There is a line of rail going from Dar es Salaam to Kapiri Mposhi (in Zambia), the Tanzania Zambia Railway Authority (TAZARA). Trains from Dar es Salaam pass Ifakara once a week.
In addition, there is a small air-strip near Lugala Hospital which is used for medical flights and you can ask AMREF in Dar es Salaam if a flight is available. Communication with the hospital is through post, e-mail and radio call. The hospital has got a guesthouse where meals for visitors can be provided.
Contact:
Doctor in Charge J.M. Pönnighaus
Matron E. Nyemele
e-mail: lugala@simbanet.net
Post: Lugala Lutheran Hospital
PO Box 11
Malinyi, Via Ifakara
Tanzania