Browsing by Author "Kimario, Kanti"
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Item One Health Approach (OHA) in Selected Urban Settings in Tanzania: Knowledge, Attitudes, Awareness, and Practices(TVJ, 2019) Kimario, Kanti; Muhanga, M.; Malungo, J.; Kimario, K.Attainment of optimal health calls for collaboration between animals, humans, and environmental health professionals together with understanding the consequences of animals, humans, and environment interactions on health. In cognizant of this, the government in Tanzania introduced One Health Strategic Plan (2015–2020), little is empirically known on how this plan has facilitated the enhancement of knowledge, awareness, attitudes, and practices (KAPs) under One Health Approach (OHA). This article analyses KAPs under OHA from a cross-sectional study conducted in Morogoro, Tanzania. Data were collected by a questionnaire from 1440 respondents obtained through a multistage sampling procedure, 80 Focus Group discussions (FGDs) participants and 16 key informant interviewees. IBM-SPSS v.20 analysed quantitative data while qualitative data were organised into themes on specific objectives. Results revealed that only 32.3% (95% CI:30.3 to 35.3) had adequate OH knowledge. Only 5% (95% CI:4.0 to 6.1) were aware of OHA concept and practices; 3.8% (CI 95%, 2.8 to 4.8) managed to identify collaborative efforts and strategies, and 2.5% (CI 95%, 1.7 to 3.4) correctly explained/ described OHA. Whereas, 38.5% (95% CI:32.6 to 37.5) had a positive (favourable) attitude towards OHA. Despite the efforts outlined in the OH Strategic Plan to promote OHA, there is little awareness and knowledge on OHA. This indicates that the One Health Strategic Plan (2015–2020) and other initiatives have not significantly facilitated the enhancement of KAPs. This study recommends strengthening efforts towards OHA information dissemination to enhance awareness and knowledge on the concept and practices.Item Public-private partnerships in the provision of healthcare services for sustainable development in Tanzania: A systematic literature review(2020-10-10) Kimario, Kanti; Kayunze, Kim; Muhanga, MikidadiThis article reviews the literature on the concept and practice of public-private partnership (PPP). Specifically, the paper reviews theoretical aspects of the concept and practice of PPP and the rationale and potential of PPP in the provision of healthcare services for sustainable development in Tanzania. Using a documentary review research method, different search engines and databases were used in information search from peer-reviewed journals, conference papers, among others. The search strategy involved keywords such as 'Tanzanian healthcare', 'healthcare', 'health insurance', 'public-private partnerships', 'sustainable healthcare provision' and 'sustainable development goals'.The literature search identified a total of 1,600 articles associated with a set of specific search terms. Only fifty (50) studies met the final criteria for review. Articles included were those published from the year 2000 to the present. PPPs are potentially essential tools to increase the delivery of public goods and services because the private sector is capable of complementing resources from the government. Private sector investors can substantially participate in the achievement of SDGs by complementing the available public physical and non-physical resources such as finances, expertise, health sector workforce, and readiness for risk-taking. PPP in the health sector needs to be promoted because sustainable development needs a healthy population, which needs access to essential healthcare services to live healthily