BACKGROUND. The Catholic University of Health and Allied Health Sciences, Kilimanjaro Christian Medical University College and Muhimbili University of Health and Allied Sciences teamed up to address gaps in the training curricula for medical doctors and nurses with the aim of developing harmonised curricular templates that would be comprehensive and suit national objectives. OBJECTIVES. To share experiences and lessons learned in engaging stakeholders using social media as an additional method to collect information on curricular gaps and ideas to develop harmonised medical and nursing curricula. METHODS. Pictures, newsprint extracts, and videos of face-to-face events in the curriculum development process and project and a curriculum advert were posted on Facebook, Twitter and YouTube and used to engage stakeholders, including regulatory bodies, health professional councils, graduates, students, practitioners, health training institutions, private and public employers, internship supervisors, faculty and the public. Reactions, comments and post insights from stakeholder postings, in both Swahili and English, were analysed manually and categorised into four types of messages: congratulatory, comments on the process and expected outcomes, curricular gaps, and faculty development needs to implement new curricula. RESULTS. A total of 69 290 stakeholders were engaged via Facebook and 229 via Twitter. A total of 13 553 (19.6%) Facebook and 179 (78.2%) Twitter comments were directly related to gaps in current curricula and graduate competencies. Other inputs received through social media were on faculty development needs to implement harmonised curricula and the project in general. CONCLUSION. This was the first attempt to engage curriculum stakeholders using social media for the development of harmonised curricula in Tanzania. The impact of social media in providing relevant inputs for curriculum development was significant. Use of social media, with multiple language options, is an economical and efficient way to reach a large number of stakeholders for curriculum quality improvement.

Postpartum depression (PPD) is a significant public health concern in resource-constrained sub-Saharan Africa (SSA). Efforts to combat this burden are hampered by the region's wide variation in reported prevalence. This review aimed to systematically synthesize up-to-date data on PPD in SSA. The review was structured per the Preferred Reporting Item for Systematic Reviews and Meta-analyses. Included in the review were studies that reported the prevalence of PPD in SSA. A search was undertaken of PubMed, Medline, CINAHL, Academic Search Complete, and PsycINFO. A random-effect model was fitted to estimate the pooled burden of postpartum depressive symptoms in SSA. We conducted subgroup analyses to estimate the distribution of postpartum depressive symptoms based on important study characteristics: sample size, the timing of diagnosis, design, study setting/region, instrument, and income/ economy. The prevalence of postpartum depressive symptoms ranged from 3.8% to 69.9%, with a pooled estimate of 22.1% (CI 18.5-26.2; I² = 98.2; Tau = 0.848; p<0.001). There was a significant variation in postpartum depressive symptoms with sample size (p<0.001). The highest prevalence (25.6% CI 21.5-30.1) was obtained within 12 weeks postpartum. The prevalence estimate was highest (23.3%; CI 20.1-26.8) with the Edinburgh Postnatal Depression Scale (EPDS). South Africa (30.6%; CI 23.6-38.7) and Zimbabwe (29.3%; CI 22.2-37.5) reported the highest prevalence rates, while Tanzania (13.5%; CI 10.1-17.9) reported the lowest prevalence estimates. Upper-middle SSA countries presented the highest prevalence rates (30.6%; CI 23.6-38.7). The prevalence was highest within the period 2010-2015. PPD constitutes a significant health burden in SSA and is fast becoming an epidemic in southern Africa. SIGNIFICANCE: • Given that PPD is a recurring mental health challenge among women in sub-Saharan Africa, there is an urgent need for strategic policy provisions to ameliorate its burden. • An increase in prevalence of PPD from 2005-2010 to 2015-2021 is indicative of the need for national governments to intensify efforts targeted at achieving the UN Sustainable Development Goals 3 and 5 in the region. • In SSA, the prevalence of PPD is highest (approximately 30%) in Southern Africa, precisely South Africa and Zimbabwe, where it is fast becoming an epidemic; hence strategies are needed to curtail its growing trend. • There is a need to characterise and stratify the risk factors of PPD in sub-Saharan to guide policy development of predictive algorithms and implementation strategies.

