This study was carried out in Ilala and Kinondoni Municipalities in Tanzania to explore the perceptions of Tuberculosis (TB), and treatment seeking behaviour, among patients attending healthcare facilities. The study was conducted in four randomly selected health facilities providing directly observed treatment (DOT). Exit interviews were administered to 69 randomly selected TB patients. The mean age of the respondents was 33.2 years (range= 11-72 years). Forty-six (66.7%) of the patients had primary school education. Fifty-nine (84.1%) patients had good knowledge on the transmission of TB. Majority (75%) of the respondents were of the opinion that the incidence of TB was on the increase and this was mainly associated with HIV/AIDS epidemic. All respondents knew that TB was a curable disease if one complies with the treatment. Sixty-four (60%) respondents had good knowledge on the correct duration of tuberculosis treatment. The median duration before seeking treatment from a health facility was 1.5 months. The majority of the patients 47 (68%) visited public health facilities for treatment as their fi rst action. Overall, 83.8% (57/68) respondents said females comply better with treatment than male patients. The majority of the respondents lived within a walking distance to a healthcare facility. Only 18.8% (13/69) had to spend an average of US$ 0.2-0.3 as travel costs to the healthcare facility. Most of the respondents (57.8%) said they were well attended by service providers. Half (21/42) and 59.3% (16/27) of the males and females, respectively, mentioned good patient-service provider relationship as an important reason for satisfaction of the service (χ 2 =0.57, df=1, P>0.005). Twenty-nine (42%) of respondents were of the opinion that female TB patients conformed better to treatment than males and a similar number thought that both of them equally conformed to treatment. Findings from this study indicate that a large population in urban settings are aware that health facilities play a major role in TB treatment. In conclusion, there is a need to further explore how this information could potentially be used to enhance early seeking of appropriate services among TB patients in the era of rapid urbanization. Strategies in the control of TB and other diseases should focus on advocacy in seeking appropriate care.
Tsetse flies are vectors of blood parasite of the genus Trypanosoma, which causes African trypanosomiasis to both human beings and animals. Large losses due to nagana have been reported; and this indicates the importance of tsetse control to avoid estimated losses. This study assessed the knowledge of tsetse and control practices, attitude towards control practices against tsetse, and the actual control practices used by the local communities in Serengeti District near the Serengeti National Park (SENAPA). Data for this study were collected using various methods. An interview schedule was administered to 70 randomly selected households, 12 focus group discussions with men and women farmers, and four key informant interviews with technical staff were held. The data were analysed using largely descriptive statistics and content analysis method. The farmers had inadequate knowledge of tsetse such that they confused them with other similar flies. On the other hand, they demonstrated knowledge of tsetse control measures, and these included some, which were not among those recommended by the extension staff. While the attitude towards control methods was positive most of the farmers did not use the recommended methods largely due to the cost associated with them. This suggests that the positive attitude towards a recommendation by itself is not sufficient to influence its use. Besides, poor management of dipping facilities for tsetse control and inadequate supervision by district staff impacted on the quality of services offered. Thus enabling local community members to have clear knowledge of tsetse flies is an important starting point for mobilizing them to take appropriate control measures against tsetse. Also, district authorities need to take an active role in monitoring the performance of the dipping facilities in the district by taking up appropriate measures to ensure quality control of services offered. Moreover, there is need for the district authorities and the central government to address the challenges which privatization of veterinary services posed to animal health and the wellbeing of people who depend on livestock for their livelihood.
This study seeks to explore the adoption of rice research-based innovations in rural Tanzania. Apart from the age and level of education of the head of household, which had an influence on the adoption of herbicide in both study areas, the influence of other variables on the adoption of fertilizer and transplanting varied between the study areas. Moreover, the study shows that adoption of the selected innovations is context-dependent. In Tanzania, rice farming is characterized by the predominance of traditional rice varieties. Farmers grow these varieties for household consumption or income, or both, under crop management practices that are well attuned to the available resources. The observed discontinuation and adaptation of innovations make sense, given the production circumstances in which the farmers operate. The findings of the study raise issues with research implications for improved rice production in the study areas.
We set out to unveil gender inequality with respect to women’s access to family land following the surge in tree-planting in selected villages in the Southern Highlands of Tanzania. Specifically, the study describes land-transaction procedures at the household level and shows how the lack of women’s involvement in such land transactions affect their access to and control over family lands. Gender inequality is portrayed in a variety of social and economic activities, with women being deprived of access to, control over, and ownership of land. Although the current land laws address gender inequalities pertaining to women’s access to, ownership of, and control over land, the impact of such reforms has been minimal. Drawing on Bourdieu’s concept of symbolic violence, we reveal how women suffer symbolic violence through traditional practices of land management and administration. Societies in the studied villages are strongly patriarchal, with men being dominant and women subordinate. In such a patriarchal system, women’s empowerment is urgent. Women require knowledge and awareness of the laws and regulations that affirm their rights not only to family lands, but also to participation in decision-making processes regarding family assets. We recommend non-oppressive approaches to natural-resource management. As such, we call for existing authorities at the village and district levels, Non Governmental Organisations (NGOs) and legal bodies to promote gender equality in land-management practices. We also advocate dialectical communication between women and men in order to reveal and heal practices of symbolic violence, and enhance gender equality in respect of access to land and its control and ownership in villages in the Southern Highlands of Tanzania. Effective implementation of existing land laws and regulations that address gender inequality and associated violence is unavoidable.
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