Monday, November 18, 2013

Kilimatinde Hospital Report



With a capacity of 150 beds, Kilimatinde Hospital averages an admissions rate of 110 patients per month. Its contact information is:
P.O. Box 86 Manyoni, Tanzania
Telephone: +255717233721
Email address: kilimatindehosp@yahoo.com

Short background history of Kilimatinde Hospital

The Rev Canon Ralph Banks, a missionary from Manchester, United Kingdom, founded Kilimatinde Hospital. The Anglican Diocese of Central Tanganyika (DCT), consisting of the Dodoma and Singida regions, originally owned Kilimatinde Hospital. In 1971, the hospital became a Designated District Hospital (DDH), making it eligible to receive grants-in-aid from the government to fund its operations.

In 1991, the DCT was divided into two dioceses. The original DCT serves the Dodoma region. The new Diocese of the Rift Valley (DRV), originally under the leadership of Bishop Dr. Alpha Mohamed, serves the Manyoni and Singida regions. In the same year, the Kilimatinde Hospital lost its DDH status when the government converted the health centre in Manyoni town to an official District Hospital, withdrew its qualified seconded staff from Kilimatinde Hospital, and posted them to the Manyoni Hospital. It is believed that the hospital stopped receiving grants-in-aid from the government at that time. Furthermore, since then even the donors stopped providing funds for the hospital operations.

This report summarizes the current state of Kilimatinde Hospital.

Physical visit and observation of the Hospital

The hospital provides a range of medical services.

X-Ray service

The building housing the X-ray machines is a well-built structure. One large Siemens X-ray machine has been out of order for a long time. The repair person contracted to service the machine made a poor job of it, leaving it worse off by removing but not replacing its coils, and dismantling fuses and capacitors.

A failed attempt was made to install an American-made X-ray machine. A technician is needed to test this machine and see if it still works, but it is very expensive to hire a consulting technician.

Number of staff: 1

Radiographer
Radiographic Assistant
Radiographic
Attendant
0
0
1

The hospital does not currently provide x-ray services due to lack of good X-ray machine and lack of required competent staff. The machine and room look desolate and in disarray.

Tunajali has donated an X-ray machine. We are waiting for a technician to install it after the completion of a three-phase electrical line.

Pharmaceutical Services

The pharmacy is housed in a large, specious room within the administration building and is stocked with drugs and other hospital supplies.

Number of staff: 2

Pharmacist
Pharmaceutical
Technician
Pharmaceutical
Attendant (Assistant)
1
0
0

In patient services

Wards

Female Medical-Surgical Ward (Adults)

This new, long building has a capacity of 40 beds.

Male Medical-Surgical ward (Adults)

This long and spacious building has a capacity of 40 beds.

Bed occupancy rate

The hospital in-patient bed occupancy rate for the years 2011 and 2012 is not covered in this report.

Clinical and Care-Giving Staff

The number of staff providing clinical and nursing care is as follows:

Number of clinical staff: 6

Medical Doctors
Assistant Medical Officers
Clinical Assistants
Clinical Assistants
Male
Female
Male
Female
Male
Female
Male
Female
0
0
3
1
3
0
2
0

Number of care-giving staff: 3

Nurse Officers
AMO
Enrolled Nurses
RCH Aides
Medical Attendants
Male
Female
Male
Female
Male
Female
Female
Male
Female
Male
1
0
3
3
9
16
0
3
3
9

This number of staff is allocated to cover morning, evening and night duty shifts.

Medical Laboratory Investigation Services

The large building providing these services is spacious and well-built. It provides space for various equipment and supplies used for medical laboratory investigations. Some years ago the hospital used to conduct training and education for medical laboratory assistants. The school was closed for unknown reasons.

The number of staff manning the medical laboratory

Laboratory Technician
Laboratory Assistant  
Laboratory Attendant
Male
Female
Male
Female
Male
Female
1
0
2
0
0
0

The laboratory Technician is seconded from the Government.

The number and types of laboratory investigations carried out for the year 2011 and 2012


2012
J
F
M
A
M
J
J
A
S
O
N
D
TOTAL
AV
B-side for
502
417
772
513
612
427
412
320
521
342
314
475
5627

Malaria Hemoglobin
370
427
547
641
532
404
632
542
417
438
326
374
5650

Stool
43
57
39
54
41
57
81
53
42
37
24
38
564

Urine
70
218
82
43
36
48
53
42
48
37
14
14
705

Sputum
6
10
20
5
12
12
7
11
8
7
9
0
128

Others (HIV)
3
11
7
8
5
6
5
19
39
10
22
46
181

Total














Average














Per week
Per day





























    HIV
5
12
8
9
5
9
5
21
41
10
25
46
196


Children (medical) Surgical Ward

This large, well-constructed building is partitioned into three wards: one for children with medical conditions, another for grade 1 private patients both adults and children.