Resumen El virus Chikungunya es un Alfavirus de la familia Togaviridae trasmitido por mosquitos. Fue descrito por primera en un brote en el sur de Tanzania en 1952. Genera clásicamente un síndrome febril con poliartral gias y artritis, que pueden ser incapacitantes y tener una duración prolongada. La mortalidad global ronda en 0.1%. Existen reportes en la literatura de presenta ciones atípicas y graves con compromiso de múltiples órganos. Se ha detectado la presencia del virus en más de 110 países. En Brasil, en la región noreste, se han hallado casos autóctonos desde septiembre de 2014. En Argentina y países limítrofes, se presentan casos en aumento duran te 2023, con respecto a iguales periodos en años previos. Hasta la semana epidemiológica N° 26 del año 2023 se registraron en Argentina 1460 casos de fiebre chikun gunya, considerándose autóctonos 72% de ellos. Se presenta el caso de una mujer de 76 años, con an tecedentes de hipertensión arterial y estenosis aortica, admitida en terapia intensiva por shock séptico con foco respiratorio, con patrón de neumonía intersticial, evolu ción tórpida y óbito dentro de las 24 horas del ingreso. Se recibe postmorten el resultado detectable de virus Chikungunya por reacción en cadena de la polimerasa en tiempo real. Este caso, resulta de importancia clínica dada la pre sentación atípica del mismo y por la baja prevalencia nacional de infecciones graves por dicho virus, alerta sobre la necesidad de incluir el diagnóstico diferencial en los pacientes con sospecha diagnóstica.

Abstract Chikungunya virus is an Alphavirus, it belongs to the family Togaviridae and is transmitted by mos quitoes. It was first described during an outbreak in Southern Tanzania in 1952. It generally causes a febrile syndrome, accompanied by joint pain and arthritis, which is often debilitating and may persist for months or years. Its overall fatality rate is not high, around 0.1%. Atypical and severe cases have been reported. This virus has been detected in more than 110 countries globally. In Northeastern Brazil autoch thonous cases have been diagnosed since September 2014. In Argentina, as well as in neighboring countries, cases were increasing during 2023, compared to the same periods in previous years. Until epidemiological week 26 of 2023, 1460 cases of chikungunya fever were reported in Argentina, 72% of them were considered of autochthonous transmission. The case of a 76-year-old female patient is here presented, her comorbidities were hypertension and aortic stenosis, who was admitted to intensive care unit due to septic shock with respiratory focus, intersti tial pneumonia in X-ray pattern, and torpid evolution. She died within 24 hours of admission. A report of detectable Chikungunya virus by real-time polymerase chain reaction in real time was received post-mortem. This case results of clinical relevance due to its atypi cal presentation and the country low prevalence of severe infections by this virus. It warns of the need to include the differential diagnosis in cases with sus pected diagnosis.

BACKGROUND: It is commonly acknowledged that cooperatives play important social functions that raise the standard of living for their members, particularly those who originate from rural, and low-income backgrounds. AIM: This article aims to measure the impacts of cooperatives membership on household income taking Zanzibar as a case study. SETTING: The data used were directly collected from 217 cooperative members and 83 non-cooperative members. METHOD: Descriptive statistics were used to analyse the demographic characteristics of the respondents. The probit model and propensity score matching (PSM) was used to analyse the impacts of cooperative membership on household income. RESULTS: The probit model findings show that there are four statistically significant factors affecting cooperatives membership, including gender, educational level, land ownership, and access to credit. In addition, PSM findings reveal that there is a disparity in income level between cooperative members and non-members. On average, cooperative members are able to generate more income than non-cooperative members by 28% per year. CONCLUSION: The study concludes that, in order to expand the observed benefits to the population, cooperative growth needs proper backing. Because poverty has many different dimensions, it's crucial to expand the organisations that help the poor while also utilising other support services to reduce it. CONTRIBUTION: The article serves as first empirical evidence to be conducted in Zanzibar, Tanzania. The findings will facilitate the amendment of the cooperative context, including tax reduction, extending loans and grants, and other favourable working conditions necessary for supporting the development of cooperative society.

