E.L.C.T Pare Diocese

E.L.C.T PARE DIOCESE

GONJA LUTHERAN HOSPITAL

ANNUAL REPORT – 2003.

INTRODUCTION

Gonja Lutheran Hospital was re-registered legally in 1998.

The Hospital capacity is 67 beds; reduction to 40 it is situated in the Eastern part of Same District 80 km

from head quarters of Same.

YEAR of report 2003

DIOCESE OF PARE

TYPE OF INSTITUTION

Hospital Hospital name Gonja Lutheran Hospital.

INFORMATION RELATED TO STAFF ESTABLISHMENT

Head of the Institution –name Mary Msemo

-Qualification AMO

Hospital Matron-Name Dora Mtango

-Qualification Nursing Officer

Hospital Secretary-……………………………..

-……………………………..

Hospital Treasure/Accountant – name Labani Samwel

-Qualification Ad. Diploma in Accounts

Number of staff by cadre and specialty.

-Medical specialists -PhysiciansNumber……

-SurgeonsNumber……

-Obs/GynaeNumber…….

-PediatricsNumber…….

-Public HealthNumber…….

-General Medical Practitioners (Mos)Number.……

-Assistant Medical Officers (AMO), General. Number 2

-AMO with AnesthesiaNumber…….

-AMO with OphthalmologyNumber…….

-Clinical Officers (COs) Number 2

-Clinical Officer with AnesthesiaNumber…….

-Clinical AssistantsNumber……

-Nursing Profession

-Nursing OfficersNumber 3

-Assistants Nursing OfficersNumber…..

-Nurse Midwives (NMW )Number 5

-Trained Nurses (TNs)Number 1

-Public Health Nurses (PHNs)Number….

-MCH Nurses (if not Trained for

Public Health as yet )Number 2

-Practicing Psychiattric NursesNumber…..

-Practicing Ophthalmic NursesNumber……

-Practicing Nurses with AnesthesiaNumber……

-Laboratory Profession

-Laboratory Technicians(Adv.Diploma)Number….

-Laboratory Technicians(Ord.Diploma)Number….

-Laboratory Technicians(Certificate)Number….

-Laboratory Assistants (one year course)Number 1

-Pharmaceutical Profession

-PharmacistNumber….

-Assistant Pharmacist????Number….

-Pharmaceutical TechnicianNumber ….

-Pharmaceutical AssistantNumber 1

-Radiology Profession

-Radiology Assistant(Assistant Radiologist)Number….

-Radiology Technician (X – ray Technician)Number 1

-Dental Profession

-Assistant Dental OfficerNumber….

-Dental AssistantsNumber….

-Dental TechniciansNumber….

-Administrative staff

-Assistant AccountantNumber 1

-Accounts AssistantNumber….

-Officer Secretary(Office Manager)Number…..

-Office ClerksNumber…..

-WatchmenNumber 3

-Technical Department

-Hospital Engineer qualifiedNumber……

-Hospital Technicians(Diploma)Number……

-Hospital Technicians (Certificate)Number……

-Others supportive staff (Health /Medical

Attendant formerly known as Nurse Assistant)

This combines all departments; Laundry, kitchen,

Estate, wards, OPD, technical, pharmacy, etcnumber 20

-Other cadre not mentioned above (Please indicate cadre and number)

-DriverNumber 1

-RecorderNumber 1

3.INFORMATION RELATED TO INSTITUTION’S OPERATIONS

A.FOR HOSPITALS.

General Information

-location-District Same region Kilimanjaro

-Catchment’s population 124,000

-Number of dispensaries for which the hospital/diocese* is responsible 10

-Number of Health Centres for which the hospital/diocese* is responsible 1

-Number of bed 40

-Average Daily Bed Occupancy(BOD) For the Hospital 30

-Highest BOD 35 Lowest BOD 20

Information related to performance during the year.

