobile Phone–Based Confidential Social Network Referrals for HIV Testing (CONSORT): Protocol for a Randomized Controlled Trial

The study will be conducted in Moshi, Tanzania. Moshi is the commercial center and administrative capital of the Kilimanjaro Region in northern Tanzania and has an estimated population of about 535,000 [18]. Moshi has 25 HIV counseling and testing (HCT) facilities that offer free HIV testing; many of these function as HIV care and treatment centers (CTCs), providing free HIV care to persons living with HIV [19].

Jan Ostermann, Bernard Njau, Marco van Zwetselaar, Thespina Yamanis, Leah McClimans, Rose Mwangi, Melkiory Beti, Amy Hobbie, Salomé-Joelle Gass, Tara Mtuy, Nathan Thielman

JMIR Res Protoc 2024;13:e55068

Leveraging AI and Machine Learning to Develop and Evaluate a Contextualized User-Friendly Cough Audio Classifier for Detecting Respiratory Diseases: Protocol for a Diagnostic Study in Rural Tanzania

Leveraging AI and Machine Learning to Develop and Evaluate a Contextualized User-Friendly Cough Audio Classifier for Detecting Respiratory Diseases: Protocol for a Diagnostic Study in Rural Tanzania

The research will increase the pool of health experts with skills in the application of AI or ML developing diagnostic tests in Tanzania. It is expected that the cough audio classifier if found effective during future definitive trials, can be trademarked. The study will take place across the Shinyanga Region of Tanzania. The Shinyanga Region, predominantly rural with less than 5% urban residency, is detailed further in my prior research [29,30].

Kahabi Ganka Isangula, Rogers John Haule

JMIR Res Protoc 2024;13:e54388

Tanzania’s and Germany’s Digital Health Strategies and Their Consistency With the World Health Organization’s Global Strategy on Digital Health 2020-2025: Comparative Policy Analysis

Tanzania’s and Germany’s Digital Health Strategies and Their Consistency With the World Health Organization’s Global Strategy on Digital Health 2020-2025: Comparative Policy Analysis

The comparison of the WHO GSDH with the DHSs of Tanzania and Germany is intended as a case study for this policy comparison approach to conduct additional analyses and share this method with other researchers to stimulate similar analyses in other countries. We compared the DHSs of Tanzania and Germany and assessed their consistency with the WHO’s GSDH, using a document analysis and comparative policy analysis approach [10,11].

Felix Holl, Jennifer Kircher, Attila J Hertelendy, Felix Sukums, Walter Swoboda

J Med Internet Res 2024;26:e52150

Leveraging Community Health Workers and a Responsive Digital Health System to Improve Vaccination Coverage and Timeliness in Resource-Limited Settings: Protocol for a Cluster Randomized Type 1 Effectiveness-Implementation Hybrid Study

Leveraging Community Health Workers and a Responsive Digital Health System to Improve Vaccination Coverage and Timeliness in Resource-Limited Settings: Protocol for a Cluster Randomized Type 1 Effectiveness-Implementation Hybrid Study

The vast majority (14.2 million, 78%) of such zero-dose children reside in 20 countries, including Tanzania [3]. As in other low- and middle-income countries (LMICs), substantial rural-urban disparities in routine childhood vaccination exist in Tanzania, with vaccination rates being lower in rural areas than in urban areas [4].

Lavanya Vasudevan, Jan Ostermann, Nathan Thielman, Joy Noel Baumgartner, David Solomon, Anna Mosses, Amy Hobbie, Nicole L Hair, Chen Liang, Marco van Zwetselaar, Sayoki Mfinanga, Esther Ngadaya

JMIR Res Protoc 2024;13:e52523

An mHealth Intervention to Improve Guardians’ Adherence to Children’s Follow-Up Care for Acute Lymphoblastic Leukemia in Tanzania (GuardiansCan Project): Protocol for a Development and Feasibility Study

An mHealth Intervention to Improve Guardians’ Adherence to Children’s Follow-Up Care for Acute Lymphoblastic Leukemia in Tanzania (GuardiansCan Project): Protocol for a Development and Feasibility Study

The Guardians Can project is an international collaboration between Tanzania and Sweden. Uppsala University (Sweden) is the responsible academic institution with research primarily coordinated from Muhimbili National Hospital (MNH), a National Referral and University Teaching Hospital located in Dar es Salaam, Tanzania.

Faraja S Chiwanga, Joanne Woodford, Golden M Masika, David A Richards, Victor Savi, Louise von Essen

JMIR Res Protoc 2023;12:e48799

Effectiveness of Cash Transfer Delivered Along With Combination HIV Prevention Interventions in Reducing the Risky Sexual Behavior of Adolescent Girls and Young Women in Tanzania: Cluster Randomized Controlled Trial

Effectiveness of Cash Transfer Delivered Along With Combination HIV Prevention Interventions in Reducing the Risky Sexual Behavior of Adolescent Girls and Young Women in Tanzania: Cluster Randomized Controlled Trial

HSV-2 is a sexually transmitted infection like HIV, more prevalent in Tanzania, and has been used as a marker for risky sexual behavior in other similar studies conducted in sub-Saharan Africa [29,36]. Our findings contribute to the body of evidence on the effectiveness of cash transfer in the reduction of risky sexual behavior among AGYW in Tanzania.

Evodius Kuringe, Alice Christensen, Jacqueline Materu, Mary Drake, Esther Majani, Caterina Casalini, Deusdedit Mjungu, Gaspar Mbita, Esther Kalage, Albert Komba, Daniel Nyato, Soori Nnko, Amani Shao, John Changalucha, Mwita Wambura

JMIR Public Health Surveill 2022;8(9):e30372