Bruno Sunguya
Datos Biográficos
| ID | 5485729 |
|---|---|
| NOMBRE | Bruno Sunguya |
| NOMBRES | Bruno |
| APELLIDO | Sunguya |
| FIRMA | SUNGUYA B |
| AFILIACIONES | Muhimbili University of Health and Allied Sciences |
| ORCID | 0000-0003-3625-0725 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 21 |
| TOTAL DE CITAS | 1 |
| TOTAL COMO AUTOR | 21 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2011 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 1 |
‘ I am now confident in the counseling and in inserting the loop’
BACKGROUND: Unmet need for contraception among women is high in Tanzania. Hormonal intrauterine device was not among the contraceptives offered in public health facilities in Tanzania until a Ministry of Health pilot in 2023-2024. OBJECTIVE: Explore the feasibility of providing hormonal intrauterine devices in public health facilities in Tanzania. METHODS: An observational exploratory mixed-methods study design was conducted, using cross-sectiona…
“ I just love it - I know there is something which has not given me worry when I am with my partner ”
BACKGROUND: Hormonal intrauterine device (IUD) is an effective contraceptive method with high user satisfaction rates. To guide the introduction of hormonal IUD into the public sector in Tanzania, an operational research study was conducted to assess client acceptability of hormonal IUDs. OBJECTIVE: To explore clients' perspectives on contraceptives and experiences with hormonal IUDs. METHODS: = 15 at endline) with hormonal IUD clients. Register …
The stagnation of child anaemia (6–23 months) in Tanzania from 2004 to 2022
Background: Child anaemia remains a major public health concern in low- and middle-income countries, particularly among children aged <2 years. Given Tanzania's slow progress towards addressing this challenge, despite the implementation of targeted national strategies, we aimed to examine the prevalence and associated factors of anaemia in children aged <2 years. Methods: This cross-sectional study was based on secondary data from the Tanzania De…
Comparative study
This paper presents the findings of the Siemens Healthineers SHIFT Innovation Pan-Africa Capacity Building Program, which aims to improve access and affordability of healthcare across Africa through knowledge sharing and the transfer of best practices. The study focuses on comparing the cost of treating liver cancer, lung cancer, coronary artery disease (CAD), and stroke in different African countries. These conditions represent a major and growi…
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…
Uptake of iron and folic acid supplements among pregnant women in Dar es Salaam, Tanzania
Anemia in pregnancy is a public health concern globally with the highest prevalence observed in low and middle-income countries (LMICs). Tanzania is no exception. Iron and folic acid supplements (IFAS) intake is a proven intervention recommended to prevent anemia in pregnancy. Despite interventions in Tanzania, IFAS uptake has remained low due to reasons that are not well documented. This study aimed to assess the uptake and determinants of IFAS …
Facilitators and barriers for healthcare workers’ adherence to the national nutritional guidelines for people living with HIV in Dar-es-Salaam
The dual burden of HIV and malnutrition is a significant public health challenge in high burden Sub-Saharan African countries. Tanzania is no exception. Care and treatment of HIV has been strengthened in these countries, however integration with nutrition care and support remains poor. This study evaluated adherence to nutritional guidelines for people living with HIV (PLHIV) in Dar es Salaam Tanzania and identified its influencing factors. A mix…
Advancing Doctoral and Postdoctoral International Bioethics Training Programs Supported by the D43 National Institutes of Health (NIH) Fogarty Mechanism
Advancing doctoral and postdoctoral international bioethics training in low-and-middle income countries (LMICs) is essential to address the emerging and reemerging healthcare needs of local populations. The COVID-19 pandemic underscored the need for sustenance of global collaboration and rapid adaptability in the future to further prioritize research frameworks to benefit LMICs. Thus, the purpose of the manuscript is to share the successes, chall…
Eliminating mother-to-child transmission of HIV in Tanzania calls for efforts to address factors associated with a low confirmatory test
