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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
541

The behaviour and development of infants with iron deficiency anaemia : systematic observation of 9-month-old Pemban caregiver-infant dyads.

Dellis, Andrew Mark. 23 March 2011 (has links)
Background: The Zanzibar Infant Nutrition Campaign is a large-scale randomised control trial investigating the effects of iron and zinc supplementation on the morbidity and mortality of infants and young children on Pemba Island, Zanzibar, Tanzania. The Child Development Study is a substudy of the larger ZINC control trial assessing the effects of 12 months of iron and zinc supplementation on motor and language development. The Caregiver-Infant Interaction Study is a substudy of the Child Development Study, assessing the effects of 1 to 3 months of iron and zinc supplementation on caregiver-infant interaction among 9-month-old dyads. This thesis reports on the dyads enrolled in the Caregiver-Infant Interaction Study. While not examining treatment effects1 • Formulate behavioural and developmental hypotheses specific to a population of 9-month-old caregiver-infant dyads affected by a history of IDA , hypothesised disturbances in the behaviour and development of infants affected by a history of iron deficiency anaemia (IDA) are examined. Objectives: • Develop a hypothesis-driven observational coding system and establish the psychometric properties of this measure • Test hypotheses about the relationship between a history of IDA and the behaviour and development of 9-month-old caregiver-infant dyads Rationale: Iron deficiency anaemia is the most common nutritional disorder in the world. Prevalence is especially high among women, young children and infants in developing countries. As a public health concern, the effects of IDA are various and insidious, however the relationship between IDA and infant behaviour and development is not known. The majority of studies concerned with the impact of IDA in infancy have relied on global developmental scales, such as the Bayley Scales of Infant Development (Bayley, 1969, 1993). While infants with IDA consistently score worse than non-anaemic comparisons on mental and motor subscales, the value of this form of assessment is known to be limited. Apart from being of questionable validity as indices of abilities or functions (e.g., Fagan & Singer, 1983), the scores and ratings produced by traditional developmental scales are not designed to assess the specific functions hypothesised to be affected by IDA (Lozoff, De Andraca, Castillo, Smith, Walter & Pino, 2003). Over-reliance on this kind of measure thus rules out meaningful hypothesis-driven research. Recently, malnutrition researchers have begun to made use of systematic behavioural observation as a means of assessment. While a promising approach, extant research is limited to only two studies (see Footnote 6), and both of these have been conducted by the same research group. Moreover, these studies have relied on fairly rudimentary behavioural coding to examine a version of the ‘Functional Isolation Hypothesis', originally proposed some time ago in the infrahuman literature (Levitsky & Barns, 1972, 1973). More sophisticated hypotheses are available, especially given the ready availability of insights from developmental psychobiology and cognitive science. Design: A correlational design was used to examine the behaviour and development of 9-month old caregiver-infant dyads with a history of IDA. Setting: Wete District, Pemba Island, Zanzibar, Tanzania. Participants: 160 Caregiver-infant dyads assessed observationally at 9-month of age. Main Outcome Measure: Systematic observational coding. Main Findings: Infants with a history of more severe IDA spent significantly less time in high energy states during free play, and their caregivers made less physically demanding requests. A history of IDA also correlated with developmental disturbances in postural control. Affectively, IDA infants were hypo-responsive, and caregivers showed more (overt) positive affect for healthy males, but not females. Caregivers coordinated actions and vocalizations less often during interaction with infants affected by a history of IDA. Conclusion: A history of IDA among 9-month old infants is related to behavioural and developmental disturbances in both motor and socio-cognitive domains. Note to reader: The present research was first submitted as a Masters dissertation in 2008. The author was subsequently offered the opportunity rather to upgrade to a Doctoral thesis and resubmit the work as PhD. Chronologically then, studies which did not inform the design and development of the coding system used for data collection, or which published findings after the first submission of the present work, are discussed in the final chapter. / Thesis (Ph.D.)-University of KwaZulu-Natal, Durban, 2009.
542

Habitat fragmentation, livelihoods and conservation : implications for Tarangire National Park.