CATEGORY / SEX & AGE / NUMBER / TOTAL

OPD Attendance / Under 5

Male >5

Under 5

Female 5 / 1132
3524
1379
5518 / 4656
11553
6897
Hospital
Admissions / Under 5

Male 5
Under 5

Female 5 / 248
239
259
584 / 487
1330
843
Hospital
discharges / Under 5

Male 5
Under 5

Female 5 / 245
234
568
252 / 479
1299
820
Hospital death / Under 5

Male 5
Under 5

Female 5 / 6
10
5
10 / 16
31
15

Other Relevant data

1.MORBIDITY DATA

CATEGORY / DISEASE / Sex & Age / NUMBER / TOTAL
Top Ten
OPD

Diseases

/ ARI

MALARIA

PNEUMONIA

UTI

INTESTINAL WORMS / Under 5
Male
5

Under 5
Female
5
Under 5
Male
5
Under 5
Female
5
Under 5
Male
5
Under 5
Female
5
Under 5
Male
5
Under 5
Female
5
Under 5
Male
5
Under 5
Female
5 / 239
718
479
250
950
700
202
682
480
321
830
509
300
512
212
205
310
105
94
308
214
120
420
300
208
330
122
204
368
164 / 1668
1512
822
728
698

CATEGORY / DISEASE / Sex & Age / NUMBER / TOTAL
Top Ten
OPD
Diseases / DIARRHOEA
DISEASES

MINOR
SURGICAL
CONDITIONS

SKIN
INFECTINS

EMERGENCY
ORAL
CARE

AIDS / Under 5
Male
5

Under 5
Female
5
Under 5
Male
5
Under 5
Female
5
Under 5
Male
5
Under 5
Female
5
Under 5
Male
5
Under 5
Female
5
Under 5
Male
5
Under 5
Female
5 / 125
347
222
125
333
208
152
463
311
77
166
89
120
235
115
110
203
93
27
169
142
31
231
200
2
5
3
95
195
100 / 680
629
438
400
200

MORBIDITY DATA, cont

CATEGORY / DISEASE / Sex & Age / NUMBER / TOTAL
Top Ten
Inpatient
Diseases / MALARIA

PNEUMONIA

ARI

DIARRHOEA
DISEASES

PEPTIC
ULCER / Under 5
Male
5

Under 5
Female
5
Under 5
Male
5
Under 5
Female
5
Under 5
Male
5
Under 5
Female
5
Under 5
Male
5
Under 5
Female
5
Under 5
Male
5
Under 5
Female
5 / 30
122
92
65
258
193
49
56
7
52
62
10
20
28
8
53
68
15
30
36
6
42
56
14
24
24
60
60 / 380
118
92
92
84

MORBIDITY DATA, cont.

CATEGORY / DISEASE / Sex & Age / NUMBER / TOTAL
Top Ten
Inpatient

Diseases

/ ANAEMIA

BRONCHTS
ASTHMA

HIV
AIDS

UTI

COMPILCA
TIONS
OF
PREGNANCY / Under 5
Male
5

Under 5
Female
5
Under 5
Male
5
Under 5
Female
5
Under 5
Male
5

Under 5
Female
5
Under 5
Male
5
Under 5
Female
5
Under 5
Male
5
Under 5
Female
5 / 30
32
2
35
43
8
1
21
20
1
20
19
1
8
7
2
29
27
2
5
3
4
30
26
30
30 / 75
41
37
35
30

