MUHIMBILI UNIVERSITY OF HEALTH AND ALLIED
SCIENCES
ANNUAL REPORT
2017/2018 Table of Contents Page
List of Tables ...... iv
List of abbreviations ...... vi
Members of the University Council during the year ended 30th June 2018...... xii
MUHAS Milestones ...... xiii
Institutional Leadership 1963 – to date ...... xv
Current University Management ...... xvi
Foreword ...... 1
1.0 Introduction ...... 2
2.0 Vision, Mission and Functions of the University ...... 2
3.0 Teaching and Learning ...... 3
3.2 Student Admissions ...... 4
3.3 Students Enrollment during from 2012/2013 to 2017/2018 ...... 6
3.4 Performance in Examinations during 2017/2018 ...... 7
3.5 Students Output ...... 10
3.6 Graduation Ceremony December, 2017 ...... 11
4.0 Reports from Schools and Directorates ...... 13
4.1 School of Medicine ...... 13
4.2 School of Dentistry ...... 55
4.3 School of Pharmacy ...... 63
4.4 School of Nursing ...... 73
4.5 School of Public Health and Social Sciences ...... 82
4.6 Institute of Allied Health Sciences ...... 103
4.7 Institute of Traditional Medicine ...... 106
4.8 Directorate of Postgraduate Studies ...... 120
4.9 Directorate of Planning and Investment – Muhimbili Campus ...... 124
4.10 Directorate of Planning and Investment – Mloganzila Campus ...... 128
4.11 Directorate of Research and Publication ...... 136
4.12. Directorate of Undergraduate Education ...... 140
4.13 Directorate of Information Communication Technology ...... 144
4.6 Directorate of Library Services ...... 155
4.15 Directorate of Continuing Education and Professional Development ...... 172
4.16 Directorate of Quality Assurance ...... 177
ii 4.17 Dean of Students ...... 182
4.18 Directorate of Estates ...... 187
4.19 Directorate of Human Resources Management and Administration ...... 200
4.20 External Relations Unit ...... 206
4.21 Directorate of Finance ...... 212
Appendix I: Projects Progress report during the reporting period (July 2017-June, 2018)...... 219
Appendix II: Summary of papers published by staff during 2017/18 ...... 225
iii List of Tables Table 1: Summary by programme and female sex of registered students 2017-2018 15 Table 2: Summary of graduates by degree programme in 2016 and 2017 21
Table 3: Active donor funded research and capacity building projects in the School of Medicine 25
st Table 4: New Donor Funded Research Projects Received from the reporting period of 1 July 2017 to
th 30 June, 2018 31 Table 5: Clinical Elective and Exchange Programmes in the School for 2016/17 and 2017/18 39 Table 6: Staff travels showing workshop and conference 41 th Table 7: Progress report of members of academic staff on studies status as at 30 June 2018 52 Table 8; Management Profile 57 Table 9: Academic Staff in the School of Dentistry 58 Table 10: Number of Administrative, Technical and Support Staff in the School of Dentistry 58 Table 11: Enrolment of Undergraduate Students, School of Dentistry 59 Table 12; Enrolment of Undergraduate Students, School of Dentistry 60 Table 13 ; Admission of Postgraduate Students in 2017/2018 64 Table 14: B.Pharm. Student enrollment in 2017/2018 64 Table 15: Postgraduate Student Admission in 2017/2018 65 Table 16: Student performances in examination at first sitting 66 Table 17: Postgraduate Student performance 66 Table 18: Academic staff training during the reporting period 67 Table 19: Internally generated funds and Institutional Overheads 69 Table 20: Enrolled Undergraduate and Postgraduate students in 2016/2017 and 2017/2018 73
st Table 21: Registered 1 year Undergraduate and Postgraduate students in 2016/2017 and 2017/2018
74
Table 22: Performance in Examination for Undergraduate and Postgraduate in year 2016 and 2017
75
Table 23: Number of Graduates in Undergraduate and Postgraduate Programs in 2016 and 2017 76
Table 24: Number of international travels versus local travels 2017/2018 77
Table 25: Distribution of academic and adjunct staff in School of Public Health and Social Sciences
83
Table 26: Students Admission, Enrollment and Achievements - Institute of Traditional Medicine 108
Table 27: List of New, Ongoing and completed projects for 2017/2018 109
iv Table 28: Summary of enrolment of Postgraduates for Academic Year 2016/2017 121 Table 29: Summary of the applicants recommended for admission for postgraduate studies 121 Table 30: Summary of the students’ results for the March 2018 examination 122 Table 31: Summary of the postgraduate graduates in the year 2017 by gender 123 Table 32: Summary of the proposals submitted for review: 139 Table 33: Summary of Applications and Selection of Undergraduate Programs Academic 142 Table 34: Statistics for the acquired Periodicals 156 Table 35: Usage statistics for online databases subscribed by MUHAS library 159 Table 36: Usage Distribution of Institutional Repository by visitor`s Categories 159 Table 37: Institutional Repository usage by Country in Users (N= 1281) 160 Table 38: Statistics for MUHAS Library website 160 Table 39: Library Website Usage Statistics by Country in Users 161 Table 40: Library blog Usage Statistics 161 Table 41: Library blog Usage Statistics by Country in Users 162 Table 42: Usage of Computer Laboratory 162 Table 43: Statistics for Research Support Services statistics to Undergraduate students 164 Table 44: Statistics for Research support Services statistics to Postgraduate students 164 Table 45: Statistics on Print Book Circulation 165 Table 46: Statistics for undergraduate and postgraduate students Training 167 Table 47: CPDE Program for Library Staff 167 Table 48: Income generation workshops. 169
Table 49: Needy and physically challenged students supported for the academic year 2017 /2018 184
Table 50: Staff Recruitment & Transfer 201
th Table 51: Staff Training status as at 30 June, 2018. 202
Table 52: Staff Disciplinary Issues. 204
Table 53: Obituary 205
Table 54: Number of elective students according to the country and university where they come from. 206
Table 55: Total number of Non Exchange and Exchange Students in MUHAS Departments: Period 210
v List of abbreviations AAC Africa Academy of Science
ABC Afya Bora Consortium
ACH Association of Commonwelth Universities
AIDS Acquired Immunodeficiency Syndrome
AfDB African Development Bank
AGCT Alliance for Global Clinical Training
AMR Antimicrobial Resistance
AOR Authorized Organization Representative
ASH America Society of Haematology
ASM America Society of microbiology
AWV Adolescent Wellness Visit
BMLS Bachelor of Medical Laboratory Sciences
BPharm Bachelor of Pharmacy
BSc Bachelor of Science
BScN Bachelor of Science in Nursing
BSc EHS Bachellor of Science Environmental Health Sciences
BSc RTT Bachelor of Science in Radiation Therapy Technology
BTU Bagamoyo Training Unit
CAG Controller and Auditor General
CBE College of Business Education
CDC Centre for Disease Control
HD-CHPE Haile Debas Centre for Health Professions Education
CEPD Continuing Education and Professional Development
COTUL Consortium of Tanzania University and Research Libraries
CIRCLE Climate Impact Research Capacity and Leadership Enhancement
COSTECH Tanzania Commission for Science and Technology
vi
CSC Commonwealth Schoolarship Commission
CUGH Consortium of Universities for Global Health
CUHAS Catholic University of Health and Allied Sciences
CV Curriculum Vitae
CVCPT Committee of Vice Chancellors and Pricipals in Tanzania
DAAD Deutscher Akademischer Austausch Dienst
DANIDA Danish International Development Agency
DDR Diploma in Diagnostic Radiography
DEHS Diploma in Environmental Health Sciences
DFID Department for International Development
DHRMA Director of Human Resources Management and Administration
DMLS Diploma in Medical Laboratory Sciences
DMRT Dartmouth MUHAS Research Ethics Training Programme
DN Diploma in Nursing
DNA Deoxyribonucleic acid
DCEPD Directorate of Continuing Education and Professional Development
DRP Director of Research and Publication
DDS Doctor of Dental Surgery
DICT Directorate of Information and Communication Technology
DLS Directorate of Library Services
DNS Domain Name Server
DPS Diploma In Pharmaceutical Science
DOS Dean of Students
DUE Director of Undergraduate Education
DVC- ARC Deputy Vice Chancellor Academic, Research and Consultancy
DVC-PFA Deputy Vice Chancellor Planning Finance Administration
EPS Ethiopian Paediatrics Society
ESRF Economic and Social Research Foundation vii
FAO Food and Agricultural Organization
FYRSP Five Year Rolling Strategic Plan
HIS Health Information System
HCMIS Human Capital Management Information System
HEI Higher Education Institution
GePG Government electronic Payment Gateway
GEMx Global Education in Medicine Exchange
GHLO Global Health Learning Opportunities
HESLB Higher Education Students Loans Board
HKMU Hubert KairukiMemorial University
HIV Human Immunodeficiency Virus
HCMIS Human Capital Management Inormation System
HR Human Resource
HRH Human Resource for Health
HRMA Human Resource Management and Administration
IAHS Institute of Allied Health Sciences
ICMR Indian Council of Medical Reseach
IFMIS Intergrated Financial Management Information System
IRB Institutional Review Board
ICOH Intenational Congress on Occupational Health
ICT Information and Communication Technology
IHI Institute for Health Improvement
IP Internet Protocol
IOM International Office for Immigration
IT Information and Technologies
ITM Institute of Traditional Medicine
IPSAS International Public Sector Accounting Standard
IUCEA Inter-University Council of East Africa viii
KCCo Kilimanjaro Centre for Community Ophthamology
KCMCo Kilimanjaro Christian Medical College
KIU Kampala International University
LSHTM London School of Hygiene and Tropical Medicine
MAMC MUHAS Academic Medical Centre
MCMS Military College of Medical Sciences
MEST Ministry of Education, Science and Technology
MD Doctor of Medicine
MMC Muhimbili Medical Centre
MMed Master of Medicine
MoHCDGCE Ministry of Health Community Development Gender and Elderly
MPharm Master of Pharmacy
MNH Muhimbili National Hospital
MPL Multipurpose Laboratory
MUHAS Muhimbili University of Health and Allied Sciences
MUHASSO Muhimbili University of Health and Allied Sciences Student Organization
MUIHC Muhimbili Investment Holiding Company
MSc Master of Science
MSc TDC Master of Science in Tropical Diseases Control
MUST Mbeya University of Science and Technology
MPH Master of Public Health
MUCHS Muhimbili University College of Health Sciences
MOI Muhimbili Orthopedics Institute
MOU Memorandum of Understanding
NGOs Non-Governmental Organiosations
NHIF National Health Insurance Fund
NIH National Institutes of Health
NIMR National Institute of Medical Research ix
NHC National Housing Corporation
NCD Non-Communicable Disease
OHCEA One Health Central Eastern Africa
OMS Oral and Maxillofacial Surgery
OSP Office of Sponsored Project
OPCD Orthodontics, Periodontics and Community Dentistry
OPRAS Open Performance Review and Appraisal
PCCB Prevention and Combating of Corruption Bureau
PCU Project Coordinating Unit
PET Paediatrics Epilepsy Training
PFA Planning Finance and Administration
PhD Doctor of Philosophy
PI Principal Investigator
PMU Procurement Management Unit
QA Quality Assurance
QC Quality Control
SACIDS South African Centre of Infectious Disease
SARIS Student Academic Records Information System
Sida Swedish International Development Agency
SOD School of Dentistry
SPHSS School of Public Health and Social Sciences
SOPs Standard Operating Procedures
SHDC Senate Higher Degree Committee
SUA Sokoine University of Tanzania
SUZA State University of Zanzibar
SON School of Nursingrch Consortium
APARCO Sickle pan African Resea
TACAIDS Tanzania Commission for AIDS x
TMA Tanzania Meteorological Agency
TAMSA Tanzania Medical Students Association
TANTRADE Tanzania Trade Development Authority
TBA Tanzania Building Agency
TERNET Tanzania Education and Research Network
TCU Tanzania Commission of Universities
TFDA Tanzania Food and Drug Authority
THC Technical Harmonization Committee
THTU Tanzania Higher Learning Institutions Trade Union
TBS TanzaniaBureau of Standards
TIB Tanzania Investment Bank
TANROADS Tanzania National Roads Agency
TANESCO Tanzania Electric Supply Company Limited
TEKU Teofilo Kisanji University
TUSA Tanzania Universities Sport
TPSC Tanzania Public Service College
UDOM University of Dodoma Association
UDSM University of Dar es Salaam
USA United State of America
USAID United States Agency for International Development
UK United Kingdom
UNC University of North Carolina
UNESCO United Nations Educational, Scientific and Cultural Organization
UCSF University of California at San Francisco
VAT Value Added Tax
VC Vice Chancellor
VPN Virtual Private Network
WHO World Health Organization xi Members of the University Council during the year ended 30th June 2018.
No. Name Status/Title
1. Ms Mariam Joy Mwaffisi University Council Chairperson
2. Prof. Andrea Pembe Member, Vice Chancellor,
3. Prof. Lughano Jeremy Kusiluka Member, Representative Committee of Vice Chancellors and Principals of Tanzania (CVCPT),
4. Dr. Gozbert Mutahyabarwa, Member, Appointeee of the Miniter of Health, Community Development Gender, Eldely and Children,
5. Prof. Raphael Chibunda, Member, Appointeee of the Minister of Education, Science and Technology.
6. Dr. Jamala A. Taib, Member, Permanent Secretary, Ministry of Health & Social Services, Appointee of the Revolutionary Government of Zanzibar
7. Mr. Aziz Hassan Kifile, Member, Assistant Accountant General, Appointee of the Minister of Finance and Planning,
8. Prof. Lawrence Museru, Member, Executive Director, MNH
9. Prof. Charles Mgone, Member, Representative pf the MUHAS Convocation
10. Mr. Ali A. Mufuruki, Member, Chairman of the Grants Committee.
11. Prof. David Urassa Member, Appointee of the Senate
12. Dr. Edith Tarimo, Member, Appointee of the Senate
13. Dr. Lulu Fundikira, Member, Representative of the Academic Staff Assembly
14. Prof. Febronia Kahabuka, Member, Representative of the Gender Dimension Committee.
15. Dr. Method Kazaura Member, Representative of Workers Union (THTU)
16. Mr. Mathew Mandawa Member, Representative of MUHASSO.
17 Mr. Kennedy S. Fussy Member, Representative of MUHASSO
xii MUHAS Milestones
1963 The Dar es Salaam School of Medicine established under Ministry of Health
1968 The Dar es Salaam School of Medicine becomes the Faculty of Medicine of the University College of Dar es Salaam a constituent College of the University of East Africa.
1969 Faculty of Medicine launches an intensive course in biomedical sciences for diploma students. This was meant to convert the diplomas to the Bachelor of Medicine and Bachelor of Surgery (MB; ChB) degree which was being offered by the University of East Africa.
1970 The Faculty of Medicine becomes Faculty of Medicine of the University of Dar es Salaam.
1974 Faculty of Medicine launches a three-year Bachelors degree in Pharmacy in the Division of Pharmaceutical Sciences.
1974 Traditional Medicine Research Unit is launched within Muhimbili.
1976 Faculty of Medicine and Muhimbili Hospital merge to form Muhimbili Medical Centre (MMC).
1979 A five-year degree course in Doctor of Dental Surgery starts in the Division of Dentistry.
1989 A Bachelor of Science in Nursing degree and Faculty of Nursing established.
1991 Faculty of Medicine upgraded into a constituent College of the University of Dar es Salaam and in July of 1991 the Muhimbili University College of Health Sciences becomes established.
1991 The Institute of Allied Health Sciences established from the former paramedical schools.
1997 Program Management Unit is created to address planning and development issues in the College.
2000 Muhimbili Medical Centre is disestablished to create two closely linked but autonomous public institutions known as Muhimbili University College of Health Sciences and Muhimbili National Hospital and the University moves from the Ministry of Health to the Ministry of Science Technology and Higher Education.
2001 A Bachelor of Science in Environmental Health starts in the Institute of Public Health predecessor of School of Public Health and Social Sciences.
2003 Faculties upgraded into Schools to make them more autonomous.
2003 Program Management Unit is upgraded into a Directorate of Planning and Development.
2004 University acquires 3800 acres of prime land on the outskirts of Dar es Salaam for future expansion.
2004 Two programs, Bachelor of Science Nursing Management and Bachelor of Science in Midwifery, start in the School of Nursing.
2005 Establishment of Directorates of Planning and Development for Mloganzila and Muhimbili Campuses xiii 2006 Department of Library services is upgraded to a Directorate.
2006 Establishment of the Unit of Continuing Education under the Directorate of Postgraduate Studies
2007 Established Directorate of Continuing Education and Professional Development
2007 The Muhimbili University College of Health Sciences upgraded to a full-fledged University
2008 Inauguration of University’s Workers Council
2009 Establishment of Directorate of Undergraduate Education
2010 The Government of the United Republic of Tanzania signed a loan arrangement with the Government of South Korea for construction of the University Medical Centre at Mloganzila campus.
2011 The Government of the United Republic of Tanzania signed a loan agreement with the Government of South Korea for supply and installation of the equipments for the University Medical Centre at Mloganzila
2014 Construction of MUHAS Academic Medical Centre was initiated and was inaugurated by the fourth President of United Republic of Tanzania Hon Jakaya Mrisho Kikwete in 2015
2015 Centre of excellence in Cardiovascular Sciences was officially launched
2016 Construction of MUHAS Academic Medical Centre was completed on and was handed over to MUHAS management.
2016 MUHAS University Council Approved Establishment of Muhimbili University Investment Holding Company
2017 The President of United Republic of Tanzania HE Dr. John Pombe Magufuli inaugurated operationsof of the MAMC
2018 Construction of MUHAS Academic Facilities and Cadivascular Centre of Excellency at Mloganzila Initiated.
xiv Institutional Leadership 1963 – to date
Year Name of the Head of institution Position Held
st 1963-1968 Dr. A. M. Rankin 1 Dean, Faculty of Medicine nd 1968-1969 Prof. Gottlieb L. Monekosso. 2 Dean, Faculty of Medicine rd 1969-1973 Prof. Aloysius M. Nhonoli 3 Dean, Faculty of Medicine
1973-1977 Prof. Willim J. Makene 4th Dean, Faculty of Medicine
rd 1977-1981 Prof. Aloysius M. Nhonoli 3 Dean, Faculty of Medicine th 1981-1988 Prof. William J. Makene 4 Dean, Faculty of Medicine th 1988-1990 Prof. Gabriel M. P. Mwaluko 5 Dean, Faculty of Medicine st 1991-1994 Prof. Samuel Y. Maselle 1 Principal, MUCHS nd 1994-2003 Prof. Jacob P. Mtabaji 2 Principal, MUCHS rd 2003-2007 Prof. Kisali J. Pallangyo 3 Principal, MUCHS st 2007- 2012 Prof. Kisali J. Pallangyo 1 Vice Chancellor MUHAS nd 2012 - 2017 Prof. Ephata E. Kaaya 2 Vice Chancellor MUHAS rd 2017 to date Prof. Andrew B. Pembe 3 Vice Chancellor MUHAS
xv Current University Management
Prof. Andrea B. Pembe Vice Chancellor
Prof. David P. Urassa
Deputy Vice Chancellor Prof. Appolinary R. – Planning, Finance and Kamuhabwa
Administration
Deputy Vice Chancellor Academic, Research – and Consultancy
xvi Foreword
The year 2017/2018 marked another step forward for the Muhimbili University of Health and Allied Sciences (MUHAS) towards achieving objective stipulated in its Medium Term Strategic Plan, 2017/2018 to 2019/2020. During the year 2017/2018, academic programs continued to grow addressing the need of the Tanzania society and beyond. Currently the University has 91 academic programs. During the reporting period, 1336 students were admitted in various diploma, undergraduate and postgraduate programs. This marked a 12.65% increase in addimission rate as compared to the number of students who were admitted in similar programs in 2016/2017. During the reporting period, 965 students were successfully awarded their diploma, undergraduate and postgraduate degrees.
The University continued to build capacity of its academic staff to ensure quality training. Fifty-Eight (58) academic staff pursued further studies in various professions. A total of 32 staff were registered for PhD programs (10 females and 22 males), 22(13 males and 9 females) were pursing master degree programs and 4 maleswere registered for super-specialization and post-doctoral training. Likewise, a total of 4 staff (1 PhD and 2 Master Degrees and 1 Bachelor degree in MSc specializations completed their studies in different units of the University. During the reporting period, there were 92 active sponsored research projects in various implementation stages. Among these, 17 were new research projects initiated during the reporting period. Alongside research implementation, the university maintained its leading edge in research publication in the country. A total of 258 journal articles and 204 Dissertations were published. This achievement was a result of the University’s efforts to promote research and innovation as one of its core functions. The government through the Ministry of Education, Science and Technology (MEST) entered into contract with Tanzania Building Agency (TBA) to construct teaching and learning infrastrures at the th Mlogazila Campu. The contract between MEST and TBA was signed on 30 October 2017 and the constructuion is expected to be completed within 12 months. One of the main milestones achieved in the year 2017/18 is the beginning of construction of the multipurpose building for the Center of Excelence in Cardiovascular Sciences at Mloganzila Campus. The signing of the contract between the Contractor (Group 6 International) and MUHAS took place on th th 16 February 2018, and the contractor was officially handed the site on 20 February 2018. The site hand-over ceremony marked the official date for the beginning of construction expected to be st completed on 31 March 2019. Collaborative efforts among staff and effective leadership at all levels contributed to achievements scored during the year. I therefore, wish to congratulate all staff for working efficiently and diligently and for their contributions in the successful implementation of the University core functions. On behalf of MUHAS, I would also like to thank all stakeholders who have supported MUHAS intellectually and financially and facilitated the realization of these achievements.
Prof. Andrea B. Pembe
Vice Chancellor
1 1.0 Introduction
This is the twelveth MUHAS Annual report, which describes progress in the implementation of the annual planned activities as described in the MUHAS Medium Term Strategic Plan for the 2017/2018
– 2019/2020. The report show progress in academic programs, students enrolment, student outputs, examinations and human resource development. The report also shows achievements made by schools, academic institutes and directorates. Research programs, consultancy and public service achievements made by the various units at MUHAS are also reported. In addition, during year 2017/2018, the University made progress towards achievement of its vision and mission through implementation of various development projects, expansion of student intake improvement of the quality of research and teaching, and improved stakeholder’s engagement. During the reporting period preparations for operationalization of the hospital had started and various hospital committees were working dilligently to ensure that the hospital is in operation by the end of September, 2017.
Due to declining government subvention and the increasing demand for financial resources to fund the core functions of the university, during the reporting period, the university initiated various strategies to boost investment and self-generated income.
2.0 Vision, Mission and Functions of the University
2.1 Vision A university excelling in quality training of health professionals, research and public services with conducive learning and working environment.
2.2 Mission To provide quality training, research and services in health and related fields for attainment of equitable socio-economic development for the Tanzanian community and beyond.
2.3 The Functions The functions and activities of the University are guided by the following components: - (i) To provide in Tanzania a place of learning, education, research in health and allied sciences (ii) To be the main producer of key policy makers, experts and personnel in the health sector. (iii) To be a catalyst in the health sector reforms through conducting relevant research and educating the public in health-related issues (iv) To prepare students through regular and professional courses in the fields of health and allied health Sciences for degrees, diplomas, certificates and other awards of the Muhimbili University of Health and Allied Sciences. (v) To contribute to the intellectual life of Tanzania, to act as a focal point for its cultural development and to be a center for studies, service, and research pertaining to the interests of the people of Tanzania.
2 2.4 Schools Institutes and Directorates
The University has five Schools, two Institutes, and Twelve Directorates as follows: -
2.4.1 Schools (i) School of Medicine (ii) School of Dentistry (iii) School of Pharmacy (iv) School of Nursing (v) School of Public Health and Social Sciences
2.4.2 Institutes (i) Institute of Allied Health Sciences (ii) Institute of Traditional Medicine
2.4.3 Directorates (i) Directorate of Planning and Investment, Muhimbili Campus (ii) Directorate of Planning and Investment, Mloganzila Campus (iii) Directorate of Postgraduate Studies (iv) Directorate of Research and Publications (v) Directorate of Information and Communication Technology (vi) Directorate of Library Services (vii) Directorate of Continuing Education and Professional Development (viii) Directorate of Undergraduate Education (ix) Directorate of Quality Assurance (x) Directorate of Finance (xi) Directorate of Human Resources Management and Administration (xii) Directorate of Estates
3.0 Teaching and Learning
Teaching is of the core function of the University. MUHAS offers innovative, relevant and market – driven academic programmes at diploma, undergraduate and postgraduate levels with inbuilt quality control systems. The University also provides an environment and policy framework those allowas students to have attractive and healthier teaching and learning environment. This is achived through improving services in laboratories, library and rehabilitation of classrooms and the surrounding environment.
3.1 Academic Programs MUHAS has a wide range of academic programs and the best academic staff profiles in Health and Allied Sciences in Tanzania. The University gives high priority to quality programs’ development, delivery and students outcomes. Currently the University offers 10 Diploma programs, 15
3 Undergraduate programs and 65 Postgraduate programs, which are offered in the five schools and two institutes.
3.2 Student Admissions
3.2.1 Diploma Programs
During the reporting period 259 new students were admitted in the various MUHAS diploma programs. Of the total, 160 (62%) were males and 99 (38.2%) were females. The total enrolment of Diploma students was 812 out of this, 493(60.7%) males and 319 (39.3%) females. Figure1 shows admission trends for diploma students from 2014/15 to 2017/2018. Of those enrolled, 170 (21%) were at KCMC, Mpwapwa and Tanga. The remaining 642 (79.1%) were at Muhimbili. The Evening programs in the five (5) programs namely; Diploma in Pharmaceutical Sciences (DPS), Diploma in Diagnostic Radiography (DDR), Diploma in Environmental Health Sciences (DEHS), Diploma in Medical Laboratory Sciences (DMLS) and Diploma in Nursing (DN).
450 441
450
368
400 348
350
300 222 Admitted 250 259
Students 200
of Number 150
100
50
0 2012/2013 2013/2014 2014/2015 2015/2016 2016/2017 2017/2018 Year
Figure 1: Diploma Students Admission- 2012/13 to 2017/2018
4 3.2.2 Undergraduate degree programs Figure 2 shows admission of undergraduate students during 2017/2018 639 students were admitted into all undergraduate programs, which is a (211) 49.3% increase compared to 428 students admitted during the year 2016/17. During the academic year 20178/2018, MUHAS enrolled 2129 students into various degree programs. Of these, 28.7% (612) were female students. The female student enrollment in undergraduate programs is still short of the target of 40% aimed in the MUHAS Medium Term Strategic Plan.
700 639
605
564
600
428
482
500
450
400
300
Number of Students Admitted of Students Number 200
100
0 2012/2013 2013/2014 2014/2015 2015/2016 2016/2017 2017/2018 Year
Figure 2: Undergraduate Students Admission - 2012/13 to 2017/18
3.2.3 Postgraduate Programs During the reporting period, 438 postgraduate students were admitted in various postgraduate programs. This marked a decrease of 18 (3.3%) compared to the previous year (2016/2017) during which 536 students were admitted. However for the past five years there has been a remarkable increase in number of postgraduate
5 students admitted into various postgraduate programmes, for example in 2012/2013, 482 postgraduate students were admitted, this number continued to increase until it reaches to 605 in 2014/2015.
The current postgraduate enrollment is 853 students; this is an increase of 9.9% compared to the previous year whereby 745 postgraduate students were enrolled. This increasing trend is due to establishment of new postgraduate programmes, increased public awareness of the new established programmes and the implementation of the student Expansion program stipulated in the MUHAS MediumTerm Strategic Plan. The Main obstacle to enrolment for qualifying applicants is lack of sponsorship.
.
700 438
600 536
500
376 400
300 262 262
205
200
100
Number of Postgraduate Students Admitted Students Postgraduate of Number 0
2012/2013 2013/2014 2014/2015 2015/2016 2016/2017 2017/2018 Year
Figure 3: Postgraduate Students Admission - 2012/13 to 2017/18
3.3 Students Enrollment during from 2012/2013 to 2017/2018
3.3.1 Diploma Students During the year 2017/2018 the Institute enrolled a total number of 812 students, 493 (60.7%) male and 319 (39.3%) female students were enrolled in various MUHAS diploma programs. Compared to 977 students enrolled in the year 2016/2017 the number of student enronment decreased by 165(16.9%) students (Figure 4).This was caused by the requirement of not admiting evening program students because of inaduaquate number of teaching staff.
3.3.2 Undergraduate Students The number of students enrolled during 2017/2018 into all undergraduate programs was 2113, a minimal increase of 20 students compared to 2093 students enrolled in 2016/2017 (Figure 4). During the reporting period, 28.7% (612) of the total students enrolled in undergraduate programs were females
6 compared to enrollment of 645(30.8%) female students in 2016/2017 showing slight increase of female students.
3.3.3 Postgraduate Students The number of postgraduate students enrolled in the universities has been consistently increasing from 2012/13 to 2016/17. During the reporting period 853 students were enrolled in various postgraduate programs in five Schools and one Institute. Among students enrolled in Master programs 339 (39.7%) were females. (Figure 4).
4000
3500
1032 977
1034 3000
950 1003
2500 2000 studentsof
2093 2090 1500Number 1926 1771 1773
1000
500 673 745
473 460 553
0
2012/2013 2013/2014 2014/2015 2015/2016 2016/2017
Year Diploma Postgraduate Undergraduate
Figure 4: Diploma, Undergraduate and Postgraduate Students Enrollment from 2012/13 to 2017/18
3.4 Performance in Examinations during 2017/2018
3.4.1 Diploma Programs A total of 843 students sat for examination during the reporting period and 658 (78.1%) passed at first sitting. A total of 122(14.5%) failed their examination during the first sitting, 10 (1.2%) students had incomplete and , 8(1%) students postponed and three (3) students absconded; Figure 5. No students were discontinued from the studies during the reporting period.
7
843 900
800 658 700
600
500
400
300
122 Numberof Students 200
100 3 8 10 1
0 1
Examination Performance
SAT PASSED FAILED ABSOCONDED
POSTPONED INCOMPLETE #REF!
Figure 5: Perforamnce of Diploma students during the 2017/18 Examinations
3.4.2 UndergraduatePrograms During the period under review, 2,273 undergraduate students sat for university examinations and 1,944 (75.6%) passed at first sitting. Of those who did not pass during first sitting, 279(12.3%) students failed and were referred to do supplementary examinations and fifteen 19(0.84%) students postponed their examination results. Twenty-one 21(0.92%) students had incomplete results for various reasons and were allowed to complete their courses and sit for examinations. Thirty 10 (0.4%) students were discontinued on academic ground (Figure 6).
3.4.3 Postgraduate Programs During the reporting period, a total of 806 postgraduate students who sat for University examinations and 614 (76.2%) passed their examinations at first sitting. Among those who failed during first sitting (169), 132 (16.4%) were referred to do supplementary examinations, nine 5, (0.6%) students postponed examination and 44 (5.4%) students had incomplete results for various reasons and were allowed to complete their courses and sit for examinations. 14 postgraduate students their results were withheld and 3 absconded (Figure 7).
8
2500 2273
1944 2000
ofStudents 1500
Number 1000
500 279
0 19 0 21 0 0
1
Examination Perfomance
SAT PASSED FAILED ABSOCONDED
WITHHELD INCOMPLETE CARRYOIVER POSTPONED
Figure 6: Performance of undergraduate stuents during the 2017/2018 Examinations
900 806 800
700 614
600
500
400 Number of Students of Number
300
200 132
100 44
3 5 14 0
0
Examination Performance
Figure 7: Performance of Postgraduate students during the 2017/2018 examinations
9
3.5 Students Output
3.5.1 Diploma Programs During the period under review, 309 diploma students completed their studies. During the reporting period the number of qualifying candidates decreased by 49(15.9%) compared to the year 2016/17. Figure 8 shows Diploma, undergraduate and postgraduate outputs from 2012/13 to 2917/18 while Figure 9 shows the trend of students awarded diploma over the past five years (2012/2013- 2016/17). It shows that, for the past five there has been a gradual increase in the number of qualifying candidates.
1000
900 183 200 243
194
800
700 186
600 158 375 367
361 413
500 264
400 266
300
200 372 352 388
284 309
231
100 Number of Students 0 2012/2013 2013/2014 2014/2015 2015/2016 2016/2017 2017/2018
Year
Diploma Undergraduate Postgraduate
Figure 8: Diploma, Undergraduate and Postgraduate Graduates-2012/13 to 2017/18.
3.5.2 Undergraduate Degree Programs
The number of graduates during the reporting period (2017/18) was 413 and the number of qualifying candidates slightly increased by 46(12.5%) compared to 367 students who graduated in the year 2016/2017. Of the total undergraduate students who graduated during the reporting period,162 (39.2%) were female.
3.5.3 Postgraduate Programs During the reporting period, a total of 243 students graduated at a master’s degree level indicating an increase in number of qualifying candidatesby 43(21.5%) compared to 200 students who graduated in 2016/2017.Out of the total postgraduate graduates102 (42%) were females.
10 3.6 Graduation Ceremony December, 2017
nd During the reporting, period the University marked its 11th graduation ceremony on 2 , December 2017 during which a total of 965 graduates were awarded degrees and diplomas as follows: - Three hundred and nine (309) diplomas, and 413 first degrees in MD, DDS, BPharm, BSc Nursing (BSc N), BScN Midwifery, BScN Management, BSc Environmental Health Sciences, BMLS and BSc RTT.
With regards to postgraduate students, 243 were awarded degrees as follows: - Doctor of Philosophy (1), Master of Science Super-Specialties (12), Master of Medicine (103), Master of Dentistry (6),
Master of Pharmacy _ Hospital and Clinical paharmacy (1), Master of Pharmacy. Industrial Pharmacy (1), Master of Science by Research (3), Master of Public Health (40), Master of Science in Epidemiology and Laboratory Management(5), Master of Science in Applied Epidemiology (11),
Master of Science inTropical Disease Control (3), Master of Arts in Health Policy and Management (6), Master of Science in Environment and Occipational Health (8), Master of Science in Behaviour Change (1), Master of Bioethics (9), Master of Science – Clinical Care and Trauma (3), Master of Science
Midwifery and women’s Health(19), Master of Science in Traditional Medicine Development (2), Master of Science of Science in Clinical Psychology (3) and Master of Science in Microbiology and Immunology (7).
During the reporting period, the number of female graduates who graduated were 369 (38.2%) compared to the previous year whereby 378(39.6%) female students graduated. Compared to the previous year the total number of students who completed their studies increased from 907 in year 2015/16 to 965 (5.3%) in 2017/18.
11
300
251
250
204
200
162
141
150
105 102
Number of students Number 100
50
0 Diploma Undergraduate Postgraduate
Programmes
Female Male
Figure 9: Diploma, Undergraduate and Postgraduate Graduates by Sex (2017 Graduation Ceremony)
12
4.0 Reports from Schools and Directorates
4.1 School of Medicine 4.1.1 Introduction
This is the annual report of activities and events in the School of
st th Medicine at MUHAS, from 1 July, 2017 to 30 June, 2018. This
report summarizes activities related to student’s registration for The functions of the undergraduate and postgraduate programmes, provides an overview School and its of graduating undergraduates in 2017, presents summarized information highlighting implementation of teaching and assessment, activities are guided research and non-research Prof. Sylvia Kaaya projects implemented by staff, service delivery by the staff in the school and governance issues in the School during the reporting period. by core components of its mission and include:
a) To be directly engaged in the creation, transmission and evaluation Functions of the School of knowledge in medical sciences, laboratory and radiological treatment technologies in the pursuit of excellence in academic scholarship and intellectual inquiry through teaching, research and provision of advisory and public medical related services.
b) To provide a place of learning, education and research in medical sciences, laboratory and radiological treatment technologies and through this provide quality services commensurate with a good medical school.
c) To provide the labor market in Tanzania and Eastern Africa, with highly competent medical professionals and technologists able to contribute effectively to prevention, treatment and management of health-related problems in the society. This is to be achieved through the prime principle of integrating research, teaching and advisory services in the immediate subject areas.
d) To contribute to the intellectual and professional life of Tanzania and Eastern Africa and to act as a focal point for continuing professional development, research and services that are of
interest to the people of Tanzania. In terms of output d, the functions of the School are:
-
13
(i) To provide undergraduate education in Medicine, Medical Laboratory Sciences and Radiotherapy technology for degree and non-degree programs.
(ii) To provide post-graduate education in different specialties and super specialties of medicine
(iii)Teach of students/trainees from other Schools/Institutes at MUHAS as well as from outside the University.
(iv) To prepare and publish medical educational materials in various fields of medical sciences.
(v) To conduct medical research and disseminate the findings.
(vi) To carry out scientific educational, professional and technical consultancy services on behalf of third party clients under contract.
(e) To engage in cost containment and income generating ventures for sustainability.
4.1.2 Student Registration
(i) MD (Medical Doctor) programme
During the year 2017/2018 a total of 765 (27.0% female) continuing students registered to the nd th Doctor of Medicine programme for training in their 2 to 5 year. Furthermore, 229 (40.2% female) new first year students were registered, a higher number than the 205 new MD students enrolled in 2016/17. Thus, the total number of students registered for the Doctor of Medicine (MD) programme during the reporting year was 994 (30.0% female).
(ii) BMLS (Bachelor of Medical Laboratory Sciences) programmes and the BSc RTT (BSc Radiotherapy Technology) programme
nd rd During the reporting period, a total of 109 (27.6% female) students’ in the 2 and 3 year of training were registered to the six Bachelor of Medical Laboratory Sciences (BMLS) programmes. In total, 127 (19.7% females) first year BMLS students, were registered. In terms of the continuing BMLS students, during this reporting period compared to the last, the School saw this year, a decrease in both total numbers and the proportion of female registrations compared to 170 students (31.8% females) in 2016/17. In total, 236 students across the first to third year were registered to BMLS programmes, 25 (10.6%) being females; these totals not differing from those of students registered in the 2016/17 academic year. Thirty (20% females) new first year and 13 (46.2%
14 females) continuing students were registered to the BScRTT programme, making a total of 43 registered BScRTT students, 16.3% of whom were female.
iii) Registration across Degree Programme and Gender:
Four, degree programmes in the first year, were applied to by students of whom more than a third were female; including BMLS HT (42.1%), MD (40.2%), BMLS MI (40.0%), and BMLS CC (35.3%). Table 1 provides a summary of registered undergraduate students by programme and sex during this reporting period.
Table 1: Summary by programme and female sex of registered students 2017-2018
MD BScRTT BMLS G BMLS CC BMLS HBT BMLS HT BMLS MI BMLS PE Totals
Year of
study % % % % % % % % %
N female N female N female N female N female N female N female N female N female
1 229 40.2 30 20.0 39 5.1 17 35.3 13 0.0 19 42.1 20 40.0 19 5.3 386 31.9
2 200 28.5 2 0.0 10 50.0 5 60.0 5 20.0 3 0.0 9 11.1 5 0.0 239 28.0
3 183 33.3 11 9.1 19 31.6 7 42.9 9 33.3 10 30.0 16 18.8 11 18.2 266 30.8
4 197 22.3 197 22.3
5 185 49.7 185 23.8
Continuing 765 26.9 13 7.7 29 37.9 12 50.0 14 28.6 13 23.1 25 16.0 16 12.5 887 26.7 students
Total 994 30.0 43 16.3 68 19.1 29 41.4 27 14.8 32 34.4 45 26.7 35 8.6 1,273 28.3
Compared to 2016/17 (28.4% of 284 students across 5 years), a slow but steady increase in percent of female students overall for the MD has continued with the rate reaching 30.0% in this year as seen in the table. Other programmes showing a higher proportion of females in total registered compared to 2016/17 is the BScRTT programme and programmes with high rates of female students at registration for year 1 training during this reporting year. iv) First year student’s orientation: The white coat ceremony
th During the reporting period, the School of Medicine organized its 8 Annual White Coat Ceremony to welcome first year MD, BMLS and BSc RTT programme students to the University Community. During the ceremony, the Dean and Associate Deans of the School of Medicine, with faculty and non-faculty and selected student leaders, worked together to welcome new students. New entrants were informed of experiences when teaching and learning, as well as the professional
15 nd and ethical standing of their selected professions. The event was held on Thursday 2 November, 2017.
4.1.3 Teaching and Assessment of Students: i) Competency Based Curricula Implementation
During the reporting year, the School continued with implementation of competency based curricula (CBC), for both undergraduate and postgraduate programmes. For the second year running, the school implemented its junior, intermediate and senior clinical rotations for all MD students in their third, fourth and fifth years of training in relevant clinical departments.
Undergraduates in semesters one to ten and postgraduates in semesters one to six attended scheduled courses as defined by relevant modularized and competency based curricula. With the intention to gradually increase the number of undergraduate students admitted in school programmes a number of challenges were recorded in biomedical sciences. Measures to address the challenges encountered in the biomedical sciences and laboratory medicine courses (semesters 1-2), clinical teaching as well as in research training are outlined below: -
ii) Biomedical Science and Laboratory Medicine Courses: During this academic year, as in the previous years, major challenges in teaching occurred as we gradually expand our student enrollment. Challenges included academic, technical and administrative staff shortages and an inadequate infrastructure, in particular, large enough lecture halls and teaching laboratory space able to accommodate the 400 to 570 students that characterize the student volume handled by biomedical science departments of the School. As MD, six BMLS, and BScRTT degree programme students share sessions with peers registered for the Bachelor of Nursing (BScN. - School of Nursing), Doctor of Dental Surgery (DDS – School of Dentistry), Bachelor of Pharmacy (BPharm. School of Pharmacy), and Bachelor of Environmental Health Sciences (BSc.EHS-School of Public Health and Social Sciences) programmes at MUHAS. This challenge continuous to be addressed in two ways, a) Teaching students together but tailoring assessments to specifically address knowledge and skills gained in areas of relevance to a particular programme. b) Do what preparatory work is feasible for future tailoring of biomedical science courses to meet needs of programmes. Efforts in the future also need to focus on adequate staff numbers to allow for parallel teaching; and increasing our use Information Communication Technologies to improve
16 performance and effectiveness in teaching, while also enhancing learning, flexibility and efficiency in curriculum delivery.
iii) Clinical modular courses: The clinical departments in the School of Medicine successfully implemented the competency-based MD curriculum in semesters 3-5 (junior rotations), 7-8 (intermediate rotations) and 9-10 (senior rotations). With our increasing numbers of rotating clinical year students, including those from MUHAS, KIU and HKMU in our main clinical teaching space at MNH, has intensified in this reporting period, necessitating restricting student access to activities such as grand rounds and journal clubs due to space constraints. Many departments addressed this challenge by dividing students into smaller groups and assigning supervisors to each group at the level of clinical department subunits or firm. The CBC for post- graduate students includes a course in health professions education, allowing post-graduates to take on instructor roles for undergraduates in some departments. Nominated adjunct and clinical staff in sister institutions such as the Muhimbili National Hospital (MNH), the Muhimbili Orthopedics Institute (MOI) and the Ocean Road Cancer Institute who engaged in this process are also part of the reason for successes in implementation of the clinical components of the Competence based Education. However, it is imperative that clinical teaching facilities be available at MAMC and that logistic barriers to use of BTU and Lugalo Military Hospital for teaching (transport, staff & residents allowances, renovations of hostel rooms, the kitchen and lecture room) be resolves as soon as possible to allow active teaching for both clinical undergraduates and residents at these three sites, as well as service provision to occur.
iv) Student research training: During the reporting period, the School’s academic and adjunct staff continued to supervise research training for both undergraduate and postgraduate students. For undergraduate students, protocol development, research ethical clearance, data collection, data analysis and report writing were supervised at department level across the School of Medicine and School of Public Health and Social Sciences for 197 & 185 Semester 7 and 8 students respectively, who undertake the Elective Research (ME 400) course. During this reporting period, as in the past, the increasing number of students undertaking the ME 400 course, required innovations in facilitating ethical clearance for elective research proposals. Proposals were discussed in the student assigned departments, in addition to grading, each proposal was evaluated for its ethical
17 soundness using a pre-developed research ethics clearance check list. Proposals which met the set ethical criteria were submitted with filled ethical clearance checklists to the Directorate of Research and Publications (DRP), where a formal ethical clearance certification was provided for students to utilize when seeking permission to conduct research from community gatekeepers.
Supervision of postgraduate student’s dissertations was also undertaken for the MMed, MSc, MSc.SS and PhD programmes in respective departments. The School also recommended through the Directorate of Postgraduate studies to the Directorate of Research and Publications, requests for ethical clearance for completed Masters and PhD research proposals. Students in the MSc super specialization programmes that require gaining of advanced and specialized clinical skills, for the second year running, undertake in their final year a clinical audit, the findings of which inform quality improvements in clinical units providing these more specialized treatment and prevention services. As in the year of inception of this activity, in-house staff training occurred to strengthen the supervision of clinical audits with facilitators from both the School of Medicine and the School of Public Health and Social Sciences. v) Assessment
During this reporting year formative and summative assessments were held as planned in the different programmes and departments. All departments have developed and use formal tools for on-going formative assessment of core competencies, including log-books, assessment blueprints, and objective mark schemes. Piloting the use of ICT for post-graduate summative assessments is ongoing; and clinical departments continue to develop and use Objective Structured Clinical Examinations (OSCE) to better assess clinical skills and competence in soft skills such as communication. End-of-module examinations were held as scheduled in March and August 2018. Below we summarize performance by programme in the Semester 1, 3 & 5 university examinations.
18
Fig 10: Performance UEs MD Yrs 1- 2 and MD5X of 2018
7,3 4,4 14,3 % Failure rate
% Incomplete
6,02,3 50,0 MD1=
results
MD2=
% students
86,5 90,4 35,7 MD5X %
passed
Number of 230 209 14
students sat for…
0 %50 % 100 %
For the MD programme in the first two years of study, passing at first sitting was high with between 86.5-90.4% successfully passing at the of semester 1. Pass rates for final MD student on extra time (MD5X, either delayed by a supplementary or illness/social reasons for missing clinical sessions) were less encouraging with only 35.7% completing the programme and about half having pending modular courses to complete. Across the three BScRTT years, 7-21 students were assessed. 66.6% to 91.0% passed at first sitting, pass rates becoming increasingly better from year 1-3.
For the BMLS programmes pass rates ranged from 50% to 100%. The lowest pass rate of 50% was observed for the BMLS HBT first year students. In the first year, the highest pass rates were reported for the BMLS general programme of 85.7%. As with the BScRTT programme, pass rates become progressively better from year 1-3, with 100% passing at first sitting in 4 of the 6 BMLS programmes.
19
Variations in student entry requirements may partly explain the variations in pass rates by programmes in the first year of study where certain courses are
taught across programmes. However, the need to customize by course curricula by programmes is a major consideration when across schools curricula review begins. As all departments teaching courses in the first year are understaffed – staffing the departments will be one way to ensure time can be made available for curricula review in the future. To address these concerns on the short term, departments will continue liaising with relevant schools to ensure examinations are customized to the key course needs for taught programmes.
4.1.4 Graduation Ceremony
Teaching and learning activities always culminate in a graduation ceremony. During the reporting year, the MD class of 2012/2013, BMLS, BSc RTT and MMed classes of 2014/2015 and ordinary rd MSc and MSc Super Specialty classes of 2015/2016, as well as PhDs were conferred degrees on 3 December 2017. Table 2 provides a summary of the number of graduates per programmes. While the number of graduates in 2017 increased for all programmes compared to in the previous year, this was not the case for PhD programmes. Most graduates in 2016 were MUHAS staff, supported by SIDA grant. Efforts to seek funding support for PhD training are ongoing.
