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Background Breast Cancer remains among the top five cancers responsible for morbidity and mortality globally. For many years, infectious (communicable) diseases were a primary concern in low- and middle-income countries (LMICs) compared to higher-income countries, where non-communicable diseases (NCDs) were already a major concern. However, starting from the early 2000s, the LMICs including Tanzania has witnessed an epidemiological transition being equally affected by NCDs, and breast cancer, is among the prevalent NCDs. While the evidence is vast on the role of breast cancer screening messages in promoting screening, debunking myths, and addressing barriers to the uptake of breast cancer services, context-specific messages are limited. Amidst the changing technology, growth of social media and cultural dynamics, context-specific breast cancer screening messages are needed. We aimed to analyze the breast cancer screening messages from the experiences of women seeking care at Ocean Road Cancer Institute in Tanzania. Methods An exploratory qualitative case study adopting in-depth interviews (IDI) and focused group discussion (FGD) was carried out among purposefully selected women aged from 18 years to 65 years seeking care from Ocean Road Cancer Institute in Dar es Salaam, Tanzania. Eighteen women participated in the IDIs, and 16 women participated in FGD. Data analysis followed inductive qualitative content analysis. Findings Three main categories emerged: the existence of multiple sources of breast cancer screening messages, the strengths and weaknesses of breast cancer screening messages, and clients’ mixed perceptions of breast cancer screening messages. Conclusion The findings of this study depict that although breast cancer screening promotion messages are regarded as a source of information about cancers, they fall short of completeness and relevance to the otherwise at-risk population and trigger negative perceptions toward screening. Therefore, this study advocates revisiting the breast cancer screening messages, employing participatory approaches to tailor the screening messages and communication media to fit specific audiences. This calls for re-designing both the content of the messages and means of delivery; thus, collaborative efforts are needed.

Animal-related injuries remain a neglected public health issue in rural Tanzania, exacerbated by limited access to care and varied occupational exposures. While some studies have examined bite management in tertiary hospitals, little is known about the situation at the primary healthcare (PHC) level. This study explored clinical presentations, management and outcomes of animal-related injuries in a rural Tanzanian setting, using Mkinga District as a case study. A mixed-methods study was conducted in February 2024 across 29 PHC facilities in Mkinga, Tanzania. The quantitative component involved a retrospective audit of animal-related injury records from 2019 to 2023. The qualitative component comprised 10 interviews with facility in-charges to explore clinical decision-making, treatment approaches, and outcomes. Quantitative data were analyzed using SPSS; thematic analysis was applied to the qualitative transcript. A total of 351 cases were documented. Symptom data were missing in over 70% of records, limiting clinical profiling. Among recorded cases, corticosteroids (55%) and antihistamines (53%) were commonly used, especially for insect and dog bites. Antibiotics were administered in insect stings (26%) and dog bites (23%), and analgesics were frequently used for insect bites. Antidotes were most common in dog (58%) and snake bites (26%). Of two cat bite cases, only one received antibiotics; neither received tetanus toxoid, despite the known infection risk. Qualitative findings highlighted three themes: clinical presentations, treatment modalities, and outcomes. Respondents described primary (e.g., bleeding, pain) and systemic (e.g., respiratory distress, neurological signs) symptoms. Treatment involved a mix of pharmacological, non-pharmacological, and traditional methods. While most patients recovered, some experienced complications or death. PHC facilities manage most animal-related injuries effectively, but gaps in documentation, guideline adherence, and referral systems remain. Strengthening provider training, improving resources, and engaging traditional healers may enhance timely care. Broader surveillance and community education are critical to reducing preventable harm.

IntroductionTimely access to emergency care services (ECS) is vital for reducing morbidity and mortality from acute conditions. While global barriers to ECS are well documented, little attention has been paid to access within primary healthcare (PHC) in low- and middle-income countries. This study assessed access to ECS at PHC in Tanzania, offering insights relevant to similar contexts.MethodsWe conducted a community-based, mixed-methods study in December 2021 across four villages in three Tanzanian regions. A structured questionnaire based on WHO-ECS indicators was administered to 673 randomly selected community members, covering healthcare access, awareness and barriers. Additionally, 12 in-depth interviews were conducted with village leaders and healthcare providers, and 4 focus group discussions with village health committee members explored systemic issues. Quantitative data were summarised using descriptive statistics, while qualitative data were analysed thematically. The primary outcome was the proportion accessing ECS, assessed across availability, acceptability, physical accessibility and affordability. Secondary outcomes included general healthcare access and perceived challenges, analysed using both quantitative and qualitative methods.ResultsAmong 673 participants, median age was 43 years (IQR 31–55); 55% were female, 68% had primary education and 89% were self-employed, mostly subsistence farmers. While 91% sought healthcare, only 27% sought ECS; of those, 73% obtained it. Most found ECS available (79%), affordable (64%), acceptable (59%) and accessible (57%). Barriers included long travel distances (48%), long waiting times (74%), medication shortages (64%), poor customer service (56%) and inability to pay (56%). Qualitative data revealed systemic issues such as poor infrastructure, low trust in facilities and preference for traditional healers.ConclusionOur findings underscore significant barriers to access to ECS at the PHC level. These barriers are systemic, infrastructural and sociocultural. Addressing them requires coordinated, multisectoral interventions involving policy makers, healthcare providers, decision-makers at national and local levels, and communities.

ABSTRACT Background In 2018, the World Health Organization (WHO) called on member states to assess the burden of animal-related injuries. Tanzania is among the countries with no adequate data. This study sought to assess the burden of venomous bites and stings in a rural setting in Tanzania. Methods A retrospective study was conducted in February, 2024 to gather information from 29 selected primary healthcare (PHC) facilities in one rural setting. We used a checklist to retrieve data on venomous bites and stings from 2019 through 2023 from the patient records. Results Of the 476,928 patient records screened, 212 (0.04%) were identified as cases of venomous bites and stings. The majority of cases (n = 72, 34%) occurred among individuals aged 25–44 years, and 111 (52%) were male. Snakebites accounted for the largest proportion of cases (n = 63, 30%), followed by bee stings (n = 27, 13%), wasp stings (n = 15, 7%), and scorpion stings (n = 14, 7%). Number of recorded venomous bites and stings ranged from 30 in 2019 to 61 in 2023. Conclusion Despite their low overall incidence, the rising trend of venomous bites and stings highlights the need for strengthened surveillance and targeted prevention efforts.

Background This study aimed to analyzed healthcare providers’ (HCPs) experiences in managing animal-related injuries, including bites and stings, focusing on challenges and opportunities in rural Tanzania. Methods In February 2024, an exploratory qualitative study was conducted at selected primary health care (PHC) facilities in Mkinga District, Tanga Region, as a proxy of a rural setting in Tanzania. Ten HCPs in the selected facilities were in-depth interviewed using an interview guide. All interviews were audio-recorded, transcribed, and analysed using a thematic approach. Results From the experiences of HCPs, the challenges identified include reliance on traditional treatments, low community awareness of available services, out-of-pocket payment, and the high cost of antivenoms. Additionally, system and infrastructure limitations, workforce shortages, and a shortage of critical medical resources were revealed. However, opportunities exist to improve victim management. These include HCPs’ readiness to treat victims, engagement of community health workers, resource availability, and supportive financial policies. Conclusion Access to healthcare for victims of animal-related injuries in rural settings is limited by socio-cultural practices, poverty, and poor infrastructure. However, leveraging existing opportunities, including the readiness of HCPs, health insurance schemes, and functional cold chain systems, along with improving community awareness and road networks, could significantly enhance timely access to care among victims.