MOROGORO NEWSLETTER Vol. No. 1 July 2003 MMMALARIA in PREGNANCY Malaria, which is transmitted by anopheles mosquito, causes high morbidity and mortality in pregnant mothers and children under five years. Over 30 percent of the total outpatients in health facilities are suffering from malaria. Malaria in pregnant mothers can cause the following problems: z Anaemia z Stillbirth z Low birth weight deliveries (less than 2.5 kg) z Premature delivery z Miscarriage z Maternal death Pregnant mothers receiving health education. Pregnant mothers are advised to attend antenatal clinics during the early stage of pregnancy, Insecticide Treated Nets (ITNs) are sold at a preferably before 20-weeks. At the clinics, they will discounted price to pregnant mothers at many be advised and provided with preventive drugs clinics. The aforementioned services are available including those against Malaria. During antenatal at all antenatal clinics in Morogoro Region. clinics, pregnant mothers are examined and Ms. N. A. Ahmed Nursing Officer, investigated. Any illnesses detected are treated in Health Department, Morogoro Municipality order to protect the mother and the expected child. - In This Issue – One of the drugs recommended for the treatment z Malaria in Pregnancy ---- p.1 of malaria to a pregnant mother is a combination of Sulphadoxine and Pymethamine (SP) in the z Greetings: Regional Administrative Secretariat ---- p.2 schedule prescribed below: - st z Congratulation: Regional Medical Officer ---- p.2 z 20 – 24 weeks pregnancy, 1 dose. nd z z 28 – 32 weeks pregnancy, 2 dose. The Editorial Morogoro health Newsletter ---- p.3 NOTE: The SP should not be taken at the same z The Regional Health Meeting ---- p.4 time with folic acid because SP will not be z Community Participation ---- p.4 effective in that case. Health Activities-Kilombero z HMIS – Health Information Management System ---- p.5 z Kilosa Councillors on Onchocerciasis Control ---- p.6 z Community Participation Strategy Environmental sanitation -Ulanga ---- p.6 z Important Events ---- p.7 z Reader’s Forum ---- p.8 z Information and Announcements ---- p.8 A pregnant mother receiving anti malaria. MHP Morogoro Health Project 1 Morogoro Health Newsletter The Morogoro Health Project pertaining to the management of in terms of traditions, level of (MHP) is being implemented in the health service delivery in understanding and other aspects Morogoro Region under the various health facilities, namely, which must be considered during support of the Government of hospitals, dispensaries, health service delivery, with a view to Japan through her International centres and the like. improving quality. Cooperation Agency (JICA). Similarly, the Public on the The purpose of the project is other hand, is faced with the to improve management skills of challenge of adopting the the Council Health Management knowledge (especially using Teams and the Regional Health participatory approach) provided Management Team in order to by the experts, through the enable them design, plan, Newsletter, pertaining to better implement, monitor and evaluate methods of improving their activities related to quality health livelihood by observing health care delivery in the community. principles in accordance with the Achieving this objective is crucial The Regional Administrative new technological development Secretary MOROGORO in improving the health sector in in the growing economy. Mr. P. A. M. CHIKIRA the country. Lastly, I would like to urge all The health sector is at the top Additionally, the newsletter will stakeholders to contribute articles of the Government’s priority list in be a resourceful forum to experts in their areas of expertise and an attempt to improving delivery in exchanging experiences, and in experiences on management in of social services and in the fight learning from each other various delivery of health services or against poverty in the Tanzanian strategies of developing provide their constructive Development Vision by the year professional skills in managing suggestions on other people’s 2025. health delivery services in contributions with a view to It is my sincere hope that combating different health enhancing each other’s skills and service providers in the health problems in the community. professionalism in this ever sector and other stakeholders will Health personnel, on the one changing society. use the Newsletter to exchange hand, will gain insights of their knowledge and information clients from various backgrounds Regional Medical Officer MOROGORO Dr. M.M.Z.MASSI The Health Department in Morogoro Region for Since this is the first the first time is able to publish its own Newsletter. I Edition, there may be would like to congratulate all who made it possible for