Porokwa, Jacob T. January 2003 (has links)
This study set out to investigate habitat fragmentation and its implications for wildlife conservation. It focused on Emboreet Ward in the Arusha region of Tanzania, which is in close proximity to the Tarangire National Park. This area, traditionally occupied by the Maasai pastoralists, has undergone several changes, not least of which are changes in the local livelihoods in response to a need for cash and deterioration of state support for animal health care. Dominating these changes is a shift in livelihood strategies from pastoralism to a mix of pastoralism and cropping. Increasingly, land is being cultivated and agricultural opportunities are changing lifestyles, livelihoods and habitat integrity for wildlife. Fragmentation of habitats outside the national park has serious implications for the future of pastoralism and conservation, especially since some species of wildlife migrate seasonally between this park and the adjoining plains. It also has significance for the Maasai whose approach to domestic livestock management is deeply rooted in a culture that does not comfortably accord with the market economy. The study adopted a case study approach, was mainly qualitative, and relied on both primary and secondary data sources. Interviews played a critical part in sourcing primary data from the respondents. Documentary analysis was critical to gathering secondary data. The study shows the future of Tarangire National Park to be intricately woven into the complex and dynamic interaction between the changing economy, the responses of the Maasai whose culture separates them from the market economy, migrants into the area, and the government agencies whose intentions appear to be neither clearly expressed nor interpreted. The study concludes that empowerment lies at the heart of the envisaged change. This is shown to be a necessity for all stakeholders operating within a proposed integrating structure. / Thesis (M.Sc.)-University of Natal, Pietermaritzburg, 2003.
543

Basala hygienrutiner vid sårbehandling vid ett sjukhus i Tanzania : en observationsstudie

Linnér, My, Sundbye, Jennie January 2011 (has links)
Vårdrelaterade infektioner kan leda till sjuklighet och för tidig död och påverkar många människor, inte bara individen själv utan även dennes familj och samhället i stort. Vårdrelaterade infektioner drabbar både patienter och sjukvårdspersonal. Med goda basala hygienrutiner och medvetenhet om hur infektioner sprids kan många fall förebyggas och mycket lidande förhindras. Denna studies syfte var att beskriva basala hygienrutiner vid sårbehandling på en avdelning vid ett sjukhus i norra Tanzania. Studien hade en kvalitativ och en kvantitativ ansats där det kvalitativa datamaterialet har bearbetats med innehållsanalys och det kvantitativa datamaterialet har redovisats med deskriptiv statistik. Innehållsanalysen resulterade i kategorierna Kontaminering av omgivning/material, smutsig rutin och ren rutin. Slutsatsen visade att de basala hygienrutinerna brast vilket kan öka risken för vårdrelaterade infektioner samt att basala hygienrutiner inte tycks vara väl implementerade på avdelningen. / Health care-associated infections can lead to morbidity and premature death and affect many people, not only the individual himself/herself but also his/her family and the society at large. Health care-associated infections affects both patients and healthcare staff. With good basic hygiene and awareness of how infection spread many cases can be prevented and much suffering be avoided. The aim of this study was to describe the basic hygiene routines of wound care at a ward at a hospital in northern Tanzania. The study had a qualitative and a quantitative approach in which the qualitative data material was processed with content analysis and the quantitative data material was presented with descriptive statistics. Content analysis resulted in the categories contamination of the environment/materials, dirty routine and clean routine. The conclusion showed that the basic hygiene routines were rarely performed properly which increased the risk of healthcare associated infections and that basic hygiene routines did not seem to be well implemented on the ward.
544

Information dissemination for adaptation to climate change and variability in the agriculture sector : the case of Malunga and Chibelela villages, central Tanzania.

