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Rubya Designated District Hospital ANNUAL REPORT 2012 TABLE OF CONTENTS FORE WORD....................................................................................................... 2 MISSION, VISION AND GOAL STATEMENTS ................................................... 3 AKNOWLEDGEMENT ......................................................................................... 4 LIST OF ABREVIATIONS .................................................................................... 5 INTRODUCTION.................................................................................................. 7 COMMUNITY AND HEALTH STATUS ................................................................ 9 TOP TEN DISEASES OPD 2011 .... Fout! Bladwijzer niet gedefinieerd.11 TOP TEN DISEASES AT IPD FOR 2012. Fout! Bladwijzer niet gedefinieerd.12 HEALTH POLICY & INFRASTRUCTURE.......................................................... 12 HOSPITAL MANAGEMENT............................................................................... 13 STAFF ESTABLISHMENT AS AT 31/12/2012................................................... 15 ARRIVALS AND DEPARTURES IN 2012 .......................................................... 16 FINANCES ......................................................................................................... 17 OUT-PATIENT DEPARTMENT (OPD)............................................................... 17 ADMITTED PATIENS IN DIFFERENT DEPARTMENTS FOR YEAR 2012....... 20 THEATRE DEPARTMENT................................................................................. 21 TUBERCULOSIS AND LEPROSY..................................................................... 26 DENTAL DEPARTMENT ................................................................................... 26 PHYSIOTHERAPY DEPARTMENT ................................................................... 26 OPHTHALMOLOGY........................................................................................... 27 MENTAL HEALTH.............................................................................................. 28 SUPPORTIVE AND DIAGNOSTIC SERVICES: ................................................ 29 PHARMACY....................................................................................................... 30 RADIOLOGY DEPARTMENT ............................................................................ 30 TECHNICAL DEPARTMENT ............................................................................. 31 ELECTRICITY AND WATER SUPPLY .............................................................. 32 ADMINISTRATION............................................................................................. 32 SOME IMPORTANT FIGURES SHOWING OVERALL SITUATION OF THE HOSPITAL ......................................................................................................... 33 IMPORTANT HOSPITAL INDICATORS FOR THE 2011.................................. 33 INPATIENTS DIAGNOSIS ................................................................................. 34 PRIMARY HEALTH CARE REPORT (PHC) ...................................................... 43 PERFORMANCE DATA (STATIC AND MOBILE CLINIC) ................................. 45 CARE AND TREATMENT CENTRE (CTC) ....................................................... 47 MALARIA SITUATION: ...................................................................................... 48 RUBYA SCHOOL OF NURSING AND MIDWIFERY .......... Fout! Bladwijzer niet gedefinieerd. THANKS GIVING ............................................................................................... 54 1 FORE WORD Rubya District Designated Hospital is running and managed by Bukoba Catholic Diocese. Its Vision, Mission and Goal reflect the core value of Bukoba Catholic Diocese. Being a District Designated Hospital we get support from MOHSWF and we operate our Hospital by observing all Government policy. This is 2012 annual report, under this report our progress for the entire year, our achievements, challenges and future plans will be reflected. 2 MISSION, VISION AND GOAL STATEMENTS FOR RUBYA DISTRICT DESIGNATED HOSPITAL VISION: The vision of Rubya Hospital is to become the best health care provider in Muleba District. MISSION: To provide comprehensive health care through curative and preventive services, with the help of Jesus Christ the Healer. GOAL STATEMENT: To offer high quality health care to the beneficiaries/clients at affordable cost. 3 AKNOWLEDGEMENT We are very grateful to those who took part in preparation of this 2012 annual report. To mention some, Hospital Management team, All Hospital in charges, MTUHA co- ordinator Mr Gideon Kinyina, Hospital Secretariat team, and Rubya School of Nursing, all deserve special thanks for their tireless effort in preparations of this report. 