Assessment of integrating Environmental Factors into Healthcare Models for Enhancing Timely Epidemics Analysis: A Case study of Cholera in Dar es Salaam – Tanzania

Authors

  • Dr. Judith Leo Nelson Mandela African Institution of Science and Technology, Tanzania
  • Dr. Janeth Marwa Nelson Mandela African Institution of Science and Technology, Tanzania

DOI:

https://doi.org/10.31695/IJASRE.2021.34067

Keywords:

Healthcare Sytsems, Environmental Systems, Epidemic Analysis, Cholera

Abstract

The objective of this study is to assess the perspectives of users on the feasibility of using an integrated environmental factors-based healthcare model to enhance timely cholera epidemics analysis in Tanzania. The study used a mixed-design approach of quantitative and qualitative methods with focus group discussion and interviewer-administered questionnaires. Participants or users included; medical and epidemiological experts, environmental experts, Information and Communication Technology (ICT) experts, and cholera patients from Ilala, Ubungo, Kigamboni, Temeke, and Kinondoni districts in Dar es Salaam, Tanzania. In the process, a total of 500 interviews were conducted, consisting of 200 medical experts, 50 environmental experts, 50 ICT experts, and 200 cholera patients, with an average age of 28 years old, and at 3:2 female to male ratio. Overall, our findings showed that Health and Environmental Integrated Modelled Systems (HEIMs) interventions are acceptable, feasible, and capable in assisting timely analysis towards effective prediction and eradication of epidemics such as; cholera outbreaks at 79% acceptability, 90% aid-value and 69% awareness levels. Despite, the high acceptability level, participants also highlighted barriers of the model, such as; sustainability and operation costs, which need to be addressed. These findings confirm that the program of HEIMS is of high potential towards enhancing timely cholera analysis, clear public health significance, and relevant to policy-makers, government, society, and related stakeholders at large. Therefore, the study, recommends that there is a need for all these organs to work together towards clearing all obstacles in order to achieve the intended goal of the HEIMs program.

References

F. Weill et al., “pandemic of cholera in Africa,” Science (80-. )., vol. 789, no. November, pp. 785–789, 2017.

A. Mrityunjoy, F. Kaniz, J. Fahmida, J. S. Shanzida, U. Aftab, and N. Rashed, “Prevalence of Vibrio cholerae in different food samples in the city of Dhaka, Bangladesh,” Int. Food Res. J., vol. 20, no. 2, pp. 1017–1022, 2013.

C. J. Miller, R. G. Feachem, and B. S. Drasar, “Cholera Epidemiology in Developed and Developing Countries: New Thoughts on Transmission, Seasonality, and Control,” Lancet, vol. 325, no. 8423, pp. 261–263, 1985.

S. Mandal, M. D. Mandal, and N. K. Pal, “Cholera: A great global concern,” Asian Pac. J. Trop. Med., vol. 4, no. 7, pp. 573–580, 2011.

World Health Organization, “The 2015 Cholera Report,” Wkly. Epidemiol. Rec., vol. 91, no. 38, pp. 433–440, 2016.

J. Lessler et al., “Mapping the burden of cholera in sub-Saharan Africa and implications for control: an analysis of data across geographical scales,” Lancet, vol. 391, no. 10133, pp. 1908–1915, 2018.

G. Bwire, M. Mwesawina, Y. Baluku, S. S. E. Kanyanda, and C. G. Orach, “Cross-border cholera outbreaks in Sub-Saharan Africa, the mystery behind the silent illness: What needs to be done?,” PLoS One, vol. 11, no. 6, pp. 1–15, 2016.

R. I. Glass and R. E. Black, “the Epidemiology of Cholera in India.,” Lancet, vol. 213, no. 5509, p. 678, 2003.

R. Narra MD et al., “Ongoing Cholera Epidemic - Tanzania, 2015-2016,” MMWR. Morb. Mortal. Wkly. Rep., vol. 66, no. 6, pp. 177–178, 2017.

L. de Assis Moura, “Embracing Strategies for eHealth,” Yearb. Med. Inform., vol. 10, no. 1, p. 1, 2015.

N. Darcy, M. Elias, A. Swai, H. Danford, H. Rulagirwa, and S. Perera, “eHealth Strategy Development: A Case Study in Tanzania,” J. Heal. Informatics Africa, vol. 2, no. 2, 2015.

B. Impouma et al., “Recurring Epidemics in the Who African Region: Situation Analysis, Preparedness and Response,” Africa Heal. Monit. Dis. Control, no. 15, pp. 42–47, 2007.