BACKGROUND: The use of social networking sites (SNS) has increased knowledge sharing among students leading to improved academic performance. Despite the benefits that SNSs provide in education, their use for knowledge sharing and exchange among postgraduate students in some Tanzanian tertiary institutions (TIs) faces challenges. OBJECTIVES: To examine the benefits of using SNSs for sharing knowledge and information among postgraduate students and propose possible solutions to the identified challenges. METHOD: This study was conducted using mixed-methods research, employing a convergent research design. Parallel mixed-methods sampling was used in the study to collect quantitative data from 171 postgraduates and 30 members of academic staff responsible for teaching and supervising postgraduates. Qualitative data were gathered from eight heads of academic departments who were purposively selected. RESULTS: The findings established that the use of SNSs for knowledge and information sharing in the TIs selected for the study had expanded postgraduate students' knowledge bases and enhanced academic performance. The study indicated that postgraduate students lack reliable Internet connectivity and a stand-alone policy. CONCLUSION: The study recommends that TIs in Tanzania ensure the availability of funds to make knowledge sharing practices sustainable. CONTRIBUTION: The contribution is to the literature for a better understanding of the use of SNSs in particular and to help decision-makers appreciate how they can prepare provisions for the use of SNSs.

Postpartum haemorrhage (PPH) is the leading cause of preventable maternal mortality in South Africa (SA). In a significant breakthrough in the management of PPH, the E-MOTIVE trial found that a multifaceted health service intervention reduced severe PPH after vaginal delivery by 60% in 78 hospitals in Nigeria, Kenya, Tanzania and SA. The E-MOTIVE approach comprises objective blood loss measurement monitored every 15 minutes during the first hour after delivery to detect PPH early and trigger a bundle of first-line treatments, including massaging the uterus, oxytocin infusion, tranexamic acid infusion, intravenous crystalloid fluids, examination for the cause, emptying the bladder and, if necessary, escalation of care. E-MOTIVE was integrated into the existing Essential Steps in Managing Obstetric Emergencies (ESMOE) algorithm. Certain research-related elements of the trial setting cannot be replicated in routine practice. Therefore, we need to develop local strategies to ensure the essential clinical elements of the intervention are implemented. Potential strategies include incorporating the E-MOTIVE principles into national guidelines, ongoing training strategies and ensuring all facilities are equipped with necessary medication, equipment and delegations. This breakthrough intervention provides hope for women in SA, and requires a purposeful, co-ordinated implementation strategy on a national scale to reach all levels of the health service.

Resumen Para evaluar el efecto de la incorporación de L. leucocephala sobre la producción de biomasa y la composición química de P. maximum cv. Tanzania en un sistema silvopastoril, se estableció un experimento en dos praderas, establecidas con P. maximum cv. Tanzania como único cultivo en una de ellas y en la otra asociada con L. leucocephala en un arreglo de pasturas en callejones. En cada pradera fueron colocadas 12 jaulas de exclusión de 1 m3 en un diseño completamente al azar con arreglo factorial 2 x 4, dos sistemas (monocultivo y silvopastoril) y cuatro fechas de corte (28, 56, 84 y 112 d) y tres repeticiones. Se aplicó una fertilización química con Fosfonitrato en cada una de las jaulas de exclusión para ambos tratamientos. Se observó diferencia significativa entre sistemas para las variables altura, cobertura, producción de materia orgánica (kg/ha), producción de proteína cruda (kg/ha) y el porcentaje de FDN, reportando los mejores valores el sistema silvopastoril. Se concluye que el uso de la Leucaena ofrece ventajas importantes si se considera que es capaz de producir alimento de alto valor nutricional para los animales, además, mejora la calidad y cantidad de forraje del sistema.

Abstract To evaluate the effect of L. leucocephala incorporation on P. maximum cv. Tanzania biomass production and chemical composition of in a silvopastoral system, an experiment was established in two grasslands, established with P. maximum cv. Tanzania as the only crop in one of them and in the other, associated with L. leucocephala in an arrangement of pastures in alleys. In each meadow, 12 exclusion cages of 1 m3 were placed in a completely random design with a 2 x 4 factorial arrangement, two systems (monoculture and silvopastoral) and four cutting dates (28, 56, 84 and 112 d) and three repetitions. Chemical fertilization with Phosphonitrate was applied in each of the exclusion cages for both treatments. A significant difference was observed between systems for the variables height, coverage, production of organic matter (kg/ha), production of crude protein (kg/ha) and the percentage of FDN, reporting the best values of the silvopastoral system. It is concluded that the use of Leucaena offers important advantages if we consider its capability for producing food of high nutritional value for animals, as well as it improving the forage quality and quantity of the system.

