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Artigos de revistas sobre o assunto "Tanzania AIDS Project"

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Durden, Emma, e Dominique Nduhura. "Use of participatory forum theatre to explore HIV/AIDS issues in the workplace". Communicare: Journal for Communication Studies in Africa 26, n.º 2 (20 de outubro de 2022): 56–70. http://dx.doi.org/10.36615/jcsa.v26i2.1725.

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The continued success of entertainment education programmes around the world has seen anincrease in the use of theatre for HIV/AIDS interventions. Both UNAIDS and UNESCO recommendthe use of such cultural strategies for HIV/AIDS awareness. A brief survey of current evaluationsin this field reveals such projects in Kenya, Angola, Mozambique, the Netherlands and Honduras,amongst other countries. Forum theatre is reported as being used as a technique to deepenunderstanding of HIV/AIDS issues in programmes in Georgia, Tanzania, Burkina Faso and SouthAfrica (The Communication Initiative, 2007).This paper explores the application of participatory theatre techniques in a South African factoryenvironment in 2003. It investigates the conditions and context for the project, some of the theoreticalunderpinnings of the forum theatre concept, and the reception of the project by the factory audience.Essentially, the paper seeks to determine whether forum theatre is an appropriate strategy to usefor HIV/AIDS awareness in this environment.
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Loyse, Angela, Godfrey S. Mfinanga, Cecilia Kanyama, Charles Kounfack, Sokoine Lesikari, Chimwemwe Chawinga, Muirgen Stack e Sile Molloy. "OC 8494 DRIVING REDUCED AIDS-ASSOCIATED MENINGO-ENCEPHALITIS MORTALITY". BMJ Global Health 4, Suppl 3 (abril de 2019): A10.2—A10. http://dx.doi.org/10.1136/bmjgh-2019-edc.24.

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BackgroundDREAMM is an implementation study aiming to reduce meningo-encephalitis related mortality. Delays in diagnosis and treatment through poor access to diagnostics and treatments are significant contributing factors to the ongoing high mortality of HIV-associated central nervous system (CNS) infections, causing up to 25% of all HIV-related deaths in sub-Saharan Africa.MethodsA before-after design is being implemented across 3 sites in Africa; Lilongwe, Malawi, Dar Es Salaam, Tanzania and Yaoundé, Cameroon. The study is composed of 3 phases: Observation, Training and Implementation.ResultsThe observation phase (audit of practice) happened between November 2016 – May 2017 in Malawi and Tanzania. Overall, 110 patients were included. Ten-week all-cause mortality was 64% (42/66) in Tanzania and 37% (13/35) in Malawi. Approximately 75% of patients were ART experienced. Across sites, 76.6% of patients presented with abnormal mental status, with a median baseline CD4 count of 50 cells/µL. Only 2/75 patients in Tanzania had a lumbar puncture ordered compared to 27/35 in Malawi. All patients in Tanzania received empirical Fluconazole monotherapy whereas almost 1/3 patients in Malawi (11/35) were treated with Amphotericin B which is not readily available in both countries.The training phase (completed in November 2017 for Malawi and Tanzania) used the train-the-trainer approach. Interactive workshops on using rapid diagnostic tests (RDTs), performing basic microbiological techniques and safe administration of medicines were chosen as the most pertinent to reducing mortality. Patient and laboratory pathways were optimised afterwards by increasing the routine laboratory capacity, performing CSF analysis, providing infectious diseases mentorship for clinicians and procuring RDTs and reagents not locally available.Implementation is underway in Malawi and Tanzania and the audit phase is scheduled for autumn in Cameroon. Upon completion, the project is expected to create a sustainable approach to reduce the high mortality of HIV-related meningo-encephalitis with the optimised patient and laboratory pathways embedded within routine care.
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Johansson, Ola. "The Limits of Community-Based Theatre: Performance and HIV Prevention in Tanzania". TDR/The Drama Review 54, n.º 1 (março de 2010): 59–75. http://dx.doi.org/10.1162/dram.2010.54.1.59.

