Anne H. Outwater

Rejuvenation Foods Africa Ltd.

A foundational implementation of the WHO/CDC Injury Surveillance Guidelines was conducted in Dar es Salaam region of the United Republic of Tanzania in 2005. The Guidelines were adapted to gather qualitative as well as quantitative data about intentional injury mortality which were collected concurrently at the Muhimbili National Hospital Mortuary....

Background:Tanzania has consistently shown in recent decades to have a high overall crime rate. Although its homicide rate is moderate, Dar es Salaam has an unusually high amount of community violence; more than halfof all homicides were due to lynching and vigilantism .Most of these homicides were a reaction to petty theftof purses, cell phones, a...

Young adults face unemployment-related challenges, particularly in low- and middle-income countries. Self-employment is encouraged by the Tanzanian government and international institutions such as the World Bank. It has been found that young adults who are employed or self-employed show more functional independence and less inequality and social p...

Background High unemployment rates and limited access to resources, services, and economic opportunities are associated with many types of violence. In Dar es Salaam, Tanzania, most violence is experienced by unemployed, poorly educated men between the ages of 20 and 35 years. It is expected that community violence will decrease as the incomes of t...

Background Community violence has been found to be highly prevalent in Dar es Salaam, Tanzania. Increasing socioeconomic inequality has been outlined as one of the main causes of community violence. This controlled pilot trial aimed at evaluating the impact of beekeeping and entrepreneurship training on community violence exposure, financial and so...

This is the first book for lay people on coastal East African plants. It is a guide to be used to weave our important coastal ecosystem into our gardens, byways, roadsides, and open spaces in order to help stabilize it.

Muhimbili University of Health and Allied Sciences, in Tanzania, moved from content-based teaching to a competency-based education approach in 2011. The overall goal of a research course at the School of Nursing was to inform and improve nursing care. Nursing research was taught as a two-semester course with individual research projects. An evaluat...

Since 1999, the University of Dar es Salaam and partner institutions have been conducting research, mainly in Tanzania, East Africa on various topics with the main objective of developing constructed wetlands (CW) technology as a wastewater treatment system that is effective in costs, sustainability and performance. The research involved both pilot...

Current control of human schistosomiasis in Africa is based on preventive chemotherapy, whereby populations are mass-treated with an anthelminthic medication, praziquantel. The World Health Organization has set a goal of eliminating schistosomiasis as a public health problem and, ultimately, eliminating transmission in all countries where schistoso...

Snakebite envenoming causes more than 140,000 deaths annually and at least triple this number of disabilities. The World Health Organization classified snakebite as a Neglected Tropical Disease in 2017 and developed a strategy to halve death and disability from snakebite by 2030. To achieve this goal, snakebite victims need to receive safe and effe...

Wastewater is reused for irrigation in agriculture in many African cities. However, the use of partially/untreated wastewater may result in the transmission of infectious organisms such as parasites. This article reviews the prevalence and concentrations of parasites in raw and treated wastewater in African countries and the efficiency of the waste...

Wastewater treatment is a widely used health protection measure that can be applied to control the transmission of wastewater-related infectious diseases to communities exposed to wastewater. This study determined the efficiency of three full-scale constructed wetlands (CWs) in removing pathogenic parasites and fecal coliform (FC) bacteria from was...

Background Implementation of evidence-based guidelines (EBGs) related to VAP is an effective measure for the prevention of ventilator-associated pneumonia (VAP). While low knowledge regarding the EBGs related to VAP prevention among ICU nurses is still a major concern among nurses in ICUs globally, the situation in Tanzania is scarcely known. This...

This article describes the numbers and species of birds found in one year in wastewater sewage treatment ponds in Morogoro, Tanzania, and our finding that these ponds are a dry season refuge for many birds. More birds in numbers and species were found in the dry season.

This paper reviews much of the research we have accomplished in Tanzania and Africa on pre-hospital treatment of burns.

Background: Implementation of evidence-based guidelines (EBGs) related to VAP is an effective measure for the prevention of ventilator-associated pneumonia (VAP). While low knowledge regarding the EBGs related to VAP prevention among ICU nurses is still a major concern among nurses in ICUs globally, the situation in Tanzania is scarcely known. This...

