CHILDREN’S WARD 2003
By Dr. Leena Pasanen – Paediatrician.
In
the children’s ward were treated 3,811 children: 3,596 children were discharged and 215 children died (mortality
rate 5.6%). In the group of the
children who were discharged, 2,910 were under five years old (81%) and those
who died 176 (82%) were under five.
Usually
malaria has been the most common diagnosis in the children’s ward but this year
the rainy season was poor and we treated fewer malaria patients. Now lower respiratory tract infection was
the diagnosis number one (1,536 cases) followed by malaria (1,110 cases).
Among
1,110 malaria patients complicated cases were 244 (22%). Overall mortality of malaria was 3.3% but if
malaria was complicated with anaemia mortality was 11.1%.
170
HIV –positive children were treated and 41 of them died (mortality 24%). Bed occupancy rate was 137%
DENTAL UNIT (DU)
The
number of patient’s attendance to this unit increased this year from 1926 of
2002 to 2471 in 2003. Dental caries is
still the most common condition seen in the unit.
Other
diagnoses are periodontitis, cancer of the oral cavity, Temporo- Mandibular
joint (TMJ) dislocations and fracture of the facial bones.
In
this case, the procedures frequently done in the unit include: - tooth
extractions and filling, I and D, root
canal treatment, TMJ reduction, Fracture mobilization and fixation, new denture
manufacturing and repairing old ones.
Apart
from the curative and rehabilitative services, the unit performed dental
lectures and examination to nurse students at INMTS. School health programmes to primary schools around Ilembula
hospital continued to offer hygiene instructions to all the pupils.
EYE DEPARTMENT
This
year there was an eye camp in this hospital in May. The camp attracted a lot of patients with eye problems to come
for treatment. Altogether were operated
156 patients in 5 days. We are thankful
to CCBRT Hospital in Dar es Salaam for sending their eye specialist doctor and
a nurse to help our eye team of this hospital.
MATERNITY WARD
The
total number of deliveries decreased from 2409 to 2375 in 2002 and 2003 , respectively. However, the number of
caesarian sections increased from 547
in 2002 to 571 in 2003. The maternal mortality ratio decreased from 811 per
100, 000 in 2002 to 473 per 100, 000 live births in 2003.
MALE WARD DEPARTMENT
Total
number of beds 41
Total
number of admissions 1,665
Total
number of deaths 176
Total
number of discharge 1,960
Average
length of stay per admission 5 days
Total
number of patients referrel to higher levels 6
22. SURGICAL DEPARTMENT
Total
number of beds 40
Total
number of admissions 487
Total
number of deaths 12
Total
number of discharges 475
Avarege
length of stay 10
days
Total
number referred from lower level 62
Total
number referred to higher level 5
THE OPERATING
THEATRE
The
two operating theatres of the hospital were very busy all the time. There were 1230 major operations in 2003
compared to 1176 operations in 2002.
Drs Sporn, Kyambile and Lunogelo had special operating day plans for
elective surgical procedures. However,
doctors Msigomba and Temihango used the theatres for emergency cases during
their on-call duties. Dr. Markus Ross
worked for 6 weeks this year and he solved a lot of Gynaecological problems in
the hospital.
1. THE AIDS CONTROL PROGRAMME.
We had a
fully operating voluntary counselling
and testing centre in this hospital for the whole year. Unfortunately, the HIV infection rate seems
to increase despite all the efforts spent on the education about the prevention
of HIV infection. The number of people
who attended our centre for VCT were 788 for 2003 compared to 144 for
2002. The HIV infection rate was 16%
for 2003 compared to 12.5% in 2002.
Nevertheless, this year we started a programme of
Home Based Care (HBC) for people with AIDS and other chronic conditions. This programme has attracted many AIDS
patients, who were formerly hiding themselves, to appear publicly and talk
about their conditions. We are thankful
to CUAMM organization, through Dr. Mwakajila, for supporting this programme
materially.
There are plans already to strengthen this programme
of HBC and include the care for orphan children whose parents died of
AIDS. This additional care service will
be supported by CUAHA (Church Unite in struggle Against HIV/AIDS)
24. TUBERCULOSIS AND LEPROSY PROGRAMME
Total
number of beds for TB/Leprosy 15
Number
of patients on 1-1-2003 TB 6 Leprosy 0
Number
of patients admitted TB 184 Leprosy 0
Number
of patients discharge TB 310 Leprosy 0
(death
included)
Number
of patients in hospital on 31.12.2003
TB 12 Leprosy 0
Duration
of hospital stay for T.B patients
1
week 211 Leprosy 0
2-4
week 98 Leprosy 0
5-8 Weeks 230 Leprosy 0
9-16
Weeks 10 Leprosy 0
25. INFUSION UNIT
2003 2002 2001
0.9% N/
Saline
2420 2826 2,746
5% Dextrose 2587 5,722 5,775
Ringer
Lactate
5155
5,284 4,270
Blood
Bottles
1051
1,079
1,608
˝
strength darrows 1086 5,212 1,608
0.18-4.37% D/Saline 2177 3,721 4,796
Others Irrigation of BPH 1570 - 4
Total
16,468
24,122
32,971
CHAPLAINCY DEPARTMENT
On
behalf of the chaplaincy department, I would like to take this crucial
opportunity to thank our God for leading the department to offer its services
according to his will. I believe that
he planned everything that had been done.
The following services were offered effectively, during the year 2003.
SPIRITUAL SERVICES
PARTICULARS TOTAL
Holy
communion 840
Baptism 12
Backsliders
repented 60
BIBLE KNOWLEDGE AT
INMTS
Each
class had 1.5 hours per week for Bible knowledge studies. Student attendances were encouraging.
HOSPITAL CHRISTIAN
FELLOWSHIP (H.C.F.)
Members
of HCF had been gathering together once per week, normally on Thursday at 7.30
Pm. They were sharing and strengthening one another in spiritual matters. The members were all from Christian
denominations.
BUILDING AND TECHNICAL
DEPARTMENT.
In
the year 2003 major repair was done in hospital wards by replacing all the
asbestos roofs with corrugated iron sheets together with painting and
renovation of the electricity system.
Construction of the surgical ward, which started in 2001, was completed
in this year. This will help the
separation of surgical cases from the medical cases in the hospital. In the same period, three doctors’ rooms
(offices) were built as well. They are
now used by doctors as patients clinic rooms.
The buildings were opened on 2nd November, 2003 by Bishop
Z.A. Mgeyekwa.
The
out-patient department was constructed and extended to accommodate the
increasing number of patients. This
work involved extension of the waiting place out side the main OPD building to
allow the former waiting place to be used for the laboratory services. The administration building was inaugurated by Bishop Z.A. Mgeyekwa on 2nd
November, 2003.
SEWAGE AND WASTE
DISPOSAL SYSTEM
Construction
of a new and modern sewage disposal system started with the assistance and
technical support/advice from SPET-R+D consultants Ltd. The environmental engineer, Mr. Joshua
Mgeyekwa, did the surveying and advised on how to construct this new sewage
system for the hospital. The project
was completed and opened by Hon. Junior Minister for Health, Dr. Hussein Mwinyi
on 15th December 2003.
WORKSHOPS
(MECHANICAL AND CARPENTRY)
In
these units major works continued to be that of repair and manufacturing of new
furniture for the hospital use. Water
pipes, diesel engine generators, hospital equipment as well as hospital
vehicles were repaired by Mr. Nyagawa and the
newly employed technician, Mr. Geoffrey Temihango. Some equipment were repaired by MBEHOMA and
SHHOMA. However, our local technicians
were trained on proper planned preventive maintenance for all the hospital
equipment.
We
are very gratefull to FELM and to all other donors for their financial support
in the construction and repair of our hospital buildings.