temeke municipal council health department … · temeke municipal council health department...

TEMEKE MUNICIPAL COUNCIL

HEALTH DEPARTMENT INFORMATION BUREAU

1.1. Area and Location

Temeke District with an area of 240 sq. km and a population of 1,629,043 whereas 794,100 are males and 834,943 being females with a

growth rate of 4.6% annually. It is formed by 2 divisions i.e. Chang’ombe and Mbagala with 23 wards and 142 sub-wards (Mitaa)

respectively. It is on the Southern part of Dar es Salaam region with the Indian Ocean bounding it in the East, whereas Mkuranga District

(Cost region) in the South, Ilala District in the North and West.

1.2 Health Facilities in the District.

The District has 126 health facilities, the table below shows distribution of all facilities by type and ownership.

Health facility distribution in the district stretches as far as 28 km from the Municipal headquarters, the farthest being Mikwambe

Dispensary in Toangoma Ward. However the existing facilities are at least within 5 km radius to each other.

There are still 6 Ward which are under saved as far as Public service health facilities is concern. These Wards are Tandika, Kilungule,

Kijichi, Kurasini, Kibondemaji and Miburani. Kijichi Ward there is a Health Centre under construction and Kilungule has identified a piece

of land for Dispensary construction next financial year. .

LIST OF HEALTH FACILITIES 2017

NO Facility

Number

Facility

Name Council Ward

Village/Stre

et

Facility

Type

Operatin

g Status Ownership

Registra

tion

Numbe

r

Latitude Longitude

1 110560-0

Tambukarel

i

Temeke

MC Azimio Tambukareli Dispensary

Operatin

g Public - LGA Public -6.877689 39.264878

2 100634-5 Buza

Temeke

MC Buza Buza Dispensary

Operatin


3 100714-5 Chamazi

Temeke

MC Chamazi Msufini Dispensary

Operatin


4 104565-7 Mbande

Temeke

MC Chamazi Magengeni Dispensary

Operatin


5 110518-8

Chang'om

be

Temeke

MC

Chang'o

mbe Toroli Dispensary

Operatin


6 111617-7

Chauremb

o

Temeke

MC

Charamb

e Nzasa B Dispensary

Operatin


7 102531-1

Keko

Mwanga

Temeke

MC Keko

Keko

Mwanga A Dispensary

Operatin


8 102954-5 Kingugi

Temeke

MC

Kiburugw

a Kingungi Dispensary

Operatin


9 102808-3 Kilakala

Temeke

MC Kilakala Kilakala Dispensary

Operatin


10 104082-3

Makangara

we

Temeke

MC

Makanga

rawe Uwazi Dispensary

Operatin


11 110276-3

Mbagala

Round

Table

Temeke

MC Mbagala Mbagala

Health

Centre

Operatin


12 104547-5

Mbagala

Rangi Tatu

Temeke

MC

Mbagala

Kuu Makuka Hospital

Operatin


13 102646-7

Kichemche

m

Temeke

MC

Mbagala

Kuu

Kichemche

m Dispensary

Operatin


14 110277-1

Mbagala

Kizuiani

Temeke

MC

Mbagala

Kuu

Mbagala

kuu Dispensary

Operatin


15 110815-8

Mbagala

Kuu

Temeke

MC

Mbagala

Kuu Makuka Dispensary

Operatin


16 104059-1 Maji matitu

Temeke

MC Mianzini Majimatitu Dispensary

Operatin


17 110283-9 Mtoni

Temeke

MC Mtoni Bustani Dispensary

Operatin


18 110280-5 Sandali

Temeke

MC Sandali Veterinary Dispensary

Operatin


19 107806-2 Temeke

Temeke

MC Temeke Temeke RRH

Operatin


20 104921-2 Mikwambe

Temeke

MC

Toangom

a Mikwambe Dispensary

Operatin


21 106053-2 Mzinga

Temeke

MC

Toangom

