NORTHERN DIOCESE
MARANGU HOSPITAL
P.O. Box107 Marangu, E-mail: marangu-hospital@elct.
Annual Report 2002
I. Introduction
The statistics in this report show considerable increase of both inpatients and outpatients
over last year. Utilization of the diagnostic services – X-Ray and laboratory – also
improved. As staff establishment changes did not match the increased workload, existing
staff worked hard to cope. Establishment changes essentially consisted of filling vacant
positions.
The finance department registered a good improvement in income but was overburdened
with debts from the Tanganyika Electricity Supply Company, National Social Security
Fund and staff salary arrears among others. However by mid year a major part of the
debts had been cleared especially the irking problem of staff salaries arrears. Settling the
salary problem contributed to a boost in staff morale leading to improved service and
better patient care and increased patient load.
Our dispensaries, however, have not fared so well. Of the five dispensaries under
Marangu hospital supervision – Kidia, Natiro, Kahe, Uchira, and Kahe only Uuwo was
performing to an acceptable level. Kidia and Natiro shared one clinical officer who
worked for three days each in each dispensary for most of the year and leading to an
unsatisfactory patient turnout and income for both. Kahe had no clinical officer
throughout the year and only Uuwo was able to pay staff salaries; the rest having been
able to pay only part of the salary, which in some cases was less than half the official
entitlement.
II. Staff
We started the year with a staff complement of ……..and ended it with a complement of
as follows
Clinicians included 1 MD
AMO 2
Dental officer 1
Clinical Officers 4
Nursing staff consisted of 4 nursing officers
Nurses 14
Treasurer 1
Accounts assistant 1
Personal Secretary 1 Radiographic Auxiliary 1
Pharmaceutical Assistant 1
IV. Patient service statistics
Out patients
New attendances
New attendances
Re-attendances
Total
Average attendance per day
Average attendance per month
2002
5024
7331
12355
1029
34
In-patients
2002
2069
172
6
Total admissions
Average monthly admissions
Average daily admissions p
Average daily bed state
Average bed occupancy rate
Surgical Operations
Major surgery
Minor surgery
2002
176
52
Types of Major operations (2002)
Caesarian Section
Appendicectomy
Bilateral Tubal Ligation
Laparatomy
Total abdominal Hysterictomy
Herniorhaphy
Hydrocelectomy
Orchidectomy
125
14
14
9
8
4
1
1
Laboratory
A. Parasitology blood smears for malaria Total
Positive
Stool
Urinalysis
B. Haematology
Total
+vet for amoeba
Helminthes
Total
3475
487
1633
342
163
1800
Leucocytes count
Haemoglobin estimation
Haemoglobin <60G/L
ESR
Blood grouping
548
289
27
114
98
C. Biochemistry
Blood sugar
Urea
Creatinine
522
34
29
Serology
Widal
+ve widall
VDRL
+ve VDRL
HIV
+ve HIV
462
76
30
4
170
70
X-ray and ultra-sound
Total No. of X-ray Examinations
Male
Female
Types of Examinations
Skull and mandible
Spinal column
Chest
Upper Limbs
Lower limbs
Shoulder and clavicles
Pelvis and hips
Plain abdomen
Barium meals
Ultra Sound Examinations
Total
Total
Male
Female
2002
709
392
317
41
31
200
171
11
23
40
6
14
2002
128
11
117
Maternal and Child Heath Services.
Maternal Care
First antenatal clinic
attendance
Re-attendance
Total mothers attended
Total deliveries
Normal deliveries
Assisted deliveries
2002
257
1666
727
600
127
Family planning
2002
237
10
11
130
54
442
Oral contraceptive tabs
Tube ligation
IUD
Injection
Condom
Total new clients
Child Health
Immunization
2002
No of children vaccinated
First attendance
Re-attendance
Vaccinations Administered
BCG
DPT
1ST
2ND
3RD
POLIO 0
1ST
2ND
3RD
MEASLES
T.T
VIT. A
489
2863
523
377
380
363
523
386
387
368
309