Browsing by Author "Mwakanyamale, Adela A."
Now showing 1 - 10 of 10
Results Per Page
Sort Options
Item Assessment of knowledge on the danger signs of pregnancy among pregnant women at Sinza Palestina Hospital in Ubungo Municipality, Tanzania(Tanzania Journal of Health Research, 2023-09-28) Sungwa, Edson.; Mwakanyamale, Adela A.Background: The rate of maternal mortality has dropped globally however in some developing countries the rate of decline has been slow. Several efforts have been made to improve maternal health and reduce maternal mortality. Lack of information on danger signs during pregnancy is one of the factors that contribute to maternal mortality. The study aimed to assess knowledge of pregnancy danger signs among pregnant women at Sinza Palestina Hospital in Ubungo Municipality, Tanzania. Methods: This was a cross-sectional study involving all pregnant women who attended RHC services at Sinza Palestina Hospital in Ubungo Municipality. Socio-demographic characteristics and obstetrics experiences in the last pregnancy, knowledge on danger signs of pregnancy were collected. Data were analysed using the SPSS statistical package. Categorical and continuous variables were summarized and presented in tables and bar charts. Any p-value of < 0.05, at a 95% confidence interval was regarded as statistically significant. Results: A total of 410 pregnant women aged 18 – 46 years, mean age of 27 years were enrolled in this study. Amongst, 66 (16.1%) had low knowledge on obstetric danger signs and associated with age less than 20 years (aOR = 15.3, 95% CI: 4.8 – 48.3, p–value, < 0.001), education level (aOR = 27.7, 95% CI: 5.0 – 152, p–value, < 0.001), being single (aOR = 3.5, 95% CI: 1.1 – 12.9, p–value, < 0.04), parity (aOR = 1.9, 95% CI: 1.1 – 3.4, p–value, < 0.02 and less ANC visits (aOR = 2.6, 95% CI: 1.2 – 7.0, p–value, < 0.04). Moreover, occupation which was thought to have an association with knowledge of obstetrics danger signs, the association did not reach a statistically significant with p = 0.44. Conclusions and recommendations: In general, the findings of this study, show that the vast majority (83.9%) of pregnant mothers have sufficient knowledge of obstetric danger signs. Vaginal bleeding was the most commonly mentioned obstetric danger while Convulsion and fever were mentioned less. Age and education level of pregnant women, parity and ANC visits were identified as the significant factors for knowledge of obstetric danger signs among pregnant women. We recommend that health education and behavioural change programs to continue be implemented in all health facilities to continue imparting knowledge to all pregnant mothers. Efforts should be directed towards empowering nurse midwives.Item Association between childhood emotional abuse with self-esteem among students in Dar es salaam, Tanzania.(International Journal of Psychology Research, 2021) Mwakanyamale, Adela A.; Mbao, Ezekiel H.Background: Emotional abuse is the mostly widespread type of childhood experience which result from the following aspects: the relationship between a parent and a child, the interaction that shapes the relationship, and potentially harmful interactions which may lead into impairment on a child’s developmental and emotional health. This form of abuse is believed to affect the overall psychological adjustment of the child as a result, victims may experience psychological distress with symptoms of low self-esteem, depression and anxiety. This study investigates association between emotional abuse with self- esteem among students in Dar es salaam, Tanzania. Methods: This was a cross-sectional, community-based study of secondary school students that was conducted in randomly selected schools in Dar es salaam, Tanzania. The data collection process started July 2019 and was completed in July 2020. Each participant was contacted and informed about the purpose of the research, confidentiality issues, and reporting of the results. A multistage cluster sampling technique was employed to obtain a required number of the study participants. Rosenberg self-esteem scale and the Adverse Childhood Experience (ACE) questionnaires were used to measure the variables under this study. Keywords: childhood emotional, abuse, psychological distressItem Availability, Range and Utilization of Sexual and Reproductive Health (SRH) Services for Adolescents at Kinondoni Municipality, Dar es Salaam—Tanzania(Open Journal of Nursing, 2020-03-27) Mwandali, Bupe K.; Mwakanyamale, Adela