Resumen El objetivo fue evaluar la calidad del henolaje del pasto Tanzania (Panicum maximum) con diferentes contenidos de materia seca y un almacenamiento de 90 días, a través de la composición química, cuantificación de gases, ácidos grasos volátiles, perfil microbiológico, estabilidad aeróbica, pH y nitrógeno amoniacal. El diseño experimental utilizado fue completamente al azar con cuatro tratamientos y cinco repeticiones. Los tratamientos consistían de cuatro contenidos de materia seca (MS) de la planta en el momento de la producción del henolaje del pasto Tanzania siendo: en materia fresca (sin deshidratación), 400, 500 y 600 g kg-1 de MS (deshidratados en pleno sol). El tratamiento con 600 g kg-1 de MS de la planta proporcionó la mayor estimación (p < 0,01) de MS en el henolaje con 581,6 ± 15,4 g/kg, y el mayor (p < 0,01) contenido de carbohidratos solubles con 45,4 ± 1,24 g/kg MS. Después de 90 días de almace namiento, el tratamiento en materia fresca presentó mayores (p < 0,01) cantidades de O2 en el interior de los fardos. En relación al CO2 los mayores índices fueron observados para los tratamientos con 500 y 600 g kg-1 de MS. También se observó el mayor (p < 0,01) contenido de ácido acético en los tratamientos materia fresca y con 500 y 600 g kg-1 de MS de la planta, con 36,4 ± 1,6, 38,2 ± 1,6 y 48,9 ± 1,6 g kg-1 de MS, respectivamente. Para el ácido butírico se obtuvo la mejor (p < 0,01) valoración de 27,0 ± 0,5 g kg-1 de MS en el tratamiento en materia fresca. El tratamiento con 600 g kg-1 de MS mostró mayor (p < 0,01) valor de pH en la hora cero con 6,36 ± 0,03. El tratamiento en materia fresca presentó mayor valor de N-NH3 en la hora cero de exposición al aire con 4,65 ± 0,12. El pasto Tanzania con 500 y 600 g kg-1 de MS, presenta el henolaje de mejor calidad.

Abstract This study aimed to evaluate the quality of Tanzania grass (Panicum maximum) haylage with varying contents of dry matter (DM) and stored for 90 days. The quality of this grass was evaluated through the lens of a variety of physiochemical properties (e.g., chemical composition, aerobic stability, pH, microbial profile, etc.). A completely randomized design was used with four treatments (in natura, 400, 500, and 600 g kg-1 DM) and five replicates. Treatment with 600 g kg-1 DM yielded the highest DM haylage (p < 0.01) and soluble carbohydrate content (p < 0.01). Treatment in natura resulted in the highest O2 concentration inside the bales (p < 0.01), whereas treatments with 500 and 600 g kg-1 DM resulted in the highest CO2 values. The highest acetic acid concentrations of 36.4 ± 1.6, 38.2±1.6, and 48.9 ± 1.6 g kg-1 DM (p < 0.01) were observed post the in natura, 500 g kg-1 DM, and 600 g kg-1 DM treatments, respectively. Treatment with 600 g kg-1 DM yielded the highest pH value at hour zero (p < 0.01). Tanzania grass with 500 and 600 g kg-1 DM produced the highest quality haylage.

A fossil scarabaeoid (Coleoptera: Scarabaeoidea) Mahengea mckayi new genus, new species - the only well-preserved insect fossil and one of only a few insects found at the site - is described from an otherwise rich Eocene (~ 45.6 mya) maar Lagerstàtte at Mahenge in central northern Tanzania. Numerous fossil fishes and plants have been recovered from this site and described. The dearth of insect fossils is surprising considering their richness in other deposits of similar origin and age. We suggest that the rich fish fauna present in the oxygen-rich parts of the water in the former volcanic crater lake may have scavenged most of the terrestrial insects that fell into the water. Although the fossil described here is undoubtedly that of a member of the Scarabaeoidea, the family placement remains unsure. SIGNIFICANCE: We describe the first Eocene fossil scarab from Africa. It is one of only a few scarab fossils from the continent and one of the best-preserved insect (invertebrate) fossils from the deposit.

This study examined the quality of web-based online agricultural information relevant to the maize industry in Tanzania. Selected online sources were evaluated to assess the agricultural information available in terms of four dimensions of quality, namely: authority, completeness, timeliness, and understandability. The study identified a wide variety of web-based online information on maize production, including information on seeds, fertilisers, pesticides, and grain-handling. It was found that the information was of variable quality. Among the 39 online sites studied, several lacked contact information, had outdated content, and contained information that was missing some important details, and none provided weather information. This study contributes to the body of knowledge on online agricultural information in an African context where the agricultural sector is central to national economic development. The online agriculture information evaluation tool used in the study can potentially be of use, in its current form or adapted, to researchers beyond Tanzania.

