The document summarizes a collaboration between the Episcopal Diocese of Ohio and St. Raphael's Hospital in Tanga, Tanzania to improve healthcare. Key accomplishments include establishing a nursing school, upgrading surgical equipment, and sending medical teams. Upcoming work includes sending a third container of supplies, addressing power outages through backup generators or solar, and improving water infrastructure. The partnership aims to build sustainable healthcare capacity.
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Tanga health project summary
1. Episcopal Diocese of Ohio
www.dohio.org
TANGA HEALTH
PROJECT
A Collaboration with
St. Raphaels Hospital
and the Diocese of Tanga
2. Historical
Relationship
Relationship dates
back to the early 1970s
In June 2009, Brendan Knoblauch traveled to region to
rekindle relationship and seek out companion projects
It was the relationship formed with Dr. Damian Mpundu,
Medical Superintendent of St. Raphaels that helped move
the project forward
5. About St. Raphaels
One of three hospitals in Diocese of Tanga
Located in Korogwe (population 44,000)
in the central part of the Tanga coastal region
68 bed hospital with 8+ single story buildings offering
services to men, women, and children
Services include
obstetrics, surgery, pharmacy, laboratory, HIV
treatment/clinic, and general health
7. Building a Sustainable Project
Strategy was founded upon building sustainable capacity
through investments in equipment and training
Investments were leveraged for further funding and
support from Korogwe Town Council
Dohio worked to involve medical professionals, hospitals
and schools in the project
Partnership with MedWish International and Brothers
Brother helped with the shipment of medical supplies
8. Key Accomplishments
John Ramadani School of Nursing formed with over 100
students enrolled in nursing assistant program
Recently received certification to begin a certificate
nursing program that will address the nursing shortage
New service agreement with Korogwe Town Council
approved, providing increased funding for the
hospital, including salary support for administrations and
other support staff
10. Key Accomplishments
Two containers of medical equipment have been
sent, providing major upgrades to their surgical theatre
and additional services, supplies, and teaching aids.
Surgical theatre now had operating table, theatre
lights, life monitors, suction pump, oxygen
concentrator, and other surgical supplies.
EKG provided is the only one in district and diagnoses
can be supported through telemedicine. It also provides
an income source for the hospital.
13. Medical and Engineering Team
The project has grown to include
medical, engineering, and other nonprofit professionals.
The combined value of a medical professional, offering
training on new equipment and an engineer with the
ability to set up, troubleshoot, and fix equipment, has
been very valuable.
Three trips with a medical professional and two trips with
an engineering professional have been made.
15. Third Container in March
Will continue our partnership with MedWish and Brothers
Brother to send a third container of medical equipment
Looking into Dopplers to help monitor fetal heart
rates, currently a Pinard horn is used
Will work towards a list
of other equipment and
supplies requested,
including an ultrasound
16. Power at St Raphaels
Local utility provides electrical power for the hospital
Power source is hydro electric power
Random power outages due to aging power infrastructure
Scheduled power outages in dry season to conserve water
17. Impact of a Power Outage
If surgery in progress
Often called battlefield surgery methods
Nurses use cell phones or flashlights to provide light
No suction machine to clear surgical field; use pads to
mop up blood
Difficulty increases greatly putting patient at greater risk
No air conditioning and the windows are closed
18. Potential Power Projects
Surgery suite backup power
Backup power for St. Raphaels campus
Solar power projects for various buildings
19. Water Infrastructure
Community well that provides water for hospital, Diocese
offices, church, and a number of homes of hospital and
Diocese personnel
Well is at bottom of hill
Hillside has a number of pit latrines in place
Potential source of contamination to well
Water distribution system is old and needs to be upgraded
(plastic pipe instead of galvanized steel)
20. Fundraising and Awareness
Started a blog to share stories and efforts with over 1,000
views since creation in December.
Dr. Damian Mpundu and Lucas Mmole RN will be coming
in March 2013 to help garner support.
Several parishes will hold events to drive fundraising and
awareness, and our most effective efforts thus far have
been through parishes and word-of-mouth.
Will work with MedWish, Diocese of Ohio, and local media
to get the word out through other channels.
23. Power Projects for St Raphaels
Backup power for surgery suite
Provide backup power to supply surgery suite when
outage occurs
Battery backup would require less maintenance but
larger up front costs
Generator less up front costs but significantly more
maintenance
Fuel, oil change, filter change, overhauls, etc.
24. Solar Power for Buildings
Solar power for entire hospital very expensive
Break down project into smaller solar projects that power
lights, etc in individual buildings
Smaller power requirements easier to fund smaller projects
Eventually interconnect buildings as more buildings are converted
to solar.
25. Potential Water Projects
New well located away from sources of
contamination
Alternative to connect to city water system
New water distribution system
Piping
Storage tanks
Filter & sanitation of water supply
Increase supply capacity