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A research project on community-based theatre in Tanzania questions the efficacy of the genre in combating the AIDS epidemic. If performances are well attended, and participants are informed on the causes of the virus, why is it still rampant? Efficacy will be possible only when gender inequities and taboos are openly confronted.
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Conserve, Donaldson F., Subina Saini, Jumanne Issango, Andrew M. Kilale, Jerome Kamwela, Leonard Maboko, Wynton Sims et al. "Perceived benefits, challenges, and recommendations for HIV research dissemination and implementation science efforts in Tanzania: Findings from the HIV/AIDS Research Forum brainstorming session". PLOS Global Public Health 2, n.º 10 (26 de outubro de 2022): e0000952. http://dx.doi.org/10.1371/journal.pgph.0000952.

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Although several international and national HIV/AIDS conferences exist, there was not a national conference in Tanzania focusing on HIV/AIDS disseminating and implementation research conducted in the country and abroad. This created a missed opportunity for researchers to share their research findings with local policymakers and HIV program implementers who can influence the adoption and implementation of promising research in public health and clinical practice settings. In response, the first HIV/AIDS D&I Research Forum designed to enhance local D&I efforts for HIV research, was organized in Tanzania in 2018. This paper explores the perceived benefits of the HIV/AIDS D&I Research Forum and potential challenges of developing similar forums and recommendation for future HIV research D&I conference in Tanzania. During the second day of the Forum, which was held in September 2018 in Morogoro, Tanzania, a 1-hour structured brainstorming session was conducted with the Forum attendees (n = 50), including researchers, medical professionals, policymakers, representatives from different ministries. Transcription of the brainstorming session was analyzed to identify benefits of the Forum, perceived challenges for organizing similar HIV/AIDS research dissemination events, and recommendations for addressing the challenges. Overall, participants perceived the forum to be beneficial because it provided opportunities for strategic collaborations between researchers, policymakers, and other stakeholders and for them to discuss challenges for D&I efforts. Forum attendees also identified several potential challenges for future D&I research forums such as the abstract requirement which may deter non-researchers, costs, meeting frequencies, and lack of funding and coordination between organizations involved in D&I research efforts. To address these concerns, a recommendation was made to host a biennial national conference in order to allow more time for ethical review and feedback that can enhance contribution of the project to D&I efforts and to raise funds. The benefits identified for the Forum highlight the importance of organizing similar D&I meetings for HIV-related research at the national level in Tanzania. However, the potential challenges discussed need to be addressed in order to develop a sustainable national D&I research conference by incorporating recommendations that forum attendees proposed.
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Sullivan, Noelle. "Mediating Abundance and Scarcity: Implementing an HIV/AIDS-Targeted Project Within a Government Hospital in Tanzania". Medical Anthropology 30, n.º 2 (16 de março de 2011): 202–21. http://dx.doi.org/10.1080/01459740.2011.552453.

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KATAPA, R. S., e D. K. RWEYEMAMU. "HIV/AIDS KNOWLEDGE, ATTITUDE AND PRACTICE AMONG WOMEN IN THE LEAST AND MOST HIV/AIDS AFFECTED REGIONS OF MAINLAND TANZANIA". Journal of Biosocial Science 46, n.º 2 (12 de setembro de 2013): 168–77. http://dx.doi.org/10.1017/s0021932013000497.

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SummaryAmong women in mainland Tanzania, Iringa region in the southern highlands has the highest HIV/AIDS prevalence rate while Arusha region in the north-east has the lowest prevalence rate. In a 2007/8 survey, Iringa's HIV rate for women was 18.6% versus 0.8% in Arusha. Using data from a survey of women aged 15–49 years conducted in 2009 by the Champion project of EngenderHealth, a comparison was made of HIV/AIDS knowledge, attitude and practice between women in Iringa and Arusha regions. It was found that women in Arusha region had more knowledge of HIV/AIDS than women in Iringa region, and that more than three-quarters of the women in each region were married and 12% of the women in Arusha region had never been married compared with 8% of the women in Iringa region. The majority of women in each region had at least primary school education and there was no significant difference between their educational levels. Women in Arusha region were economically less active than women in Iringa region, a statistically significant association. More women in Arusha region than in Iringa region had never had children (24% versus 12%). Similarly, women in Arusha region had significantly fewer children compared with women in Iringa.
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Shrestha, Ram Kumar. "Community Health System Model to support Health Volunteers to outreach underserved population: A case study of HIV/AIDS program from Tanzania". Samriddhi Journal of Development Studies 8, n.º 1 (31 de dezembro de 2022): 21–25. http://dx.doi.org/10.3126/sjds.v8i1.60980.

