Publications by authors named "J Rugemalila"

Article Synopsis
  • A middle-aged woman experienced chronic foot arthritis that led to a non-healing ulcer, which didn't respond to standard treatments.
  • After developing neurological issues, she was treated with antitubercular medications that healed the ulcer but caused other serious complications, including cerebral tuberculoma and tuberculous meningitis.
  • Despite efforts for diagnosis and treatment, she ultimately died from the complications and a likely hospital-acquired infection, underscoring the difficulties in identifying rare disease presentations in endemic regions.
View Article and Find Full Text PDF

Background: Tanzania has made significant progress in improving access to HIV care and treatment. However, virologic suppression among people living with HIV (PLHIV) has not been fully realized. In March 2019, Tanzania introduced a World Health Organization (WHO)-recommended dolutegravir-based regimen as the default first-line regimen.

View Article and Find Full Text PDF

Background: Adolescents and young adults (AYA) living with HIV have been shown to have lower rates of viral load testing and viral suppression as compared to older adults. We examined trends over time and predictors of HIV viral load monitoring and viral suppression among AYA in a large HIV treatment programme in Dar es Salaam, Tanzania.

Methods: We analysed longitudinal data of AYA aged 10-24 years initiated on antiretroviral therapy between January 2017 and October 2022.

View Article and Find Full Text PDF

Background: For successful HIV response, updated information on the burden and progress toward HIV elimination targets are required to guide programmatic interventions. We used data from the 2020 HIV sentinel surveillance to update on the burden and factors associated with HIV infection, HIV status awareness, and ART coverage among pregnant women in Tanzania mainland.

Methodology: We conducted the surveillance in 159 antenatal clinics (ANC) from all 26 regions of Tanzania's mainland from September to December 2020.

View Article and Find Full Text PDF

Background: Syphilis has detrimental effects on the health of the mother and that of both fetuses and newborns exposed in utero or at delivery. Understanding its local epidemiology is essential for policies, planning, and implementation of targeted preventive interventions. Using data from the 2020 National Sentinel Surveillance of pregnant women attending antenatal clinics (ANCs) in Tanzania we determined the prevalence and determinants of syphilis among pregnant women in Tanzania mainland.

View Article and Find Full Text PDF