K. Kuhn, D. Campbell-Lendrum, A. Haines, and J. Cox, “Using climate to predict infectious disease epidemics,” Who, p. 55, 2005.

S. L. M. Trærup, R. A. Ortiz, and A. Markandya, “The Health Impacts of Climate Change : A Study of Cholera in Tanzania,” Bc3, no. January 2010.

S. L. M. Trærup, R. A. Ortiz, and A. Markandya, “The costs of climate change: A study of cholera in Tanzania,” Int. J. Environ. Res. Public Health, vol. 8, no. 12, pp. 4386–4405, 2011.

A. A. Koepke, I. M. Longini, M. E. Halloran, J. Wakefield, and V. N. Minin, “Predictive modeling of cholera outbreaks in Bangladesh,” Ann. Appl. Stat., vol. 10, no. 2, pp. 575–595, 2016.

A. M. Stiggelbout et al., “Shared decision making: really putting patients at the center of healthcare,” BMJ, vol. 344, no. 7842, pp. 1–6, 2012.

R. C. Ngeleja, L. S. Luboobi, and Y. Nkansah-Gyekye, “The Effect of Seasonal Weather Variation on the Dynamics of the Plague Disease,” Int. J. Math. Math. Sci., vol. 2017, pp. 1–25, 2017.

M. Smith, S. Madon, E. Michael, A. Anifalaje, and M. Lazarro-Malecela, “Integrated Health Information Systems in Tanzania: Experience and Challenges,” Electron. J. Inf. Syst. Dev. Ctries., vol. 33, no. 1, pp. 1–21, 2017.

G. H. Leyna et al., “Profile: The Dar Es Salaam health and demographic surveillance system (Dar es Salaam HDSS),” Int. J. Epidemiol., vol. 46, no. 3, pp. 801–808, 2017.

K. Zimmerman, A. A. Mzige, P. L. Kibatala, L. M. Museru, and A. Guerrero, “Road traffic injury incidence and crash characteristics in Dar es Salaam: A population-based study,” Accid. Anal. Prev., vol. 45, pp. 204–210, 2012.

T. Afifi, E. Liwenga, and L. Kwezi, “Rainfall-induced crop failure, food insecurity, and out-migration in Same-Kilimanjaro, Tanzania,” Clim. Dev., vol. 6, no. 1, pp. 53–60, 2014.

R. Miller, C. Acton, D. A. Fullerton, and J. Maltby, “SPSS for Social Scientists,” Book, pp. 1–353, 2007.

WHO, “Cholera : transmission, symptoms and treatment Community health promotion Cholera is an acute, diarrhoeal illness caused by the Mode of transmission Cholera : prevention Community health promotion Prevention,” Report, pp. 1–2, 2011.

D. Morof et al., “Community mortality from cholera: Urban and rural districts in Zimbabwe,” Am. J. Trop. Med. Hyg., vol. 88, no. 4, pp. 645–650, 2013.

E. Burnett et al., “Knowledge, Attitudes, and Practices regarding Diarrhea and Cholera following an Oral Cholera Vaccination Campaign in the Solomon Islands,” PLoS Negl. Trop. Dis., vol. 10, no. 8, pp. 1–9, 2016.

K. M. Saif-Ur-Rahman et al., “Promotion of cholera awareness among households of cholera patients: A randomized controlled trial of the cholera-hospital-based-intervention-for-7 days (chobi7) intervention,” Am. J. Trop. Med. Hyg., vol. 95, no. 6, pp. 1292–1298, 2016.

V. Were et al., “Evaluation of a Rapid Cholera Response Activity--Nyanza Province, Kenya, 2008,” J. Infect. Dis., vol. 208, no. suppl 1, pp. S62–S68, 2013.

B. Taylor, E. Chinamo, yahoocouk Ben Taylor, and darajaorg Sarah House, “Extended Analysis of Women, Children and the Water, Sanitation and Hygiene Sector in Tanzania,” vol. 2009, no. September 2009.

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How to Cite

Dr. Judith Leo, & Dr. Janeth Marwa. (2021). Assessment of integrating Environmental Factors into Healthcare Models for Enhancing Timely Epidemics Analysis: A Case study of Cholera in Dar es Salaam – Tanzania. International Journal of Advances in Scientific Research and Engineering (IJASRE), ISSN:2454-8006, DOI: 10.31695/IJASRE, 7(9), 1 to 8. https://doi.org/10.31695/IJASRE.2021.34067

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Vol. 7 No. 9 (2021): September-2021

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Articles

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Copyright (c) 2021 Dr. Judith Leo , Dr. Janeth Marwa

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