Elia, Emmanuel Frank. January 2013 (has links)
This study investigated how access to and use of agricultural information contributed to farmers’ adaptation to climate change and variability in the semi-arid Maluga and Chibelela villages of central Tanzania. The major research problem this study sought to address was how information on adaptation to climate change and variability is packaged and disseminated to farmers. Specifically, the study 1) identified the Climate Change Adaptation in Africa project goals of disseminating information to farmers on climate change and variability; 2) assessed the status of knowledge adaptation to climate change and variability by farmers; 3) determined farmers’ access to, and use of, information on climate change and variability, and 4) investigated factors affecting access to, and use of, information on adaptation to climate change and variability by farmers. The study was underpinned by Rogers’ Diffusion of Innovations Model. A post-positivist approach was used, with a predominantly qualitative and lesser quantitative approach, respectively. Interviews and focus group discussions were used to collect data. The study population was made up of farmers, agricultural extension officers and the Climate Change Adaptation in Africa project manager. Quantitative data was analysed using descriptive statistics and the SPSS, while qualitative data was analysed using content analysis. Reliability and validity were ensured by methodological triangulation, pretesting the interview guides and careful transcription of the data. The key findings showed that farmers’ training is crucial in mitigating the impacts of climate change and variability for agricultural development. The study found farmers had a problem with accessing and using climate information. Farmers perceived scientific information on weather as unreliable and untimely and were turning to indigenous knowledge (IK) to predict weather patterns. Repackaging of timely and accurate information on climate change and variability, education and training for farmers and collaboration between researchers, meteorology experts, extension officers and farmers are recommended for implementation to mitigate the adverse effect of climate change and variability on farmers. A clear policy framework for the dissemination of information related to climate change and variability is needed. / Thesis (Ph.D.)-University of KwaZulu-Natal, Pietermaritzburg, 2013.
545

Library services' provision for people with visual impairments and in wheelchairs in academic libraries in Tanzania.

Majinge, Rebecca Mgunda. 16 May 2014 (has links)
This study examined library services’ provision for people with visual impairments and in wheelchairs in academic libraries in Tanzania. It looked into access to the information resources available and the layout of library buildings in five universities. The universities studied were University of Dar es Salaam (UDSM), Open University of Tanzania (OUT), Dar es Salaam University College of Education (DUCE), Sebastian Kolowa Memorial University (SEKOMU) and St. John’s University of Tanzania (SJUT). The broader issues in this study were drawn from issues relating to the importance of access to information as a fundamental human right. The main research question the study sought to answer was what services do academic libraries provide for people with visual impairments and in wheelchairs? Specific subsidiary research questions were what is the physical layout of academic libraries in Tanzania? what information resources are provided by academic libraries for people with visual impairments ? what are the challenges facing people with visual impairments and in wheelchairs in accessing and using library services? what is the role of information and communication technology (ICT) in facilitating provision of information resources to people with visual impairment and in wheelchairs? and what challenges are experienced by the library in seeking to provide services to people with visual impairments and in wheelchairs? The study was guided by the social model of disability of Oliver and used the International Classification of Functioning (ICF) framework to address the research problem in the context of the academic library. The pragmatism paradigm was employed in the study. Both quantitative and qualitative methods were used. Regarding the respondents 113, (of a population of 139) were surveyed by questionnaire and 57 of 67 were interviewed. The population of the study involved library directors, professional library staff, disability unit staff, and people with visual impairments and in wheelchairs. Snowball sampling was used to identify the people with visual impairments and in wheelchairs. In order to obtain good measures of validity and reliability three data collection methods were employed: questionnaires, interview schedules and an observation checklist. The overall response rate from the questionnaires was 81%. Data gathered through the questionnaires were analyzed using descriptive statistics facilitated by SPSS and data gathered through interviews were analyzed using thematic analysis. The research conformed to the research ethics policy of University of KwaZulu-Natal. Access to information is a fundamental right of every human being and academic libraries exist to support learning, teaching, research and consultancy to all in a university’s community of users, including people with visual impairments and in wheelchairs The study confirmed that academic libraries in Tanzania provide services to people with visual impairments and in wheelchairs which are not inclusive or universal. The study put forward a new non-recursive interactive model for application and testing. It offered guidelines for academic libraries in providing inclusive and universal services to people with visual impairments and in wheelchairs For academic libraries to provide services which are inclusive and universal, the layout of library buildings need to include working lifts and ramps for people with visual impairments and in wheelchairs so that they can easily access the information resources housed in the library. In addition, information resources which are in Braille and large print are required for people with visual impairments to read easily as well as assistive equipment to help them read the information resources available. Furthermore, having staff trained and experienced in special needs requires university programmes and curricula to include components, at all levels of qualification, on special needs for people with disabilities. Positive attitudes to both library staff and people with visual impairments and in wheelchairs are needed to allow access and use of information resources. In addition policy addressing library services for people with disabilities is important for the library, to not only guide the provision of universal services, but also to ensure adequate allocation of funds to support library services to people with visual impairments and in wheelchairs. / Thesis (Ph.D.)-University of KwaZulu-Natal, Pietermaritzburg, 2014.
546

