Documente Academic
Documente Profesional
Documente Cultură
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B.Sc. in Computer Science (UDSM-Tanzania)
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Computer Science Unit
0 Communication Technologies
The human immunodeficiency virus (HIV) infection, which can cause acquired
populations all over the world. According to the World Health Organization (WHO)
reports, it shows that about 33.4 Million people were living with HIV/ AIDS in the world
where 22.4 Million were from Sub-Saharan Africa to December 2008 (World Health
Knowledge of HIV status has always had the potential for benefiting an individual’s
health and wellbeing and for helping to prevent the further transmission of HIV.
Knowledge of HIV status has been especially beneficial when it has enabled people to
access care, support and treatment, in the form of psychosocial support; home based care;
Knowing HIV/ AIDS status is only possible if an individual undertakes HIV/ AIDS
ready willingly to undergo the testing and know his or her status.
HIV testing has also been problematic in the context of clinical care. This is because, in
many places, HIV testing has reportedly either not been conducted at all as part of
clinical care or has been conducted without consent, confidentiality, counseling, the
provision of results or any follow-up care to benefit health. Even in places where people
with AIDS occupy more than 50% of hospital beds, almost none of these people have
been diagnosed as HIV positive or told that they have AIDS. Although this phenomenon
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may result from fear that these patients will face discrimination or be denied health
insurance, etc., if they are diagnosed as having AIDS, it also appears to be a form of
medical denial that ultimately does not serve the best interests of these people or their
information exchange capable of reaching great number of people than traditional wired
methods and internet. This technology has high potential to increase access to public
services in areas where infrastructure constraints exist (World Bank Conference, 2007).
Due to widespread mobile network coverage in Tanzania, many people possess mobile
phone and mobile devices are easier to learn and use. This provides an opportunity to
The aim of this study is to investigate the current procedures of voluntarily and
counseling for HIV/AIDS, also to investigate how the existing information technology is
utilized to support Counseling and testing for HIV/AIDS. From this investigation a tool
will be developed basing on internet and mobile phone devices as tools of information
technology to improve the access to information and the counseling and testing of
HIV/AIDS in order to cover all gapes that face to face counseling is facing.
organization in Tanzania dedicated to caring for people with AIDS and reducing the
(i) To provide home-based care and support to people living with AIDS and their
families.
Programmes.
TAWG is currently conducting a face to face counseling for the people who need to
know their health status for HIV/AIDS. Face to face counseling faces various limitations
as people are not able to reach counselor offices due to forbear of being thought that they
are affected with HIV or due to time constraints. And some people are interested to get
inconvenient, or not preferred. Online counseling may be a useful alternative for people,
unable to make it to a counselor’s office, live in a remote area, have a disability, limited
time constraints, or would like to get an idea of how counseling works before seeing a
care and treatment. As drugs become more affordable and political commitment and
financial resources in support of access rise, greater access to care and treatment,
Programmes are in place to increase the access to antiretroviral drugs in general and in
support have become more widely available; stigma and discrimination, which have
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Given that the changing landscape of the HIV/AIDS epidemic has resulted in new
The objective of the study is to investigate the current procedures of voluntarily and
counseling for HIV/AIDS, and develop a tool to enhance voluntarily counseling and
(i) To study the operations of the normal counseling services for HIV/ AIDS
phone SMS.
(iv) To validate the system implemented during the course of study basing on
TAWG services
The following are some research questions that will be answered by this study:-
(i) What are the existing problems facing the face to face counseling system for
HIV/AIDS?
(ii) How can ICT be used to enhance/ facilitate counseling services for HIV/
AIDS?
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This research will address the importance of using Information and Communication tools
as one of the way to improve access to information relating to HIV/ AIDS. Hence
encourage people to attend the newly designed voluntarily counseling and testing for
HIV/ AID since most people are avoiding to visit counseling and test due to forbear of
people to think that there are affected since these services will be available anywhere
ANGAZA Program received a grant from USAID to enhance counseling and testing
services in the country. However, Tanzania indicator survey of 2003-2004 indicated that
15% of people aged 15 to 49 years tested HIV. A national HIV testing campaign was
realized as one of the approaches for scaling up counseling and testing services as entry
to HIV prevention, care and support services. ANGAZA Program supported launch of
campaign in mid July 2007 and scaling up the campaign in the country.
