The World Health Organization recommends 1500 to 2000 mg of calcium daily as supplementation, divided into three doses, for pregnant persons in populations with low dietary calcium intake in order to reduce the risk of preeclampsia. We conducted two independent randomized trials of calcium supplementation, in India and Tanzania, to assess the noninferiority of a 500-mg daily dose to a 1500-mg daily dose of calcium supplementation. In these two trials, low-dose calcium supplementation was noninferior to high-dose calcium supplementation with respect to the risk of preeclampsia. It was noninferior with respect to the risk of preterm live birth in the trial in India but not in the trial in Tanzania.
We compared the independent and combined effects of engaging fathers and bundling parenting components into a nutrition intervention on early child development (ECD) and parenting outcomes. Jointly bundling parenting components into nutrition interventions while also engaging both mothers and fathers is most effective for improving maternal and paternal parenting and ECD outcomes.
Modern contraceptive use increased from 23.0% in 2004 to 34.3% in 2016. Differences in women’s characteristics contributed 12.5% of the increase in mCPR. These characteristics include partner’s education levels, recent sexual activity and being visited by a family planning worker. The difference in coefficients contributed 87.5% increase in mCPR. The most increase in modern contraceptive use was attributed to rural population (44.1%) and women who experienced a termination of pregnancy (7.1%).
Download file (899.47 KB)AAPH is currently working with its close partner Management and Development for Health (MDH) to conduct formal evaluation of its various ongoing interventions to identify the best models and key gaps that will inform improvement and increase program performance of its HIV care & treatment programs in Dar es Salaam and Kagera regions.
In 2015, AAPH lead the implementation for the first time of the National Food Fortification Assessment Survey in Tanzania mainland and Zanzibar (FACT 2015, Survey). The Fortification Assessment Coverage Tool (FACT) is a survey instrument developed by the Global Alliance for Improved Nutrition (GAIN) for carrying out coverage assessments of large-scale food fortification programs.
Download file (2.82 MB) Establishing a functional Independent Institutional Review Board (IRB) for trials conducted by AAPH.
This project has been completed with annual technical and financial reports approved by the sponsor. Through this grant, AAPH has established an IRB with a fully-furnished office, maintained an administrative and financial officer, trained IRB members in collaboration with the Office of Human Subject Protection at the Harvard T.H. Chan School of Public Health, and appointed eleven members.
This is an ongoing study with a focus on mental health particularly depression among pregnant women. Tanzania like many other countries in sub-Saharan Africa faces significant challenges in implementing comprehensive mental health care policy. One main reason for the huge gap is shortage of trained psychiatrists and other mental health care professionals.
The objective of this study was to undertake a proxy evaluation of the national food fortification program; through clinic-based assessment of folate levels in women of reproductive age. AAPH enrolled 636 women who had 12 months of follow up within 10 sites in Dar es Salaam.
Neonatal Vitamin A supplementation at birth (Neovita)) trial. This was one of three concurrent studies in India, Ghana and Tanzania to inform global policy on the use of neonatal vitamin A supplementation for reducing infant mortality in low- and middle-income countries.
Comparative National and Global Assessment (funded by Grand Challenges Canada). The overall aim of this study is to develop consistent and comparable national, regional, and global population-based quantification of the economic impact of early childhood adversity.