Gasto Frumence
Biographic Data
| ID | 308651 |
|---|---|
| NAME | Gasto Frumence |
| GIVEN NAMES | Gasto |
| FAMILY NAME | Frumence |
| SIGNATURE | FRUMENCE G |
| AFFILIATIONS | Muhimbili University of Health and Allied Sciences |
| ORCID | 0000-0003-4605-9457 |
| VERIFIED | Yes |
| TOTAL WORKS | 23 |
| TOTAL CITATIONS | 5 |
| AUTHOR COUNT | 23 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2010 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 2 |
Challenges of data quality for the management of prostate cancer in Tanzania
Data quality in clinical notes is crucial for providing quality prostate cancer services, especially in countries with weak health systems and a growing burden of non-communicable diseases like prostate cancer. Poor data quality can lead to inefficient services, delayed treatment, and compromised patient outcomes. The objective of this study was to examine the quality of clinical notes for prostate cancer patients treated at five tertiary hospita…
Knowledge of non-communicable diseases and access to healthcare services among adults before and during Covid-19 pandemic in rural Tanzania
Background The COVID-19 pandemic significantly affected access to healthcare services, particularly among individuals living with Non-Communicable Diseases (NCDs) who require regular healthcare visits. Studies suggest that knowledge about a specific disease is closely linked to the ability to access services for that condition. In preparation for the future, we conducted the study to assess knowledge of NCDs and access to healthcare services amon…
Schools of public health as a cornerstone for pandemic preparedness and response
Community perspectives of Ebola Viral Disease in high-risk transmission border regions of Tanzania
The high-risk regions of Tanzania had a high level of awareness and perceived susceptibility to EVD, coupled with varying degrees of misperception about the etiology and its transmission. To improve community perspectives and preparedness in the case of an outbreak, there is a need for ongoing risk communication and participation in EVD prevention and responses
If I die for touching him, let me die”
Cultural practices may escalate EVD transmission as identified in the study settings. As such, Risk Communication and Community Engagement (RCCE) activities should be interventionist in transforming cultural practices that may escalate the spread of EVD as part of preparedness, prevention, and control efforts in the event of an outbreak
Facilitators for and Barriers to the Implementation of Performance Accountability Mechanisms for Quality Improvement in the Delivery of Maternal Health Services in a District Hospital in Pwani Region,…
Tanzania experiences a burden of maternal mortality and morbidity. Despite the efforts to institute accountability mechanisms, little is known about quality improvement in the delivery of maternal health services. This study aimed at exploring barriers and facilitators to enforcing performance accountability mechanisms for quality improvement in maternal health services. A case study design was used to conduct semi-structured interviews with thir…
Facilitators and barriers to effective supervision of maternal and newborn care
Background: Despite routine supportive supervision of health service delivery, maternal and newborn outcomes have remained poor in sub-Saharan Africa in general and in Tanzania in particular. There is limited research evidence on factors limiting the effectiveness of supportive supervision in improving the quality of maternal and newborn care.Objective: This study explored enablers of and barriers to supportive supervision in maternal and newborn…
Responsiveness of health care services towards the elderly in Tanzania
The uninsured elderly reported better responsiveness than the insured elderly in both outpatient and inpatient care. Special attention should be paid to those dimensions, like waiting time, which ranked poorly. Further research is necessary to reveal the reasons for the lower responsiveness noted among insured elderly. A continuous monitoring of health care system responsiveness is recommended
Can survey data facilitate local priority setting? Experience from the Igunga and Nzega districts in Tanzania
Factors affecting early identification of pregnant women by community health workers in Morogoro, Tanzania
We present a framework for the interaction of factors that affect CHWs' ability to identify pregnant women early in gestation. Further studies need to be conducted investigating optimal workload for CHWs, as well as reasons pregnant women might conceal their pregnancies
Integrating Community Health Worker Roles to Improve Facility Delivery Utilization in Tanzania
Can volunteer community health workers manage multiple roles? An interrupted time-series analysis of combined HIV and maternal and child health promotion in Iringa, Tanzania
Community health workers (CHWs) play a critical role in health promotion, but their workload is often oriented around a single disease. Renewed interest in expansion of multipurpose CHWs to cover an integrated package of services must contend with the debate over how effectively CHWs can perform an increased range of tasks. In this study, we examine whether an existing cadre of HIV-focused paid volunteer CHWs in Iringa, Tanzania, can take on new …
Prevention of mother to child transmission of HIV in Tanzania
Although gender mainstreaming has been long recognized as a strategy for addressing gender inequalities and associated negative health outcomes; its implementation has remained a challenge, even in the area of prevention of mother to child transmission of HIV (PMTCT). Despite recognition of gender in Tanzania's political arena and prioritization of PMTCT by the health sector, there is very little information on how well gender has been mainstream…
Intimate partner violence and challenges facing women living with HIV/Aids in accessing antiretroviral treatment at Singida Regional Hospital, central Tanzania