A.It is estimated 1.2 billion of world’s population are adolescents aged 10 - 19 years; 80% live in developing countries. Adolescents in developing countries especially Sub-Saharan Africa (SSA) face high burden of sexual and reproductive health problems. Sixteen million girls aged 15 to 19 years give birth every year of which 95% occur in low- and middle-income countries. Twenty five percent of unsafe abortions are in 15 - 19 years in Sub-Saharan Africa. Contraceptive use is low as approximately 10% of adolescents are current users. These problems can be averted if different ranges of Sexual and Reproductive Health Services for adolescent (SRHSA) are available and utilized by adolescents. In Tanzania, there is limited information addressing the availability, types and utilization pattern of sexual and re- productive health services by adolescents. This study investigates the availability, range and utilization of sexual and reproductive health services for adolescents (ASRHS) at Kinondoni Municipality, Tanzania. Method: A cross-sectional study was carried out in April to May 2013. A checklist was used to collect information on the availability and range of services offered at selected health facilities. In depth interviews conducted with incharges of Reproductive and Child Health (RCH) clinics to explore barriers for provision Of Sexual and Reproductive Health Services (SRHS) for adolescents. Adolescents were questioned using a questionnaire on utilization of SRHS and perceived barriers. Descriptive statistics were used to summarize quantitative data and content analysis for qualitative data. Results: On availability and range of adolescents’ sexual and reproductive health services, a total of 25 health facilities were surveyed. Forty four percent of the surveyed facilities did not have the adolescent sexual and reproductive health services (ASRHS). The Adolescents Sexual and Reproductive Health (ASRH) services offered differed greatly between facilities. On utilization of adolescents’ sexual and reproductive health services in total, 204 adolescents from the community were involved in this study. A third of adolescents reported to have ever used ASRH. The adolescents perceived barriers for underutilization of the services were fear of being seen at the clinics (23.3%), lack of money (18.3%), lack of privacy & confidentiality (14.2%) and unfriendly health care providers. Three barriers were perceived by health care providers in the provision of ASRHS: integration of SRHS, lack of training in relation to adolescents SRHS and attitudes of health care providers towards young people. Conclusion: About half of the health facilities did not have the SRH-services to adolescent (44%) and different ranges of services were not offered at the facilities as it was shown in the records. The results from this study show services were underu- tilized by adolescents. Training, attitudes of health care providers towards young people, & cost influenced ASRHS provision and utilization. Strategies to increase training in ASRHS for health providers including communication skills and scaling ASRH services to all primary care facilities may help to improve availability and access of services to adolescents. Keywords Adolescent, Sexual Health, Reproductive Health, Utilization, Barriers to ASRH Services, Kinondoni Municipality and TanzaniaItem The burden and management of self-inflicted injuries at a tertiary care hospital in Mwanza, Tanzania(Tanzania Journal of Health Research, 2018) Mwakanyamale, Adela A.Background: Self-inflicted injuries are a serious but neglected public health problem in developing countries and contribute significantly to the global injury burden. There is a paucity of published data regarding self-inflicted injuries in Tanzania. This study describes the aetiology, patterns and treatment outcome of these injuries in Mwanza, Tanzania. Methods: This was a combined retrospective and prospective study of self-inflicted injury patients who were managed at Bugando Medical Centre in Mwanza between February 2007 and April 2014. Data were collected using a pretested and coded questionnaire and analysed using SPSS computer software version 17.0 Results: A total of 136 patients (M: F = 3.3: 1) were enrolled into the study. The median age was 30 years. Psychiatric illness (30.9%) was the most common risk factor for self-inflicted injuries. Self-poisoning (35.3%) was the most frequent mechanism of self-inflicted injuries. This was followed by