20
Table 2: Summary of graduates by degree programme in 2016 and 2017
SN Programme Year of graduation 2016 2017 1. MD 167 193 2. BMLS 32 96 3. BScRTT 4 17 4. MScSS 2 12 5. MSc 5 10 6. PhD 7 1 7 MMed 73 103
4.1.5 Prize Giving Ceremony
th During the reporting period prize giving ceremony was held on Thursday 30 November, 2017 a day before graduation ceremony for those students who excelled their academic performance and eligible for prizes. Twelve (12) undergraduate and twenty-seven (27) postgraduate students were given their prizes and certificates as per procedure.
4.1.6 Awards
During the reporting period three (3) awards were reported to be presented to academic staff and students in the School of Medicine as follows: -
(i) Awards in June 2018 to Women in Science in sickle cell disease
It is reported that in June 22, 2018 Dr. Siana Nkya, a honorary lecturer in the Department of Department of Biochemistry and a recently graduated PhD student (Department of Hematology and Blood Transfusion), was selected to receive one of the inaugural American Society for Hematology (ASH) Global Research Awards. Title: Using precision medicine approach in Hydroxyurea treatment of sickle cell disease in Tanzania. Named investigator: Josephine Mgaya (MSc Fellow). The ASH Global Research Award is the Society’s newest award, designed to support future international scientific leaders, increase hematology capacity, and nurture global collaboration. The award is intended to support hematologists between completion of training and the establishment of their independent careers. The Global Research Award promises to be accessible to individuals across geographical regions. Proposals are categorized by home country
21 and classification of country using the United Nations Human Development Index; and applicants will only compete with those in their same classification.
(ii) The Commonwealth Scholarship Commission in UK
During the reporting period in June 29, 2018 The Commonwealth Scholarship Commission in the UK has provisionally selected the following PhD Fellows from MUHAS, Tanzania for a Commonwealth Split Site Scholarship, tenable in universities in UK. The Commonwealth Scholarship Commission in the UK (CSC) provides the main UK government scholarship scheme led by international development objectives. The CSC is an executive non-departmental public body, sponsored by the Department for International Development (DFID). The CSC operates within the framework of the Commonwealth Scholarship and Fellowship Plan (CSFP) and is a vivid demonstration of the UK’s enduring commitment to the governments of the Commonwealth, including Tanzania. By supporting innovators and leaders of the future from across the Commonwealth, and by attracting outstanding talent to Britain’s universities, our work combines sustainable development with the UK national interest. The selected PhD fellows are: -
1. Ms. Daima A Bukini to University of Oxford for studies in Ethics in Genomic Medicine.
2. Dr. Mboka M Jacob to University College London for studies in Neuroimaging in Sickle Cell Disease.
3. Ms. Florence Urio to King's College London for studies in Molecular Haematology
(iii) Honorary Degree Award
th During the reporting period on 10 June, 2018, Prof. Sylvia Kaaya, a Researcher from School of Medicine, Department of a Psychiatry and Mental Health and also the Dean of the School of Medicine at Muhimbili University of Health and Allied Sciences (MUHAS), was awarded an honorary degree by Dartmouth. Prof. Kaaya was awarded the Doctor of Humane Letters in recognition of her outstanding achievements in the following:-
1. A leader in Psychiatric research on vulnerable populations in Tanzania.
2. Her work on epidemiological research in perinatal depression among women with HIV and without HIV, and in seeking to understand risky behavior among
22 adolescents.
3. Her focus on the development and evaluation of interventions for implementation at primary care level, that also have potential for scale up in low and middle- income countries.
(iv) Student International Award
Maryam Mohamedali (MD4, MUHAS), Gowthama Adithya (MD2, MUHAS) and Shaukatali Hussein formed Team 2.7 from Tanzania, one of the five teams selected from a much larger, international pool of applicants, responding to one of five challenges in the medical field pitched by healthcare organizations and industry partners in a competition supported by the European Organization for Nuclear Research (CERN). CERN’s "Medical Technology Hackathon ("MedTech Hackathon") is an innovation competition where teams solve topical problems. Winning prototypes chosen by expert judges are awarded a stay at CERN to continue working and developing the concept into a start-up. The Tanzania Team 2.7 worked on the Global Humanitarian Laboratory’s challenge about Mobile Health – “How can people in rural areas better get access to vital health care?”. Their solution, Box.e (figure 1), is a portable device with several sensors to measure the vital signs of the patients, which uses CERN’s technology C2MON to store and monitor data. The portable and durable Box.e, can check a patient's blood pressure, pulse rate, oxygen saturation, respiratory rate as well as body temperature it is completely user friendly, so that laymen as well as health care professionals can use it for immediate or continuous triaging and monitoring. Team 2.7 pitched Box-e to a panel of judges competing with other international teams (5-9 April 2018). They consequently won a stay back at CERN later this year, as well as a chance to present Box.e at a keynote presentation at the opening ceremony of the Geneva Health Forum on the April 10 2018. They were acknowledged by Naomi Yamamoto, the Assistant Director General of the WHO, who highly commended their leadership skills and creativity. They were commended by the School in a meeting with the Dean for increasing the visibility of MUHAS internationally
23 4.1.7 Research and Non-Research Collaborations
(i) Scientific Publications During the Reporting Period
Teaching staff in the School of Medicine continued to conduct research in various projects. During the reporting period, a total of 119 publications were retrieved from PUBMED in which members of the school published as co-author (see appendix 1). With a current staffing level of 146, during the reporting period, the publications per staff are 0.81 publications, increased from the 0.36 ratio during the 2016/17 reporting period. This increase is to be expected, as can be seen in this report, during this reporting period the School saw an increased in recruitment of young scholars to its academic staff ranks, many of whom are assistant lecturers. Developing research capacity building programmes for newly recruited staff within departments, and that are linked to staff development activities will be an important activity in subsequent years in the School. The School will also continue encouraging analysis and reporting of research findings including strengthening staff research seminars at department and school levels, and advocating for peer writing groups to support development of scientific writing skills.
(ii) Ongoing Research Projects
During the reporting period, staff requests to the Directorate of Research and Publications for financial support to undertake research projects were also processed. Furthermore, the office of the Directorate of Research and Publications (DRP) with the mandate to grant ethical clearance for sponsored projects, granted to the same for 12 staff initiated new research projects and annual renewal of ethical clearance for 27 ongoing staff research projects, and requests for ethical clearance for 14 newly funded projects during the reporting year. Hence 41 research projects with principal investigators from the school were active in the School by the end June 30 2018.
24
Table 3: Active donor funded research and capacity building projects in the School of Medicine
SN PI Name Project Project Title Star End Objectives and brief project Donor/ t Date report Collaborator Date 1. Dr. University of Glocal Health July June Feasibility & Efficacy of Nasal Catherine California at Fellowship 2017 2018 Bubble CPAP in the Shari San Francisco Management of Children under the age of five years presenting with Respiratory Distress at the Department of Emergency. 2. Dr. University of Indoor air Sept August To describe the magnitude of Emmanuel Rwanda pollution from emb 2019 indoor air pollution from Balandya charcoal cooking er charcoal cooking stove and its stove and its 2017 respiratory health effects among respiratory health women and children as well as effect among assess their mitigation by an women and improved ccoking stoves in Dar children in Dar es es Salaam, Tanzania Salaam: impact assessment and mitigation through introduction of an improved cooking stove 3. Dr. Jessie NIH/National Impact of Sept June To improve integration of HIV K.K Institute of Integrated emb 2021 and NCD care and treatment Mbwambo Mental HIV/NCD er Health/Univer Screening on HIV 2016 sity of South Testing uptake Carolina and Engagement in HIV Care & RCT; Kisarawe, Tanzania 4. Dr. Jessie CDC Tanzania AIDS Feb Mar The Tanzanian AIDS Prevention K.K. Prevention 2013 2018 Project aims to reduce Mbwambo programme HIV/AIDS transmission in (TAPP2) injecting drug users and their networks in Dar es Salaam 5. Dr. Jessie NIH/Medical Dyadic-Based Aug May Self-Testing for Stable Couples: Mbwambo University of Diagnosis, Care ust 2020 a) assess the acceptability, safety, South Carolina and Prevention 2015 and factors associate with uptake for HIV of HIV self-testing; and b) Discordant determine the proportion of Couples in clients testing positive for HIV Tanzania via self-testing who engage in care
25 SN PI Name Project Project Title Star End Objectives and brief project Donor/ t Date report Collaborator Date 6. Dr. Jessie NIH- National Stigma Cohesion June March Exploring sex work stigma Mbwambo Institute of and HIV 2016 2021 among both HIV positive and Mental Outcome Among negative participants in how Health/John Vulnerable stigma related to sex work Hopkins Women impacts both types of women, University further allow the development of robust quantitative measure based on inputs from both populations 7. Jessie K.K. NIH/Research ReReducing Octo May Facilitating ARV accessibilty to Mbwambo Triangle Failure-to-Initiate ber 2018 drug injecting patients Institute ART among 2015 People Who Inject Drugs: The IMAT Strategy 8. Mbwambo NIMH/ Case Reducing the 2017 2019 This study is a three-phase JK Western Burden of project that will refine and test a Reserve Chronic Psychotic care approach that combines long University Disorders in acting injectable antipsychotic School of Tanzania medication with a behavioral Medicine program in order to promote medication adherence in persons with chronic psychotic disorders. Progress: Completed IRB certification from all relevant institutions. Preparing to start data collection. 9. Dr. Nahya Ifakara Health Every New Born Sep Nov Assess the validity of routine Salim Institute Action Plan 2016 2018 health facilily-level registers and (ENAP) reporting and reporting documentation to measure the selected covering indicators in order to inform use (or not) of these indicators in national and global reporting 10. Dr. Pilly University of Investigation of April March Investigation of Rheumatic Chillo North Carolina rheumatic AF 2016 2021 Artrial fibrillation Treatment Using vitamin K antagonists, ribaroxaban or aspirn Studies (INVICTUS)
26 SN PI Name Project Project Title Star End Objectives and brief project Donor/ t Date report Collaborator Date 11. Dr. Samuel NIH/Fogarty Patterns and Risk Sept. June To establish the prevalence and Likindikoki International/ Factors of HIV 2016 2018 risk factors of diabetes and Medical and Non- hypertension among people University of Communicable receiving HIV-related care in South Carolina Disease Co- urban Tanzania and (2) Morbidity in understand families’ knowledge, Urban Tanzania, beliefs, and actions relating to Exploring the diabetes and hypertension and Potential for how this can lead to Family Based implementing a family-centered Interventions intervention to improve health for this population. 12. Ms. Lusajo National Identifying July March To examine the feasibility and Kajula, Dr. Institutes of venues to prevent 2012 2018 acceptability of a venue based Jessie K.K. Health (NIH) HIV and violence community popular opinion Mbwambo in for youth in (CPOL) intervention in collaboration Tandale district, identifying and characterizing with Dar es Salaam venues where men at high risk for University of HIV acquisition socialize North Carolina (UNC) 13. Prof. President and Fatty Acids June August To Investigate mortality and Ferdinand Fellows of Mortality and 2017 2018 disease progression in HIV Mugusi Harvard Disease infected persons loosing fatty College Progression acids in Tanzania among HIV infected Tanzanians 14. Prof. J. University of H3ABioNet: a Aug July To provide bioinformatics Makani Capetown sustainable ust 2017 infrastructure and support for the African 2012 H3Africa Consortium. The Bioinformatics network aims to support Network for genomics and bioinformatics H3Africa components of H3Africa research projects and Collaborative Centres, to contribute to improved patient outcomes across the continent.
15. Prof. Julie NIH Sickle Pan- April March To form a consortium that will Makani African Research 2017 2021 analyze standard of care for Consortium sickle cell disease patients, (SPARCO) develop skills and database for sickle cell disease information. 16. Prof. Karim Harvard Global Disease Mar Feb Train leaders focusing on Manji School of Training (GID) 2014 2019 childhood diarrheal disease, Public Health respiratory infections and and Social tuberculosis Science 17. Prof. Karim The Boston ZTDT Nov October Finding optimal dose for Zinc in Manji Children emb 2018 children with diarrhea Hospital er 2016
27 SN PI Name Project Project Title Star End Objectives and brief project Donor/ t Date report Collaborator Date 18. Prof. Karim University of B12 Followup Dece Novemb Studying the role of Vitamin Manji Bergen mber er 2017 B12 supplementation in early 2014 childhood and Neurodevelopment between 5 and 15 years.
19. Prof. Kisali NIH Tuberculosis Aug Jan Establishing Research Institute Pallangyo /Darmouth Research Institute 2013 2018 College at MUHAS
20. Prof. Kisali GHIT Fund/ Whole Cell Oct Mar To determine the safety and Pallangyo Dartmouth Booster Vaccine 2015 2018 efficacy of a 3-dose series of College to Prevent TB DAR-901 for the prevention of Infections in infection with TB among healthy Adolescents adolescents in Tanzania (DAR-PIA) previously immunized with BCG. 21. Prof. Lucio MUHAS- Invitro June Septemb To set up an in vitro culture Luzzato SIDA, MAGI Cultivation of 2016 er 2018 of Plasmodium falciparum at Grant Plasmodium MUHAS. Falciparum 22. Prof. NIH DMRET- May May Capacity Building Grant in the Muhsin Dartmouth- 2016 2021 Bioethics, provides support to Aboud MUHAS train Masters Students Research Ethics Training Programme 23. Prof. NIH/Dartmout Central auditory July June Recruitment and Testing of HIV Ndeserua h deficits associated 2015 2020 negative and positive subjects Moshi with HIV infection and treatment 24. Prof. S. NIH Center Adolescent May June Aims: 1: Refine the Adolescent Kaaya for AIDS Wellness Visits in 2017 2018 Wellness Visit (AWV) model Research Tanzania to based on formative research with funding increase HIV stakeholders. 2: Determine the mechanism/ testing and feasibility of implementing the Duke counseling AWV model at 2 primary school- University clinic pairs with ~100 adolescents. 3: Assess acceptability of the AWV model with stakeholders’ post- piloting of the AWV model. Progress: IRB certification from all relevant institutions complete; study startup was completed and the study is in the final stages of completing data collection and preparing for analysis and writing;
28 SN PI Name Project Project Title Star End Objectives and brief project Donor/ t Date report Collaborator Date 25. Prof. S. NIH- National Family Mar April Aims. 1: Assess how family Kaaya Institute of psychoeducation 2017 2020 psychoeducation can improve Mental (FamPE) for client outcomes, engage families Health/Duke adults with and address gaps in mental health University psychosis in services in Tanzania from Tanzania various stakeholder perspectives 2: Develop the FamPE intervention for use in Tanzania by building upon and tailoring the U.S.-based SAMHSA Family Psychoeducation Evidence- Based Practice Kit. Progress: IRB certification from all relevant institutions complete; study startup was completed and the study is in the final stages of completing formative data collection; reviewing transcripts and completing intervention package (phase 2) as well as preparing for analysis and submission of RCT protocol for study phase 3 26. Prof. Sylvia African Health Options: Oct Mar 31 Aims 1) Examine acceptability &
Kaaya Academy of Group 03 2018 feasibility of integrating an Public Health psychotherapy for 2013 enhanced standard of mental HIV-positive health care and group counseling depressed pre- with PMTCT-plus services 2) natal women Validate a depression screening tool for major depressive disorder (MDD) and suicidality for use in Tanzania; and 3) Conduct a cluster randomized controlled trial comparing a lay (CBHWs) provider task-shared structured group psychosocial support groups versus improved PMTCT standard of depression care in HIV-positive women accessing PMTCT-plus services. Progress: Objectives 1 and 2 and
3 completed in analysis and writing phase; No cost extension to May 2018 for local dissemination workshop. Outputs: MC. Smith Fawzi, E
Larson, MPH, H Siril, F Ngakongwa, M Somba, A Kaale, A Minja, J Kamala, A Komba, Z Aloyce, A Mwimba, N Kasmani, S Kaaya, Food insecurity and depression among women living with HIV receiving prevention of
29 SN PI Name Project Project Title Star End Objectives and brief project Donor/ t Date report Collaborator Date mother-to-child transmission of HIV (PMTCT) services in Tanzania: Impact of a psychosocial support group intervention Abstract #420175 APHA Annual Meeting 2017 Mary C. Smith Fawzi, Fileuka Ngakongwa, Yuanyuan Liu, Theonest Rutayuga, Hellen Siril, Magreat Somba, Sylvia F. Kaaya. Validation of the Patient Health Questionnaire-9 (PHQ-9) for increasing access to care for depression in Tanzania (Submitted Journal of Affective Disorders February 2018) 27. Prof. Siriel Karolinsika Global health 1996 Unspeci Conducting global health Massawe Institute course fied courses for medical students from Karolinska. Conducted two courses for 23 students in January 2016 and 22 students in May 2016. 28. Dr. Edda UCSF Validation of the 2017 2019 Vuhahula GeneXpert Breast Cancer STRATA4 Assay for Rapid Analysis of Breast Cancer Biomarker Status from Fine Needle Aspiration Biopsies in Tanzania
30
st Table 4: New Donor Funded Research Projects Received from the reporting period of 1 th July 2017 to 30 June, 2018
PI Name Project Project Title Start End Date Objectives and brief project Donor/Collab Date report orator 1. Dr. World Health Immidate January January To reduce neonatal martality Augustine Organization Kangaroo Mother 2018 2020 by starting Kangaroo mother Massawe Care care soon after birth.
2. Dr. Hendry World Bank Emergency January December To produce adequate Sawe through Medical Services 2018 2018 manpower skilled to manage TANROADS Establishment in and operate the EMS on the Tanzania - Pilot Northern Transport Corridor Phase from Dar, of SATTFP between Dar es Ruaha, Buyuni - Salaam and Ruaha Buyuni Track Road Track Road section. 3. Dr. Musa Result for Pneumonia Septem January Provide technical training Balowa Development Diagnostic Study ber 2018 services for the study Under- 2017 and Over-Diagnosis of Childhood Pneumonia in Tanzania
4. Dr. Nahya Ada Health Adopting Ada (an April March To make Ada APP as one of Salim GmbH artificial 2018 2021 the best health decision intelligence AI- support tools in Tanzania system) to support medical decision making during the process of diagnosis in Tanzania 5. Dr. Omary German University March June 2018 Capacity building for Chillo Ministry of Leadership 2018 university leaders in Finance National managing projects Multiplication Training (NMT) Project Management 6. Dr. Samuel John Hopkins The role of social Februar January To conducti formative Likindikoki University networks in y 2018 2019 research that will inform the influencing the development of a social engagement of network based interventions to women who use improve the engagement of drugs along the women who use drug in HIV care Tanzania along the HIV care continuum in continuum Tanzania
31 PI Name Project Project Title Start End Date Objectives and brief project Donor/Collab Date report orator 7. Lusajo American A pilot social January July 2018 Find networks of adolescent Kajula University/NI network 2018 girls who are at risk for HIV H intervention to reduce HIV and IPV among adolescent girls 8. Prof Said CDC/Associati Biosafety cabinet April April 2019 To train biomedical engineers Aboud on of Public certification 2018 and technicians to certify Health biosafety cabinets in the Laboratories laboratory
9. Prof Said EU/Imperial A combination January January To establish a cohort of HIV Aboud College of efficacy study in 2018 2023 negative individuals who are Science, Africa of two at risk for acquiring HIV for Technology DNA-MVA-or possible participation in the and Medicine DNAEnv protein PrEPVacc HIV preventive HIV-1 vaccine vaccine study regimens with pre-exposure prophylaxis (PrEPVacc) 10. Prof. Andrea UNFPA The 2018 April August To assess the current working Pembe Emergency 2018 2018 environment for EmONC Obstetric and service delivery, health New born care workers’ practices, and survey, Zanzibar bottlenecks in delivering EmONC as to inform interventions for monitoring access, availability, and quality of EmONC and other related MNH services at selected health facilities in Zanzibar 11. Prof. Japhet NIH/Harvard Partnership for June Sept. 2018 Assessing and exploring both Killewo PI University Global Health 2018 risk and protective factors and Mentor Research affecting the transition to Training employment or college/higher Dr. Fileuka Program: Impact education among vulnerable Ngakongwa of childhood youth PI & adversity and Research other associated Fellow/Ment factors among ee vulnerable youths aged 15-24 years while transforming to employment status or higher learning in Dar es Salaam, Tanzania
32 PI Name Project Project Title Start End Date Objectives and brief project Donor/Collab Date report orator 12. Prof. Julie NIH/Universit Sickle Cell June August To identify genetic markers of Makani y of Ghana Disease 2018 2022 cyto-protection involved in Genomics neutralizing haemolysis by Network of products to modify acute Africa (Sickle clinical complications among Gen Africa) SCD patients 13. Prof. Omary Karolinska EDCTP May April 2023 Pharmacovigilance capacity Minzi Institute PROFORMA 2018 strengthening in national regulatory authorities of East Africa
14. Prof. Twalib University of m-Palliative Care January November How to use mobile Ngoma Pennsylvania/ Link: Improving 2018 2019 technology in care of patients NIH symptom control who require palliative care at and information home exchange among specialists and community healthcare workers treating late stage Tanzania cancer patients
(iii) Research Seminars & Symposia and Workshops
During the reporting period fifty nine (59) staff in the School of Medicine attended various workshops, Seminars and other research meetings to which they were invited in and outside the country.
(iv) Dissemination of research findings at the MUHAS Scientific Conference
During the reporting period Muhimbili University of Health and Allied Sciences (MUHAS) organized its sixth scientific conference. The goals of the conference were to provide a forum for researchers, practitioners, decision makers, representatives of special groups, media and trainers to share research findings and experiences in health and health related issues as well as th disseminate their findings to relevant stakeholders. The theme of this 6 MUHAS Scientific Conference was “Promoting Industrialization through Health Research in Low Income Countries”. A variety of research areas subdivided in into five sub-themes were presented at this conference were: - Non-Communicable Diseases, Infectious Disease, Reproductive Health, Information and Communication Technology, Basic Health Science Research, Traditional and Alternative Medicine and Health Policy
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During this conference, it was reported that a total of one hundred and sixty five (165) abstracts were presented and 55 (33%) were presented by staff in the School of Medicine.
(iii) Grant writing during the Reporting Period
Some collaborative grant writing activities were concluded and grant documents submitted to
donors for funding consideration during this reporting period as listed below.
DONOR FUNDED RESEARCH PROJECTS IN THE SCHOOL OF MEDICINE S PI Project Donor/ Project Title Start End Objectives and brief project report N Name Collaborator Date Dat e 1 Prof. S. NIH / Harvard Parenting TBD TB Aims: 1) Perform formative research to Kaaya Medical School intervention D integrate a parenting intervention developed – submitted for for optimal in South Africa, the Sinovuyo Teen funding adolescent Programme, and a Family Strengthening consideration mental health Intervention adapted for use in Rwanda for February 2018 and well- youth ages 10-17 and their primary caregivers being: in Dar es Salaam, Tanzania, with significant preventing input from community leaders, primary child abuse caregivers, and adolescents; and 2) Conduct a cluster randomized controlled promoting trial to evaluate the integrated intervention for youth the following primary outcomes: (i) resilience. depressive symptoms; and (ii) alcohol or other substance use. Secondary outcomes will include: (i) positive parenting practices; (ii) harsh discipline of youth; (iii) other mental health problems related to harsh discipline, including conduct-related problems, generalized anxiety, and post-trauma stress reactions; (iv) emotional regulation; (v) psychosocial functioning; (vi) parent-child communication; (vii) school attendance; and (viii) youth resilience; 3) Examine mediating factors to understand the potential mechanisms of effect of the intervention on depressive symptoms and substance use, including harsh punishment, positive parenting, parent-child communication, social support, parental depression, food security, and dimensions of resilience; 4) Identify factors that can moderate the effectiveness of the intervention including age, gender, socioeconomic status, sociodemographic characteristics of caregivers (age, education, and marital status), intimate partner violence, baseline level of trauma, and caregiver’s depression at baseline
34 (v) Student Exchange Activities
During the reporting period the School continued an ongoing successful application for cooperation funded by the Linnaeus-Palme Programme for academic year 2018-2019 with Uppsala University (UU). The application was in request or supports for undergraduate student clinical elective study visits to the Uppsala University Teaching Hospital. The program focuses on MD students in their intermediate to senior rotations (semester 7-10) depending on the possible timing of exchange visits. The criteria for selection of MUHAS medical students is based on performance in the junior clinical practice year (semesters 5-6) where modular courses of focus for this application (bold type), pediatrics and child health, obstetrics and gynecology, surgery and internal medicine junior clinical rotations occur (modular courses). Male and female students with the highest GPA score in each of the pediatrics and child health, obstetrics and gynecology modular courses; and with good character are selected on merit from a list of students with a cumulative GPA (cGPA) of >3.0 for that audit year. A focus on gender balance has not, however, been strict as if only one gender dominated in the high GPA scores only those would be selected and proposed for the exchange visit to UU. If a selected student is unable to commit to an elective placement at Uppsala the student with the next highest GPA in the subject of interest is selected. After completion of their exchange visit to Uppsala, students share what they have learned by each providing a report to the School. During this this reporting period the under listed students will be visiting Uppsala University for a period of 3 months, from March 02, 2019 – and May 26, 2019 preferably for the study course Clinical Medicine V, the parts containing Gynaecology/Obstetrics and Pediatrics. This is part of student exchange program between Uppsala and School of Medicine at MUHAS as per MoU.
They are-
SN Full Name Sex 1 MEDARAKINI, Humphrey Godwin M 2 VEJLANI, Zainab Hatimali F
4.1.8 Service and Consultancy
During the reporting year, teaching staff in the clinical departments of the school continued to provide clinical services at Muhimbili National Hospital, and Muhimbili Orthopedics Institute as per agreement in memoranda of understanding (MoU) with the respective institutions.
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Arrangements for clinical teaching for post-graduates at the Lugalo Military Hospital, as well as providing support services at this institution with whom a MoU was signed last year are in progress with pending issues including nomination of adjunct staff for teaching. While a memorandum of understanding between the School and the Bagamoyo District Hospital is in place for a year, challenges remain in organizing for sustainable housing for undergraduate students that will be taught at this facility. Negotiations with the Ministry of Health, Community Development, Gender, the Elderly and Children for placement of specialists that can be nominated to become adjunct staff and provided with health professional’s education training and budgeting for MUHAS staff outreach services at BDH have been initiated. This will create a win-win situation in which both quality district level training can be provided for our MUHAS undergraduates, decongesting overcrowded teaching and learning spaces at the Muhimbili campus, while at the same time offering essential outreach clinical services support to a district unit and students learning in a similar environment to which they will be deployed in the future. Activities aimed at reaching this goal will continue to be in the School’s action plans in the next financial year.
Affiliations: The school is in the final phases of development of an affiliation with the Military College of Medical Sciences (MCMS). The affiliation has the objective to support undergraduate and postgraduate clinical/practice placement of students for its competence based curricula that will include identification and appointing adjunct (honorary) MUHAS staff at MCMS and its teaching hospitals, as building their capacity in health professionals education to support clinical teaching and assessment of undergraduates and postgraduates health professional trainees posted to MCMS teaching hospitals. Furthermore, MUHAS will collaborate with MCMS to build human resource capacity for teaching core biomedical science and biomedical engineering courses in its degree programmes working in concert with other mutually agreed partners. The affiliation proposal and budget is accompanied by a tripartite MoU between MUHAS, MCMS and Mbeya University of Science and Technology (MUST)
Outreach services: A number of outreach service activities have been carried out by clinical departments, including supporting Ministry of Health and other stakeholder’s clinical services camps in underserved areas of our communities in Tanzania.
36 4.1.9 Governance issues in the School
Overview of academic staff in the School of Medicine (SoM)
During the year under review, the total number of academic staff in the SoM was 141 a decrease by one from 142 staff reported in 2016/2017. During this academic year, the School has opened a biomedical engineering unit, nested in the department of physiology, and been able with support of University management to hire four Assistant lecturers trained at Masters Levels, one of whom is undergoing PhD studies in Germany; and one tutorial assistant; bringing to a total the number of staff across 19 departments with one new unit to 146.
Of the academic staffs, a fifth or 20.5% are on post-retirement contracts. Severe staff shortages characterize the biomedical science and clinical medicine departments, particularly Hematology and Blood Transfusion, Anatomy, and Physiology; and the clinical departments of anesthesiology, Emergency Medicine, Ophthalmology and ENT. An impending crisis also looms for the department of Internal Medicine, where five of the 10 staff in this department has post- retirement contracts. The staff in the mentioned departments meets at levels less than 50% the TCU recommended staff student ratio of 1:15 in the biomedical science departments and 1:8 for the clinical departments. The gap is currently being partly filled by senior residents supporting clinical teaching of undergraduates. However, as demands for clinical work at the teaching hospital increase, there is a risk that teaching and research in the school may suffer, as clinical responsibilities at all times take precedence to other activities given risks to patient well-being if these tasks are neglected.
(i) Action Planning and Open Performance Review and Appraisal (OPRAS) During the reporting period, the School of Medicine management committee cascaded the targets of the Deputy Vice Chancellor Academic Research and Consultancy (DVC ARC) and completed its annual action plan, which was submitted with a related budget. The School’s annual action plan was shared with all 19 departments, (100%) which also formed a basis for developing department annual action plans. These School and department annual action plans formed the basis of staff’s performance objectives. During the reporting period, the office of the Dean signed performance agreements with all Heads of Department for 2017-2018. During the reporting period, all staff in the office of the Dean School of Medicine continued to perform activities as planned in their OPRAS forms. All the staff filled the OPRAS forms for performance agreement
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/objectives for the year 2017/2018. The office anticipates receiving feedback from the Directorate of Human Resources Management and Administration on the annual performance appraisal for the year 2017/2018 for all staff in the school.
(ii) Meetings in the School of Medicine
School Boards: All scheduled School Boards were held as per Almanac in the reporting year. In addition, a number of extraordinary meetings were held as needed. Weekly meetings of the School Management Committee were held as scheduled at a level of more than 90% of planned meetings. School Board Committees: Meetings of the School Undergraduate and Postgraduate& Research Committees were held as needed, Teaching and Assessment Quality Committee and the Planning Committee meetings were held as planned by Committee Chairs.
(iii) Staff on Training
During the reporting period thirty three (33) academic staff in the School are continue with their studies in and outside MUHAS (See appendix 111).
4.1.10 Staff Promotions, Retirement and Transfers
(i) Promotions
During the reporting year all Heads of Department on the MUHAS payroll, filled their annual OPRAS forms following and orientation training. During the 2017/2018 academic year, two (2) academic staff (Dr. Agricola Joachim from Department of Microbiology and Immunology and Dr. Pilly Chillo from Department of Internal Medicine were recommended for promotion after st th annual performance appraisals which were done between 1 June, 2017 to 30 July, 2018.
(ii) Transfers
During the reporting period Dr. Magdalena Lyimo from the Department of Haematology and Blood transfusion through the Ministry of Health Community Development Gender Elderly and Children (MoHCDGEC) and Ministry Public Service Management and good Governance has been seconded to Blood Bank at Dar es Salaam following appointment as Director General with effect from 2018.
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4.1.11 Resource Mobilization
(i) Short courses
Staff continued to identify priority and demand driven short courses for implementation targeting health care providers in Tanzania and beyond. The Five short courses from Department of Emergency Medicine which were accredited by DCEPD since 2016-2017 is continued to be implemented as planned. The department of Anatomy is continuing to process for accreditation for the short course of Dissection Anatomy and the School of Medicine is continue to make follow-up with heads of department to encourage them to facilitate and report the development of accredited and implemented short courses.
(ii) External Student Clinical or Research electives/exchanges in the School
Elective and exchange foreign students continued to be a major source of income generation in the rd school of Medicine. The School in its 3 of a two-year registration as GHLO (Global Health
Learning Opportunities – the Association of American Medical Colleges) host institution received no elective student in this reporting year, but accepted three completed applicants for the 2017/18 year. During the reporting year the school received a total of 39 elective and exchange students who completed clinical electives in various departments as summarized in table below: -
Table 5: Clinical Elective and Exchange Programmes in the School for 2016/17 and 2017/18
Department Elective and Exchange in Elective and Exchange in 2016-2017 2017-2018 Elective Exchange Total Elective Exchange Total Internal Medicine. 11 1 12 4 0 4 Paediatrics & Child Health 10 1 12 6 3 9 Surgery 16 1 17 5 2 7 Obstetrics & Gynaecology 9 0 9 5 4 9 Psychiatry and Mental Health 1 0 1 1 0 1 Orthopedics & Trauma 5 2 7 3 0 3 Emergency Medicine 1 0 1 3 0 3 Ophthalmology 0 0 0 1 0 1 ENT 0 0 0 1 0 1 Radiology 0 0 0 1 0 1 Total 53 5 58 30 9 39 NB: Some elective/exchange students rotated in more than one programme.
39 The Elective study students during reporting year were from China, Belgium, Norway, England, japan, Netherland, Romania and Oman. Most students who apply for electives at MUHAS are usually from third party Europe organizations such as Work with the World and World Unite who coordinate elective study student applications and placements worldwide.
Despite efforts to attract elective students there has been a steady decline in the number of elective students registered by the University as shown in the table above.. This decline in the number of electives students may partly be because other institutions in Tanzania also offer elective clinical rotations for foreign medical students, including the Muhimbili national hospital (MNH) and district and regional hospitals in arrangements with third party providers of student electives in
Tanzania. The forthcoming space provided by the MUHAS Academic Medical Center (MAMC) at the Mloganzila Campus, once established, should provide an alternative site for student electives in Tanzania. The presence of accommodation on site for elective students will increase the attractiveness of the venue as a clinical skill building site.
4.1.12 Miscellaneous
(i) Exhibitions
During the reporting period, the school appointed a committee chaired by Dr. Omary Chillo from the department of Physiology to coordinate other exhibitors in the School of Medicine to prepare nd activities for the exhibitions during the 42 sabasaba the trade fair which were held in Dar es th th Salaam international trade fair exhibitions from 28 June to 13 July, 2018.
(ii) Security Matters
During the reporting period no issue related to security and theft was reported.
(iii) Health Matters
During the reporting period one staff Prof. Leornard Lema from the Department of Surgery died Monday June 18, 2018. Prof. L. Lema until his death was serving as professor in the department of Surgery and who served as the Head of department of surgery between year 2003 to 2006. He also served as Executive Director of MHN between the year 2006 to 2010.
40 Table 6: Staff travels showing workshop and conference
SN Name of Staff Department Dates Region or Objective of the workshop or Meeting attended workshop Country and Meetings th 1. Prof. Julie Makani 4th to 5 Boston, The Lancet NCDI Poverty Commission October, Massachusetts meeting with the following objectives:- 2017 (a) To review a complete draft of the Lancet NCDI Poverty Commission report. (b) Harmonize all six section of the Lancet NCDI poverty commission report. (c) Establish revision responsibilities in preparation for the report’s submission for peer review in November 2017. th 9th to 13 H3A BioNet Scientific Advisor Board October, meeting 2017 th 9th to 12 Atlanta, USA Travel to attend American Society of th December, Haematology (ASH) 59 Annual meeting. 2017 The meeting aimed to advance the education of physicians and other professionals in the care of patients, support the development of clinical researchers, and facilitate the delivery of high-quality healthcare to patients. th st 20 to 21 London, UK Travel to London UK to attend the Lancet November, NCDI Poverty Commission peer review 2017 meeting. th th 13 to 14 Stockholm Invited to attend the American society of June 2018 Sweden America International members committee meeting organized by American society of Haematology (ASH)
19th to 21st South Africa 1st Annual Africa Forum on Quality and February, safety in healthcare organized by The 2018 Institute for Healthcare improvement (IHI) 26th to 29th Rwanda Invited to attend third academic and Science March, 2018 Advisory Council meeting th 2. Dr. Paschal Ruggajo Internal Medicine 9th to 14 Dodoma, Workshop on Public Procurement Act, October, Tanzania Regulations and Implementation Tools 2017 organized/conducted by PPRA. th th 28 to 30 Zanzibar Travel to Zanzibar to attend annual tripartite November, collaboration Nephrology workshop 2017 th 3. Dr. Samuel Psychiatry and 1st to 5 Geneva, Mental Health and Psychosocial support Likindikoki Mental Health October, Switzerland (MHPSS) Research in Humanitarian 2017 Settings: WHO-Elrha th 30 Bangkok, Travel to attend a conference on ethics of November to Thailand research with refugees and migrant 1st population December, 2017
41 5th to 6th June Nairobi Kenya Attend workshop organized by the Eastern 2018 Africa Learning workshop on Psychotherapeutic and Psycho-Spiritual rd th 23 to 20 Denmark Invited to attend short Course on Qualitative May 2018 Research in Global Public health funded by DANIDA. th nd 20 to 22 South Africa Invited to attend SASOP Academic April 2018 conference th 4. Dr. Edda Vuhahula Pathology 9th to 14 Dodoma, Workshop on Public Procurement Act, October, Tanzania Regulations and Implementation Tools 2017 organized/conducted by PPRA. th 28 Dodoma, Travel to participate in Review of NTA Level November to Tanzania 4, 5 and 6 Medical Laboratory Curricula 7th December, 2017 5. Dr. Edward N. Kija Paediatrics and 3rd to 8th Kansas, USA Travel to attend the annual conference on Child Health October, Child neurology Society. 2017 13th to 16th Ethiopia Invited by Ethiopian Paediatrics society February, (EPS) to present on Epileptic 2018 Encephalopathies at Ethiopia Paediatric Society Conference in Addis Ababa. th nd 18 to 22 Chicago USA Attended Workshop on Epilepsy and EEG in June, 2018 Chicago th 28 May to Moshi Travel to facilitate clinical neurology training st 1 June 2018 for medical doctors and residents at KCMC 2nd to 9th Kampala Uganda Invited to attend a PAGEL workshop funded June 2018 by DAAD intending at improving speech and language pathology in East Africa. th 18 May Addis Ababa Attend symposium on nutrients interaction on 2018 Ethiopia cognitive development and learning rd th 23 to 25 Mombasa Kenya Invited to attend Paediatrics Epilepsy April, 2018 Training (PETI) course. th th 6. Dr. Alexander Tungu Physiology 11 to 14 Mwanza, To facilitate training for impairment October, Tanzania assessment of occupational diseases and 2017 injuries 30th October Bergen, Norway Travel to Bergen Norway to attend the to 3rd Norhed research seminar November, 2017 th th 13 to 15 Potsdam, Travel to attend a training of trainer November, Germany workshop. The training meant to support the 2017 training committee members to prepare their upcoming National Multiplication trainings (NMT) activities. 3rd to 9th Arusha Workshop on project management among March, 2018 University leaders (UNLEAD Tanzania Project,) organized by MUHAS, MUST and Nelson Mandela University in collaboration with the University of Potsdam Germany.
th April to Dublin Ireland Invited to attend a scientific conference on 29th 4 May 2018 occupational health and research. He made
42 presentation on noise induced hearing loss among metal industry workers in Tanzania. th 7. Dr. Rodrick R. Paediatrics and 8th to 14 Mwanza, To evaluate MMed Paediatrics and Child Kisenge Child Health October, Tanzania health curriculum of CUHAS. 2017 th 6th to 15 Bagamoyo, Travel for consultancy work on updating November, Tanzania National Integrated Management of Acute 2017 malnutrition (IMAM) training Manuals rd th 23 to 25 Mombasa Kenya Invited to attend Paediatrics Epilepsy training April 2018 (PETI) course th 8. Prof. Noboth Surgery 8th to 10 Mwanza, To evaluate MMed Surgery curriculum of Mbembati October, Tanzania CUHAS. 2017 th th 9. Dr. Grace A Shayo Internal Medicine 11 to 13 Mwanza, To evaluate MMed Internal Medicine October, Tanzania curriculum of CUHAS. 2017 th th 10. Dr. Peter J. Wangwe Obstetrics and 12 to 14 Mwanza, To evaluate MMed Obstetrics and Gynaecology October, Tanzania Gynaecology curriculum of CUHAS. 2017 th 11. Robert I. Mhina Orthopaedics and 8th to 14 Mwanza, To facilitate training for impaired and Traumatology October, Tanzania disability assessmentunder workers 2017 compensation. th 12. Dr. Francis F. Furia Paediatrics and 9th to 21 Morogoro, Participate in National Dialysis policy Child Health October, Tanzania Development Forum 2017 th th 27 to 30 Zanzibar Attend tripartite collaboration conference November, Mnazi Mmoja Hospital, Zanzibar 2017 th 13. Ms. Tasiana D. Njau Psychiatry and 9th to 13 Arusha, Tanzania To facilitate world Mental Health Day Mental Health October, 2017 th th 14. Mr. Isaac S. Lema Psychiatry and 10 to 12 Arusha, Tanzania To attend world Mental Health Day and Mental Health October, MEHATA Annual General meeting 2017 th th 16 to 17 Mwanza, Travel to participate in assessment of Mental November, Tanzania Health at Butimba Prison 2017 th 15. Dr. Fileuka C. Psychiatry and 9th to 12 Arusha, Tanzania To attend commemoration of world Mental Ngakongwa Mental Health October, Health 2017 th th 19 to 26 Kigoma, Tanzania Travel to Kigoma to facilitate mHgap November, Humanitarian Intervention Guide to health 2017 care workers and community incentives working in the refugees camps. rd th 16. Prof. E. Ephata E. Pathology 23 to 26 Cairo , Egypt To attend the fourth edition of “Merck Africa Kaaya October, Luminary” for the first time in the land of 2017 Pyramids and the Sphinx.
13th to 20th New York USA Attend annual conference of the Consortium March, 2018 of Universities for Global Health (CUGH) in New York –USA, AFRE health hold sessions on how to partner globally to rescue endangered medical professions including Pathology.
43 5th to 6th Malawi Invited to attend the 3rd Senate of East March, 2018 Central and Southern African College of Health Sciences (ECSA-CHS) as a chairman of the Senate. The meeting help to sharpen key areas that the professional colleges engage the relevant national and regional stakeholders on particularly with regards to the issues of accreditations, support to the colleges and recognition of ECSA colleges training and qualifications 6th to 8th Nairobi Kenya Travel to attend Council meeting of Amref February, International University Campus, Lang’ata 2018 Road Nairobi. th th 26 to 28 Arusha Travel to attend ECSA Health Community th June, 2018 11 best Practices Forum (BPF) and directors joint consultative committee (DJCC) meeting with the aim of identifying policy issues and making recommendations to accelerate and scale up best practices in the ECSA Region. th th 25 to 27 Kilimanjaro Travel to KCMCo to lead delegation for April 2018 verification of process made in addressing shortfalls raised by commissions audit teams conducted in 2016 and 2017 th th 15 to 17 Nairobi Kenya Invited to attend AMREF International May 2018 University (AMIU) Council meeting th th 17. Dr. Dorothy Mushi Psychiatry and 19 to 26 Kigoma, Tanzania Travel to Kigoma to facilitate mHgap Mental Health November, Humanitarian Intervention Guide to health 2017 care workers and community incentives working in the refugees camps th th 18. Prof. Eligius F. Microbiology and 24 to 27 Zanzibar Monitoring visit Mnazi Mmoja Hospital in Lyamuya Immunology October, Unguja, wete health Centre and Abdallah 2017 Mzee Hospital in Pemba as the National Survey Consultant of survey to measure the burden of drug resistant TB (MDR-TB) in a random sample of patients who are geographically representative in the country. 29th October Harare, Zimbabwe Invited by WHO to attend special meeting for to 2nd capacity building of national Polio November, Committee Chairpersons meeting. 2017 14th to 15th Uganda PrEPVacc Investigators meeting in February, collaboration with the Medical Research 2018 Council/Uganda Virus Research Institute (MRC/UVRI) Uganda research Unit on Aids and Empirical College London. This was a meeting of representatives of sites participating in the PrEPVacc Consortium Clinical Trial (A combination efficacy study in Africa of two DNA-MVA-or DNA-Env protein HIV-1 vaccine regimens with pre- exposure prophylaxis (PrEP). 15th to 16th Mtwara Travel to participate in the second TB Drag March 2018 Resistance Survey (DRS) in Tanzania organized by NIMR 19. Dr. Larry O. Akoko Surgery 26th Lindi, Tanzania To participate in Hydrocelectomy Camp
44 November to 2nd December, 2017 th 6th to 11 Kigali, Rwanda Travel to attend AORTIC Conference November, 2017 th th 13 to 16 Morogoro, To attend workshop on development of December, Tanzania instructional materials for breast cancer 2017 services. 23rd to 24th Moshi Travel to Moshi to attend supportive January, supervision and mentorship training. 2018 th th 11 to 15 MUHAS Dar es Attend a training on systematic reviews and June, 2018 Salaam Meta-Analysis training on Systematic Review and Meta-Analysis to faculty members and MSc Students held on 11th to 15th June, 2018. The main objective of this workshop was to equip participants with necessary hands-on skills to conduct systematic review and Meta-Analysis. th 2nd to 5 Washington DC, Participate in the Digestive Disease Week June 2018 USA (DDW) organized by the Global cancer Program at UCSF’s Helen Diller family Comprehensive Cancer Center. 20. Dr. Ali H. Mwanga Surgery 28th India Training on liver resection and Liver November to transplant surgery 4th March, 2018 th 6th to 11 Kigali, Rwanda Travel to attend AORTIC Conference November, 2017 st 9th to 21 Lindi Tanzania Travel to participate in Hydrocelectomy April 2018 camp organized by MoHCDGEC to attend 300 patients with Hydrocele 21. Prof. Mecky I. Matee Microbiology and 27th Arusha, Tanzania Travel to attend SACIDS Conceptualization Immunology November to workshop and Board Meeting. The prime 1st objective of this workshop was to comprise a December, committee of independent members of 2017 SACIDS Governing board plus invited external senior individuals with expertise and experience in institutional development to help define the functions and governance of a sustainable structure of a SACIDS one health forum. nd th th 22 to 25 Canada Attended 5 International One health nd th June, 2018 Congress in Canada from 22 to 25 June, 2018. rd th 22. Dr.ChristinaV. Radiology and 23 to 26 Cairo , Egypt To attend the fourth edition of “Merck Africa Malichewe Imaging October, Luminary” for the first time in the land of 2017 Pyramids and the Sphinx. th th 18 to 19 ORCI- Dar es Attend two days’ workshop on preparation of December, Salaam a National Cancer management Guideline 2017 4th to 9th India Travel to Mumbai India to attend workshop
45 March 2018 on clinical research protocol development (CREDO). th th 29 to 30 ORCI-Dares Participate in a workshop on preparation of May 2018 Salaam national Cancer management Guideline at ORCI th th rd 23. Prof. Janet K. Lutale Internal Medicine 26 to 30 Kampala, Uganda Travel to attend 3 meeting of Development November, of Benchmarking for agriculture engineering 2017 and medicine programmes. The major aim of this forum is to develop a framework of benchmark in the fields of agriculture, Engineering and Medicine that will be in line with the National and Regional Qualifications Frameworks and leading to harmonization of Agriculture, Engineering and medicine programmes among university institutions in the East African Community partner states. rd th 23 to 26 Cairo , Egypt To attend the fourth edition of “Merck Africa October, Luminary” for the first time in the land of 2017 Pyramids and the Sphinx. th th 24. Dr. Amos R. Pathology 18 to 24 Dodoma, Invited by MoHCDGE&C to participate in Mwakigonja December, Tanzania developing a forensic pathology curriculum 2017 for Clinical officers th th 25. Tasiana Njau Psychiatry and 6 To 20 Ohio, USA Travel to attend the global health challenge Mental Health November, conference. 2017 26. Dr. Mtebe Majigo Microbiology and 7th to 9th Morogoro, Travel to participate on development of Immunology November, Tanzania guideline on screening blood for transfusion 2017 transmissible infections. 28th January Mwanza and Travel to attend AMR laboratory Assessment to 3rd Mbeya to determine readiness for participating in the February, Tanzania Antimicrobial Resistance (AMR) 2018 Surveillance System organized by MoHGDEC in collaboration with centers for Disease Control and Prevention (CDC) through American Society for Microbiology (ASM). th rd 17 to 23 Addis Ababa Attend training on Molecular epidemiology, June, 2018 Ethiopia Diagnostics and genetic Engeneering at the Addis Ababa University College of Health Science th th th 27. Prof. Charles Mkony Surgery 20 to 24 Moshi, Tanzania Travel to KCMC to attend the 12 lester November, Eshleman workshop 2017 th 30 May to Arusha Participate in meeting of Tanzania Surgical 1st June, Association 2018 th rd 28. Dr. Evelyne N Paediatrics and 20 to 23 Morogoro, Travel to attend the orientation workshop for Assenga Child Health November, Tanzania the national committee for verification of 2017 measles elimination with an overall objective of independently verify measles elimination in the country. rd th 23 to 25 Mombasa Kenya Invited to attend Paediatrics Epilepsy training April 2018 (PETI) course th th 29. Dr. Emmanuel Physiology 12 to 17 Abuja, Nigeria Travel to attend intergrated Research for
46 Balandya November, Agenda 2010 in Africa Annual Research 2017 Forum. 20th to 23rd India Invited to attend 5th Global Forum on TB February, Vaccines organized by Dartmouth College in 2018 USA. th th 30. Dr. Anna Sanyiwa Pathology 13 to 19 Manyara and Travel to supervise surgical skills training for November, Arusha Tanzania primaryhealthworkersunderthe 2017 Kilimanjaro Centre for Community Ophthalmology (KCCo) in Collaboration with the NTDCP and MoHCDGE&C with support from DFID 31. Dr. Patricia Munseri Internal Medicine 14th to 15th Uganda PrEPVacc Investigators meeting in February, collaboration with the Medical Research 2018 Council/Uganda Virus Research Institute (MRC/UVRI) Uganda research Unit on Aids and Imperical College London. This was a meeting of representatives of sites participating in the PrEPVacc Consortium Clinical Trial (A combination efficacy study in Africa of two DNA-MVA-or DNA-Env protein HIV-1 vaccine regimens with pre- exposure prophylaxis (PrEP). 18th to 24th New Delhi India Invited to attend 5th Global Forum on TB February, Vaccines at the Taj Diplomatic Enclave Hotel 2018 in New Delhi India India organized by the Indian Council of medical Research, New Delhi (ICMR) Department of Biotechnology, Ministry of Science and Technology. The objective of this forum was to review progress in TB vaccine R&D, to discuss strategies to continue to advance and sustain the field, to share the latest data and findings on key research issues, and promote partnerships and collaboration amongst multiple stakeholders across sectors to accelerate and streamline TB vaccine research. 32. Dr. Henry R. Sawe Emergency 15th to 18th USA Invited to attend the consortium of Medicine and 19th to Universities for Global Health (CUGH) 22nd March, Annual Conference funded by NIH Fogarty 2018 International Center. The objective of this conference is to bring together individuls from other countries academia, NGOs, Government and the Private sector to explore the latest in how they can address pressing international and domestic global health and development challenges. th th Dr. Henry R. Sawe Emergency 7 to 8 May Geneva Invited to attend a working meeting on Medicine 2018 Switzerland Global Alliance for the care of Injured (GACI) at the World health Organization (WHO) headquarter Geneva. 33. Dr. Ester Steven Psychiatry and 12th to 14th Travel to participate in a workshop organized Mental Health March, 2018 in collaboration with the Oak Foundation on the Child Rights Capacity Development Programme.