Evaluating e-government services : a citizen-centric framework

Sigwejo, Annastellah Obedi January 2015 (has links)
Thesis (MTech (Information Technology))--Cape Peninsula University of Technology, 2015. / In a quest to offer better services to both citizens and businesses throughout Africa, efforts to adopt e-government projects are gaining momentum. As a result of this, there is a need for effective measurement of delivery and quality of such e-services. Currently, there are several metrics applied to measure and rank the e-readiness of various African countries. However, while these measures have provided a source of comparative analysis between different e-government projects, they are far from being perfect. For example, most of these measures are diverse and difficult to compare, since they assume ‘one size fits all’ and ignore differing environmental, cultural and contextual factors of various countries. Further criticisms of these measures are that they are ‘first generation metrics’ designed for developed countries, as opposed to developing countries. Thus, the crux of the research problem was that there are no suitable evaluation strategies for understanding and measuring the effectiveness of e-government services in order to improve the management thereof, and thereby attain the best possible value for citizens. The objective of this study was to develop a framework, for evaluating the effectiveness of e-government services in a typical developing country. Tanzania’s mainland was chosen as the context for this study: as a typical developing African country, its early phase of e-government development provided an optimal case for this study concerned with the useful and effective evaluation of e-government services. I have chosen a qualitative research method paradigm, underpinned by an interpretive approach, to facilitate both research objectives: developing an evaluation framework after determining the necessary evaluation parameters. Empirical evidence was gathered via interviews with e-government practitioners in Tanzania and via focus groups with selected citizens. Other sources of data included government documentation (policies and strategies) and government websites. The data was analysed through the combined application of an adapted grounded theory method and interpretation. Using the latter analytical processes several effectiveness dimensions of e-government services were derived. Through further analysis these were synthesised into the main output of the study viz. an e-government citizen satisfaction framework (ECSF). This framework, a unique contribution to the existing body of knowledge, demonstrates how citizen and government imperatives should be amalgamated to evaluate the effectiveness of e-government services. The findings further support and advance Information Technology management within government, as this is the first comprehensive framework to ensure an integrated approach for monitoring and evaluating e-government programmes. This study also combines important ideas from two existing domains—service management and IS evaluation—to generate new foundations leading to further work by researchers.
547

Ujamaa and Religion : Influences today

Norin Ortiz, Jessica January 2011 (has links)
“To build a nation in the true sense (...) is to build the character of its people-of ourselves, to build an attitude of mind which will enables us to live together with our fellow citizen (...), in mutual friendliness and cooperation” Tanzania is a country consisting of more than 130 ethnicities and three major religions. It is surrounded by continuous conflict which could be seen as a suitable environment for identity-related violence to flourish, but instead it is a country that should be seen as a role model in dealing with ethnic religious identities through a self-created system, which includes a political vision and an ideology. The purpose of this thesis has been to explore and describe a country that has worked through politics for a society that has a place for religion, but not religion mixed with politics. The study is based on secondary empirical material and on field work done in the Babati district in Tanzania. The result is important for several reasons, in today’s identity-focused world, since it illustrates the need to recognize people's multiple identities, to be able to integrate to create a foundation of tolerance and respect between religions.
548

School environmental education programmes and their application to local communities' socio-economic development and conservation issues (South Africa and Tanzania)