4 LIST OF ABREVIATIONS AMREF African Medical And research Foundation AIDS Acquired Immunodeficiency syndrome ARI Acute respiratory infections ACO Assistant Clinical officer AFB Acid Fast Baccila ANO Assistant Nursing officer ARV/ART Antiretrovirals/Antiretroviral terapy AMO Assistant Medical Officer ANC Antenatal Care BCG Bacilius Calmette Guerin BOG Board of Govervenance BTL Bilateral Tube ligation CPD Cephalopelvic proportion CCF Congestive cardiac failure CHF Community Health fund CBHC Community Based Health Care CEDHA Centre for Educational Development in Health Arusha CO Clinical Officer CTC Care and Treatment Centre DDH District Designated Hospital DMO District Medical Officer DPT Diphtheria Pertusis Tetanus DTLC Distric tuberculosis and leprosy coordinator EID Early Infant Diagnosis FSG Family support group HBC Home Based Care HIV Human Immune Defficiency Virus ITNs Impregnated Treated Nets ICAP International Care for Aids Programme ICU Intensive care unit IT Information Technology IPD In Patient Department KCMC Kilimanjaro Christian Medical Centre MO Medical Officer MPH Masters in Public Health MSD Medical Store Department MC Male circumcision MOHSWF Ministry Of Health and social warfare 5 NHIF National Health Insurance Fund OPD Out Patient Department OIs Opportunistic infections PHC Primary Health Care PCR Polymerise Cain reactions PMTCT Prevention Maternal to Child Transmission PE Peer Educator RC Roman Catholic RMO Regional Medical Officer RCH Reproductive and Child Health RNMTC Rubya Nursing Midwife Training Centre STD Sexual Transmitted Disease TB Tuberculosis TT Tetanus Toxoid UTI Urinary tract infections VHWs Village Health Workers VCT Voluntary Counselling and Testing VVF Vesco Vaginal Fistula VSO Voluntary Service Overseas WHO World Health Organization 6 INTRODUCTION HISTORICAL BACKGROUND The beginning of Rubya Hospital was initiated by the Roman Catholic Missionaries from Germany in the years 1920 to 1930. From then they prepared Mr. Leo Rufulebe to take over the medical services which was enhanced by Father Otto Mors in the early 1940 -1950. The services were provided at a Modest Dispensary attached to the parish church. Until 1956 Rubya Hospital when was opened by Franciscan Sisters of Breda from Netherlands, the hospital gradually developed from a small pre-existing dispensary with 20 maternity beds. Over the years the complex was expanded until it reached its present shape. STATUS OF THE HOSPITAL After signing the contract between the Government of Tanzania and Bukoba Catholic diocese authority, the hospital became the Designated District Hospital for Muleba district that was in 1977. Official bed capacity which was agreed in 1977 is 162; the government pays a major part of the running costs of the hospital. To date, the hospital has remained under the ownership of Bukoba Catholic Diocese. Since 1977 the government was covering all cost for treatment of patients thus patients were not paying anything for the services, but in February 1994 cost sharing was started as stipulated by the government. However, children under five years, pregnant mothers, poor old men above sixty years of age and those on ARV are treated free of charge. Since then, Rubya Hospital has a main building containing the theatre, an X-ray- room, CTC, mortuary, the pharmacy and administration offices. Besides there are six wards: male ward, female ward, children ward, maternity ward, and a nutrition unit. There is a separate outpatient department containing the laboratory and a separate unit for reproductive and child health. 7 In 1963 Rubya Nurses Training Centre was opened. It provided a three-year course in general nursing and in 1970 a one-year course in midwifery was added. The certificate course ended in 2007.In the year 2004 upgrading diploma course in nursing was started, the first bunch graduated on August 2006. In the year 2008 we have opened an integrated nursing school, the overall intake of pre service and in service nurse students per year is 50 and 35 nurses respectively. GEOGRAPHY AND POPULATION Muleba district is situated in Kagera Region in northwest Tanzania. Kagera Region is bordered by Uganda to the north, Rwanda and Burundi to the west and Lake Victoria to the east. The region is divided into 8 districts, Muleba being one of them. Rubya is the Designated Hospital for Muleba district. Muleba District covers an area of approximately 2500 square kilometers with a total population of 386,320 inhabitants in 2002 census (457,600 projected populations for 2009). It has 5 main divisions Nshamba, Muleba, Kamachumu, Kimwani and Izigo. Nshamba division is a catchment area for Rubya hospital which is estimated to have approximately 1/3 of the district population. Besides Rubya
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