There is insufficient knowledge on the influence of monetary and fiscal policies elements on the construction sector output in Tanzania. Monetary and fiscal policies elements are paramount in decisions pertaining to project viability or feasibility. The purpose of this study is to determine the relationship of monetary and fiscal policies elements with the construction sector output in Tanzania. Accordingly, this study adopts a correlational research design to examine the extant relationship between various elements of fiscal and monetary policies and construction output. Time-series data was obtained from Tanzania National Bureau of Statistics and Bank of Tanzania, covering a period of twenty-three (23) years from 1998 to 2021. The data obtained was tested for stationarity, followed by correlation and regression analysis. Results reveal that construction output is negatively related to commercial bank's weighted interest and inflation rates. On the other hand, construction output is positively related to exchange rate, government expenditure on construction, and total tax on product. Multiple regression analysis revealed similar results, with the exception of exchange rate which has turned out to be negatively related to construction output. Nevertheless, the relationship of construction output and all elements of monetary and fiscal policies is not statistically significant. The study provides knowledge on the nexus between monetary and fiscal policies on the construction sector output within a previously unexplored Tanzanian context. This can help developers make informed decisions on investments in times of high or low inflation and interest rates, and during an upsurge of exchange rates. It also informs the public on how the government regulates the construction output by increasing or decreasing expenditure on construction.

Daar is onvoldoende kennis oor die invloed van monetêre en fiskale beleidselemente op die konstruksiesektor se uitset in Tanzanië. Monetêre en fiskale beleidselemente is deurslaggewend in besluite wat verband hou met projek lewensvatbaarheid of haalbaarheid. Die doel van hierdie studie is om die verwantskap van monetêre en fiskale beleidselemente met die konstruksiesektor se uitset in Tanzanië te bepaal. Gevolglik gebruik hierdie studie 'n korrelasionele navorsingsontwerp om die bestaande verband tussen verskeie elemente van fiskale en monetêre beleid en konstruksie-uitset te ondersoek. Tydreeksdata is verkry van Tanzanië Nasionale Buro vir Statistiek en Bank van Tanzanië, wat 'n tydperk van drie-en-twintig (23) jaar van 1998 tot 2021 dek. Die data is getoets vir stasionariteit, gevolg deur korrelasie- en regressie-analise. Resultate toon dat konstruksie-uitset negatief verband hou met kommersiële banke se geweegde rente- en inflasiekoerse. Aan die ander kant is konstruksie-uitset positief verwant aan wisselkoers, staatsbesteding aan konstruksie en totale belasting op produk. Meervoudige regressie-analise het soortgelyke resultate aan die lig gebring, met die uitsondering van wisselkoers wat negatief met konstruksie-uitset verband hou. Nietemin is die verband tussen konstruksie-uitset en alle elemente van monetêre en fiskale beleid nie statisties betekenisvol nie. Die studie verskaf kennis oor die verband tussen monetêre en fiskale beleid oor die konstruksiesektor se uitset binne 'n voorheen onontginde Tanzaniese konteks. Dit kan ontwikkelaars help om ingeligte besluite oor beleggings te neem in tye van hoë of lae inflasie en rentekoerse, en tydens 'n oplewing van wisselkoerse. Dit lig ook die publiek in oor hoe die regering die konstruksie-uitset reguleer deur uitgawes aan konstruksie te verhoog of te verminder.

BACKGROUND: Scholars have examined populations within firms and found that managers and employees exhibit similar characteristics in the relationship between dynamic capability drivers and sustainable performance. However, the unobserved relationship between dynamic capability drivers and sustainable performance in the context of dairy microfirms is less investigated AIM: The main motive is to examine the unobserved connection in the relationship between dynamic capability drivers and sustainable performance in dairy microfirms in Tanzania. Illustrating the knowledge-based view (KBV), this study determines that valuable competencies impact dairy microfirms' sustainable performance SETTING: The 300 participants in this study were employees and managers of dairy microfirms in three regions of Tanzania: Tanga, Arusha, and Kilimanjaro METHOD: A unique unit segment technique - response-based unit segmentation-partial least squares (REBUS-PLS) path modelling - is used to uncover latent classes to meet the research objective RESULTS: Our findings reveal that the aggregate model hypotheses were significant. Furthermore, the paper illuminates potential unobserved variations between managers and employees concerning the dynamic capability drivers and sustainable performance of dairy microfirms in Tanzania CONCLUSION: The potential unobserved differences between managers and employees provide an alternative explanation for the relationship between dynamic capability drivers and sustainable performance. This helps avoid the 'competency trap' and explains how to improve the dynamic capabilities of dairy microfirms CONTRIBUTION: Homogeneous behaviour among managers and employees strongly suggests collectivist work to improve sustainable performance. We contribute empirically by demonstrating the underlying dynamic capability drivers of managers and employees in heterogeneous segments to explain sustainable performance