BACKGROUND: Human immunodeficiency virus (HIV) remains a global public health problem. Sub-Saharan Africa is the region most affected by HIV/AIDS in the world. Globally, and in Tanzania in particular, women are more affected by HIV/AIDS than men. Tanzania has been reported to be among the countries with the highest burden of intimate partner violence (IPV). This study explored the challenges facing women living with HIV/AIDS (LWHA) attending the …
A qualitative exploration of health workers’ and clients’ perceptions of barriers to completing four antenatal care visits in Morogoro Region, Tanzania
Antenatal care (ANC) remains an important contact point on the continuum of care for mothers and children in low- and middle-income countries. In Tanzania, the proportion of pregnant women completing at least four ANC visits (ANC-4) dropped from 70% to 43% between 1999 and 2010. To identify potential causes of the decline in the number of ANC visits, we conducted qualitative research at 18 health centres in Morogoro Region, exploring providers' c…
Factors that hinder community participation in developing and implementing comprehensive council health plans in Manyoni District, Tanzania
BACKGROUND: Decentralization of public health planning is proposed to facilitate public participation in health issues. Health Sector Reform in Tanzania places emphasis on the participation of lower level health facilities and community in health planning process. Despite availability of policies, guidelines, and community representative organs, actual implementation of decentralization strategies is poorly achieved. This study intended to find o…
‘We do not do any activity until there is an outbreak’
BACKGROUND: Little is known about the barriers to disease prevention and health promotion at the community level--within a decentralized health system. OBJECTIVE: This paper, therefore, presents and discusses findings on barriers (and opportunities) for instituting disease prevention and health promotion activities. DESIGN: The study was conducted in Kongwa District, Tanzania, using an explorative case study approach. Data were collected through …
Gender context of sexual violence and HIV sexual risk behaviors among married women in Iringa Region, Tanzania
BackgroundThere is a dearth of empirical research illuminating possible connections between gender imbalances and sexual violence among married women in Tanzania. There is a need to generate in-depth information on the connectivity between gender imbalances (asymmetrical resource ownership, sexual decision making, roles, and norms) and sexual violence plus associated HIV risky sexual behavior among married women.DesignThis paper is based on a qua…
Participation in health planning in a decentralised health system
Tanzania introduced the decentralisation of its health systems in the 1990s in order to provide opportunities for community participation in health planning. Health facility governing committees (HFGCs) were then established to provide room for communities to participate in the management of health service delivery. The objective of this study was to explore the challenges and benefits for the participation of HFGCs in health planning in a decent…
Challenges to the implementation of International Health Regulations (2005) on Preventing Infectious Diseases
BACKGROUND: The International Health Regulations (IHR) (2005) is a legal instrument binding all World Health Organization (WHO) member States. It aims to prevent and control public health emergencies of international concern. Country points of entry (POEs) have been identified as potential areas for effective interventions to prevent the transmission of infectious diseases across borders. The agreement postulates that member states will strengthe…
Challenges to the implementation of health sector decentralization in Tanzania
BACKGROUND: During the 1990s, the government of Tanzania introduced the decentralization by devolution (D by D) approach involving the transfer of functions, power and authority from the centre to the local government authorities (LGAs) to improve the delivery of public goods and services, including health services. OBJECTIVE: This article examines and documents the experiences facing the implementation of decentralization of health services from…
Exploring the role of cognitive and structural forms of social capital in HIV/Aids trends in the Kagera region of Tanzania – a grounded theory study
The article presents a synthesis of data from three village case studies focusing on how structural and cognitive social capital may have influenced the progression of the HIV epidemic in the Kagera region of Tanzania. Grounded theory was used to develop a theoretical model describing the possible links between structural and cognitive social capital and the impact on sexual health behaviours. Focus group discussions and key informant interviews …
Social capital and the decline in HIV transmission - A case study in three villages in the Kagera region of Tanzania
We present data from an exploratory case study characterising the social capital in three case villages situated in areas of varying HIV prevalence in the Kagera region of Tanzania. Focus group discussions and key informant interviews revealed a range of experiences by community members, leaders of organisations and social groups. We found that the formation of social groups during the early 1990s was partly a result of poverty and the many death…
Prevention of mother to child transmission of HIV in Tanzania
Although gender mainstreaming has been long recognized as a strategy for addressing gender inequalities and associated negative health outcomes; its implementation has remained a challenge, even in the area of prevention of mother to child transmission of HIV (PMTCT). Despite recognition of gender in Tanzania's political arena and prioritization of PMTCT by the health sector, there is very little information on how well gender has been mainstream…
Social capital and the decline in HIV transmission - A case study in three villages in the Kagera region of Tanzania