The number of VCT sites has increased considerably during 2003 – 2007 implementation
period. There were 1,027 VCT sites by the end of 2006, compared to 289 in 2003. This
number includes sites in health facilities and stand alone sites. The geographic
distribution of VCT sites is still inequitable, with an urban bias, although all districts
have at least 4 sites. The number of clients counseled and tested has increased to 680,520
Despite this considerable roll-out of service availability, the uptake of VCT in the
country is still quite low. According to the Tanzania HIV/AIDS Indicators Survey (THIS)
2003/04, only about 15% of men and women are reported to have ever undertaken an
HIV test. Women and men living in urban areas are two to three times more likely to
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have been tested than those in rural areas. One of the reasons for the low uptake is related
to limited access to VCT services, particularly in the rural areas. Low public awareness
about the benefits of knowing one’s HIV status, insufficient human resources with skills
in counseling and fear of stigma are also barriers to increased VCT utilization and the
lack of care and support after HIV testing. The recent National voluntary HIV testing
campaign aims at increasing the number of Tanzanian who know their HIV status and
communication and information technologies have become part of our everyday lives.
The use of computers is increasing day by day, because they are used in many fields to
make our lives easier (Bayhan, Olgun, and Yelland, 2002). Computers can present crucial
information and offer effective tutorial (An instructional book or program that takes the
(Cammarata, 2006). Computers also connect us with other people, store vast amounts of
provides concrete experiences, helps children control the learning experience (Papert,
1998), and supports children's development in all domains, as they use computers to
(Dodge, Colker, and Heroman, 2003). For example, children can use computers to
investigate questions by using a program that teaches number concepts. Such a program
might allow children to create "monsters," for example, by adding the right number of
body parts. Also, children can explore with computers, using software programs that
label vocabulary with pictures, written words, and spoken words. Such software
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programs often verbally identify an object when the child clicks on it. Some software
programs allow children to match pictures of images to their beginning letters (Dodge et
al., 2003).
Approaches to the use of ICT in education are presented within the context of education
predominantly using a “blended approach” of ICT and face to face delivery. These
role-plays and group work principles and processes in virtual situated learning
environments. Issues for professional practice cultures in the online environment are
considered within a global context (Martin, Jennifer and Hawkins, and Linette).
Information and communication technologies have changed the face of the world we live
in. ICT enables people to communicate with family, friends and colleagues around the
numerous other opportunities. ICT may also bring an improvement in health care
delivery systems. So, we may define Information and Communication Technology as one
communication technologies from radio, film, television, press, and telephone along with
more participatory forms such as theatre, video or storytelling. It also focuses on the
electronic end of the spectrum such as e-mail, the Internet, mobile phones and digital
video.
The science and practice of health or medical informatics changed radically in the late
1970s and early 1980s when computer use began to become increasingly common in
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healthcare environments (Shortliffe and Blois 2006). Since then, improvements in the
speed and processing power of computers, computer networks, and the Internet has led to
and Leonard 2004; Chamorro 2001). According to Hassett (2002): “A health information
system (HIS) encompasses a wide array of applications and information systems that are
linked or interfaced. A HIS supports the provision of care to patients and the business
(Ammenwerth et al. 2004). This is in part because ICT-based applications have been
recognized as enablers. This means that they are tools that offer solutions to the problem
of the increasing accumulation of patient data (Timpka et al 2007; Andersen et al. 1994;
Friedman 1996). Due to their central role in enabling ubiquitous access to information,
For the Internet it is necessary to establish a foundation of trust among the participants, in
order to be accepted as a viable platform, where the big companies can migrate their
commerce and has been developed over time through the formation of appropriate
policies, procedures and practices to safeguard transactions and company assets (Furnell,
what is probably going to happen and limiting the risk exposures that could injure an
This section reviews some of the existing ICT services that are available which relates in
one another to the campaign against HIV/AIDS. The following are some of the exiting
services:-
It integrates the database and communication tools needed to administer access and
disseminate information between Course tutors and their students. On the student screen
contains a number of features like a calendar where students can solicit and then program
personal sessions with their tutors. Aims at providing students with the opportunity to
reach their personal and professional growth and contribute to their ultimate success.