a Mzinga Dispensary

Operatin


22 107855-9 Toangoma

Temeke

MC

Toangom

a Toangoma Dispensary

Operatin


23 108392-2

Yombo

Vituka

Temeke

MC

Yombo

Vituka

Yombo

vituka

Health

Centre

Operatin


24 107459-0 Sigara

Temeke

MC

Yombo

Vituka

Yombo

vituka Dispensary

Operatin


25 110602-0

Arafa

Azimio

Temeke

MC Azimio Mbuyuni Dispensary

Operatin

g

Private -

NGOs 73341 -6.875625 39.266118

26 108300-5 Walter

Temeke

MC Azimio

Azimio

kaskazini Hospital

Operatin

g

Private - For

Profit 129298 -6.87037 39.26174

27 104037-7

Maibong

Sukida

Temeke

MC Azimio Mtongani Dispensary

Operatin

g

Private - For

Profit 73337 -6.87784 39.26506

28 105493-1 Msomeni

Temeke

MC Azimio Tambukareli Dispensary

Operatin

g

Private - For

Profit 973 -6.87971 39.26119

29 111527-8 Nuru

Temeke

MC Azimio Azimio kusini Dispensary

Operatin

g

Private - For

Profit 73380 -6.87391 39.27082

30 111621-9

Nur Fa Eye

Centre

Temeke

MC Azimio Mji mpya

Clinic - Eye

Clinic

Operatin

g

Private - For

Profit -6.86627 39.26959

31 111620-1

Temeke

Eye Centre

Temeke

MC Azimio Kichangani

Clinic - Eye

Clinic

Operatin

g

Private - For

Profit -6.86903 39.26352

32 108297-3

Wailes

Dental

Temeke

MC Azimio Mji mpya

Clinic -

Dental

Clinic

Operatin

g

Private - For

Profit -6.866612 39.269313

33 110521-2

Arafa

Umoja

Temeke

MC Azimio Mtongani Dispensary

Operatin

g FBO 73316 -6.873623 39.269289

34 111675-5 ICS

Temeke

MC Buza Buza Dispensary

Operatin

g

Private - For

Profit -6.89555 39.22955

35 101348-1 Hekima

Temeke


Operatin

g

Private - For

Profit 73325 -6.974999 39.215919

36 111669-8 Leonia

Temeke


Operatin

g

Private - For

Profit 73377 -6.92467 39.23085

37 111806-6

Zango

Health

Care

Temeke


Operatin

g

Private - For

Profit 73385 -6.94848 39.22749

38 110515-4 Ansa

Temeke


Operatin

g

Private - For

Profit -6.977323 39.212857

39 111423-0 Huruma

Temeke

MC Chamazi Kisewe Dispensary

Operatin

g

Private - For

Profit -6.975667 39.212704

40 111626-8

MICO

Niimat

Temeke


Operatin

g

Private - For

Profit -6.93889 39.23206

41 110593-1

Arafa

Anaba

Temeke


Operatin

g FBO 73346 -6.922286 39.235579

42 110598-0

Arafa

Sama

Temeke


Operatin

g FBO 73336 -6.936655 39.236989

43 110704-4 TOHS

Temeke

MC

Chang'o

mbe

Chang'omb

e B Hospital

Operatin

g

Private - For

Profit 73049 -6.844011 39.24711

44 101294-7 Hafford

Temeke

MC

Chang'o

mbe

Chang'omb

e A

Health

Centre

Operatin

g

Private - For

Profit 73018 -6.84456 39.267357

45 110556-8

TMJ

Medical

and

Diagnostic

Temeke

MC

Chang'o

mbe

Chang'omb

e B

Health

Centre

Operatin

g

Private - For

Profit 73354 -6.839957 39.256455

46 111707-6

Eye

Emporium

Centre

Temeke

MC

Chang'o

mbe

Chang'omb

e B

Clinic - Eye

Clinic

Operatin

g

Private - For

Profit -6.84039 39.25661

47 100157-7

Arafa

Mapinduzi

Temeke

MC

Charamb

e Rangi tatu Dispensary

Operatin

g

Private -

NGOs 73307 -6.927091 39.265052

48 110613-7 Alara

Temeke

MC

Charamb

e Majimatitu B Dispensary

Operatin

g

Private - For

Profit 73363 -6.91848 39.23563

49 111529-4

Tumaini

Jipya

Temeke

MC

Charamb


Operatin

g

Private - For

Profit 73368 -6.92768 39.24158