Option B+ approach for prevention of mother-to-child transmission (PMTCT) has demonstrated the potential to eliminate pediatric HIV infections. Its success depends on early infant diagnosis (EID) of HIV among the exposed infants within the first 6 weeks, and a subsequent confirmatory HIV test within 18 months. However, most mothers enrolling in option B+ in Tanzania do not come for such confirmatory tests. We examined factors associated with the …
Acceptability of an integrated school-based HPV vaccination program within two districts of Tanzania
Tanzania has one of the highest cervical cancer incidence and mortality rates in sub-Saharan Africa. The Tanzanian Ministry of Health developed an integrated adolescent health program, HPV-Plus , that combines HPV vaccination with additional health services: nutritional assessments, vision screening, and vaccination for adolescent girls, and education for all genders. This qualitative descriptive study evaluated the acceptability of the HPV-Plus …
Community-based transport system in Shinyanga, Tanzania
In achieving the sustainable development goal 3.1, Tanzania needs substantial investment to address the three delays which responsible for most of maternal deaths. To this end, the government of Tanzania piloted a community-based emergency transport intervention to address the second delay through m-mama program. This study examined secondary data to determine the cost-effectiveness of this intervention in comparison to the standard ambulance sys…
Feasibility and sustainability of a school-based platform for integrated delivery of HPV vaccination with adolescent health services in Tanzania
To meet lofty human papillomavirus (HPV) immunization goals in Tanzania, the Ministry of Health integrated HPV vaccination with adolescent health services using a school-based approach. A qualitative study was conducted in June–July 2021, examining the feasibility and sustainability of an integrated service package, HPV Plus. In-depth interviews with 46 programme implementers (i.e. health-care workers and teachers) and planning stakeholders (i.e.…
The burden of respiratory conditions in the emergency department of Muhimbili National Hospital in Tanzania in the first two years of the Covid-19 pandemic
Globally, respiratory diseases cause 10 million deaths every year. With the COVID-19 pandemic, the burden of respiratory illness increased and led to significant morbidity and mortality in both high- and low-income countries. This study assessed the burden and trend of respiratory conditions among patients presenting to the emergency department of Muhimbili National Hospital in Tanzania and compared with national COVID-19 data to determine if thi…
Targeted and Population-Wide Interventions Are Needed to Address the Persistent Burden of Anemia among Women of Reproductive Age in Tanzania
Recent evidence suggests that 44.8% of women of reproductive age (WRA) in Tanzania suffer from anemia. Addressing this public health challenge calls for local evidence of its burden and determinants thereof for policy and tailored interventions. This secondary data analysis used Tanzania Demographic and Health Surveys (TDHS) 2004−2005 and 2015−2016 with a total of 23,203 WRA. Data were analyzed using descriptive statistics to characterize the bur…
The Burden of Anemia in Pregnancy Among Women Attending the Antenatal Clinics in Mkuranga District, Tanzania
Introduction: The burden of anemia in pregnancy is of global health importance. Tanzania is no exception. Its effects vary from one region to another due to the differing causes. Overall, it is a significant cause of maternal mortality. This study sought to assess the prevalence and factors associated with anemia among pregnant women attending the antenatal clinic (ANC) in the Mkuranga district of the Pwani region of Tanzania. Methodology: This c…
Urban–Rural Disparities in the Magnitude and Determinants of Stunting among Children under Five in Tanzania
Our study aims to examine the disparity of under-5 child stunting prevalence between urban and rural areas of Tanzania in the past three decades, and to explore factors affecting the rural-urban disparity. Secondary analyses of Tanzania Demographic and Health Surveys (TDHS) data drawn from 1991-1992, 1996, 1999, 2004-2005, 2009-2010, and 2015-2016 surveys were conducted. Under-5 child stunting prevalence was calculated separately for rural and ur…
Regional Disparities in the Decline of Anemia and Remaining Challenges among Children in Tanzania