cutting/stabbing and jumping from heights in 23.5% and 20.6% of patients, respectively. The trunk was the most frequent (31.9%) body region affected. Open wounds were the most (4.2%) common type of injuries sustained. The majority (72.1%) of patients were treated surgically. The complication rate was 50.7% and it was significantly associated with delayed presentation (p= 0.012). The median hospital stay was 12 days. Patients with long bone fractures and those who had surgical site infection stayed longer in the hospital (p < 0.001). The mortality rate was 22.8%. Late presentation (>24 hour), severe injuries (KTS II ≤ 6) and presence of surgical site infections were the main predictors of mortality (p<0.001). Conclusion: Self-inflicted injuries are an emerging but neglected public health problem in Mwanza, Tanzania and contribute to unacceptably high morbidity and mortality. Addressing the root causes of self-inflicted injuries may reduce the incidence of these injuries in our environment.Item Childhood emotional neglect experiences as a risk factor for psychological distress among adolescents in Dar es Salaam, Tanzania: A community-based cross sectional study(Journal of Clinical Images and Medical Case Reports, 2022-01-04) Mwakanyamale, Adela A.; Mbao, Ezekiel H.; Sungwa, Edson.Background: Emotional neglects is the mostly widespread type of childhood experience which is believed to affect the overall psycho-logical adjustment of the child as a result, victims may experience psy- chological distress with symptoms of low self-esteem, depression and anxiety. There is limited published data on this subject in Tanzania. This study investigates emotional neglect as a risk factor for psychological distress among adolescents in Dar es salaam, Tanzania. Methods: This was a cross-sectional, community-based study of adolescents that was conducted in randomly selected schools in Dar es salaam, Tanzania. The data collection process started July 2019 and was completed in July 2020. Each participant was contacted and in- formed about the purpose of the research, confidentiality issues, and reporting of the results. A multistage cluster sampling technique was employed to obtain a required number of the study participants. Kes- sler psychological distress scale (K10) and the Adverse Childhood Expe- rience (ACE) questionnaires were used to measure the variables under this study. Results: Out of 3193 participants enrolled in the study, 1543(48.3%) participants were male and 1650(51.7%) were female. The partici-pants’ age ranged from 13 to 18 years old (mean ± standard devia- tion= 16.44 ± 2.58 years). Childhood emotional neglect was reported in 51.9% of participants. There was a strong positive correlation between childhood emotional neglect and psychological distress during adoles- cence (r= 0.55, p<0.001). Conclusion: Finding from this study demonstrated that childhood emotional neglect is prevalent in our setting and is associated with psychological distress during adolescence. Urgent intervention target- ing at reducing occurrence of childhood psychological maltreatment is necessary to reduce the incidence of psychological distress among Tanzanian adolescents. Keywords: emotional neglect; psychological distress; adolescents; TanzaniaItem A cohort study to compare banana leaves dressing with convention dressing for children with burn wounds at Bugando Medical Centre, Mwanza, Tanzania 2021(Tanzania journal of health research, 2023-03-26) Sungwa, Edson.; Mwakanyamale, Adela A.; Stephen, Ambroce M.Background: Globally burns among children is a public health concern. Banana leaf dressings or Conventional dressing materials may be used to dress burn wounds to children. The study aimed to explore outcomes of burn wounds dressed using banana leaves and conventional dressing materials respectful. Methods: Hospital based cohort study design conducted at Bugando Medical Center Burn Unit. Non-probability convenient sampling method with a sample size of 35 pediatric patients with burn wounds for each group of convectional dressing methods and banana leaf dressings were reached. Stata program Version 13 was used to analyze data. Results: A total of 70 children; 1 to 18 years, median age of 4 and interquartile range [IQR: 1-17] years were enrolled in the study. Thirty-five were dressed with Banana leaf other 35 were dressed with convention materials. Results showed that Banana leaf dressing was associated with; less pain (aOR = 0.2, 95% CI: 0.1 – 0.5, p – value <0.001), less