47 34. Prof. Said S. Aboud Microbiology and 4th to 11th Georgia Invited to discuss the collaboration on the Immunology March, 2018 Senior Laboratory Training Fellowship and to work towards finalizing activities. 35. Dr. Agricola Joachim Microbiology and 14th to 15th Uganda PrEPVacc Investigators meeting in Immunology February, collaboration with the Medical Research 2018 Council/Uganda Virus Research Institute (MRC/UVRI) Uganda research Unit on Aids and Imperical College London. This was a meeting of representatives of sites participating in the PrEPVacc Consortium Clinical Trial (A combination efficacy study in Africa of two DNA-MVA-or DNA-Env protein HIV-1 vaccine regimens with pre- exposure prophylaxis (PrEP). th th 10 to 16 Addis Ababa Attended training on Vaccines and Human April, 2018 Ethiopia Health in Addis Ababa University College of Health Science 36. Dr. Frank Msafiri Microbiology and 14th to 15th Uganda PrEPVacc Investigators meeting in Immunology February, collaboration with the Medical Research 2018 Council/Uganda Virus Research Institute (MRC/UVRI) Uganda research Unit on Aids and Empirical College London. This was a meeting of representatives of sites participating in the PrEPVacc Consortium Clinical Trial (A combination efficacy study in Africa of two DNA-MVA-or DNA-Env protein HIV-1 vaccine regimens with pre- exposure prophylaxis (PrEP). th th 11 to 15 Addis Ababa Attended training on Vaccines and Human June, 2018 Ethiopia Health in Addis Ababa University College of Health Science 37. Dr. Celina Mhina Ophthalmology 10th to 14th Dodoma Travel for data collection phase two at Bahi February, District Dodoma region. This is under the 2018 project in the Department of Ophthalmology in collaboration with the London School of Hygiene and Tropical Medicine and the Ministry of Health, Gender, Elderly and Children. The Project titled “Development and Pilot testing of an Eye Health Module for Inclusion in the Integrated Management of Childhood Illness Training Program in Tanzania. th th Dr. Celina Mhina Ophthalmology 12 to 14 Dodoma Travel to participate in Diabetic Retinopathy June 2018 dissemination meeting th st 38. Dr. Erasto V. Mbugi Biochemistry 29 to 31 Bangkok, Travel to attend “the CORDS 2018 all January Thailand networks conference –Advancing regional 2018 collaboration for improved Global Health Security” This conference is co-organized with the Skoll Global Threats Fund and the Rockefeller Foundation, as a side meeting of the Prince Mahidol Award Conference (PMAC). CORDS (Connecting Organisations for Regional Disease Surveillance) is an
48 international non-governmental organization comprised of six international networks, working together to reduce and prevent the spread of infectious diseases by exchanging information between surveillance systems globally using One Health Approach. th st 20 to 21 Bagamoyo Coast Attended Workshop on Integration of one April 2018 health training materials into University undergraduate programmes at MUHAS and SUA 39. Dr. Milka M. Ophthalmology 10th to 14th Dodoma Travel for data collection phase two at Bahi Mafwiri February, District Dodoma Region. This is under the 2018 project in the Department of Ophthalmology in collaboration with the London School of Hygiene and Tropical Medicine and the Ministry of Health, Gender, Elderly and Children. The Project titled “Development and Pilot testing of an Eye Health Module for Inclusion in the Integrated Management of Childhood Illness Training Program in Tanzania. 20th to 21st Dodoma Travel for data collection phase two at Bahi March, 2018 District Dodoma region. This is under the project in the Department of Ophthalmology in collaboration with the London School of Hygiene and Tropical Medicine and the Ministry of Health, Gender, Elderly and Children. The Project titled “Development and Pilot testing of an Eye Health Module for Inclusion in the Integrated Management of Childhood Illness Training Program in Tanzania. th 13 June Dodoma To participate in the Workshop to circulate 2018 the national Guideline for Diabetic Retinopathy among stakeholders sequentially to prevent blindness in patient with diabetes. th 27 May to Dodoma Participate in the workshop intended for nd 2 June reviewing and improving the Guideline on 2018 integrated management of the Childhood illness. 40. Dr. Mboka Jacob Radiology and 21st to 30th DRC- Kinshasa Invited to attend training on Environmental Imaging March, 2018 Neuroscience Experimental Modelling and Translational Research organized by National Institute of Health (NIH). 41. Dr. Augustine Paediatrics and 26th Dodoma Travel to review essential newborn care Massawe Child Health February to guideline. 2nd March, 2018 th th 7 to 9 May Geneva Invited by WHO headquarter to attend the RE 2018 Switzerland immediate Kangaroo mother care (KMC) study Principal Investigators Annual Review meeting Chateau de panther. 42. Dr. Belinda Balandya Obstetrics and 28th Kampala Invited to attend International symposium for Gynaecology February to Federation of fertility Society. 2nd March,
49 2018 th th 19 to 30 Canada Invited by the Society of Obstetrician and June 2018 Gynecologists of Canada (SOGS) to visit SOGC offices to learn more on managing Professional associations and attend annual Clinical and Scientific conference. 43. Dr. George Kiwango Physiology 1st to 9th Arusha Workshop on project management among March, 2018 University leaders (UNLEAD Tanzania Project,) organized by MUHAS, MUST and Nelson Mandela University in collaboration with the University of Potsdam Germany. th th 11 to 15 MUHAS Dar es Attend a training on systematic reviews and June, 2018 Salaam Meta-Analysis training on Systematic Review and Meta-Analysis to faculty th members and MSc Students held on 11 to 15th June, 2018. The main objective of this workshop was to equip participants with necessary hands-on skills to conduct systematic review and Meta-Analysis. 44. Dr. Omary Chillo Physiology 3rd to 9th Arusha Workshop on project management among March, 2018 University leaders (UNLEAD Tanzania Project,) organized by MUHAS, MUST and Nelson Mandela University in collaboration with the University of Potsdam Germany. th th 25 to 30 Dodoma Tanzania Travel to attend and facilitate a workshop June, 2018 phase II on project Management. th th 45. Prof. P. S. Muganyizi Obstetrics and 11 to 13 Dubai Attend FIGO Regional Congress Gynaecology April, 2018 th th 15 to 20 Mumbai-India Attend PPIUM Initiative Workshop April, 2018 nd th 22 to 25 Arusha, Mwanza, Attend annual lesson learnt meeting May 2018 Dodoma, Mbeya and Pwani th th 46. Dr. Anna Sanga Clinical 10 to 16 Ethiopia Travel to attend five days course on “Good Pharmacology April 2018 Clinical Practice and Health Research Ethics” organized by Centre for innovative and Drug development and Therapeutic Trials for Africa (CDT). The main objective of this training is to equip trainees with knowledge on principles of bioethics and concepts of good clinical practices and responsibilities of stakeholders including, sponsors, clinical monitors, investigators, data and safety monitoring boards, institutional review boards/ethics committees, and regulatory bodies in conducting clinical trials. th nd 47. Prof.WiliamB. Internal Medicine 18 to 22 Abuja Nigeria Attend African regional Certification Matuja June, 2018 Commission for the Poliomyelitis eradication
th th 48. Godfrey Hongoli Pathology 18 to 25 Singida Travel to participate in Invigilation of June, 2018 Enrolled registered Practitioner (ERP) Pre- Registration examinations offered by Health laboratory Practitioner Council (HLPC)
50 49. Dr. Sima Microbiology and 17th to 23rd Addis Ababa Attended training on Vaccines and Human Rugarabamu Immunology June, 2018 Ethiopia Health in Addis Ababa University College of Health Science th th 50. Dr. Redempta Kessy Ophthalmology 12 to 14 Dodoma Travel to participate in Diabetic Retinopathy June 2018 dissemination meeting th rd 51. Prof. David Ngassapa Anatomy 18 to 23 Nairobi Kenya Attended a Technical meeting of Registrars, June 2018 Chairs Of Training Committee and Legal Team of Partner States of East African Community. th 52. Dr. Billy T. Haonga Orthopaedics and 30 May to Arusha Participate in meeting of Tanzania Surgical Traumatology 1st June, Association and Tanzania Orthopaedics 2018 association Conference th th 53. Dr. Thomas Nyambo Biochemistry 28 to 30 Arusha Participate in a workshop of a Regional May 2018 Harmonized ethics review framework by East Africa Health Research Commission th th 13 to 16 Dodoma Conduct basic training on health Research May 2018 Ethics to institutional Research Ethics Committee (IREC) central zone th th 54. Mr. Isaac S. Lema Psychiatry and 5 to 6 June Nairobi Kenya Attend workshop organized by the Eastern Mental Health 2018 Africa Learning workshop on Psychotherapeutic and Psycho-Spiritual th 9 June 2018 Nairobi Attend Workshop on Grief and Bereavement Art Therapy with the aim of giving experience on this particular field on different art therapy interventions in dealing with grief and bereavement. th th 18 to 29 USA Attend training organized by the Cornell June 2018 Centre New York United States of America th th 55. Dr. Pilly Chillo Internal Medicine 16 to 18 Cairo Egypt Invited by the Population Health Research June, 2018 Institute (PHRI) to attend INVICTUS investigators’ meeting as a national Principal Investigator. th th 15 to 18 Kigali Rwanda Attend second East African Community E- May 2018 health and Telemedicine workshop trade exhibition and ministerial conference 56. Dr. R. Enica Massawe Otorhinolaryngolo 2nd to 9th Kampala Uganda Invited to attend a PAGEL workshop funded gy June 2018 by DAAD intending at improving speech and language pathology in East Africa. th th 24 to 30 Germany Travel to attend European academy of allergy May 2018 and Clinical Immunology th st 57. Dr. Fileuka Psychiatry and 18 to 21 South Africa Invited to attend and participate two day Ngakongwa Mental health April, 2018 orientation meeting at Capital Empire hotel organized by The International HIV AIDS Alliance (IHAA). th 58. Dr. Tumaini Nagu Internal Medicine 2nd to 12 Sweden Invited to meet with Scientists as part of May 2018 existing research collaboration between Karolinska Institutet (KI) and MUHAS to give seminar presentation on tuberculosis and its situation in Tanzania and possibly establish new collaborations in Sweden. rd th 59. Dr. Mwanaidi Amiri Paediatrics and 23 to 25 Mombasa Kenya Invited to attend Paediatrics Epilepsy training Msuya Child Health April 2018 (PETI) course
51 th Table 7: Progress report of members of academic staff on studies status as at 30 June 2018 SN NAME SEX CURRE DEPARTME PRORAM FIELD SCHOO YEAR EXPECTE SPONSO SUPERVISO NT NT ME L OF D YEAR R RS POSITI START OF ON COMPLET ION 1 Dr. Said Kilindimo M Lecturer Emergency Fellowship Emergency Apollo 2017 2019 India Fellowship Medicine training Medicine Health City 2 Dr. Lulu Chirande F Lecturer Paediatrics Fellowship Paediatric Paediatric 2017 2019 MUHAS Fellowship / super- Oncology s specialty Haematol ogy Oncology Makerere, Uganda Dr. Deogratias A. M Lecturer Paediatrics Fellowship Paediatric MUHAS 2017 2020 MUHAS Dr. R. Nkya / super- Cardiology Centre of Cardiovas Kisenge specialty Excellenc cular e for Centre of Cardiovas Excellenc cular e science Dr. Evelyne G. F Tutorial Paediatrics MMed Paediatrics MUHAS 2015 2017 Self- NA Furumbe Assistant and Child Sponsors Health hip 5 Dr. Ahlam M. F Tutorial Micro/Immun MMed Haematolog MUHAS 2016 2019 MoHCD Nasser Assistant y & Blood GCE Transfusion 6 Dr. Amani Kikula Tutorial Obstetrics and MMed Obstetrics MUHAS 2016 2019 MoHCD Assistant Gynaecology and GCE Gynaecolog y 7 Dr. Advera Isaac F Tutorial Pathology MMed Anatomical MUHAS 2015 2018 MUHAS Ngaiza Assistant Pathology & MoHCD GCE 8 Dr. Caroline Philip F Tutorial Pathology MMed Anatomical MUHAS 2015 2018 East Ngimba Assistant Pathology Africa Public Health Laborator y Network 9 Dr. Angela Elisha F Tutorial Pathology MMed Anatomical MUHAS 2015 2018 MoHCD Pallangyo Assistant Pathology GCE 10 Dr. Anna Sanga F Tutorial Clinical MMed Internal MUHAS 2015 2018 Private Assistant Pharmacolog Medicine y 11 Ali K. Hamad M Tutorial Anatomy MSc Anatomy MUHAS 2017 2019 MUHAS Assistant 12 Mr. James Hayola M Tutorial Biochemistry MSc Molecular SUA 2017 2019 MUHAS Assistant Biology 13 Mr. Kinuma Ndaki M Tutorial Biochemistry MSc Molecular SUA 2017 2019 MUHAS Assistant Biology
52 SN NAME SEX CURRE DEPARTME PRORAM FIELD SCHOO YEAR EXPECTE SPONSO SUPERVISO NT NT ME L OF D YEAR R RS POSITI START OF ON COMPLET ION 14 Mohamed Khalfan M Tutorial Clinical MSc Clinical MUHAS 2017 2020 MUHAS Assistant Pharmacolog Pharmacolo y gy 15 Mr. Yohana Mtali M Tutorial Haematology MSc Haematolog MUHAS 2016 2018 SIDA Prof. S. Assistant y Massawe Dr. M. Lyimo 16 Ms. Lilian Nkinda F Tutorial Micro/Immun MSc MSc. MOI 2016 2018 Intra- Prof. E. F. Assistant Immunology Universit ACP - Lyamuya y Kenya Mobility 17 Ponsianus Tonya M Tutorial Pathology MSc MSc. MUHAS 2017 2019 MUHAS NA Assistant Histotechnol ogy 18 Dr. Godfrey Towo M Assistant Anatomy PhD Anatomy MUHAS 2017 2020 MUHAS Prof. D. Lecturer Ngassapa Dr. Emmanuel M Assistant Anatomy PhD Anatomy MUHAS 2017 2020 MUHAS Prof. D. Suluba Lecturer Ngassapa 20 Dr. Lulu Sakafu F Lecturer Clinical PhD Clinical MUHAS 2017 2021 Sida/DA Oncology Oncology AD 21 Dr. Tosi F Assistant Clinical PhD Clinical MUHAS 2017 2020 HIV Dr. Sabina Mwakyandile Lecturer Pharmacolog Pharmacolo Interventi Mugusi y gy on Dr. Philip Service Sasi USA 22 Dr. Hendry Sawe M Lecturer Emergency PhD Emergency Cape 2017 2021 EMAT Medicine Medicine Town Universit y, South Africa 23 Dr. Joel Manyahi M Lecturer Micr/Immun PhD Micro/Immu Bergen/ 2015 2019 ARG- Bjorn n Norway Bergen Blomberg Universit Prof Nina y Langeland Prof Said Aboud 24 Dr. Mtebe Majigo M Lecturer Micro/Immun PhD Micro/Immu MUHAS 2016 2020 Sida Prof Said n Aboud Dr. Sabina Mgusi 25 Dr. Frank Msafiri M Lecturer Micro/Immun PhD Micro/Immu Karolinsk 2016 2020 Sida Prof Lyamuya n a Prof Said Aboud Prof Charlotta Nilsson 26 Dr. Sima F Assistant Microbiology PhD Virology SUA 2017 2020 SACIDS, Rugarabamu Lecturer and NIMR, Immunology SUA and MUHAS 27 Salim Shaaban M Assistant Microbiology PhD Microbiolog MUHAS 2017 2020 MUHAS Mosoud Lecturer /Immunology y and and Immunology MoEST
53 SN NAME SEX CURRE DEPARTME PRORAM FIELD SCHOO YEAR EXPECTE SPONSO SUPERVISO NT NT ME L OF D YEAR R RS POSITI START OF ON COMPLET ION 28 Dr. Fadhlum Alwy F Lecturer Obstetrics and PhD Reproductiv Karolinsk 2017 2020 SIDA and Gynaecology e a Institute Reproduc Sweden tive and Child Health 29 Dr. Ngarashi M Assistant Physiology PhD Physiology – Shimame 2014 2019 Japanese Prof.Toru Lecturer Cardiovascu Universit Governm Nabika lar/Renal y ent Physiology Scholarsh ip 30 Dr. Dorothy Mushi F Lecturer Psychiatry PhD Mental Addis 2017 2022 Centre for and Mental Health Ababa Innovativ Health Epidemiolog Universit e Drug y y Develop ment and Therapeut ic Trial for Africa (CDT Africa) 31 Ms. Tasiana Njau F Assistant Psychiatry PhD Mental Addis 2017 2022 Centre for lecturer and Mental Health Ababa Innovativ Health Epidemiolog Universit e Drug y y Develop ment and Therapeut ic Trial for Africa (CDT Africa) 32 Dr. Samuel M Lecturer Psychiatry PhD MUHAS 2017 2020 DANIDA Likindikoki and mental Health 33 Dr. Sabrina Moyo F Lecturer Micr/Immun Post Doc Micro/Immu Norway 2015 2017 Norway But She is on leave without pay
54 4.2 School of Dentistry
4.2.1 Introduction
The School of Dentistry was established in 1979 as a Division of Dentistry of the Faculty of Medicine of the University of Dar es Salaam with the following objectives:
1. To train undergraduate students in all aspects of dentistry and teach theoretical medical and basic sciences leading to a degree of Doctor of Dental Surgery (DDS),
2. To train postgraduate students in the aspects of specialized dentistry to the level of Master of Dentistry and beyond,
3. To provide oral health care to patients in and around Dar es Dr. Elison N. Simon Salaam region and referral cases from upcountry,
4. To function as a research centre, where epidemiological studies in dentistry were to be carried out, monitored, and coordinated with other government agencies such as the
Tanzania Food and Drug Authority, other Ministries like Commerce and Industries, Local governments, and the department of Community Medicine in controlling the consumption of cariogenic non-essential foodstuffs, and
5. To team up with the Ministry of Health in the training of other oral health personnel who usually work closely with the dental surgeon in rendering services to patients.
For the past nearly forty years (since 1979) when the School was established and admitted the first batch of students, it has remained the only one in Tanzania where dental education is offered at first degree and postgraduate levels.
Functions of the School:
(i) Producing graduate dentists and postgraduate specialists in different oral health fields suitable for hospital and community work in Tanzania, regionally and internationally
(ii) Carrying out research in all fields of oral health
(iii) Providing continuing education in all fields of oral health
(iv) Rendering oral health services to patients at specialist and super specialist levels
55 (v) Providing advisory services to the government in the field of oral health
4.2.2 Activities during the Reporting Period
In 2017/2018, sixty four (64) undergraduate and 1 postgraduate students were admitted in the School of Dentistry. Compared to previous reporting year (2016/2017) there was an increase of 100% for undergraduates and a decrease of 25% for postgraduate students. Teaching and fieldwork rotations were conducted smoothly. In August/September 2017 and March/April 2018 both undergraduate and postgraduate students sat for examinations which were successfully conducted according to the University almanac. The sharp increase in undergraduate students’ enrolment was because of an expressed need by the government to increase the output of trained health personnel in the country. Efforts made locally and internationally to advertise the programmes that are offered by the School also helped to attract applicants.
A total of thirty-two (32) undergraduate students, (21 males, and 11 females) completed studies and graduated in December 2017. This was an increase of 31.3% compared to 2016/17 (in which only 22 students graduated). Six postgraduate students (3 males and 3 females) graduated, which was an increase of 100% compared to 2016/2017. One of the postgraduate students who graduated was from Southern Sudan.
The use of professionalism assessment tools during clinical rotations were put into practice in the School. This was done after sensitization of staff and students during the previous one year. This is an ongoing process which that will be modified and improved along the way. Implementation of the CBC continued smoothly focussed on inculcating onto the students adequate skills in all aspects of clinical dentistry that will enable them to work independently in any part of the world. The step- wise acquisition of competencies which starts during the third year laid down a foundation for the senior clinical years which made the students perform better.
During the year under review (2017/2018) two faculty were on PhD programmes. One of the members is on a programme that is offered by MUHAS in collaboration with the University of Turku, Finland and is expected to defend in December 2018. The other one was pursuing PhD studies at Fujian Medical University in China under the sponsorship of the Chinese Government. He was to defend and return to the country in July 2018. Members of staff and students attended seminars and conferences within and outside the country e.g. the Annual MUHAS Scientific Conference in June 2018 and the Tanzania Dental
Association (TDA) Continuing Education workshop and Annual General Meeting that was held at Dodoma, in November 2017 and the World Oral Health week activities conducted at Tarime, Mara 56 region in March 2018. Three (3) academic members of staff visited Universities outside the country as external examiners at the Universities of Copperbelt in Zambia, Nairobi Kenya and Kigali Rwanda.
During the academic year under review, members of staff from the School conducted research that resulted in 10 publications, an increase of 10% compared to 9 of the previous year. Consultation and clinical services to patients with oral health problems in the School of Dentistry clinics and the Muhimbili National Hospital were provided throughout the year with active participation of members of staff from the School working in collaboration with clinical staff of the MNH. Core functions that were conducted by the three departments of the School during the reporting period are as summarized in the Table 8:
Departments of the School of Dentistry Departments and their Core functions
The three departments of the School of Dentistry Implemented fully their core functions through teaching undergraduate and postgraduate students conducting research, rendering services to patients and offering preventive and community activities to the general public. Outreach services in primary school and the community were carried out in Dar es Salaam and Morogoro regions.
4.2.4 Staff Matters
There was no change in the number of staff compared to that of the previous reporting year with a total of 22 members, of whom 14 (62.5 %) are males and 8 (37.5%) are females. However, there some changes in the ranks for some members who were promoted during 2017/2018. Three members were from the rank of lecturer to Senior lecturers. The profile of academic staff numbers and ranks is as shown in Table 9.
Table 8; Management Profile
S/N NAME POSITION 1. Dr. Elison N. M. Simon Dean, School of Dentistry
2. Dr. Sira S. Owibingire Associate Dean, School of Dentistry 3. Dr. Tumaini N. Simon Dental Manager, School of Dentistry 4. Dr. Jeremiah R. Moshy Head, Department of Oral and Maxillofacial Surgery (OMS) 5. Prof. Febronia K. Kahabuka Head, Department of Orthodontics, Paedodontics and Community Dentistry (OPCD) 6. Dr. Lorna C. Carneiro Head, Department of Restorative Dentistry (RD)
57 Table 9: Academic Staff in the School of Dentistry
Department Designations Professors Associate Senior Lecturers Assistant Tutorial Total On Professors Lecturers Lecturers Assistant Post RD 0 1 4 3 0 0 9 9 OPCD 0 2 3 2 1 0 8 7 OMS 0 0 4 1 0 0 5 5 Total 0 3 8 10 1 0 22 22
KEY: RD = Restorative Dentistry, OPCD = Orthodontics, Paedodontics and Community Dentistry, OMS = Oral and Maxillofacial Surgery
The overall faculty to students’ ratio remained 1:8 for all DDS students, 1:7 in Oral and Maxillofacial Surgery, 1:5 in Restorative Dentistry, and 1:5 in Orthodontics, Paedodontics and Community Dentistry. The number of academic staff and faculty to student ratios were almost static.
Table 10: Number of Administrative, Technical and Support Staff in the School of Dentistry
Qualification Male Female Total
Bachelor degree 2 1 3
Diploma 5 3 8
Certificates 0 1 1
Primary School 3 2 5 Education
Total 10 7 17
The number of non-academic staff remained unchanged compared to the previous year 2016/2017. The number of non - academic staff to student ratio is 1:13.
4.2.5 Students matters
4.2.5.1 Enrolment
(i) Undergraduate
In 2017/2018, sixty four (64) undergraduate and 1 postgraduate student were admitted in the School of
Dentistry. Compared to previous reporting year (2016/2017) there was an increase of 100% for undergraduates and a decrease of 25% for postgraduate students. Teaching and fieldwork rotations
58 were conducted smoothly. In August/September 2017 and March/April 2018 both undergraduate and postgraduate students sat for examinations which were successfully conducted according to the University almanac. The sharp increase in undergraduate students’ enrolment was because of an expressed need by the government to increase the output of trained health personnel in the country. Efforts made locally and internationally to advertise the programmes that are offered by the School also helped to attract applicants. However, this was not without challenges. The challenges that are anticipated include a declining number of teaching academic staff through retirement while students’ numbers are increasing, a situation which will create an unfavourable personnel:student ratio. Similarly the increase in enrolment while the available space and facilities remain the same will pause big challenges in clinical teaching in the nearest future.
The total number of undergraduate students increased to 216 compared to 191 of the previous reporting year. This is an increase of 11.58%.
Table 11: Enrolment of Undergraduate Students, School of Dentistry
Sex
DDS M F Total Female %
Semester 1 – 2 52 12 64 18.8%
Semester 3 – 4 27 5 32 15.6%
Semester 5 – 6 30 9 39 23.0%
Semester 7 – 8 43 11 54 20.37%
Semester 9 – 10 16 12 28 42.8%
Total 168 48 216 22.2%
(ii) Postgraduate
In the year 2017/2018 one student was enrolled for the MDent Programme in Oral and Maxillofacial Surgery. There were no qualifying applicants for the other programmes in the School. This number is extremely low considering the capacity of the School. The trend shows the situation is becoming worse every other year. The school is making efforts to encourage undergraduate students to develop interest in the different specialities offered. Also, students are
59 urged to work hard and attain good GPAs which will allow them to compete for admission for postgraduate studies in the different programmes that are offered in our school.
4.2.6 External examiners
The School received external examiners for the August 2017 University examinations as follows:
(i) Oral and Maxillofacial Surgery – Dr. Walter Odhiambo from the University of Nairobi.
(ii) Department of Orthodontics, Paedodontics and Community Dentistry – Prof. Amal Hussein Osman Abu-Affan from the University of Khartoum.
(iii) Department of Restorative Dentistry – Professor Eino N. Kerosou from the University of Helsinki, Finland.
The observations and recommendations of the external examiners were discussed at departmental and School Board levels and reactions were submitted to higher University organs and appropriate measures were accordingly taken by the departments.
4.2.7 Graduation Statistics
In December 2017 thirty two undergraduate (twenty one males and eleven females) and six postgraduate students (three males and three females) graduated. Generally compared to the previous year this was an increase of 45.5% and similarly there was a 54.5% increase of female students. For postgraduates there was an increase of 100% compared to the previous reporting year in which three students graduated while this year six students graduated.
Table 12; Enrolment of Undergraduate Students, School of Dentistry
Undergraduate - Degree Programme Number of DDS Students Graduated (DDS) M F TOTAL 21 11 32 Postgraduate – All MDent Degree Number of MDent Students Graduated Programmes M F TOTAL 3 3 6
60
4.2.8 Major Ongoing Research
Three research projects were in progress during the reporting period some of which are internally funded and some externally funded.
SN Title of the Research project Research Department Coordinator 1. Amalgam phase down project Prof. F. K. Orthodontics. Paedodontics and Kahabuka Community Dentistry
3 Post Doc TASENE Research Dr. M. Mtaya Orthodontics. Paedodontics and Award Mlangwa Community Dentistry in Collaboration with Nijmegen University
4.2.9 Major activities in the departments in the year 2017/2018
During the reporting period the School of Dentistry implemented various activities through their departments as follows
(a) Department of Restorative Dentistry
i. Teaching of both undergraduate and postgraduate students and supervising them in clinical work.
ii. Screening of primary school children and referring them for treatment in the clinics of the school. iii. Supervision of research work by postgraduate students. iv. Conducting continuing education for staff and others from outside the school.
(b) Department of Orthodontics, Paedodontics and Community Dentistry (OPCD)
i. Promotion of research activities among staff through writing grant proposals and concept notes continued. ii. Provision treatment service to children with special needs. iii. Conducting of outreach services to schools. iv. Conducting research and publishing in scientific journals. v. Conducting continuing education for staff and others from outside the school (c) Department of Oral and Maxillofacial Surgery (OMS)
i. Teaching both undergraduate and postgraduate students from the school and the school of Medicine (ENT and Emergency Medicine). ii. Consultation and treatment services to patients at the dental clinics and at the Muhimbili National Hospital. iii. Conducting research and publishing in scientific journals. iv. Conducting continuing education for staff and others from outside the school
4.2.10 MUHAS - MNH Cooperation and Clinical services
The School of Dentistry collaborated very well with the Muhimbili National Hospital in offering services to patients both at the dental clinics in the School of Dentistry building and in the wards and theatres of the hospital. Regular staff meetings, symposia, continuing education sessions and social gatherings like farewell parties to retiring staff were jointly held by staff from both institutions.
4.2.11 Visits to the School of Dentistry
The School received several visitors from within the country, Africa and abroad. A delegation from the State University in Zanzibar visited the school to solicit views on how to establish a school of Dentistry at Zanzibar. Also, there were visits from staff of the NHIF, KLS-Martin of Germany, Okan University Hospital of Turkey and Action Medior of Germany. Other visits included students from the University of
Illinois who were on elective studies and the Country Director of the Miracle Corners of the World.
62 4.3 School of Pharmacy
4.3.1 Introduction
The School of Pharmacy has five Departments namely; Medicinal Chemistry, Pharmacognosy, Pharmaceutics, Pharmaceutical Microbiology and Clinical Pharmacy and Pharmacology. The school has one undergraduate programme (Bachelor of Pharmacy) and seven postgraduate programmes, which are MPharm Quality Control & Quality Assurance, MPharm Pharmacognosy, MPharm Industrial
Prof. G. Kagashe Pharmacy, MPharm Pharmaceutical Microbiology, MPharm in Hospital and Clinical Pharmacy, MPharm Medicinal Chemistry and MSc Pharmaceutical Management.
The School continued to provide services in drug quality control through its Pharm R & D Laboratory to clients and assisting in several areas of pharmaceutical service policy formulation and implementation.
4.3.2 Highlights of Major Achievements and Challenges
During 2017/2018 the School recorded various achievements as detailed below: -
4.3.2.1 Teaching and Learning
(i) Academic programmes
In the reporting period, the School advertised its undergraduate programme and all its postgraduate programmes to attract candidates. Various strategies such as Saba Saba, higher education exhibitions within and outside the country, Pharmacy week were used for marketing the programmes. Admission of Postgraduate Students in the School for 2017/2018.
During the academic year a total of 7 postgraduate students were admitted as shown in table 13 below. The enrolment was the same as year 2016/2017.
63 Table 13 ; Admission of Postgraduate Students in 2017/2018
Programme Female Male Total
MSc Pharm Mgt - - -
MPharm QA & QC - 1 1
MPharm Hospital & Clinical Pharmacy 1 2 3
MPharm Industrial Pharmacy - - -
Mpharm Pharmacognosy 1 1 2
Mpharm Medicinal Chemistry - 1 1
MSc by Research - - -
TOTAL 2 5 7
(ii) Admission of Undergraduate Students for 2017/2018
For the undergraduate programme, the School admitted 73 students (19 Females and 54 Males). The actual enrolment capacity is 60 students per year.
Student Registration
New and ongoing student registration during the reporting year is summarized in Table 14 and 15below:-
Table 14: B.Pharm. Student enrollment in 2017/2018
First Year Second Year Third Year Fourth Year Grand Total
F M T F M T F M T F M T F M T
19 54 73 14 39 53 16 66 82 18 59 77 67 218 285
The figure for the first year students is higher than the annual admission capacity (60) which was projected by the School in year 2017/2018 due to Government enforcement that required Universities to admit more students in year 2017/2018. However, the School plans to maintain this admission capacity for the next academic year while awaiting expansion at Mloganzila Campus. However, the
64 gender balance does not tally (24% female students) with the strategy of the School which had projected the gender balance of at least 30% female students in the year 2017/2018.
Table 15: Postgraduate Student Admission in 2017/2018
Academic MSc Pharm MPharm MPharm MPharm MPharm MPharm MSc by Year Management QC & QA Hospt & Industrial Pharmacogn Medicinal Research Clinical Pharmacy osy Chemistry Pharm
2016/2017 F M F M F M F M F M F M F M
- - - 1 1 2 - - 1 1 - 1 - -
Percentage - - 0% 100% 33% 67% - - 50% 50% 0% 100% - -
The admitted postgraduate students in the period under review were 7 students, same as in year 2016/2017.
(iv) Implementation of the Competence Based Curriculum and Performance in Examinations
st nd rd th Teaching of Modular programs for undergraduate (1 , 2 , 3 and 4 years) and postgraduate continued normally. Students sat for ordinary CATs and the end of module examinations as scheduled. End of semester Examinations were conducted in March 2018. Failure rate for the first year students in March 2018 was 6.8%, which was lower compared to year 2016/2017, which recorded a failure rate of 17.5% (Table 16).
The second year students recorded a failure rate of 9.43% during this semester which is also lower compared to the previous year which had 25%. Third year students recorded the highest failure rate (14.63%) but still lower compared to the academic year 2016/2017 which recorded the failure rate of 30%. No student was discontinued in the March 2018 examinations.
nd th th th The teaching for 2 , 4 , 6 , and 8 semesters is continuing and the end of audit year examinations th th are scheduled from 20 August to 7 September, 2018.
The academic performance for post graduate students was generally good. Only first year students sat for the March 2018 examinations. The second years are on the dissertation module and their results shall be recorded at the end of audit year.
65 Table 16: Student performances in examination at first sitting
SUMMARY OF RESULTS 1st yr 2nd yr 3rd yr 4th yr
Number of students sat for the Examination 73 53 82 78
Number of students who passed 63 48 69 74
Number of students who failed 5 5 12 2
Number of students who absconded 0 0 0 0
0 0 0 0 Number of students postponed studies
0 0 0 0 Number of students results withheld
5 0 1 2 Incomplete results
6.80% 9.43% 14.63% 2.60%
Failure rate %
Table 17: Postgraduate Student performance
MSc MPharm MPhram MPharm MPharm MPharm Pharm QC & QA Hospt. & Industrial Medicinal Pharmacog
Manageme Clinical Pharmacy Chemistry nosy
Number of nt Pharmacy
students Yr1 Yr2 Yr1 Yr2 Yr1 Yr2 Yr1 Yr2 Yr1 Yr2 Yr1 Yr2
Sat for the - - 1 - 3 4 - - 1 - 2 - Examination
Passed - - 1 - 2 4 - - 1 - 2 -
Failed - - 0 - 1 0 - - 0 - 0 -
Failure rate % - - 0% - 33.3% 0% - - 0% - 0% -
(v) Student output
A total of 59 undergraduate students and 4 postgraduate students graduated during the December 2017 graduation ceremonies.
66
4.3.3 Human Resource Development
(i) Staff Development
During the year under review (2017/18), One Technical Staff (Health Laboratory Scientific officer) from the departments of Medicinal Chemistry joined PhD studies under the DAAD-TRI-SUSTAIN project. On the other hand, one academic member of staff from the department of Pharmaceutical Microbiology completed her MSc. Microbiological Biochemical Pharmacy (China Pharmaceutical University). Also the
School had academic staff on studies. The list of the same is as presented in table 19 below:
Table 18: Academic staff training during the reporting period
S/N Name Department Degree Sought (Institution) Status
1 Mathias Pharmaceutics To graduate in 2020
PhD (KIS) Sweden
Eulambius
2 Roggers PhD ( Kyushu University) To graduate in 2021
Pharmacognosy
Mwakalukwa Japan
3 Clinical Wigilia MSc.by Research To graduate in 2019
Pharmacy and
Mikomangwa (MUHAS)
Pharmacology
4 MSc.in Medical George Msema Pharmaceutical To graduate in 2018
Microbiology and
Bwire Microbiology Immunology (MUHAS
5 Clinical MSc. by Research To graduate in 2019
Manase Kilonzi Pharmacy and
(MUHAS) Pharmacology
6 Masota, Nelson Medicinal PhD (German) To graduate in 2022 Chemistry
7 Dickson Pius Pharmaceutics PhD (China To graduate in 2019 Pharmaceutical University)
China
8 Fatuma Felix Pharmaceutical MSc. Microbiological Completed in June Microbiology Biochemical Pharmacy
2018
(China Pharmaceutical
University)
9 Ritah Mutagonda Pharmacognosy PhD (KIS) Sweden To graduate in 2017
Mr. Alphonce I. PhD (MUHAS) 2017 to 2020
Marealle
Raphael Shedafa Medicinal PhD (MUHAS) 2017 to 2020 Chemistry
67
4.3.4 Research and Publications
(i) Research/seminar disseminations
In order to strengthen academic activities, the School conducts symposiums on every Wednesdays from 12.45 to 13.45. In the period under review seven (17) symposia were conducted.
(iii) Research and Publications in the School
During the year under review, individual faculty in the School continued to carry out research in various topics and published their results in various journals. A total of 23 scientific publications were published in various peer reviewed scientific journals.
This year the department of Medicinal chemistry wrote a proposal and managed to secure a support grant from COSTEC for Strengthening infrastructure in Drug Discovery Design and development at MUHAS. The grants amounts to Tsh. 400,000,000.
The department of Clinical Pharmacy and Pharmacology wrote one collaborative research proposal with Sweden (KI), University of Rwanda, Nairobi, Addis Abba, the Netherlands Pharmacovigilance (PV) center and TFDA on “Capacity strengthening of Pharmacovigilance (PV) system in the National Drug regulatory in Africa and submitted it for funding to EDCTP. The proposal was funded.
The Pharm. R&D Lab in the school conducted a Pre ISO – 17025 and ISO 17043 in April/May 2018. Department of Pharmacognosy is continuing with research on Propolis Project – progress made so far is: Propolis samples have been collected from various regions and propolis extracts tested for: Brine shrimp toxicity, Antioxidant activity, Antimicrobial activity and Determination of flavonoid profile .
(iv) Scientific/Professional conferences/Workshops
th nd A total of 14 members of academic staff attended the 5 MUHAS Scientific Conference held on 2 to rd 3 July, 2018. Postgraduate Students were invited and some presented their research findings. The department of Pharmaceutics exhibited the products prepared by the department during the conference.
4.3.5. Consultancy and public services
(i) Institutional Overhead/Internally generated funds
During 2017/2018, the School received a total of TZS 171,503,159.70 and USD 114,316.50 from various activities carried out in the school through short courses, sample testing and consultancy work. The
68 University generated USD 17,147.47 and TZS 25,725,473.96 as Institutional Overheads (15%) as shown in table 20.
Table 19: Internally generated funds and Institutional Overheads
S/ I/Overheads School ACTIVITIES QUARTER TSHS. USD.
N 15% income
st 1 quarter 2017/2018 171,503,159.70 0.00 25,725,473.96 1 Sample Testing NIL
nd 2 quarter 2017/2018 84,790.00 12,718.50 2 Sample Testing NIL
rd 3 quarter 2017/2018 29,526.50 4,428.97 3 Sample Testing NIL
th 4 quarter 2017/2018 4 Sample Testing 0.00 0 NIL
TOTAL USD 114,316.50 17,147.47 NIL
171,503,159.70 25,725,473.96 TZS TOTAL
4.3.6 External Examiners
In 2017/2018, the External examiners were invited to examine in Five Departments of the School: as follow;
In the August 2017 University Examinations, two departments namely, the department of Medicinal Chemistry and Pharmaceutics received external examiners. Three departments namely, the department of Clinical Pharmacy and Pharmacology, Pharmacognosy and Pharmaceutical Microbiology received external examiners for March, 2018 University Examinations. The external examiners submitted their reports in the departments.
The following summary of recommendations was made by the external examiners and pertinent reactions/responses made by the respective Departments:
(i) Department of Pharmaceutical Microbiology
The external examiner observed a lot of variations (no uniformity) in setting examinations of the same subject but different modules. It seems the Department has no tradition of examination moderation and the School sets no examination formats. The Department concurred and explained that the diversity in exams format was due to the nature of the course content and the Competency based curriculum allows the variation. The external examiner also reported failure of students to follow instruction such as candidate number, course code and names of Departments on the first page
69 of the answer booklet. The Department concurred and will re-emphasize to invigilators to continue spending a few minutes at the start of the exam to remind students to fill the first page. In addition to that the department is requesting the University to revise the wording of the first page of the answer booklet to include straight forward directives and remove words/ phrases not required.
(ii) Department of Clinical Pharmacy and Pharmacology
The external examiner observed improvement in performance from module one to three for students in the second and third years and associated the trend with the increased attention by the students to the subject and hence better performance. The external examiner advised that lecturers should counsel students on putting efforts from the very beginning of the course than waiting to initially score low then give more attention. He also suggested that tutorials should be introduced right from the beginning of the first module in order to enhance understanding of the subject and improve performance. Students who miss classes should be counseled by their academic advisors and those who are weak should spend time to discuss with their academic advisors and find ways to help or advise to switch to other activities or apply for other courses to other universities to rescue the time they waste in struggling to re-seat for examination in the course while sometimes they clearly know that they are not going make it. The Department concurred and is determined to use a combination of class conveners and academic advisors to sensitize and advise the students on the same. The Department However, has been using both tutorials and students presentations as training methods. The external examiner also noted that during oral examinations some students could hardly answer any questions and had to be prompted before they could give any answer, and recommended that Oral Performance during oral examinations can be improved if the students can be exposed to tutorials and case presentation during the class time. The department concurred with the external examiner’s comments that some students have communications problem when using English Language especially in oral examinations. The department recommends to the University to establish English language course program for undergraduate students.
(iii) Department of Pharmacognosy
The external examiner recommended that local plants that are used as pesticides should be taught rather than just teaching known products. This will stimulate research on such products. The department agreed with the external examiner and that they will compile local plants with confirmed pesticidal effects and decide which ones to be taught. On the module on Standardization and Quality control of herbal drugs, the external examiner recommended to have well supervised QC practicals on at least one
or two local herbal products. This can be carried out continuously for the period of three years to collect 70 sufficient data as an effort to prepare a Tanzanian Pharmacopeia. The department concurred with recommendations. Despite the drawbacks of inadequate facilities, the department will start by working on parameters that are within their limits e.g. Morphological/Microscopical characters, Quantification/Assaying, and Ash values
4.3.6 Challenges Faced by the School during the reporting year
(i) Infrastructure
The School continued to experience severe constraints in infrastructure for all core activities (Teaching, Research and Consultancy) in terms of space, equipment, reagents and funding. The school is trying to address these challenges through writing research proposal and income generation proposal to obtain funds. Fortunately this year the department of Medicinal chemistry wrote a proposal and managed to secure a support grant from COSTEC for Strengthening infrastructure in Drug Discovery Design and development at MUHAS. The grant amounts to Tsh. 400,000,000. The school has also been proposing to the University authority to set budgetary support for purchasing undergraduate chemicals and equipment so that the competences stated in the curriculum can be attained. (ii) Staffing
During the reporting time, staffing continued to be inadequate in most of the Departments. Pharmaceutics Department which is responsible for teaching two courses to undergraduate B.Pharm students and two (2) programmes for postgraduate has one associate professor on administrative post, one retired professor, two (2) lecturers, two (2) assistant lecturers of whom one is on PhD studies. This gives a staff-student ratio of 1:112 taking into consideration the two subjects then it gives a ratio of 1: 224.