The burden of child anemia is on the decline globally but remains prevalent in low- and middle-income countries, including Tanzania. Evidence suggests regional variation and a slow pace of decline even in areas with high food production. The factors behind such decline and remaining challenges behind child anemia remain understudied in Tanzania. This secondary data analysis utilized data including 7361 and 7828 children from the Tanzania Demograp…
Public knowledge of risk factors and warning signs for cardiovascular disease among young and middle-aged adults in rural Tanzania
Knowledge of risk factors and warning signs in this rural population of young and middle-aged adults was generally low. Health care providers were less likely to provide health education regarding risk factors and warning signs for CVDs. Health promotion interventions to increase population knowledge of risk factors and warning signs should be implemented for successful reduction of CVDs in Tanzania
Correlates of health care seeking behaviour among people who inject drugs in Dar es Salaam, Tanzania
A call for parental monitoring to improve condom use among secondary school students in Dar es Salaam, Tanzania
A high level of parental monitoring is associated with more consistent condom use among male students in Dar es Salaam, Tanzania -- many of whom have engaged in high-risk sexual behaviors such as multiple sexual partnerships, concurrent sexual partnerships, and unprotected sexual intercourse in the past one year. Interventions should thus be strengthened to reduce multiple sexual partnerships, concurrent sexual partnerships, and to improve parent…
Undernutrition among HIV-positive children in Dar es Salaam, Tanzania
HIV/AIDS is associated with an increased burden of child underweight status and wasting, even among ART-treated children, in Dar es Salaam, Tanzania. In addition to increasing coverage of ART among HIV-positive children, interventions to ameliorate poor nutrition status may be necessary in this and similar settings. Such interventions should aim at promoting adequate feeding patterns, as well as preventing and treating diarrhea
Advancing Doctoral and Postdoctoral International Bioethics Training Programs Supported by the D43 National Institutes of Health (NIH) Fogarty Mechanism
Advancing doctoral and postdoctoral international bioethics training in low-and-middle income countries (LMICs) is essential to address the emerging and reemerging healthcare needs of local populations. The COVID-19 pandemic underscored the need for sustenance of global collaboration and rapid adaptability in the future to further prioritize research frameworks to benefit LMICs. Thus, the purpose of the manuscript is to share the successes, chall…
Undernutrition among HIV-positive children in Dar es Salaam, Tanzania
HIV/AIDS is associated with an increased burden of child underweight status and wasting, even among ART-treated children, in Dar es Salaam, Tanzania. In addition to increasing coverage of ART among HIV-positive children, interventions to ameliorate poor nutrition status may be necessary in this and similar settings. Such interventions should aim at promoting adequate feeding patterns, as well as preventing and treating diarrhea
A call for parental monitoring to improve condom use among secondary school students in Dar es Salaam, Tanzania
A high level of parental monitoring is associated with more consistent condom use among male students in Dar es Salaam, Tanzania -- many of whom have engaged in high-risk sexual behaviors such as multiple sexual partnerships, concurrent sexual partnerships, and unprotected sexual intercourse in the past one year. Interventions should thus be strengthened to reduce multiple sexual partnerships, concurrent sexual partnerships, and to improve parent…
Correlates of health care seeking behaviour among people who inject drugs in Dar es Salaam, Tanzania
Regional Disparities in the Decline of Anemia and Remaining Challenges among Children in Tanzania
The burden of child anemia is on the decline globally but remains prevalent in low- and middle-income countries, including Tanzania. Evidence suggests regional variation and a slow pace of decline even in areas with high food production. The factors behind such decline and remaining challenges behind child anemia remain understudied in Tanzania. This secondary data analysis utilized data including 7361 and 7828 children from the Tanzania Demograp…
Public knowledge of risk factors and warning signs for cardiovascular disease among young and middle-aged adults in rural Tanzania