medication use (aOR = 3.0,95% CI: 1.1 – 8.7, p – value 0.02) and good satisfaction (aOR = 85.6, 95% CI: 3.3 – 219, p – value <0.001) respectful during dressing change compared to conventional dressing method. However, no different observed between length of hospital stay and dressing method chosen. Conclusions: Although there is no evidence of a dressing method that is best for burn wounds. This study shows that Banana leaf dressing is convenient in terms of having less pain experiences and that it can be locally obtained in areas where banana plant is easily available. We recommend the use of banana leaf dressings for burns moreover, enlightenment of the public on the intervention and prevention of burns among children. Keywords: Banana leaf dressing, Conventional dressing, Burns, woundItem Comparison study on prevalence of psychological maltreatment and Its relationship with psychological stress and self-esteem among school students in Tanzania and China(Open Journal of Nursing, 2019) Mwakanyamale, Adela A.; Ndomondo, Mathew D.Open Journal of Nursing Vol.09 No.07(2019), Article ID:93924,18 pages 10.4236/ojn.2019.97055 Comparison Study on Prevalence of Psychological Maltreatment and Its Relationship with Psychological Stress and Self-Esteem among School Students in Tanzania and China Adela A. Mwakanyamale*, Mathew D. Ndomondo ●Abstract ●Full-Text PDF ●Full-Text HTML •Full-Text XML ●Full-Text ePUB ●Linked References ●How to Cite this Article Department of Medical and Surgical Nursing, Faculty of Nursing, Hubert Kairuki Memorial University, Dar es Salaam, Tanzania Copyright © 2019 by author(s) and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/ Received: May 15, 2019; Accepted: July 23, 2019; Published: July 26, 2019 ABSTRACT Background: Childhood psychological maltreatment in the country paralyses children personal career integration, national development and achievement of plans laid in a given country. In most of the time, psychological maltreatment is masked within other form of child abuse and neglect when they co exit. Knowing the prevalence of childhood psychological maltreatment and the impact associated with trauma of psychological maltreatment synergize the existing evidence-based interventions that are applied to prevent psychological maltreatment. If it is left unattended childhood psychological maltreatment might lead to mental and psychological problems. This study investigates psychological maltreatment: prevalence and its relationship with psychological stress and self-esteem among school students in Tanzania and China. Methods: Participants were selected by multistage cluster sampling respectively in China and Tanzania. In China, participants were recruited randomly from four middle schools in two cities, Xiaogan and Ezhou. In Tanzania, participants were recruited randomly from seven secondary schools in five regions, Kilimanjaro, Tanga, Iringa, Mtwara and Dar es Salaam. Adverse Childhood Experience questionnaire (ACE), Rosenberg self-esteem scale, and Kessler psychological distress scale (K10) were used to gather data. Results: The sample consisted of 555 (55.5%) female and 445 (45.5%) male (N = 1000) of Tanzanian school students, On the other hand in China the sample size was 3193. Female students were 1650 (51.7%) as compared to male 1543 (48.3%). The average self-esteem score of student in Tanzania was (26.14% ± 7.45 std deviation) and in China was (22.12 ± 4.734 std deviation), in Tanzania male have higher 392 (55.3%) self-esteem scores as compared female 317 (44.7), while in China results showed that female have higher self-esteem 1223 (50.2%) than male 1211 (49.8%). There was a strong positive correlation between psychological maltreatment and self-esteem (r = 0.55, p < 0.001), whereas the correlation between psychological maltreatment and psychological distress was significantly but weak (r = −0.086, p = 0.007). Conclusion: Psychological maltreatment is prevalent in our setting and statistically significant positively affected self-esteem among Tanzanian and China adolescents and is associated with high levels of psychological distress during adolescence. Moreover, exposure to psychological maltreatment during childhood was found to be associated with an increased likelihood of experiencing psychological distress in adolescence. Urgent preventive measures aiming at reducing the incidence of childhood psychological maltreatment is necessary to lessen the incidence of low self-esteem and psychological