Wanyama, Henry Sammy. 16 August 2012 (has links)
Ph.D. / This study investigated the nature of collaboration between three institutions: the school, NGO and community (local leaders and members) in enabling sustainable development in regard to the creation of livelihoods and conservation. Two school-based environmental education programmes in South Africa and Tanzania were used to investigate the nature and issues of collaboration involving the tripartite institutions. Adopting pragmatic and critical paradigms, a mixed model approach formed the framework within which the study was conducted. A mixed model emphasising qualitative methods was appropriate and proved useful enabling insightful investigations. The study found that the nature of collaboration between the tripartite institutions was superfluous. Inspired by their traditional roles and modernistic competitive practices, most institutions preferred independent or singularist approaches and weaker inter-relationships to openness and closer working partnerships for survival. The resultant deliberate negation of developing local capacities promoted the traditional independent relational status quo, which assured little or no innovative approaches to conservation and livelihood creation. The isolated and independent institutional activity implementation approaches led to institutions copying each other as opposed to learning from each other innovatively as enunciated in communities of practice. The position thus contributed in stifling the efforts that could drive sustainable development activities in local communities through the institutions. It also impeded the development of familiarity between, and among the institutions further discouraging meaningful collaboration. Local institutions thus isolated themselves from each other making themselves vulnerable to external forces that further derailed their efforts to contribute towards education, conservation and the creation of livelihoods in local contexts. It is recommended that NGOs involved in education and environmental activities, and the government departments of education in particular assist educators to establish forums and nurture them to attain functional capacities. This is one way of encouraging continuous professional development and growth. Learners must be exposed to as many active learning opportunities as possible, which include activities in the community as part of their formal education requirements and assessment for their final grades. Furthermore, more innovative approaches are required in introducing curriculum changes to educators and involving them to co-interpret such changes with the developers to fit respective contexts and to meaningfully contribute in implementing the envisaged changes. NGOs should invest material and financial resources in school and community programmes during implementation to illuminate deeper socio-economic, cultural and political community issues that influence community development and well-being as a core activity. Indeed conventional education and community development programmes should be integrated in design, budgets, and capacity-building objectives and implementation plans to effectively demonstrate natural community or societal systemic functions essential for nurturing sustainable communities. In conclusion, it is recommended that a critical review of such knowledge claims as "poverty causes environmental degradation" and some of the models that are popularly used in most environmental education activities which relate to human-nature interactions be exposed to learners and community development workers as a way of enabling them to engage with such knowledge claims and realities. The continuing reliance on such false science does not promote a practical understanding, practice, or foster self-sustaining communities for the current generation and posterity.
549

Towards effective implementation of children's rights in Tanzania: lessons and opportunities from Ghana and South Africa

Jonas, Benjamin January 2006 (has links)
"Despite the adoption and wide ratification of the CRC and ACRWC, the miseries identified and intended to be dealt with by the two instruments are still rampant in many parts of the globe. Tanzania, as will be clearly shown in chapter three of this study, is not an exception in this regard. ... Tanzania has ratified both the CRC and ACRWC without reservations. In relation to international law, Tanzania follows a dualist approach. Despite the fact that Tanzania has ratified the two instruments to date, it does not have a specific comprehensive law on children's rights. That notwithstanding, various laws have been enacted, other amended and several programs put in place to protect children from exploitation, and safeguarding their interests. However, these measures have not yielded any feasible results since their adoption. There are still cases of discrimination in respect of girls, children born out of wedlock, non-fulfilment of the principle of best intersts of the child, socio-economic difficulties threatening children's right to life, survival and development of the child; police brutality against street children, the increasing number of children deprived of a family environment, especially AIDS orphans, and an increase in the incidence of child prostitution, early marriages, and various cultural practices which are harmful to children. This study necessitates investigation of the mechanisms which could be adopted, to assist in the successful implementation of children's rights in Tanzania. ... This study, therefore, draws inspirations from the laws and practices on children's rights in Ghana and South Africa and explores the most effective mode of implementation that can ensure the translation of the noble intentions in the two instruments into genuine effective tools for enhancing the well-being of the children in Tanzania." -- Introduction. / Thesis (LLM (Human Rights and Democratisation in Africa)) -- University of Pretoria, 2006. / Prepared under the supervision of Ms. Christine Dowuona-Hammond at the Faculty of Law, University of Ghana, Legon / http://www.chr.up.ac.za/academic_pro/llm1/dissertations.html / Centre for Human Rights / LLM
550