50 111624-3 Fratina

Temeke

MC

Charamb

e Kilungule Dispensary

Operatin

g

Private - For

Profit -6.91238 39.24182

51 111667-2 Ijuka

Temeke

MC

Charamb

e

Kurasini

mjimpya Dispensary

Operatin

g

Private - For

Profit -6.92296 39.26413

52 110279-7 Samaria

Temeke

MC

Charamb

e Nzasa A

Health

Centre

Operatin

g FBO 73322 -6.92856 39.25727

53 100164-3

Arafa

Mbagala

Rangitatu

Temeke

MC

Charamb

e Rangi tatu Dispensary

Operatin

g FBO 73257 -6.918501 39.270485

54 110698-8

Florence

Mission

Temeke

MC

Charamb


Operatin

g FBO 73350 -6.932249 39.247508

55 102532-9 Keko Prison

Temeke

MC Keko

Keko

Magurumba

si B Dispensary

Operatin

g

Public -

Prisons Public -6.841671 39.276169

56 103268-9 KMS

Temeke

MC Keko

Keko

Magurumba

si A Dispensary

Operatin

g

Private - For

Profit 73024 -6.839139 39.274025

57 110702-8

MICO

Kiburugwa

Temeke

MC

Kiburugw

a Kiburugwa Dispensary

Operatin

g

Private - For

Profit -6.913978 39.259181

58 111002-2 Cignat

Temeke

MC

Kiburugw

a Kingungi Dispensary

Operatin

g Private 73370 -6.913968 39.252155

59 111528-6 Mara

Temeke

MC Kijichi Mtoni kijichi

Health

Centre

Operatin

g

Private - For

Profit 73382 -6.89161 39.2957

60 110603-8 Mtoni Kijichi

Temeke

MC Kijichi Mtoni kijichi

Health

Centre

Operatin

g

Private - For

Profit 73062 -6.887827 39.281215

61 110638-4

Upendo

MAM

Temeke

MC Kijichi Mtoni kijichi Dispensary

Operatin

g

Private - For

Profit 73317 -6.889744 39.281703

62 100904-2 CMT Kijichi

Temeke


Operatin

g

Private - For

Profit -6.888091 39.284739

63 111850-4

Southern

Highlands

MedialCent

re

Temeke


Operatin

g

Private - For

Profit -6.885 39.27832

64 100928-1

Consolata

Sisters

Temeke

MC Kijichi Misheni Dispensary

Operatin

g FBO 73032 -6.884454 39.272773

65 104866-9

MICO

Yombo

Vituka

Temeke

MC Kilakala

Barabara ya

mwinyi Dispensary

Operatin

g

Private -

NGOs 73038 -6.87283 39.24321

66 110608-7

Tyma

Yombo

Sunrise

Temeke

MC Kilakala

Barabara ya

mwinyi Dispensary

Operatin

g

Private -

NGOs 73345 -6.874898 39.241376

67 110523-8

Arafa

Kilakala

Temeke


Operatin

g FBO 73339 -6.868475 39.241608

68 110517-0 CADA

Temeke


Operatin

g FBO 73301 -6.874335 39.239664

69 100305-2 Bandari

Temeke

MC Kurasini Kurasini

Health

Centre

Operatin

g

Public -

Parastatal 73003 -6.832175 39.28889

70 111622-7

FPCT Eye

Centre

Temeke

MC Kurasini Kurasini

Clinic - Eye

Clinic

Operatin

g FBO -6.85017 39.28448

71 110693-9

MICO

Kusande

Temeke

MC

Makanga

rawe Dovya Dispensary

Operatin

g

Private - For

Profit 73041 -6.878112 39.249675

72 104830-5

MICO

Amani

Temeke

MC

Makanga

rawe Dovya Dispensary

Operatin

g FBO 73298 -6.87921 39.24726

73 110844-8

AAR

Mbagala

Temeke

MC Mbagala Mbagala Dispensary

Operatin

g

Private - For

Profit 73364 -6.91034 39.26977

74 107220-6

Tyma

Sabrina

Temeke


Operatin

g

Private - For

Profit 73051 -6.895705 39.267596

75 110734-1

Upendo

Modern

Temeke


Operatin

g

Private - For

Profit -6.893 39.26503

76 107030-9 Mkiza

Temeke

MC

Mbagala

Kuu Makuka Dispensary

Operatin

g

Private - For

Profit 73305 -6.914566 39.270972

77 101388-7 New Hope

Temeke

MC

Mbagala