The Department of Pharmaceutical Microbiology had three (3) faculties two of whom also had administrative responsibilities and one is a tutorial assistant. This was therefore a staff-student ratio of
1: 93 for the department. Department of Medicinal Chemistry had two (2) staff with administrative duties and two (2) staff in charge of R&D Laboratory. Other staff without administrative responsibilities included one associate professor and two tutorial assistants. The staff-student ration was therefore 1: 40. The Department of Pharmacognosy had two (2) faculties who were on post- retirement contracts, Two (2) Senior lecturers, one (1) associate professor and (1) assistant lecturer. This gave a staff-student ratio of 1:46. The Department of Clinical Pharmacy and Pharmacology had a total seven (7) faculties, two (2) of whom had administrative duties, Two (2) are pursuing their PhD studies. It also had one (1) assistant lecturer and two (2) tutorial assistants who are pursuing their
71 masters degrees at MUHAS by thesis under Sida bilateral funding. This therefore translated to staff- student ratio of 1:40 for the Department.
In order to address the staff inadequacy the school intends to recruit more staff if permission to employ is granted. The School has also been identifying potential final year B Pharm students for recruitment as tutorial assistants and subsequently encouraging them to register for postgraduate studies in the School.
72 4.4 School of Nursing
4.4.1 Introduction The Annual Report for the year 2017/2018 consists of two main sections: Introduction and Highlights of Major Achievements and Challenges. In the academic year 2017/2018 the School of Nursing (SON) continued to perform its core functions Dr. Edith Tarimo of teaching, research and public services as well as establishing links and other
collaborative activities. The School is currently running two (2) Undergraduate programs and three (3) Postgraduate programmes namely, Bachelor of Science in Nursing and Bachelor of Science in Midwifery, Master of Science Nursing in Mental Health, Master of Science Nursing in Critical Care and Trauma, and Master of Science in Midwifery and Women’s Health. During 2017/2018 reporting year, the School recorded various achievements as detailed below:
4.4.2 Teaching and Learning
Comparing with the year 2016/2017, in 2017/2018, the total enrollment for Undergraduate students increased by 12.4% while the Postgraduate students decreased by 10.5% (Table 20). The percent increase in Undergraduate was contributed by increased number of first year enrollment per government directives. The percent decrease in Postgraduate was contributed by lack of sponsorship particularly amongst MSc. Nursing Mental Health applicants.
Table 20: Enrolled Undergraduate and Postgraduate students in 2016/2017 and 2017/2018
Programs Enrolled students in Enrolled students in 2016/2017 2017/2018
Undergraduate Programs 209 235(12.4% increase)
Postgraduate Programs 38 34 (10.5% decrease)
Total 247 269 (8.9% increase)
For the year 2017/2018, the total number of 81 applicants was registered to join both Undergraduate and Postgraduate programs in the SON. The distribution was as follows; BSc. Nursing sixty five (65); MSc. Nursing in Mental Health one, MSc. Nursing in Critical Care and Trauma 8 and MSc. Midwifery and Women’s Health seven.
73 st Overall, there was an increase in total number of 1 year registered students for Undergraduate program st (71% increase) and a decrease in total number of 1 year registered students for postgraduate programs (11.11% decrease) The percent increase for Undergraduate was due to government directive to increase st admission of 1 year students. For Postgraduates, the number of applicants who registered remained at percent decrease perhaps due to lack of sponsorship. (Table 21).
st Table 21: Registered 1 year Undergraduate and Postgraduate students in 2016/2017 and 2017/2018
Undergraduate Programs Registered students in Registered students in 2016/2017 2017/2018
BSc. Nursing 38 65 (71% increase )
BSc. Midwifery 0 0 (No change)
Total 38 65 (71% increase)
Postgraduate Programs
MSc. Nursing Critical Care and Trauma 6 8 (33.3% increase)
MSc. Nursing Mental Health 2 1 (50% decrease)
MSc. Midwifery and Women’s Health 10 7(30% decrease)
Total 18 16 ( 11.11% decrease)
(i) Performance in examinations
The percent of Undergraduate students who passed all courses in the first sitting, slightly decreased from 83.9% in 2016 to 82.21% in 2017. Also, the supplementary cases slightly increased from 15.7% to 16.34%. We had only one discontinued student in July/August 2016 and none in July/August
2017. The pass in first sitting for Postgraduate students decreased from 83.3% in July/August 2016 to 66.66% in July/August 2017. This could be due to quality of students enrolled in the program; however, there was no discontinuation among Postgraduate students (Table 22).
74 (i) Graduation in December 2016 and 2017 for Undergraduates and Postgraduates
Comparing with the year 2016, in 2017, the number of graduates in Undergraduate and Postgraduate programs decreased and increased by 47.88% and 29.4% respectively because of small number of BSc. Midwifery graduates and large number of MSc. Midwifery and Women’s health graduates (Table 23)
Table 22: Performance in Examination for Undergraduate and Postgraduate in year 2016 and 2017
Undergraduate July/August 2016 July/August 2017
Programs
Pass Supplemen Disco Pass Suppleme Disconti
tary ntary nuation
BSc. Nursing 145/167 21/167 1/167 132/160(82. 26/160(16. - (86.8%) (12.6%) (0.6%) 5%) 25%)
BSc. Midwifery 50/65 15/65 - 38/47(80.86 8/47(17.02 - %) %)
(76.9%) (23.1%)
BSc. Nursing 3/5 2/5 - 1/1(100%) 0/1(0.00%) -
Management
(60%) (40%)
Total 198/236 37/236 1/236 171/208(82. 34/208(16. -
(83.9%) (15.7%) (0.42%) 21%) 34%)
Postgraduate
Programs
MSc. Nursing 11/12 2/12 - 7/11(63.63 4/11(36.36 - Critical Care and %) %)
(91.7%) (8.3%)
Trauma
MSc. Nursing 2/2 - - 3/3(100%) - Mental Health
(100%)
MSc. Midwifery and 22/28 6/28 - 19/28 9/28 - (21.4%) (32.14%) Women’s Health (78%) (67.85%)
Total 35/42 7/42 - 28/42 14/42 -
(83.3%) (16.7%) (66.66%) (33.33%)
75
(ii) Table 23: Number of Graduates in Undergraduate and Postgraduate Programs in 2016 and 2017
Undergraduate Programs Number of Graduates Number of Graduates in December 2016 in December 2017
BSc. Nursing 44 30(31.81% decrease)
BSc. Midwifery 24 5(79% decrease)
BSc. Nursing Management 3 2(33.33 decrease)
Total 71 37(47.88% decrease)
Postgraduate Programs
MSc. Nursing Critical Care and 6 3 (50% decrease) Trauma
MSc. Nursing Mental Health 2 0(100% decrease)
MSc. Midwifery and Women’s Health 9 19 (111% increase)
Total 17 22(29.4% increase)
(iii) Curriculum
The three MSc. Curricula (MSc. Mental Health Nursing, MSc. Critical care and Trauma Nursing and MSc. Midwifery and Women’s Health) were revised per new TCU format and submitted for approval through Senate Higher Degree Committee. Given the number of emerging diseases and training approaches, plans to revise our curricula are under way.
(iv) Short courses
During the reporting period, 2017/2018, four (4) short course curricula from Clinical Nursing department were accredited. The accredited courses are: Basic Critical & Emergency Care for Nurses; Basic Emergency First Aid course; Pediatric Nursing; and Clinical Instructors' short course. In 2016/2017, we had only one accredited short course namely Teaching Methodology.
(v) External examiners
76 In 20172018, six faculty members acted as External examiners in various Universities namely: Makerere, Uganda, College of Medicine and Health Sciences, Rwanda, University of Zanzibar, Hubert Kairuki Memorial University, International Medical Technology University, Kilimanjaro Christian Medical College, and University of Dodoma in Tanzania.
In addition, during the reporting year, most staff participated in workshops as well as other Continuing Education for professional Developments. In line with the President’s Directives on travels, the numbers of local travels increased compared to International travels by overall 169% increase (Table 24). This implies academic staff members were able to interact and render more services to the local than international community.
Table 24: Number of international travels versus local travels 2017/2018
Period International Local travels Local travels Percent
travels (Within Tanzania) increase / decrease
(Outside
Tanzania)
July/September 2017 Quarter 3 7 133.33% increase
October/December 2017 Quarter 0 5 Not applicable
January/March 2018 Quarter 5 10 100% increase
April/June 2018 Quarter 5 13 160% increase
TOTAL 13 35 169% increase
4.4.3 Consultancy
The SON consultancy bureau was approved in November 2017. The SON is actively working on different strategies to make sure the bureau facilitate income generation.
4.4.4 Exhibitions
In June/July 2017, two (2) staff from School participated in Sabasaba Exhibitions and demonstrated various activities. For example: comprehensive description and demonstration on the use various family planning methods with emphasis on long term methods. Also in June/July 2018, two (2) staff from Community Health Nursing Department participated in Sabasaba Exhibitions where by SON presented two types of brochures namely available programs and description of faculty profile plus potential areas for consultancies). In addition, they provided health education and counseling on different modern family planning methods. All events and procedures attracted many participants.
77 4.4.5 Collaborations and Networking
(i) International links
In the year 2017/2018, the School received thirty five (35) senior level visitors and four (4) External examiners. Most of these visitors were potential collaborators from various Academic Institutions. The number of visitors in 2016/2017 was twenty three (23) and four (4) External examiners. Therefore in 2017/18 there was an increase by 52.17%. During these visits, one (1) MoU focusing on research projects, faculty/students exchange was signed between the MUHAS, School of Nursing (SON) and Mekelle University, Ethiopia. Also MoU was signed between MUHAS and Global Health Seeds Program (GHSP) to facilitate Critical Care Nursing Practice and Teaching at MUHAS, School of Nursing
Through the Afya Bora Consortium (ABC); a Consortium formed by nine (9) Universities, MUHAS (Tanzania), Makerere (Uganda), Nairobi (Kenya), Gabarone (Botswana), Buea (Cameroon), University of Washington, UCSF, Pennsylvania and John Hopkins (USA), one faculty actively continued to represent the School in the technical working team, and one junior faculty was awarded a certificate after completing the fellowship in June, 2018.
NEPI, a collaborative elective exchange within three Universities namely Makerere University, Uganda, Ekwedeni University, Malawi and MUHAS was established in March, 2017. In October, 2017, four nursing students from University of Livingstone, Ekwedeni College of Health Sciences in Malawi visited MUHAS, and rotated in Emergency Medicine Department for four weeks. Similarly, th three BSc Nursing 4 year students went to Ekwedeni and rotated in Paediatric and Maternity Department for four weeks. The experience from this regional students exchange appear cost effective and meaningful to students.
During the reporting period, partnerships for research, teaching and student exchange with various Universities e.g. Bergen University College, Norway ; Nord Trondelag University College, Norway; University of Southern Denmark and University College Lillebaelt, Denmark; Uppsala University and Umea, Sweden; Department of Health, State of Western Australia,; Dalhousie University, Canada; and
Texas University, and Pennsylvania State University in USA continued well.
(ii) Local links 78 The School of Nursing continued to collaborate with other Schools of Nursing in the eight Universities of health sciences (public and private) in Tanzania through the Dean’s Forum. These are: University of Dodoma (UDOM), Dodoma; Catholic University of Health and Allied Sciences (CUHAS), Mwanza; St. Johns University, Dodoma; Aga Khan University, Dar es Salaam; Hubert Kairuki Memorial University, Dar es Salaam; International Medical Technology University, Dar es Salaam; and Kilimanjaro Christian Medical College, Moshi. The Forum intends to collaborate in various activities to promote Nursing and Midwifery Education and Professionalism in Tanzania. Also the School continues to collaborate with other Institutions such as Muhimbili National Hospital, Dar es Salaam, municipal hospitals in and Lugalo Hospital in Dar es Salaam, Mirembe Psychiatric Hospital and Isanga Institute, Dodoma for students’ clinical placements. Also the opening of MUHAS Academic Medical Center in November 2017 has expanded practical placements for both Undergraduate and Postgraduate students.
The SON therefore strives to maintain and strengthen these links and made concerted efforts to promote International, Regional and Local Links.
4.4.6 Research and Publications
During the year under review, faculty in the School carried out research and submitted proposals for ethical clearance and manuscripts for publications in International Journals. During the reporting period 10 papers were published in peer reviewed Journals. This was a decrease by 28.57% when compared with fourteen (14) papers published in 2016/17. However the number of publications where by a faculty member was the first author increased to 7 which is an increase by 75% compared to 4 in 2016/17. This could be due to faculty publishing from own research projects as principal investigators.
4.4.7 Grants
In 2017/2018, Dr Sebalda Leshabari and Stella Emmanuel Mushy were awarded a grant by UNFPA to conduct a study titled, ‘The 2018 Emergency Obstetric and Newborn Care (EmONC) study in Zanzibar’ .
79 4.4.8 Human Resource Development in the School of Nursing
(i) Staff recruitment
The school has an obligation to maximize its collaborative opportunities to ensure adequate staffing levels are reached by all means. In 2017/2018, seven junior faculty members at the rank of tutorial assistants were recruited. The School is also utilizing exchange teachers from existing collaborations such Japan, U.S.A and Sweden.
In 2016/2017, the School recruited two Peace Corps Volunteers to help teach Critical care and Trauma and Midwifery specialties, but in 2017/2018 we managed to recruit only one Peace Corps Volunteer to assist teaching Critical Care.
With support from Peace corps, the school managed to have a designated full time nurse (BSc. Nursing graduate) who is organizing and assisting teaching with simulations, and overall coordination of the Skills lab. The staff will be advanced into Master level in skills lab issues. This is a big achievement for the SON to efficiently utilize skills lab space and care of respective equipment. Thus, the School is striving through various means to overcome the challenge of inadequate number of faculty through recruitment of new faculty and collaborative efforts.
(ii) Staff development
In the year under review 2017/18 two (2) faculty continued with PhD training abroad, at St. Lukes University in Japan (Beatrice Mwilike) and in China (Fatina Ramadhani). Beatrice Mwilike successfully defended her PhD in March 2018. In addition, five (5) faculty have been recruited for postgraduate studies; four for PhD (three males and one female) and one (male) for MSc by research under Sida supported funding. Also one female was registered in MSc. MWH, a full time program.
4.4.9 Resource Mobilization
A major source of income for the School during the reporting period was from the elective students’ supervision and short course(s). A total of 73 elective students were registered and completed their attachments at the School which is an increase by 10.6% compared from 66 in 2016/2017. In the year 2017/18, a total of Tshs. 48,846,792/=was generated from elective students compared to Tshs. 37,665,347/= generated in 2016/2017. The observed increase of 29.68% of the amount generated in 2017/18 has been attributed to more networks and collaborations created resulting to more students applying for elective attachments at School of Nursing, MUHAS, as well as income from a short course.
80 4.4.10 Challenges faced by the School during the reporting period
(i) Infrastructure
Although the School continued to share facilities (teaching venues, research facilities and clinical placements) with other Schools, Muhimbili National Hospital, and municipal hospitals. Another major constrain is office space; only 40% of faculty have office space. The School still lacks a fully equipped Simulation Laboratory with items such as Models and Simulation materials; however, major progress has been made on this, The Simulation Center was opened in 2017 and is in use. For Midwifery there are three working manikins: Mama Natalie, Baby Natalie and vaginal examination models and numerous supplies in a big room within Continuous Health Profession Education (CHPE) building.
(ii) Staff
Staffing of senior faculty is in a crisis situation in all three (3) Departments. Of six senior faculty members, three are retired and one is on part time service. Most junior faculty members are on postgraduate studies (MSc. and PhD).
81 4.5 School of Public Health and Social Sciences
4.5.1 Introduction
The School of Public Health and Social Sciences performs the core
functions of the University which are training, research and community
service as well as establishing new links and collaborative activities.
The School has a total of 87 staff among, which 77 are academic staff
and the rest are administrative and technical staff. The School also has
Dr. Rose Mpembeni eleven staff supported by projects.
4.5.2 Programmes The School hosts one Undergraduate Programme namely Bachelor of Science Environmental Health Sciences (BSC EHS) and fifteen postgraduate programmes namely, Master of Public Health (MPH) Regular Track, Master of Public Health (MPH) Executive Track and Master of Public Health (MPH) Distance Learning, Master of Arts in Health Policy and Management (MA HPM), MSc in Tropical Diseases Control (MSC TDC), MSc in Applied Epidemiology (MSc-AE), MSc in Epidemiology and Laboratory Management (MSc ELM), MSc in Parasitology and Medical Entomology (MSC PE), Master of Medicine Community Health MMed Com Health), Master in Behaviour Change (MSc BC) and Master in Behaviour Change Communication (MSC BCC) for Health, MSc. in Environmental and Occupational Health (MSc EOH), MSc in Bioethics and Health Professionalism (MSc BEHP) and MSc Health Information Management (MSc HIM) and MSc in Project management, monitoring and evaluation (MSc PMMEH) which is one new postgraduate course.
The School is still in the process of establishing more postgraduate programs including Master of Public Health Online (MPH OL), Master of Business Administration in Health Services Management (MBA HSM), MSc in Biostatistics (MSc Biost) and MSc in Health Care Delivery Science (MSc HCDS).
In this ending academic year the school has doubled the number of postgraduate students enrolled e.i. from 107 students in year 2016/17 to 202 candidates in 2017/2018 with higher numbers in the MPH Distance learning and the new programme MSc PMME.
82 4.5.3 Human resources
The existing department has a total of 77 academic and technical staffs or laboratory staff (Table 25). The available work force is not sufficient to cover the need of the school however the present staff has achieved to maintain high academic standards at school.
Table 25: Distribution of academic and adjunct staff in School of Public Health and Social Sciences
S/N DEPARTMENTS
ADJUNCT
TOTAL
TUTORIAL
SENIOR
ASSISTANT
ASSOCIATE
LECTURER
PROFESSOR
LECTURER
PROFESSOR
STAFF
ASSISTANT
LECTURER
1. Community Health 1 2 1 1 3 _ 1 9
2. Behavioral Sciences 1 1 2 2 3 1 _ 10
3. Development Studies 0 1 3 2 4 3 _ 13
4. Epidemiology & Biostatistics 1 2 5 1 4 0 0 13
5. Environmental and Occupational 0 0 3 3 4 5 15 Health
6. Parasitology & Medical 0 1 2 1 2 1 4 10 Entomology
7. Bioethics 0 0 0 1 2 1 4 7
4.5.4 Workshops and Meetings Organized and Attended;
(i) Faculty Development Workshop: Teaching Methodology workshops were conducted at MUHAS, Dares Salaam, Tanzania in two different periods was attended by three members of school from two departments in 28 – 29th September and 11th – 13th October2017.
Members of school attended e-learning workshop online facilitation on 11 of August and training on facilitating live session via MOODLE on 26th to 29th September 2017. School members attended a
83 training workshop for adding engaging activities in video and textual content in e-learning 20/7 to 23/7/2017 at MUHAS.
Eight members attended Systematic review and meta-Analysis workshop to equip Participant with necessary hands-on Skills to Conduct Systematic review and Meta-analysis on 11th to 15th June 2018
The Department of Epidemiology and Biostatistics organized a seminar for academic Staff. Prof. James Carpenter, Professor of Medical Statistics in the London School of Hygiene and Tropical Medicine (LSHTM) and Editor for the Journal of Royal Statistics Society gave a talk on “Missing Data: An overview of Problems and Solutions” on 21st February 2018 at SPHSS. MUHAS.
All Academic staff at the School attended the SHARE IT project workshop on development of online resources
OHCEA training workshops: There has been training on One health concept among staff and students in the school. In the respective year; Members of school participated in the training of pre- service participants on the One health leadership workshop and also in training on developing teaching materials for One health training for postgraduate and undergraduate programmes for MUHAS and SUA.
Three members participated in writing workshop and one member participated in Application of One Health System Mapping and Analysis Resource Toolkit conducted by OHCEA. One member participated in a training prepared by OHCEA for the purpose of imparting knowledge to Tutors from Diploma Training Institution to enable regular convey of One Health Modules to their students from 27th to 30th June, 2018 in Bagamoyo. One member of school attended OHCEA regional workshop in Kampala, Uganda.
One member organized and facilitated One health leadership Workshop for District Technocrats from Muheza, Bumbili, Kilombero and Ulanga Districts funded by OHCEA at Giraffe Hotel Dar-es- salaam on 7th to March 10th, 2018. The workshop aim was to introduce the district leaders on One Health concept and approach and they developed the action plan on how to implement one health approaches in their districts.
Three members of Staff ( Prof. Killewo, Dr Mpembeni and Dr Kakoko) attended the launching of One Health Coordination Desk in Tanzania an activity done by the Prime Minister of Tanzania
84 NORHED workshop Through department of Environmental and Occupational health a Scientific Writing workshop for postgraduate students was organized and conducted in 13th – 1 7th July 2017 with support from NORHED project.
The Department of Environmental and Occupational Health through the NORHED project organized a workshop to train staff on Development of Policy briefs. Ten members of academic staff from the School of Public Health and Social Sciences attended the workshop on policy brief development from 12th to 13th February 2018. Participants finished the workshop with draft policy briefs from their research studies and will soon be published.
Measure Evaluation training for MSc PMME programme Several academic members of staff from the department of Development Studies participated in joint meetings between Measure Evaluation and the department in the preparation towards launching a new master programme (Msc – PPME). Academic staff members participated in the workshop organized by department of Development Studies to plan for the new degree programme (MSc PPME).
Sixteen academic members of the school attended M& E ToT workshop which was funded by Measure Evaluation. The workshop aim was to strengthen academic staff knowledge on M&E so that they can be competent in teaching of the MSc. Project Management, Monitoring and Evaluation for Health students
One member from department of Development Studies went to Accra to attend training on Monitoring and Evaluation in Health. This was part of the preparatory teaching sessions for new Masters (MSc. Project Planning, Monitoring and Evaluation) programme which is under collaboration between MUHAS and Measure Evaluation
Academic staff members from the department of Development Studies participated in joint meetings between Measure Evaluation and the department of Development Studies in running a new master programme (MSc – PPME) and in the joint meeting with Bergen University and other departments at MUHAS to discuss and plan for the implementation of new project on Strengthening Health Economics. The project is implemented by the department of Development Studies (SPHSS) and Center for International Health in Bergen University, Norway under NORPAT support.
85 Monitoring and evaluation work shop: two members of school attended a one-week workshop on Quantitative Methods for Monitoring and Evaluation at Harvard T.Chan School of Public Health, Boston USA from 4-8 December 2017
International Congress on Occupational Health (ICOH) Six member of academic staff Participated in th th the ICOH 2018 held at the Convention Centre Dublin, Ireland on Sunday 29 April – Friday 4 May 2018 where disseminations of researches done through NORHED project was done avail
Workshop with Ministry of Health Community, Gender, Elderly and Children (MoHCDGEC):
A member of school participated in revision of communication guidelines for key population in Dodoma.
One academic member from department of Environmental Occupational Health attended a training and dissemination workshop on the “guidelines for the preparation of water safety plans-resilient to climate change for urban water supply utilities.” Organized and coordinated by the Ministry of Water and th Irrigation, Tanzania Meteorological Agency (TMA) and MoHCDEC in Morogoro, Tanzania from 9
th – 15 November, 2017
One academic member from department of Epidemiology and Biostatistics travelled to Morogoro to attend the orientation workshop for the National committee for verification of Measles Elimination nd from 20th to 22 November 2017
Another three member of academic staff from department of development studies attended meeting with UNICEF and MoHCDGEC the main agenda was to explore possibilities and establishing collaboration in Health Systems Strengthening (HSS) activities in Tanzania on 31st January, 2018
Three members attended the workshop organized by MoHCDEC for development a training module in International Health Regulations for higher learning institutions from 12-16 February 2018 in Bagamoyo.
Mr. Hussein Mohamed attended meeting to share the draft Health National Adaptation Plan with th Senior Management of Ministry of Health 18 May 2018
One member of academic staff from department of Development studies participated in a meeting for development of curriculum for Diploma Courses for public Institutions under the Ministry on th 21stMay-26 May 2018.
86 One member of academic staff from department of Community Health participated in a meeting organized by the (MoHCDGEC) which aimed at Reviewing Monitoring and Evaluation Strengthen th th Strategy from 24 to 29 June, 2018 in Dodoma.
One academic member attended a workshop on data analysis and situational analysis report writing for reviewing curriculum of community health-NTA level 4
Data Analysis Advisory Committee (DAAC) meetings: Two academic members from department of Biostatistics and Epidemiology attended a data analysis workshop for the BEC-DDA in Bagamoyo from 27-29 September 2017. One member attended the Data Analysis Advisory Committee (DAAC) th st th for 2016 Tanzania HIV Impact Survey (THIS) meetings on 14 and 21 September 2017 and on 13 November 2017 in Dar es Salaam.
Tanzania Public Health Association Annual Scientific Conference Prof Killewo from department from department of Epidemiology and Biostatistics attended the Tanzania Public Health Association th th Annual Scientific Conference, which was held in Singida from 27 to 30 November 2017. He delivered a keynote speech titled “Environment and Climate Change”
(ii) Meetings with collaborators
A number of faculties in the department of Development Studies participated in the joint meeting between the department and University of Bergen to discuss and plan for the implementation of new project on Strengthening Health Economics in the department of Development Studies (SPHSS) and Center for International Health in University of Bergen, Norway under NORPAT support.
Several members of the department of Development Studies attended meetings for the health system – sub-programme (Sida supported project) to prepare for the 40 Years’ anniversary of Swedish support to Tanzania.
One from department of Epidemiology and Biostatistics attended the Fudan Global Health Strategic Planning meeting for collaboration between the School of Public Health of MUHAS and the School of Public Health of Fudan University in Shangai, China from 26th October to 2nd November 2017
Three academic members participated in the 11th Meeting of the Global Network of WHO Collaborating Centers for Occupational Health on 27th and 28th April in Dublin, Ireland
87 The department of Bioethics and Professionalism held several meetings which included Video conference with their USA Collaborators to plan for the workshop which was planned for March 2018. This conference decided on the theme for the conference which was Ethical, Legal and Social Aspects of Organ Transplantation in Tanzania
WHO workshops: One member of academic staff travelled to Brazzaville, Congo from 13-16 March 2018 to attend the Measles Elimination National Verification Committee Chairperson’s Orientation Meeting.
A member of staff attended WHO Research Methodology Course at the University of Nairobi-Kenya on enhancing participants with systematic reviews for maternal health related studies together with insights on Implementation Science/research on the health related interventions
Others: Two members from department of Epidemiology and Biostatistics organized a Key Population for HIV community advisory Board meeting on 9th November, 2017, Dar es salaamand also attended the African Organization on Research and Training on Cancer (AORTIC) Conference in Kigali, Rwanda from 7th -10th November, 2017
One academic from the department of Epidemiology and Biostatistics attended the SACIDS ACE Students Induction Workshop from 18th to 20th October 2017 which took place at Carbon Centre, SUA, Morogoro.
Two academic members participated in dissemination of Nutritional formative study findings in Singida.
On academic member organized and conducted National dissemination of baseline for the HIV Stigma and Dissemination project in Morogoro region
One member attended board meeting of the School of Public Administration and Management of Mzumbe University
One academic member attended Review of National Guidelines for Malaria Surveillance and Response and organized by NMCP-March 2018.
One member from department of parasitology and medical entomology attended Annual Malaria Operational Plan (MoP) 2018/19 organised by PMI& NMCP March 2018
88 One senior academic member attended a workshop to validate Integrated Surveillance Guidelines for Zoonotic Diseases in Tanzania in Dodoma on the 25th January 2018. The workshop was funded by the Food and Agriculture Organization (FAO).
One academic member attended the PrEPVacc Investigators meeting held in Entebbe Uganda from 14-15 February 2018.
One member from attended the Validation workshop for the FELTP program for veterinarians in Morogoro from 19-20 February 2018.
Prof Kwesigabo travelled to Mtwara, Lindi and Ruvuma from 19-26 February 2018 to identify mentors and possible adjunct staff for MPH ODL students and to meet students residing in these regions.
Dr. Elia Mbaga attended a proposal develop workshop under GLOBVAC call in Oslo from 12-22 March 2018.
Vice President's Office’s workshop on Climate Change: Three academic member and two post graduate candidates attended a High Level Symposium on Climate Change, Environment and National Economy organized by Vice President's Office. The event took place on 1st June 2018 at Regency Hyatt Dar es salaam. Themes of the symposium were as follows: Can Tanzania Develop with the current trends of Environmental Degradation; Economic Consequences of Climate Change in Tanzania; Environmental Management in Tanzania's quest for Industrialization.
The department of Bioethics and Health Professionalism conducted a teleconference DMRET project U.S. collaborators held on 18/06/2018 for preparation of a workshop on ethical use of animals in research in November, 2018. The next meeting is planned to be on 6th July 2018’Main speakers would be from SUA and MUHAS ITM on animal care and Department of Bioethics on ethical issues of animal use in research. 28/05/2018. One member of academic staff from department of Development studies participated DFID/ESRC/MRC/Welcome Trust Health Systems Research Initiative Meeting to develop concept note on Zoonosis Control Protocol Proposal to DFID on 5th June 2018.
One member participated in the Expert Meeting on the Rights of Workers and Toxic Chemical Exposure, 16 & 17 May 2018, Geneva organized by United Nations Human Rights, Office of the High Commissioner for Human Rights in Geneva
89 Meeting with Renal Department at MNH held on 23rd February 2018. This was meant to identify facilitators for the workshop on Ethics of Organ Transplant. In this meeting the Internal Medicine Department requested for more slots for their students to attend the workshop and were given more slots
Dr. Ezekiel conducted data collectors training workshop for end line data collection for the HIV Stigma and Discrimination project in Morogoro region
One member of academic staff from department of Development studies attended a DFID/ESRC/MRC/Welcome Trust Health Systems Research Initiative Meeting to develop and submit research proposal on policy analysis of the driversof antimicrobial resistance within Tanzania’s formal th st and informal on healthcare and animal health care systems on 29 to 31 May 2018.
One member of academic staff from department of Development studies attended Bill and Melinda Gate foundation proposal development Meeting to brainstorm and develop proposal on Governance nd th of food systems in Sub-Saharan Africa: best practice for food safety on 2 – 4 May 2018.
One member of academic staff from department of Development studies participated a Fortification on Micro nutrients meeting organized by Nelson Mandela University and Texas University Meeting nd held at NIMR to Develop food strategy for Millers to improve nutrients status on 22 May 2018.
One member of academic staff from department of Development studies participated a National stakeholders Meeting on nutrients Issues – TFC to discuss and share nutrients issues with National th stakeholders on 24 May 2018.
One member of academic staff from department of Development studies participated in a consultancy to review curriculum for Certificate, Diploma and Bachelor of Arts in Monitoring and Evaluation for nd Open University of Tanzania in the Meeting of Review of OUT Curricula on 22 June, 2018.
One member of academic staff from department of Development studies attended a meeting of (cPRS review project) organized by UNICEF which aimed at reviewing the squash strategy for electronic
th th population registration from 11 to 14 June, 2018.
Tanzania E-Health strategy Engaged developing and submitting a proposal for evaluation of Tanzania
th th E-Health strategy (The consultancy is granted but the contract yet to be signed on 28 – 30 May 2018.
90 Dr I. Semali attended Ministry’s workshop on Development of the National Monitoring and
Evaluation for Condom Programming. The aim was to develop national strategy to guide sustained access to condom as well as condom M&E framework
Dr Rose Mpembeni and Dr. Bruno Sunguya attended the Fudan School of Public Health Strategic Planning meeting which aimed at fostering collaborations between the Fudan School of Public Health and The School of Public Health and Social Sciences, MUHAS. During the meeting we also worked on a joint manuscript on trends on nutritional status in Tanzania from 1990 to 2015.
Dr. M. Mubi from department of Parasitology & Medical Entomology coordinated Communicable diseases control (CDC) course for MD3 students in TANGA region and participated in the th rd supervision of students during the field activity from 10 to 23 June, 2018.
Samwel N. Bushukatale-Senior Health Scientific officer from department of Parasitology & Medical Entomology supervised health workers on data collection using, trial protocol and laboratory th nd procedures at Mlimba Health Centre in Morogoro from 19 to 22 June, 2018.
One academic member from department of Bioethics attended Induction Training of National Bioethics Committee members held in UNESCO Documentation Centre at Egerton University in th th Nakuru , Kenya from 25 to 27 June, 2018. The purpose of that training is to strengthen bioethics in the University and country at large.
Coordinators for SPHSS post graduatre programmes participated in the revision of PG Curriculum at Bagamoyo region as well as MUHAS
Jenifer Galvin from Workers Health Without Boarder (WHWB) visited the department of environmental and Occupational Health and gave a presentation on dust sampling for occupational exposures
Regular management meeting at school level heads of departments received, discussed updates from their departments such as examinations, revision of curriculum, promotions of their staff as well as their challenges and way forward.
All staff attended departmental meetings from their respective departments discussed their challenges and way forward and present at school level.
91 4.5.5 Teaching/Examinations and Assessments:
Members of staff continued with teaching of both postgraduate and undergraduate students within the School and University at large for the cross cutting courses.
(i) Undergraduate Teaching:
Cross cutting modules: The Department of Epidemiology and Biostatistics was involved in teaching Epidemiology and Biostatistics Modules (ER200.01 & 02) for 461 undergraduate students. th Assessments are complete and the end of module examination was held on 27 June, 2018. Department of Environmental and occupational Health continues to teach Family case studies modules (EO 204.01& 02) continuous assessment has been done and end of module exams is th th expected to be done on August 13 2018 and 14 August 2018. Department of Development Studies has conducted DS 100 and DS 200. DS 200 has been assessed and marking is being done. DS 100 was examined in Semester 3.
Environmental and Occupation Health Department also had a number of courses offered during the quarter including (Occupational Health and Safety Practice), EH200.02 EH 101 (Environmental Chemistry) and CDC part II, Immunization and cold chain management as well as disposal of the dead. The Department also facilitated MD 4 on water and health and environmental pollution and health. Teaching and assessment of students during the quarter (Teaching of undergraduate and postgraduate students and assessments,
Department of Bioethics was involved in teaching of Professionalism to all undergraduate students at MUHAS coordinated by the school of medicine (PF 100 and PF 300) and Health Education & Promotion,
The department of Development studies offered DS 100 to all Semester 2 students while the Department of behavioural Sciences was involved in teaching of Semester iv BSc EH students on qualitative research methodology training which was facilitated by Drs: Gastro and Kakoko.
The Department of Community health were involved in coordinating and teaching of MC410 (Community Medicine) to MD4 students which involves 4 rotations per year.
92 The Department of Parasitology and Medical entomology was involved in teaching of BMLS students specifically on laboratory practicals.
In all Departments, teaching activities were done effectively despite minor challenges which were solved at the level of departments.
(ii) Post Graduate Teaching:
The Department of Epidemiology and Biostatistics offered AE604 module to the MSC AE and MSc ELM students,
Bioethics department was teaching EO 204 to MSc Bioethics, Also the staff participated in teaching first year MBE students in Research Ethics, public Health Ethics and Clinical ethics modules.
The Department of Environmental and Occupational Health worked on Environmental and Occupational Health and family case studies and FP 604 (Introduction to Environmental and Occupational Health) whoich is offered to all SPHSS Postgraduate including MSc PE and MSc TDC, MPH and FELTP and PhD Students.
The Department of Development studies was teaching FP603 to all SPHSS postgraduate programs st nd while also coordinating MA HPM both 1 and 2 year students.
Behavioural Sciences Dept was engaged in teaching of FP 607 (Implementing Change) to all Post graduate students at the SPHSS
The Department of Parasitology and Medical Entomology was teaching both first year and second year MSc PE and MSc TDC who are all now doing Department specific courses.
He Department of Community Health was engaged in teaching of PQ600 (Special Public Health Issues) to MPH programme students.
Members in department of Development studies and Community health participated in teaching MSc HIM postgraduate students from MUHAS in Germany and South Africa with other two partner universities. This is part of the collaboration between MUHAS, HNU University of Applied Sciences and University of Western Cape
EO 603 (Risk Assessment and Management)
93 4.5.6 Supervision and Mentoring:
During the quarter, Staff members continued to supervise and provide support to both undergraduate and postgraduate students from various programmes in writing proposals for elective research, dissertations and thesis (eg MD, MPH, Mmed, MSc’s, PhDs etc).
Staff also travelled to various part of the country to carry out field supervision. Members have also participated in supervising students in Communicable disease control (CDC) field work conducted in June 2018 in Tanga Region. Faculty travelled to Arusha and another to Kigoma to supervise FELTP students performing field placement activities.
4.5.7 Examinations and Assessments
Staff members of the School participated in examining and dispose of students who sat for the end of semester1, 3 and 5 examinations in March-April 2018. For BSc EHS, a total of one hundred thirty six
(136) undergraduate sat for examinations. Out of these 18 students failed in different subjects, 16 were recommended to supplement the failed subjects in October, 2018, (2) were discontinued on academic grounds. The rest of the students passed and the Board recommended them to proceed to the next semester.
With regard to Postgraduates students, a total of 239 postgraduate students sat for the examinations in March, 2018, sixty-nine students failed different subjects and were recommended to supplement the failed subjects in October 2018. The rest of the students passed and were recommended to proceed to next semester and 1 MSc TDC student defended his dissertation and passed and was recommended to be award MSc TDC degree subject to submit an error free dissertation within three months. One Msc BC student submitted error free dissertation.
4.5.8 Research seminars by students
First year Post Graduate students presented their dissertation research concept notes to staff in the departments and at the school level in May 2018 so that the feasibility of their research ideas are discussed by faculty and be advised appropriately so that they can continue to work on their research proposals. They Students who presented were from 4 programmes which were:
First year Msc Applied Epidemiology, First year MSc Epidemiology and Laboratory Management, MPH Regular .track and MPH ODL 94 The second year students perusing Msc Applied Epidemiology and Laboratory Management also presented their dissertation findings to the members of the department in June 2018 and this helped to advise them on the methods they used for data analysis and if there is a need of any further analysis.
4.5.9 Short courses
Department got funds from DMRET to conduct workshop with collaborators from Dartmouth and University of Pennsylvania; theme decided was “animal use in research, ethical consideration” Task given to the members was to decide on topics and identify facilitators of the workshop who deals with animal care in research, participants and workshop venue.
The Department of Environmental Health developed and submited for accreditation a short course titled Basic Principles in Environmental and health practitioners
Dr. Semali from the Department of Epidemiology and Biostatistics facilitated a training on surveillance and outbreak investigation for the FELTP intermediate course from 1st -5th December 2017 in Bagamoyo. Also attended a training on PhD supervisors’ workshop organized by SIDA and MUHAS in November 2017.
Dr. Moshiro from the Department of Epidemiology and Biostatistics facilitated a short course on Injury Epidemiology and Prevention from 16-17 and 20-22 November 2017 at MUHAS. Dr. Mizinduko from the Department of Epidemiology and Biostatistics facilitated the Intermediate Field Epidemiology training, which is being conducted by I-TECH in collaboration with the Ministry of Health, Community Development, Gender, Elderly, and Children and CDC from 16
– 20 October 2017
Dr. Sabasaba, Kazaura, Mpembeni, Leyna and Diana Faini from the Department of Epidemiology and Biostatistics facilitated a short course on Logistic regression to the th th University Post graduate Students from 18 November to 16 December 2017.
The Department of Environment Health Sciences continued to review a short course on Environmental Health practitioner conduct and law enforcement
The School of Public Health and Social Sciences in collaboration with the HochschuleNeu-Ulm University of Applied Sciences, Germany prepared the short course on Hospital Management for 95 Health Professionals. The course will offer basic knowledge of Hospital Management and is designed to suit the needs of African hospital workers. Being a blended learning course concept, the course both features face to face and online lectures. The course will be conducted from 16th April, 2018.
Dr. Mizinduko facilitated the Intermediate Field Epidemiology training (Module 4 and 5) in Mbeya which is being conducted by I-TECH in collaboration with the Ministry of Health, Community Development, Gender, Elderly, and Children and CDC from 19-23 February 2018.
Prof Killewo Facilitated in a training workshop for USAID Implementing Partners (Boresha Afya Stakeholders) at zonal levels. The workshop took place at Sea Cliff Hotel in Dar es Salaam during 20-22 February 2018 on Developmental Evaluation Enculturation and Inception using theory of change.
4.5.10 Ongoing Consultancy Work
Five staff participated in the consultancy commissioned by UNICEF to Review of The Pilot Phase Implementation of Electronic Population Register System (e-PRS) In coast Region Bagamoyo and Chalinze Councils) and Songwe Region and Development of E-Prs Roll Out Strategy in Tanzania Mainland. The team is now in trhe field collecting Data.
Three staff have been assigned a Consultancy to Evaluate the Uturo Community Based Initiative funded by UNICEF, Tanzania
Dr. Kakoko& Ezekiel have continued with implementation of Formative Research for Nutrition Services project in Singida and Shinyaga.
The department of Parasitology & Medical Entomology established a MoU with MoH on surveillance of efficacy of antimalarial drugs in Tanzania.
Dr. Kakoko D, R. Mpembeni I. Semali: Community based maternal and child health interventions: A comparison of Uturo and RMNCH Community Models in Mbarali district council, Mbeya.
96 4.5.11 Links, Projects and Collaborations:
The School has maintained her linkages but not limited to the following Organizations Universities. MSM Projects Improving access to Sexual and Reproductive Health Services in Men who have Sex with Men in Tanzania and Malawi: Developing an acceptable and effective intervention
NORHED project continues in training 4 postdocs and 8 Masters in EOH finalized proposal writing, field work and data analyses
DMRET project: This project is hosted at the department of Bioethics and Health Professionalism, offers MBE students sponsorship from 2016 to 2021
Karolinska Institutet- surveillance of molecular markers of drug resistance.
NMCP – Coordination of Efficacy studies of Artemisinin Based Combination Therapy NTDCP support and TakeOff and TIBA projects
The Department of Parasitology has a new link with Dr.Jessica Linn-University of North Carolina- NIH Funded 2018-2023: R01 AI137395-01A1 (Determinants of malaria transmission by submicroscopic gametocytemia
The department of Behavioral sciences has links with UDSM (Tanzania); UDOM (Tanzania); JHU (USA); UM (USA); Witwatersrand (SA); Heidelberg (Germany); University of Nairobi (Kenya) and Makerere (Uganda); SUA.
Department of Behavioral sciences has had collaboration with the following organizations:- International Office for migration (IOM), Tanzania, FHI 360, Tanzania Communication Capacity Development Project, Pathfinder, The Manoff Group (Tanzania); Mwanzo Bora, Nutrition
International and Tanzania Youth Alliance (TAYOA), Afrique One Aspire, NIMR, IHI
Mr. Hussein Mohamed planned and organized a collaborative training and research program between Department of Environmental and Occupational Health and Mel and Enid Zuckerman College of Public Health (The Arizona University, USA) titled Critical Issues in Global Health and Global Water, Sanitation and Hygiene. The program was launched by HOD Dr Simon Mamuya on 12th June 2018 at MUHAS.
97 Dr. Ngowi participated in drafting a Scientific Cooperation Agreement between MUHAS and CENTRE NATIONAL DE LA RECHERCHE SCIENTIFIQUE, a Public Scientific and Technological Establishment; ECOLE DES HAUTES ETUDES EN SCIENCES SOCIALES, a Scientific, Cultural and Professional Public Institute; INSTITUT NATIONAL DE LA RECHERCHE MEDICALE, a public scientific and technological establishment; UNIVERSITE PARIS 13, a Scientific, Cultural and Professional Public Institute; and The UNIVERSITY OF BORDEAUX Public Scientific, Cultural and Professional Establishment.
Environmental and Occupational Health Department worked to strengthen the following links:
Link with Acacia gold mining to train the MSc. EOC was enhanced.
The Link with Addis Ababa University and University of Bergen Norway in the study to assess diseases and injuries among male and female workers in Tanzania and Ethiopia,
The link with University of Cape Town and Stellenbosch Universities in South Africa aimed at strengthening research. In this link there is aa PhD candidate who is working on Investigating the respiratory health effects and the use Isocyanides among spray painters.
Department of Parasitology and Entomology
Karolinska Institutet- Work on surveillance of molecular markers of drug resistance
NMCP, NTDs program NIMR and IHI: Efficacy studies of artemisin based combination therapy
Integrated NTDCP and NIMR Headquarters- Monitoring and Evaluation of different health interventions.
School has links and collaboration with Universities through its departments: UDSM, SUA (Tanzania); UDOM (Tanzania); JHU (USA); UM (USA); Witwatersrand (SA); Heidelberg (Germany); University of Nairobi, (Kenya); Makerere Universitry (Uganda); Makerere (Uganda), Open University (UK) and University of Oslo, Norway, HNU- University Germany, University of Western cape, University of Oslo, Karolinska Institutet
Organizations/NGOs: International Office for Migration (IOM), Tanzania, Tanzania Communication Capacity Development Project (TCCP, Tanzania); The Manoff Group (Tanzania); USAID, Pathfinder, Mwanzo Bora; Tanzania Youth Alliance (TAYOA); Economic and Social Research Foundation 98 (ESRF) and Research on Poverty Alleviation (REPOA), Hellen Keller International, IOM, Afrique
One-Aspire Consortium, UNAIDS, JSI, RTI, Nutrition International & FHI360 NMCP,NTDs NIMR and FHI 360, Management for Science and Health (MESHA Evaluation), MEASURE Evaluation.
4.5.11 Service Provision
Service delivery was practice by fewer departments in this academic year
(i) Academc staff members and students participated in Mass Dog vaccination and Rabies outbreak investigation in Moshi District, Kilimanjaro from 29/04/2018 to 04/05/2018. The activity was organized jointly by OHCEA, FAO, MoHCDGEC, Ministry of Livestock Development and One Health Desk at the Prime Minister’ office.
(ii) The School of Public Health and Social Sciences, conducted a sensitization seminar to MUHAS management, academic members of the committee of Deans and directors (CDD) and heads of th key departments on the concepts and practices of One Health in Tanzania. on 26 May 2018. The seminar was conducted as one of the OHCEA project activities.
(iii) One member of school facilitated MUHAS students one health club in the Hospital and th Community services during environmental day 5 June 2018 and in CDC field work at waste stabilization ponds at Mabibo, Buguruni and UDS
(iv) One member of the school participated in the cleanliness competition assessment which was organised by MoHCDGEC and PO-RALG
4.5.12 Staff development, recruitment an retirement Some of school academic staff members are enrolled in studies in various universities
Name Training Progress please update
Dr Theresia Ambroce Msc in Epidemiology at Good University of Antwerp (2017-2019)
Dr Diana Faini Registered for PhD (from Attended PhD courses in 2017) Karolinska, Sweden from 2 May to 25 June 2018
Dr. Mucho Mizinduko Registered for PhD (from Attended PhD Courses in Denmark 2017) from 23 Apr to 18 May 2018.
99 Name Training Progress please update
Submitted revised PhD study proposal for Ethical clearance on st 21 June 2018
Mr. Heavenligt Ayubu Applyingfor masters Ongoing training
Dr. Amon Sabasaba Applying for PhD training Ongoing
Dr Lwidiko Edward On PhD Ongoing
Abdallah Zakaria MSc By research Doing field work
Dr. Happiness Saronga Post Doctoral Training in Ongoing Harvard, USA
Nelson William MSc Environmental On going Sciences- China
Eng Dennis Rweyemamu PhD – Lincon Univeristy Ongoing on submission level New
Jovin Bachwenkizi MSc Env Eng The Delft On going UNESCO
Salehe Said MSc EOH- Ongoing
Saumu Shabani MSc EOH Ongoing
Hussein Mwanga PhD- University of Cape Ongoing Town
Hussein Mohamed PhD ARU Submitting reviewed thesis
(i) Staff recruitment/retirement a. Mr Yahya Mwenjuma Kishashu tendered in his retirement on voluntary basis on 1st April 2018.
b. Mr. Dereck Chitama resigned from work station from department of Development studies. School has received 12 honorary lecturer from different department.
c. Ms Alphonsina Kagaigai and Mr. Godwin Pancras an Assistant Lecturers at the Departments of Development Studies and Biotheics were recruited in the reporting academic year.