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Major challenges for the HIV program in the Muheza district of Tanzania, East Africa were to increase HIV testing for men and retain HIV patients on treatment. The USAID funded Applied Science to Strengthen, and Improve Systems (ASSIST) project implemented the Community Health System Strengthening (CHSS) model to improve linkages between health facilities and communities to increase HIV testing and retention in care. The project formed a community team from representatives of the formal and informal pre-existing structures and their networks who worked with the local Home-Based Care (HBC) volunteers. The community improvement team members relayed information from the facility to the community households through their community group members and vice-versa. The application of CHSS model was able to increase the testing of males from 42 to 159 in one month. Over the course of seven months, the CHSS system was able to trace 39 of 44 patients who were lost to follow-up; of these, 23 went back to treatment, five had moved to a different health facility, 11 had died, and five were still unaccounted for. This case study describes the process undertaken, and perspectives of the community members and health facility personnel, who were involved in the project.
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Mdee, Anna, e Lisa Thorley. "Knowing Your Rights is Something, But Not Enough: Exploring Collective Advocacy and Rights to Treatment and Services for People Living with HIV in Tanzania". Africanus: Journal of Development Studies 46, n.º 2 (26 de outubro de 2017): 40–56. http://dx.doi.org/10.25159/0304-615x/2071.

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Citizen and collective advocacy is often regarded as a critical way to hold governments to account for the services they expected to deliver and combat the marginalisation of certain groups. This article presents a qualitative analysis of the application of a “rights-based” and advocacy approach as a means for People Living with HIV (PLWHIV) to claim their legislative rights to basic services such as education, and combat behaviour that is stigmatising. Data was obtained from a project in Northern Tanzania that works with more than 40 self-help groups to empower them to claim their rights as stipulated in the 2008 HIV/AIDS Act. The findings suggest that knowing one’s rights does seem to enable groups to start asking questions about their entitlements to services. As has been alluded to already, it is not enough for one to simply know their rights when their actions and responses are fundamentally limited by lack of resource and power, vague legislative commitments and weak local institutional capacity to respond. These findings have implications for the many social policy initiatives, which seek to use citizen or group-based advocacy to address discrimination or poor public service delivery.
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Higton, Naomi, Emma Grace Lewis, Richard Walker e Richard Lee. "24 Understanding and management of terminal illness within tanzanian traditional medicine". BMJ Supportive & Palliative Care 8, n.º 3 (setembro de 2018): 368.3–369. http://dx.doi.org/10.1136/bmjspcare-2018-mariecurie.24.