Kuu

Mbagala

kuu Dispensary

Operatin

g

Private - For

Profit 211507 -6.905423 39.284952

78 110618-6

Arafa

Zakhem

Temeke

MC

Mbagala

Kuu

Kibondemaji

B

Clinic -

Dental

Clinic

Operatin

g

Private - For

Profit 73330 -6.91362 39.27055

79 111808-2 Aga Khan

Temeke

MC

Mbagala

Kuu

Kibondemaji

B Dispensary

Operatin

g

Private - For

Profit -6.91529 39.27254

80 100150-2

Arafa

Kichemche

m

Temeke

MC

Mbagala

Kuu

Kichemche

m Dispensary

Operatin

g FBO 73319 -6.913668 39.272028

81 100158-5

Arafa

Mbagala

kuu

Temeke

MC

Mbagala

Kuu

Mbagala

kuu Dispensary

Operatin

g FBO 73303 -6.89674 39.283081

82 104984-0

Mission

Mbagala

Temeke

MC

Mbagala

Kuu Kizuiani Dispensary

Operatin

g FBO 124660 -6.905065 39.271428

83 110647-5 St. Clara

Temeke


Operatin

g

Private -

NGOs 73351 -6.941353 39.246292

84 111530-2

Bakwata

Mianzini

Temeke

MC Mianzini Machinjioni Dispensary

Operatin

g

Private - For

Profit 73355 -6.93278 39.25713

85 110609-5 GE

Temeke

MC Mianzini

Kibondemaji

A Dispensary

Operatin

g

Private - For

Profit 73256 -6.916094 39.274208

86 105003-8

Atukuzwe

Juu

Temeke

MC Mianzini

Kimbangulil

e Dispensary

Operatin

g

Private - For

Profit -6.92112 39.27518

87 110694-7 Chegeka

Temeke


Operatin

g

Private - For

Profit -6.936747 39.245039

88 111429-7

Quality

Health

Temeke

MC Mianzini

Kibondemaji

A Dispensary

Operatin

g

Private - For

Profit -6.91535 39.27212

89 110897-6

Kilwa Road

Police

Temeke

MC Miburani

Keko

Machungw

a Hospital

Operatin

g

Public -

Police Public -6.85003 39.280578

90 110691-3 DUCE

Temeke

MC Miburani

Uwanja wa

Taifa Dispensary

Operatin

g

Public -

Parastatal Public -6.6851 39.27159

91 104791-9 Mgulani JKT

Temeke

MC Miburani

Uwanja wa

Taifa

Health

Centre

Operatin

g

Public -

Military Public -6.851856 39.278794

92 104792-7

Mgulani

TPDF

Temeke

MC Miburani Miburani Dispensary

Operatin

g

Public -

Military Public -6.860559 39.27769

93 105667-0 Mukikute

Temeke

MC Miburani Miburani

Clinic -

Other

Clinic

Operatin

g

Private -

NGOs -6.86112 39.26898

94 111628-4 Umati

Temeke

MC Miburani Wailes

Clinic -

Other

Clinic

Operatin

g

Private -

NGOs -6.86406 38.26955

95 107975-5

Tyma Keko

Machungw

a

Temeke

MC Miburani

Keko

Machungw

a Dispensary

Operatin

g

Private - For

Profit 73050 -6.842643 39.279308

96 101078-4 EMMA

Temeke

MC Miburani Miburani

Health

Centre

Operatin

g FBO 73309 -6.86452 39.26741

97 104855-2

MICO

Mtoni

Temeke

MC Mtoni Mtoni Dispensary

Operatin

g

Private -

NGOs 73260 -6.868397 39.275701

98 110592-3 Mandela

Temeke

MC Mtoni Sabasaba Dispensary

Operatin

g

Private - For

Profit 73028 -6.869036 39.281513

99 111623-5

B & B Zera

Eye Centre

Temeke

MC Mtoni Mtoni

Clinic - Eye

Clinic

Operatin

g

Private - For

Profit -6.86688 39.27486

100 102333-2

Kanisa la

Mungu

Tanzania

Temeke


Operatin

g FBO 73036 -6.867921 39.277386

101 110690-5 KKKT Mtoni

Temeke


Operatin

g FBO -6.874949 39.275267

102 110282-1

Mamboleo

Nurraifo

Temeke

MC Sandali Tindwa Dispensary

Operatin

g

Private -

NGOs 73321 -6.86236 39.25169

103 110630-1

Tyma

sandali

Temeke

MC Sandali Sandali Dispensary