Provides counseling services on Grief and loss issues, Survivors of family suicide,
Depression and anxiety, marital and relationship issues, separation and divorce recovery,
Have therapists who are committed to working with people who are interested in
improving their overall mental health, reducing anxiety, and enhancing relationship
skills. Our online counselors are skilled in the areas of relationship counseling, love
chemical dependence counseling. We are confident that we can assist you in making the
ICT-based HIV/AIDS education and counselling services have been developed in various
African countries, such as Uganda and Tanzania (Bloome 2001; Duveskoq 2008). The
services to children with most solutions presenting static online content, carton-based
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stories and social networks using email as a means of communication (Bada and Suhonen
and counselling services for Tanzanian. The design of TAWG online counselling service
will provide the way forward to have an application that can cover all needed areas for
Tanzanians.
HIV/AIDS in Uganda (NetAIDS), Bada and Jarkko (2008) proposed the following
Systems Development
implementation, testing and maintenance .These phases of project development are the
standard phases used more or less in all texts on systems analysis and software
There have been many criticisms of the Linear Life Cycle. Thus, the Linear Life Cycle is
looked on as way too simplified for the complexities of the real world. The following are
some of the alternatives available to the simple Linear Life Cycle model.
Prototyping
terms of an information system, prototypes are employed to help system designers build
an information system that intuitive and easy to manipulate for end users. Prototyping is
an iterative process that is part of the analysis phase of the cycle (Gerri, 1999).
With prototyping the user feedback gained from developing a physical system that the
users can touch and see facilitates an evaluative response that the analyst can employ to
There are number of the advantages of the prototyping but some of them are reduced time
in higher user satisfaction and expose developers to potential future system requirement
(Gerri, 1999).
The negative side of the prototyping includes the dangerous of the system being left in
insufficient analysis. According to (Gerri, 1999) argues that now there is widespread use
A Spiral Model
This model aims to combine the best elements of the Linear Life Cycle and Prototyping
Object orientated systems development requires the developer to think in terms of objects
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and object classes (Avison and Shah, 1997). This means that every attribute of a system
7.0 Methodology
7.1 Methods
The following are techniques which will be used in the analyze of the current
Observation
The observation will be made on how the face to face voluntarily counseling for
services. The main advantage of this method is that subjective bias is eliminated, if
Interview
The general questions will be asked from client that will help in collecting the user
much as information from the client. Also unstructured interview technique will be used
not follow the system of pre-determined questions and standardized techniques for
greater freedom to ask, incase need, supplementary questions or at times he may omit
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certain questions if the situation so requires (Kothari, 2004). To analyze the data
collected from open-end questions, qualitative analysis methods will be used where data
will be examined and compared. The meaningfulness of the data will be determined by
The review of the literature from previous research on how other countries process
their online counseling services will be conducted. Other document for HIV/AIDS
This will involve the following activities; develop the understanding of the
application domain and Interact with the stakeholders in the system like Ministry of
Health and Social welfare, Tanga region Medical Officer, Counselors and the
7.2 Materials
On designing the system, MySQL DBMS will be used to implement the database
schema, the PHP scripting language for creation of the user interface and link to
database. Apache will be used as a web server. The reason for choosing the above
The unit test will be done first and after integration of different units, the whole
system will be also tested. The system testing will be conducted to identify the
Testing will be performed on behalf of the stakeholders that are intended to reveal
quality related information about the product with the respect to the context in
office, live in a remote area, have a disability, limited time constraints, or would like to
get an idea of how counseling works before seeing a counselor face to face. This research
is expected to cover the gap which is not covered by face to face counseling.
This is expected to contribute much not only in the field of computer but also to the
community.