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BackgroundPalliative care (PC) need in Africa is projected to rise by 300% over the next 20 years.1 Late presentation and poor community awareness of services are recognised challenges to effective healthcare delivery.2 3Traditional and faith healers (TFH) hold cultural importance and provide a significant proportion of primary healthcare in Africa.4 5 This project sought to explore their understanding and management of terminal illness with the aim of improving PC delivery through collaborations between TFH and allopathic services.MethodologyData were collected through semi-structured qualitative interviews with traditional healers (n=11) and faith healers (n=8) working within the Kilimanjaro region of Tanzania. Participants were recruited through convenience and purposive sampling. Interviews were audio-recorded and translated transcripts analysed by thematic analysis.FindingsAll TFH had experience of terminally ill and dying patients. Participants had a holistic approach to healthcare with themes of biological psychological social and spiritual factors identified throughout conceptualisation and management of both terminal illness and death. This also informed opinions towards collaboration seeing healthcare professionals and TFH holding different roles within these areas.ConclusionsThe overlap with allopathic explanatory models of health (i.e. the BioPsychoSocial model) provides positive grounds for future collaborations. TFH could complement allopathic PC services through culturally acceptable spiritual care perceived to be lacking in hospitals. Joint dialogue and education between practitioners is necessary to begin collaboration. A significant challenge to this is mistrust between traditional healers and faith healers. The findings merit further research into patient’s preferences and experiences of TFHs in terminal illness.References. Grant L, Downing J, Namukwaya E. Palliative care in Africa since 2005: Good progress but much further to go. BMJ Supportive & Palliative Care2011;1(2).. Harding R, et al. Current HIV/AIDS end-of-life care in sub-Saharan Africa: A survey of models services challenges and priorities. BMC Public Health2003;3(33).. Lewis EG, Oates LL, Rogathi J, Duinmaijer A, Shayo A, Megiroo S, Bakari B, Dewhurst F, Walker RW, Dewhurst M, Urasa S. ‘We never speak about death.’ Healthcare professionals’ views on palliative care for inpatients in Tanzania: A qualitative study. Palliat Support CareAugust 2017;22:1–14.. World Health Organisation. WHO: Traditional medicine strategy: 2014–2023 2013. Geneva: World Health Organisation Geneva.. Stanifer JW, et al. The determinants of traditional medicine use in Northern Tanzania: A mixed-methods study. PLoS One2015;10(4):e0122638.
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Magnolini, Raphael, Elizabeth Senkoro, Aneth Vedastus Kalinjuma, Olivia Kitau, Bernard Kivuma, Leila Samson, Anna Eichenberger et al. "Stigma-directed services (Stig2Health) to improve ‘linkage to care’ for people living with HIV in rural Tanzania: study protocol for a nested pre-post implementation study within the Kilombero and Ulanga Antiretroviral Cohort". Open Research Africa 5 (5 de agosto de 2022): 14. http://dx.doi.org/10.12688/aasopenres.13353.2.

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Background: HIV-related stigma is a major barrier to the timely linkage and retention of patients in HIV care in sub-Saharan Africa, where most people living with HIV/AIDS reside. In this implementation study we aim to evaluate the effect of stigma-directed services on linkage to care and other health outcomes in newly diagnosed HIV-positive patients. Methods: In a nested project of the Kilombero and Ulanga Antiretroviral Cohort in rural Tanzania, we conduct a prospective observational pre-post study to assess the impact of a bundle of stigma-directed services for newly diagnosed HIV positive patients. Stigma-directed services, delivered by a lay person living with HIV, are i) post-test counseling, ii) post-test video-assisted teaching, iii) group support therapy and group health education, and iv) mobile health. Patients receiving stigma services (enrolled from 1st February 2020 to 31st August 2021) are compared to a historical control receiving the standard of care (enrolled from 1st July 2017 to 1st February 2019). The primary outcome is ‘linkage to care’. Secondary endpoints are retention in care, viral suppression, death and clinical failure at 6-12 months (up to 31st August 2022). Self-reported stigma and depression are assessed using the Berger Stigma scale and the PHQ-9 questionnaire, respectively. The sample size calculation was based on cohort data from 2018. Assuming a pre-intervention cohort of 511 newly diagnosed adults of whom 346 (68%) were in care and on antiretroviral treatment (ART) at 2 months, a 10% increase in linkage (from 70 to 80%), a two-sided type I error rate of 5%, and 90% power, 321 adults are required for the post-implementation group. Discussion: We expect that integration of stigma-directed services leads to an increase of proportions of patients in care and on ART. The findings will provide guidance on how to integrate stigma-directed services into routine care in rural sub-Saharan Africa.
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Teses / dissertações sobre o assunto "Tanzania AIDS Project"

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Coppard, Dorothea. "A comparison of the knowledge and attitudes of school counselors trained in the prevention and awareness in schools of HIV/AIDS project and untrained counselors in Tanga Region, Tanzania". Thesis, University of the Western Cape, 2008. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_4825_1260533199.

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This study aimed to establish the effect of the training that was provided by PASHA on the knowledge and attitudes of school counsellors regarding HIV/AIDS. The research was conducted as a quantitative, observational KA(knowledge, attitude) study in 57 schools (37 or 32 % of the intervention schools,20 non-intervention schools) in Tanga region, using questionnaires to compare the knowledge and attitudes of trained counsellors with those of untrained counsellors towards HIV/AIDS, sexuality and reproductive rights of their students. Questionnaires were pre-tested and then administered face-to-face over a four week period in 2007. Eighty five counsellors were interviewed, 56 of these had received in-service training as counsellors, while 29 had not received any training by PASHA.