Reproducing ICT4D Tanzania to a Rwandan District

Mekonnen, Biniam January 2012 (has links)
ICT based health care policies in developing countries must be targeted at the poorest most rural member of the population where there is demand but little or no supply of health care. This is achieved through ICT4RD program which mainly focus on provisioning of ICT access to rural areas. In this regard, ICT4RD Tanzania built a local broadband which pass through fifteen villages around Serengeti district to benefit health, government and education sectors. There have been a number of discussions between countries located alongside the African great lakes to build a sustainable rural community networks providing basic public services as a research infrastructure network. The main motivation is to facilitate first mile initiatives to explore and demonstrate methods and solutions that could eventually be used to commercial actors to build production networks in areas where there is demand but little or no supply. The discussion has passed all the way and become a project called AGLARBRI(African Great Lakes Broadband Research Infrastructure). At this critical time, it is of technical interests to see if rural regions around the African great lakes could benefit from previous similar projects like Tanzanian ICT4RD project. This thesis addresses the aforementioned basic interest and uses a comparative case study tool to formulate and analyze the reproducibility of technical solutions produced by ICT4RD Tanzania program to a selected district in Rwanda. Intensive study on ICT4RD Tanzania technical solutions, on-site survey and radio mobile simulation analysis has been performed. Interview with health center employees, IT support personnel’s, and stakeholders, online questionnaires, direct observation while performing site survey and online official resources are used as primary and secondary source of data. The outcome of the thesis reveals that infrastructure design proposed by ICT4RD Tanzania program using fiber-wireless technology can also be used for a rural district in Rwanda in a similar fashion after considering local telecommunication regulations. It also proves that a great care needs to be taken while reproducing services between regions. Service reproducibility has also shown a failure to some extent. This is revealed by the use of Drug Management Application (DMA) and webmail applications. DMA application couldn’t be reproduced because the two rural areas used for comparison have different work flow for drug management. Reproducibility of webmail application has also shown a filer due to the fact that webmail system is not current interest for Kirehe district healthcare system. The outcome of the thesis also proves that ICT4RD Tanzania proposed infrastructure design solutions can be scaled and extended for similar rural areas along the AGLARBRI ring. Furthermore, service demand and work flow analysis is crucial to reproduce services along the area. / ICT-baserad hälso-och sjukvård politiken i utvecklingsländerna måste riktas mot de fattigaste mest lantliga medlem av befolkningen där det finns efterfrågan, men liten eller ingen utbudet av hälso-och sjukvården. Detta arkiveras genom ICT4RD program som främst inriktas på tillhandahållande av ICT tillgång till landsbygden. I detta avseende byggde ICT4RD Tanzania en lokal bredband som passerar genom femton byar i närheten av Serengeti distriktet till att förbättra hälsan, myndigheter och utbildningssektorerna. Det har förekommit ett antal diskussioner mellan länder som ligger vid sidan av de afrikanska stora sjöarna att skapa en hållbar landsbygd med nätverk som ger viktigaste offentliga tjänster som en forskningsinfrastruktur nätverk. De viktigaste motiven är för att underlätta första milen initiativ att undersöka och demonstrera metoder och lösningar som kan så småningom skulle användas för att kommersiella aktörerna bygga upp produktions nätverket i områden där det finns efterfrågan, men liten eller någon leverans. Diskussionen har gått hela vägen och bli ett projekt som kallas AGLARBRI. På hans kritiska tiden är det av tekniska intresse att se om landsbygden runt de afrikanska stora sjöarna kan dra nytta av tidigare liknande projekt som Tanzanias ICT4RD projekt. Denna avhandling behandlar tidigare nämnda grundläggande intresse och använder en jämförande fallstudie verktyg för att formulera och analysera reproducerbarhet av tekniska lösningar som produceras av ICT4RD Tanzania för en vald distrikt i Rwanda. Intensiva studier på ICT4RD Tanzania tekniska lösningar, plats undersökning och radio mobil simulering analys har utförts. Intervju med hälso center, IT-stöd Personalens och intressenter, online frågeformulär, direkt observation under utföra platsundersökning och online officiella resurser används som primär och sekundär datakälla. Resultatet av thesis visar att konstruktionen av infrastruktur som föreslagits av ICT4RD Tanzania programmet med fiber-trådlös teknik kan också användas för en kommun i Rwanda på ett liknande sätt. Den visar också att en stor försiktighet måste tas samtidigt reproducerar tjänster mellan regionerna. Tjänsten reproducerbarhet har också visat ett misslyckande till viss del. Det visar med hjälp av DMA och webb post tillämpnngar . DMA tillämpning kunde inte reproduceras eftersom de två landsbygden används för Jämförelsen har olika arbetsflöde för läkemedel förvaltningen. Reproducerbarhet av webb post tillämpningar har också visat ett Filer på grund av att webbmail systemet inte är ett intresse för Kirehe distriktet hälso-och sjukvården. Avhandlingen visar också att ICT4RD Tanzania föreslagna infrastrukturen utformning lösningar kan skalas och förlängas liknande landsbygden längs AGLARBRI ringen. Dessutom är efterfrågan på tjänster och arbete flödesanalys är avgörande för att reproducera tjänster längs området.

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