Hospital Services

(Inpatient Departments)

MEDICAL DEPARTMENT:

Has 40 beds, 1335 admissions;

Top ten diseases: Malaria, Gastroenteritis, Hypertension, Renal failure, HIV/AIDS, TB, Respiratory tract infections, Anaemia, Urinary tract infections, Intestinal worms.

Leading causes of death: Malaria, HIV/AIDS, Renal failure, Respiratory tract infections, Meningitis

SURGICAL DEPARTMENT:

Has 48 beds (male, female and children), additionally usually 3-4 patients in Private Ward.
1532 major operations done in 2007, 3.7 % more than in 2006, (53.7% of them general, 46.3% gyn. & obst.), 30% were emergency operations. Our range of surgery includes: thyroidectomy, craniotomy, cholecystectomy, choledochoduodenostomy, hemicolectomy, partial gastrectomy, open reduction with internal and external fixation using plates, screws and intramedullary nails, prostatectomy, ureterocystoneostomy, nephrectomy, abdominal and vaginal hysterectomy, vesico and rectovaginal fistula repair etc.

Top five most common operations are: caesarian section, herniorrhaphy, adnexectomy, hydrocelectomy and abdominal hysterectomy.Gastroscopy, cystoscopy and rectoscopy examinations are performed.
269 histology examinations were performed during the year with great help from Gemeinshaftspraxis Pathologie from Starnberg, Germany and Pathology Department in KCMC, Moshi, Tanzania.

Annual Report 2013, Surgical Department

 

OBSTETRICAL AND GYNECOLOGICAL DEPARTMENT

has 36 beds in Ward 4 and had 1452 admissions.

Most common reasons for admission were: Abortion, Uterine fibroids, Pelvic inflammatory disease, ovarian cysts and Infertility.

Ward 5 contains delivery, D&C rooms and post obst./gyn. procedure rooms. Total number of deliveries were 1161, normal deliveries 561. Caesarian sections were 297 (20,7 % of total deliveries), Vacuum extractions 25, Maternal deaths 8.

PEDIATRIC DEPARTMENT

Is divided into medical and surgical parts with a total of 36 beds, 8 of them occupied by surgical patients. In the last year there were 2,372 admissions.

Most common diseases were: Malaria, Anemia, Pneumonia, Gastroenteritis, Upper respiratory tract infections. Leading causes of death were: Malaria, Anemia, Malnutrition, Pneumonia and Meningitis.

The Pediatric Department also provides an inpatient Clinic for Malnutrition.

TUBERCULOSIS DEPARTMENT

has 33 beds. Only patients suffering from open pulmonary TB were admitted. Total number of admissions 269. The bed occupancy rate was 104%. Patients with pulmonary tuberculosis sputum AFB negative and patients suffering from extra-pulmonary tuberculosis were admitted in the general wards.

HIV/AIDS SERVICES

The National AIDS Control Program of Tanzania advises regarding services to be provided for patient testing as well as for treatment of those who are HIV+. At St. Walburg’s there is now the full range of these services:

Voluntary Testing and Counseling (VCT), which includes mobile testing clinics to more rural areas.

Care and Treatment Center (CTC), for out-patient care, monitoring and treatment.

Prevention of Mother to Child Transmission (PMTCT), which includes testing of women during pregnancy and labour, and providing anti-retroviral (ARV) treatment during these times and to newborns.

Provider Initiated Testing and Counseling (PITC) which involves having clinicians who are directly involved in individual patient care conducting the counseling and testing.

These services are supported by a variety of international donor agencies

HIV/AIDS Team

 

AFYA NYANGAO SACCOS

Back Ground: The Hospital employees move over 130 kilometers to access their salaries or deposits.  They want to implement developmental projects but are limited by limited financial resources.  At the same time the Hospital was burdened by continued request for advance by the staff, it wanted to concentrate on its core activities and delegate loaning to specialized organization.

It is on this basis that on   March 31, 2010, the 96 staff had their first SACCOS’ general meeting from. Thereafter this marked the beginning of a closed bond SACCOS limited to Hospital Employees and their family known as Afya Nyangao SACCOS. The Board of directors compressing of 8 & Supervisory Committee of 3 were elected. Thereafter among the 8 appointed  were appointed to form loans committee.  Currently the SACCOS is proud of 108 paid up members. Market study indicates that the number may go beyond 200 members by the end of this year. There are 108 active accounts, 107 for Hospital employees and 1 for youth group. Total Number of share is 216.

Sources of Funding: As on October 15, 2010, the SACCOS had organized TZS 15,561,702 and other resources in kind. Entrance fees totals to TZS 535,000 and Shares amounted to TZS 2,160,000. Members make savings of 5% of their basic salary every month. By End of September, 2010 their savings amounted to TZS 9,166,701.59. Emergence loans disbursed to date comes to TZS 815,000.

 Resource Mobilization: CRDB has pledged TZS 2,000,000 as start up capital plus banking accouter, safe, capacity building and ATM machine. Hospital has provided Consultants (VSO Volunteer Wagisha Ronald) and TZS 200,000 to support operations. On 27th June, 2010 it further contributed banking Hall and TZS 1,500,000 plus Labor for its renovation.

 Future Prospects: The SACCOS is to charge a flat rate of 24% per year for 1 year loans, 20% each year for 2 years loans and 15.6% per year for three years loans.  One day to three months Emergence loans not exceeding TZS 500,000 is being provided and will be provided besides short, medium and long term loans. These will be financed by mandatory savings. Shareholders will earn dividends on their shares while savers will earn interest income on their savings. This will be granted periodically according to the decision of the board of directors. Fixed deposit will attract interest of 6.5% to 9% depending on the period. All activities are/shall be done according to the SACCOS’ policies and procedures.

 Loaning Prospects: Members expect 30% of their basic salary for either 1, 2 or 3 years. Depending on the members demand, we predict external loan from CRDB to range from TZS 250,000,000 to 690,000,000 which is within external credit facility (TZS 800,000,000) authorized by members. We are seeking for more wholesalers who can offer developmental loans at friendly interest rate to help the Staff set domestic homes