Family medicine has existed as a training pathway through a private university in Tanzania since 2004. As global calls have increased to embrace primary health care as a pathway to ensuring universal health coverage, so has Tanzania recently turned to explore family medicine as a specialty to improve access to comprehensive, high-quality healthcare for her entire population. This article outlines ongoing efforts to define competencies and skills of a family medicine physician in Tanzania, engage government support and open the first public university training programme for family medicine postgraduate education.

BACKGROUND: Individuals with spinal cord injury (SCI) in less-resourced settings reported barriers to community integration, including inaccessible rehabilitation services, restricted environments and limited social integration. Peer training and entrepreneurial skills training are provided by Motivation, a nonprofit organisation, and Moshi Cooperative University to enhance occupational engagement of individuals with SCI in less-resourced settings OBJECTIVE: This study aimed to explore the impact of peer training and entrepreneurial skills training on the social participation of individuals with SCI living in Tanzania METHOD: Using a qualitative photovoice approach, 10 participants captured meaningful photos and provided captions according to five standardised questions (PHOTO technique) to convey their messages. Participants selected up to 34 photos that best illustrated their experiences in the community. A mixed inductive-deductive thematic analysis was guided by the International Classification of Functioning, Disability and Health RESULTS: Two interrelated themes emerged: (1) 'influencing factors', which revealed how participants' inclusion in the community was influenced by their activities and personal and environmental factors and (2) 'empowerment', which highlighted participants' desire to advocate and promote awareness of needs and hopes CONCLUSION: Participants emphasised the importance of accessibility and equal opportunities. Whilst some were able to overcome obstacles, others experienced continued inaccessibility that inhibited meaningful occupations. Daily participation challenges of individuals with SCI in rural Tanzania were highlighted. Although the Motivation programmes were perceived to have powerful impacts on social participation, continued efforts and advocacy are needed to overcome accessibility issues and to meet the physical, psychological and social needs of Tanzanians living with SCI CONTRIBUTION: This article highlights the importance of accessibility and equal opportunities for individuals with disability living in rural Tanzania. Peer-training and entrepreneurial programs offer community-based rehabilitation services that were perceived by people with disabilities to have a powerful impact on social participation and vocation. However, continued efforts and advocacy are needed to meet the needs of Tanzanians living with spinal cord injury

BACKGROUND: The burden of disability because of traumatic limb amputation, particularly transfemoral amputation (TFA) is disproportionately carried by low- and middle-income countries. The need for improved access to prosthesis services in these settings is well-documented, but perspectives on the burden imposed by TFA and the challenges associated with subsequent prosthesis provision vary among patients, caregivers and healthcare providers OBJECTIVES: To examine the burden of TFA and barriers to prosthesis provision as perceived by patient, caregiver and healthcare professional, at a single tertiary referral hospital in Tanzania METHOD: Data were collected from five patients with TFA and four caregivers recruited via convenience sampling, in addition to 11 purposively sampled healthcare providers. All participants participated in in-depth interviews regarding their perceptions of amputation, prostheses and underlying barriers to improving care for persons with TFA in Tanzania. A coding schema and thematic framework were established from interviews using inductive thematic analysis RESULTS: All participants noted financial and psychosocial burdens of amputation, and perceived prostheses as an opportunity for return to normality and independence. Patients worried about prosthesis longevity. Healthcare providers noted significant obstacles to prosthesis provision, including infrastructural and environmental barriers, limited access to prosthetic services, mismatched patient expectations and inadequate coordination of care CONCLUSION: This qualitative analysis identifies factors influencing prosthesis-related care for patients with TFA in Tanzania which are lacking in the literature. Persons with TFA and their caregivers experience numerous hardships exacerbated by limited financial, social and institutional support CONTRIBUTION: This qualitative analysis informs future directions for research into improving prosthesis-related care for patients with TFA in Tanzania