Nathanael Sirili
Dados Biográficos
| ID | 7754785 |
|---|---|
| NOME | Nathanael Sirili |
| PRENOMES | Nathanael |
| SOBRENOME | Sirili |
| ASSINATURA | SIRILI N |
| AFILIAÇÕES | Muhimbili University of Health and Allied Sciences |
| ORCID | 0000-0001-5205-624X |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 12 |
| TOTAL DE CITAÇÕES | 0 |
| TOTAL COMO AUTOR | 12 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2021 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 0 |
Barriers and facilitators for the implementation of Antimicrobial Stewardship Programs in Dar es Salaam Regional Referral Hospitals (RRHs)
Antimicrobial resistance (AMR) continues to present a significant public health challenge globally. Antimicrobial Stewardship Programs (ASPs) are key in optimizing antibiotic use and mitigating AMR’s impact. This study explores the factors influencing the implementation of ASPs in three Dar es Salaam Regional Referral Hospitals (RRHs).We explored the facilitators and barriers for the implementation of ASPsin Dar es Salaam’s RRH in Tanzania.Eleven…
“We have theoretical knowledge, but these are not things we do regularly”
Screening for gestational diabetes mellitus (GDM) during antenatal care (ANC) is crucial for maternal and fetal health. It offers an opportunity for prevention, timely diagnosis, and treatment of cardiometabolic complications during pregnancy and over women’s and babies’ life course. We aimed to describe GDM screening service provision during ANC in two hospitals in Tanzania, focusing on gaps and opportunities for improving GDM screening services…
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…
Hyperglycemia in pregnancy
Screening for hyperglycaemia in pregnancy (HIP) is an entry point to a healthy pregnancy and childbirth for both the woman and child, and offers a window of opportunity for the prevention of cardio-metabolic complications over the life-course of the woman and newborn. In Tanzania, two different screening algorithms to identify women with HIP are recommended, with no clear understanding of which performs better. We aimed to determine the prevalenc…
Uptake of voluntary medical male circumcision services among young adults in rural Tanzania
The World Health Organization (WHO) and its member states, particularly in Eastern and Southern Africa, have implemented various strategies to increase male circumcision coverage. Despite notable progress, the target has yet to be met, raising concerns about the willingness of young men to undergo the procedure. This study aimed to assess the willingness of young male adults in rural Tanzania to undergo circumcision. A community-based cross-secti…
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…
“If diagnosed early, you will be stressed and die…” drivers for breast cancer screening services uptake among women in Dar es Salaam
Worldwide, there has been an increase in the breast cancer mortality rate, with disproportionately high rates in low and middle-income countries. Addressing breast cancer starts with early detection through screening services. In Tanzania, despite being among countries with high rates of breast cancer, screening services uptake has remained low. This study aimed to explore the drivers for breast cancer screening among women accessing health care …
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
Intimate partner violence among HIV-positive women in discordant relationships attending care and treatment clinics in Dar es Salaam, Tanzania
Background Intimate partner violence (IPV) toward women is a public health concern affecting many countries across the world. Globally, 30% of women experience lifetime physical, sexual, or psychological harm. HIV-positive women in discordant relationships are at higher risk of experiencing IPV than other women. This study aimed to determine the magnitude and factors associated with intimate partner violence among HIV-positive women in discordant…
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…
The Effects of Sickle Cell Disease on the Quality of Life
Tanzania is among the top five countries with a high burden of sickle cell disease (SCD) in the world. Even though the effects of SCD on quality of life have been documented in other countries including Nigeria and the United States of America, few are known from Tanzania. Therefore, this study focused on evaluating the effects of SCD on the quality of life among children living with SCD and their parents. The study employed a qualitative approac…
Mismatched ambition, execution and outcomes
BACKGROUND: Since 2015, Tanzania has been implementing the Maternal Death Surveillance and Response (MDSR) system. The system employs interactions of health providers and managers to identify, notify and review maternal deaths and recommend strategies for preventing further deaths. We aimed to analyse perceptions and experiences of health providers and managers in implementing the MDSR system. METHODS: An exploratory qualitative study was carried…
Sem obras proeminentes nesta página.
