In this paper we investigated the challenges facing the implementation of Fee-Free Education (FFE) in primary schools in Tanzania. We adopted a qualitative approach with a case study exploratory design. The study was carried out in the Geita District Council, involving 28 participants. These were 12 school committee members, 10 headteachers, 5 Ward Education Officers (WEOs), and a District Education Officer (DEO). Data were collected through interviews, Focus Group Discussion (FGD), and documentary review. Thematic and content analysis were used to analyze the data. The findings indicate that FFE contributed to an increased enrolment rate of pupils from poor families and it improved the retention and attendance rates in primary schools. However, the findings indicate that the visited schools faced a shortage of teachers, school infrastructure such as classrooms, toilets for pupils, and desks because of an increased pupils' enrolment that affected the implementation of FFE. The findings also indicate that headteachers did not receive any in-service training for them to manage the schools' financial resources. We argue in this study that for effective implementation of FFE in primary schools both headteachers and teachers need in-service training and seminars on financial management. The government also needs to employ more teachers if the quality of education is to be sustained in primary schools. Nevertheless, increasing the budget for education for classroom construction is equally imperative.
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http://dx.doi.org/10.1016/j.heliyon.2024.e24172 | DOI Listing |
J Adolesc Health
January 2025
Social and Behavioral Sciences, School of Public Health, West Virginia University, Morgantown, West Virginia.
Purpose: Recent research suggests that caffeine use may promote a range of adjustment difficulties among adolescents, particularly during the middle school years. The effects of caffeine are particularly concerning given the increased use of high-dosage caffeine products, such as energy drinks, among youth. We investigated the influence of caffeine use on trajectories of conduct problems among early adolescents.
View Article and Find Full Text PDFBMC Health Serv Res
January 2025
Centre for Infectious Disease Control, National Institute for Public Health and the Environment, P.O. Box 1, Bilthoven, 3720 BA, The Netherlands.
HIV self-sampling and -testing (HIVSS/ST) reduces testing barriers and potentially reaches populations who may not test otherwise. In the Netherlands, at-home HIV tests became commercially available around 2016, but data on user experiences are limited. This study aimed to explore characteristics of users and their experiences with HIVSS/ST.
View Article and Find Full Text PDFBMC Public Health
January 2025
Research Institute for Healthcare Policy, Korean Medical Association, Yongsan-gu, Seoul, South Korea.
Background: In 2024, the Korean Ministry of Health and Welfare enforced a policy to increase the number of medical school students by 2,000 over the next 5 years, despite opposition from doctors. This study aims to predict the trend of excess or shortage of medical personnel in Korea due to the policy of increasing the number of medical school students by 2035.
Methods: Data from multiple sources, including the Ministry of Health and Welfare, National Health Insurance Corporation, and the Korean Medical Association, were used to estimate supply and demand.
BMC Psychiatry
January 2025
Division of Epidemiology and Social Sciences, Institute for Health and Equity, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI, 53226, USA.
Background: During adolescence, a critical developmental phase, cognitive, psychological, and social states interact with the environment to influence behaviors like decision-making and social interactions. Depressive symptoms are more prevalent in adolescents than in other age groups which may affect socio-emotional and behavioral development including academic achievement. Here, we determined the association between depression symptom severity and behavioral impairment among adolescents enrolled in secondary schools of Eastern and Central Uganda.
View Article and Find Full Text PDFBMC Public Health
January 2025
Amsterdam UMC location Vrije Universiteit Amsterdam, Public and Occupational Health, De Boelelaan 1117, Amsterdam, the Netherlands.
Background: Developing interventions along with the population of interest using systems thinking is a promising method to address the underlying system dynamics of overweight. The purpose of this study is twofold: to gain insight into the perspectives of adolescents regarding: (1) the system dynamics of energy balance-related behaviours (EBRBs) (physical activity, screen use, sleep behaviour and dietary behaviour); and (2) underlying mechanisms and overarching drivers of unhealthy EBRBs.
Methods: We conducted Participatory Action Research (PAR) to map the system dynamics of EBRBs together with adolescents aged 10-14 years old living in a lower socioeconomic, ethnically diverse neighbourhood in Amsterdam East, the Netherlands.
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