distress among Tanzanian and China adolescents.Item Multi-type child maltreatment: prevalence and its relationship with self-esteem among secondary school students in Tanzania(BMC psychology, 2018) Mwakanyamale, Adela A.Background: Child maltreatment is becoming predominantly multi-type in nature. Studies report that multi-type child maltreatment is associated with low self-esteem in adolescence and adulthood. There is a lack of published studies in Tanzania regarding multi-type child maltreatment and its relationship with self-esteem in adolescence. This study investigates the prevalence of multi-type child maltreatment and its relationship with self-esteem among secondary school students in Tanzania. Methods: A cross-sectional, community-based study of secondary school students was conducted in randomly selected secondary schools in Tanzania. A multistage cluster sampling technique was employed to obtain the required number of study participants. The Rosenberg Self-Esteem Scale and the Adverse Childhood Experiences (ACE) questionnaire were used to measure the variables under investigation in the study. A total of 1000 participants (M: F ratio = 1.2:1) were studied. The mean age at presentation was 16.24 ± 7.36 years. The modal age group was 16–18 years (54.2%). Results: The prevalence of multi-type child maltreatment was 97.6%. The prevalence of physical abuse, physical neglect, emotional neglect emotional abuse and sexual abuse was 82.1, 26.2, 51.9, 21.8 and 24.7%, respectively. Females reported a higher prevalence of physical abuse (84.3%), physical neglect (28.0%) and sexual abuse (26.2%) than their male counterparts. Emotional abuse (53.3%) was reported more often by males. In terms of ACE, participants were classified as having zero (2.4%), one (22.4%), two (20.3%), three (18.2%), four (14.7%), five (12.8%) and over five (9.2%) types of maltreatment. With regard to multi-type child maltreatment, emotional abuse (X2 = 2.925, p = 0.001), emotional neglect (X2 = 2.329, p = 0.032), physical neglect (X2 = 22.508, p < 0.001) and physical abuse (X2 = 6.722, p = 0.036) were significantly associated with low self-esteem. Conclusion: The current study demonstrates that multi-type child maltreatment exists in Tanzania and has adversely affected self-esteem among secondary school students. We believe that this study has significantly added to the body of literature on child maltreatment by investigating exposure to 10 types of ACEs as opposed to single types, as the majority of previous studies have investigated.Item Nursing practice on post-operative wound care in surgical wards at Muhimbili National Hospital, Dar-es-Salaam, Tanzania(Open Journal of Nursing, 2019) Mwakanyamale, Adela A.; Mukaja, Anna-Mary; Ndomondo, Mathew D.; Zenas, Joan, P.; Stephen, Ambroce M.; Mika, Elizabeth Z.Background: Postoperative wound healing has been a problem which causes high mortality in the developing world; postoperative wound has been reported to cause devastating consequences and a measurable mortality. There is a limited number of published studies in Tanzania investigating Nursing practice on post-operative wound care in surgical wards at Muhimbili National Hospital, Dar-es-Salaam, Tanzania. This study assesses nursing practice on postoperative wound care by nurses in surgical wards at Muhimbili National Hospital. Methods: A cross-sectional study of surgical nurses was carried out through the use of randomly selected surgical wards at Muhimbili National Hospital in Tanzania from September 2011 to July 2013. A multistage cluster sampling technique was used to obtain a suitable number of study participants. Data collection was done using a checklist from a convenient sample of 71 nurses in selected surgical wards. Results: The result indicates that a big number of the participants were female (76.5%) and those of the age group 25 to 34 years were 40.8%. Participants exceeding a half of the selected sample reported to have poor post-operative wound care practice (57.7%). In comparison, male participants scored higher, and had better practice than their female counterparts, however, there was no considerable difference in the scores (P = 0.803). During set-up and preparation phase, the washing of hands before starting and after the completion of procedure was taken into consideration by less than half of the participants (49.3%). All participants did not ensure the environment is clean and take into account the patient’s privacy through the use of screen or even