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Livros sobre o assunto "Tanzania AIDS Project"

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Bailey, J. R. Feasibility study on rehabilitation of aids to navigation in Tanzania: Final report SATCC project 3.7.3. Norway: Norwegian Agency for Development Cooperation, 1990.

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Family Health International (Organization). AIDS Control and Prevention (AIDSCAP) Project. e United States. Agency for International Development., eds. The Tanzania AIDS project: Building capacity, saving lives : the AIDSCAP response : 1993-1997. Arlington, Va: AIDSCAP Family Health International, 1997.

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Hadjipateras, Angela. Joining hands: Integrating gender and HIV/AIDS : report of an ACORD project using stepping stones in Angola, Tanzania, and Uganda. Kampala, Uganda: ACORD, 2006.

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Barnett, Tony. The effects of HIV/AIDS on farming systems and rural livelihoods in Uganda, Tanzania and Zambia: Project TSS/1 RAF/92/TO/A : a summary analysis of case studies from research carried out in the period July-September 1993 : final report. Norwich: Overseas Development Group, University of East Anglia, 1994.

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Gran, Thorvald. AID and entrepreneurship in Tanzania: The Norwegian Development Agency's contribution to entrepreneurial mobilization in the public sector in Tanzania. Dar es Salaam: Dar es Salaam University Press, 1993.

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Bretherick, Dona. Tanzania: A Country Guide Series Report from the Aacrao-Aid Project. Amer Assn of Collegiate Registrars, 1995.

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Lekan, Thomas M. Our Gigantic Zoo. Oxford University Press, 2020. http://dx.doi.org/10.1093/oso/9780199843671.001.0001.

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This book examines the troubled relationship between Europe’s greatest wildlife conservationist, the former Frankfurt Zoo director and Oscar-winning documentarian Bernhard Grzimek, and the landscape he saw as a “gigantic zoo” for the earth’s last great mammals: the Serengeti National Park in Tanzania. It analyzes the fissures that emerged between Grzimek and his son Michael’s self-appointed quest to save the Serengeti from modernization and “overpopulation” and the rights of rural Africans and their livestock to inhabit the landscape on their own terms during the era of decolonization around 1960. Grzimek is beloved in Germany as an animal whisperer. He rebuilt the Frankfurt Zoo from a bombed-out shell and sensitized a generation of young people to environmental issues on his long-running television program, A Place for Animals. Yet his advocacy abroad exposed the danger of thinking locally and acting globally. The Grzimeks projected European anxieties about war, Americanization, race, and environmental destruction onto Africa, sidestepping the uncomfortable imperialist legacies of exploitation that had endangered animals in the first place. After independence, Bernhard tried to make wildlife pay for Tanzania by promoting package tours from Europe and soliciting West German development aid for national parks. These efforts created an important alliance between Grzimek, West German diplomats, and Tanzanian leader Julius Nyerere. Grzimek’s conservation priorities soon clashed against Nyerere’s nationalist ones, as a more self-assertive Tanzania resented failed promises and incessant meddling. The Africanization of the national park system in the early 1970s ended the Grzimek quest: the fate of the Serengeti lay in Nyerere’s hands, not Grzimek’s.
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Brock-Utne, Birgit, Martha A. S. Qorro, Allan Pitman e Z. Desai. Language of Instruction in Tanzania and South Africa - Highlights from a Project. BRILL, 2010.

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Language Of Instruction In Tanzania And South Africa Highlights From A Project. Sense Publishers, 2010.

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Poverty, policies, and perceptions in Tanzania: An evaluation of Dutch aid to two district rural development programmes. The Hague: Ministry of Foreign Affairs, Policy and Operations Evaluation Dept., 2004.

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Capítulos de livros sobre o assunto "Tanzania AIDS Project"

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Easton-Calabria, Evan. "Socialism and Self-Reliance: Refugee Self-Reliance Assistance in Post-Colonial East Africa". In Refugees, Self-reliance, Development, 59–93. Policy Press, 2022. http://dx.doi.org/10.1332/policypress/9781529219081.003.0003.

