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This study aims to investigate the adoption and use of electronic health record systems (EHRS) in Tanzanian public primary healthcare institutions. The study’s objectives include understanding the factors that affect EHRS adoption, identifying implementation challenges and evaluating the effect of EHRS usage on healthcare delivery. By addressing these research goals, the study aims to contribute insightful information on the current level of EHRS adoption in Tanzanian primary healthcare facilities and contribute to developing strategies to improve EHRS deployment and healthcare in the nation.

This study combined quantitative and qualitative data using a mixed-methods methodology. Both data types were collected and analysed concurrently using a concurrent triangulation approach. The study aimed to comprehend the variables that affect the adoption and use of EHRS in Tanzanian public primary healthcare institutions. Eleven regions spanning various geographic locations and urban–rural dynamics were chosen as research sites. A survey of 122 healthcare employees was conducted with a sample of 31 healthcare facilities. The questionnaire had closed-ended and open-ended questions to gather quantitative and qualitative data. Descriptive statistics and thematic analysis were used in data analysis. Throughout the investigation, ethical standards and confidentiality precautions were observed.

Several factors affect the adoption and use of EHRS. Perceived usefulness and use, support and training, interoperability, data security and privacy, business culture and leadership are all factors. Inadequate infrastructure, power interruptions, duplication of effort and a lack of data analytic expertise were among the difficulties. Among the effects were improvements in data management, service delivery and coordination, productivity and efficiency, medical supply inventory control, billing and revenue collection.

This study, which complements earlier research that has concentrated chiefly on specialised healthcare settings, gives new insights by investigating the adoption and utilisation of EHRS, especially in primary healthcare institutions. The findings give policymakers and healthcare professionals in Tanzania and other nations vital information to help them decide whether to embrace and use EHRS in primary healthcare.

The world is experiencing democratic backsliding such that the situation is down back to 1986. This has resulted in the global shrinking of civic space for civil society organizations (CSOs). NGOs engaging in advocacy activities are seen to be among the CSOs affected. Using four NGOs cases from Tanzania, the study contributes to the civic space debate by uncovering how advocacy NGOs become resilient.

The study is anchored in interpretivism and a cross-sectional case study design, following a qualitative approach path. Data were collected through interviews and a documentary review.

Results show that several strategies such as complying, building community back-up, collaboration, strategic litigation, using digital media and changing the scope are applied. However, strategies face obstacles including scope limitations, expected democratic roles, high cost, changes in the scope and being outsmarted by the government, and hence their effectiveness is questionable.

This study focused on advocacy NGOs. More studies can be conducted for other advocacy-related CSOs on how they become resilient.

While NGOs are allowed to exist in the country, their freedom continue to be curtailed. Even the effectiveness of resiliency becomes temporary and depends on the political will of the existing regime.

Tanzania NGOs have to build strong bonds with citizens, expand the scope of strategies and use deliberative democratic principles to educate the government to change laws and tolerate plural political culture. Also, NGOs in other countries with confined civic space can apply the same.

In the Global South where humanitarian responses to disasters are often hampered by systemic gaps, community-based humanitarian actors play a crucial but underexplored role in mediating aid to vulnerable populations. This study explores the everydayness of humanitarian action through the lived experiences of urban community leaders during the COVID-19 Pandemic in the Philippines. Specifically, it sheds light on their engagement with national-level responders, the typologies of humanitarian activities they undertook and the contextual factors influencing their decision-making.

Using a qualitative approach, this study presents interviews with 35 community-based humanitarian leaders in urban poor areas of Metro Manila, Philippines. Analytical themes were developed inductively from the transcripts.

Due to mobility restrictions from quarantine protocols, the typologies of humanitarian action shifted to accommodate arising challenges from pandemic management. Engagement with formal humanitarian actors were premised on pre-existing relationships. The study further reveals that, despite lacking formal training, community leaders utilized preexisting networks of care while subscribing to Filipino communal values of bayanihan (working together), malasakit (care) and pagkakaisa (unity). The findings underscore the need for discourse on the realities faced by community leaders and highlight the importance of holistic and gendered capacity building for effective disaster response in vulnerable communities.

This study contributes to understanding the intricate dynamics of humanitarian coordination, particularly in areas where community leaders act as critical intermediaries between their constituents and external support providers and concludes with critical take on localization as a form of community resilience to disaster events.