100 (ii) Others appointment
Dr SHD Mamuya was appointed ICOH national secretary for Tanzania serving the triennium 2018 -2021.
4.5.13 Challenges faced and proposed solutions
Department of Epidemiology and Biostatistics: The increase in student numbers with slow filling of academic positions in the department has a negative impact on the quality of teaching. A large proportion of staff are either registered for further studies (n = 3/13; 23%) or retired on contract (n
= 2/13; 15%). In addition to teaching undergraduate and postgraduate students (about 700), the staff are also expected to supervise postgraduate where on average each staff has 5-8 students and provide consultancy services to PhD students, staff as well as other undergraduate and postgraduate students facing methodological challenges in their research.
The school under its department of development studies faced one major challenge with regards to teaching: One faculty resigned from work by providing 24 hours resignation notice. This has greatly affected the department because he was instrumental faculty in teaching health economics related courses to both undergraduate and postgraduate studies. To address this challenge, the department has planned to recruit another faculty with similar qualifications when employment opportunities are available at MUHAS.
Difficult working environment which is translated in lack of teaching materials such as personal computers and printers, office furniture, unreliable internet connection, some Air conditioning system is poorly functioning in the offices. Also some offices have leakages when it is raining.
Solutions: To offset the high staff: student ratio, the school has identified and recruited thirteen honorary staff to provide student supervision and mentoring support to the school. However, the University management should look for slots to employ more academic staff to reduce the teaching load in the all department.
The University management through the quality control unit and Estates directorate to ensure that there is conducive working environment to make staff more productive. This include provision of offices and furniture for staff offices, teaching equipment and regular maintenances of staff offices
101
4.5.14 Service Provision
(i) Thedepartment of Behavioral Sciences conduct research on Measuring stigma and discrimination in health facilities in Morogoro region, improving access to Sexual and Reproductive Health Services in Men who have Sex with Men in Tanzania and Malawi: Developing an acceptable and effective intervention.
(ii) One member of the department of Environmental and Occupation Health organized familiarization meeting for Tobacco control students and stakeholders from the Tanzania Tobacco Control Forum.
(iii) One member of the department of Environmental and Occupation Health participated in the developing teaching materials for One health training of primary school children (Ebola, rabies, avian influenza and Rift valley fever) that was conducted by One health student’s clubs from MUHAS and Sokoine University.
4.5.15 Chalanges and Recommendations
(i) Major challenge encountered during the reporting year was inadequate funds to implement supervision of fieldwork which required the students to travel up-country for fieldwork.
(ii) Few number of staff to teach undergraduate and postgraduate programs continued to be a challenge as in previous years.
102 4.6 Institute of Allied Health Sciences
4.6.1 Introduction.
The Institute of Allied Health Sciences is one of the Academic Institutes,
Directorates and Schools of Muhimbili University of Health and Allied
Sciences (MUHAS). It is involved in the training of Allied Health
Professionals.
Mr. Lalison E. Ndolele
The Institute is located within the premises of Muhimbili National Hospital. It is administratively under the Muhimbili National Hospital (MNH). The Institute coordinates eleven (11) schools academically and three (3) Ministry of Health (MOHCDGEC); seven (7) at Muhimbili, two (2) at KCMC Moshi, one (1) at Mpwapwa and one (1) in Tanga.
During the year of the report the future administration position of the Institute, is still not defined, despite efforts initiated in 2012/13, and that are going on.
4.6.2 Student Enrolment and Academic Programmes
During the year 2017/2018 the Institute enrolled a total number of 812 students, 493 (60.7%) males and 319 (39.3%) females. Of those enrolled, 170 (21%) were at KCMC, Mpwapwa and Tanga. The remaining 642 (79.1%) were at Muhimbili. The Evening programs in the five (5) programs namely; Diploma in Pharmaceutical Sciences (DPS), Diploma in Diagnostic Radiography (DDR), Diploma in Environmental Health Sciences (DEHS), Diploma in Medical Laboratory Sciences (DMLS) and Diploma in Nursing (DN), Continued to be provided in the third years.
4.6.3 Student Admission
The number of qualified applicants aspiring to join the programs at the Institute has been increasing from year to year. During the year of reporting 2017/2018, 259 students were admitted of whom 160 (62%) were males and 99 (38.2%) were females. This increase of 15 males and also the increase of 12 females.
103 4.6.4 Teaching Staff, Recruitment and Development.
The Institute has no structured development programme for its teaching staff and cannot use the University system because it is not under the University administration. Therefore, the Institute depends on placement of teaching staff by the Ministry of Health, Community Development, Gender, Elderly and Children (MOHCDGEC). During the reporting year the Ministry of Health, Community Development, Gender, Elderly and Children posted tutors to schools but some of the teaching staff went on compulsory retirement (3) staff and study leaves. The Institute of Allied Health Services (IAHS) has about 59 teaching staff in IAHS and MUHAS programs, in the year of reporting, that is, 18 Tutors are from Muhimbili National Hospital and 41 are from MOHCDGEC. This made the ratio of the teacher/student of each school to be at 1; 14. Therefore the Institute continued to be affected by shortage of teaching staff and heavily dependent on part–time teachers.
4.6.5 Administrative and Technical Staff Recruitment and Development
The Institute continued to utilize administrative and technical staff of the Muhimbili National Hospital who are working in the Institute with the total number of staff of Muhimbili National Hospital 51 and MOHCDGEC are 43 making the total number of staff 94. The staffing level and requirements for each school were developed and submitted to the MOHCDGEC for support.
4.6.6 Research and Publications
The Institute had no research output. Nevertheless, efforts are being made to raise the awareness in this particular area of our responsibilities.
4.6.7 Consultancy and Public Service
Individual staff members were involved in community services and consultancies especially in the Ministry of Health, Community Development, Gender, and the Elderly and Children projects. The IAHS was also involved in the Saba Saba exhibition and Tanzania commission of Universities (TCU).
4.6.8 Curricula Revision Progress
The process of curricula polishing continued to make them competence based and following TCU Guidelines and Format. It is on final stages and the efforts for registering other programs is going on.
104 4.6.9 Rehabilitation of IAHS Health Sciences buildings
Rehabilitation of the Hostels buildings is in progress as well as the plan to rehabilitate the IAHS main building.
4.6.10 Improvement of Cafeteria Accommodation Services at Nurses Hostel
A significant improvement was made during the reporting year, through the rehabilitation of the hostels which is going on.
4.6.11 Improvement of Boarding Services at Nurses Hostel
The water tanks were put in place for the clean water supply to address the water shortages accordingly. The hostels toilets and bath rooms as well as Rooms are being renovated. Boreholes have been established at all hostels to cub the shortage of water supply.
4.6.12 Constraints Facing the Institute
During the reporting period the institute experienced the following constraints: -
(i) Undefined administrative position of the Institute following the reforms involving the former Muhimbili Medical Centre. The task force appointed to negotiate with the Ministry of health continued with negotiations and it was expected that it would reach a solution soon.
(ii) Inadequate funding: Poor funding resulted into inadequate and poor state of buildings especially the Institute building which requires major rehabilitation.
(iii)The inadequate cost sharing funds payment was experienced seriously from the students and this culminated into the IAHS income inadequacy.
(iv) The inadequate cost sharing funds payment was experienced seriously from the students and this culminated into the IAHS income inadequacy.
(v) The decision by MUHAS management to stop the evening programs undertaken by the institute also contributed to inadequate income generation. There was no admission of first years and second years, in the evening program.
(vi) The shift of admission /applications processes to NACTE from MUHAS, affected the sufficient number of student’s admission. Serious Collaboration should is being made among MUHAS, NACTE, MOHCDGEC and IAHS to solve the challenge.
105 4.7 Institute of Traditional Medicine 4.7.1 Introduction
The Institute of Traditional Medicine started as a Traditional Medicine Research Unit in July, 1974. The unit was later elevated to the Institute of Traditional Medicine in 1991 through an Act of Parliament no. 9, section 10(1)9c); when by then, Faculty of Medicine acquired a University College status. The Institute has a reasonable research capacity in the areas of medical botany, natural products chemistry, biological testing, standardization of herbal medicines and pre-clinical drug research that are conducted by both
Prof. E. Innocent Postgraduate and Research Scientists.
The Institute is charged with the responsibility to research into traditional healing systems, in Tanzania, and identifying materia medica which can be modernized and developed into drugs and useful traditional healing practices which can be adopted for improvement of the health of people. The institute implement its activities in line with Tanzania Vision 2025, FYDP II, policies and strategic plans in the Ministry of Health, Community Development, Gender, Elderly;Children (MoHCDGEC) and the Ministry of Education, Science and Technology (MoEST) and MUHAS focusing improving traditional medicines provision in the health sector services.
4.7.2 Highlights of Activities Implemented in 2017/2018
During the reporting year (2017/2018) the Institute continued to run postgraduate training in Traditional medicine development at PhD and MSc levels successfully, whereby one PhD and 2 MSc students graduated. Current enrolled students include 7 PhD and 9 MSc students. In addition, the institute has two accredited continuing education and professional development (CEPD) short course for Traditional Health Practitioners (THP). The first CEPD courses covers fundamental issues that instil good practices in professional conducts of THPs while the second aim at training different experts in the areas of pharmaceutical of traditional medicine; Quality control regulation and Intellectual property rights. Through these training the Institute has increased opportunity for its stakeholders to deliver innovative products and services that serve the integration of traditional medicine processes in Tanzanian health care system. Also,
the institute is training nine (9) of its staff at different degrees levels in different Universities.
The Institute continued with its research to develop, standardize and dispense quality herbal medicinal
products, after being proven for their effectiveness and safety. The revenue collection continues to grow 106 almost doubling as compared to the past five years.Income accrued from sales of herbal medicine was for 2017/2018 was TZS 79,880,000/=, equivalent to 12.63% grow from last year The expenditure for this year was Tsh. 66,757,758/62 most of which used to incur costs for raw materials, and improvement of research, production and distribution facilities; The profit being Tsh. 13,122,241/38. The increase in revenue was largely contributed by engaging two private sectors to distribute Institute’s products in a competitive market such as supermarkets and Pharmacies.
During the reporting period, the Institute attracted one new research funding making up to eight (8) currently ongoing Research projects that are at various levels of implementation while seven (7) were completed. The Institute, produced 2 Publications, participated in Four (2) exhibitions at National level and in 31 workshop and scientific conferences and experts meetings or seminars.
4.7.3 Students’ Matters
(i) Academic Programmes
During the reporting period the Institute continued offering training programmes, which included: -
i. One program in MSc in Traditional Medicines Development,
ii. PhD program
iii. Two CEPD program course in Traditional Medicines Development
(ii) Students Admission and Enrollment
During academic year 2017/2018, Traditional Medicine programs successfully produced three (3) graduates, Two (2) Master of Science (MSc.) and one (1) PhD. The institute admitted four (4) masters’ students and one (1) PhD. Five (5) other MSc and (5) PhD students continued with their studies at the Institute while one (1) PhD student froze studies (Table 27).
(iii) Students Output and Performance
1. Willbrord Kalala (Reg no HD/MUH/T.214/2011) received his PhD in Traditional Medicine
th nd Development during the 11 MUHAS graduation ceremony held on 2 December 2017.The title of the PhD was Ethnobotany of Dorobo people, Acaricidal activity, toxicity and Bioactive compounds from Commiphora swynertonii .
107 2. David Credo (Reg no HD/MUH/T.542/2015) received his MSc in Traditional Medicine
th nd Development during the 11 MUHAS graduation ceremony held on 2 December 2017. The title of MSc dissertation was Investigation of Selected Traditionally used Tanzanian Medicinal Plants for Antidiabetic Activity.
3. Francis, Patrick (Reg no HD/MUH/T.544/2015) received his MSc in Traditional Medicine
th nd Development during the 11 MUHAS graduation ceremony held on 2 December 2017. The title of MSc dissertation was In Vivo Evaluation of Wound Healing Activity of Selected Medicinal Plants used in Tanzania.
Table 26: Students Admission, Enrollment and Achievements - Institute of Traditional Medicine
MSc. Trad. Med. Dev PhD
2017/2018 2017/2018
Admission (New) 4 1
Enrolment/registration 9 7
Freezing 0 1
Postponement 0 0
Completed/graduated 1 1
4.7.4 Research and Publications
1 Sarina Veldman, Barbara Gravendeel, Joseph N. Otieno, Youri Lammers, Elza Duijm, Aline Nieman, Benny Bytebier, Grace Ngugi, et al. High-throughput sequencing of African
chikandacake highlights conservation challenges in orchids. Biodiversity and Conservation. August 2017: 26(9): 2019-2046
2. Credo D, Machumi F, & Masimba PJ . Phytochemical screening and evaluation of anti-diabetic potential of selected medicinal plants used traditionally for diabetes management; International Journal of Research in Pharmacy and Chemistry 2018: 8 (3).
Research Projects and Links
During the reporting period there are eight ongoing research projects and seven completed research projects as indicated in Table 28
108 Table 27: List of New, Ongoing and completed projects for 2017/2018
SNO NEW RESEARCH PROJECT FOR 2017/2018 ACADEMIC FUNDER/ YEAR YEAR DONOR
THEME 1: HIV and AIDS
1. Economical, ecological and therapeutic sustainability in the BMBF- 2017-2020
development of phytopharmaceuticals for Sub Saharan Africa DAAD ‐ ONGOING RESEARCH PROJECT FOR 2017/2018 ACADEMIC YEAR
2. Phytochemical and Antifungal Investigation of Tanzanian COSTECH 2016-2018 Combretum Species for Potential Formulations against Fungal Infections 3. Search for Antifungal Compounds from Tanzanian Medicinal Plants SRC 2014-2018 for managing Fungal infections
4. Investigation of Traditional use of medicinal and food plants in NIRB of 2016-2018 northern Tanzania for their sustainable use. S. Korea
THEME 3: MALARIA 5. Laboratory and semi-field mosquito larvicidal activity of some DAAD 2015-2018 Tanzanian medicinal plants formulations
6. Investigation of chemical composition and mosquito repellent Sida- 2016-2020 property of essential oils from some Tanzanian plants MUHAS
THEME 8: HEALTH SYSTEM RESEARCH
7. Use of DNA Technology in Combating Illegal Trade and Promoting USAID 2015-2018 Conservation and Sustainable Use of Plants in Kenya and Tanzania. 8. Identifying and monitoring trade in Tanzanian wild-harvested Swedish 2015-2018 medicinal plants using innovative genomics-based DNA barcoding. Research Coun RESEARCH PROJECT COMPLETED DURING 2017/2018 FUNDER/ YEAR ACADEMIC YEAR DONOR
THEME 3: MALARIA
1 Phytochemical studies of mosquito larvicidal compounds from IFS 2014-2016 ethanol extracts of four Kotschya species THEME 5: CHILD HEALTH
109
2 Scale up Cell phones and Psychosis: a pilot study connecting Canada 2016-2017 traditional healers and Bio-medical staff in six administrative Grand regions, Tanzania Challenge THEME 8: HEALTH SYSTEM RESEARCH
3 Empowering Tanzanian Communities to achieve economic RAN 2016-2017 sustainability and resilience. A trainer of trainer approach for value addition of Avocado and Rosella products THEME 9. NEGLECTED TROPICAL DISEASES
4 The influence of climate change and dynamics in bio-control of CIRCLE 2016-2017 enteropathogenic V.cholerae” 5 Antimicrobial activity of extracts of Combretaceae family plants NIMR 2014-2016 against drug resistant and biofilm forming bacteria and Candida species isolated from HIV/AIDS patients 6 Assessment of bioactivity of roots and leaves of Carissa spinarum AAS 2016-2017 extract from two geographical locations in two seasons in Tanzania against some pathogenic bacteria and fungi 7 Formulation and standardization of herbal medicine from Garcinia COSTECH 2013-2016 and Combretum plant species growing in Tanzania for managing HIV/AIDS and related diseases
4.7.5 Consultancies and Public Services
1. Dr. Edmud Kayombo Serves as Chairman of the Traditional and alternative health practitioners Council (TAHPC) of the Ministry of Health, Community Development, Gender, Elderly and Children, Tanzania.
2. Dr Pax Jessey Masimba and Dr Joseph. N. Otieno serve as members of the Research and Development committee of the Traditional and Alternative health practitioners Council of the Ministry of Health, Community Development, Gender, Elderly and Children
3. Dr Ester Innocent serves as member of the Academic committee of the Traditional and Alternative health practitioners Council of the Ministry of Health, Community Development, Gender, Elderly and Children
4. Dr. E. Innocent serves as a national expert of the African organization standardization (ARSO) technical harmonization committee (THC-13 of ARSO) for African Traditional Medicine Standards.
5. Dr Ester Innocent serves as chairperson of traditional medicines technical committee (CDC 20) of the Tanzania Bureau of standards
110 6. Dr Ester Innocent was appointed in the advisory committee for public health and medicine research and development of the Commission for Science and Technology.
7. Dr. Otieno, N.J through the ongoing projects titled “Use of DNA Technology in Combating Illegal
Trade and Promoting Conservation and Sustainable Use of Plants in Tanzania.” disseminated project results to stakeholders in the Ministry of Natural Resources aiming at influencing enactment of Non-Human DNA Act.
4.7. 6 Staff Development
(i) Training leading to degree award
1. Three staff continued with PhD studies and two with MSc studies at MUHAS
2. Two staff are pursuing BSc and PhD at the University of Dar es Salaam
3. One staff is pursuing PhD at Nelson Mandela Institute of Science and Technology.
4. One staff is acquired admission at Sokoine University of Agriculture
(ii) Staff training attachments to other Institutions
1. Mr. Baraka Samwel went for research visit at the University of Potsdam in Germany, from May 2018 to date. He is expected back by end of July 2018
(iii) Retirement
One staff finished his post-retirement contract in December 2017. He was engaged on part-time employee contract for six months. The Second staff signed the second post-retirement contract in June, 2018.
4.7.7 Procured Items, Work and Services
During the academic year 2017/2018, the Institute building was renovated inside the Offices, Departmental Laboratories and corridors. This has significantly minimized dust and created conducive sterile working environment. The Department of Biological and Pre-Clinical Studies procured analytical weighing balance, a micropipette refrigerator for storage of biological samples in the cell culture lab. The lab is expected to benefit students and researchers doing in-vitro research work especially in the discovery of anti-malarials, anti-cancers and anti-infectious agents. The Department also procured a freeze dryer through MUHAS-Sida funding. The Department of Natural Products and
Formulations completed the installation of a cream homogenizer. The machine is now available for 111 research, products development and production of creams formulations. The Department also renovated and installed new display shelves in herbal products sales outlet. The Department of Medical Botany, Agronomy and Plant Breeding continued engaging farmers in cultivation of important medicinal plants and supply raw materials for herbal products development and production for the Institute.
Installation of freeze drier in the Department Portion of the herbal products display shelves at of Biological and pre-clinical studies the Institute of Traditional medicine outlet
4.7.8 Infrastructure Development
The institute continues developing and submitting proposals to potential donors for its two major projects which are establishment of a medicinal plant botanical garden and scaling up production of herbal medicines. The proposals are mostly submitted as small to medium grants requests addressing one or some of the components in the two big proposals. Further, the Institute through the Department of Medical Botany Plant Breeding and Agromony completed the renovation of the laboratory for molecular DNA barcoding of plants and some other molecular related studies. The laboratory has a pre-PCR place where DNA extraction is performed and the post-PCR special for amplification, viewing and cleaning of DNA. So far the facility has generated recommendable data which the Department is using to engage discussions with the Ministry of Natural Resources and Tourism to look into possibility of enactment of Non-Human DNA Act as part of international trade audit of indigenous medicinal plants. The facility at the Institute will serve most of the Institutions in Tanzania and individuals trading wild medicinal plant as well as acting as source of income for the institution.
112
Dr Joseph N. Otieno in a group photo with the top management of the Ministry of Natural Resources and Tourism to deliberate on enactment of Non-Human DNA Act
4.7.9 Workshop and Conferences
(i) Dr. Ester Innocent, Mr Ismail Athman, Mr Baraka Ndiege, Ms. Febronia Uiso, Prof Mahunah and Dr Pax Masimba participated in the second consultative meeting on IPR and TM for health th professionals on 24-25 July, 2017 at MUHAS.
(ii) Dr Pax Masimba, Dr. Francis Machumi and Dr. Ester Innocent attended one day seminar on Research Development Framework Planner under Climate Impact Research Capacity and Leadership Enhancement (CIRCLE) Institutional Strengthening Programme (ISP) on September 6, 2017 organized by MUHAS
rd th th (iii) Dr. Ester Innocent attended the 3 TCS and 6 FAST Scientific conference on 11-15 September, 2017.
th (iv) Boniface Charles attended DAAD-ITOCA E-resources training workshop on 12/9/2017- 15 September 2017 held at Ramada resort Mbezi beach- Dar es salaam
113 (v) Dr. Ester Innocent, Dr Nondo Ramadhani, Mr Ismail Athman, David Credo David, Mr Mourice Victor, Baraka Ndiege, Bonface Charles and Dr Machumi Francis participated in the Early th Career Researcher training workshop on 26-27 September 2017 at MUHAS
(vi) Dr. Kayombo E, Participated on awarding certificates to traditional health practitioners who qualified to register traditional herbal remedies to the Traditional and Alternative health practitioners at the Ministry of Health, Community Development, Gender, Elderly, 14 July 2017
(vii) Dr. Kayombo E, Inaugurated and participated in training leaders of traditional health practitioners on National traditional and alternative medicine strategic plan at the Ministry of Health,
(viii) Dr. Ramadhani Nondo attended PhD supervision course at MUHAS organized by MUHAS and nd th Sida from 22 to 24 November 2017 (ix) Mr.Samson Hilonga, Mourice N. Mbunde, Ismail A. Almas and Baraka S. Ndiege attended course
th th on Scientific Writing and information literacy course at MUHAS from 30 October to 10 November, 2017
(x) Dr. Innocent, Ms Zaituni Msengwa and Mr. Mourice N. Mbunde attended presentations during
th the celebration of 40 years of Research Cooperation between Sweden and Tanzania from 8–9 November, 2017 at Hyatt Regency –Kilimanjaro hotel in Dar es Salaam.
(xi) Mr Mourice N. Mbunde and Samson Hilonga attended a training workshop on Research Training in Writing Successful Grant Applications based on what reviewers want at MUHAS organinzed by Directorate of Research and Publications in collaboration with Dartmouth College (DC) and th th University of California San Francisco (UCSF) from 12 to 14 December 2017.
th th (xii) Dr. Innocent and Dr. Joseph N. Otieno attended the TRI-SUSTAIN project-workshop 14 -18 November, Stella Maris hotel Bagamoyo, Dar es salaam
(xiii) Dr. Innocent and Dr. Machumi F. attended the Institutional Strengthening Programme (ISP) workshop for the Climate Impact Research Capacity Leadership Enhancement (CIRCLE), organized by the African Academy of Sciences in Nairobi, Kenya, 11th –13th December, 2017. th (xiv) ITM staff participated in Training of Traditional Health Practitioners on 16-20 October, 2017
(xv) Dr. Ester Innocent attended the stakeholders and annual general meeting of GS1 Tanzania at LAPF, Dar es Salaam on 22/02/2018
(xvi) Mr Boniphace Charles and Ismal A. Almas attended training workshop on Pharmacokinetics and drug metabolism organized by SIDA and MUHAS at Muhimbili University of Health and Allied th Sciences on 19 to 24 February 2018: 114 (xvii) Ms. Magreth Thadei Mwakilasa and Ms Zaituni Msengwa attended workshop on Master, PhD and Postdoctoral scholarship fair organized by European Union at Julius Nyerere International Conventional Centre (JNICC) on 11th and 12th May 2018
(xviii) Dr. Otieno Joseph, Mwakilasa Magreth and Samson Hilonga participated in Legal standard th workshop on establishment of Non Human DNA Act, at MUHAS On 5-6 May, 2018.
(xix) Dr. Otieno Joseph, participated in Legal standard workshop on establishment of Non Human th DNA Act, in Morogoro on 4 July, 2018
(xx) Dr. Ester Innocent, Dr Francis Machumi and Dr Ramadhani Nondo participated on a workshop th th to launch Open Lab Africa in Arusha from 12 to 14 June 2018. (xxi) Dr Pax J Masimba gave a presentation on “Traditional Medicine in Tanzania” to American
Students (University of Western Kentucky) during their summer visit to Tanzania in Dar es Salaam on June 13, 2018.
(xxii) Mr.Samson Hilonga and Ismal .A. Almas attended training workshop on Systematic Review and Meta-analysis organized by Directorate of Library Services at Muhimbili University of th Health and Allied Sciences on 11-15 June 2018
(xxiii) Dr Pax J Masimba and Dr Edmund Kayombo attended a workshop organized by the MoHCDGEC, Traditional Medicine section, for developing curriculum for training of Traditional
th rd Health Practitioners in Tanzania at Milembe Training College, Dodoma from 18 to 23 June, 2018.
(xxiv) ITM staff participated in Traditional Medicine training on “Capacity building for local
manufacturing of herbal medicines in Tanzania” by Chinese experts from October, 2017 to date at GCL and ITM, Dar-es-Salaam, Tanzania.
4.7.9 Research Seminars Organized at the Institute
(i) Innocent Malisa did an Msc proposal presentation titled “Search for bioactive mosquito larvicidal compound (s) from four Kotschya plant species collected from Iringa and Mbeya regions, nd Tanzania on 22 August 2017 at ITM Seminar Room
(ii) Patrick Francis gave a presentation on his MSc Data analysis results on a study titled “In-vivo evaluation of wound healing activity of Hugonia castaneifolia, Trichodesma zeylanicum and Sida th rhombifolia leaves” on 8 September 2017, at ITM Seminar Room.
115 (iii)David Credo gave a presentation on his MSc data analysis results on his MSc study titled “Investigation for anti-diabetic activity of extracts and compounds from selected traditionally th used Tanzanian medicinal plants”on 8 September 2017 at ITM Seminar Room
(iv) Mr Boniphace presented MSc research proposal titled “Evaluation of Antimalarial Activity and Sub-acute Toxicity of Polyherbal Preparation used as Malaria Remedy in Tarime District” On th 13 February 2018, at ITM Seminar Room
(v) Mr. Khamis Kheir gave presentation for his MSc on “Evaluation of quality of anti-malarial Fivisia powder prepared at ITM” oon 22 February 2018, at ITM Seminar Room
(vi) Dr. Ramadhan Nondo and Dr. Pax Masimba gave a presentation on Use of Animals in Drug Discovery Research, on 8 March 3/2018 at ITM Seminar Room
(vii) Mourice V.N. Mbunde gave a presentation on progress of his PhD programme titled “Search
for antifungal compounds from Tanzanian plants” on 8 March 2018, at ITM Seminar Room
(viii) Margreth Thadei, Samson Hilonga and Dr. Joseph Otieno presented an “Information on ethnobotanical report on MPs for Reproductive health, Malaria, Ulcers, Diabetes, HIV/AIDS and the summarized report on herbarium records, on 8 March 3/2018, at ITM Seminar Room
(ix) Margreth Thadei, Samson Hilonga and Mourice V.N. Mbunde gave a presentation for a research proposal titled “Investigation of antibacterial activity of medicinal plants for management of
st Banana Xanthomonus wilt for food security and sustainable livelihoods in Tanzania” on 1 June 2018, which was submitted to COSTECH, at ITM Seminar Room
4.7.10 Finances and Investment Activities
(i) Internally Generated Funds
The Institute continues attracting students for using its research and teaching facilities. The Income generated through Bench fee collected from student attachments was TZS 501,000. Further at the Institute herbal distribution outlet, the revenue collection continues to grow almost doubling as compared to the past five years (Fig 13). Income accrued from sales of herbal medicine for 2017/2018 was TZS 79,880,000/=, equivalent to 12.63% growth from last year and about 166.4% against the target of collecting TZS. 48 million annually. The expenditure for this year was 66,757,758/62; an increase of about 183.06% from last year while the profit was TZS 13,122,241/38. The increase in revenue was largely contributed by engaging two private sectors for distribution of the Institute’s products in a competitive market such as supermarkets and Pharmacies. The Institute is working with Cloud9 wellness for distribution of Mangifera and Ravo creams and Health Living Investment Company Ltd 116 ® for distribution of Morizella juice. The expansion of service has increased revenue to enable the institute have some funds to incur costs for improve its research, herbal production and distribution facilities.
Income
70,00
60,00 Expendit
ure
50,00
Profit
40,00
30,00 Linear
(Income)
20,00
T sh in Millions T sh Linear
10,00 (Expendi
ture)
0,00
July 2012-JuneJuly,2013-June,July,2014-June,July,2015-June,July,2016-June,July,2017-June, 2018
Fig 13: Trend of Income expenditure from sales of Herbal Medicine
(ii) Exhibitions
th 1. The Institute extended Exhibition during MUHAS convocation event that took place on 30 of November 2017 at MUHAS, Dar es Salaam.
nd th 2. The Institute participated in the 42 Dar es Salaam International Trade Fair exhibitions on 28
rd June 13 July, 2017, Dar es salaam.
4.7.11 Visitors to the Institute
(i) On 11/08/2017 Dr. Paulo P. Mhame from the Ministry of Health, Community Development, Gender, Elderly and Children visited the Institute for discussion about CPD courses to be offered jointly by the Ministry and Chinese Government
(ii) On 23/08/2017 Dr. Liberatus D. Lyimo from University of Dodoma came for Assessment of Field practical students
(iii)On 25/08/2017 Prof. Nicholus K. Gikonyo and Dr. Evans Changamu from Kenyatta University,
Kenya visited the university to explore areas of collaboration 117
Former Prime minister of the United Republic of Tanzania Hon. Mizengo Kayanza Peter Pinda insisting a point on traditional medicine products when visited the MUHAS booth rd during the 42 Dar es Salaam International Trade Fair
(iv) On 28/08/2017, Mr. Michael S. Benarvard and Ernest L. J. Isaka from the Government Chemist Laboratory Agency (GCLA) visited the institute to inspect the GMP lab for herbal productions which uses solvents.
(v) On 29/08/2017, Prof. George C. Kifaro from Sokoine University of Agriculture (SUA) visited the Institute as an External examiner
(vi) On 30/08/2017 Prof Ephrem Ongidangle from School of Pharmacy, Adddis Ababa University visited the Institute as an External examiner
(vii) On 5/09/2017 Prof Sakamoto Kumiko from Utsumiya University Japan visited the Institute seeking for collaboration on Ethnobotanical information exchange
(viii) On 07/09/2017, Dr. Stephen S. Nyandoro from Chemistry Department, University of Dar es Salaam visited the Institute as an External examiner
118 (ix) On 12/10/2017 Anna Maro, Athumani Walid, Gudila Paul, Judith Calist from Cloud9
visited to discuss progress in marketing and distribution of Ravo and Mangifera creams
(x) 17/10/2017 Manich Mohen Upadlyay and Dr. Rucha Dave From High commission of India in Tanzania gave a presentation at MUHAS as part of Celebration the Ayuveda day
(xi) On 17/10/2017 Dr. Abdobaset Ghorbani visited the Institute as a Co-Supervision of Postgraduate
& Co-Project Investigator
(xii) On 20/10/2017 Dr. Modester D. Nkungu from UDSM and Ms. Doreen Anthony Sinare from COSOTA visited the institute to discuss project plan of IPR in Traditional medicine.
(xiii) On 25/10/2017, Mr Wang Guohua and Zhang Yue from Chinese Medical Missionary Training in Pharmaceuticals of herbal formulas
(xiv) On 14/11/2017 Zhang Yong Wei from China Academy of Chinese Medical Sciences Gave a Presentation& discussion of areas of collaboration
(xv) On 16/11/2017 Banyatri G. J. Setilo Kerstin Marobela Marks Ditlhogo Boingotlo Raphane and Mthandazo Dube from University of Botswana visited the Institute to explore opportunity for collaboration in HIV plant research
(xvi) On 28/11/2017 Dr. Edmond Lyatuu from MATABE Company visited the Institute to Discuss proposal for BioInnovate call
17. On 11/01/2018 Dorothea Bagidian from MissouriBotanical Garden came to explore possibility to establish research collaboration with ITM on phytochemical tests
18. On 12/03/2018 Dr. Ing. Lucie Moeller from Martin Luther University in Germany visited the Institute to establish collaborative research on medical plants.
4.7.12 Key Challenges for the Institute
(i) Limited slots for staff recruitment (Inadequate technician and academic staff): which lead to poor staff succession
(ii) Poor government funding to run institute activities as planned in the 5YRSP
(iii) The Institute need more support for Public-Private partnership and Linkage
4.7.13 Key Constraints Faced the Institute
(i) Limitation of allocated staff for recruitment (Inadequate technician and academic staff): which lead to poor staff succession
(ii) Poor government funding to run institute activities as planned in the 5YRSP.
119 4.8 Directorate of Postgraduate Studies
4.8.1 Introduction
The Directorate of Postgraduate Studies (DPGS), in collaboration with the Schools, Institutes and other Directorates, has the responsibility of promoting, marketing and monitoring the conduct of postgraduate training at the University. During the reporting period, DPGS processed admissions of postgraduate students in various programmes, reviewed Dr. Emmanuel Balandya postgraduate
proposals, processed examination results and facilitated revised curricula to align with the Tanzania Commission for University (TCU) format.
4.8.2 Enrolment into postgraduate programmes
(i) PhD degree programmes.
DPGS continues to enrol students into PhD programmes. During academic year of 2017/2018, a total number of 3 students were granted full PhD registration and 7 were provisionally registered. Together with 40 existing students, this makes the total number of 50 PhD students. Among them 18 (36%) are females.
(ii) Master degree programmes
During academic year 2017/2018 a total number of 438 students were enrolled in Master degree programme in five Schools and one Institute, Out of 438 enrolled, 431 were enrolled into Master degree by Coursework and Dissertation, and 7 into Master of Science by Research. The table below summarizes the number of Master degree students enrolled by different Schools.
4.8.3 Students Research Proposals
DPGS facilitated the review of Master and PhD proposals for ethical clearance in collaboration with the Directorate of Research and Publications. A total of 470 Master students’ research proposals were reviewed.
120 4.8.4 Postgraduate Selection
The Directorate through the Joint Postgraduate Selection Committee under the Directorate of Postgraduate Studies met to recommend applicants for postgraduate studies for the year 2018/2019. There were 711 submitted application forms through the online Application portal, out of whom 659 were recommended for admission. Majority of the applications were in the School of Medicine and School of Public Health and Social Sciences.
Table 28: Summary of enrolment of Postgraduates for Academic Year 2017/2018
School/Institute Male Female Total
Medicine 123 84 207
Pharmacy 4 2 6
Dentistry 1 0 1
Nursing 5 9 14
School of Public Health and Social Science 118 83 201
Traditional Medicine 4 2 2
Master of Science by Research 3 4 7
Total 253 185 438
Table 30 shows the number of applicants recommended according to the schools and institute.
4.8.5 Examinations results
The Directorate of Postgraduate Studies through Senate Higher Degrees Committee (SHDC)
processed University Examinations results as follows:
(a) A total of 1034 postgraduate students in semester 1, 3, and 5 sat for University examination in March, 2018.
121
Table 29: Summary of the applicants recommended for admission for postgraduate studies
School/Institute Applicants Recommended
Medicine 305
Pharmacy 21
Dentistry 7
Nursing 25
Public Health and Social Sciences 285
Traditional Medicine 16
Total
659
Table 30: Summary of the students’ results for the March 2018 examination
S/ SEMESTER 1,3 AND 5 School of School of School of SPHSS School of ITM
N Medicine Pharmacy Dentistry Nursing
1 Number of candidate appeared for examination 509 8 14 239 32 4
2 Number of Candidates passed 360 8 14 203 27 2
3 Number of Candidates failed 103 0 0 23 4 2
Number of Candidates 4 postponed examination 3 0 0 2 0 0
5 Incomplete examination results 32 0 0 11 1
6 Number of candidates examination results withheld 14 0 0 0 0 0
7 Number of candidates who absconded 3 0 0 0 0 0
4.8.6 Examinations results
122 The Directorate of Postgraduate Studies through Senate Higher Degrees Committee (SHDC) processed University Examinations results as follows:
(b) A total of 1034 postgraduate students in semester 1, 3, and 5 sat for University examination in March, 2018.
(c) Postgraduate students will sit for Semester 2, 4 and 6 University examinations in August 2018.
4.8.7 Postgraduate Graduates.
th The 11 MUHAS graduation was held on 2nd December 2017. 219 candidates graduated in various Postgraduate programmes; One (1) candidate was awarded PhD degree.
Table 31: Summary of the postgraduate graduates during ythe December 2017 graduation by gender
S/No School/Institute/Programme Male Female Total
1 PhD 1 0 1
2 School of Medicine 61 41 102
3 School of Dentistry 3 3 6
4 School of Pharmacy 2 0 2
5 School of Public Health and Social Sciences 43 37 80
6 School of Nursing 5 17 22
7 Institute of Traditional Medicine 2 0 2
8 MSc by Research and Publications. 3 0 3
Grand Total 120 98 208
123 4.9 Directorate of Planning and Investment – Muhimbili Campus
4.9.1 Introduction
The Directorate of Planning and Development Muhimbili Campus was established in 2013 as part of improving efficiency and functions at the University. In 2015 the name of the Directorate was changed from Directorate of Planning and Development
to Directorate of Planning and Investment. The Directorate has three
Prof. Elia Mmbaga departments which includes Planning, Investment and Resource Mobilisation. The Directorate continued with the responsibility of coordinating the development and monitoring of the University strategic plan. It ensures that all Schools and Directorates develop strategic actions plans in line with the University Medium Term Strategic Plan. It is also responsible for monitoring and coordinating implementation of the Annual Action Plan (AAP) and reporting on progress of its Implementation.
During the review period the Directorate promoted, engaged and monitorred investment activities at the University for the purpose of income generation and growth. The directorate focused on developing MUHAS investment portfolio through identification of potential investment avenues and improving productivity on already available investments.
4.9.2 Review of University wide Strategic Plan
During the reporting period, the Directorate organized MUHAS annual strategic planning workshop th which was held on 29 June 2018 at the auditorium room at MAMC. The Objectives of the workshops were to: -
(i) Review University-Medium Term Rolling Strategic Plan (2016/2017 – 2019/2020)
(ii) Receive and Discuss Annual Implementation Report of the University-Medium Term Strategic Plans (2016/2017 – 2019/2020).
124
A group photo during Strategic Planning Workshop held on 29 June 2018 at MUHAS Academic Medical Centre
4.9.3 Promotion of University Activities
During the period under review MUHAS through the DPI was invited by TANTRADE and nd th participated in the 42 Dar es Salaam International Trade fair which was held between 28 June to th 13 July 2017. During exhibitions, all Schools and some of the directorates prepared brochures and roll up banners that summarized different products and services offered by the respective units. Some of the research projects were able to display various achievements and impacts of their studies through poster presentation.
125
MUHAS Pavilion at Mwalimu Nyerere Sabasaba Grounds: Exhibitors demonstrates to vistors During nd 42 Dar es salaam International trade Fair
th During the reporting period MUHAS participated in the 13 Higher Education Institution Exhibitions th th organized by TCU, which took place from 25 to 28 July 2018 at Mnazi mmoja.
MUHAS Pavilion at Mnazi Mmoja Grounds: Exhibitors demonstrates to vistors during 12th Higher Leaning International Trade Fair
4.9.4 Eengagement of Real Estates Developers for Development of Various MUHAS Lands
During the period under review the Directoratie facilitated signing of contract for construction of Exim Bank miorganized a conference between MUHAS and Real Estates Developers and Investors. The th conference was held on 12 April, 2017. Investors who attended the conference expressed interest to engage in investment with MUHAS. Meetings between Directorate of Planning and Investment and prospective Investors to discuss in detail various investment avenues and modalities are ongoing.
126 4.9.5 Resource Mobilization
During the reporting period, the Directorate on behalf of the University made negotiation and prepared a contract between MUHAS and EXIM bank who intend to construct two banking facilities one at Muhimbili and another at Mloganzila to serve as their bank Branches. The engagement will be on Build Operate and Transfer (BOT) basis where their cost of construction will be recovered from the rental fee and at the end the buildings will be transferred to MUHAS. Approval for signing the contract for EXIM to establish branches at Muhimbili and Mloganzila Campus was approved by Government.
4.9.6 MUHAS Investment Holding Company
During the period under review the University Council approved the proposal for establishment of Muhimbili University Investment Holding Company (MUIHC). The Existing staff under Directorate of Planning and Investment areoverseeing the implementation of various activities of the company.The process of registering the company as a legal entity at BRELA is ongoing and this will allow the company to enter into contract with prospective investors that MUHAS is willing to engage.
Various income generating fixed assets are placed under MUIHC for management, sustainability and development, these include;HD-CHPE rented facilities, Kalenga House, NMB house, Posts house Management and hiring of all other university conference and seminar rooms/halls. A portion of proceeds will be used to sustain activities of MUIHC initially until it is self-sustaining.
127 4.10 Directorate of Planning and Investment – Mloganzila Campus
4.10.1 Introduction
The main function of the Directorate of Planning and Investment for Mloganzila
Campus is to plan, oversee and advise the University management on all matters
related to infrastructural development of the University’s new campus at Mloganzila. During the reporting period, a number of developmental activities Dr. Pilly Chillo were undertaken as follows:
4.10.2 Launching of MUHAS Academic Medical Center
Following a successful completion of the construction of the university teaching hospital – the MUHAS Academic medical Center (MAMC) in the year 2016/17, this year the university achieved yet another important milestone when MAMC was officially launched. The launching ceremony of the new hospital was officiated by His Excellency, the President of the United Republic of Tanzania th Dr. John Pombe Joseph Magufuli on 25 November 2017. The colourful event was marked by an address to the public from His Excellency the President of the United Republic of Tanzania, speeches from MUHAS and responsible ministries for Health and Education as well as remarks from the Korean Ambassador. The event was well attended by delegates from all walks of life.
128
The President cutting a tape to officially launch MAMC
Details of MAMC - size and capacity being Receiving information about the explained to the President Histopathology Laboratory at MAMC
129
Delegates listening to the President’s address Members of the general public waving goodbye to the President after his address
4.10.3 Phase 1 Construction of Academic and Support Facilities at Mloganzila Campus
As part of infrastructural development of the new Mloganzila Campus, the Government of Tanzania through the Ministry of Education, Science and Technology (MEST) entered into contract with Tanzania Building Agency (TBA) to construct a number of buildings in order to support academic th and other activities at the campus. The contract between MEST and TBA was signed on 30 October 2017, signaling the official initiation of the project. The Phase 1 project which is still on-going, will realize the construction of one lecture theatre, four seminar rooms, a cafeteria, two blocks of students’ hostels, a cafeteria, one anatomy room, a pathology laboratory, one multipurpose laboratory, office space for 32 faculties and a library. All buildings are being built in close proximity to MAMC in order to minimize time spent to move from one place to another. The Directorate took part in all stages from the initial planning and negotiations of the project, and has throughout been in close follow-up of the construction process. The project has also been closely followed up by top MUHAS management as well as by officials from MEST.
130
Construction site for Phase 1 buildings – proximity to MAMC
Members of the Directorate at Site Her Excellency, Vice President meeting with TBA and MEST Mama Samia Suluhu receiving construction progress from TBA
On-going foundation work for Hostel Block On-going foundation work for cafeteria
131 4.10.4 Establishment of the East African Centre of Excellence in Cardiovascular Sciences
Since December 2014, MUHAS has been implementing a project to establish an East African Center of Excellence in Cardiovascular Sciences which is part of the wider East African Centers of Excellence in Biomedical Sciences’ Project, funded by the African Development Bank. In Tanzania, the project is executed by the Ministry of Education, Science and Technology and is implemented by MUHAS. The center is being constructed at Mloganzila Campus, and all matters related to planning, constructing, and overseeing its establishment fall under the Directorate of Planning and Investment for Mloganzila. The project has several components including 1) construction of a multipurpose building 2) training of faculty, 3) curriculum development, 4) conducting research, 5) establish collaborations with other cardiovascular sciences’ institutions and 6) project management and coordination. One of the main milestones achieved in the year 2017/18 is the beginning of construction of the multipurpose building. The signing of the contract between the Contractor (Group 6 International) and MUHAS took place on th th 16 February 2018, and the contractor was officially handed the site on 20 February 2018. The site hand-over ceremony marked the official date for the beginning of construction. The building is expected to be handed over to MUHAS in March 2019.
At the end of 2017/18 financial year, a total of 14 students (out of 34 to be trained) had completed their training from different parts of the world, while the rest are continuing with their studies. During the reporting period, the curricula committee which was formed to oversee curricula development for the center took time off from work to finalize curricula write-up. The 2-day retreat was held at Bagamoyo Training Unit and was attended by members of the curricula committee, Project Coordinating Unit (PCU) members as well as invitees from responsible Departments and Schools. The MUHAS Director for Continuing Education and Professional Development attended the retreat, and was key to providing guidance on the requirements for curricula writing. These and other project activities undertaken and accomplished during the reporting year are presented in photos below.
132
th Contract signing between MUHAS and Group Site hand-over ceremony, 20 th 6 International on 16 February, 2018 February, 2018
Laying of slab formwork for First Floor Beam reinforcement in the Ground Floor of of the Multipurpose Building the Multipurpose Building
133
Dr. Moses Byomuganyizi (Cardiothoracic Ms. Josephine Mwaihabi (Cardiac Surgeon trainee) attending training in Catheterization Laboratory Nurse) attending Apollo Hospital, India training in Apollo Hospital, India
Members of the PCU in a supervision Chairperson of MUHAS Council receiving mission visit by AfDB construction progress of the Multipurpose building when she visited the site
134
th MUHAS-Apollo symposium day 12 March, Curricula finalization workshop in 2018 – part of establishing collaboration with Bagamoyo world class institutions in Cardiovascular
Sciences
Rheumatic Heart Disease research team in Pupils waiting to be screened for Rheumatic a group photo with teachers at Kiromo Heart Disease as part of a nation-wide Primary School, Bagamoyo screening project by the Center
135 4.11 Directorate of Research and Publication
4.11.1 Introduction
The Directorate of Research and Publications is the University’s
hub for coordinating research and innovations. The main activities
under the directorate are to guide and promote conduct of research
and dissemination of evidence from within and out of the
University. On this front, the directorate has been developing
structures and policies for improving research conduct and
management thereof. During the reporting year the directorate
continued to review its guiding documents that were developed in
2011. Three policy documents, Intellectual property rights, Data Dr. Bruno Sunguya sharing, and Research chairs policies are on the final stages of preparation for submission to institution’s decision-making bodies. In 2017 Effort reporting and time compensation policies were finalized, printed and disseminated
4.11.2 Organizational matters
The University revised its organizational structure leading to formation of new units. The Directorate of Research and Publications was one of the units whose structure were revised leading to approval of four sub units: (a) Institutional Review Board (IRB); (b) Research Development (c); Office of Sponsored Projects (OSP) and (d) Intellectual Property Unit. The Directorate has administrators for OSP and for IRB unit.