A new tool will be developed which will b used as a platform for other computer scientist
This research is expected to produce much contribution to other field like Health Science
and counselling area as it will provide them with a new tool for their daily activities
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10.0 References:
Ammenwerth, E., Brender, J., Nykanen, P., Prokosch, H. U., Rigby, M., Talmon, J.,
Andersen, J.G., Aydin, C.E., Jay, S.J., 1994. Evaluating Healthcare Information
Avison, D., Shah, H. (1997). The Information Systems Development Life Cycle: A First
http://www.umsl.edu/~sauter/analysis/prototyping/intro.html
Technology for Innovation and Education in Developing Countries. 31st July – 2nd
Bayhan, P., Olgun, P., and Yelland, N. (2002). A study of pre-school teachers' thoughts
298-303
Blome, A. (2001). Schools Think about HIV/AID. A World Links online Collaborative
http://www. Techknowlogia.org
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Dodge, D., Colker, L., and Heroman, C. (2003). The creative curriculum for preschool.
(5):372{382,1999.
Hassett, M.M., 2002. Applications for health care information systems. In S.P.
Increasing access to HIV testing and counseling: report of a WHO consultation, 19- 21
http://data.unaids.org/pub/Report/2009/JC1700_Epi_Update_2009_en.pdf accessed
2008.
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Logan, R. (1995). The fifth language: Learning a living in the computer age. Toronto,
Canada: Stoddart.
www.mff.org/edtech/article.taf?_function=detailandContent_uid1=106
Pardes, H., Lehmann, H.P., Abbott, P.A., Roderer, N.K., Rothschild, A., Mandell, S.F.,
Ferrer, J.A., Miller, R.E., Ball, M.J., 2006. Aspects of Electronic Health Record
Rahimi, B., Moberg, A., Timpka, T. and Vimarlund, V., 2008. Implementing an
Health
Rose, A.F., Schnipper, J.L., Park, E.R., Poon, E.G., Li, Q., Middleton, B., 2005. Using
Shortliffe, E.H., and Blois, M.S., 2006. The Computer Meets Medicine and Biology:
Singhoi, A. Goriska eregion a new vision that can be accomplished by educating citizens
Salaam, Tanzania
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The United Republic of Tanzania, Prime Ministers Office, The second national multi –
sectoral strategic framework on HIV and AIDS (2008 – 2012) second edition Dar
Timpka, T., Bång, M., Delbanco, T., Walker, J., 2007. Information infrastructure for
Vimarlund, V., Olve, N.G., Scandurra, I., Koch, S., 2008. Organizational effects of
11(2), p.151-161.
Yelland, N. (2002). Playing with ideas and games in early mathematics. Contemporary
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11.0 Other Relevant Information
Data
Analysis
System
Design
System
Implementat
ion
Report write
up and
submission
Table 2: Research Schedule
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Date………………………
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Kiyao,
Fadhili
(2009-06-
00193)
SUPERVISOR COMMENTS:
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Comments from the first presentation held on 01/12/2010
BY
1. Research title “ICT as a tool to enhance Dr. Justo Title rephrased to
voluntarily counseling and testing for HIV/ Dr. Lungo “Enhancing access to voluntarily
AIDS in Tanzania; A case of designing an Dr. Mercy counselling services for HIV/
online TAWG HIV/AIDS Counseling System” AIDS using internet and mobile
needs to be rephrased as the term ICT is a more phones devices. A case study of
component
2. No methodology/ or shallow details thereof Dr. Justo Methodology part has been
reviewed
3. Statement of the problem does not clearly state Dr. Mercy Has been reviewed to focus the
the problem you want to solve or there is no Dr. Justo problem to be covered (Section
direct link from the title to the problem to be 6.2 of the proposal)
solved
4. Some observations on HIV/AIDS statistics Dr. Justo Now the proposal includes
included seems to be old, try to find current current updated literature reviews
inherited from
6. Schedule of activities and Budget should include Dr. Lungo Budget (item 11.1) and Research
relative expenses and real time we have; should Schedule (item 11.2) has been
Comma in citations and uniformity in using “&” and uniformity and the use
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observed
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