Dissertations (Masters)-MRPP-SOPAM

Permanent URI for this collectionhttps://scholar.mzumbe.ac.tz/handle/123456789/1514

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Start date: 2020End date: 2025

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    Determinants of youth participation in sports betting: A case study of Mzumbe Ward, Mvomero District, Morogoro, Tanzania
    (Mzumbe University, 2025) Wilson, Elinami
    The growing involvement of youth in sports betting activities presents serious social and economic challenges, especially in developing countries like Tanzania, where unemployment and limited recreational options are common. This study aimed to examine the determinants of youth participation in sports betting in Mzumbe Ward, Mvomero District, Tanzania. Guided by three specific objectives, the research explored youth perceptions of the risks and benefits of sports betting and analyzed the economic and social determinants contributing to their engagement. A cross sectional design was adopted, employing a mixed-methods approach that combined quantitative data from 362 survey respondents with qualitative insights from interviews and focus group discussions. Descriptive statistics, content analysis, and binary logistic regression (using SPSS v25) were utilized for data analysis. The results showed that while some youth view sports betting as a source of entertainment and potential income, the majority (74.6%) believe that risks such as strained relationships, financial loss, addiction, and mental health issues outweigh the benefits. Economic determinants, including financial pressure (p = 0.016), income levels (p = 0.024), and employment status (p = 0.030), were found to significantly influence betting behavior. Youth under financial stress were more likely to participate, whereas employed individuals were less likely to engage. Furthermore, social determinants such as peer influence (p = 0.001), family background (p = 0.002), gender (p = 0.006), and education level (p = 0.011) also had significant effects. In conclusion, both economic and social determinants have a significant impact on youth involvement in sports betting. The study recommends multi-sectoral measures for the Gaming Board of Tanzania (GBT), social service organizations, and educational institutions, including public awareness campaigns, economic empowerment initiatives, stricter gambling regulations, and the provision of alternative recreational activities to foster positive youth development.
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    Healthcare services delivery to elders in Tanzania: Analysis of challenges and enablers in Songea Municipal Council, Tanzania
    (Mzumbe University, 2025) Mtega, Victoria
    Quality health care service delivery to elders is important for social economic development of any country. Despite this recognition, the provision of quality healthcare services to elders in Tanzania, particularly in upgraded health centers, remains a significant challenge despite improvements in infrastructure and service availability. This study examined enablers and challenges of healthcare delivery to elderly patients. The mixed research approach with explanatory sequential research design was employed. The study began with a survey questionnaire which was administered to 220 healthcare providers selected through simple random sampling. This was followed with 20 -depth interviews with geriatrics selected purposively from the upgraded health center in Songea Municipal Council. SPSS version 23 was employed to perform descriptive statistics, logistic regression and variable of p-value of less than 0.05 was statistically significant. Results showed that 69.5% of healthcare provider delivered sub-optimal healthcare services to elders. Factors like leadership support, staff training, and effective policies were important enablers while, challenges were shortages of resources and staff, as well as poor coordination between service units, hindered effective service delivery. Qualitative insights from elders highlighted both strengths and weaknesses, including challenges like drug stock-outs, long waiting times, and delays in emergency care, alongside positive experiences with trained providers offering proper diagnosis and treatment. The study concluded that heath care service delivery to elders in some areas, remain largely inadequate. The study recommends strengthening facility leadership, providing ongoing geriatric training, developing and implementing elder-specific policies, ensuring adequate staffing and medical supplies, and enhancing coordination through clear referral systems and integrated health records. Collaboration among government, healthcare providers, and communities is vital for sustainable improvement. Policy implications include prioritizing leadership development, standardized geriatric training, equitable staffing, and integrated service delivery models. Establishing shared care plans and efficient referral systems will promote continuity and quality of elder care. These measures are essential for creating a responsive, inclusive healthcare system to meet Tanzania’s growing elderly population’s needs