Operatin

g

Private -

NGOs 73299 -6.856654 39.250487

104 107974-8 Tyma KEA

Temeke

MC Sandali Veterinary Dispensary

Operatin

g

Private - For

Profit 73297 -6.853649 39.252703

105 100168-4

Arafa

ugweno

Temeke

MC Tandika Tandika

Health

Centre

Operatin

g

Private -

NGOs 73289 -6.867199 39.259083

106 110699-6

Tyma

Bububu

Temeke

MC Tandika Tamla Dispensary

Operatin

g

Private -

NGOs 73010 -6.868252 39.255867

107 100057-9 St. Raphael

Temeke

MC Tandika Nyambwera

Health

Centre

Operatin

g

Private - For

Profit 73327 -6.866646 39.258316

108 102552-7

Khoja shia

inthnaasher

Temeke

MC Tandika Nyambwera Dispensary

Operatin

g

Private - For

Profit 73584 -6.863617 39.260143

109 111003-0 Salaaman

Temeke

MC Tandika Mabatini Dispensary

Operatin

g

Private - For

Profit 73367 -6.862727 39.257391

110 111422-2 Aga Khan

Temeke

MC Tandika Tandika Dispensary

Operatin

g

Private - For

Profit -6.868072 39.259839

111 111619-3

Tandika

Eye Centre

Temeke

MC Tandika Tandika

Clinic - Eye

Clinic

Operatin

g

Private - For

Profit -6.87019 39.25752

112 100169-2

Arafa

Upendo

Temeke

MC Temeke Temeke

Health

Centre

Operatin

g

Private -

NGOs 73300 -6.85673 39.2625

113 104346-2

Marie

Stopes

Temeke

Temeke

MC Temeke Temeke Dispensary

Operatin

g

Private -

NGOs 73293 -6.850386 39.261012

114 107972-2

Tyma

Forveda

Temeke

MC Temeke Njaro Dispensary

Operatin

g

Private - For

Profit 73254 -6.848974 39.258705

115 107824-5

Tiegsami

mission

Temeke

MC Temeke Maganga Dispensary

Operatin

g

Private - For

Profit -6.94579 39.22793

116 107327-9 SDA

Temeke

MC Temeke Njaro Dispensary

Operatin

g FBO 73053 -6.854226 39.263505

117 110703-6

St. Francis

Xavier

Temeke


Operatin

g FBO 73048 -6.853455 39.264307

118 108131-4 Upendano

Temeke


Operatin

g FBO 73055 -6.852531 39.264841

119 107980-5

Mtiro

Medical

Services

Temeke

MC

Toangom

a Toangoma Dispensary

Operatin

g

Private - For

Profit 733338 -6.942992 39.312232

120 107933-4

Tumaini

Mission

Temeke

MC

Toangom

a Kongowe

Health

Centre

Operatin

g FBO 73301 -6.952628 39.283053

121 110701-0

Kesheni

Mission

Temeke

MC

Toangom

a Mzinga Dispensary

Operatin

g FBO 73323 -6.944328 39.278147

122 110629-3 Alexia

Temeke

MC

Toangom

a Toangoma

Health

Centre

Operatin

g Private 73359 -6.94335 39.308997

123 110611-1

Taifo

Yombo

Vituka

Charitable

Temeke

MC

Yombo

Vituka

Yombo

vituka Dispensary

Operatin

g

Private -

NGOs 73312 -6.874311 39.225112

124 110278-9 Suna

Temeke

MC

Yombo

Vituka Machimbo

Health

Centre

Operatin

g

Private - For

Profit 73362 -6.8776 39.22826

125 107081-2

Arafa

Yombo

Relini

Temeke

MC

Yombo

Vituka

Yombo

vituka Dispensary

Operatin

g FBO 73250 -6.87034 39.230881

126 100155-1

Arafa

Machimbo

Temeke

MC

Yombo

Vituka

Yombo

vituka Dispensary

Operatin

g FBO -6.88117 39.2316

Summary of HF Distribution

FACILITY TYPE OWNERSHIP

TOTAL PUBLIC PARASTATAL FBO PRIVATE FOR PROFIT

HOSPITALS 2 1 0 2 5

HEALTH CENTRES 2 2 2 9 15

DISPENSARIES 20 3 7 65 95

CLINICS 0 1 1 9 11

TOTAL 24 7 10 85 126

Shown here under is the map for Temeke District with distribution of Public health facilities per Ward.