Mismatched ambition, execution and outcomes
BACKGROUND: Since 2015, Tanzania has been implementing the Maternal Death Surveillance and Response (MDSR) system. The system employs interactions of health providers and managers to identify, notify and review maternal deaths and recommend strategies for preventing further deaths. We aimed to analyse perceptions and experiences of health providers and managers in implementing the MDSR system. METHODS: An exploratory qualitative study was carried…
The Effects of Sickle Cell Disease on the Quality of Life
Tanzania is among the top five countries with a high burden of sickle cell disease (SCD) in the world. Even though the effects of SCD on quality of life have been documented in other countries including Nigeria and the United States of America, few are known from Tanzania. Therefore, this study focused on evaluating the effects of SCD on the quality of life among children living with SCD and their parents. The study employed a qualitative approac…
Intimate partner violence among HIV-positive women in discordant relationships attending care and treatment clinics in Dar es Salaam, Tanzania
Background Intimate partner violence (IPV) toward women is a public health concern affecting many countries across the world. Globally, 30% of women experience lifetime physical, sexual, or psychological harm. HIV-positive women in discordant relationships are at higher risk of experiencing IPV than other women. This study aimed to determine the magnitude and factors associated with intimate partner violence among HIV-positive women in discordant…
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…
“If diagnosed early, you will be stressed and die…” drivers for breast cancer screening services uptake among women in Dar es Salaam
Worldwide, there has been an increase in the breast cancer mortality rate, with disproportionately high rates in low and middle-income countries. Addressing breast cancer starts with early detection through screening services. In Tanzania, despite being among countries with high rates of breast cancer, screening services uptake has remained low. This study aimed to explore the drivers for breast cancer screening among women accessing health care …
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
“We have theoretical knowledge, but these are not things we do regularly”
Screening for gestational diabetes mellitus (GDM) during antenatal care (ANC) is crucial for maternal and fetal health. It offers an opportunity for prevention, timely diagnosis, and treatment of cardiometabolic complications during pregnancy and over women’s and babies’ life course. We aimed to describe GDM screening service provision during ANC in two hospitals in Tanzania, focusing on gaps and opportunities for improving GDM screening services…
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…
Hyperglycemia in pregnancy
Screening for hyperglycaemia in pregnancy (HIP) is an entry point to a healthy pregnancy and childbirth for both the woman and child, and offers a window of opportunity for the prevention of cardio-metabolic complications over the life-course of the woman and newborn. In Tanzania, two different screening algorithms to identify women with HIP are recommended, with no clear understanding of which performs better. We aimed to determine the prevalenc…
Uptake of voluntary medical male circumcision services among young adults in rural Tanzania
The World Health Organization (WHO) and its member states, particularly in Eastern and Southern Africa, have implemented various strategies to increase male circumcision coverage. Despite notable progress, the target has yet to be met, raising concerns about the willingness of young men to undergo the procedure. This study aimed to assess the willingness of young male adults in rural Tanzania to undergo circumcision. A community-based cross-secti…
Barriers and facilitators for the implementation of Antimicrobial Stewardship Programs in Dar es Salaam Regional Referral Hospitals (RRHs)
Antimicrobial resistance (AMR) continues to present a significant public health challenge globally. Antimicrobial Stewardship Programs (ASPs) are key in optimizing antibiotic use and mitigating AMR’s impact. This study explores the factors influencing the implementation of ASPs in three Dar es Salaam Regional Referral Hospitals (RRHs).We explored the facilitators and barriers for the implementation of ASPsin Dar es Salaam’s RRH in Tanzania.Eleven…
Tanzania (10 obras) · Medicine (8 obras) · Environmental health (7 obras) · Qualitative research (7 obras) · Health care (6 obras) · Socioeconomics (6 obras) · Focus group (5 obras) · Thematic analysis (5 obras) · Business (4 obras) · Family medicine (4 obras)