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Episcopal Diocese of Ohio
www.dohio.org




    TANGA HEALTH
    PROJECT
    A Collaboration with
    St. Raphaels Hospital
    and the Diocese of Tanga
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
Diocesan Building Built in 1970s Through Partnership
Dr. Damian Mpundu
Medical Superintendent
 St. Raphaels Hospital
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
Tanga health project summary
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
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
Lucas Mmole RN
Interim Superintendent
        Nursing School
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.
In January 2013
Medical & Engineering Team
     Larry Mackey, Engineer
         Linda Heitger, Nurse
In June 2012
Medical & Engineering Team
            Mary Bower, MD
     Larry Mackey, Engineer
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.
NEXT STEPS
Which ongoing issues will we address next
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
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
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
Potential Power Projects
 Surgery suite backup power


 Backup power for St. Raphaels campus


 Solar power projects for various buildings
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)
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.
Continue to follow our story at
www.TangaOhioConnection.Wordpress.com
BACK UP SLIDES
More details as questions may arise
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.
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.
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

More Related Content

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
  • 3. Diocesan Building Built in 1970s Through Partnership
  • 4. Dr. Damian Mpundu Medical Superintendent St. Raphaels Hospital
  • 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
  • 9. Lucas Mmole RN Interim Superintendent Nursing School
  • 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.
  • 11. In January 2013 Medical & Engineering Team Larry Mackey, Engineer Linda Heitger, Nurse
  • 12. In June 2012 Medical & Engineering Team Mary Bower, MD Larry Mackey, Engineer
  • 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.
  • 14. NEXT STEPS Which ongoing issues will we address next
  • 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.
  • 21. Continue to follow our story at www.TangaOhioConnection.Wordpress.com
  • 22. BACK UP SLIDES More details as questions may arise
  • 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