4.11.3 Capacity Building
Through NIH Forgarty in collaboration with Dartmouth college of Medicine and University of Carolina San Francisco project support, the Directorate conducted a three-day training workshop on writing successful research grant applications. Twenty-Nine (29) applicants attended, five (5) proposal drafts were reviewed and worked on by eight (8) of the attendees. The Directorate also supported training on web-based course on quality assurance in clinical research. A total of 15 researchers and clinicians attended the two-day workshop.
136 4.11.4 Development of Policy and Guidelines
(i) Professorial Research Chairs Policy
The University recognizes the role-played by its senior academic staff in promoting research, mentoring young faculty and supporting the core functions of the University through indirect costs deducted from research grants. The University intends to establish funded research chairs to facilitate retention of productive senior staff and continue to tap their expertise and experience to bring social economic development to the nation. The Directorate appointed a team to draft a Professorial Research Chairs Policy to be processed through the University machinery and eventually be approved. The policy is in the final stages and will be submitted for approval in the coming reporting year.
(ii) Intellectual property rights
In ensuring protection of innovations emanating from MUHAS research and scientific work, the University tasked the Directorate to formulate the policy guide on IPR. The appointed committee worked on the document and has been presented in SRPC for approval. This policy will be submitted to authorities for approval in the coming reporting year.
(iii) Review of IRB Standard Operating Procedures
In the reporting period the Directorate reviewed the SOPs for the MUHAS Institutional Review Board with the main purpose of making our IRB independent. The revised SOPs will be approval through the University machinery after developing a proposal to disengage the IRB from the SRPC.
(iv) Formation of a University Policy Briefs Committee
During the reporting period the Directorate continued to support the Policy Briefs Committee consisting of representatives from the five (5) Schools, Directorate of Library Services, Institute of Traditional Medicine and Institute of Allied Health Sciences. The Committee Chair is a member of the Senate Research and Publications Committee; and through this Committee it will channel its proceedings to Senate. The 2015-2020 Sida grant will continue to support the training of the policy briefs committee and newly graduated PhD candidates. Based on respective PhD findings, Sida will support the publishing of MUHAS policy briefs handbooks, which will be disseminated to stakeholders from time to time.
137 4.11.5. Research Management Activities
Building capacity for Office of Sponsored Projects
During the reporting year the Directorate in collaboration with the Swedish International Development Agency (Sida), also Dartmouth College and University of California San Francisco has continued mentorship to support research management at MUHAS.
(i) One-day Research Seminars
During the year under review, the Institute of Traditional Medicine conducted 5 research seminars. The Directorate continues to supported research seminars through Sida under its Research Training Support Program. The schools focused on improving skills for staff grant writing and postgraduate student proposals writing.
(ii) Small Grants application processing
Three small grants applicants received ethical clearance and funding. The funding was made available to junior staff using peer review system. The maximum support that was offered is 20,000,000 Tanzanian shillings through Sida support. This is seed money meant to support junior staff to advance in research career and be able to apply for bigger grants. The funds were made available through Sida Research Training Support Program
(iii) Review of Proposals Review of Proposals
The Directorate coordinated the review of proposals submitted by faculty and students through the Senate Research and Publications Committee and its Expedited Review Sub-Committee. It also monitored the progress of clinical trials implemented by faculty and collaborators at the University. In total 466 proposals (as compared to 740 for 2016/17) were reviewed during this reporting period. This is a 37.8% decrease over previous year’s reviews. These included postgraduate and undergraduate students’ proposals. Below is a summary of the requests submitted in 2017/18 for review:-
(i) International Collaborative Projects
Research conducted at the University continued to be largely funded by foreign donors. In the period of July 2017– June 2018, the University had 104 active international collaborative projects; out of which 18 were new projects. Project funds awarded during the financial year were TZS
138 2,454,595,522.08 and $ 8,553,984.25. The overheads retained by the university as institutional cost amounted to TZS 224,667,124.44 and USD 624,853.55 respectively. Table 32: Summary of the proposals submitted for review:
Type of Submission Type of Submission Number
Students Postgraduates 400
Elective students: Undergraduate 5
Others Request for Ethical Clearance only 50
Protocol Amendments 6
Requests ethical clearance and funding 5
Total 466
(ii) Publications Output
During the reporting period, a total of 215 journal articles and 204 dissertations were published. Compared to last year there is an increase of journal publications by 15.6% from 186. Moreover, there is an increase in postgraduate dissertations from 155 to 204 (31% increase). There were no published books reported during the reporting year.
4.11.6 Research Dissemination
The directorate participated in the 40 anniversary of Swedish government support to Tanzania where Sida supported programs disseminated information about different ongoing projects and achievements derived from the collaboration. The directorate also participated in the International Trade fair held at Sabasaba grounds in Dar es Salaam. Likewise, repository has continued to offer an online dissemination of research findings. The overall impact is to contribute to improvement of medical practice and influence policy change. As the custodian of research dissemination in the University, the directorate participated in organizing the MUHAS conference that saw a record abstract submission and presentation.
Networking
The Directorate continued with Dartmouth Medical College and UCSF to discuss collaborative activities to improve the performance of the Office of Sponsored Projects (OSP). In addition, the Directorate has continued facilitating collaborative activities with other institutions.
139
4.12. Directorate of Undergraduate Education
4.12.1 Introduction
The Directorate of Undergraduate Education is responsible for coordinating and managing all applications for undergraduate admissions, teaching and learning, managing the Central timetable and Examinations timetables. It is also responsible for managing curriculum revision and identification of new areas curriculum development
Prof. M. Moshi
Main Functions of the Directorate
To support and promote excellence and professionalism in training of human resources for health that lead to the attainment of equitable socioeconomic development for the Tanzanian community and beyond.
4.12.2 New Competency Based Curriculums for Undergraduate Programmes
During the academic year, The Directorate of Undergraduate Education received three new Competency Based Curriculums for Undergraduate programmes namely
(i) Bachelor of Biomedical Engineering from School of Medicine
(ii) Bachelor of Science in Anaesthetic Nursing and
(iii) Bachelor of Science in Critical Care Nursing from School of Nursing.
The Competency Based Curriculum for Bachelor of Biomedical Engineering was developed to produce biomedical engineering graduates who will be able to design, develop, configure and maintain medical devices and equipment and spares for health facilities in Tanzania. The course is intended to address the challenge of lack of biomedical engineers in health facilities which cause the Government to spend large amounts of funds each year in outsourcing biomedical engineers for servicing and maintenance of Medical equipment and devices in health facilities in the country.
The Competency based Curriculums for Bachelor of Science in Anaesthetic Nursing and Bachelor of Science in Critical Care Nursing were identified as demand driven programs by the Ministry of Health,
140 Community Development, Gender, Elderly and Children. These programs are intended to address the challenge of inadequate trained anaesthetic workforce and provision of quality critical care nursing services in health facilities in Tanzania.
4.12.3 Students Records Management
During the academic year, The Directorate of Undergraduate Education improved maintenance of students records by opening files and filing student documents for Diploma programs from the year 2009 to 2017 and Degree programs from the year 2007 to 2017. The Directorate now, has excellent records of student files that are well maintained, and this will now be a sustainable feature supporting management of all academic matters related to students.
4.12.4 Establishment of Admissions Office and Examination and Programs Unit
During the academic year, The Directorate established an Admissions Office and Examination and Programmes Unit for smooth implementation and operation of admission and examination activities of the directorate. These two units require additional staff who will continue to be employed as employment permits become available. The third unit of the Directorate, the Curriculum and Programs Unit, has yet to be established. This unit is expected to handle all matters regarding curriculum reviews, identification of areas for establishing new curricula and supporting implementation of approved curricula.
4.12.5 Students Admission for the Academic year 2017/2018
During the year 2007/2009 the Directorate of Undergraduate Education handled applications and selection of both direct and equivalent undergraduate applicants for various programs. A total of 754 students were selected of which 639(84.75%) students were registered. The Directorate also processed the applications of both Diploma and Advanced Diploma programs for various programs. A total number of 369 students were selected and among them 271(73.4%) students were registered. Failure to pay school fees for both Undergraduate and Diploma students emerged as a big obstacle for students to retain their admissions, and some had to postpone studies. Six students froze studies or deregistered to join the Tanzania Peoples Defense Forces.
141 Table 33: Summary of Applications and Selection of Undergraduate Programs Academic
Year 2017/2018
NO. OF ELIGIBLE SELECTED PERCEN NO. OF
NO. OF APPLICAN APPLICANT TAGE REGISTERED
SN PROGRAMME APPLICANTS TS S (%) STUDENTS
1 Doctor of Medicine (MD) 3,659 1,852 237 12.7 230
73 2 Bachelor of Pharmacy (B.Pharm) 4,378 1,823 75 4
63
3 Doctor of Dental Surgery (DDS) 3,490 1,638 71 4.3
Bachelor of Science in Nursing 60
4 (BSc N) 3,677 1,132 79 6.9 Bachelor of Medical Laboratory 18
Sciences in Histotechnology
5 (BMLS Histotech.) 360 147 25 17
Bachelor of Medical Laboratory 21
Sciences in Microbiology
Immunology (BMLS
6 Micro.Immunol.) 1,610 755 29 3.8
Bachelor of Medical Laboratory 10
Sciences in Haematology and
Blood Transfusion (BMLS
7 Haem.BT) 1,493 723 17 2
30 Bachelor of Science in Radiation
8 Therapy Technology (BSc RTT) 2,037 1,101 31 2.8
Bachelor of Medical Laboratory
9 Sciences General Degree 1,567 3,150 36 1 35
Bachelor of Medical Laboratory Sciences in Clinical Chemistry
10 (BMLS Clin.Chem) 2,043 974 20 2 20
Bachelor of Science in Environmental Health (BSc. Env.
11 Health) 2,489 791 106 13 58
Bachelor of Medical Laboratory Sciences in Parasitology and
Medical Entomology (BMLS
12 Para.Entomol.) 793 333 28 8 21
TOTAL 27,596 14,419 754 639
142 During the academic year 2017/2018, the Directorate administered the enrollment of 2,768 students into various programs whereby 2,113 are degree program and 655 diploma program students. A total of 871 (46.3%) among enrolled were females.
th During the 11 MUHAS Graduation ceremony a total of 853 students graduated in various Diploma and Undergraduate programs, of which 303 students (55.1%) were females. The graduates according to degree programs included; - Doctor of Medicine, MD (193), Bachelor of Pharmacy, BPharm (59), Bachelor of Medical Laboratory Sciences, BMLS (96), Doctor of Dental Surgery, DDS(32), Bachelor of Nursing, BScN(30), Bachelor of Science in Science Nursing Management, BScNM(2), Bachelor of Science in Midwifery, BSc MID(5), Bachelor of Science in Environmental Health, BSc EHS (45) and Bachelor of Science in Radiation Therapy Technology, BScRTT(17). The graduates according to Diploma programs included; - Diploma in Nursing, DN (108), Diploma in Medical Laboratory Sciences, DMLS (60), Diploma in Environmental Health Sciences, DEHS (75), Diploma in Diagnostic Radiography, DDR(62), Diploma in Orthopaedic Technology, DOT(6), Diploma in Pharmaceutical Sciences, DPS(42) and Advanced Diploma in Dermatovenereology, ADDV(21).
143 4.13 Directorate of Information Communication Technology
4.13.1 Introduction
The Directorate of ICT is mandated to harness and mainstream information and communication
technologies (ICT) into all the University’s operational and management functions. The directorate ensures that new developments in ICT are embraced and used to facilitate achievements of the vision, mission, and core functions of the University. To achieve this goal, MUHAS has implemented and maintained various ICT infrastructures, systems, and services. During the year under review the directorate engaged various stakeholders to ensure effective operationalization of various systems that are Dr. Felix Sukums necessary for teaching, research and health service provision. Several systems
and their respective infrastructure were put into operation during this reporting period. This includes among others, the hospital information management system (HIMS), the attendance monitoring and online students’ registration and management systems. Due to the ongoing expansion in size and services, installation of new and improvement of the existing ICT infrastructure also continued.
Impro 102 ICT services maintained
ving/e
3 technical reports prepared xpand
7 New staff employed ing
ICT
4 staff transffered in
servic
1 consultancy service done es at
MUH 1 article published
AS
4 conference papers presented
Figure 14: Sumary of important activities that happened during this reporting period
144
Following opening of the new teaching hospital that happened during this reporting period, the directorate worked with the HIMS consultant and suppliers to address several operational challenges related to the system. To cope with the increasing demand, a number of new staff were either employed or transferred in during this reporting period. Continuing professional development has also been a priority with a reasonable turnover during the period under report. In general, this has been cornerstone for the improving ICT services at MUHAS.
Figure 15: Number and Status of ICT service at MUHAS
Figure 16: Number of Locally hosted/sourced versus outsourced services
In-line with the mandate, the Directorate continued to maintain and support use of the ICT infrastructure, systems and services. Some of the activities carried out during the reporting period 2017/18 are described in the sections below: -
145
4.13.2 Network Infrastructure and Internet Connectivity and Access
The Directorate of ICT managed and maintained the ICT infrastructure to ensure reliable access to intranet and Internet services. In addition, significant network expansion and improvements to meet the growing Internet demands took place. This includes maintaining the link that was established at Chole hostels from the National ICT Backbone through fibre optic cable. Functional wireless access points and other supportive structures at Chole and MUHAS main campus have continuously been increased (From 13 to 22 wireless access points, and more than 11 network switches).
Network restructuring in some of the offices at MPL (SOM, Haematology) and Administration (DVC-PFA) buildings was done during the period under review and review of Local Area Network (LAN) was done in the Accounts building, HD-CHPE and Library. Review of specification and BOQ for ICT infrastructure for the East African Centre of Excellence in Cardiovascular Sciences and Overflow Projection Systems at Lecture Hall 4 and 5 also started during this reporting period.
During the year under review Internet connectivity of 20Mbps at MAMC was established through Optic Fiber cables and a backup link through Microwave Radio. Internet connectivity between MUHAS genetic lab and JKCI was also established during this reporting year. At MUHAS a 30Mbps Internet back up connection was established. All these have significantly contributed in improving the Internet speed and reliability. Furthermore, the Directorate continued to manage and maintain the MUHAS LAN through troubleshooting of network problems, upgrading network active components and installation of new network links.
Moreover, internet and telephone connection was installed and is functional at HD-CHPE building. A new server room was also established at HD-CHPE as a backup data centre for the University.
The university procured 129 computers for installation into different computer rooms for increases accessibility to internet services and e-resources. Installation of LCD projection screens in main conference hall and seminar rooms was done during this reporting period. Nine (9) projection screen and two (2) LCD projectors were installed.
4.13.3 Management and Maintenance of Video Conferencing and Training Facility
During this reporting period, a new and modern Video Conferencing system was installed at the HD- CHPE building, which is being used for teaching and research activities. Moreover, MUHAS has a
Video Conferencing facility located at the Library building previously acquired through the Dar Dar 146 and ALP Projects. During this reporting period, DICT continued to maintain the infrastructure and support users to effectively utilize the facility. This facility enables interaction during trainings and conferences with other remote participants and collaborators. During the period under review DICT facilitated and supported the use of this facility for Gastroenterology trainings (conducted every Thursday), TRIM-TB trainings (conducted once every month) and Research ethics course that happened more than ten times.
4.13.4 MUHAS Website and Mail System
During the period under review, DICT continued to maintain MUHAS website, and mailing system. MUHAS social media sites that were developed and have been effectively utilized and are on a continuous update. This includes the Facebook page https://www.facebook.com/muhimbiliuniversity/. Furthermore, redevelopment and improvement of the University Website has continued by updating information/content on a regular basis. This include information migration from the current to the new website which is under development.
In order to improve email communication, the directorate installed and configured a new mail system. The new MUHAS mail system is based on “Zimbra” which is an enterprise-class email, calendar and collaboration solution”. The new mail system has many improved features like User-friendliness, Calendar, Tasks, Briefcase, more disk space/Mailbox size, and more Security. The new mail system is accessible via https://mail.muhas.ac.tz. The process of integrating the email system to online file storage and sharing system (https://str.muhas.ac.tz ) is ongoing. During this reporting period a total of 348 email accounts were created at MAMC. A total of 1154 HIMS user accounts were also created at MAMC.
4.13.5 Management Information Systems Implementation and Support
During the period under review, the Directorate introduced, upgraded, managed and supported a number of electronic management information systems (MIS) in the University. These included the Student Academic Records Information System (SARIS), the EPICOR based Integrated Financial Management Information System (IFMIS), Human Capital Management Information System (HCMIS), e-learning management system (Moodle), Library Information Systems, Institutional Repository (DSpace) and Dental Information Management Systems (Dentrix) at the University Dental clinic. Online travel permit system became operational during this quarter and DICT continue to
147 support and train users on how to use the system. So far 181 users have been registered, trained and supported through the system. A total 263 permits have been granted using the system.
Furthermore, newly system for storage and file sharing among departments within MUHAS has been installed and configured during the period under review. This system allows users to store and share their files within departments and also outside while maintaining the system control. Currently it is in operational to Finance department to start with. The system can be found through https://str.muhas.ac.tz We continued to support various activities related to computerization of the central timetabling in which DICT installed and configured Computerized Central Timetabling System (CELCAT) to centralize and enhance preparation and management of teaching timetables. Almost all timetables have been uploaded ready for use in the coming semester. The directorate continued to improve the installed and customized online ticket management system/helpdesk, and online telephone directory. In the reporting period, the directorate continued with the process of centralizing or clustering of printing and photocopying services in which 7 units are currently sharing the services. DICT continued to work with the HIS consultant to ensure efficient and cost-effective hospital systems are installed at the new hospital.
4.13.6 Integrated Financial Management System (IFMIS)
Due to the establishment of Internet connectivity between MUHAS, Chole and MAMC through Peer to Peer (P2P) network, the installation of Epicor was done at MAMC. IFMIS Report Portal (IRP) was also installed and can accessed (ifmis.muhas.ac.tz) whereby customized reports can be viewed by staff.
4.13.7 Biometric Time and Attendance System
The installation and configuration of a biometric time and attendance both at the Muhimbili campus and MAMC were finalized and became operational during this reporting period. The directorate continued to maintain the systems to enhance management and monitoring of staff attendance.
4.13.8 Student Academic Records Information System (SARIS)
In the year under review, DICT carried out a number of improvements in the SARIS including improving of role based access (RAC) and audit trail to enhance security and data quality, customization for transcripts and programme/course setup. Two training sessions and one-on-one trainings and support to all SARIS users were provided. Furthermore, online registration was done using SARIS for all undergraduate and diploma students. Upgrading of the current SARIS to SARIS 2 commenced in the reporting period in which development and integration of online application system for postgraduate and undergraduate students on SARIS 2 with Government electronic payment gateway (GePG) was done during this quarter.
The systems have been used for online applications for
148 postgraduate and undergraduate students in the reporting year. The new SARIS version has online application, payment, selection and admission features that will help applicant apply to various programs.
Students making use of available wireless network to facilitate their discussions
4.13.9 Integrated Financial Management Information System (IFMIS)
The Directorate continued to support EPICOR based IFMIS system operations in collaboration with the Directorate of Finance and the software vendor (Soft-Tech Consultants Limited). The activities conducted include technical support, end-user support, troubleshooting and data backup and recovery. Review and customization of EPICOR dental cash receipt portal was conducted during this reporting period. Establishment of Integrated Financial Management Information System (IFMIS) web portal occurred during this period as well. Furthermore, EPICOR 9 at Muhimbili campus was configured and is now
accessible at MAMC. Requirements for supply, installation and customization of EPICOR 10.2 at MAMC were gathered. The system will then be extended to Muhimbili campus. 149 4.13.10 Human Capital Management Information System (HCMIS)
The directorate continued to support HCMIS (LAWSON) system operations in collaboration with the Directorate of HRMA. Seven HR officers were supported to access and use the system during the NIDA verification exercise. The activities included maintenance of virtual private network (VPN) link, Government Salary Portal Platform (GSPP), technical support, end-user support, troubleshooting and data backup and recovery. Wireless Access Point/Router was procured as Back up link especially when working out of office.
4.13.11 Library Information Systems
In collaboration with the Directorate of Library Services (DLS), DICT continued to host, maintain, upgrade, train and support a number of free and open source based Library Information Systems including Integrated library information system (KOHA), Institutional repository system (DSpace) and Open Journal System.
Figure 17: Upgraded MUHAS Institutional Repository
4.13.12 Dental Clinic Computerized Management Information Systems
DICT managed and maintained the Dental Clinic Computerized Management Information Systems (Dentrix and Dexis). The activities carried out included managing user accounts, training new and existing users, user training and support, database administration, conducting data quality checks and backup as well as managing NHIF Claim management system.
150 4.13.13 ICT Teaching, and Learning Activities.
The DICT in collaboration with the DLS offered computer skills and information literacy under the Information Technologies (IT 100) course to all first year undergraduate and diploma students. During the period under review, 655 students were trained through lectures and hands-on exercises.
DICT participated in teaching the health management information system (HMIS) module for masters’ students in the Schools of Pharmacy and Public Health and Social Sciences.
The DICT in collaboration with the DLS conducted a training needs assessment (TNA) for ICT among MUHAS staff and students.
DICT
also
maintains 4 computer labs at MUHAS
4.13.14 Practical Training and Internship
The directorate continued to offer practical training to ICT students from different Universities and colleges in the country. In the year under review, seventeen (17) students were accommodated by DICT to do field work (14 field students, and 3 interns).
4.13.15 Collaboration, Research and Publication Activities
The directorate continued to participate in research activities in the year under review in which one manuscript has been published and one manuscript has been submitted for publication.
The MUHAS Conference Management System was updated and was fully operational during the 6th MUHAS Scientific Conference, http://conf.muhas.ac.tz. The system was used for online registration, abstracts submission and review. DICT staff also participated in organizing the conference.
151 DICT continued to participate in a number of research grant writing in which 3 grants applications were submitted. The directorate with collaboration with DLS continue to lead the research programme on strengthening the use of ICT at MUHAS, Project-Period: 2015-2020 funded by Swedish International Development Agency (Sida). The Directorate in collaboration with DLS and the Harvard Medical School are still running a project that gives medical students access to online medical resources (Up-todate database). In addition, the directorate continued to provide ICT support to various research activities including support on data management.
The collaborative telehealth programme between UNESCO, MUHAS and MoHCDGEC on operationalization of telemedicine services under the Digital Village in a remote Maasai village of Ololosokwan in Arusha Region, commenced during this reporting period. The directorate organized three public lectures on eHealth/Telemedicine. In addition, MUHAS through DICT has been awarded a consultancy to review the pilot phase of Implementation of e-PRS in Coast Region and Songwe Region and development of a Strategy for the Roll-out of e-PRS in Tanzania Mainland.
A group photo the Guest of Honour (Dr. U. Mpoki), Officials and participants of the eHealth Workshop at MUHAS,
152 4.13.16 Staff development
During the year under review, The University has continued to encourage and support DICT staff to pursue further studies in different ICT disciplines. One technical staff (Ms. Daisy Lweitaka) has completed her postgraduate studies and another one (Mr. Sixmund Amsi ) is completing his studies during this review period. Furthermore, one ICT staff attended a three-month short course on networking, another ICT staff attended a four-week training in strengthening health system at Mahidol University in Thailand and also one ICT staff is currently attending a three weeks training in fiber optic installation in Indonesia. Two staffs who were enrolled in a postgraduate program are progressing well with their studies. Two (2) of our staffs received training on creating Integrated Financial Management Information System (IFMIS) web portal. One DICT staff attended one-day training on the use of online travel permit system. Online training on telemedicine for DICT staffs was conducted during this quarter. Tghe
4.13.17 ICT Services at MAMC
In the year 2017/2018, the directorate continued to supervise and inspect the installation of different ICT infrastructures and systems in MUHAS Academic Medical Center (MAMC). The aim was to make sure all systems and infrastructures are installed entirely and according to specifications as per contract. Some of the infrastructure and systems which have been installed including LAN, wireless network, Internet, Telephone and interphone, nurse call, public address and audio visual, access control, CCTV and Fire alarm security systems.
DICT staff attended trainings on management and maintenance of these infrastructure and system as well as user support. The directorate to provide support to staff on different ICT services including internet connectivity, setting audio visual system in auditorium for presentation of workshops and meeting, demonstration of the system to visitors and making announcements using public addressing system. During the year under review 35 and 45 staff were trained on how to use nurse call system and fire alarm system respectively.
The directorate continues to provide technical support and requirements gathering and analysis for customization of various management information systems for the hospital including hospital information system (HIS), and EPICOR based integrated financial management information system (IFMIS).
153 4.13.18 ICT User Support
User support is one of the core activities of the DICT to ensure efficient and effective use of ICT infrastructure, systems and services. During the period under review, the directorate continued to offer technical support to staff and students in the use of ICT systems and services. The directorate has provided user support and troubleshooting, our technical crew attended 850 problems related to hardware, software, SARIS (754), telephone and the services in 2017/2018 as figure shown below as compared to 950 problems in 2016/2017.
800 754
700
600 492
500
400
2016/2017
256
300
238 227 2017/2018
192 195 200
85 83 77 80
100 37 32 41 42 4552 8 7 6 17 10 24 30 5 4 1 0 2 4
0
Figure 18: Number of ICT related problems attended by DICT
4.13.19 Challenges facing the directorate
Some of challenges hindering the directorate to adequately and efficiently support the use of the ICT resources
i. Inadequate staff in terms of quantity and qualifications.
ii. Rapid advancement of ICT and inadequate experience and skills among some ICT staff in management and maintenance of the modern ICT infrastructure and systems iii. Inadequate funding to support ICT services iv. Poor response rate on web content deliverance (especially from departments) and unclear/incomplete ICT requirements.
v. Aged ICT network infrastructure that does not compete with the current advancement in ICT.
154 4.6 Directorate of Library Services
4.14.1 Introduction
During the reporting period the library continued to implement activities aimed at achieving its objectives as outlined in its Five Years Rolling Strategic Plan. During period under review the library provided services including information and reference service, internet service, information search and retrieval via CDROMS, cataloguing and classification, Research support services as well as user education training.
Dr. Mboni A. Ruzegea
User Needs
The library continued to compile user profiles to give guidance on user needs. Academic departments and staff were contacted for suggestions and views on materials to be acquired, particularly books and journals. Library statistics were taken on daily basis to give guidance on library use and for decision - making.
4.6.10 Collection Development
(i) Acquisition of Books
During the reporting period starting from July, 2017 to June, 2018, the library through its acquisition section received 1203 books, 2020 dissertation and thesesas shown below:
(i) 1054 books from Book Aid
(ii) 70 books acquire by PMU
(iii) 4 Boos donated by Henry Sawe
(iv) 2 books donated by Dr. Gasto Frumence
(v) 1 book donated by Dr. Mkumira nyota
(vi) 72 books donated by students
(vii) 2020 dissertation and Thesis from Directorate of Postgraduate studies, MUHAS
(ii) Acquisition of Periodicals
During the period under review, the Library received 561 periodicals which are 30Journals 53 news letter and Bulletin and 42starting from July, 2017 to June, 2018, 6 Research reports.
155
Table 34: Statistics for the acquired Periodicals
Month Journals Research News prospectus Total Report Letter/Bulletin
Publisher/Donor N Publisher/ N Publisher N Publishe N Donor r
July 2017 American college 1 The 3 MUHAS 4 of emergency Associatio physician n of Common wealth University
WHO 2 - 2
Aug 2017 VC,MUHAS 18 - 18
Sept 2017 Repro 1 - 1
Oct. 2017 WHO 1 - BOT 3 4
WHO 5 5
Nov. 2017 Surgery today: 14 14 Official journal of the Japan surgical society
working for peace 1 ------1
Dec. 2017 - USAID 4 4
Jan. 2018 WHO 3 - - 3
SPRINGER 11 - 0 - 0 11
WILLEY /BOOK 6 - 0 - 0 6 AID
WILLEY /BOOK 6 0 - 0 6 AID
- -
156 Feb. 2018 BOOK AID 10 - 0 MUHAS 28 38
March 2018 - - MUHAS 426 - 0 426
Apr. 2018 - - - - - Directora 1 1 te of postgradu ate
May 2018 - - - - MUHAS 10 Directora 7 17 te of undergra duate
June 2018 ------
Total - 36 - 426 53 8 561
4.6.11 Electronic resources subscribed by the Library a) The library has subscribed to about 18 online databases that provide access to e-journals and e-books through the joint subscription under the Consortium of Tanzania University Libraries (COTUL).
b) The library has subscribed to Research for Life Programme, which provides free access to electronic journals in health, environment, social sciences and related fields to developing countries. The Research for Life Programme includes the following databases: Access to Research in Health Programme (HINARI), Access to Global Online Research in Agriculture (AGORA), Online Access to Research on the Environment (OARE) and Access to Research for Development and Innovation (ARDI). i). HINARI provides access to 15,000 journals (in 30 different languages), up to
47,000 e-books, up to 100 other information resources;
ii). AGORA provides access to 6,100 journals and up to 5,800 e-books to 2900
Institutions in more than 100 countries.
iii). OARE provides access to 5,710 peer reviewed journals and 1,119 online books and other information resources; and
iv). ARDI provides access to around 28,000 journals, books, and reference works for developing countries and territories.
157 The library provides access to The Essential Electronic Agriculture Library (TEEAL), a searchable, offline, digital library which contains mainly agriculturally focused reference journals updated annually and delivered by the TEEAL Project Office at Cornell University’s Mann Library. TEEAL contains a full-text and searchable database of articles from more than 325 high-quality research journals in agriculture and the related sciences, including health and life sciences. The TEEAL database is now available at Muhimbili campus (http://teeal.muhas.ac.tz) d) The Library also provides access to other open access journals and books as catalogued on Library website.
4.14.5 Usage of electronic resources
The library subscribed to an about 18 online databases through Sida fund but unfortunately accessed usage reports were from only three (3) online databases only. This is because there have been some challenges in retrieving usage statistics of e-journals from other online database publishers. The library has been making effort to communicate with those publishers in order to get usage reports from all online databases. During the month July to September the usage to online recourses was zero usage due to change of MUHAS permanent IP range resulted in the change of Internet Service Provider (ISP) which caused theinternet connectivity breakdown of TTCL fiber optic cable. MUHAS used the temporary IP range which was not recognized by the publishers of subscribed databases. This has led to failure in accessing and using subscribed e-resources by MUHAS community. Similarly during the month of Jan to March there was no usage statistics from the publishers, hence many efforts are made to communicate with the publishers so that the statistics are timely available.
4.1.4.6 Institutional Repository
The library continued to create awareness and conducting training on the use of an institutional repository (http://dspace.muhas.ac.tz:8080/xmlui)to students and academic staff at MUHAS. Currently the MUHAS Institutional Repository (IR) has a total of 1,781 research works and still the library staffs continue to populate the IR with research works produced by MUHAS faculty members and students. The institutional repository usage statistics show that a total of 1,361 users visited the Institutional Repository. Out of those 1361 users, about 848 were new visitors, while540 were returning visitors as shown in (See Table 36)
158 Table 35: Usage statistics for online databases subscribed by MUHAS library
Months/Year Full text Downloads for MUHAS subscribed online databases Sage Central Taylor and Wiley Online Index Francis Library System October 2017 19 1 183 127 November 2017 58 51 242 323 December 2017 31 29 197 - Jan - - - - Feb - - - - March - - - - April 61 - 393 283 May 44 - 644 330 June 76 - 732 321
TOTAL 289 84 2391 1384
Table 36: Usage Distribution of Institutional Repository by visitor`s Categories
Visitors/ July Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Total Users 2017 2017 2017 2017 2017 2017 2018 2018 2018
New 168 115 72 53 78 24 63 162 113 848 visitors
Returning 80 60 25 115 111 49 16 32 25 540 visitors
TOTAL 248 175 97 168 189 73 79 194 138 1,361 USERS
The institutional repository showed zero usage statistics for April May and June 2018 due to the reason that there was upgrade of the MUHAS IR system which resulted to the change in the MUHAS IR link and it’s tracking code for usage statistics. This caused failure in the tracking of the MUHAS IR usage reports during the reporting period. Currently the DLS and ICT section is making all efforts to finalize the setting of the tracking code for obtaining usage statistics of the new MUHAS IR system version
Consequently, during the period under review there were1281 users from around the world however users from Tanzania were 1073(83.31%) (See Table 37)
159 Table 37: Institutional Repository usage by Country in Users (N= 1281)
Country
Kenya USA India Uganda South Total
Not Set UK Nigeria
Africa Tanzania Ethiopia
Users 1073 78 28 24 17 6 18 8 10 19 1281
% Users 83.31 6.08 2.17 1.86 1.32 0.47 1.40 0.62 0.78 1.48 100
4.14.7 MUHAS Library website
The library website is available on the internet (library.muhas.ac.tz). The library continued to catalogue the free electronic resources on the internet. The catalogue is available on the library website. The catalogue comprises of links to free online journals, books, evidence based practice databases, educational materials, statistics, tutorials on information searching other health gateways. During the period under review, a total of 877 users visited the library website with a total of 1489 sessions. Session is the amount of time users stay on the library website, which is counted in minutes (see Table 38).
Table 38: Statistics for MUHAS Library website
Month/Year Users Sessions July,2017 580 729 Aug. 2017 470 471 Sept. 2017 206 258 Oct.2017 443 621 Nov.2017 420 607 Dec.2017 239 412 Jan. 280 440 Feb 414 761 March 282 464 April,2018 291 504 May,2018 324 600 June,2018 262 385 TOTAL 4211 6252
160 Table 39 indicates countries where users of library website originated. It is clearly depicted that the library website is widely accessed by users in various countries. A large number of users came from Tanzania with a total of 2795 visitors.
Table 39: Library Website Usage Statistics by Country in Users
N o t s e t Total u t h
C h i n a
n d i a
Ko rea
Philippin es Sta tes
Country
Users 2795 902 92 111 49 58 85 21 28 41 29 4211
% Users 76.51 21.42 2.92 3.04 1.34 1.59 2.33 0.57 0.77 1.12 0.79 100
4.14.8 Library Blog
The MUHAS library maintains a library news blog that is meant for marketing of library services and subscribed e-resources to its library users. The library news blog is available online and it can be accessed through this link i.e. librarymuhas.blogspot.com. During the period under review a total of 960 users visited the library blog with a total of 1252 sessions (see Table 40 below).
Table 40: Library blog Usage Statistics
Months/Year Users Sessions July2017 75 79 Aug.2017 43 52 Sept.2017 28 32 Oct.2017 53 66 Nov.2017 98 165 Dec.2017 52 62 Jan.18 56 71 Feb.18 70 116 March18 92 132 April-18 81 127 May-18 121 149 June-18 191 201 TOTAL 960 1252
161 Table 41 indicates countries where users of library blog originated. It is clearly depicted that the library blog is widely accessed across various countries. A large number of users came from Tanzania with a total of 510 users.
Table 41: Library blog Usage Statistics by Country in Users
N o t s e t Total r a z i l
n d i a
Banglad esh U S Philippin es
Country
Users 510 161 142 35 40 10 23 11 11 7 10 960
% Users 55.56 16.77 15.47 3.81 4.36 1.09 2.51 1.20 1.20 0.76 1.09 100
4.14.9 Usage of computer laboratory
During the year under review, the computer lab usage statistics show that 3477undergraduate students used library computers to access subscribed e-resources and other educational materials as shown in Table 42 below. Postgraduate students are not using the library ICT lab perhaps because they have a designated postgraduate ICT lab where they use their own laptops.
Table 42: Usage of Computer Laboratory
Months Undergraduate students July, 2017 284 Aug. 2017 618 Sept 2017 42 Oct. 2017 53 Nov. 2017 98 Dec. 2017 52 Jan, 298 Feb, 146 March, 607 Apr. 222 May 553 June 504 TOTAL 3477
162
4.14.10 Single Search System During the period under review the directorate continued to improve its service by creating awareness and conducting training on the use of Single Search system/to all library supportive staff. The single search system enables the library Users to access different Library databases/information systems simultaneously and interconnecting information systems to allow data registered in one system to be automatically consulted by another system.
4.14.11 Research Support Services (RSS)
In effort to increase understanding of users’ needs and demands, during the period under review the Library introduced new services to its users called Research Support Services (RSS). The RSS desk provides a wealth of information assistance to Library users.The service was introduced following the user needs assessment report which showed among other things the quest for information resources by frequent users and technical assistance in various information related areas. Librarians at RSS desk provide advice and support to faculty, researchers, staff, postgraduate and undergraduate students in individual consultations or to groups (e.g. project or discipline groups). The services include but not limited to the following:
i. Access to OPAC and E Resources
ii. Special Collection/Reserve
iii. Suggestion for New Materials/ Databases
iv. Literature Search/Institutional Repository
v. Keeping up to date with Research
vi. Reference management vii. Copy right and IPR advice viii. Publication and data collection
ix. etc
163
During the period under reviewthe postgraduates students have the highest responses to RSS(n=113) compared to undergraduate students (n=17).because their information needs are partly triggered by writing of theses, dissertations or report. The DLS will increase institutional awareness of its research support services and resources that users value most.
Table 43: Statistics for Research Support Services statistics to Undergraduate students
Months Query received/Problem N April Literature Search 2 Literature search 7 May Access to OPAC and E Resources 4 Troubleshooting computer network 1 Reference management 2 June How to reset Computer Password 1 TOTAL 17
Table 44: Statistics for Research support Services statistics to Postgraduate students
Months Query received/Problem N Access to OPAC and E Resources 8 Literature Search 22 April Reference management 10 Literature Search 22 May Reference management 21 Literature Search 8 June Reference management 32 TOTAL 113
4.14.12 Usage statistics of library print collection/Circulation
During the period under review, there were 407 borrowed books from the library, 59 books were borrowed by postgraduate students and 348 books by undergraduate students. The table below presented. During the period beginning from September to December 2017, there were no borrowed books from the library due to the fact that the library was closed for renovation activities and holiday vacation for the students.
164 Table 45: Statistics on Print Book Circulation
MONTH STUDENT CATEGORY QUANTITY TOTAL July, 2017 Undergraduate students 77 77 Postgraduate students
Staff August, 2017 Undergraduate students 54 54 Postgraduate students Staff September, 2017 Undergraduate students 0 0 Postgraduate students 0 Staff 0
October, 2017 Undergraduate 0
Postgraduate 0
November, 2018 Undergraduate 0
Postgraduate 0
December, 2018 Undergraduate 0
Postgraduate
January, 2018 Undergraduate 19 23
Postgraduate 4
February, 2018 Undergraduate 42 48
Postgraduate 6
March, 2018 Undergraduate 51 61
Postgraduate 10
April, 2018 Undergraduate 47 63
Postgraduate 16
May,2018 Undergraduate 68 81
Postgraduate 13
June,2018 Undergraduate 37 47
Postgraduate 10
TOTAL 407
4.14.13 Symposium
th The Directorate of Library Service conducted its first symposium on 5 December 2017 at the 24 room located at library building starting from on 2:00Pm to 4:50pm
The event was mainly meant for all first year students, though continuing students, postgraduate and faculty staffs were also invited to attend the event.
165 The objectives of this event were to create awareness of e-resources and enhancing usage of e- resources at MUHAS. Majority of participants (about 400) were first year students. There were postgraduate and continuing students, and no faculty staff attended
The following topics were covered through presentation and demonstrations.
i. Documentation systems available at MUHAS library ii. Local online resources iii. Subscribed databases iv. Open access databases v. Institutional repository policy
Staff members from the library who facilitaed the event were Dr. Mboni Ruzegea, Mr.Deodatus Sabas, Mr.Benard Sengo and Ms. Ramla Adam.
4.14.14 Teaching
During the period under review, the Directorate of library services taught the following courses to
Undergraduate students:
i. CS 100: Communication Skills to 416 first year undergraduate students
ii. IT 100: Information and learning Technologies to first year undergraduate students iii. The Directorate of library services taught the course of IT 100: Information and learning Technologies, module TWO to first year undergraduate students (N=635)
iv. The Directorate of library services proceeds to teach the course of CS100: Communication Skills (N=635). The course was taught by the faculty Staff of the directorate of Library Services.
4.15 The Library also taught Information literacy and reference management to the following
Postgraduate course:
i. Postgraduate students (n=15) who are doing the course of Master’s programme of Applied
Epidemiology under a course of Research methodology and computers in public health (AE 603).
ii. All first year Postgraduate students (n=245) were taught a reference management topic in their course of teaching methodology (HE 600). iii. All first year Postgraduate students were invited to attend a literature search and subscribed databases and Open Access databases topics
166 4.14.15 Postgraduates and undergraduates Workshop Training
During the period under review the Library taught Information literacy and reference
management to Postgraduate and undergraduate students: N=166 (See Table 46)
Table 46: Statistics for undergraduate and postgraduate students Training
S/N Name of the Program Date Group No th 1. Reference management and 25 April 2018 Postgraduate 41 citations rd 2 Advanced Literature Searching 23 May 2018 Postgraduate 13 Technique. th th th 3 Online Search and Reference 4 ,5 and 11 Bachelor of Nursing year 70 Management June 2018 three 4 Online Search and Reference 9th may 2018 MD-4 42 Management
TOTAL 166
4.14.16 Continuing Professional Programs
Workshop for Library Staff
In the period under review the DLS conducted 3 training workshops to Library Staff as indicated in the table: 47
Table 47: CPDE Program for Library Staff
S/N Name of the Program Date Group No th 1. Marketing of E-resources on 12 December, Library Staff 20 Social Media 2017 th 2 Search Skills on Using 7 November, 2017 Library Staff 20 Integrated Single Search System (LibHub) th 3 How to upload publications into 6 February, 2018 Library Staff 8 Institutional Repository
Human Resource Development
i. Tranfered Staff to MUHAS
167 During the reporting period three (3) administrative staff (Edith Assenga, Hilda Lekule and Cecilia Chacha) and one (1) faculty (Deodatus m Sabas) were transferred to MUHAS from different institutions.
ii. Newly Employed Staff
Also three (3)Faculty staff (Dr. Restituta Mushi, Mr. Venance Charles and Ms Ramla Adam and one (1) admistrative staff (Edger Mtitu) were employed.
iii. Staff on Further Studies
Further, during the reporting year one library staff reported back to work with Diploma in library and information science (Tatu Majaliwa) and two Library staff are still on further studies
a) Bernard Sengo, MSc. Computer and IT systems engineering (admitted at UDSM2016/2017 academic year and is expected to complete in 2018.
b) Mr Charles Marwa is a PhD student in information studies at the UNISA. He is progressing well, and is expected to complete in 2019.
c) Mr William Mviombo, Master of information studies, he is admitted at the university of Dar es Salaam he is progressing well and is expected to complete in 2018
4.14.17 Resource Mobilization
During the period under review, the Directorate of Library Services conducted a total of eight (8) workshops for income generating activities during the academic year 2017/2018. A total of 146 participants attended the workshops from different Institutions. A total of 3,132,411was generated from the workshops as shown in the Table 48 below.
4.14.18 Current Research projects
Developing Research4life Interactive Online Training Videos and Open Learning Platform (OLP) To Enhance Research, Teaching-Leaning Experience in Higher Learning Institutions
Period: 2018-2020 Funder:MLA Librarians without Borders® / Elsevier Foundation/ Research4Life Principal investigator:Dr. Mboni A. Ruzegea
4.14.20 On Going Research projects
168 Building a stronger MUHAS in supporting research and innovation Period: 2015-2020 Funder:SIDA Principal investigator:Dr. Mboni A. Ruzegea and Dr. Felix Sukums
Table 48: Income generation workshops.
S/N DATE PROGRAMME TARGET NO. OF 15% PAID TO GROUP PARTICIPANTS UNIVERSITY AS
INSTITUTIONAL
FEES
rd th 1 3 to 4 Digitization and Internal and 9 195,000/=
August, digital presentation External
2017 Participants
th th 2 14 to 16 Records Management Internal and 4 131,899
November, and organization of External
2017 knowledge Participants
th 3 30 Oct. Scientific writing and Internal and 27 internal 37,500 th To 10 Information Literacy External 1extrnal
Nov. 2017 participants
th th 4 16 to 18 Digital Repository and Internal and 5 175,986/=
January, web 2.0 technologies External
2018 Participants
th th 5 5 to 9 Systematic review and Internal and 37 420,000/=
February, meta-analysis External
2018 Participants
th 6 26 to KOHA integrated Internal and 32 1,370,550/= th 28 , 2018 library management External
Participants
system
th 7 11 to Systematic review and Internal and 25 520,000/= th 15 June, meta-analysis External
2018 Participants
th 8 19 to Electronic Document External 7 281,476 th 21 , June, and Records Participants
2018 Management
169
TOTAL 3,132,411
4.14.18 Overdue Charges
During the period under review the library collected TZS 191,500/=overdue charges of the late returning of the library books.
S/N Date/Month Amount collected 1 July, 2017 70,000/= 2 August, 2017 43,500/= 3 September, 2017 8,000/=
4 October, 2017 0
5 November, 2017 0
6 December, 2017 0
7 January, 2018 0 8 February, 2018 14,500 9 March,2018 16,500 10 April, 2018 19,000 11 May, 2018 6,000 12 June, 2018 14,000 TOTAL 191,500/=
4.14.21 Workshops Attended by Library Staff
During the reporting period the library staff managed to attend the following workshops:
(i) The joint intellectual property and innovations/scaling up workshop: During the year under review, one library staff (Prof. EddaTandiLwoga) attended the joint intellectual th th property and innovations/scaling up workshop in South Africa from 27 to 28 July, 2017 (ii) Information repackaging workshop: During the year under review, one library staff (Prof.
EddaTandiLwoga) facilitated the September, 2017 in Malawi. infor mation th repackaging workshop from 11 th to 13
(iii)The statistical analysis workshop for experimental research designs: During the year under review, one library staff (Prof. EddaTandiLwoga) attended and co-facilitated at the statistical th st analysis for experimental research designs workshop from 18 to 21 September, 2017 inMozambique
170 (iv) E-resources Scientific writing and referencing for DAAD Scholars:During the year under review, two library staff (Dr. Mboni A. Ruzegea and Dr. Sydney E. Msonde) facilitated
(v) Systematic Review training workshop:During the year under review one Library staff (Prof. EddaTandiLwoga) attended the Systematic Review training workshop in Centurion, South
th th Africafrom 13 to 16 November, 2017.
