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David Watako - One of the best experts on this subject based on the ideXlab platform.

  • building entrepreneurship for water liquid and solid waste management in temeke Municipal Council of dar es salaam tanzania a social return on investment analysis
    Social Science Research Network, 2018
    Co-Authors: Reginald Kwizela, Ibrahim Kabole, Abel Dugange, Ronnie James K Murungu, David Watako
    Abstract:

    Social return on investment (SROI) of water sanitation and hygiene projects has not received the attention that projects in other sectors have received primarily because of perceived difficulties in quantifying benefits yet it is an approach that should be mandatory to all projects as it assesses contributions of an investment beyond economic benefits. SROI denotes a methodology that measures return on a project or investment based on experiences or appreciations of stakeholders and the people affected by a particular investment or project. This paper is an expose of benefits created by liquid and solid waste project in Temeke Municipal Council of Tanzania. The project building entrepreneurship capacity for liquid and solid waste businesses is primarily focusing on building entrepreneurship skills for liquid and solid waste businesses using a soft loan facility. Core initiatives include but not exclusively limited to constructing a decentralized waste treatment (DEWAT) facility, supporting small scale entrepreneurs (SSE) in the development of market strategy and creating awareness on liquid and solid waste management.

Reginald Kwizela - One of the best experts on this subject based on the ideXlab platform.

  • building entrepreneurship for water liquid and solid waste management in temeke Municipal Council of dar es salaam tanzania a social return on investment analysis
    Social Science Research Network, 2018
    Co-Authors: Reginald Kwizela, Ibrahim Kabole, Abel Dugange, Ronnie James K Murungu, David Watako
    Abstract:

    Social return on investment (SROI) of water sanitation and hygiene projects has not received the attention that projects in other sectors have received primarily because of perceived difficulties in quantifying benefits yet it is an approach that should be mandatory to all projects as it assesses contributions of an investment beyond economic benefits. SROI denotes a methodology that measures return on a project or investment based on experiences or appreciations of stakeholders and the people affected by a particular investment or project. This paper is an expose of benefits created by liquid and solid waste project in Temeke Municipal Council of Tanzania. The project building entrepreneurship capacity for liquid and solid waste businesses is primarily focusing on building entrepreneurship skills for liquid and solid waste businesses using a soft loan facility. Core initiatives include but not exclusively limited to constructing a decentralized waste treatment (DEWAT) facility, supporting small scale entrepreneurs (SSE) in the development of market strategy and creating awareness on liquid and solid waste management.

Ahmed Ali Biu - One of the best experts on this subject based on the ideXlab platform.

Rachel Weber - One of the best experts on this subject based on the ideXlab platform.

  • threefold increases in population hiv viral load suppression among men and young adults bukoba Municipal Council tanzania 2014 2017
    Morbidity and Mortality Weekly Report, 2019
    Co-Authors: Duncan A Mackellar, Claire Steiner, Oscar Ernest Rwabiyago, Haddi Jatou Cham, Sherri L Pals, Haruka Maruyama, Omari Msumi, Gerald Kundi, Johnita Byrd, Rachel Weber
    Abstract:

    Reducing HIV-related morbidity and mortality, and effectively eliminating HIV transmission risk, depends on use of antiretroviral therapy (ART) to achieve and maintain viral load suppression (VLS)* (1,2). By 2020, sub-Saharan African countries are working to achieve VLS among 90% of persons using ART and 73% of all persons living with HIV infection (1). In Tanzania, a country with 1.4 million persons with HIV infection, 49.6% of HIV-positive persons aged 15-49 years had achieved VLS in 2017, including only 21.5% of men and 44.6% of women aged 25-29 years (3). To identify interventions that might increase VLS in Tanzania, and reduce VLS-associated sex and age-group disparities, the Bukoba Combination Prevention Evaluation (BCPE) scaled up new HIV testing, linkage to care, and retention on ART interventions throughout Bukoba Municipal Council (Bukoba), Tanzania, during October 2014-March 2017 (4,5). Located on the western shore of Lake Victoria, Bukoba is a mixed urban and rural Municipality of 150,000 persons and capital of Kagera Region. Of the 31 regions of Tanzania, Kagera has the fourth highest prevalence of HIV infection (6.8%) among residents aged 15-49 years (3). CDC analyzed data from BCPE preintervention and postintervention surveys and found that VLS prevalence among HIV-positive Bukoba residents aged 18-49 years increased approximately twofold overall (from 28.6% to 64.8%) and among women (33.3% to 67.8%) and approximately threefold among men (20.5% to 59.1%) and young adults aged 18-29 years (15.6% to 56.7%). During 2017, BCPE facility-based testing and linkage interventions were approved as new service delivery models by the Tanzania Ministry of Health, Community Development, Gender, Elderly and Children (4,5). After a successful rollout to 208 facilities in 11 regions in 2018, BCPE interventions are being scaled up in all regions of Tanzania in 2019 with support from the United States President's Emergency Plan for AIDS Relief (PEPFAR).†.

