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Background The United Republic of Tanzania has had a 41.4% mortality rate in the intensive care unit. In Tanzania, the Ministry of Health and Social Welfare has implemented quality improvement (QI), yet the Tanzanian health sector continues to face resource constraints, unsustainable projects and gaps in knowledge and skills, contributing to unacceptably high mortality rates for Tanzanian patients. This research aims to determine if a Critical Care Training Program incorporating QI concepts can improve technical competence and self-efficacy of providers in a critical care setting in Tanzania.Methods A 2-day Critical Care Training Program was developed for providers. It included the following modules: vital signs directed therapy (VSDT), cardiopulmonary and brain resuscitation (CPBR), blood glucose monitoring, introduction to critical care concepts and the QI concept of change management. For analysis, data were collected from pretests and post-tests and reported in REDCap. Descriptive statistics and paired t-tests were performed (alpha=0.05).Results A total of 77 nurses and three providers attended the training. The overall score changes among participants for CPBR and VSDT were significant (p

Climate change affects women and men differently. However, there are few location-specific studies that can support interventions or policy development that can tackle this issue. To help build that body of knowledge, this article looks at gender-differentiated vulnerability among smallholder farmers in one sub-Saharan African country: Tanzania. Data were collected through household questionnaires, key informant interviews, and focus group discussions in Same District, northern Tanzania. Results revealed notable inequalities distributed across genders. Women bear the biggest burden from climate change impacts. For example, women shoulder 63% of productive tasks, such as ploughing and crop sowing, compared to 28% by men. On the other hand, resource ownership and expenditure are male dominated. The results highlight the need for governments and NGOs to address gender disparities in policies designed to strengthen the capacity of households to cope with vulnerability to climate change impacts. [ABSTRACT FROM AUTHOR]