Journals
Permanent URI for this collection
Browse
Browsing Journals by Author "Mella, Pauline P."
Now showing 1 - 3 of 3
Results Per Page
Sort Options
Item Effects of educated professionals on the health and care of women in Tanzania(Health care for women international, 1987) Mella, Pauline P.Education of women in Tanzania, one of the 31 least developed countries of the world, is a farily recent event. Education of Tanzanian women has afforded better health for whole families through better knowledge of self‐care, employment opportunities, birth planning, and status in the community. A negative effect of education and employment is an erosion of traditional cultural patterns. Children often do not learn the values thought important in their tribes. The value of education, however, seems to outweigh the disadvantages, as the health of the country as measured by the infant mortality rates improves. A study of Tanzanian women indicated that professional nurses were identified as the source of the most useful and reliable health advice.Item Major factors that impact on women’s health in Tanzania: the way forward(Health Care for Women International, 2003) Mella, Pauline P.Tanzania’s health policy is to improve the health of all Tanzanians with a focus on those most at risk. One of the major objectives is to reduce infant and maternal morbidity and mortality and increase life expectancy. The life expectancy in Tanzania is 49 years for males and 53 years for females. Maternal mortality is recorded at 300–400 deaths per 100,000 women. The main causes are haemorrhage, sepsis, rupture of the uterus, anaemia, and others. The risk factors associated with the above causes include maternal height, age, child spacing, and number of births per woman; malaria and anaemia; imbalance of energy and food intake; HIV/AIDS; women’s workload; and female genital mutilation (FGM). To address issues of women’s health, the government has put in place many strategies, for example, a ministry to look after women’s issues, the safe motherhood initiatives, improvement of the knowledge and skill of health care providers, as well as collaboration with nongovernmental organizations (NGOs) and private agencies. The health sector reform is important because it has negatively affected women’s access to health care. To improve the health of women in Tanzania, health and health-related sectors should cooperate and collaborate in order to empower women in the areas of education, social status, and technology. Policies must also address poverty, nutrition, adolescent health, and violence and sexual abuse.Item Markers of perceived managerial success within the Tanzanian nursing profession(International Journal of Africa Nursing Sciences, 2015) Mella, Pauline P.This study explores the views of nurse managers in Tanzania regarding desirable attributes for effective management of their health services. The mixed method study utilised an initial questionnaire (n = 78) and subsequent responses from two semi-structured focus group interviews (n = 14) with purposive samples of consenting nurse managers who had completed the original questionnaire. Overall, ‘Skills’ were considered the most important dimension, followed by ‘Knowledge and Learning’. Specific skills, such as decision making, were considered essential. Culture was perceived to be a key influence on management potential, with education providing a pathway to overcome early and subsequent barriers. A lack of delegation was highlighted. An overall transactional style perpetuates as a means of maximising scant resources which impedes trust and sharing of power through delegation. The provision of culturally appropriate management education, relevant to the local context, is essential for the development of nursing in Tanzania.