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Nutrition care and support services of people living with HIV/AIDS at care and treatment clinic: The case study of Kagera Region Referral Hospital
(Mzumbe University, 2015) Tinkamwesigile, Nicolaus T
Introduction: A process evaluation on nutrition assessment counseling and support services of PLWHA at CTC conducted at Bukoba Region Referral Hospital, Kagera region with the aim of ascertaining level of programme implementation.
Methodology: Mixed methods were used to assess evaluation dimensions. The semi structure questionnaire, interview guide, observation checklists and documentary review were used to obtain information about programme context, implementation process, reach, fidelity, dose, adaptation and mechanisms of the impacts of the services provided to PLWHA.
Evaluation findings: The evaluation findings revealed that programme was fairly implemented with overall 51% score of weighted factors. The evaluated factors show that implementation process was 42.8% and fidelity of the implementation is 43.5%. While dose and reach of the programme implementation show 38.64% and 79.64% respectively. Stakeholders were less engaging to the programme services as contextual limiting factors and integration of nutrition services to CTC services note as mediator of mechanisms of achieved reach. Using weight trend of PLWHA as nutrition status determination index seen as programme adaptation
Conclusion: The CTC had inadequate implementation process that include limited number of staff to assist nutrition services, inadequate equipment, materials and supplies to better optimal programme implementation. Implementation components such as fidelity, dose and reach are imbalance implemented for optimal quality programme implementation.
Recommendation: Hospital and regional health managements and ministry of health through TFNC and NACP with their nutrition stakeholders are urged to improve CTC capacity to better nutrition assessment, counseling and support services implementation for betterment of PLWHA.
Child policy implementation in preventing child abuse and violence in Unguja Island, Zanzibar
(Mzumbe University, 2019) Khamis, Arafa H.
The purpose of this study was to evaluate the child policy implementation in preventing child abuse and violence, at the Ministry of Labour, Elder, Empowerment, Women and children (MLEEWC) in Zanzibar. The case study design was employed involving 46 respondents selected from the Ministry’s headquarters especially from two departments; Departments of Elders and Social Welfare and Departments of Women and Children’s Development. Likewise, cooperative organisations such as Zanzibar Legal services centre, Zanzibar Female lawyer Association, Religious leaders, Tomondo residents, Regional and Districts Social Welfare Officers and One-Stop Centre in Zanzibar particularly Unguja Island were involved. Saturated sampling for sample selections were used to the officers of the two selected department of the MLEEWC. Furthermore purposive sampling techniques were employed to the workers from Non - Government institutions and Tomondo residents. On additional to that, interviews were administered, as well as documentary reviews were employed during data collections. Apart from that, the analysis was made through thematic analysis, the computer software for social science (MS-Excel) were employed to assist the researcher in data entry, data management and presentations of the findings. The major findings were as follows: despite the tangible efforts made by the Government and other supportive Agencies on preventing child abuse cases and violence, the problem of child abuse and violence persist in Zanzibar. It is recommends that for effective implementations, the Government has to create an enabling environment as one of the critical requirement for protecting children. Such environment consist enactment of legislation, policies and strategies that protect children against child abuse and violence. Further recommendations, the established committee at levels identified in the study which are Ministry responsible for children, Regional, Districts, Shehia levels, community members and other Government department dealing with protection of children against abuse and violence they should create a broader coordination with other stake holders so as to fight war against child and among them, women and child, laws, justice, health, education finance, police and local Government and NGOs together with multilateral sectors of FBOs.