Knowledge of risk factors and warning signs in this rural population of young and middle-aged adults was generally low. Health care providers were less likely to provide health education regarding risk factors and warning signs for CVDs. Health promotion interventions to increase population knowledge of risk factors and warning signs should be implemented for successful reduction of CVDs in Tanzania
The Burden of Anemia in Pregnancy Among Women Attending the Antenatal Clinics in Mkuranga District, Tanzania
Introduction: The burden of anemia in pregnancy is of global health importance. Tanzania is no exception. Its effects vary from one region to another due to the differing causes. Overall, it is a significant cause of maternal mortality. This study sought to assess the prevalence and factors associated with anemia among pregnant women attending the antenatal clinic (ANC) in the Mkuranga district of the Pwani region of Tanzania. Methodology: This c…
Urban–Rural Disparities in the Magnitude and Determinants of Stunting among Children under Five in Tanzania
Our study aims to examine the disparity of under-5 child stunting prevalence between urban and rural areas of Tanzania in the past three decades, and to explore factors affecting the rural-urban disparity. Secondary analyses of Tanzania Demographic and Health Surveys (TDHS) data drawn from 1991-1992, 1996, 1999, 2004-2005, 2009-2010, and 2015-2016 surveys were conducted. Under-5 child stunting prevalence was calculated separately for rural and ur…
The burden of respiratory conditions in the emergency department of Muhimbili National Hospital in Tanzania in the first two years of the Covid-19 pandemic
Globally, respiratory diseases cause 10 million deaths every year. With the COVID-19 pandemic, the burden of respiratory illness increased and led to significant morbidity and mortality in both high- and low-income countries. This study assessed the burden and trend of respiratory conditions among patients presenting to the emergency department of Muhimbili National Hospital in Tanzania and compared with national COVID-19 data to determine if thi…
Targeted and Population-Wide Interventions Are Needed to Address the Persistent Burden of Anemia among Women of Reproductive Age in Tanzania
Recent evidence suggests that 44.8% of women of reproductive age (WRA) in Tanzania suffer from anemia. Addressing this public health challenge calls for local evidence of its burden and determinants thereof for policy and tailored interventions. This secondary data analysis used Tanzania Demographic and Health Surveys (TDHS) 2004−2005 and 2015−2016 with a total of 23,203 WRA. Data were analyzed using descriptive statistics to characterize the bur…
Eliminating mother-to-child transmission of HIV in Tanzania calls for efforts to address factors associated with a low confirmatory test
Option B+ approach for prevention of mother-to-child transmission (PMTCT) has demonstrated the potential to eliminate pediatric HIV infections. Its success depends on early infant diagnosis (EID) of HIV among the exposed infants within the first 6 weeks, and a subsequent confirmatory HIV test within 18 months. However, most mothers enrolling in option B+ in Tanzania do not come for such confirmatory tests. We examined factors associated with the …
Acceptability of an integrated school-based HPV vaccination program within two districts of Tanzania
Tanzania has one of the highest cervical cancer incidence and mortality rates in sub-Saharan Africa. The Tanzanian Ministry of Health developed an integrated adolescent health program, HPV-Plus , that combines HPV vaccination with additional health services: nutritional assessments, vision screening, and vaccination for adolescent girls, and education for all genders. This qualitative descriptive study evaluated the acceptability of the HPV-Plus …
Community-based transport system in Shinyanga, Tanzania
In achieving the sustainable development goal 3.1, Tanzania needs substantial investment to address the three delays which responsible for most of maternal deaths. To this end, the government of Tanzania piloted a community-based emergency transport intervention to address the second delay through m-mama program. This study examined secondary data to determine the cost-effectiveness of this intervention in comparison to the standard ambulance sys…
Feasibility and sustainability of a school-based platform for integrated delivery of HPV vaccination with adolescent health services in Tanzania