(vi) DAAD/ITOCA/ARC E-resource training workshop: During the year under review, one library staff (Prof. EddaTandiLwoga) attendedand facilitate the DAAD/ITOC/ARC e- rd th resources training workshop in Khartoum, Sudan from 3 to 6 December, 2017
(vii) Task force meeting to develop process evaluation tool for a diploma in health information science programme: During the year under review, one library staff (Dr.Rehema C. Mallya) attended the workshop on developing process evaluation tool for th th diploma in health information science programme in Arusha from 8 to 13 December, 2017
(viii) Systematic review training workshop: During the year under review two library staff (Prof. EddaTandiLwoga and Dr. Mboni A. Ruzegea) facilitated the systematic review workshop
th th in Nelson Mandela African Institute of Science and Technology from 11 to 15 December, 2017
th nd th nd (ix) 28 January to 2 February, 2018 – Prof EddaTandiLwoga(Kenya from 28 January to 2 February, 2018 to go on an exchange visit to Kenya Library and Information Services Consortium, INASP’s partner in Kenya)
th th (x) 6 to 9 March, 2018 – Prof Tandi (Facilitate in transferable skills for PhD students under SACIDS African center of excellence at the Sokoine University of Agriculture)
th th (xi) 26 February to 11 March – Dr. RehemaC. Mallya(Technical working group TWG workshop for developing a curriculum for diploma in health information science in Morogoro)
171
4.15 Directorate of Continuing Education and Professional Development
4.15.1 Introduction
The Directorate of Continuing Education and Professional Development (DCEPD) is a Unit of MUHAS committed to the improvement of coordination, development and effective delivery of Continuing Education (CE) programmes and activities so as to play an effective and leading role in human resource development and capacity building for health in Tanzania.
The Vision of the Directorate of Continuing Education and Professional Dr. Dorine Mloka Development is to be a national and regional Centre of excellence in provision of quality and sustainable continuing education and professional development in health and related disciplines.
The directorate envisages realization of this vision through its mission which is to provide quality, demand driven CPD through facilitation, regulation and promotion of CEPD for the health sector and beyond.
In implementing its mission during this academic year, the Directorate conducted a number of activities: These include the following:
4.15.2 CPD Courses and Quality of Teaching and Learning
The Directorate continued to conduct various Faculty development workshops focusing on Interactive teaching and teaching and assessment of additional competencies aiming at enabling faculty to better implement the competency-based curricula. These include the following: -
(i) The Directorate of Continuing Education and School of Medicine, Department of
Microbiology, facilitated the second Virtual and Individualized Training for African th nd Laboratory leaders (from 11 – 22 September 2017. It was attended by 25 individuals from various institutions including MUHAS, NIMRI and National Zonal Laboratories.
(ii) The Directorate of Continuing Education and Professional Development, Directorate of Post graduate Studies and Directorate of Research and Publications in collaboration with
172 nd the Karolinska Institute facilitated the second PhD supervision course from 22 24 November 2017. It was attended by 22 staff from MUHAS and 6 staff from DUCE, IHI and NIMRI. The purpose of the this courses was to assist supervisors of PhD candidates from MUHAS and other Medical Universities in Tanzania to understand their roles and responsibilities as supervisors and students and how to become better supervisors. The courses covered various aspects of doctoral supervision including; roles of the supervisor, mentor and student, how to handle difficult situations and give feedback, how to develop a PhD study plan and learning objectives. The courses was organized and facilitated with support from Sida.
(iii) The Directorate of Continuing Education and School of Nursing facilitated the third
1th teaching methodology course for Health care professionals from 2nd April – 1 May 2018. It was attended by 25 individuals from various institutions including HKMU and Massana Hospital.
(iv) The Directorate, in collaboration with the HPEG Group continued to run the Post Graduate Teaching course on Educational Principals and Practice for Health Sciences Professionals
th th (HE 600) that started on 12 April 2018 and it will end on 16 August 2018. A total of 243 Post graduate students will be trained.
4.15.3 Accreditation of CPD Courses
A total of 13 short courses were accredited by the Directorate during the reporting period.. The accreditation follows accreditation guidelines developed by the Directorate and approved by the
relevant University organs. Courses accredited during the year academic included; 1. Virtual and Individualized Training for African Laboratory leaders ( SOM)
2. Basic Emergency First Aid (SON)
3. Pediatric Oncology (SON)
4. Grants writing ( DRP/DCEPD)
5. Tackling complex health issues using the one health approach (SPHSS/DCEPD)
6. Introductory Course In Palliative Care (SOM)
7. Clinical Pharmacokinetics (SOP) 173 8. Evidenced Based Practice for PhD and MSc Students ( DLS)
9. Injury Prevention Course (SPHSS)
10. Basic Critical and Basic Emergency Care (SON)
11. Basic Pre- emergency Care (SON)
12. Nursing and Midwifery Clinical Instructors Course
13. Basic and applied research in control and treatment of mosquito borne diseases using natural products (ITM)
th 4.15.4 The 6 MUHAS Scientific Conference th The Directorate held its 6 MUHAS Scientific Conference with support from Sida and other nd rd development partners from 2 to 3 July 2018 at LAPF International Conference Centre in Dar es Salaam, Tanzania. The conference was officiated by Professor Joyce Ndalichako Minister of Education, Science, Technology and Vocational Training.
Guest of honor, Professor Joyce Ndalichako, Minister of Education, Science, Technology and th Vocational Training at the official opening of the 6 MUHAS Scientific Conference
174 The conference attracted 443 participants both local and international to share research findings and experiences in health and health related issues and to disseminate their research findings to relevant stakeholders.
th Swedish Embassy representatives at the opening ceremony of 6 MUHAS scientific conference
The theme of the conference was Promoting Industrialization through Health Research in Low Income Countries. Covering the following subthemes:
(i) Reproductive, Maternal, New born and Child Health
(ii) Pharmaceutical Care and Practice
(iii) Oral Health
(iv) Gender and Health
(v) E-health, M-health and Health Information System
(vi) Health Professional Education and Skills Development
(vii) Basic Science and Clinical Research
(viii) Infectious Diseases
(ix) Traditional, Complementary and Alternative Medicine
(x) Non-communicable Diseases(NCD)
(xi) Health Policy and Health Systems Research
175
th International and Local participants listening to presentations during of 6 MUHAS scientific conference
4.15.4 Quality control & Aassurance
During this academic year, The Directorate in collaboration with the Directorate of Quality Assurance, Directorate of post graduate studies, and Directorate of Undergraduate studies continued to review curricula of various post and undergraduate graduate programs from various schools as the way of improving and strengthening the quality of teaching and learning at the University.
4.15.5 Infrastructure Development and Income Generation Activities
(i) The Directorate was awarded a consultancy for developing and conducting a short courses in research methodology and disease surveillance amounting to 8,60 USD from Pharmaccess International to train staff at Lugalo Military hospital.
(ii) Centre for Health Professionals Education (CHPE) acquired a state of art
teleconferencing facility donated by Sida.
nd 4.15.6 The 42 Dar es Salaam International Trade Fair and Exhibitions nd The Directorate participated in the 42 International Trade Fair Exhibitions that took place from 28 June to 13 July 2018 as the way of strengthening linkages, partnerships and networks at the national and international level.
176
4.16 Directorate of Quality Assurance
4.16.1 Introduction
The Directorate of Quality Assurance is a full directorate under the office of the
Vice Chancellor. Its mandate is to ensure ‘fit for purpose’ of all University
activities. During the 2017/18 financial-year the directorate continued to push for
more involvement of MUHAS community in quality assurance matters. The
directorate has also expanded its activities to include Quality Improvement at
MAMC with support from the Ministry of Health, Community Development, and
Dr. Germana Leyna Gender, Elderly and Children as well as other collaborating institutions.
Overall, the concept of quality assurance continued to slowly hold traction amongst MUHAS community members with increasing emphasis on adherence to procedures and evidenced-based decision-making. The limited number of staff and overwhelming burden of tasks and activity remain the main hindrance of full embracement of quality assurance across the University.
4.16.2 Reporting period achievement
During the academic year 2017/18, the directorate has been able to successfully achieve several planned activities.
(i) Recruitment
One administrator was appointment to the directorate and is being shared with the Directorate of Continuing Education and Professional Development. No staff were recruited to the directorate in the 2017/18 academic year in spite of repeated requests to build the capacity of the directorate to enable it to monitor and evaluate teaching/learning, research and public health activities across the University
(ii) Capacity building
A number of trainings were held for staff at Muhimbili and Mloganzila campus as described below. A sensitization session for deans and directors of academic units was held in August 2017 to introduce them to the recently approved University examination handbook and to remind participants on University examination guidelines.
177
Two trainings were held specifically for MAMC staff on “professionalism” and “customer care” in December 2017 and January 2018, respectively. Presentations from the Medical Association of Tanzania and Tanganyika Nursing Council were made during the worshops.
nd A one-day in-house workshop with 31 clinicians was held on 22 May 2018 with facilitation from Prof Marx Michael of Heidelberg University.The training was geared to introduce the concept of quality improvement in health facilities and the use of indicators to monitor and evaluate improvement in service provision.
st A half-day seminar on how to conduct self-assessment of a program was held on 21 March 2018 to five members of the department of Environment and Occupational Health. These members formed the self-assessment team for the Bachelor of Science in Environmental Health Sciences program (BSc EHS).
th The director attended a workshop on ‘Quality Supervision of Postgraduate Studies’ from 23-25 April 2018, where principles of postgraduate supervision, supervision models, and best practices and experiences were taught. The acquired knowledge formed the bases for the chapter on supervision in the dissertation handbook that is currently being developed.
In collaboration with the Directorate for Continuing Education and Professional Development, the directorate facilitated one 5-day workshop on PhD supervision with support from Sida. Participants were MUHAS faculty and honorary members of the faculty from different institutions (NIMR, MNH, etc.).
(iii) Policy development
The University Council approved the MAMC Quality Assurance Manual. This document describes the structure and procedures for quality assurance and quality improvement at MAMC. The manual has been published on the MUHAS website and will soon be printed for distribution.
(iv) Teaching and Learning
178 The directorate in collaboration with the office of the DVC ARC was able to develop an assessment strategy for best faculty in teaching. The document was reviewed by stakeholders and presented to CDD for inputs. Once finalized the document will describe mechanisms for nominating and rewarding the best teaching faculty. This will be a way for the University to acknowledge faculty who have used innovative teaching approaches and to stimulate adoption of new teaching methods in teaching/learning throughout the University.
A proposal to conduct the next University-wide tracer study was developed including revisions of previously used tools. Lack of resources specifically earmarked for planning and conduct of the survey was the main stumbling block. To minimize costs, alternative data collection approaches such as use of the MUHAS convocation platform and use of alumni email obtained from a student information bank as a means to gather alumni inputs are being recommended. The Directorate of Undergraduate Education has already on a trial bases started implementation of the latter.
During this financial year, the Quality Assurance Policy and University Examination Handbook were printed and will soon be circulated to all stakeholders.
To further improve the quality of teaching/learning, two new documents - “Curriculum Development and Revisions Procedures” and “Dissertation Handbook” have been developed and are in the final stages to receive stakeholder inputs. Once complete, these documents will provide guidance on how curricula will be developed at the University to adequately address knowledge and skills gap in the market. The dissertation handbook is expected to contribute to improvements in the quality of student research to better address health and health systems challenges in the community and allow more student works to be published in peer-reviewed journals.
The directorate has continued to create awareness on the importance of student course evaluations for all modules/courses offered at the University. The uptake has still remained slow despite repeated reminders and training. The directorate is working closely with the office of the DVC ARC, deans and directors of academic units and student government to identify main challenges and provide solutions to stimulate more use.
Thefinal MD programself-assessment report was discussed and approved by Senate. An improvement
action plan was recommended and the report submitted to IUCEA. An external assessment partially 179 supported by IUCEA is planned to take place between October and November 2018. In addition two other programs – Bachelor of Science in Environmental Health Sciences (BSc EHS) and Bachelor of Pharmacy (BPharm) were selected to conduct self-assessments. Members of the two teams have been identified and one team trained.
(v) Research
The directorate collaborated with the School of Medicine to develop and submit a protocol to build the capacity for patient-centered outcomes research at MUHAS. If funded the project will build the capacity of MUHAS staff to generate local data on patient’s perspectives on expected or experienced health outcomes. This information will help MAMC and other health facilities to include patient/client needs in service provision and is expected to significantly contribute to improving the quality of health service delivery.
(vi) Consultancy and Services
The diagnostic units – laboratory and radiology, at MAMC were selected to be the initial units to be ISO certified. These units are currently reviewing their SOPs to ensure that they satisfy service provision needs and meet prescribed standards in the QA manual. A plan of action will be developed to guide the process and inform other units in the future.
As expansion of Quality Assurance activities continue, MAMC has identified and selected thirteen staff to form the first MAMC Quality Improvement team. Members of the team come from different departments ranging from clinicians, nurses, laboratory technicians to human resources and finance representatives.
(vii) Links with National and International organizations
A link with Heidelberg University was developed to build capacity in hospital quality improvement at MUHAS through training, and identification and selection of MAMC quality indicators. Through this link one in-house training workshop was conducted. More workshops have been planned in the next year.
180 The directorate has continued to work withthe Tanzania Commission for Universities, the Inter- University Council of East Africa and other Universities inside and outside the country to learn best practices in the provision of higher education and health services.
(viii) Challenges
Inspite of these achievements, the directoratecontinued to carry out its activity in a single office space shared with the office for student exchange. To perform its tasks efficiently and effectively the directorate needs at least 3 rooms, 3 permanent staff – a quality assurance officer, a data programmer and an administrator. In addition, financial resources for directorate activities such as tracer studies, curriculum revisions, self-assessments and MAMC QI initiatives need to be earmarked and protected specifically for these activities.
181 4.17 Dean of Students
4.17.1 Introduction:
This report outlines the events and activities of the office of the st Dean of Students (DOSO) that took place from 01 July, 2017 to
th 30 June, 2018. During the reporting period the office continued
to provide various services to students including: health, accommodation, cafeteria, games and sports, counseling and Dr. Tumaini Nyamhanga guidance as well as overseeing the students’ organization
(MUHASSO).
4.17.2 Staff Matters: During the reporting period a total of 15 DOSO staff continued to provide services to students.
(i) Volunteers Staff
For the reporting period we received two volunteer staff who work at Guidance and Counseling unit.
Namely:
Monica Deo Ngatuni Mapambano Isack Mwakalago
(ii) Staff Recruitment/ appointment/ resignation
For the reporting period there was no staff recruitment/ appointment/ resignation
(iii) Staff Development
The following staff continued pursuing various Master’s programmes as indicated below:
S/N Name Position/Rank Dept. Course Status
1 Mr. Titus Mhokole Senior Janitor DOS Master of Social On II Work Dissertation
2 Ms. Rehema Mwaituka Warden II DOS Master of Social On Work Dissertation
3 Ms. Juliana Masatu Janitor II DOS Master of Social On Work Dissertation
182 (iv) Staff Promotion
For the reporting period there were no promotions.
(v) Staff Transfer
For the reporting period there was no staff transfer.
(vi) Staff Retirement
Name Position/Rank
1.Ms. Hermo J. Mallya Secretary
4.17.3 Students’ Affairs:
(i) Orientation for first year students:
The DOSO organized a one-week orientation for the new students for 2017/18 academic year. The event took place from 30 October to 3 November 2017. All activities were successfully accomplished as planned.
(ii) Guidance and Counseling Services:
The guidance and counseling services were provided to students. A total of 292 (199 males and 93 females) from various schools and the Institute of Allied Health Sciences were guided and counselled. Matters of concern which were reported to the counseling unit were Academic, Social, Psychiatric, Psychosocial, Health, Financial and Spiritual-.
(iii) Supports to Students with disabilities:
MUHAS received the sum of 58,100,000/= from Ministry of Education Science and Technology to support needy and physically challenged students. The table below shows the number of students supported and the kind of support:
(iv) Accommodation Services to Students:
Enforcement of Tenancy Agreement:
During the reporting period, the Students Services Bureau (SSB) allocated rooms to eligible students at both Muhimbili and Chole Road Hostels. The SSB also enforced tenancy agreement and Students Bylaws pertaining to accommodation.
183 Table 49: Needy and physically challenged students supported for the academic year 2017 /2018
KIND OF MALE FEMALE TOTAL
DISABILITY
1 Hearing Disability 2 1 3
2 Diabetic Problem 1 - 1
3 Visual Impairment 10 - 9
4 Mobility Disability 3 1 4
5 Asthma Problem 1 - 1
6 Heart problem 1 1 2
7 Epilepsy problem 1 - 1
8 Backbone problem - 2 2
9 Financial Needs 7 2 9
26 7 33
Accommodation Fee Defaulters:
A total of 204 at Muhimbili and 350 at Chole Road Hostels have not cleared their outstanding accommodation fees for the two semesters of 2017/2018. The defaulters constitute 57.8% of all th accommodated students. As a result, the 40 Students Affairs Committee of the University Council directed that students be required to pay annual accommodation fees at the beginning of academic year.
Hostel Maintenances:
During the reporting period Hostels underwent major renovation and some tasks are on-going. Completed tasks include: carpentry, electricity, fixing of water pipes (plumbing works), and marson. Another major task was cleaning [unclogging] of sewage system. There has been a chronic problem of system blockage due to improper use of toilet and bathrooms. Efforts have been made to educate students.
However, M/S Roberts and Associates technicians have been trying their level best to rescue the situation. These include replacement of 4 inches PVC behind VIP canteen with 6 inches one. The work has been stopped waiting for approval of funds from the University Management. The on-going major task is replacement of leaking sewage pipes at Chole Road Hostel.
184 (v) Care and Support to Sick Students:
The students services bureau supported sick students by facilitating availability of insurance cards and closely following up those who were hospitalized. During the reporting period, a total of One Hundred Thirty Eight (138) students fell sick. Unfortunately during this reporting period one (01) undergraduate student died.
(vi) Students’ Leadership and Governance:
MUHASSO Government continued with their activities harmoniously to a large extent. The students’ government got necessary support from the University Management as need arose. The 2017/18 MUHASSO leadership completed its term in May 2018. The new government was elected and assumed powers in early June 2018. The new top MUHASSO leaders for 2018/2019 academic year are Euphraim Massanga MD3 (President) and Lawrence Ndayanze BMLS2 (Vice President) .
(vii) Security Issues at the Hostels:
Suma JKT is the company that takes care of the security matters at both Muhimbili and Chole Road students hostels. Fourteen (14) theft incidents occurred during the reporting period.
4.17.4 Special Events and Recreational Activities:
(i) Sports activities
Several sports competitions including IntraUniversity Sports particularly football and Volleyball competitions were organized and conducted by MUHASSO. Two SSB senior staff attended TUSA (Tanzania Universities Sports Association) meeting which th th was held at the Open University of Tanzania (OUT) Kagera Regional Centre from 16 to 17 th August, 2017. The meeting focused boldly on preparations for 6 Edition games competitions to be held at the University of Dodoma (UDOM) in December, 2017. th Dean of Students and Counselor attended 35 TACOGA1984 Annual General Meeting and Seminar th th held at the State University of Zanzibar (SUZA), Zanzibar, from 8 to 9 September 2017. nd Tanzania University Sports Association (TUSA) organized a meeting on 22 February, 2018 at Teofilo Kisanji University (TEKU) Tabora Regional Centre. One staff member from SSB Office attended the meeting.
185
During reporting period ten (10) seminars were conducted including Seminar on Female talk,“Madhara Yatokanayo na Vipodozi na Matumizi yasiyo sahihi ya Madawa”(TFDA) , “Mchakato wa Ajira unavyoendeshwa Serikalini” (Secretariate ya ajira), A Lady of Excellence Summit 2018 , Cyber crimes Act /Law Awareness (TCRA), Sexual, Reproduction and Relationship Challenges , Strategies of Implementation of MUHAS Dress Code, Flyman technology Company Limited, Uni life Campus, and Prevention and Combating of Corruption Bureau (PCCB).
186 4.18 Directorate of Estates
4.18.1 Introduction The Estates Directorate is a technical Directorate responsible for supporting
core Instititional functions by providing and ensuring that the teaching,
research and consultancy services are rendered within conducieve and safe
environment at the University. As such, the Directorate has a function of
maintaining grounds, i.e soft and hard landscapping, managing both Mr. Lugano E. Kyejo outsourced and in house minor renovations, preventive maintanance projects as well as supervising new construction projects.
4.18.2 Works Projects
(i) Construction for Mortuary Strip Road, Gate and Security Hut
In order to separate the main public entry into Muhimbili Academic Medical Centre (MAMC) from the entry to the mortuary, the University awarded the contractor M/S Scorpio Engineers & Contractors Ltd the contract for Construction for Mortuary strip road, gate and security hut at contract th sum of TZS 96,284,460/= VAT inclusive. The construction works started on 29 August 2017 and th was succesfully completed and handed over on 13 November 2017.
Security Gate and Strip Road Security Hut
187
(ii) Construction of Parking shed for management car parking at MAMC
To reduce enconviniences associated with getting parking slots for the top management in the public park at MAMC. The Contractor M/S Scorpio Engineers & Contractors Ltd. was awarded the contract for Constructing a Parking shed for the Hospital’s top Management at the contract sum of TZS th 7,911,560/= VAT inclusive. The Works commenced on 19 September 2017 and were accomplished rd and successfully handed over on 3 October 2017
(iii) Construction of Temporary Visitors Waiting Shed at MAMC.
To create a conducieve external environment that would shed patients, vistors and staff from rain and sun, the Contractor M/S Serico Company Ltd was awarded the contract for Construction of a temporary visitors waiting shed at contrac sum of TZS 25,078,953/= VAT inclusive. The works for th construction of the waiting shed started on 25 August 2017 amd were successfully handed over on th 30 September 2017.
Temporary Waiting Shed for Visitors
188 (iv) Construction of Patient drop off canopy at MAMC.
The Contractor M/S Modular Enterprises Ltd was awarded a contract worth TZS 14,691,000/= VAT st inclusive for constructing a patient drop off canopy at MAMC main entry . The works started on 31 th August 2017 and were successfully completed and handed over on 18 October 2017.
Patient Drop off Canopy at MAMC Main Entrance
(v) Construction of Garbage Collection Point at MAMC
To maintain a clean environment at MAMC surroundings, the Contractor M/S Tanpol Construction Co. Ltd was awarded a contract for constructing a garbage collection point at a contract sum of TZA th 9,889,580/= VAT inclusive. The project commenced on 18 September 2017 and was successfully th completed on 18 September 2017.
Garbage Collection Point
189
(vi) External Rehabilitation of ITM Building
In an effort to facelift the apparenace of buidlings around MUHAS Campus, the Contractor M/S Sepro Engineering and General Traders Ltd was awarded the contract to carry out the External Rehabilitation of the Institute of Traditional Medicine (ITM) building at contract sum of TZS th 24,690,770 VAT inclusive. The works commenced on 4 September 2017 and were succesully th completed and handed over on 16 October 2017.
(vii) Renovation of Records Room at MUHAS main Campus
To create a conducive working environment for records staff as well as increasing secure handling of official documents, the University awarded the contractor M/S Sepro Engineering and General Traders Ltd to renovate the records room at a Contract Sum of TZS 18,004,440/= VAT inclusive. The th Directorate of Estates supervised this project which commenced on 25 August 2017 and was nd successful completed on 22 September 2017
Renovation of Records Room in Progress Appearance of Records Room after
Renovation
190
(vii) Rehabilitating of the Seminar Room at Pathology Department at MPL building
As a measure to reduce the problem of office space availability at MUHAS main Campus, the Contractor M/S Sepro Engineering and General Traders was awarded the contract for rehabilitating and converting the Seminar Room at the Pathology Department located in the MPL building to create offices. The contract Sum of this project was TZS 18,227,800/= VAT inclusive. The works rd th commenced on 23 December, 2017 and were completed on 10 March 2017.
Partitioning of Pathology Seminar Room into Offices in Progress
(ix) Proposed Renovation of MUHAS Residence House No. MUHAS/RES/003 1st floor at
MUHAS
The Directorate successfully supervised the renovation works for House No. MUHAS/RES/003 located at the Senior Staff flats. The renovation was carried out by M/S Sepro Engineering & General th Traders Ltd at a contract sum of TZS 23,116,996/= VAT inclusive. The works commenced on 28 th August 2017 and were completed on 9 October 2017.
(x) Repair of 5 Toilets at MPL Building
The University engaged the Contractor M/S Sepro Engineering & General Traders Ltd to carry out works for the repair of washroom leakages at Chole Road Hostels located at Masaki. The works 191 th st commenced on 10 August 2017, and were successfully handed over on 21 September 2017. The contract sum for the repair works was TZS 18,522,570.00 VAT inclusive.
(xi) Rehabilitation of Students Hotels at Main Campus
The main Campus student hostels underwent major renovations during the student’s long vacation. These renovations involved extensive rehabilitation of 5 student hostel blocks. The project was awarded to M/S Modular Enterprises Limited, at a contract sum of TZS 372,037,608 VAT Inclusive. th The rehabilitation works started on 13 October 2017 and were successfully completed and handed th over on 18 April 2017.
Kagera Student Hostels before Renovation
(xii) Rehabilitation of Students Hotels at Chole Road - Masaki
In its efforts to continually improve students living environment, the University awarded the contractor M/S Mavondas Company Limited a contract to carry out rehabilitations of Students Hotels at Chole Road - Masaki ( Lot 1) at a contract Sum of TZS246,384,990 /= VAT inclusive. These rehabilitation works th which commenced on 13 October 2017 were successfully completed and handed over.
192
Kagera Student Hostels after Renovation
Chole Student Hostels Block C before Renovation
193
Chole Student Hostels Block C after Renovation
(xiii)Rehabilitation of Library Building
In its efforts to improve students services, the University awarded the contractor M/S Mavondas Company Limited, a contract to carry out Rehabilitation of Library Building ( Lot 1) at a contract th Sum of TZS 137,837,440/= VAT inclusive These works which commenced on 13 October 2017 and were successfully completed and handed over.
New Aluminum Partitioned Offices on the Ground Floor Administration Area 194
(xiv) Rehabilitation of Library Building
The university awarded the Contractor M/S Jeccs Construction the contract for Rehabilitation of Library Building (Lot 2) at a contract sum of 139,254,927 VAT inclusive to carry out renovation of the first floor in the Library building. The renovation aimed at creating a more conducive learning th environment for students and staff using the library. The renovation works started on 13 October
2017 and were successfully completed and handed over.
4.18.3 Preventive Maintance Contracts
(i) Annual comprehensive services of Library solar power system
In an effort to continue reducing the cost of utilities, notably costs of electricity, solar panels were installed in the Library building. The service contractor M/S Rex Investment was awarded the contractor for carrying out the Annual comprehensive services of Library solar power system at a st contact sum of TZS 1,000,000 VAT inclusive. The service commenced on 01 July 2016 and was th successfully completed on 30 June 2017
Library Building Solar Panels
195 (i) Servicing of Generators
In order to have a constant supply of electricity when TANESCO electrical power goes off, the University keeps and maintains standby generators that connect various areas to facilitate both administrative, academic, research activities and other supporting functions to proceed. M/S MDI was awarded the contract of servicing standby generators twice a year at contract sum of TZS th TZS17,626,200/= VAT inclusive. The service commenced on 08 February 2017 and was completed th on 07 February 2019.
(ii) Servicing of Air Conditioners
During the reporting period, the service provider M/S AC Technology Services carried the preventive maintenance of air conditioners at Muhimbili Main Campus. The contract sum of this task is TZS Amount TZS 5,270,000/= VAT inclusive. The preventive maintenance is done twice per year. It involves servicing and cleaning of 527 pieces of air conditioners. The preventive maintenance also involves gas flushing and re -filing of air conditioners as well as replacement of defective capacitors, control cards and compressors.
Servicing of Air Conditioners in Progress
As a preventive measure to control flooding of sewerage and storm water at both Chole and MUHAS
Main Campus, the University engaged the sewerage emptying services provider M/S Roberts and 196 th Associates Company Limited for two years contract commencing on 19 October 2016 and ending th on 18 October 2018. The Compamy was angaged to clean the entire sewerage system by removing sand and other debris from the system as well as dewatering the entire sewerage system three times a year at a contract sum of TZS 18,325,400 VAT inclusive.
Cleaning of Sewerage System Using a Jet to Unclogg Sediments and Sewerage Empting Truck for De- Watering of Manholes and Septic Tanks
4.18.4 Ground Maintanance and Cleaning Service Projects
(i) Provision of Cleaning and Gardening Services at MUHAS
The service provider M/S Care Sanitation and Suppliers Limited continued carrying out ground maintenance of gardens and footpaths as well as offering cleaning services in student hostels and offices at a contract sum is TZS 14,721,064 (VAT Inclusive) per month during the 2017/2018 fiscal st st year. The service provider’s contract started on the 1 June 2016 and will end on 31 May 2018.
197
Maintenance of Gardens and General Cleanliness at MUHAS Main Campus in Progress
(ii) Provision of Cleaning and Gardening works at Bagamoyo Training Unit and Chole Road Students Hostels
The service provider M/S Kibwe Company Limited continued carrying out cleaning and garden services at Bagamoyo Training Unit (BTU) at a contra sum of TZS 5,477,560 (VAT inclusive per st month), during the reporting period. This is a two years contract that started on 1 June, 2016 and st will end on 31 May, 2018. The service provider provides cleaning services in staff houses as well as the student hostels, offices and cafeteria at MUHAS Bagamoyo Training Unit. The service provider 198 also provided cleaning services in student hostels and cafeteria as well as cleaning grounds at Chole student hostels located at Chole Road Masaki.
Appearance of Chole Students Hostels Green Areas
(iii) Provision of Garbage Collection Services at MUHAS Campus and Chole Road Students Hostels.
During the reporting period, the service provider M/S K-Environment Sanitation Services has continued offering garbage collection services at MUHAS main Campus and Chole Road student hostels as per contract. The contract sum of this garbage collection services is TZS 4,200,000/= (VAT Inclusive) per month.
199 4.19 Directorate of Human Resources Management and Administration
4.19.1 Introduction
The Directorate of Human Resource Management and Administration (DHRMA) is mandated to execute various Human Resource Functions for the University as well as MUHAS Academic Medical Center (MAMC). The Directorate is responsible for ensuring that the University including MAMC Human Resource needs is fulfilled. The Directorate promotes the University and MAMC performance through effective and efficient administration of the Human Resource Functions. It maintains a working environment that encourages
employees to achieve the University goals as well as the individual professional goals. The Directorate also has a role of planning, recruiting, developing and managing human resource for optimal University performance and implementation of HR- actions on staff policies, rules and regulations. The Directorate has also role of providing efficient, timely and quality HR and Administration Services to Hospital employees and to all Schools, Directorates, Departments, Offices and Units of the University in order to facilitate smooth functioning of the University and MAMC.
4.19.2 Staff Recruitment and Transfers
During the Reporting Period the Directorate in collaboration with Public Service Recruitment Secretariat coordinated various employments for both Campuses. The Staff recruitment covered positions for Academic, Administrative, Technical and Hospital as summarized in the Table 50.
4.19.3 Staff Training and Development.
(i) Long Training
During the period under review the Directorate continued to ensure that competent, functional, relevant and adequate human resource with appropriate skill mix and competences are in place. In recognition of the importance embodied in the staff training, the University continued to train its employees both locally and oversee and it continued to encourage and support individual’s efforts. In this respect a
200 number of employees attended Diploma, Undergraduate and Postgraduate courses at higher learning institutions as summarised in the Table 51.
Table 50: Staff Recruitment & Transfer
S/N CAMPUS NEW TRANSFERS TOTAL
1. Academic Staff - 38 3 41
2. Administrative 7 2 9 Staff (Muhimbili Campus)
3. MAMC 334 120 454
TOTAL 378 125 504
(ii) Short Training
During the reporting period a number of staff attended short courses / professional trainings locally and internationally. Such trainings include Customer Care, Research, Records Management, Professional
capacity building Training, Professionalism and Ethics. Some of the Trainings are elaborated below
Customer Care Training
Topics covered were Customer care, Communication Skills, Confidentiality and Time Management. th th Eleven Staff participated in this Training which was conducted for Three days from 13 to 15 August 2017 The training was facilitated by Tanzania Public Service College (TPSC).
Records Management Training
During the reporting period, Records Management Training, Security of Documents, Integrity and Confidentiality Training was conducted to Records Management Assistants. and other Staff who are th responsible for records. The Training was conducted for one day on 19 January 2018. After Training all attendees were made to take integrity pledges. The training aimed at ensuring security and integrity in Managing the Organizations records and documents.
201 MAMC Short Course
During the reporting period Five (5) staff attended training in India for Cardiovascular Centre of Excellence which was funded by the African Development Bank (AFDB). The Cardiac Theatre at Apollo Health Centre in Hyderbad India hosted the Training. Other 52 staff attended various short courses at MAMC.
th Table 51: Staff Training status as at 30 June, 2018. S/N PhD Master Other training (Post Doc, MSc. Total
Super Specialization)
Academi Staff on Training M =22 M = 13 F= 1 58
c Staff F =10 F = 9 M=3
Total 32 22 4
Staff completed M = 0 M = 0 M = 1 4
training F = 1 F = 2 F = 0
Total 1 2 1
PhD /Master Degree Diploma Form IV Total
Admin Staff on M=0 M= 6 M = 3 M = 2 M-1 19
& Training F =1 F = 2 F = 2 F = 1 F=1
Technica Total 1 8 5 3 2
l Staff
Staff M=0 M = 3 M = 1 M = 0 6
completed F=0 F = 1 F = 0 F = 1
training 0 4 1 1
PhD Master Degree Diploma 17 MAMC
staff Staff on M=0 M =5 M = 0 M= 0
Training
F=0 F =12 F = 0 F= 0
Total 17 0 0
4.19.4 Promotion.
202 During the reporting period, Forty Three (43) staff were promoted to different higher levels. Among these, Ten (10) are Academic staff while Thirty Three (33) were Administrative and Technical Staff. th However, until 30 June 2018 promotions had not been effected through HCMIS awaiting instruction from PO-PSM & GG.
4.19.5 Retirement, end of Contract and Resignation i) Retirement, End of Contract and Resignation for Academic staff.
(a) Retirement
During the reporting period, Two (2) Academic Staff and (3) Administrative staff attained age of compulsory retirement and left employment with MUHAS Also, Two (2) Academic Staff retired Voluntarily.
(b) End of Contract
During the reporting period, post retirement contracts in respect of eleven retired faculty came to an end and no extension was granted due to guidance given through Government Establishment Circular No. 1 of 2018. ii) Retirement of Administrative staff
During the reporting period Four Administrative staff retired from Public Service as they reached compulsory retirement age. iii) Resignation
During the reporting period Four (4) Academic Staff, One (1) Technical Staff and Four (4) MAMC staff resigned. Also (2) Staff were transferred from MUHAS to other Institutions.
4.19.6 Staff Turnover and Retention.
In the reporting period, a total number of 9 staff left employment because of resignation. The attrition rate was therefore 0.76 % while the retention reached 99.24 %.
4.19.7 Staff Disciplinary Issues.
During the reporting period, Six (6) staff had disciplinary issues. Three (3) staff from Procurement Management Unit violated the Rules and Regulations of the Public Procurement and Public Service Regulations and Three Academic Staff whereby Two had double employment. One employment with MUHAS and another one with Kampala International University Dar es salaam Campus (KIU).
Another received double salary One from MUHAS and another one from Ministry of Health 203 Community, Development, Gender Elderly and Children (MOHCDGEC). The Disciplinary decisions
/ outcomes are summarized in the table below;
Table 52: Staff Disciplinary Issues.
S/N NAME & DEPARTMENT DISCIPLINARY DECISIONS
DESIGNATION
1. Ms. Nuru Mkali Procurement Removed from the position Management Unit being Head Procurement Head Management Unit and demoted Procurement from Principal Procurement Management Unit and Supplies Officer II (PPO II) to Senior Procurement and Supplies Officer I
2. Olympia Venance Procurement Reduction of salary for One Procurement and Management Unit Notch from PGSS 6.2 to PGSS
Supplies Officer 6.1 II
3. Jamal Msuya Procurement Acquitted without any Management Unit Punishment
4. Dr. Godfrey Towo Anatomy Salary Decrease for two Notches Assistant Lecturer from PUTS 2.5 to PUTS 2.3
5. Dr. Godlove Otorhinolaryngology Reduction of salary for One Notch Mfuko from PMGSS 11.2 to PMGSS 11.1 Medical Specialist
6. Dr. Grace Shayo Internal Medicine Reduction of salary by (4) Notches Lecturer from PUTS 3.6 to PUTS 3.2
4.19.6 Obituary
During the reporting period, Three Staff passed away. One Academic Staff from the Department of Surgery and Two Administrate Staff from Procurement Management Unit and Department of Pediatrics and Child Health as shown in table 6 below May their soul Rest in Peace. 204 Table 53: Obituary
S/N NAME DESIGNATION DATE PASSED AWAY DEPARTMENT
1. Prof. Leonard E. Professor 18.6.2018 Surgery Lema
2. Mr. Hussein Health Attendant 13.8.2017 Pediatrics and Child Ugassa Health
3. Mr. Omary Health Attendant 15.09.2017 Procurement Silika Management Unit.
205 4.20 External Relations Unit
4.20.1 Links and Collaborations
The External Relations Unit received and processed applications for elective period of study in different departments within the Schools of Medicine, Dentistry, Nursing and the School of Public Health. A total of 133 elective students were received, registered and allocated in different schools. The number seems to be stagnant for the past few years. Efforts to increase the quality of services provided by the unit are underway, with the hope that this will increase Dr. Belinda Balandya the number of elective students in the near future.
4.20.2 Elective Study Activities
We received applications from individual elective students, as well as from international coordinators of universities. A smaller group of students had their applications sent through GHLO, WORK THE WORLD, WORLD UNITE, Projects Abroad and Global Education in Medicine Exchange (GEMx). Most of the students who come for electives at MUHAS are from Austria, Sweden and USA (see table 54).
Table 54: Number of elective students according to the country and university where they come from.
COUNTRY UNIVERSITY NUMBER OF STUDENTS
CHINA Anhui Medical University 1
Jiangsu University 1
Shenyang University 1
Dalian University 1
GERMAN Julius-Maximilians, Wuizberg 1
HUNGARY Szeged University 1
UNITED University of York 1 KINGDOM
Exeter Medical School 3
206
NORWAY Norwegian University of Science and 4 Technology
Nord Trondelag University 4
Western Norway University of Applied 6 Science
SWEDEN Umea University 5
Uppsala University 9
Red Cross University 2
BELGIUM Antwerp University 6
MALAWI Ekwendeni College of Health Science 4
CANADA Dalhousie University 1
NETHERLANDS Erasmus University Rotterdam 2
USA Oakland University William Beaumont 1 School of Medicine (GHLO)
UIC College of Dentistry, Chicago 4
Dart Mouth University 2
Texas A&M University 7
AUSTRALIA Global Health Western Australia 20 (GHAWA)
Edith Cowan University (GHAWA)
DENMARK University College Lillebalt 6
UCL University 7
207
FRANCE IUT Bordeaux University 1
JAPAN Mie University 10
ROMANIA Oradea University 1
SOUTH AFRICA Monash University 1
OMAN Sultan Qaboos University 1
HIGHLANDS Trinity College, Dublin 1
KENYA Adventist University of Africa 1
Most universities where the elective students come from have a formal agreement with MUHAS. These universities have a pre-determined period that is more or less fixed to start the rotations, and specific places where they can do their elective.
4.20.3 Institutionally Arranged/ Coordinated Elective Study
MUHAS received applications from coordinators of elective students from different universities that have an MOU with MUHAS. The following number of students came to MUHAS under such agreements:
A group of 14 students from Umea University and Uppsala University, Sweden did a 5 weeks clinical nursing rotation at the Buguruni Health centre and Amana Hospital under the agreement with the School of Nursing. Another of group of 16 students from Western Norway University of Applied Science, NORD Trondelag University, Norway and UCL University, Denmark also came under an agreement with the school of Nursing.
Through an agreement with Projects Abroad and Global Education in Medicine Exchange (GEMx), the School of Nursing received 4 students.
208
The school of Dentistry also has an agreement with the University Of Illinois Chicago USA, for elective placements. This year it received 4 students under this agreement. The Paediatrics department received 10 students under an exchange program with Mie University, Japan. The Dartmouth University, USA sent 2 students to the School of Medicine that rotated in the Internal Medicine and Paediatrics and Child Health departments. The School of Medicine also received 4 students from the Norwegian University of Science and Technology under an agreement with the School of Medicine. MUHAS also received 2 students under the TAPSA program which is coordinated by the students in the School of Pharmacy. The students rotated within the School of Pharmacy. The school of Nursing also received 25 students in this reporting year from the Nursing Students Project Western Austria (GHAWA) Program.
4.20.4 Student Initiated Elective Study Arrangements
A number of students apply themselves for the elective studies after seeing the information in the MUHAS website or after having heard about it from others who has been here before. Their universities will then be involved during the application process by filling the last part of the application forms for each student and writing a recommendation letter.
At times the students apply directly to the school/department of their choice, and they are then advised to bring their applications to the foreign relations unit.
(i) Number of elective study students
In the reporting period, the unit received a total of 133 elective students. Some of these students rotated in just one department, but others rotated in more than one department (in the School of Medicine)
The school of nursing received and supervised the largest number of students (98) followed by the school of Medicine (table 1). Within the school of medicine, most students rotated in Paediatrics and Child health (18). (see table 55)
209 Table 55: Total number of Non Exchange and Exchange Students in MUHAS Departments:
Period
July 20167to June 2018
Department / School Non Exchange Exchange Total
Internal Medicine. 5 1 6
Paediatrics & Child Health 4 14 18
Surgery 5 4 9
Obstetrics & Gynaecology 7 4 11
Psychiatry. 2 0 2
Radiology. 1 0 1
Orthopedics & Trauma 3 0 3
Emergency Medicine 4 0 4
ENT 1 0 1
Ophthalmology 1 0 1
Haematology 2 0 2
Nephrology 0 0 0
Urology 0 4 4
School of Dentistry 5 0 5
School of Nursing 70 28 98
School of Public Health 2 0 2
MAMC 0 1 1
Total 114 56 170
NB: Some of the students in the School of Medicine rotated in more than one department.
(ii) Student Exchange Activities
The External Relations Unit together with the School of Nursing is coordinating a Global Education in Medicine Exchange (GEMx). Through this, MUHAS will also be able to send students to other African universities.
Among the ongoing collaborative research and student exchange agreement include that of MUHAS and North South - South Higher Education Network Programme (school of public health and social sciences), Global Education in Medicine Exchange (GEMx) UMCG/FMS – Groningen University,
210 Netherlands (school of Medicine), HAN University of Applied Sciences (school of Nursing), The St. Radboud University College Holland (community medicine), UCSF (DCEPD), Mie University, Japan (Paediatrics and Child Health), University Medical Centre, The Netherlands (School of Medicine), The Linneus Palme student exchange program (MUHAS) and The University College of London (School of Medicine),
(iii) Support for Resident Permit Class C, Visitor’s pass and/or Visa Application
Foreign students and staff coming to Tanzania for studies or research were required to have a Resident Permit Class C (previous immigration guidelines). Thus the Unit has had to process and submit applications for Resident Permit Class C for elective, occasional, foreign degree and diploma registered students and staff on exchange at MUHAS. Recently our students have been facing a lot of disturbance on which type of visa/resident permit they should take, as different immigration officials give some have been given visa class B and other C. The unit has been trying to sort out this problem with the Immigration Office but we have not yet succeeded to get clear information. The office is still sorting out this problem with the immigration office.
4.20.5 Additional Activities
In this year the External Relations Unit has been given approval to start producing and selling souvenirs to the incoming elective students as a means of generating more income. The souvenirs will include branded tops, T-shirts, mugs and caps; and cultural blouses, bags and ID holders.
211
4.21 Directorate of Finance
4.21.1 Introduction
Directorate of Finance is one of the thirteen directorates of the Muhimbili University of Health and Allied Sciences (MUHAS). The Directorate is responsible for financial planning, directing and controlling of the financial accounting operations of the University. The directorate is also responsible for liaising with auditors in conducting
their assignments, coordinating the preparation of budgets and provides fundamental financial analysis and feedback on the budget performance and assessment of the financial accounting operations.
4.21.2 Audited Accounts for Financial Year 2017/18.
The directorate is in the process of preparing Financial Statements for the year 2017/2018 for statutory audit. During the reporting period MUHAS continued to comply fully with all International Public-Sector Accounting Standards (IPSAS) as directed by the office of the Accountant General. The audit for the year is scheduled to start before by mid September 2018. MUHAS statutory auditor is the Controller and Auditor General (CAG) who is currently represented by M/S KLM Consult. Financial Statements for the following projects were also prepared to be audited in the reporting period: -
Table 59: Audited Project Accounts for 2017/18
S/N Name of Project Auditor 1 Sida Programe CAG (KLM Audit Firm) 2 Share IT Project HLB Mekonsult 3 Norhed - Norad CAG (KLM Audit Firm) 4. Sparco Project CAG (KLM Audit Firm) 5 Danish KP Project- KLM Auditor
212 4.21.3 Trainings, Seminars, Workshops and Conferences
During 2017/18, the directorate continued to send key staff for International Public-Sector Accounting Standards (IPSAS) training. The training provided new insights and updated information to the accounting staff. This is expected to improve our compliance in IPSAS and other statutory issues.
During the year training was also given to MAMC – Finance staff on Hospital Information System (HIS) which is the information system for management of the hospital activities. Retraining is still needed to broaden the understanding of the system and how it works. Another seminar attended by various staff of the Directorate is Record Management and filing system
4.21.4 Achievements
(i) Clean audit report (unqualified opinion) for 2016/2017
(ii) All staff of the Directorate set objectives and targets of performance and evaluated through OPRAS.
(iii) The University implemented the Government Electronic Payment Gateways (GePGs) to collect its revenue.
(iv) Process to upgrade Epicor to version 10.2 has started. This will enable interface between Epicor and the Bank systems thus making internet banking easier to operate
(v) Timely submission of annual and bi annual tax returns and payments was achieved
(vi) Timely handling of student issues and complaints
(vii) NHIF forms processing backlog was cleared at the MAMC
(viii) Increased revenue collection compared to last year (this year TZS 10,526,727,834; last year TZS 7,150,658,072.58)
(ix) Extended Epicor to MAMC and prepared the finance team to accommodate payment processing at MAMC
4.21.5 Challenges
The following challenges were experienced in the reporting year.
(i) Inadequate funding of the University budget.
(ii) Delay in payment of tuition fees by the Loan Board for semester 2 of the year 2017/2018 and from MoHCDGE&C for 2015/16 and 2016/17.
(iii) Inadequate staffing in terms of number and cadres in the Directorate.
(iv) Low level of knowledge in application of EPICOR and MS office applications e.g. excel. 213 (v) Unstable internet connection and EPICOR connectivity at MAMC.
(vi) Frequent power interruptions at MAMC
(vii) Equipment- computers, printers and scanners.