2.MORTALITY DATA

TOP TEN CAUSES OF
DEATH / AGE & SEX / NUMBER / TOTAL
MALARIA

PNEUMONIA
HIV
AIDS

HYPERTENTIONS

DIABETES
MELLITUS / Male Under 5

5

Female Under 5
> 5
Male Under 5

5

Female Under 5

> 5
Male Under 5

5

Female Under 5
> 5
Male Under 5

5

Female Under 5

> 5
Male Under 5

5

Female Under 5

5 / 3
1
3
1
2
4
1
2
4
2
2
2
1 / 4
8
4
2
7
5
2
6
4
2
4
2
2
3
1

TOP TEN CAUSES OF
DEATH / AGE & SEX / NUMBER / TOTAL
BRAIN
DAMAGE

CA.CERVIV

/ Male Under 5

5

Female Under 5
5
Male Under 5

5

Female Under 5

5
Male Under 5

5

Female Under 5
5
Male Under 5

5

Female Under 5

5
Male Under 5

5

Female Under 5

5 / 1
1
1 / 1
2
1
1

3.OPRATIONS

MAJOR

CAUSE OF OPERATION / NUMBER

MALE FAMALE TOTAL
L.S.C.S DUE TO COMPLECATED DELIVERIES / 55 55
HERNIORHAPLY / 8 3 11
LAPARATOMY / 6 71 77

MINOR

CAUSE OF OPERATION / NUMBER

MALE FAMALE TOTAL
CUT WOUND REPAIR / 50 60 110
INC. ABORTIONS / 20 20
EXCISIONS & FRACTURES / 19 8 27

REPRODUCTIVE AND CHILD HEALTH DATA

MATERNAL STATISTICS

DELIVERIES / NUMBER
Normal / 125
Still Births Fresh

Macerated

Instrumental Vacuum

Forceps

Abnormal Retained
Placenta

Complicated PPH

PP

Ubruptio

Breech

Destructive / 7
2
13
1
1

CAESARIAN SECTIONS

CAUSES / NUMBER
MALPRESENTATION / 15
C P D / 40

ANATENAL CARE

VISITS / NUMBER
Total Attendances / 750
First visits / 220
Repeat visits / 530

FAMILY PLANNING

CATEGOTY / NUMBER
Total users(all methods) / 964
IUCD / 13
DEPO / 507
Oral contraceptives (all types ) / 226
BTL / 57
Norplant / 10
Hysterectomy / -
Vasectomy / -
Natural / -
Condom / 21

VACCINATIONS

TYPE / NUMBER
BCG / 308
Repeat BCG ( if any)
MEASLES / 289
Repeat Measles (if any)
POLIO / Polio 1

Polio 2

Polio 3

Polio 4

Polio 5 / 295
295
295
DPT / DPT 1
DPR 2
DPT 3 / 295
295
295
Tetanus
Toxoid for
Pregnant
women / TT 1

TT 2

TT 3

TT 4
TT 5 / 137
141
115
110
63

5. BLOOD AND BLOOD TRANSFUSIONS

CATEGORY / NUMBER
Total number of blood doros
Total # of Blood examined for ABO
Compatibility / 202
Total # of blood screened for HIV / 57
# of blood found to be seropostive for / 2

Total # of units Adults Male
Transfused
Female

Male
Children
Female / 2
0
6
4

6. X-RAY EXAMINATIONS

Total Adults Male
examinations
(excluding Female
Ultrasound and
HSG) Male
Children
Female

Ultrasound Adults Male
examinations
Female

Male
Children
Female
Total Hysterosalpingegrahy exams(HSG)

7. LABORATORY EXAMINATIONS

CATEGORY / NUMBER / TOTAL

Stool / HW
Ascari
Strongyloides
Taenia
Trichuris
Enterobius
Amoeba
Sch.mansoni / +ve

-ve
+ve
-ve
+ve
-ve
+ve

-ve
+ve
-ve
+ve
-ve
+ve

-ve
+ve

-ve / 172
0
115
0
3
0
0
0
2
0
3
0
510
0
7
0 / 172
115
3
-
2
3
510
7
Urine / Ach.Haem.

Sugar / +ve

-ve
+ve

-ve / 30
0
236
0 / 30
236

CATEGORY / NUMBER / TOTAL

Blood / BS for malaria
Sugar

Urea/Creatinine

Uric Acid

LETs
Blood culture / +ve

-ve
< 6mmo1/1

6-10mmo1/1

> 10mmo1/1
Normal

Abnormal
Normal

Abnormal
Normal

Abnormal

Antibiotic sensitive
-ve
Antibiotic resistant

-ve / 399
3886
21
59
299
0
0
0
0
0
0
0
0
0 / 4285
379

INFORMATION SPECIAL FOR HIV/AID

1. The Hospital /Diocese is running an HIV/AIDS program ……..Yes………No (tick).

2. For programs running:

Date activities started (year)……………………………………………………………

Duration of program (number of years)…………………………………………………

Supported by (partner/donor)……………………………………………………………

Amount of support (TSH)……………………………………………………………….

3. Current number of HIV/AIDS patients on care individuals in your hospitals……17……….

4. Cumulative number of HIV sero positive individuals in your ho………...37………………

5.Specific data

TYPE OF ACTIVITY / DATE
STARTED / NUMBER
OF
CLIENTS / COMMENTS
Home Based Care (HBC) / JUN 2000 / 20
Voluntary Counseling and Testing
(VCT) / JAN 2001 / 18
Prevention of mother to Child
Transmission (PMTCT)
ARV Treatment
Orphan support / DEC 2003 / 112
Other social
Support activities / Widows/ers
Supported

IGAs(smallprojects)

Other(mention) / DEC 2003 / 25
Behavior Change
Activities(Youth
Reached) / Out of school
Youth

In school youth / 1996
1996 / 1200
2000
Number of death due to HIV/AIDS / 6
Number of HIV/AIDS cases who had PTB / 5