We present data from an exploratory case study characterising the social capital in three case villages situated in areas of varying HIV prevalence in the Kagera region of Tanzania. Focus group discussions and key informant interviews revealed a range of experiences by community members, leaders of organisations and social groups. We found that the formation of social groups during the early 1990s was partly a result of poverty and the many death…
Can volunteer community health workers manage multiple roles? An interrupted time-series analysis of combined HIV and maternal and child health promotion in Iringa, Tanzania
Community health workers (CHWs) play a critical role in health promotion, but their workload is often oriented around a single disease. Renewed interest in expansion of multipurpose CHWs to cover an integrated package of services must contend with the debate over how effectively CHWs can perform an increased range of tasks. In this study, we examine whether an existing cadre of HIV-focused paid volunteer CHWs in Iringa, Tanzania, can take on new …
Social capital and the decline in HIV transmission - A case study in three villages in the Kagera region of Tanzania
We present data from an exploratory case study characterising the social capital in three case villages situated in areas of varying HIV prevalence in the Kagera region of Tanzania. Focus group discussions and key informant interviews revealed a range of experiences by community members, leaders of organisations and social groups. We found that the formation of social groups during the early 1990s was partly a result of poverty and the many death…
Exploring the role of cognitive and structural forms of social capital in HIV/Aids trends in the Kagera region of Tanzania – a grounded theory study
The article presents a synthesis of data from three village case studies focusing on how structural and cognitive social capital may have influenced the progression of the HIV epidemic in the Kagera region of Tanzania. Grounded theory was used to develop a theoretical model describing the possible links between structural and cognitive social capital and the impact on sexual health behaviours. Focus group discussions and key informant interviews …
Challenges to the implementation of International Health Regulations (2005) on Preventing Infectious Diseases
BACKGROUND: The International Health Regulations (IHR) (2005) is a legal instrument binding all World Health Organization (WHO) member States. It aims to prevent and control public health emergencies of international concern. Country points of entry (POEs) have been identified as potential areas for effective interventions to prevent the transmission of infectious diseases across borders. The agreement postulates that member states will strengthe…
Challenges to the implementation of health sector decentralization in Tanzania
BACKGROUND: During the 1990s, the government of Tanzania introduced the decentralization by devolution (D by D) approach involving the transfer of functions, power and authority from the centre to the local government authorities (LGAs) to improve the delivery of public goods and services, including health services. OBJECTIVE: This article examines and documents the experiences facing the implementation of decentralization of health services from…
‘We do not do any activity until there is an outbreak’
BACKGROUND: Little is known about the barriers to disease prevention and health promotion at the community level--within a decentralized health system. OBJECTIVE: This paper, therefore, presents and discusses findings on barriers (and opportunities) for instituting disease prevention and health promotion activities. DESIGN: The study was conducted in Kongwa District, Tanzania, using an explorative case study approach. Data were collected through …
Gender context of sexual violence and HIV sexual risk behaviors among married women in Iringa Region, Tanzania
BackgroundThere is a dearth of empirical research illuminating possible connections between gender imbalances and sexual violence among married women in Tanzania. There is a need to generate in-depth information on the connectivity between gender imbalances (asymmetrical resource ownership, sexual decision making, roles, and norms) and sexual violence plus associated HIV risky sexual behavior among married women.DesignThis paper is based on a qua…
Participation in health planning in a decentralised health system
Tanzania introduced the decentralisation of its health systems in the 1990s in order to provide opportunities for community participation in health planning. Health facility governing committees (HFGCs) were then established to provide room for communities to participate in the management of health service delivery. The objective of this study was to explore the challenges and benefits for the participation of HFGCs in health planning in a decent…
Factors that hinder community participation in developing and implementing comprehensive council health plans in Manyoni District, Tanzania
BACKGROUND: Decentralization of public health planning is proposed to facilitate public participation in health issues. Health Sector Reform in Tanzania places emphasis on the participation of lower level health facilities and community in health planning process. Despite availability of policies, guidelines, and community representative organs, actual implementation of decentralization strategies is poorly achieved. This study intended to find o…
Intimate partner violence and challenges facing women living with HIV/Aids in accessing antiretroviral treatment at Singida Regional Hospital, central Tanzania
BACKGROUND: Human immunodeficiency virus (HIV) remains a global public health problem. Sub-Saharan Africa is the region most affected by HIV/AIDS in the world. Globally, and in Tanzania in particular, women are more affected by HIV/AIDS than men. Tanzania has been reported to be among the countries with the highest burden of intimate partner violence (IPV). This study explored the challenges facing women living with HIV/AIDS (LWHA) attending the …
A qualitative exploration of health workers’ and clients’ perceptions of barriers to completing four antenatal care visits in Morogoro Region, Tanzania
