Is lack of health insurance a predictor of worsening of heart failure among adult patients attending referral hospitals in Northwestern Tanzania?

• Bahati M. K. Wajanga ,

  Roles Conceptualization, Data curation, Formal analysis, Methodology, Project administration, Supervision, Validation, Writing – original draft, Writing – review & editing

  * E-mail: wajangabmk@gmail.com

  Affiliations Department of Internal Medicine, Bugando Medical Centre, Mwanza, Tanzania, Department of Internal Medicine, Catholic University of Health and Allied Sciences–Bugando, Mwanza, Tanzania

  https://orcid.org/0000-0002-1922-0746

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• Christine Yaeree Kim ,

  Roles Formal analysis, Writing – review & editing

  ¶‡ CYK, RNP, JB and AJ also contributed equally to this work.

  Affiliation Department of Population Health Sciences, Duke University, Durham, NC, United States of America

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• Robert N. Peck ,

  Roles Conceptualization, Writing – review & editing

  ¶‡ CYK, RNP, JB and AJ also contributed equally to this work.

  Affiliations Department of Internal Medicine, Bugando Medical Centre, Mwanza, Tanzania, Department of Internal Medicine, Catholic University of Health and Allied Sciences–Bugando, Mwanza, Tanzania, Division of Hospital Medicine, Department of Internal Medicine, Weill Cornell Medical College, New York City, NY, United States of America, Department of Internal Medicine, Center for Global Health, Weill Cornell Medical College, New York City, NY, United States of America

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• John Bartlett ,

  Roles Conceptualization, Writing – review & editing

  ¶‡ CYK, RNP, JB and AJ also contributed equally to this work.

  Affiliations Duke Global Health Institute, Durham, NC, United States of America, School of Medicine, Duke University School of Medicine, Durham, NC, United States of America, Kilimanjaro Christian Medical University College, Moshi, Tanzania

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• Deodatus Mabula ,

  Contributed equally to this work with: Deodatus Mabula, Charles Muiruri

  Roles Conceptualization, Methodology, Writing – review & editing

  Affiliations Department of Internal Medicine, Bugando Medical Centre, Mwanza, Tanzania, Department of Internal Medicine, Catholic University of Health and Allied Sciences–Bugando, Mwanza, Tanzania

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• Adinan Juma ,

  Roles Formal analysis, Writing – review & editing

  ¶‡ CYK, RNP, JB and AJ also contributed equally to this work.

  Affiliation Kilimanjaro Christian Medical University College, Moshi, Tanzania

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• Charles Muiruri

  Contributed equally to this work with: Deodatus Mabula, Charles Muiruri

  Roles Conceptualization, Methodology, Writing – review & editing

  Affiliations Duke Global Health Institute, Durham, NC, United States of America, School of Medicine, Duke University School of Medicine, Durham, NC, United States of America, Kilimanjaro Christian Medical University College, Moshi, Tanzania

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