Publications by authors named "Joseph Mlay"

Article Synopsis
  • * A 30-year-old woman with abdominal swelling was found to have a bicornuate uterus and a large cystic mass that was surgically removed, revealing a fibroid (leiomyoma).
  • * Proper evaluation through imaging is crucial for managing conditions involving bicornuate uterus and fibroids, as these cases can pose diagnostic challenges and affect reproductive outcomes.
View Article and Find Full Text PDF

An unusual finding in hysterectomy specimen. Associated with a history of abortion. Etiology remains unclear.

View Article and Find Full Text PDF

Objective: There is a concern about performance of the screening approaches, where information on the quality of novel and affordable screening approaches that will perform well in remote areas is warranted. This lack of information makes it difficult to prioritise resource use in efforts to improve cervical cancer outcomes. We aimed to compare the diagnostic value of human papillomavirus (HPV) testing on self-collected samples, Pap smear and visual inspection of the cervix with acetic acid (VIA) tests for detection of high-grade cervical intraepithelial neoplasia or worse (CIN2+).

View Article and Find Full Text PDF

Introduction: Adequate and timely access to pathology services is a key to scale up cancer control, however, there is an extremely shortage of pathologists in Tanzania. Telepathology (scanned images microscopy) has the potential to increase access to pathology services and it is increasingly being employed for primary diagnosis and consultation services. However, the experience with the use of telepathology in Tanzania is limited.

View Article and Find Full Text PDF

Background: Severe post-partum anemia is an important cause of maternal deaths and severe morbidity in sub-Saharan Africa. In Tanzania, little information is available to guide health care professionals in ensuring good health of women after delivery. The objective of our study was to determine the prevalence of post-partum anemia and associated factors among women attending public primary health care facilities.

View Article and Find Full Text PDF

Introduction: The objective was to determine if self-collection of vaginal samples for human papillomavirus (HPV) testing was acceptable and feasible in rural Tanzania and to assess the extent of attendance at a follow-up appointment among women who tested HPV-positive after delivery of HPV results via text messages.

Material And Methods: A combined cross-sectional and cohort study was conducted among women aged 25-60 years from rural Kilimanjaro, Tanzania. Women were offered HPV self-sampling or traditional visual inspection of the cervix with acetic acid.

View Article and Find Full Text PDF

Background: Low birthweights as well as high perinatal mortality rates are common in most African populations. Little is known, however, about how low birthweight corresponds with higher mortality rates within African populations. Twins are known to have lower birthweights and higher perinatal mortality rates than singletons.

View Article and Find Full Text PDF

Objective: To establish a medical birth registry intended to serve clinical, administrative and research purposes.

Methods: Starting in July 2000, every birth at Kilimanjaro Christian Medical Centre (KCMC) in Moshi, Tanzania has been recorded in a separate database. The information is obtained through personal interviews with each mother, conducted by specially trained midwives, and supplied with data from the medical records.

View Article and Find Full Text PDF

Objective: The objective of this study was to describe the design of a community-based study of sexually transmitted infections (STIs)/HIV and infertility in northern Tanzania.

Study Design: Households were selected using a 2-stage sampling design. Eligible women and their partners were interviewed before samples were collected for STIs/HIV detection.

View Article and Find Full Text PDF