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This chapter examines the nature of refugee self-reliance assistance within the post-war ‘development project’ in Tanzania following the wars of decolonization in the 1960s. The promotion of collective refugee self-reliance in East African settlements through mono-crop cultivation for national export is presented in relation to wider development policies at the time, which focused on domestic production and international economic participation to achieve mass well-being. Refugees’ economic value is examined through the growing of cash crops for both subsistence and export as part of Tanzanian President Nyerere’s African Socialist national development efforts. Thus, refugees contributed to the so-called ‘development project’ through participating in a variety of programmes led by both national actors and international ones such as the World Bank. Evidence explores the ulterior aims of refugee self-reliance assistance at the time as related to the international economy and premised on the promise of modernization.
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"3. Influence: Projects". In International Aid and National Decision: Development Programs in Malawi, Tanzania, and Zambia, 85–118. Princeton: Princeton University Press, 2015. http://dx.doi.org/10.1515/9781400872268-007.

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"Introduction". In From Migrants to Refugees, xv—19. Duke University Press, 2023. http://dx.doi.org/10.1215/9781478027348-xv.

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The introduction analyzes historical scholarship on refugees as well as the African Great Lakes region. Although historians are paying greater attention to refugee histories in Africa, there is still much to learn about how aid to refugees figured in identity politics during and after decolonization. The introduction lays out the book's methodology, which combines extensive oral interviews with residents of host communities in Ngara district and archival research in Tanzanian, British, and humanitarian archives. It includes an analysis of the colonial origins of refugee aid and the pivotal role that humanitarian aid to refugees played during decolonization—itself a refugee-generating project. It also details the connections between Ngarans and Rwandans: culturally, politically, and economically. The introduction closes with an outline of the book's parts.
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Tossy, Titus, e Irwin T. J. Brown. "Cultivating Recognition". In Information Technology Integration for Socio-Economic Development, 193–259. IGI Global, 2017. http://dx.doi.org/10.4018/978-1-5225-0539-6.ch009.

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The E-learning provision in East Africa including Tanzania, Kenya and Uganda is rapid gaining its way. E-learning providers are all groups tasked with e-learning activities including design, delivery, implementation and others. The e-learning providers are surrounded by issues and challenges (main concerns). The purposed of this study was to identify and examine the main concern amongst e-learning providers in East Africa (Tanzania, Kenya and Uganda). In this study the Classic Grounded Theory Research Methodology was used in order to identify the main concern of e-learning providers. In the course of repeated encounters with e-learning providers, this study found the concept of Cultivating Recognition to emerge as the main concern or core variable amongst these e-learning providers. The core variable within the Classic Grounded Theory research methodology is the main entity that accounts for most of the variation in the data. The core variable of the theory, the basic social psychological process of Cultivating Recognition is characterized by Legitimizing and Credentializing. The process of legitimizing involves convincing the e-learning stakeholders that the e-learning programs and projects will be delivered in a timely, valid and sustainable manner. Legitimizing process is achieved through Collaborating (reciprocal and asymmetric), Referral Networking and Strategic alliancing. Credentializing aims to enhance the stakeholders' belief in the e-learning providers' competence prior to the provision of the e-learning programs and projects. While Credentializing is achieved through Endorsementizing, Result Orienting and Prioritizing Duties, Result Orienting itself is achieved through Visualizing, Professionalizing, Focalizing and Role Delineating. This study will help e-learning providers and other groups to cultivate recognition and pave a way for their success in implementation of e-learning.
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Relatórios de organizações sobre o assunto "Tanzania AIDS Project"

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Lamarque, Hugh, e Hannah Brown. Key Considerations: Cross-Border Dynamics Between Uganda and Kenya in the Context of the Outbreak of Ebola, 2022. Institute of Development Studies, dezembro de 2022. http://dx.doi.org/10.19088/sshap.2022.043.

