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
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.