Maternity Ward

This large, well-constructed building is divided into three wards: anti-natal ward, labour ward and post-natal ward. It is well stocked with the necessary and adequate amount of equipment and supplies. A Youth for Christ team wonderfully renovated this ward. Now it looks new and is staffed permanently with only five enrolled nurses. The number of normal deliveries during the year 2011 and 2012 are as follows (deliveries requiring caesarean section are included here):

Deliveries by quarter for 2012 


Qtr
BBA
Deliveries information
BBA +delivery in hospital
SVD
vacuum
Caesarian section
Others

Qtr1
10
257
1
28
10
306
Qtr2
5
278
3
15
2
303
Qtr3
1
282
4
29
10
326
Qtr4
4
427
10
15
19
465

20
1244
18
87
41
1400
 
NB:     BBA    Birth Before Arrival
SVD    Spontaneous Vaginal Deliveries

Deliveries by month for 2012


Month
J
F
M
A
M
J
J
A
S
O
N
D
TOTAL
Normal
100
77
105
84
80
78
67
95
50
62
60
58
916
C/s
7
6
6
6
8
5
7
2
4
3
4
7
65
Breach
0
1
0
1
0
0
1
1
3
2
0
0
9
PPH
3
0
0
1
0
0
0
0
1
0
0
1
6
BBA
0
1
0
1
0
1
0
1
1
0
2
1
8
Vacuum
0
0
0
0
0
0
0
0
0
1
0
0
1
Twins
2
0
0
0
1
0
0
0
-
-
-
-
3
Total
112
85
111
93
89
84
75
99
59
68
66
67
1008
 

Due to the increased number of pregnant women at the hospital, a large Maternity Waiting Home has been built by Dorcas Aid International. On average, this home provides accommodation for 60 pregnant women and their relatives.

Operating Theatre Services

The Kilimatinde Trust a charity organization founded by the Rev Canon Stephen Taylor from the United Kingdom supported the renovation and furnishing of this well-constructed building.

Operations conducted during the year 2012


2012
J
F
M
A
M
J
J
A
S
O
N
D
TOTAL
AV
Major
12
38
8
19
18
16
18
10
5
2
10
8
164

Minor
5
6
6
4
7
13
6
10
19
3
9
12
100





Blood supplies are provided from Manyoni District Hospital in cooperation with Singida Regional Hospital and MSD Western Zonal office at Tabora.

There are two anesthetists and no theatre management nurse.

Out–Patient Department Services

The out patient building is a well-constructed structure. It contains a reception cum medical records office, and consultation rooms for nurses and doctors. There is one qualified medical records officer.

It also has an eye service clinic and a dental services clinic. There is no resident ophthalmologist, dentist or dental technician. These services are offered by outreach doctors and are assisted by health attendants. There is no ophthalmic nurse.

The department also has a Maternal Health Clinic (MCH). MCH services at the hospital are offered three days in a week. The hospital has one psychiatric nurse and one public health nurse. There are no qualified pediatric nurses for both outpatient and inpatient services.

Hospital Management Services

Hospital administration is housed in a well-built administration building. At the moment, the hospital is headed by an Assistant Medical Officer, assisted by a Registered Nurse as the hospital patron.

The hospital has an acting hospital secretary but does not have an accountant/accounts assistant.

Water and Power

Lastly, Dorcas Aid International fenced and re-built the hospital walking corridor and installed solar power.

The water problem was solved with the help of the Grundfos Company from the UK who, along with the Kilimatinde Trust, installed a solar water pump for the hospital and the Nurses Training School.

The World Bank has provided deep well water, which is sufficient for hospital use.

We thank those who have generously provided financial support for the hospital.

2 comments:

Frank Sit said...

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Naomi Samsoni said...

Thank for this useful information, I used them in prepared my report...God bless u

Bishop John's sermon from 16 December, 2007

Text: John 3:22-36

May I speak in the name of the father, the Son and the
Holy Spirit. Amen.

In the reading from the Gospel of John today, we heard the story of John the Baptist and his disciples. The disciples, offended with the increasing popularity of Jesus' ministry, came to John the Baptist saying that they have heard about Jesus baptising people and that a lot of people are going to him.

Everyone will be interested to hear John the Baptist's response to this question. In his answers we learn four important points:

1. John the Baptist had no jealousy with the increasing popularity of Jesus' ministry. But his disciples were jealous because Jesus was becoming more popular than their master. It is a shame to see this same spirit of jealousy in our churches today. You may see some church members in Africa who want all what are the best to be theirs but not to be for others. They want the best to be in their particular churches but not to be in other churches or denominations. They want to be more successful than others. That spirit of selfishness and jealousy, which was in John the Baptist's disciples, is clearly present in the churches of Africa today! It might be present in other churches everywhere in the world-even here in the Diocese of the Rift Valley. Let us open wide our eyes to have that bigger heart and mind that John the Baptist had, to want the best for all.

2. John the Baptist is portrayed here as a very humble man with humble words. When they said that Christ's popularity was increasing, he answered that 'a man can receive only what is given him from heaven'. Then he reminded them of what he said in the past that 'he [John] is not the Christ'. He then emphatically said that Christ must and will become greater and greater and that he himself will become less and less important until he has completely disappeared. A frame of mind like this is the highest degree of grace we can possess. The greatest saints in history, such as Abraham, Moses, Job, David, Daniel, Paul and John the Baptist were all humble men. Let us walk in their footsteps and long for humility. The way to true honour is to be humble leaders of our families, communities or churches.

3. John the Baptist declares that Jesus deserves the honour and dignity. He teaches his disciple once more the true greatness of the person whose growing popularity offended them. Once more he proclaims him as one worthy of all honour and praise. He speaks of him as 'the bridegroom' of the Church, as 'the one who comes from above', as 'the one who God has sent', as 'the one to whom the spirit is given without limit', as 'the one who the Father loves' and 'the Father has placed everything in his hands'. Let us make an effort in life and death to hold the same view of the Lord Jesus, to which John the Baptist here gives expression. He is worthy of all the honour that we can give him. He will be all in heaven. Let us see to it, that he is all in our hearts on earth.

4. There will always be those around us who have the potential to become leaders. We might have a jealous view because they don't come from the same tribe as we do, or the same denomination or religion, they may be younger or a woman. There are many human prejudices that stop us doing the right thing. May we learn from John the Baptist this day and have the wisdom and grace to see the good in others and do all we can to be encouragers. Amen

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