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Browsing Journals by Author "Kabalimu, Titus K."

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    Factors influencing utilisation of cervical cancer screening services among HIV positive women attending care and treatment centres in Kinondoni municipality, Dar es Salaam, Tanzania
    (African Health Sciences, 2024-07-11) Mashalla, Yohana J.; Kabalimu, Titus K.; Semali, Innocent A.
    Background: Cervical cancer is among the leading causes of cancer-related deaths among HIV+ve women. Objective: To determine factors influencing utilisation of cervical cancer screening among HIV+ve women attending Cancer Treatment and Care in Kinondoni Municipality, Dar es Salaam. Methods: Cross-sectional study among HIV+ve women was carried out between September and October 2021; collected using a standardised questionnaire. Descriptive statistics, bivariate and multivariate analyses were used to determine cervical cancer extent and association of predictors of cervical cancer screening. Results: 230 HIV+ve women aged 21–60 years were interviewed. Only 47% had screened for cervical cancer. Low knowledge of HIV+ve as risk significantly associated with less likelihood to screen for cervical cancer [AOR 0.49, 95% CI (0.253-0.957, P = 0.037)]. Parity of 3 or more was twice likely to screen for cervical cancer [AOR 2.124, 95% CI (1.012-4.456, P = 0.046)]; and housewives were 2.5 more likely to screen for cervical cancer [AOR 2.594, 95% CI (1.149-5.853, P = 0.002)]. Lack of knowledge on preventive measures was less associated with likelihood to screen [AOR 0.114, 95% CI (0.013-0.972, P = 0.047)]. Conclusion: Lack of knowledge on HIV+ve and prevention, age and parity are likely to influence utilisation of cervical cancer screening services.
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    Prevalence of late antenatal care booking among pregnant women attending public health facilities of Kigamboni Municipality in Dar es Salaam region, Tanzania
    (African Health Sciences, 2023-06-02) Mashalla, Yohana J.; Ndomba, Alana; Ntabaye, Moshi K.; Semali, Innocent A.; Kabalimu, Titus K.; Ndossi, Godwin D.
    Background: Good care during pregnancy is important for the health of mothers and development of the unborn baby. The study determined the prevalence and factors associated with late ANC booking among pregnant women at health facilities in Kigamboni Municipality in Dar es Salaam, Tanzania.Methods: This was an analytical cross-sectional study among pregnant women attending ANC services during second and third trimester in the selected health facilities. The study recruited 204 through convenient sampling. Multi-stage cluster sampling was used to select health facilities. A Standardised questionnaire was used to collect information through face-to-face interviews. Data was analysed using SPSS version 25.0. Proportions were used to estimate the magnitude of late ANC booking while bivar-iate and multivariate analyses were performed to determine factors associated with the magnitude of late ANC booking. Results: Late ANC bookings were high 174 (85.3%) among pregnant women who attended clinic week 13 and later compared to those who attended earlier than 13 weeks 30 (14.7%). Factors associated with likelihood for late ANC booking during the initial visit included tertiary education [AOR= 10.174, 95%CI: 1.002-103.301] and primigravida [AOR=0.101, 95%CI: 0.170-0.605].Conclusion: Majority of the pregnant women started ANC later than the recommended time. Health education provision at all community levels on the advantages and disadvantages of early and late ANC booking respectively should be strengthened.Keywords: Pregnant women; ANC; booking; parity; education.
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    Uptake of HIV re-testing among postpartum women who initially tested negative during antenatal visit in ubungo district, dar es salaam
    (Global Journal of Health Science, 2022-05-09) Mashalla, Yohana J.; Kabalimu, Titus K.; Semali, Innocent A.; Ntabaye, Moshi K.
    Background: It is recommended that HIV re-testing should be done at third trimester, labour and at six months postpartum. Reports indicate low rates of HIV re-testing among women after delivery. The study assessed the uptake of HIV re-testing among women during postpartum after initially testing negative at ANC clinic in Ubungo district, Dar es salaam. Method: A cross-sectional analytical study was conducted among women who delivered during the study period. Data was collected through a standardised questionnaire and secondary data was collected from the Health Information System and ANC cards. SPSS version 28 was used to analyse data. Bivariate and multivaria te logistic regression models were used to calculate the adjusted odds ratio and to quantify the association. Results: 426 women participated in the study. The overall HIV re-testing rate was 76.1%, 23.9% did not re-test and 2.1% were infected with HIV after the second test. Married women have higher re-testing rates (52.8%) than single, separated and divorcees. Women aged 25-34 years have significant higher (84.6%) proportion of re-testing for HIV than those < 25 and those > 34 years of age (p<0.001). Other significant predictors for HIV re-testing were women who made at least five or more visits to ANC and those who knew the HIV status of their partners. Conclusion: HIV re-testing has not reached the Tanzania national target of 95%. Efforts to sensitise communities on the importance of early ANC booking at ANC and re-testing for HIV during labour, delivery and postpartum should be enhanced. Keywords: ANC, HIV testing, postpartum, re-testing, uptake