inadequacies. These should rather be used as a this newsletter to be published. catalyst for improvement. The Editorial Board spearheaded by Mr. Nicholas For the Newsletter to be sustainable and rich in Masaoe deserves special commendation for the its contents, all stakeholders are cordially invited to important task accomplished in ensuring that this subscribe articles and any other material support to Newsletter is produced. facilitate its publication. In this way, we will be able to Also, I would like to extend my commendation to exchange experiences, skills and even get new all those who contributed articles to the Newsletter. scientific information. I wish our Newsletter a success. PROMOTE YOUR BUSINESS THROUGH THIS NEWSLETTER! 2 Morogoro Health Newsletter MOROGORO HEALTH NEWSLETTER Chairman • The second is to have adequate sharing of Editorial Board experience and health information among RHMT, Mr. N. MASAOE CHMTs and other Regions. Regional Health Officer • The third is to improve the capacity of RHMT Morogoro and CHMTs in planning, implementation, The publication of this Newsletter is a result of monitoring and evaluation. one of the activities of Morogoro Health Project. During the situation analysis of RHMT and The object of the Newsletter is to facilitate CHMTs activities by the MHP, one of the problems exchange of ideas, views and experiences identified was inadequacy in sharing information between health service providers and the on experiences of the activities of the Teams. The community. fact that the RHMT and CHMTs have jointly Morogoro Health Project (MHP) which worked to publish this newsletter is one way of commenced on the 1st April 2001, is supported by addressing the problem. The publication of this the Government of Japan through Japan Newsletter in general was supported by Morogoro International Cooperation Agency - JICA. Health Project (MHP). The purpose of the Project is to strengthen the For sustainability of the Newsletter, RHMT, capacity of Council Health Management Teams CHMTs and the Editorial Board recommended (CHMTs) which are responsible for management that CHMTs incorporate a budget line in their of health services in the districts and the Regional annual Council Comprehensive Health Plans for Health Management Team which is responsible publication of the newsletter. for providing technical support to, advising The Editorial Board expects that this CHMTs and facilitating their activities. Newsletter will be a good avenue for the There are three Project Outputs exchange of ideas and experiences among • The first is to improve the Health Management RHMT, CHMTs, various health service providers, Information System (HMIS). stakeholders and the general public. EDITORIAL BOARD Chairman Chief Advisor Mr. N. MASAOE Regional Health Officer Dr. M. MASSI Regional Medical officer Secretary Associate Members Mrs. C. MARO District Reproductive and Child Dr. A. TANAKA Advisor, MHP* Health Coordinator, Morogoro Ms. M. CHITOSE Coordinator, MHP* Deputy Secretary Dr. F. FUPI Advisor, MHP* Mrs. N. AHMED Nursing Officer, Morogoro Municipality Members Advisory Committee Mr. J. MANKANBILA Regional Health Secretary Mr. H.Mohamed Dr. G. MTEY Municipal Medical Officer of Health, Lecturer, Morogoro Sokoine University of Agriculture Mr. J. BUNDU District Health Officer, Kilosa Hon. C. Binamungu Mr. K. KAKWAYA District Health Secretary, Kilombero Lecturer, Mzumbe University Mr. B. MBUMBUMBU District Health Officer, Ulanga Ms. Y. KITAYAMA Advisor, MHP* Ms. Sarah Dumba News Editor, Radio Tanzania Dar-es-Salaam * MHP: Morogoro Health Project, JICA PLEASE SEND YOUR ARTICLE TO THE EDITOR FOR PUBLICATION 3 Morogoro Health Newsletter RREEGGIIOONNAALL HHEEAALLTTHH MMEEEETTIINNGG Strengthening Health Services-MOROGORO opened by the District Commissioner and closed by the Regional Medical Officer of Morogoro. Some of the key items covered include: - • Presentation and discussing district health annual reports for the year 2002. • Discussing the implementation progress reports of various programmes and projects in Morogoro for example MHP, TEHIP, HIV/AIDS, IDSR (Integrated Disease Surveillance and Response) and Reproductive and Child Health Services. • Receiving feedback of resolutions of National annual meeting of the Regional Medical Officers, Participants of the RHMT/CHMTs joint meeting. the Regional Nursing Officers, and Expanded Programme on Immunization (EPI). The Regional and Council Health Management • Discussing implementation of various alternative Teams (RHMT and CHMTs) Joint Meeting held on health financing options: Community Health Fund, 28th – 29th May 2003 at Kilosa to evaluate the health Basket Fund and National Health Insurance services activities in Morogoro Region called upon Scheme. the Health Sector