To meet lofty human papillomavirus (HPV) immunization goals in Tanzania, the Ministry of Health integrated HPV vaccination with adolescent health services using a school-based approach. A qualitative study was conducted in June–July 2021, examining the feasibility and sustainability of an integrated service package, HPV Plus. In-depth interviews with 46 programme implementers (i.e. health-care workers and teachers) and planning stakeholders (i.e.…
Comparative study
This paper presents the findings of the Siemens Healthineers SHIFT Innovation Pan-Africa Capacity Building Program, which aims to improve access and affordability of healthcare across Africa through knowledge sharing and the transfer of best practices. The study focuses on comparing the cost of treating liver cancer, lung cancer, coronary artery disease (CAD), and stroke in different African countries. These conditions represent a major and growi…
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…
Uptake of iron and folic acid supplements among pregnant women in Dar es Salaam, Tanzania
Anemia in pregnancy is a public health concern globally with the highest prevalence observed in low and middle-income countries (LMICs). Tanzania is no exception. Iron and folic acid supplements (IFAS) intake is a proven intervention recommended to prevent anemia in pregnancy. Despite interventions in Tanzania, IFAS uptake has remained low due to reasons that are not well documented. This study aimed to assess the uptake and determinants of IFAS …
Facilitators and barriers for healthcare workers’ adherence to the national nutritional guidelines for people living with HIV in Dar-es-Salaam
The dual burden of HIV and malnutrition is a significant public health challenge in high burden Sub-Saharan African countries. Tanzania is no exception. Care and treatment of HIV has been strengthened in these countries, however integration with nutrition care and support remains poor. This study evaluated adherence to nutritional guidelines for people living with HIV (PLHIV) in Dar es Salaam Tanzania and identified its influencing factors. A mix…
Advancing Doctoral and Postdoctoral International Bioethics Training Programs Supported by the D43 National Institutes of Health (NIH) Fogarty Mechanism
Advancing doctoral and postdoctoral international bioethics training in low-and-middle income countries (LMICs) is essential to address the emerging and reemerging healthcare needs of local populations. The COVID-19 pandemic underscored the need for sustenance of global collaboration and rapid adaptability in the future to further prioritize research frameworks to benefit LMICs. Thus, the purpose of the manuscript is to share the successes, chall…
‘ I am now confident in the counseling and in inserting the loop’
BACKGROUND: Unmet need for contraception among women is high in Tanzania. Hormonal intrauterine device was not among the contraceptives offered in public health facilities in Tanzania until a Ministry of Health pilot in 2023-2024. OBJECTIVE: Explore the feasibility of providing hormonal intrauterine devices in public health facilities in Tanzania. METHODS: An observational exploratory mixed-methods study design was conducted, using cross-sectiona…
“ I just love it - I know there is something which has not given me worry when I am with my partner ”
BACKGROUND: Hormonal intrauterine device (IUD) is an effective contraceptive method with high user satisfaction rates. To guide the introduction of hormonal IUD into the public sector in Tanzania, an operational research study was conducted to assess client acceptability of hormonal IUDs. OBJECTIVE: To explore clients' perspectives on contraceptives and experiences with hormonal IUDs. METHODS: = 15 at endline) with hormonal IUD clients. Register …
The stagnation of child anaemia (6–23 months) in Tanzania from 2004 to 2022
Background: Child anaemia remains a major public health concern in low- and middle-income countries, particularly among children aged <2 years. Given Tanzania's slow progress towards addressing this challenge, despite the implementation of targeted national strategies, we aimed to examine the prevalence and associated factors of anaemia in children aged <2 years. Methods: This cross-sectional study was based on secondary data from the Tanzania De…
Tanzania (17 obras) · Medicine (15 obras) · Environmental health (11 obras) · Child Nutrition and Water Access (8 obras) · Geography (7 obras) · Global Maternal and Child Health (7 obras) · Public health (7 obras) · Health care (6 obras) · Nursing (6 obras) · Family medicine (5 obras)