tanga health project summary
TRANSCRIPT
TANGA HEALTH
PROJECTA Collaboration with
St. Raphael’s Hospital
and the Diocese of Tanga
Episcopal Diocese of Ohio
www.dohio.org
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. Raphael’s that helped move
the project forward
Diocesan Building Built in 1970s Through Partnership
Dr. Damian Mpundu
Medical Superintendent
St. Raphael’s Hospital
About St. Raphael’s
• 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
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 Brother’s
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 STEPSWhich ongoing issues will we address next
Third Container in March
• Will continue our partnership with MedWish and Brother’s
Brother to send a third container of medical equipment
• Looking into Doppler’s 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 Raphael’s
• 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. Raphael’s 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 SLIDESMore details as questions may arise
Power Projects for St Raphael’s
• 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