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This brief summarises key considerations concerning cross-border dynamics between Uganda and Kenya in the context of the outbreak of Ebola (Sudan Virus Disease, SVD) in Uganda. It is part of a series focusing on at-risk border areas between Uganda and four high priority neighbouring countries: Kenya; Rwanda; Tanzania, and South Sudan. The outbreak began in Mubende District, Uganda on 19 September 2022, approximately 340km from the Kenyan border. At the time of writing (December 2022), the outbreak had spread to eight Ugandan districts, including two in the Kampala metropolitan area. Kampala is a transport hub, with a population over 3.6 million. While the global risk from SVD remains low according to the World Health Organization (WHO), its presence in the Ugandan capital has significantly heightened the risk to regional neighbours. Kenya is categorised as a priority level 1 country, following a case in Jinja on the road between Kampala and the Kenyan border, on 13 November 2022. A total of 23 suspected cases were tested in Kenya up to 1 December 2022, all with negative results. To date, no case of SVD has been imported into the country from Uganda. This brief provides details about cross-border relations between the two states, the political and economic dynamics likely to influence these, and the specific areas and actors most at risk. The brief is based on a rapid review of existing published and grey literature, news reports, previous ethnographic research in Kenya and Uganda, and informal discussions with colleagues from the International Organisation for Migration, UNICEF, UNDP, Save the Children, the Kenyan Red Cross Society, the Kenyan Ministry of Health (MoH) and Ministry of Livestock, Agriculture and Fisheries in Kenya, and the Safe Water and AIDS project in Kisumu. It was requested by the Collective Service, written by Hugh Lamarque (University of Edinburgh) and Hannah Brown (Durham University) and supported by Olivia Tulloch (Anthrologica). It was further reviewed by colleagues from Anthrologica, the Institute of Development Studies, and the Collective Service. This brief is the responsibility of SSHAP.
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Dual protection in an integrated community-based program: A case study of Tanzania Family Health/Ministry of Health Project in Mbeya. Population Council, 1998. http://dx.doi.org/10.31899/rh1998.1020.

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One of the most pressing challenges for health programs in most sub-Saharan African countries is effectively addressing the increasing prevalence of HIV/AIDS. Recent evidence suggests that controlling sexually transmitted diseases (STDs) through undertaking preventive measures, early diagnosis, and treatment significantly slows the spread of HIV/AIDS. In regard to STI/HIV, Maternal and Child Health (MCH) and Family Planning (FP) clients are described as “low risk” groups. However, in a number of sub-Saharan African countries, the reported levels of STDs are significantly high enough to justify use of limited resources to target this group for STD services. MCH/FP programs have begun to get more involved in prevention of STDs/HIV among MCH and FP clients through providing integrated programs and integrated services. This move toward integration is gaining momentum, however it presents immense challenges for reproductive health (RH) programs in the region. The issue of the best cost-effective strategy to provide quality integrated MCH/FP/STD/HIV services in the context of scarce financial, laboratory, and technical resources is still unsettled, according to this report, including the technical challenge of altering existing MCH/FP services to simultaneously meet contraceptive and disease-control goals.
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Community-based AIDS prevention and care in Africa—Dissemination of Phase I findings: Report of five national workshops. Population Council, 1995. http://dx.doi.org/10.31899/hiv1995.1000.

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Given the constraints faced by the health care infrastructure in responding to the AIDS crisis in sub-Saharan Africa, and the limitations of traditional educational approaches in motivating people to modify their sexual behavior within the African context, community-based efforts at AIDS prevention, and care of those affected, are the first lines of defense against the disease. Thus, they deserve greater scrutiny, to learn from the experiences and to continue and expand their efforts. The “Community-Based AIDS Prevention and Care in Africa: Building on Local Initiatives” project is being carried out by the Population Council with support from Glaxo Wellcome. The project, which integrates HIV/AIDS prevention and care activities at the community level, focuses on five countries in East and Southern Africa (Kenya, Tanzania, Uganda, Zambia, and Zimbabwe). The first phase identified essential components that make community-based efforts successful. The second phase includes dissemination of findings from Phase I in the five participating countries, developing and implementing action-oriented research activities to strengthen the client-support capabilities of selected local initiatives, and reporting research results. This document is a report on the implementation of the first activity under Phase II.
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