Background: The World Health Organisation (WHO) recommends involving lay people in prehospital care. Several training programmes have been implemented to build lay responder first aid skills. Findings show that most programmes significantly improved participants' first aid skills. However, there is a gap in knowledge of what factors influence the...

Wastewater reuse has been considered as an alternative way of overcoming water scarcity in many parts of the world. However, exposures to wastewater are associated with higher prevalence of soil-transmitted helminths (STHs). Globally, about two billion people are infected with at least one species of STHs with those having heavy infections presenti...

Background: In low and middle-income countries (LMICs), laypersons play a significant role in providing initial care to injured victims of traffic accidents. Post-crash first aid (PFA) training programmes for laypersons have become an important response to addressing knowledge and skills gaps in pre-hospital care. However, little is known about fa...

Background: An overwhelming proportion of road traffic deaths and injuries in low- and middle-income countries (LMICs) occur in prehospital environments. Lay first responders such as police officers play an important role in providing initial assistance to victims of road traffic injuries either alone or in collaboration with others. The present s...

Background An overwhelming proportion of road traffic deaths and injuries in low- and middle-income countries (LMICs) occur in prehospital environments. Lay first responders such as police officers play an important role in providing initial assistance to victims of road traffic injuries either alone or in collaboration with others. The present stu...

Background : The World Health Organisation (WHO) recommends involving lay people in prehospital care. Several training programmes have been implemented to build lay responder first aid skills. Findings show that most programmes significantly improved participants’ first aid skills. However, there is a gap in knowledge of what factors influence the...

Background: The World Health Organisation (WHO) recommends involving lay people in prehospital care. Several training programmes have been implemented to build lay responder first aid skills. Findings show that most programmes significantly improved participants’ first aid skills. However, there is a gap in knowledge of what factors influence the u...

Background: The World Health Organisation (WHO) recommends involving lay people in prehospital care. Several training programmes have been implemented to build lay responder first aid skills. Findings show that most programmes significantly improved participants’ first aid skills. However, there is a gap in knowledge of what factors influence the u...

Background: The World Health Organisation (WHO) recommends involving lay people in prehospital care. Several training programmes have been implemented to build lay responder first aid skills. Findings show that most programmes significantly improved participants’ first aid skills. However, there is a gap in knowledge of what factors influence the u...

Background: An overwhelming proportion of road traffic deaths and injuries in low- and middle-income countries (LMICs) occur in prehospital environments. Lay first responders such as police officers play an important role in providing initial assistance to victims of road traffic injuries either alone or in collaboration with others. The present st...

Background: In low and middle-income countries (LMICs), laypersons play a significant role in providing initial care to injured victims of traffic accidents. Post-crash first aid (PFA) training programmes for laypersons have become an important response to addressing knowledge and skills gaps in pre-hospital care. However, little is known about fac...

A study was conducted to establish the potential of constructed wetlands in Morogoro Urban District, Tanzania, to remove helminths from wastewater. The standard wastewater treatment regime was failing to effect reliable removal of helminth eggs and larvae from six wastewater stabilization ponds. An alternative wastewater treatment regime for the po...

Background An overwhelming proportion of road traffic deaths and injuries in low- and middle-income countries (LMICs) occur in prehospital environments. Lay first responders such as police officers play an important role in providing initial assistance to victims of road traffic injuries either alone or in collaboration with others. The present stu...

Purpose: Administration of appropriate first aid immediately after a burn injury is crucial to averting further harm to the victim, physically and psychologically. The aim of this review is to enable the design of better interventions by describing what is known about prehospital care of burn victims in Africa. Results: This review is based on 1...

In Tanzania, waste stabilization ponds (WSPs) are employed to treat wastewater, and effluents are used for urban agricultural activities. The use of untreated or partially treated wastewater poses risks of disease transmission, including parasitic and bacterial infections, to exposed communities. Little is known about the occurrence, concentration,...

Background Recently, road traffic injuries (RTIs) have become a major health problem affecting health systems in many low- and middle-income countries. Regardless of whether an ambulance is available for evacuation, police officers have been shown to arrive at the crash scene first, becoming, in effect, the first responders to RTI victims. Therefor...

