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Dereck Chitama
Muhimbili University of Health and Allied Sciences
Community healthTanzaniaHealth services researchMedicineEnvironmental health
11Publications
4H-index
63Citations
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Publications 13
Newest
#1Gasto Frumence (MUHAS: Muhimbili University of Health and Allied Sciences)H-Index: 8
#2M. Goodman (Johns Hopkins University)
Last. Abdullah H. Baqui (Johns Hopkins University)H-Index: 43
view all 9 authors...
It is recommended that Antenatal Care (ANC) be initiated within the first trimester of pregnancy for essential interventions, such folic acid supplementation, to be effective. In Tanzania, only 24% of mothers attend their first ANC appointment during their first trimester. Studies have shown that women who have had contact with a health worker are more likely to attend their first antenatal care appointment earlier in pregnancy. Community health workers (CHWs) are in an opportune position to be ...
Source
#1Grace A. Shayo (MUHAS: Muhimbili University of Health and Allied Sciences)H-Index: 4
#2Dereck Chitama (MUHAS: Muhimbili University of Health and Allied Sciences)H-Index: 4
Last. Ferdinand Mugusi (MUHAS: Muhimbili University of Health and Allied Sciences)H-Index: 30
view all 6 authors...
Abstract Background One of the reasons why Isoniazid preventive therapy (IPT) for Tuberculosis (TB) is not widely used in low income countries is concerns on cost of excluding active TB. We analyzed the cost-effectiveness of IPT provision in Tanzania having ruled out active TB by a symptom-based screening tool. Methods Data on IPT cost-effectiveness was prospectively collected from an observational cohort study of 1283 HIV-infected patients on IPT and 1281 controls; followed up for 24 months. Th...
2 CitationsSource
#1Stephen Maluka (UDSM: University of Dar es Salaam)H-Index: 10
#2Dereck Chitama (MUHAS: Muhimbili University of Health and Allied Sciences)H-Index: 4
Last. Zubin Cyrus Shroff (WHO: World Health Organization)H-Index: 7
view all 6 authors...
Governments increasingly recognize the need to engage non-state providers (NSPs) in health systems in order to move successfully towards Universal Health Coverage (UHC). One common approach to engaging NSPs is to contract-out the delivery of primary health care services. Research on contracting arrangements has typically focused on their impact on health service delivery; less is known about the actual processes underlying the development and implementation of interventions and the contextual fa...
2 CitationsSource
#1Willem A Odendaal (South African Medical Research Council)H-Index: 2
#2Kim Ward (UWC: University of the Western Cape)H-Index: 4
Last. Tamara Kredo (South African Medical Research Council)H-Index: 13
view all 7 authors...
3 CitationsSource
#1Gasto Frumence (MUHAS: Muhimbili University of Health and Allied Sciences)H-Index: 8
#2Joy J. Chebet (UMBC: University of Maryland, Baltimore County)H-Index: 7
Last. Peter John Winch (Johns Hopkins University)H-Index: 39
view all 7 authors...
Background: The Tanzanian health sector receives large amounts of funding from multiple international development partners to support a broad range of population-health interventions. However, little is known about the partners’ level of commitment to sustain funding, and the implications of uncertainties created by these funding mechanisms. This study had the following objectives: 1) To present a theoretical model for assessing funding commitments by health development partners in a specified r...
Source
#1Stephen MalukaH-Index: 10
#2Dereck ChitamaH-Index: 4
1 Citations
#1Method R. Kazaura (MUHAS: Muhimbili University of Health and Allied Sciences)H-Index: 5
#2Mangi J. Ezekiel (MUHAS: Muhimbili University of Health and Allied Sciences)H-Index: 4
Last. Dereck Chitama (MUHAS: Muhimbili University of Health and Allied Sciences)H-Index: 4
view all 3 authors...
Background In Tanzania like in many sub-Saharan countries the data about Intimate Partner Violence (IPV) are scarce and diverse. This study aims to determine the magnitude of IPV and associated factors among ever partnered women in urban mainland Tanzania.
8 CitationsSource
#1Amnesty E Lefevre (Johns Hopkins University)H-Index: 14
#2Rose Mpembeni (MUHAS: Muhimbili University of Health and Allied Sciences)H-Index: 16
Last. Peter John Winch (Johns Hopkins University)H-Index: 39
view all 20 authors...
Background Despite impressive decreases in under-five mortality, progress in reducing maternal and neonatal mortality in Tanzania has been slow. We present an evaluation of a cadre of maternal, newborn, and child health community health worker (MNCH CHW) focused on preventive and promotive services during the antenatal and postpartum periods in Morogoro Region, Tanzania. Study findings review the effect of several critical design elements on knowledge, time allocation, service delivery, satisfac...
6 CitationsSource
#1Isabelle Feldhaus (Johns Hopkins University)H-Index: 3
#2Marissa Silverman (Johns Hopkins University)H-Index: 2
Last. Asha George (Johns Hopkins University)H-Index: 26
view all 17 authors...
Background: Despite emerging qualitative evidence of gendered community health worker (CHW) experience, few quantitative studies examine CHW gender differentials. The launch of a maternal, newborn, and child health (MNCH) CHW cadre in Morogoro Region, Tanzania enlisting both males and females as CHWs, provides an opportunity to examine potential gender differences in CHW knowledge, health promotion activities and client acceptability. Methods: All CHWs who received training from the Integrated M...
14 CitationsSource
#1Rose Mpembeni (MUHAS: Muhimbili University of Health and Allied Sciences)H-Index: 16
#2Aarushi Bhatnagar (Johns Hopkins University)H-Index: 9
Last. Asha George (Johns Hopkins University)H-Index: 26
view all 12 authors...
Background: In 2012, the Ministry of Health and Social Welfare (MOHSW), Tanzania, approved national guidelines and training materials for community health workers (CHWs) in integrated maternal, newborn and child health (Integrated MNCH), with CHWs trained and deployed across five districts of Morogoro Region soon after. To inform future scale up, this study assessed motivation and satisfaction among these CHWs. Methods: A survey of all CHWs trained by the Integrated MNCH Programme was conducted ...
26 CitationsSource
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