Outcome evaluation of micro credit scheme saving and internal lending community intervention from people living with human immunodeficiency virus in Magu district
(Mzumbe University, 2019) Iriya, Lucy C
Background and rationale: HIV/AIDS has caused negative impacts on livelihoods including socio-economic problem, food insecurity and increased number of orphans in Sub-Saharan countries, including Tanzania. Following this, TAZAMA, the project operated under the Tanzania National Institute for Medical Research (NIMR) initiated the so called Microfinance schemes with the main objective to mitigate the negative impact of HIV/AIDS among People Living with Human Immunodeficiency Virus (PLHIV) and vulnerable populations in rural areas. Therefore the purpose of this study was to evaluate the contribution of microfinance Saving Internal Lending Community (SILC) intervention under TAZAMA project to the living standard of People Living with Human Immunodeficiency Virus (PLHIV) in Kisesa, Bujora and Bukandwe in Magu district within Mwanza city Tanzania Methods: Analytical cross-section study design was used which adapted mixed research methods; both quantitative and qualitative approaches were used. About 119 participants aged 18years old and above, PLHIV and beneficiaries of the SILC programme in Magu District suburb of Kisesa, Bujora and Bukandwe wards were enrolled for the study. Both self-administered questionnaires and interviews were used for data collection. STATA Statistical Software Package and ATLAS.ti V. 7 were used for data analysis. Inferential t-test and chi-squire test were used; also descriptive statistics such as frequency and percentage were presented in form of tables, figures and graphs. Results: The findings revealed that the majority of PLHIV had manage to save and receive credit through SILC groups, all beneficiaries of PLHIV manage to start entrepreneur activities after joining SILC groups such as horticulture, shops, transportation (bodaboda) and tailoring. Also, the findings show SILC members were able to increase meal intake and increased food stock. About success of SILC programme results shows PLHIV in improving their Living standard by owning assets and business. Statistically, there is significance difference on Ox-plough farm equipment before loan and after loan at P-value of 0.0095<0.05 which shows there is improvement in farming activities due to program intervention. Moreover, there is significance difference in type of wall materials used among the household of PLHIV before and after loan at P-value of 0.000<0.005. Conclusion: The scheme has been positively impacted to PLHIV through operational SILC groups by saving and receiving microcredit. It had improved lives of the PLHIV in the three wards in Magu district and therefore, the Government and other stakeholders should allocate resources to scale-up SILC initiatives to other areas of Magu District and beyond to cover unmet needs of PLHIV since the project did not cover the entire community of people who are living with HIV/AIDS.
Role of client service charter as a means of accountability in local government authorities in Tanzania: A case of Temeke Municipal Council
(2018) Hassan, Zaituni Y
This study is about assessing the role of client service charter as a means of accountability to citizens in local government authorities. The specific objectives of this study were; to trace the genesis and rationale of client service charter at Temeke Municipal Council; to assess the extent to which client service charter is a means of accountability in Local Government Authorities; to identify and assess the effectiveness of the tools deployed to operationalize the client service charter in the local government authorities; and to determine the challenges associated with the deployment of client service charter as a means of accountability at Temeke Municipality. The research deployed a case study design which dealt with single unit and it involved head of departments and selected employees from different departments. The sample was selected by using simple random technique and purposive technique. Primary and secondary data were collected through questionnaire, observations, interview and documentary review respectively. Findings indicated that CSC allows people to hold organizations as well as separate officers responsible for quality, timely and receptive services, lessens corruption, changes culture and attitude at work place through concentrating energies to client satisfaction, guarantees public officers stand aware about quality of services provided and allows systems to constantly re-engineer service procedures. Similarly, Results showed that the introduction of OPRAS to measure employee’s performance, establishment of municipal mass media, customers to be allowed to meet with staffs, preparing general meeting with citizens, and ensure staffs have job rotation were key issues on the enforcement of CSC at Temeke Municipality. Moreover, Findings indicated that most respondents identified client heartbeat, meeting method, complains desk method, direct customer visit and suggestion box method as tools preferred by the management of Temeke Municipal Council to provide better service to its clients. Likewise, Findings indicated that client service charter remain theoretically, poor tools and equipment, ineffectiveness of complains desk, poor attendance customer visit and failure of suggestion box as a method as the key challenges associated with the deployment of client service charter as a means of accountability at Temeke Municipality Council.
The impact of work life balance on employees job satisfaction in banking sector in Tanzania”. A case of TPB Bank Plc Dar es Salaam
(Mzumbe University, 2017) Chitenje, Lilian
The main objective of the study was to examine institutional marketing strategies used in the tourism industry in Tanzania by focusing on the Tanzania Tourist Board (TTB). The study was guided by the following objectives: to identify marketing strategies used by TTB to promote the local tourism industry; to assess the effectiveness of TTB‟s tourism marketing strategies; and to identify challenges faced by TTB in promoting the local tourism industry The study was conducted in Dar es Salaam at the Head Offices of TTB and used case study research design and used both, primary and secondary data collection methods. Primary data were collected with the use of questionnaires and interview guides, as well as personal observation. Secondary data collection involved the perusal of various documents. The study identified the main challenges facing TTB in implementing institutional marketing strategies to be; shortage of financial resources which limits the size of the marketing budget used by TTB, lack of expertise on the latest tourism marketing strategies among TTB marketing staff, poor choice of marketing strategies and lack of competence among staff members. The study concludes that the most effective institutional marketing strategies used by TTB in promoting the tourism industry in Tanzania are using Television advertisements, placing advertisements in tourism and travel magazines, putting display advertisements in strategic areas such as airports, website promotion, hosting international events especially those involving high profile political and business leaders. To overcome marketing challenges it faces in promoting the tourism industry in Tanzania, TTB takes various measures such as; involving various stakeholders in the tourism sector, improving institutional marketing strategies, increasing the size of the marketing budget, using of online marketing strategies providing marketing training to staff members.