Background: Recently, road traffic injuries (RTIs) have become a major health problem affecting health systems in many low- and middle-income countries. Regardless of whether an ambulance is available for evacuation, police officers have been shown to arrive at the crash scene first, becoming, in effect, the first responders to RTI victims. Theref...

Background An overwhelming proportion of road traffic deaths and injuries in low- and middle-income countries (LMICs) occur in prehospital environments. Lay first responders such as police officers play an important role in providing initial assistance to victims of road traffic injuries either alone or in collaboration with others. The present stu...

Background Recently, road traffic injuries (RTIs) have become a major health problem affecting health systems in many low- and middle-income countries. Regardless of whether an ambulance is available for evacuation, police officers have been shown to arrive at the crash scene first, becoming, in effect, the first responders to RTI victims. The expe...

Two rapid ethnographic studies have found that commercial sex workers and other high-risk women in Tanzania have different catteries of partners, ranging from single-time contacts to long and enduring relationship. Since the advent of HIV/AIDS prevention programs in Tanzania in the late 1980's, CSWs and their clients have been aware of the multiple...

Background: The availability of prehospital trauma care is an important means of reducing serious injuries and fatalities associated with road traffic injuries (RTIs). Lay responders such as traffic police play an important role in the provision of prehospital trauma care to RTI victims, especially where there is no established prehospital care sys...

Wastewater is reused for irrigation in agriculture in many African cities. However, the use of partially/untreated wastewater may result in the transmission of infectious organisms such as parasites. This article reviews the prevalence and concentrations of parasites in raw and treated wastewater in African countries and the efficiency of the waste...

The present study describes initial burn injury care in Tanzania-materials applied, sources of information, reasons for applying the materials, and time to a health centre-in order to suggest ways to optimize initial care. Eight small studies were conducted in which burn-injured patients were interviewed who had been admitted to referral hospitals...

An intervention of entrepreneurship and beekeeping for young men at risk for homicide death was conducted in Dar es Salaam Tanzania. This article focuses on some lessons learned about the beekeeping component including positive interest by the young men, sustainability, suitable habitats for bees, profit motive in training, and ways forward.

This is the final report and the first data of our MORUWASA project, exploring constructed wetlands, receiving effluent from nearby wastewater treatment ponds.

Disease prevention can be defined as measures that seek to avert the occurrence of disease (including injury), arrest its progress, and reduce its consequences once it is established. Disease prevention can be classified into levels: primordial, primary, secondary, and tertiary prevention. Preventive interventions aim at interrupting the web of cau...

Background More than half of DSM, Tz. homicides are a result of community violence. In 2005, it was found, those most at risk for homicide death are: male Tanzanians, aged 20–35 years, lack of employment/education, caught stealing sale-able goods such as cell phones, purses, and domestic meat animals. Most deceased had family responsibilities. The...

Purpose – The purpose of this paper is to determine perceived barriers to utilization of mental health services among adults in Dodoma Municipality, Tanzania. To improve the use of mental health services, identifying related perceived barriers is a key step. Design/methodology/approach – A concurrent mixed method model was used. Data were collecte...

Background Relapse in people with schizophrenia is a major challenge for mental health service providers in Tanzania and other countries. Approximately 10% of people with schizophrenia are re-admitted due to relapse at Muhimbili National Hospital (MNH) Psychiatric Unit each month. Relapse brings about negative effects and it results in a huge burde...

Burn injuries in low and middle income countries still remain a significant health problem, even though numbers of burn injuries in high income countries have decreased showing that such events are not “accidents” but are usually preventable. WHO states that the vast majority (over 95%) of fire-related burns occur in low and middle income countries...

Objectives This study was performed to examine the potential contributions of sociocultural activities to reduce risks of death by homicide. Methods This study was designed as a case control study. Relatives of 90 adult homicide victims in Dar es Salaam Region, Tanzania, in 2005 were interviewed. As controls, 211 participants matched for sex and 5...

Most homicide deaths in Dar es Salaam, Tanzania (DSM) are a result of violence arising from within the community. This type of violence is commonly called, by perpetrators and victims, "mob justice". Unilateral non-state collective violence can take four forms: lynching, vigilantism, rioting, and terrorism. The purpose of this paper is to report wh...

