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General OPD
IN PATIENTS DEPARTMENTS
DR CARL PHYSIOTHERAPY DEPARTMENT
LABORATORY
PHARMACY
X- RAY DEPARTMENT
SOCIAL WELFARE
PASTORAL CARE
SUPPORTIVE DEPARTMENTS

SUPPORTIVE DEPARTMENTS

DOMESTIC DEPARTMENT

The services in this department are supervised by the Nursing Officer in charge. Staff: 2 tailors, 4 launderers. The department is concerned with supplies of non-medical supplies like bed sheets, clothes, soap, theatre linen, mosquito nets etc.

The hospital does not give food to the patients as there is no fund for it from government anymore and a lot of food was wasted as most patients get from their relatives. For those who have no relatives there is an arrangement with a hospital canteen. Food is supplied to malnutrition room in children’s ward. Maize, soya, sugar, cooking oil, milk, eggs and firewood/charcoal is needed. The food is cooked in the demonstration kitchen outside children’s ward by medical attendants in cooperation with the mothers of the children.

The mothers admitted in premature unit get porridge. This has greatly improved compliance with the advised time to stay in the unit. Friends of Sengerema Hospital funded the porridge.

Patients who have no relative get 2 meals per day. Support for food for these patients and the food for malnutrition unit was provided by Friends of Sengerema It is supplied by the canteen of the Diocese localized at the hospital technical yard.

Water situation in Sengerema improved a lot since the new system of pumps and pipes came into use the hospital still mostly paid a flat rate making water affordable for the hospital.

Drinking water is supplied by the Paula system. It is filtered and lightly chlorinated water and regularly sent to Mwanza for testing.

New washing machines have arrived and installed in January 2020.

EVIRONMENTAL HEALTH DEPARTMENT

The department takes care of cleanliness inside and outside the hospital wards, cleanliness and beautifying the surroundings of the hospital, staff houses and hostels adjacent to the hospital.

It also takes care of dead bodies not claimed by relatives,

INFORMATION COMMUNICATION TECHNOLOGY

The hospital employs an ICT Technician and there is a volunteer assistant

The hospital has an internet cafe and internet connection in the executive offices and the eye department. Workers can browse the internet for studies or follow on line courses for free but pay for using email. The hospital HMIS office, RCH and BIMA have their own internet connection as to send data to DHIS2 and BIMA.

The ICT/HMIS project started in 2008. It came in another phase in 2012 as part of the out patients department, registration and billing became computerized the health management information system used is AFYA PRO. It aims to improve and simplify data collection as well as financial management. While the billing and registration part is functioning well, the clinical part: electronic registration of patient data, possibility to retrieve them, connect with laboratory and pharmacy for ordering is not yet. We can register clients who have an exemption and retrieve this data as well as see how many come from other districts. Actually a lot of clinicians offices have a computer and connection but the system is not used because it consumes time and it is difficult to trace stored data. Also supervision still stresses use manual HMIS books.

Government now stresses the use of electronic systems. We intend to connect the pharmacy and consider going to electronic patient files. Also the Sengerema New Pharmacy needs a connection.

TECHNICAL DEPARTMENT

The technical department is an engineering department, dealing with construction, maintenance and rehabilitation of the infrastructures (e.g. all hospital buildings and staff houses, cars, hospital and biomedical equipment, water and electricity installations, roads and pathways) of the hospital.

There are biomedical equipment and hospital equipment. By daily routine maintenance and a preventive maintenance scheme they have to assure all equipment are safe for operation.

Work done

1. Assure water supply and maintain tanks
2. Assure power supply TANESCO and generators. There is a 24 hours presence to do this.
3. Repair work on biomedical equipment
4. Repair work electrical equipment
5. Repairs of windows door scupboards and roofs
6. Painting and crack repair at hospital buildings and touch ups done with jubilee fund
7. Repair of drainage and toilets –staff and patients
8. Maintenance paths and OPD ways
9. Repair of the old washing and rying machines. It was a great job to keep 40 -50 year old machines running
10. Maintenance ACs with external contractor every 3 months
11. Maintenance of Paula drinking water system
12. Service of laboratory machines together with outside experts
13. Thanks to Friends of Sengerema Hospital and Mr.Andreas who supported the department
14. A detailed list of work to do in 2020 and it costs : 300,000,000 tsh was made.
MORTUARY

This department deals with keeping dead bodies in a safe clean and cold environment until burial.

It has 2 buildings: a cold room where 16 bodies can be stored and post mortem done in a room adjacent to the cold room and the old mortuary now used as office and stores.

The mortuary serves the hospital but also the district

Challenges: there is still a need for an embalming machine and a machine to put bodies on the highest shelves

SECURITY

The hospital management has a contract with a security company whose personnel take care of security at the gates. They regulate the flow of patients and visitors and have to make sure that no visitors are allowed to enter in the wards outside visiting hours. They check bags and cars of patients, visitors and staff as to prevent theft. They make sure goods leaving the hospital have an authorization of Medical Officer in charge or Matrons Office.

FUTURE PLANS

Initiate projects /activities which will help to make hospital financially more stable.

Get a working X-Ray machine.

Get a new ambulance.

Get permission from TAEC to use the C arm machines in the radiation protected theatre.

Keep up and improve the level of care given to the patients.

Maintain close cooperation with District Authorities, CHMT and Ministry of Health and Social Welfare and Diocese of Geita, Sengerema Health Training Institute and benefactors.

Improve quality of care and comply with standards set by the Government for District hospital for infection prevention, health workers safety and level of care.

Improve data collection at all levels.