  • methods outcomes and costs of a 2 5 year comprehensive facility and community based hiv testing intervention in bukoba Municipal Council tanzania 2014 2017
    PLOS ONE, 2019
    Co-Authors: Haddi J Cham, Duncan A Mackellar, Claire Steiner, Oscar Ernest Rwabiyago, Haruka Maruyama, Omari Msumi, Gerald Kundi, Johnita Byrd, Rachel Weber, Chutima Suraratdecha
    Abstract:

    To diagnose ≥90% HIV-infected residents (diagnostic coverage), the Bukoba Combination Prevention Evaluation (BCPE) implemented provider-initiated (PITC), home- (HBHTC), and venue-based (VBHTC) HIV testing and counseling (HTC) intervention in Bukoba Municipal Council, a mixed urban and rural lake zone community of 150,000 residents in Tanzania. This paper describes the methods, outcomes, and incremental costs of these HTC interventions. PITC was implemented in outpatient department clinics in all eight public and three faith-based health facilities. In clinics, lay counselors routinely screened and referred eligible patients for HIV testing conducted by HTC-dedicated healthcare workers. In all 14 wards, community teams offered HTC to eligible persons encountered at 31,293 home visits and at 79 male- and youth-frequented venues. HTC was recommended for persons who were not in HIV care or had not tested in the prior 90 days. BCPE conducted 133,695 HIV tests during the 2.5 year intervention (PITC: 88,813, 66%; HBHTC: 27,407, 21%; VBHTC: 17,475, 13%). Compared with other strategies, PITC conducted proportionally more tests among females (65%), and VBHTC conducted proportionally more tests among males (69%) and young-adults aged 15–24 years (42%). Of 5,550 (4.2% of all tests) HIV-positive tests, 4,143 (75%) clients were newly HIV diagnosed, including 1,583 males and 881 young adults aged 15–24 years. Of HIV tests conducted 3.7%, 1.8%, and 2.1% of PITC, HBHTC, and VBHTC clients, respectively, were newly HIV diagnosed; PITC accounted for 79% of all new diagnoses. Cost per test (per new diagnosis) was $4.55 ($123.66), $6.45 ($354.44), and $7.98 ($372.67) for PITC, HBHTC, and VBHTC, respectively. In a task-shifting analysis in which lay counselors replaced healthcare workers, estimated costs per test (per new diagnosis) would have been $3.06 ($83.15), $ 4.81 ($264.04), and $5.45 ($254.52), for PITC, HBHTC, and VBHTC, respectively. BCPE models reached different target groups, including men and young adults, two groups with consistently low coverage. Implementation of multiple models is likely necessary to achieve ≥90% diagnostic coverage.

Ibrahim Kabole - One of the best experts on this subject based on the ideXlab platform.

  • building entrepreneurship for water liquid and solid waste management in temeke Municipal Council of dar es salaam tanzania a social return on investment analysis
    Social Science Research Network, 2018
    Co-Authors: Reginald Kwizela, Ibrahim Kabole, Abel Dugange, Ronnie James K Murungu, David Watako
    Abstract:

    Social return on investment (SROI) of water sanitation and hygiene projects has not received the attention that projects in other sectors have received primarily because of perceived difficulties in quantifying benefits yet it is an approach that should be mandatory to all projects as it assesses contributions of an investment beyond economic benefits. SROI denotes a methodology that measures return on a project or investment based on experiences or appreciations of stakeholders and the people affected by a particular investment or project. This paper is an expose of benefits created by liquid and solid waste project in Temeke Municipal Council of Tanzania. The project building entrepreneurship capacity for liquid and solid waste businesses is primarily focusing on building entrepreneurship skills for liquid and solid waste businesses using a soft loan facility. Core initiatives include but not exclusively limited to constructing a decentralized waste treatment (DEWAT) facility, supporting small scale entrepreneurs (SSE) in the development of market strategy and creating awareness on liquid and solid waste management.