Mandate and functions

To maintain and facilitate the maintenance of peace, order and good governance within its area of jurisdiction.

To promote the social welfare and economic well being of all persons within its area of jurisdiction.

Subject to the national Policy and plans for rural and Urban development to further the Social and economic development of its

area of jurisdiction;

To take necessary measures to protect and enhance the environment in order to promote sustainable development;

To give effect to the meaningful decentralization in political, financial and administrative matters relating to the functions,

powers, responsibilities and services of all levels of local government authorities.

To promote and ensure democratic participation in, and control of decision making by people concerned.

Morbidity and mortality report for the past 2 years (2015 AND 2016)

TOP TEN CAUSES OF OPD DIAGNOSIS TEMEKE MUNICIPALITY 2015

< 5 YEARS 2015 5 & ABOVE YEARS 2015

NO DIAGNOSIS TOTAL % DIAGNOSIS TOTAL %

1 Acute Respiratory Infections 60,744 21 Malaria Uncomplicated 107,467 24

2 Malaria 60,291 21 Urinary Tract Infections (UTI) 94,237 21

3 Urinary Tract Infections (UTI) 48,110 16 Acute Respiratory Infections 81,630 19

4 Pneumonia 32,556 11 Hypertension 31,389 7

5 Diarrhoea 26,738 9 Intestinal Worms 23,973 5

6 Skin Infections 18,082 6 Diarrhoea 23,046 5

7 Intestinal Worms 15,858 5 Pneumonia 21,311 5

8 Anaemia 12,296 4 Skin Infections 20,960 5

9 Diarrhea with some dehydration 11,188 4 Anaemia 18,228 4

10 Ear Infection, Acute 7,951 3 Diabetes Mellitus 17,415 4

TOTAL 293814 100 TOTAL 439656 100

TOP TEN CAUSES OF IPD DIAGNOSIS TEMEKE MUNICIPALITY 2015



1 Pneumonia 1,015 22 Malaria Severe 3,160 25

2 Malaria Severe 990 22 Anaemia, Severe 1,769 14

3 Birth asphyxia 583 13 Diarrhea Acute 1,426 11

4 Diarrhea Acute 525 12 HIV and AIDS 1,223 10

5 Anaemia 443 10 Hypertension, Severe 1,106 9

6 Neonatal Septicaemia 421 9 Fractures 1,016 8

7 Urinary Tract Infections (UTI) 273 6 Diabetes Mellitus 721 6

8 Moderate Malnutrition 103 2 Urinary Tract Infections (UTI) 707 6

9 Burns 100 2 Pneumonia 690 6

10 Acute Respiratory Infections 98 2 Tuberculosis 664 5

TOTAL 4551 100 TOTAL 12482 100

TEMEKE MUNICIPAL COUNCIL TOP MORTALITY CAUSES 2015



1 Neonatal Asphyxia 133 29 HIV and AIDS 264 29

2 Pneumonia 80 17 Malaria 239 27

3 Malaria 63 14 Hypertensive Stroke 133 15

4 Neonatal Septicaemia 58 13 Pneumonia 53 6

5 Anaemia 43 9 Tuberculosis 50 6

6 Diarrhoea 37 8 Septicaemia 43 5

7 LBW or Prematurity 18 4 Diabetes 35 4

8 Meningitis 11 2 Heart failure 31 3

9 Burn 10 2 Maternal Deaths 25 3

10 HIV and AIDS 9 2 Anaemia 23 3

TOTAL 462 100 TOTAL 896 100

TEMEKE MUNICIPAL COUNCIL TOP DISEASES 2016 OPD



1 ACUTE RESPIRATORY INFECTIONS

75,312 22 URINARY TRACT INFECTIONS

110,861 23

2 URINARY TRACT INFECTIONS (UTI)

56,416 16

ACUTE RESPIRATORY

INFECTIONS

100,444 20

3 SKIN DISEASES

55,837 16 MALARIA

71,965 15

4 DIARRHOEA DISEASES

38,913 11 SKIN DISEASES

59,302 12

5 MALARIA

38,191 11 HYPERTENSION

34,397 7

6 PNEUMONIAS 10 DIARHOEA DISEASES 6

32,709 31,007

7 INTESTINAL WORMS

15,666 5 PNEUMONIAS

22,663 5

8 ANAEMIAS

12,412 4 ANAEMIAS

22,610 5