214 4.21.6 Financial Statements
215
216
217
218 Appendix I: Projects Progress report during the reporting period (July 2017- June, 2018) Project S/ PI Donor/Collabora N Name tor Project Title Objectives Progress R 1 Dr. World Bank through Emergency To produce adequate The Training plan has been prepared an Hendry TANROADS Medical Services manpower skilled to Health, Community Development Gend Sawe Establishment in manage and operate the Preparation of training material and Tra Tanzania - Pilot EMS on the Northern course has been done. The list of trainee Phase from Dar, Transport Corridor of expected to start in August 2018. Ruaha, Buyuni - SATTFP between Dar Track Road es Salaam and Ruaha Buyuni Track Road section 2 Prof. PEPFAR/NIH Afya bora To contribute to health The project has ended its first 5 years of David consortium systems strengthening application has been submitted to NIH a Urassa (ABC) in our African partner application countries by developing a leadership training program targeting primarily African health professionals 3 Prof. NIH/University of Allergy, This study aims at This mini project ended in July 2016 an David Washington Immunology and assessing the timeliness for publication Urassa Transplantation in the early infant Research diagnosis (EID) chain of custody and to investigate factors associated with delayed results in order to decrease turnaround time to enhance care, easily ART initiation and followup of HIV- infected infants in Bagamoyo and Kibaha Districts 4 Prof. NIH/University of Predictors and Determine predictors This was also a mini project that ended David Washington reasons for poor and reasons for loss to processing manuscript for publication Urassa retention after follow up (LTFU) on initiation of option B+ for HIV- option B+ among positive pregnant and HIV- positive breastfeeding women pregnant and breast feeding women from 2013 to 2014 in Dar es Salaam, Tanzania 5 Prof. University of Afya Bora Train Health Leaders in This is the same as no.1 and we are loo David Washington Consortium in African Country. implementation if funded. Urassa Global Health Leadership
219 6 Prof. University of Afya Bora Identify Road Traffic This is also a mini project that was fund David Washington Consortium- Injury (RTI) hotspots got fund suspension after a change of g Urassa Carrier in Ilala Dsm; A step expired Development towards injury Award prevention in Tanzania
7 Dr. Mangi Research Triangle Understanding To tailor existing Baseline data completed. End line daa c Ezekiel Institute HIV-related survey instruments to stigma and the Tanzania context discrimination in including adding a the health system focus on stigma from the towards adolescents perspective of and young adults (18- health facility 24 years) people staff and clients, seeking HIV testing, in selected treatment and care facilities in services as well as Tanzania sexual and reproductive health services.
8 Dr. Nutrition Formative Identify enablers and Data collection and analysis completed. Deodatus International Research for barriers for food and comments Kakoko Nutrition Services nutrition behaviours to inform an effective behaviour change intervention strategy.
9 Prof. NIH-Forgart, DMRET- Capacity Building Progress since last Report. 1) Departme Muhsin Dartmouth, Dartmouth- Grant in the Bioethics, 2) Three members of faculty have secur Aboud University of Penn MUHAS provides support to program has enrolled third cohort of 11 Research Ethics train Masters Students sponsored several faculty to attend conf Training courses outside the country. 50 Program Programme met twice, monthly PIs meetings are on bioethics research scholarship offered t is on review. 7) Survey of RECs in Tan PRIM&R in November 2017. 8 Two da Transplant' done March 7-8, 2018. 9) P need Healthcare Ethics Committees, SA 10 Prof. Harvard School of Global Disease Train leaders focusing Trained 12 Junior faculty and residents Karim Public Health and Training (GID) on childhood diarrheal Harvard School of Public Health. Vario Manji Social Science disease, respiratory previously . Currently , 4 Tanzanians u infections and partial dissertation: i. EHealth and Diarr tuberculosis Campylocacter diarrhoea in children. C Sepsis, National TB guidelines review, sepsis, IMCI 0-2months and IMCI 3-60 lactational management. Sponsored Pro Autism and SAM Sepsis 11 Prof. University of Bergen B12 Followup Studying the role of Study Completed in June 2017. We recr Karim Vitamin B12 and manuscript writing is in progress. T Manji supplementation in activities. Expect publications by early early childhood and Neurodevelopment between 5 and 15 years.
220 12 Prof. The Boston Children ZTDT Finding optimal dose The filed activities are ongoing. The sa Karim Hospital for Zinc in children have recruited 1480 participants from M Manji with diarrhoea and Temeke Hospitals. 60% recriuteme recruitment in March 2019.
13 Dr. Mtebe Private Health Lab Microbiology and Conduct phase I and II Phase I and II evaluations were conduct Majigo Board Immunology Lab evaluations of menthod for the 2017 - 2018 period . Ev Laboratory Equipment and/or Methods
14 Dr. Lilian Ethiopia Ministry of MUHAS-Makelle Training of the PhD Four PhD students from Mekelle Unive Mselle Education Universities nursing students from studies at Mekelle had 5 courses and 3 c Capacity Building Mekelle Uiversity, academic year. The courses taught were Ethiopia Human Relations (PHNS02), Philosoph (PHNS01), Quantitative and Qualitative (PHNS05), Concept Development and Phenomena in Nursing (PHNS04) and (PHNS07). Among the 3 capstones con Students spent 4 weeks in clinical place notes based on their areas of research pr clinical placements at Muhimbili Natio Clinic; one (1) at Jakaya Kikwete Cardi Ocean Road cancer Institute (ORCI). B were examined. Three (3) students pass incomplete results as he did not submit notes. 15 Dr. University of Bergen NORPART Strengthen Capacity & 1) One new master program in Health P Mughwira Quality of education (1st Draft ready). 2) Two members of a Mwangu and research in health courses on Health Economics and Prior economics in the 2018;3) Two Ph D students recruited;4) partner insitutions of conducted at MUHAS in August /Septe MUHAS & Bergen MUHAS participated in joint teaching a University 2017.
16 Dr. University of Rwanda Indoor air To describe the 49 pairs of mothers and children below Emmanue pollution from magnitude of indoor air Tandika and Tandale. Measurement of i l charcoal cooking pollution from charcoal and particulate matter completed. Preli Balandya stove and its cooking stove and its raspiratory health respiratory health effect among effects among women women and and children as well as children in Dar es assess their mitigation Salaam: impact by an improved assessment and ccoking stoves in Dar mitigation es Salaam, Tanzania through introduction of an
221 improved cooking stove
17 Prof. Ester Swedish Research Natural products Search for herbal drugs This project is implemented as part of P Innocent Council/Stockholm with anti HIV to manage student progess is good since he has pre University properties opportunistic infections MUHAS scientific conference, 2015 an among HIV/AIDS Journal of Intercultural Ethnopharmaco patients from plants other manuscript drafts are been prepar used by traditional isolated compounds has been identified healers in isolates.Currently, Initial studies on cru Tanzania. herbal antifungal formulation is ongoin final report and student thesis
18 Prof. Ester Association of Circles To strengthen research Phase one of the project (2014-2017) en Innocent common wealth Institutional capacity in Sub- participated in the Climate Impact Rese universities (ACU) Strengthening Saharan African Enhancement (CIRCLE) as a Host and and Africa academy Program (ISP) research institutions to five (5) of its staff for a one year resear of Science (AAS) support early career Universities, MUHAS also hosted 3 sta researchers and Africa for the CIRCLE Visiting Fellow develop a coordinated has an ISP Team to promote needs of ea strategic approach to networking, mentorship and climate cha climate change research
19 Dr. Ester Family Health Circles To strengthen research Innocent International Institutional capacity in Sub- Tanzania Strengthening Saharan African Program (ISP) research institutions to support early career researchers and develop a coordinated strategic approach to climate change research 20 Dr. COSTECH Phytochemical To investigate • Chemicals, reagents and materials for Francis and Antifungal Tanzanian Combretum assays procured Machumi Investigation of species for formulation • 52 samples from 20 species of Combr Tanzanian Combr of standardized species) collected from Pwani, Tanga a etum Species for antifungal herbal • Extraction of collected samples by col Potential product and isolation of • In-vitro antifungal assays started (30% Formulations active compounds against Fungal Infections
222 21 Dr. Nahya Ifakara Health Every New Born Testing the recording Data collection: started july 2017 and c Salim Institute Action Plan of priority facility- sites were involved Temeke and MNH. (ENAP), Every based, maternal and observation cases at MNH especially in Newborn Birth new-born coverage one site and rely on Temeke site to com Indicators indicators for use in 10,000 observations. The MNH The sit Research health management 2018. Currently, data cleaning and pre- Tracking in information systems Future plan: The project received additi Hospitals 'EN- currently abbreviated follow up case control cohort study of 8 BIRTH' as Every Newborn Temeke District. This study is abbrevia Birth Indicator Measurement Intergrating Longitudinal Research Tracking in 'EN-SMILING' 0- 2yrs. Additional fund Hospitals Study (EN- cohort for up to 5 years. BIRTH).
22 Dr. Nahya Ada Health GmbH Adopting Ada (an To make Ada APP as Phase one: translation of the Ada tool in Salim artificial one of the best health The deadline is mid August 2018. This intelligence AI- decision support tools swahili version of Ada tool. Cognitive t system) to support in Tanzania be done forother local tropical disease. medical decision ongoing process. making during the process of diagnosis in Tanzania 23 Prof. CDC/Dartmouth Strengthening Strengthen capacity at The MPH-DL program has three cohort Gideon College Health Academic SPHSS to provide 2017, the program enrolled 67 students Kwesigab Boston University (Share-IT) increased numbers of one based in Nigeria and they are progr o well-trained, highly- with their counterpart cohorts 1&2. It is qualified, public health year 2018/2019 about 100 qualified app graduates and program and will comprise the fourth co workforce members with the skills and competencies needed to improve the Tanzanian health system 24 Prof. Martin Luther Economical, To develop a novel The project is training two PhD student Mary University ecological and three-pronged received their PhD full registration in Ju Justin therapeutic intergrated approach on a research entitled “Search for Poten sustainability in towards bieconomic Selected Tanzanian Medicinal Plants” the development value chain, ecological a research entitled “Search for novel an of and therapeutic medicinal plants available in Tanzania” phytopharmaceuti sustainability, The Project also offers training worksho cals for Sub- accompanied by a to students. The students have present t Saharan Africa graduate school workshops which were conducted in Ta focussing on the they attended one month summer schoo proposed subject fields University, Germany from January-Feb 25 Dr. World Health Immidate To reduce neonatal 4 training programs have been conducte Augustine Organization Kangaroo Mother martality by starting implementation. Currently babies are en Massawe Care Kangaroo mother care beds will be empty, while ensuring the soon after birth
223 26 Prof. Elia Danida fellowship Access to Health To assess the extent of 3 PhD students have collected base Mmbaga Centre Services Among access of sexual and Qualitative part of the project and plans Key Population in collection in Tanga reproductive health Tanzania services and associated pull and push factors among key population for HIV in Tanzania
27 Prof. Elia NIH/NCI (University Molecular To evaluate genetic risk Data collection for esophagial cance John of San Francisco, determianntsof factors for esophagial completed and analysis is ongoing Mmbaga California, USA) Esophagial cancer among patients Cancer in with esophagianl cancer Tanzania treated at MNH and ORCI in Dar es Salaam , Tanzania
28 Welcometrust Health Policy To evaluate the ethical The project pilot has been completed an (Universuity of Experiment issues related to policy methodology done. The full protocol Heidelberg, German, experiment and develop clearance. Prof. Harvard University, an ethical framework to M.T.lesha bari/Dr. USA) guide policy Elia John experiments globally Mmbaga 29 Mass drug To evaluate the Data collection and analysis for cohort administration for effectiveness of MDA written and apporoved by Donor. Public Volkswagen prevention of in the prevention of Foundation Genital female female genital (BenardNotch schistosomiasis schistosomiasis using Institute of Tropical community based RCT Dr. Elia medicine, Hamburg, in Kilimanjaro John German) Tanzania Mmbaga 30 Global Fund IBBS among Key To determine trends in Data collection was completed in Dece (National AIDS population in Dar HIV and STI wrioting done. Disseminatyion and prin Control Programme es salaam prevalance through an Tanzania, University intergrated- of California san Biobehavioral survey Francisco, USA) among men who have sex with men, female sex workers and people Dr. Elia who inject drugs in Dar John es salaam, tanzania Mmbaga
224 Appendix II: Summary of papers published by staff during 2017/18
During the reporting period, the university published a total of 342 publications. These included 138 journal articles, 204 Thesis/Dessertation. The following is the list of some publications produced in local, regional and international journals during the reporting period.
A: Journal Articles
S/ AUTHORS TITLES OF PUBLICATION N 1 Abera, K., Samson, W., Magne, B., Dust exposure levels among treet sweepers in Wakgari, D., Simon, M., Betelihem, T., Bole Sub-City, Addis Ababa, Ethiopia. (2018) Bente, E. M.
2 Afadhali, D. R. Preperitoneal pelvic kidney: Revisiting the significance of variant anatomy to the clinician of the future. (2017)
3 Afadhali, D. R., Flora, M. F. A unique quadrifurcation of the sciatic nerve in the lower leg.(2017)
4 Afadhali, D. R., Nuru, L. M., Rehema, C. Tackling the grassroots: appraisal of career M. choice and prospects of the students at a medical school in Tanzania. (2017)
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2 Akrabi,A.M. Clinical profile, management and outcome of patients developing cardiac arrest in the emergency medicine department of Muhimbili National Hospital, Dar es salaam. Muhimbili University of Health and Allied Sciences. (2017)
3 Alawy, K. Prevalence of hearing loss and associated factors among neonates born in Zanzibar. Muhimbili University of Health and Allied Sciences. (2017)
4 Alex,M.B Referral reasons and communication barriers influencing referrals of women with obstetric complications during peripartum period at Muhimbili National Hospital, Dar es salaam. Muhimbili university health and alliead science. (2017)
5 Ali, S.S. Prevalence and factors associated with surgical site infections among patients attending Mnazi Mmoja hospital in Zanzibar, Tanzania. Muhimbili University of Health and Allied Sciences. (2017)
6 Ally,M. Fetal doppler ultrasound findings in preeclampitic women attending antenatal services at Muhimbili National Hospital. Muhimbili University of Health and Allied Sciences. (2017)
7 . Ally,M. Clinical, laboratory features and available treatment options among patients with aplastic anaemia attending Muhimbili National
258 Hospital, Tanzania. Muhimbili University of Health and Allied Sciences. (2017)
8 . Ambrose,L. Indications and availability of blood for transfusion in obstetric care at Muhimbili National Hospital, 2016. Muhimbili University of Health and Allied Sciences. . (2017)
9 Ameir,M.M -compliance with adapted who recommended visits among postnatal mothers attending Chumbuni phcu in Zanzibar Factors contributing to compliance or non. Muhimbili University of Health and Allied Sciences. (2017)
10 Andrea, D. Twelve -month treatment retention and associated factors; a comparison of two methadone assisted therapy clinics in Dar es Salaam Tanzania. Muhimbili University of Health and Allied Sciences. . (2017)
11 . Antony, B.J.. Predictors and outcomes of allograft recipients at dysfunction among kidney transplant Muhimbili National Hospital. Muhimbili University of Health and Allied Sciences. . (2017)
12 Areu, M.M.M. Early treatment of open diaphyseal tibia fracture with intramedullary nail versus external fixator: cost effectiveness analysis at Muhimbili orthopaedic institute, Dar es salaam.. Muhimbili University of Health and Allied Sciences. (2017)
13` . Aubroo, S.B Prevalence of allergic rhinitis among secondary school pupils in Kinondoni district.. Muhimbili University of Health and Allied Sciences. ( 2017)
14 Badi, S. Occupational injuries and associated factors among solid waste collectors in ilala municipality, Dar es salaam, Tanzania. Muhimbili University of Health and Allied Sciences. (2017).
259 15 Bakari, K.Z. Assessment of maternal and fetal outcomes in pregnant women with preeclampsia or severe preeclampsia after receiving methyldopa alone or methyldopa supported with nifedipine at Muhimbili National Hospital.. Muhimbili University of Health and Allied Sciences. . (2017).
16 Barabara, M.L. Prevalence and associated factors of intimate partner violence among pregnant women attending antenatal care clinics at Moshi municipal council, Kilimanjaro, Tanzania. Muhimbili University of Health and Allied Sciences. (2017).
17 Bashaka,P. Clinical profiles, initial management and outcomes of malnourished children presenting to the emergency medicine departiment of Muhimbili National Hospital, Dar es salaam. Muhimbili University of Health and Allied Sciences. (2017).
18 Bazilio, J. Prevalence and bacteriology of tonsillitis among patients attending otorhinolaryngology services at Muhimbilinational hospital Dar es salaam, Tanzania.. Muhimbili University of Health and Allied Sciences. (2017).
19 Beverly, M.C. Prevalence and determinants of modern contraceptive use among postpartum mothers attending child health clinic at Mnazi-mmoja hospital, Dar es salaam. Muhimbili University of Health and Allied Sciences. (2017).
20 Birago, E.W Poultry dust exposure and lung function among poultry farm workers in Kibaha Pwani region, Tanzania. Muhimbili University of Health and Allied Sciences. (2017).
21 Buliga,V. Assessment of dust exposure and associated respiratory health symptoms among small scale sunflower oil industry workers in Singida Tanzania. Muhimbili University of Health and Allied Sciences. (2017).
22 . Chaya, P.S. Satisfaction of community health worker- students with the training program at Kahama
260 and Shirati health institutes in Tanzania. Muhimbili University of Health and Allied Sciences. (2017).
23 Chidi, S. Investigation of factors influencing data management in district health planning process: a case study of Kibaha town council. Muhimbili University of Health and Allied Sciences. (2017).
24 ChitaraSexual and reproductive health needs and theirassociated factors among adolescent students aged 15, M. -19 years in secondary schools in Ilala, Dar es salaam. Muhimbili University of Health and Allied Sciences.(2017).
25 Credo, D. Antidiabetic activity of selected Tanzanian traditionally used medicinal plants. Muhimbili University of Health and Allied Sciences. (2017).
26 Ernest, A.L. Prescription and consumption patterns of blood and blood components in patients undergoing orthopaedic and neurosurgical procedures at Muhimbili orthopaedic institute, DSM, Tanzania.. Muhimbili University of Health and Allied Sciences. (2017).
27 Fabian, F. Athree months’ outcome of supracondylar fractures of the humerus treated by closed reduction and percutaneous pinning among pediatric patients treated at MOI. Muhimbili University of Health and Allied Sciences(2017).
28 Feksi, J. The pattern of nystagmus in children attending the paediatric ophthalmology and neurology clinics at Muhimbili National Hospital. Muhimbili University of Health and Allied Sciences. (2017).
29 Francis, P. In vivo evaluation of wound healing activity of
selected medicinal plants traditionally used in
261 Tanzania. Muhimbili University of Health and Allied Sciences. (2017).
30 Fugusa, E.W. Parenting styles, psychological wellbeing and depressive symptoms among adolescents in Dodoma Tanzania. Muhimbili University of Health and Allied Sciences. (2017).
31 Garimo, I.A. Individual risk factors for malaria infectionin Unguja island Zanzibar. Muhimbili University of Health and Allied Sciences. (2017).
32 Haji, H.A. Factors associated with poor adherence to ant- retroviral therapy among hiv/aids patients attending care and treatment clinic at Mnazi Mmoja hospital, Zanzibar. Muhimbili University of Health and Allied Sciences (2017).
33 Haji, M.S. Prevalence and characteristics of tobacco users with mental illness attending psychiatry outpatientclinic at MNH Dar es salaam Tanzania. Muhimbili University of Health and Allied Sciences. (2017).
34 Hamidu, I. Sexual risk behaviour among people on antiretroviral therapy in Kisarawe district: assessment of magnitude and associated factors. Muhimbili University of Health and Allied Sciences. (2017).
35 Harun, S. Comprehension in doubt: an informed consent towards treatment among people living with HIV and aids at Mwananyamala hospital. Muhimbili University of Health and Allied Sciences. (2017).
36 Hassani, F. Factors affecting care seeking behaviour among benign prostatic hyperplasia patients at Muhimbili National Hospital.. Muhimbili University of Health and Allied Sciences. (2017).
37 Hassam, I. Association of vitamin d and diarrhoea in children aged less than five years at Muhimbili
National Hospital, Dar es salaam: an unmatched
262 case control study. Muhimbili University of Health and Allied Sciences.
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38 Helela,E.N. Childhood inter-parental violence exposure and dating violence victimization among 20-24 years old undergraduates in Dar es salaam. Muhimbili University of Health and Allied Sciences. (2017).
39 Iramu,R.S. Bone scintigraphy metastatic pattern in patient with prostate cancer at ocean road cancer institute. Muhimbili University of Health and Allied Sciences. (2017).
40 Isengwa, O.F. The clinical presentation, magnitude and risk factors for development of inhibitors of factor viii and ix among patients with hemophilia at Muhimbili National Hospital. Muhimbili University of Health and Allied Sciences. (2017).
41 James, R Y., Hendry, R. S., Juma, A. Sub dissociative intranasal ketamine plus M., Ernest, N., Ethan, H., Charity, G. standard pain therapy versus standard pain M., Michael, S. R., Stacy, L.R. therapy in the treatment of paediatric sickle cell disease vasoocclusivecrises in resource-limited settings: study protocol for randomized controlled trial. (2018).
42 Jao, O.N. The pattern and causes of corneal opacities in patients attending eye clinics at Muhimbili National Hospital.. Muhimbili University of Health and Allied Sciences. (2017).
43 John,W. Noise exposure and reported noise induced hearing loss among gas fired electric plants workers in Dar es salaam, Tanzania. Muhimbili University of Health and Allied Sciences. (2017).
44 John,C.A. Mri findings of soft tissue injury tothe knee joints in correlation to clinical and arthroscopic findings in patients attending Muhimbili
orthopaedic institute, Dar es salaam,
263 Tanzania.Muhimbili university health and allied science. 2017).
45 Kabanangi, F.J.K. Mbacterial causes and antibiotic susceptibility patterns of aerobic isolates from burn wound infections in Dar es salaam, Tanzania.Muhimbili university health and alliead science.(2017).
46 Kabano, M. Serum levels of folate and vitamin b12 in patients with bilateral optic neuropathy attending the eye clinic at Muhimbili National Hospital. Muhimbili University of Health and Allied Sciences. (2017).
47 Kaduma,A.M. Magnitude and predictors of antiretroviral (art) treatment failure among women on option b plus attending pmtct clinics in Dar es salaam, Tanzania. Muhimbili University of Health and Allied Sciences. (2017).
48 Kain, U.J. A comparative study of intrathecal fentanyl as adjuvant to hyperbaric bupivacaine for post cesarean section analgesia at Muhimbili national hospial. Muhimbili University of Health and Allied Sciences. (2017).
49 Kapinga, D.R. Seroprevalence and factors associated with hepatitis b virus infection in pregnant women attending antenatal clinic in karagwe district council, Kagera region.. Muhimbili University of Health and Allied Sciences. (2017)
50 Karlo, M. The prevalence of disrespect and abuse to women giving birth in mbeya city health facilities from October to December 2016. Muhimbili University of Health and Allied Sciences. (2017).
51 Kasanga, H.D. Job satisfaction among nurses working in public health facilities at Kisarawe district. Muhimbili University of Health and Allied Sciences. (2017).
52 Kataya, H. Intimate partner violence among adolescent
brides: exploring the nature and contributing
264 factors in Pwani region. Muhimbili University of Health and Allied Sciences. (2017)
53 Katembo, B. S. Factors associated with antenatal clinic booking: Application of the ecological model for health promotion in mpwapwa, Dodoma – Tanzania.. Muhimbili University of Health and Allied Sciences. (2017).
54 Kebeyo, N.M.L. Right to privacy and confidentiality for people living with hiv and aids in accessing health care services. Muhimbili University of Health and Allied Sciences. (2017).
55 Kibao, A.M. Knowledge and adherence visits to pmtct option b+ services among HIV positive pregnant women in Ilala municipal council. Muhimbili University of Health and Allied Sciences. (2017).
56 Kibongolo, R.O. Assessment of water, sanitation and hygiene practices associated with diarrhea prevalence among households’ members in flood prone areas:a cross-sectional study along Kilombero valley. Muhimbili University of Health and Allied Sciences. (2017).
57 Kichao, M.S. Respiratory symptoms and lung function among employees at bank of Tanzania headquarters. Muhimbili University of Health and Allied Sciences. (2017).
58 Kilume, U. Experience of food insecurity among elderly: nature, health impact and social support system in Mvomero district – Morogoro. Muhimbili University of Health and Allied Sciences. (2017).
59 Kimambo, H.H. Diabetes mellitus among patients with tuberculosis attending tb clinics in Dar es salaam. Muhimbili University of Health and Allied Sciences. (2017).
60 Kimaro, E. Formulation development of chewable albendazole tablets with improved dissolution
265 rate. Muhimbili University of Health and Allied Sciences. (2017).
61 Kimboka, J.J. Nurses’ knowledge and practice in the applicationof the glasgow coma scale in the intensive care units and emergency department at Muhimbili National Hospital and Muhimbili orthopaedic institute, in dar es salaam.. Muhimbili University of Health and Allied Sciences. (2017).
62 Kinasa, G.C. Prevalence of ventilator-associated pneumonia among patients admitted in intensive care units at Muhimbili National Hospital, Dar es salaam, Tanzania.. Muhimbili University of Health and Allied Sciences. (2017).
63 Kissambu, L.M. Maternal and perinatal outcomes among women with short inter–pregnancy interval delivered at Muhimbili National Hospital, Tanzania.Muhimbili univarsity health and allead science. (2017).
64 Kisoka, E. Factors influencing female parental approval of contraceptive use among adolescent girls in Kinondoni district, Dar es salaam, Tanzania. Muhimbili univarsity health and allead science. (2017).
65 Komba, F.F. Factors influencing the implementation of isoniazid preventive therapy for people living with HIV in care and treatment centres in songea municipality.Muhimbili univarsity health and allead science. (2017).
66 Komba, T. Exploring socio-cultural factors influencing intimate partner violence among ever married women: a case of charambe ward in temeke district. Muhimbili univarsity health and allead science. (2017).
67 Lameck, L.A. Knowledge of danger signs during pregnancy and health care seeking actions among pregnant women at Ilembula rch clinic, Njombe.Muhimbili univarsity health and allead science. (2017).
266 68 Likinderaki, B.W. Predictors contributing to loss-to-follow-up of HIV infected adults on antiretroviral treatment in two district hospitals in Dodoma region.Muhimbili univarsity health and allead science. (2017).
69 Luambo, S.A. Patients participation in their medical care and decision making at ocean road cancer institute.Muhimbili univarsity health and allead science. (2017).
70 Lueeth, J.M.G. Prevalence, management and consequences of postoperative pain in pediatric patients undergoing elective surgery at Muhimbili National Hospital, Dar es salaam, Tanzania. Muhimbili University of Health and Allied Sciences. (2017).
71 Lugina, E.L. Survival in laryngeal cancer and its predictors at ocean road cancer institute from 2008-2012. Muhimbili University of Health and Allied Sciences. (2017).
72 Lujuo, T. Dental fluorosis: prevalence, severity, treatment need and impact on quality of life among secondary school students in arusha, Tanzania. Muhimbili University of Health and Allied Sciences. (2017).
73 Lukoya, A. A. Risk factors for perinatal mortality at Muhimbili National Hospital, Dar es salaam Tanzania: un-matched case control study.Muhimbili university health and alliedscience. (2017).
74 Lusaya, E. Provider characteristics and facility barriers to implementation of single visit approach to cervical cancer in Kinondoni. Muhimbili university health and alliedscience. (2017).
75 Lutter, D.N. Doctors prescribing behaviour: a comparative study between insured and un-insured patients at Muhimbili National Hospital.Muhimbili university health and allied science. (2017).
76 Lyandala, V.H. The utility of ct optic nerve sheath diameter in patients with traumatic brain injury referred to
267 Muhimbili National Hospital.Muhimbili univarsity health and allied science. (2017).
77 Lyatuu, L. Disease characteristics and survival of nasopharyngeal carcinoma patients treated at ocean road cancer institute, Dar es salaam, Tanzania.Muhimbili univarsity health and allead science. (2017).
78 Lydenge, F.H. Evaluation of inter hospital transfer of patients by ambulances to Muhimbili National Hospital in accordance to acceptable international standard guidelines.Muhimbili univarsity health and allead science. (2017).
79 Lyimo, M.J. Good manufacturing practices compliance: the case of registered small scale maize milling industries in ubungo and Kinondoni districts, Tanzania.Muhimbili university health and allead science. (2017).
80 Mamboleo, N. Computed tomography imaging findings in patients presenting with chest masses at computed tomography unit, Muhimbili National Hospital, Dar es salaam, Tanzania.Muhimbili university health and allead science. (2017).
81 Mabula, A.M. Polytrauma: patterns of orthopaedic injuries in polytrauma patients treated at Muhimbili National Hospital (mnh) and Muhimbili orthopaedic institute (moi). Muhimbili university health and allead science. (2017).
82 Mabula,P.S. The impact of basic emergency medicine training on the understanding, perception and career decision-making towards emergency medicine amongst healthcare providers in tertiary referral hospitals in Tanzania.Muhimbili university health and allead science. (2017).
83 Machangu, O. I.N. Extent of use of skin bleaching agents and associated factors among female college students in ilala district, Dar es salaam.. Muhimbili University of Health and Allied Sciences. (2017).
268 84 Mahamoud, K.J. Assessment of the quality and satisfaction of maternity health care services among post-natal mothers, tanga regional referral hospital, Tanzania.Muhimbili university heath and allied science. (2017).
85 Mahundi, S. Sexual behaviours and perceived risk of HIV infections among female hairdressers in Kinondoni municipality Dar es Salaam, Tanzania.Muhimbili university heath and alliade science. (2017).
86 Makame, S.A. Factors influencing performance of screening methods for urinary schistosomiasis among school children in uwandani Pemba, Zanzibar - Tanzania, 2017. Muhimbili university heath and allied science. (2017).
87 Malekia, S.E. Active health research monitoring in Tanzania: perspectives from members of institutional review boards. Muhimbili university heath and allied science. (2017).
88 Mapala, Y.W. Use of geospatial analysis to support resource allocation decision-making in healthcare projects a case of usaid hiv/aids implementing partners. Muhimbili university heath and allied science. (2017).
89 Mariki, H.K. Gene expression profiles associated with congenital heart disease among children aged 0- 59 months at Muhimbili National Hospital and Jakaya Kikwete cardiac institute, Dar es salaam, Tanzania. (2017).
90 Masago, J. The pattern of salivary gland tumours among patients attending orl and maxillofacial services at Muhimbili National Hospital. Muhimbili university heath and allied science. (2017).
91 Maselle, E.B. Assessment of the integration of tb and HIV services at different levels of selected health
facilities in Ilala district, Dar-es-
269 salaam.Muhimbili university health and allied science. (2017).
92 Masuma, G. Urethrographic patterns of urethral strictures among patients with micturition abnormalities at Muhimbili National Hospital.. Muhimbili University of Health and Allied Sciences. (2017).
93 Mathias, M. Prevalence and aetiology of neck masses among patients receiving surgical services at Muhimbili National Hospital.. Muhimbili University of Health and Allied Sciences. (2017).
94 Maya, A.M. Assessment of the effect of supervised toothbrushing and use of plaque disclosing agent on oral health status of primary school pupils in Dar-es-salaam.
Muhimbili University of Health and Allied Sciences. (2017).
95 Mbarak, B.A. Prevalence of postpartum depression and associated risk factors following pre-eclampsia/ eclampsia at Muhimbili National Hospital - a cross sectional study.. Muhimbili University of Health and Allied Sciences. (2017).
96 Mbike, S. Parasitic contamination of waste stabilization ponds effluent, prevalence and risk factors associated with transmission of soil-transmitted helminthiasis among school-aged children in the surrounding community in Dar es salaam. Muhimbili univarsity health and allied science. (2017).
97 Meshi, E.B. Thermal exposure and related heat illness symptoms among workers in mara gold mines.. Muhimbili University of Health and Allied Sciences. (2017).
98 Mdamu, J. Sexual and reproductive health among adolescents living in orphanages in Dar es salaam.. Muhimbili University of Health and Allied Sciences. (2017).
270 99 Mdimu, E. Factors associated with under nutrition among children under five years (6-59) months in Ngorongoro district, Arusha region.. Muhimbili University of Health and Allied Sciences. (2017).
100 Meena, G.G. Assessment of occupational exposure to metal fumes and associated respiratory health symptoms among small scale welders in Dar es salaam.. Muhimbili University of Health and Allied Sciences. (2017).
101 Mghase, A. Five-year survival among post mastectomy breast cancer patients managed at Muhimbili National Hospital, Dar es salaam.. Muhimbili University of Health and Allied Sciences. (2017).
102 Mgaya, A. Characteristics of patients with post caesarean section burst abdomen and its treatment outcome at Muhimbili National Hospital.. Muhimbili University of Health and Allied Sciences. (2017).
103 Mgongo, O.I. Men’s awareness, utilization and involvement in family planning and associated factors in Micheweni, Zanzibar, Tanzania.. Muhimbili University of Health and Allied Sciences. (2017).
104 Msimbe, M.L. Introduction of epidural labor analgesia and its outcomes at Muhimbili National Hospital Dar- es-salaam.. Muhimbili University of Health and Allied Sciences. (2017).
105 Michael, M.C. Prophylaxis practice and incidence of deep vein thrombosis among patients operated for hip fracture at Muhimbili orthopaedic institute, Dar es salaam.. Muhimbili University of Health and Allied Sciences. (2017).
106 Mlagalila, N.F. Treatment outcome and associated factors for ovarian cancer patients attended at ocean road
cancer institute Dar es salaam, Tanzania.
271 Muhimbili University of Health and Allied Sciences. (2017).
107 Milando, F.A. Factors associated with uptake of intermittent presumptive treatment of malaria among pregnant women in bagamoyo district.. Muhimbili University of Health and Allied Sciences. (2017).
108 Mistry,K.R. The pattern of ocular manifestations in patients with sickle cell disease attending sickle cell clinic at Muhimbili National Hospital.. Muhimbili University of Health and Allied Sciences. (2017).
109 Mlughu, T.S. Exploring ethical challenges in voluntary counseling and testing for hiv/aids: a case of Kinondoni municipal. Muhimbili univarsity health and allied science. (2017).
110 Mohamed, M.S.A. Imaging findings in adult patients with suspected urinary tract abnormalities who underwent ct urography investigation at Muhimbili national hospital.. Muhimbili University of Health and Allied Sciences. (2017).
111 Mohamed, S. Rrisk factors and outcomes of reduced fetal movements among women admitted in Muhimbili National Hospital.. Muhimbili University of Health and Allied Sciences. (2017).
112 Mphuru, A. Prevalence and contributing factors for missed opportunity for vaccination among children under two years of age attending health facilities in kinondoni municipal council, Dar es salaam, Tanzania.Muhimbili university health and allied science. (2017).
113 Msaki, L. Perceived risk of hiv, motives for buying sex and type of sex practice preferred among clients of female sex workers at brothels found in Dar
272 es salaam, Tanzania.Muhimbili university heath and allied science.(2017).
114 Muhali, R. Satisfaction with laboratory services among patients attending outpatient departments of regional referral hospitals in Dar es salaam Tanzania.Muhimbili university heath and allied science. (2017).
115 Mumba, S.O. Analysis of factors influencing multi-sectoral collaboration in responding to emerging zoonotic diseases: a case of Kilosa district council, Tanzania. Muhimbili University of Health and Allied Sciences. (2017).
116 Munuo, M. Determinants of kangaroo mother care method utilization among women with preterm infants at referral hospitals in Dar es salaam, Tanzania. Muhimbili University of Health and Allied Sciences. (2017).
117 Muola,D. Prevalence and pattern of white matter abnormalities in adult patients referred for brain magnetic resonance imaging at Muhimbili National Hospital.. Muhimbili University of Health and Allied Sciences. (2017).
118 Musa, W.J. Prevalence of adolescent deliveries and factors associated with poor pregnancy outcome at Muhimbili National Hospital. Muhimbili University of Health and Allied Sciences. (2017).
119 Mussa, D.S. Factors associated with maternal mortality among women admitted in maternity wards at Mnazi mmoja hospital - Zanzibar. Muhimbili University of Health and Allied Sciences. (2017).
120 Mushi, B.K. Ocular manifestations of cerebral palsy in children attending mnh cerebral palsy clinic.. Muhimbili University of Health and Allied Sciences. (2017).
121 Mutigitu, J.I. Factors leading to elevated viral load among HIV infected individuals receiving antiretroviral therapy in Pwani region,
273 Tanzania.Muhimbili univarsity health and alliade science. (2017).
122 Msovela,E.J. Knowledge on prescribed artemether- lumefantrine among outpatients and caretakers attending temeke hospital: patients’ fundamental rights.. Muhimbili University of Health and Allied Sciences. (2017).
123 Mwabulambo, S.G. Health symptoms associated with pesticides exposure among flower and onion pesticide applicators in arusha region.. Muhimbili University of Health and Allied Sciences. (2017).
124 Mwakatima, M. Prevalence of cytomegalovirus and epstein barr virus and associated factors among lactating mothers attending postnatal clinic in Mbeya region, Tanzania. Muhimbili University of Health and Allied Sciences. (2017).
125 Mwakibibi, D. To validate the use of possum score to predict morbidity and mortality among enteric perforation peritonitis patients undergoing laparotomy at Muhimbili National Hospital.. Muhimbili University of Health and Allied Sciences. (2017).
126 Mwalumuli,E.O. Comparison of level and predictors of adherence to art option b+ between hiv infected pregnant and lactating women at Mnazi mmoja hospital Dar es salam Tanzania. Muhimbili University of Health and Allied Sciences. (2017).
127 Mwamasage, B.LA. Factors associated with risk for pregnancy among secondary school girls in ilala municipality, Dar es salaam, Tanzania.municipal.. Muhimbili University of Health and Allied Sciences. (2017).
128 Mwambambale, A. Nutritional status, physical exercise and associated factors among urban secondary
274 school adolescent girls in Ilala municipal.. Muhimbili University of Health and Allied Sciences.(2017).
129 Mwambene, G.A.(2017). The The indications and magnitude of implant indications and magnitude of implant removal among patients undergoing removal among patients undergoing orthopaedic and trauma surgical procedures at orthopaedic and trauma surgical Muhimbili orthopaedic institute.. Muhimbili procedures at Muhimbili orthopaedic University of Health and Allied Sciences. institute.. Muhimbili University of (2017). Health and Allied Sciences.
130 Mwamasange, B.L.A. Factors associated with risk for pregnancy among secondary school girls in Ilala municipality, Dar es salaam, Tanzania. Muhimbili University of Health and Allied Sciences. (2017).
131 Mwandelile, I.F. Uptake of folic acid fortified flours among women of reproductive age in Ifakara, Morogoro region.. Muhimbili University of Health and Allied Sciences.
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132 Mwangoka,S.. Factors associated with caesarean section among women delivering at mbeya zonal referral hospital. Muhimbili univarsity health and allied science. (2017).
133 Mwashemele,Y.Z. Local government preparedness and community knowledge and practices to cholera outbreaks: the case of Kinondoni municipal in Dar es salaam, Tanzania. Muhimbili univarsity health and allied science. (2017).
134 Mwang’amba, G.F. Clinical outcomes after ultrasound guided supraclavicular brachial plexus blockade for upper limb surgeries at Muhimbili orthopaedic institute.. Muhimbili University of Health and Allied Sciences. (2017).
275 135 Mwanyika, M.P. Factors associated with missing appointments in the prevention of mother to child transmission of HIV (option b+) program in Njombe town council.. Muhimbili University of Health and Allied Sciences. (2017).
136 Mwashiuya,O. Routes of entry into early infant diagnosis of HIV infection and factors associated with late uptake of first HIV dna pcr test in mbeya region, Tanzania. Muhimbili University of Health and Allied Sciences. (2017).
137 Nandala, R. Assessment of health system factors influencing treatment of mult-drug resistant tuberculosis: a case of ambulatory and hospital based care models.. Muhimbili University of Health and Allied Sciences. (2017).
138 Nandi, S.S. Prophylactic use of intravenous dexamethasone in reducing the incidence of postoperative sore throat following general anaesthesia with endotracheal intubation at Muhimbili National Hospital, Dar es salaam.. Muhimbili University of Health and Allied Sciences. (2017).
139 Natana, G.G. Occurrence, clinicopathological characteristics and treatment modalities of orofacial tumours and tumour-like lesions in children treated at Muhimbili National Hospital, Dar es salaam, Tanzania. Muhimbili University of Health and Allied Sciences. (2017).
140 Ndasika, J.W. Prevalance of hoarseness of voice and other accompanied symptoms among patient receiving orl services at mnh. Muhimbili University of Health and Allied Sciences. (2017)
141 Ndeserua, R.H. Short-term management outcome of thoracolumbar injuries among patients admitted at Muhimbili orthopaedic institute.. Muhimbili University of Health and Allied Sciences. (2017).
276 142 . Ndobho, F.N The magnitude of hyper-reactive malaria splenomegaly among patients with massive splenomegaly at Muhimbili National Hospital, Tanzania. Muhimbili University of Health and Allied Sciences. . (2017)
143 Ndomondo, M.D. Sciences. The perception of induced abortion and its ethical implication among women of reproductive age in Mtwara. Muhimbili University of Health and Allied (2017).
144 Ndomondo, M.D. (2017). The perception of induced abortion and its ethical implication among women of reproductive age in Mtwara. Muhimbili University of Health and Allied Sciences. (2017).
145 Ndosi, W. Computer tomography findings among adult patients with suspected hepatocellular carcinoma at Muhimbili National Hospital.. Muhimbili University of Health and Allied Sciences(2017).
146 Nestory, E. Fire disaster preparedness in secondary schools a case study of ilala municipal council.. Muhimbili University of Health and Allied Sciences. (2017)
147 Ngaja, B.C Quality of life of benign prostatic enlargementpatients undergoing treatment with tamsulosin at Muhimbili National Hospital.. Muhimbili University of Health and Allied Sciences. (2017).
148 Ngemera, J.A. Body fat composition and dyslipidemia among students at the Dar es salaam university college of education, Tanzania. Muhimbili University of Health and Allied Sciences (2017)
149 Ngonyani, E. Efficacy of multimodal versus unimodal analgesia among post operative patients at Muhimbili National Hospital, a randomised controlled trial.. Muhimbili University of Health and Allied Sciences. (2017).
277 150 Njau, O. Adherence to antiretroviral therapy among hiv- infected underfive children attending at municipal hospitals in Dar - es - salaam, Tanzania. Muhimbili University of Health and Allied Sciences. (2017)
151 Njovu, L. Exploring perceptions of multi drug resistant tuberculosis patients and their supporters on hospital based and ambulatory care treatment models.. Muhimbili University of Health and Allied Sciences. (2017).
152 . Nkane, J.A. Facilitators and barriers to fathers’ engagement in supporting exclusive breast feeding by HIV infected mothers in Temeke Dar-es salaam Tanzania. Muhimbili University of Health and Allied Sciences. (2017).
153 . Nkingi, R.C. Experiences of living with sickle cell disease among adults attending clinic at Muhimbili National Hospital, Dar-es-salaam, Tanzania. Muhimbili University of Health and Allied Sciences. (2017)
154 Nkuwi, E.J. Methicillin resistant staphylococcus aureus from patients care environment at Muhimbili National Hospital, Dar es salaam.. Muhimbili University of Health and Allied Sciences. 2017).
155 Nkya, E. Factors affecting level of awareness of birth preparedness and complication readiness among women attending reproductive and child health clinics in Nyamagana district.. Muhimbili University of Health and Allied Sciences(2017).
156 Nondo, S.R. Short term outcome of patients with open tibia diaphyseal fracture treated with external fixator at Muhimbili orthoepedic institute.. Muhimbili University of Health and Allied Sciences. (2017).
157 . Nyakuya, B.M. Prevalence of malaria, household coverage with long lasting insecticidal nets and factors associated with bed net use among school
children in butiama district, Tanzania.
278 Muhimbili University of Health and Allied Sciences. (2017)
158 Nyambo, P.B. Knowledge and practice regarding umbilical cord care among mothers attending Mkoani health center at Kibaha. Muhimbili University of Health and Allied Sciences. . (2017)
159 Ngalula, J Retinoblastoma: clinical picture and grouping at the time of first presentation in patients attending paediatric oncology ward at Muhimbili National Hospital.. Muhimbili University of Health and Allied Sciences. (2017)
160 Ngimba,G.A. Sociodemographic and etiological patterns of traumatic pelvic injuries at muhimbili orthopedic institute Dar es salaam.. Muhimbili University of Health and Allied Sciences. (2017)
161 . Odeki, J.O.M.(2017). Maternal morbidity and perinatal outcome in preterm premature rupture of membranes between 28 and 34 weeks’ gestation at Muhimbili National Hospital. Muhimbili University of Health and Allied Science. .(2017)
162 Odu, H.S.C Prevalence of post dural puncture headache and associated factors in mothers for elective cesarean section at Muhimbili National Hospital.. Muhimbili University of Health and Allied Sciences. (2017)
163 Omary,B. Prevalence of pulmonary tuberculosis and associated factors among Tanzanite mineworkers in Mererani, Tanzania.. Muhimbili University of Health and Allied Sciences.
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166 Pierre, N.M.J. Review of post operative notes after caesarian section at Muhimbili National Hospital. Muhimbili University of Health and Allied Sciences. (2017).
167 Rahib,J.S. Prevalence of age related sensorineural hearing loss in elderly patients receiving ent services at Muhimbili National Hospital. Muhimbili University of Health and Allied Sciences. (2017).
168 Rajab, L. Correlation of mrcp and surgical findings in patients with obsructive jaundice at mnh. Muhimbili University of Health and Allied Sciences. (2017).
169 Rashid, I.Z User fee increase in improved community health fund: community participation and coping mechanisms in Kondoa district council. Muhimbili University of Health and Allied Sciences. (2017).
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171 . Robert,L.A. Gender-based violence and adherence to anti- retroviral therapy among hiv-infected women attending care and treatment clinic, Mbeya Tanzania Muhimbili University of Health and Allied Sciences. (2017)
172 . Rukeha, L.P. Short term outcomes of gut anastomosis surgeries at Muhimbili National Hospital. Muhimbili University of Health and Allied Sciences. (2017)
173 . Rugemalila, J.C. Mothers’ knowledge about neonatal danger signs and health seeking actions during neonatal
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175 . Rusigwa,S.E Regulating the traditional and alternative medicine practice: regulatee’s awareness, adherence and regulating challenges in Dar es salaam, Tanzania. Muhimbili University of Health and Allied Sciences. (2017)
176 Rwegalulira,J.B. Level of compliance to quality assurance and quality control procedures among fortified wheat flour manufacturers of Dar es salaam. Muhimbili University of Health and Allied Sciences. (2017)
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178 Sadallah, M. Gene expression profile and factors associated with neural tube defects among infants attending Muhimbili National Hospital and Muhimbili orthopaedic institute in Tanzania. (2017)
179 Sagaika,J.N. Trend of burden of influenza associated sari and factors associated with sari in kibondo district, Kigoma region, Tanzania. Muhimbili University of Health and Allied Sciences. (2017)
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183 Salim, S.S. Perceptions of women of reproductive age on modern family planning at Wete district, pemba. Muhimbili University of Health and Allied Sciences. (2017)
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282 188 Sarkar, A Imaging pattern of cerebral ring enhancing lesions in patients referred for brain MRI at Muhimbili National Hospital. Muhimbili University of Health and Allied Sciences.
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191 Setebe, T.J. Workplace factors influencing performance of nurses: a case of nurses at labour wards in Dar es salaam regional referral hospitals.Muhimbili univarsity health and alliade science. (2017).
192 Shang’a, E.Y. Assessment of post-operative pain management among patient’s undergoing lower limb surgery at Muhimbili orthopedic institute Dar es salaam Tanzania. Muhimbili University of Health and Allied Sciences. (2017).
193 Shayo, F.K. Microalbuminuria in patients with chronic obstructive pulmonary diseases attending pulmonology clinic at Muhimbili National Hospital, Dar es salaam, Tanzania. Muhimbili University of Health and Allied Sciences. (2017).
194 Shedafa, R. Stability indicating assay method for determination of lamivudine and tenofovirin fixed dose combination tablets formulations and selection of their packaging materials. Muhimbili University of Health and Allied Sciences. (2017).
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