SENGEREMA COUNCIL DESIGNATED HOSPITAL

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IN PATIENTS DEPARTMENTS

The ward doctors are assisted by the Dutch interns (Student Doctors), who rotate in the wards under their supervision. Specialists who do ward rounds with students contribute to improved quality of care. There are 3 specialists: Dr. Harusha a Gynecologist who is employed by Sengerema Hospital/Diocese of Geita, Dr. Rwezaura a Pediatrician and Dr. Gunda a Physician employed by CUHAS. While the main task of the latter is teaching the medical students from CUHAS they contribute to care in the wards by consultations and during teaching ward rounds. Specialist surgeons come for teaching but are minimally involved in the patient care. Some times their residents come instead of the specialists.
Nursing staff in the wards are still not enough, A stable system was developed for night duties with retired and young nurses and few others working mostly on call schedule. They are paid for the nights worked. This system stabilized care at night as well as in day time.
Occupancy rate went up to 81% from 75.