Kilimanjaro Christian Medical Centre

Multi‐professional simulation training on prolonged labor in Tanzania: A quasi‐experimental, pre‐post interventional study

Abstract Introduction In many middle‐income countries, cesarean section rates have increased substantially and reached levels of more than 50% in urban regions. Prolonged labor and non‐reassuring fetal heart rate are the most common indications for intrapartum cesarean section. T...

Perspectives of women and healthcare providers on facilitators and barriers to cervical cancer screening in the rural Kilimanjaro region Tanzania: a qualitative study

BACKGROUND: Cervical cancer can be prevented and treated if detected early through regular screening. However, 88% of women aged 30 to 49 have never been screened in Tanzania. OBJECTIVE: This study explored facilitators and barriers to cervical cancer screening among women and he...

Microbial keratitis management through the lens of pharmacy attendants in Siraha district of Nepal: A study of knowledge, attitudes, and practices

Background Microbial keratitis (MK) is endemic in many developing countries including Nepal and is a preventable cause of blindness. Many Nepalese rely on community pharmacies or medical shops as their primary source of healthcare. This study explored the knowledge and experience...

Feasibility and performance of eye movement perimetry for glaucoma triage in Tanzania: A prospective cross-sectional study in a real-world setting

Triaging access to glaucoma diagnostics could allow patients to receive earlier care to slow disease progression. There is a particular need in lower-resource settings where the cost and lack of portability of standard automated perimetry (SAP) restrict access. Eye movement perim...

Recurrence of preinvasive cervical lesion and associated factors among women who underwent loop electrosurgical excision procedure at Kilimanjaro Christian Medical Centre hospital, northern Tanzania

BACKGROUND: Cervical cancer is a significant public health problem. Diagnosing preinvasive cervical lesion provides an important opportunity in early intervention to prevent progression to cervical cancer. Despite the achievements made in screening and management, the burden of c...

Pesticide use safety practices and knowledge gaps among small-scale farmers, retailers and healthcare providers in Tanzania

Agriculture is a cornerstone of Tanzania’s economy, with most production driven by small-scale farmers. In efforts to manage pest-related crop losses, pesticide use has increased significantly, heightening concerns related to human health, environmental sustainability, and regula...

Theory–simulation–application framework to enhance biostatistical capacity for HIV and cancer data analysis in sub-Saharan Africa: lessons learnt from Tanzania

Enhancing biostatistical capacity in sub-Saharan Africa (SSA) is imperative for the efficient analysis of routinely collected health data and for clinical and public health decision-making. We describe the experiences and lessons learnt from implementing advanced statistical capa...

Visual and anatomical outcomes of full-thickness macular hole surgery and associated factors in selected hospitals in Tanzania

Purpose To determine the anatomical and visual outcomes of macular hole surgery and identify factors associated with surgical success among patients at Kilimanjaro Christian Medical Centre (KCMC) and Comprehensive Community-Based Rehabilitation Hospital (CCBRT), Tanzania. Methods...

Clinical samples with delayed processing time are associated with lower HIV viral load results in a high-volume regional laboratory, Njombe Region, Tanzania (Oct 2024–Mar 2025)

Abstract Background Accurate HIV viral load (VL) testing is essential for monitoring antiretroviral therapy (ART) and detecting treatment failure. In resource-limited settings such as Njombe Region, Tanzania, laboratories often face prolonged turnaround times (TAT) and suboptimal...

Proportion, Five‐Year Survival Rate of Laryngeal Cancer and Its Associated Factors Among Head and Neck Cancer Patients in Tanzania

ABSTRACT Background Laryngeal cancer carries a significant global burden, with substantial morbidity and mortality, and is increasing globally, with 95%–98% being squamous cell carcinoma. Males are more affected than females, with peak cases occurring between 60 and 80 years of a...

Cervical cancer screening predictors in Tanzania: a variance component models’ approach of national survey 2022

Despite the potential for prevention through early detection and treatment, cervical cancer remains the most prevalent cancer among women of reproductive age (WRA). There is a paucity of evidence on the predictors influencing cervical cancer screening nationwide. Thus, this study...

Genomic epidemiology reveals geographically structured co-circulation of AFR10 and AFR13 Vibrio cholerae lineages driving cholera outbreaks in Tanzania (2022–2024)

Cholera remains a persistent public health challenge in Tanzania, with recurrent outbreaks across multiple regions overwhelming the health systems. Despite the ongoing surveillance to control the transmission, limited genomic characterization of circulating Vibrio cholerae strain...

Metagenomic Profiling of Diarrheagenic Escherichia coli Pathotypes Reveals Predominance of Diffusely Adherent and Enteroaggregative Subtypes and Mixed Signatures Among Under-Fives in Tanzania

Diarrheagenic Escherichia coli (DEC) is a leading enteric pathogen in children under five in sub-Saharan Africa, yet conventional targeted assays fail to capture mixed virulence signatures or provide quantitative context relative to E. coli carriage. We applied a virulence-aware...

“She cannot use these methods before she has at least one child”: a qualitative study on family planning attitudes, knowledge, and experiences among adolescent girls and young women living with HIV in Moshi, Tanzania

Abstract Background Each year, about half of pregnancies in adolescents (15–19 years of age) are unintended, and the rate of adolescent pregnancy in sub-Saharan Africa is twice the global rate. Adolescent pregnancies have similar social determinants as those of HIV acquisition, r...