The amount of available freshwater in most low- and middle-income countries is not sufficient to meet increasing demand. Treated municipal wastewater often becomes a significant source of irrigation water. Wastewater is valuable and its reuse has many potential benefits: flow is reliable even where water is scarce, nutrients increase agriculture...

Tanzania requires more health professionals equipped to tackle its serious health challenges. When it became an independent university in 2007, Muhimbili University of Health and Allied Sciences (MUHAS) decided to transform its educational offerings to ensure its students practice competently and contribute to improving population health. In 2008,...

Background Mob violence, a collective community action arising against individuals or small groups, who are perceived as threatening social safety, is known to occur around the world. More than 200 male youth, mostly petty thieves, are killed annually in Dar es Salaam, Tanzania (DSM) by community mobs. Purpose The purpose of the research was to fin...

Background The non-use of helmets is a specific factor leading to head injuries resulting from motorcycle crashes. Purpose The study's purpose was to explore the commercial motorcyclists' attitude and their practices of helmet wearing. Methods A cross-sectional survey was conducted in urban and peri-urban areas of Dar es Salaam region in May, 2011...

The purpose was to describe the meanings of care, kutunza, for the deceased and the relatives of homicide victims. The secondary aim was to identify ways in which nurses could best console the families. Method: An ethnonursing method was employed. Relatives of homicide victims in Dar es Salaam, Tanzania, were interviewed at a mortuary, using an int...

It is estimated that world-wide up to 20 % of children suffer from debilitating mental illness. Mental disorders that pose a significant concern include learning disorders, hyperkinetic disorders (ADHD), depression, psychosis, pervasive development disorders, attachment disorders, anxiety disorders, conduct disorder, substance abuse and eating diso...

Although data are sparse, it has been estimated that the highest rates of homicide death amongst children are in Africa. Little information is available on ages 0-14 years. No known quantitative surveillance of early neonaticide (killed at less than one week) has been conducted previously in Africa. A Violent Death Survey following WHO/CDC Guidelin...

Violence disproportionately affects low- and middle-income countries. Deeper understanding is needed in areas where little research has occurred. The objectives of the study were to: (a) ascertain rate of homicide death; (b) describe the victims and circumstances surrounding their deaths in Dar es Salaam, Tanzania in 2005. This study was developed...

As HIV/AIDS imposes an overwhelming pressure on the capacity of an already overburdened health care system in many African countries, families have increasingly been noted to supplement hospital care services for patients with AIDS. The aim of the present study is to generate knowledge on the experiences of family caregivers to the patients with AI...

Suicide surveillance was launched at the Muhimbili National Hospital mortuary in Dar es Salaam Region, Tanzania from 1st January to 31st December, 2005 to determine its magnitude and characteristics. Following the WHO guidelines with minor modifications, information on sex, dates of birth and death, places of residence and death, occupation, reason...

Objective: In Mwanza region, an HIV/STD intervention program has been in progress in the rural population since 1991. The information in this study was gathered to increase understanding about lay concepts of sexually transmitted diseases and to provide information to inform HIV/AIDS/STD interventions. Methods: During a rapid ethnographic survey, 4...

Schistosoma haematobium and Schistosoma mansoni are endemic to East Africa. US Peace Corps volunteers (PCVs) serving in Tanzania were not experiencing symptoms of infection, but in 1998 when comprehensive testing was instituted, more than one-quarter were found to be infected with schistosomiasis at the close of their 27-month tour of service. An e...

South Africa is experiencing the turbulent aftermath of apartheid and the ravages of HIV/AIDS. Levels of violence are extremely high. In South Africa, violence has become normative and, to a large extent, accepted rather than challenged. Unusual for sub-Saharan Africa, there is a strong national research institute and rigorous data-based scientific...

A qualitative study was conducted in a community of 100 female, self-employed commercial sex workers (CSWs), in Morogoro township, Tanzania. Data was gathered through key informant interviews and open-ended questionnaires. Respondents had extensive experiential knowledge of STDs and HIV/AIDS. They pursued several different avenues in attempting to...

Two rapid ethnographic studies have found that commercial sex workers (CSWs) and other high-risk women in Tanzania have different categories of partners, ranging from single-time contacts to long and enduring relationships. Since the advent of HIV/AIDS prevention programs in Tanzania in the late 1980s, CSWs and their clients have been aware of the...