Antenatal care (ANC) remains an important contact point on the continuum of care for mothers and children in low- and middle-income countries. In Tanzania, the proportion of pregnant women completing at least four ANC visits (ANC-4) dropped from 70% to 43% between 1999 and 2010. To identify potential causes of the decline in the number of ANC visits, we conducted qualitative research at 18 health centres in Morogoro Region, exploring providers' c…
Prevention of mother to child transmission of HIV in Tanzania
Although gender mainstreaming has been long recognized as a strategy for addressing gender inequalities and associated negative health outcomes; its implementation has remained a challenge, even in the area of prevention of mother to child transmission of HIV (PMTCT). Despite recognition of gender in Tanzania's political arena and prioritization of PMTCT by the health sector, there is very little information on how well gender has been mainstream…
Can volunteer community health workers manage multiple roles? An interrupted time-series analysis of combined HIV and maternal and child health promotion in Iringa, Tanzania
Community health workers (CHWs) play a critical role in health promotion, but their workload is often oriented around a single disease. Renewed interest in expansion of multipurpose CHWs to cover an integrated package of services must contend with the debate over how effectively CHWs can perform an increased range of tasks. In this study, we examine whether an existing cadre of HIV-focused paid volunteer CHWs in Iringa, Tanzania, can take on new …
Factors affecting early identification of pregnant women by community health workers in Morogoro, Tanzania
We present a framework for the interaction of factors that affect CHWs' ability to identify pregnant women early in gestation. Further studies need to be conducted investigating optimal workload for CHWs, as well as reasons pregnant women might conceal their pregnancies
Integrating Community Health Worker Roles to Improve Facility Delivery Utilization in Tanzania
Responsiveness of health care services towards the elderly in Tanzania
The uninsured elderly reported better responsiveness than the insured elderly in both outpatient and inpatient care. Special attention should be paid to those dimensions, like waiting time, which ranked poorly. Further research is necessary to reveal the reasons for the lower responsiveness noted among insured elderly. A continuous monitoring of health care system responsiveness is recommended
Can survey data facilitate local priority setting? Experience from the Igunga and Nzega districts in Tanzania
Facilitators and barriers to effective supervision of maternal and newborn care
Background: Despite routine supportive supervision of health service delivery, maternal and newborn outcomes have remained poor in sub-Saharan Africa in general and in Tanzania in particular. There is limited research evidence on factors limiting the effectiveness of supportive supervision in improving the quality of maternal and newborn care.Objective: This study explored enablers of and barriers to supportive supervision in maternal and newborn…
Facilitators for and Barriers to the Implementation of Performance Accountability Mechanisms for Quality Improvement in the Delivery of Maternal Health Services in a District Hospital in Pwani Region,…
Tanzania experiences a burden of maternal mortality and morbidity. Despite the efforts to institute accountability mechanisms, little is known about quality improvement in the delivery of maternal health services. This study aimed at exploring barriers and facilitators to enforcing performance accountability mechanisms for quality improvement in maternal health services. A case study design was used to conduct semi-structured interviews with thir…
Knowledge of non-communicable diseases and access to healthcare services among adults before and during Covid-19 pandemic in rural Tanzania
Background The COVID-19 pandemic significantly affected access to healthcare services, particularly among individuals living with Non-Communicable Diseases (NCDs) who require regular healthcare visits. Studies suggest that knowledge about a specific disease is closely linked to the ability to access services for that condition. In preparation for the future, we conducted the study to assess knowledge of NCDs and access to healthcare services amon…
Schools of public health as a cornerstone for pandemic preparedness and response
Community perspectives of Ebola Viral Disease in high-risk transmission border regions of Tanzania
The high-risk regions of Tanzania had a high level of awareness and perceived susceptibility to EVD, coupled with varying degrees of misperception about the etiology and its transmission. To improve community perspectives and preparedness in the case of an outbreak, there is a need for ongoing risk communication and participation in EVD prevention and responses
If I die for touching him, let me die”
Cultural practices may escalate EVD transmission as identified in the study settings. As such, Risk Communication and Community Engagement (RCCE) activities should be interventionist in transforming cultural practices that may escalate the spread of EVD as part of preparedness, prevention, and control efforts in the event of an outbreak
Challenges of data quality for the management of prostate cancer in Tanzania
Data quality in clinical notes is crucial for providing quality prostate cancer services, especially in countries with weak health systems and a growing burden of non-communicable diseases like prostate cancer. Poor data quality can lead to inefficient services, delayed treatment, and compromised patient outcomes. The objective of this study was to examine the quality of clinical notes for prostate cancer patients treated at five tertiary hospita…
Medicine (21 works) · Tanzania (20 works) · Environmental health (19 works) · Socioeconomics (18 works) · Nursing (13 works) · Global Maternal and Child Health (12 works) · Public health (12 works) · Political science (11 works) · Qualitative research (11 works) · Population (10 works)