%0 Journal Article %T Care needs of people with dementia in Tanzania and associated impact on carers: A cross-sectional, observational study. %A Galbraith-Olive MA %A Safic S %A Mwaipopo L %A Ernest A %A Gray WK %A Urasa S %A Dotchin C %A Fisher E %A Spector A %A Walker R %J Dementia (London) %V 23 %N 6 %D 2024 Aug 17 %M 38887042 %F 2.624 %R 10.1177/14713012241262570 %X Objectives: This study aimed to understand the care needs, care arrangements and burden of care for people with dementia in Northern Tanzania. Methods: This was a cross-sectional, observational study. People with dementia and their carers (n = 53) were recruited from an outpatient clinic, and data on carer burden and independence in activities of daily living were collected. Associations with carer burden and characteristics were explored through non-parametric tests and regression analyses. Results: Thirty-six carers were female (68%). Levels of impairment in instrumental activities of daily living were high, with a median score of 38 out of 44 on the Identification and Intervention for Dementia in Elderly Africans - Instrumental Activities of Daily Living (IDEA-IADL). Carer burden was moderate with a median Zarit Burden Interview (ZBI) score of 46 out of 88. Being a female carer was associated with higher carer burden (odds ratio 3.68, 95% CI 1.04-12.99). Discussion: Carer burden was found to be higher than in previous studies based in low-and-middle income countries. Further research is needed to explore this difference, and to identify interventions to support care needs and reduce carer burden.