closing the room. The report shows that nurses take into consideration putting on clean gloves during the removal of the old dressing (99%), the use of sterile gloves during wound dressing was taken into consideration by most of the nurses (63%). Good practice was noted in applying dressing solution as recommended (85%), dry sterile dressing was applied by (90%), arrangement and setting up of dressing forceps and other items that may be needed in order of their application using forceps (20%), usage of forceps to dip gauze into antiseptic solution (35%) and cleaning of the wound cleaning from least contaminated to most contaminated area was only adhered to by (34%). Post-operative counseling and giving to the patient not to temper with the wound was done by a representation of only 15% of nurses. All the nurses did not do the documentation of the changes observed on the wound nor did they report on the patients comfort and the date and time after the procedure wound changes, reported patient comfort, and recorded date or time after the procedure. Conclusion: Majority of the nurses in surgical wards do not follow the postoperative wound care checklist provided by MNH although they know its importance. Assessment of the wound and documentation continues to be a problem in the nursing profession in Tanzania. Nurses are reasonably knowledgeable about the principal of wound dressing; however, lack of knowledge on some of the key principles of wound dressing is worth noting. Almost half of the nurses do not wash hands before and after the procedures, they don’t use single gauze in one direction only, not cleaning from least contaminated to most contaminated area, which can lead to wound contamination.Item Psychological maltreatment and its relationship with self-esteem and psychological stress among adolescents in Tanzania: a community based, cross-sectional study(BMC psychiatry, 2019) Mwakanyamale, Adela A.Background: Despite the growing recognition of childhood psychological maltreatment as a public health and human rights concern, it remains rampant in developing countries including Tanzania and has a negative impact on the victim’s self-esteem during adolescence. There is a lack of published studies in Tanzania that examine the relationship between childhood psychological maltreatment and self-esteem during adolescence. This study describes the relationship between childhood psychological maltreatment and self-esteem and psychological distress among adolescents in Tanzania. Methods: This was a cross-sectional, community-based study of secondary school students that was conducted in randomly selected secondary schools in five regions in Tanzania between April 2016 and February 2017. A multistage cluster sampling technique was employed to obtain the required number of study participants. The Rosenberg self-esteem scale, Kessler psychological distress scale (K10) and Childhood Trauma Questionnaire (CTQ) questionnaires were used to measure the variables in the study. Pearson correlation analysis was used to analyse the correlation between variables (Psychological maltreatment and self-esteem and psychological distress). Results: A sample of 1000 secondary school students was recruited for this study, of which 553 (55.3%) were males and 447 (44.7%) were females. The mean age at presentation was 16.45 ± 6.42 years. Out of the 1000 participants, 766 (76.6%) experienced psychological maltreatment. Emotional abuse was reported in 24.7% of the participants, while emotional neglect was reported in 51.9% of cases. There was a strong positive correlation between psychological maltreatment and self-esteem (r= 0.55, p < 0.001), whereas the correlation between psychological maltreatment and psychological distress was significantly but weak (r = − 0.086, p = 0.007). The results also show a strong positive correlation between psychological distress and self-esteem (r = 0.16, p < 0.001). Conclusion: Finding from this study demonstrated that childhood psychological maltreatment is prevalent in our setting and is associated with psychological distress and low self-esteem during adolescence. Urgent intervention targeting at reducing occurrence of childhood psychological maltreatment is necessary to reduce the incidence of low self-esteem and psychological distress among Tanzanian adolescents. Keywords: Psychological maltreatment, Self-esteem, Psychological distress, Adolescents, Tanzania © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. * Correspondence: