Strategic plan for the period 2004 – 2010

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VISION

Communities in Ulanga West should have easy access to health services at affordable cost.

MISSION

The diocese and the hospital staff feel the obligation to provide health services in particular for poor people as long as necessary (that is, until the Government is able to take over the services) in line with the special pattern set by Jesus.

PROBLEMS At Lugala Lutheran Hospital

Problem	Effect
Patients with severe malaria are brought late, in particular children	Mortality rate unnecessarily high
Pregnant women with risk factors arrive late at LLH	Neonatal and maternal mortality rates unnecessarily high
TB patients defaulting	High mortality rate
Rising HIV infection prevalence rates	More and more deaths due to AIDS
Trained staff leaving because of the remoteness of the area and because of related issues	Poor nursing care
Financial situation shaky because people in this area cannot really afford the services offered.	Inability to keep pace with Government pay rises.
No training school	Time and money is spent on recruiting staff rather than being able to rely on nurse students
Equipment old (X-ray, Sonography)	Unsatisfactory quality of diagnoses

Of the listed eight problems the first four are primary problems, the next four are institutional problems.

OBJECTIVES

Common diseases are not necessarily the ones, which should be selected for intervention. Other important factors to be considered are whether we have sufficient knowledge about the local causes of diseases and whether effective and affordable means of intervention are available. E.g. there seems to be no way of reducing acute respiratory infections / pneumonia among children. Therefore it would not make sense to target this problem for intervention.

Goals set should be SMART: specific, measurable, attainable, realistic and have a clear time frame.

For its strategic plan 2004-2010 Lugala Lutheran Hospital therefore decides to choose the following objectives / targets:

1) To reduce maternal mortality rates

2) To REDUCE HIV infection rates and to introduce anti retroviral treatment for AIDS patients

3) To improve nursing care

4) To improve diagnostic facilities