9 INJURIES

8,743 3 INTESTINAL WORMS

22,048 4

10 EYE CONDITIONS

8,737 3 DIABETES MELLITUS

17,205 3

TOTALS

342,936 100 TOTALS

492,502 100

TEMEKE MUNICIPAL COUNCIL TOP DISEASES 2016 CAUSES OF INPATIENTS



1 SEVERE COMPLICATED MALARIA

1,450 23

SEVERE COMPLICATED

MALARIA

2,608 29

2 SEVERE PNEUMONIAS

1,243 20 SEVERE ANAEMIAS

1,254 14

3 BIRTH ASPHYXIA

1,119 18 INJURIES

977 11

4 NEONATAL SEPSIS

797 13 HIV AND AIDS

955 11

5 DIARRHOEA DISEASES

487 8 HYPERTENSION, SEVERE

702 8

6 URINARY TRACT INFECTIONS (UTI)

269 4 DIABETES

651 7

7 ACUTE RESPIRATORY INFECTIONS

251 4 URINARY TRACT INFECTIONS

573 6

8 MODERATE MALNUTRITION

228 4 DIARRHOEA DISEASES

467 5

9 INJURIES

189 3 SEVERE PNEUMONIAS

433 5

10 MENINGITIS

144 2

ACUTE RESPIRATORY

INFECTIONS

404 4

TOTALS

6,177 100 TOTALS

9,024 100

TEMEKE MUNICIPAL COUNCIL TOP DISEASES 2016 CAUSES OF MORTALITY



1 NEONATAL ASPHYXIA

110 33 HIV AND AIDS 340 52

2 PNEUMONIA

98 29 HYPERTENSIVE STROKE

91 14

3 MALARIA

41 12 SEPTICAEMIA

43 7

4 NEONATAL SEPTICAEMIA

34 10 SEVERE MALARIA

42 6

5 MENINGITIS

15 4 DIABETES

34 5

6 HIV AND AIDS

13 4 MATERNAL DEATHS

29 4

7 DIARRHOEA

11 3 HEART FAILURE

21 3

8 SEPTICAEMIA

9 3 SEVERE PNEUMONIA

19 3

9

LBW OR PREMATURITY

COMPLICATION

5 1 TUBERCULOSIS

16 2

10 BURNS

2 1 SEVERE ANAEMIA

15 2

338 100 650 100

Tables above shows ten top diseases which caused morbidity for outpatient and inpatient departments but also it shows mortalities for

two years consecutively 2015 and 2017

Social economic indicators

NO TYPE OF INDICATOR TEMEKE MC NATIONAL

1 Population 1,629,043 55,000,000

2 Population growth rate 4.6 1.83

3 Infant Mortality Rate 4/1000 99/1000

4 Total Fertility 6.50% 4.90%

5 Birth Rate 40/1000 37.7/1000

6 Life Expectancy Rate M 49, F 50 45.6

7 Maternal Mortality Rate 90/100,000 529/100,000

8 Per Capital Income USD 488 USD 478

Main challenges;

During the implementation period Temeke Health Delivery System experienced some challenges as follows;

Maternal health condition was alarming due to fact that there was an increase of Maternal mortality ratio from 64/100,000 in

2015 to 90/100,000 (2016).

Bureaucracy in tendering and procurement procedures affects implementation of planned activities timely.

Inadequate budget to run Regional referral Hospital (Temeke) and Mbagala Rangitatu. The two hospitals are over congested

and the infrastructures are inadequate to accommodate them.

Frequent out of stock from the medical store department (MSD) also contributes to unavailability of medicines, medical

equipments and supplies in our facilities.

Lack of emergency unit and Intensive Care Unit (ICU) at Temeke Regional Referral Hospital, but now it is under construction

1.3.1. Climatic conditions.

Temeke district lies on the tropical coastal belt of Tanzania. It experiences high temperatures throughout the year ranging from 23 0c

degree (in May to August) to 35 0c (in September to April). The Municipality experiences heavy rains in the month of March – June.

During this season the community do experience outbreaks of waterborne and malaria disease.

1.3.2. Administration

Temeke Municipality has 2 divisions namely Chang’ombe and Mbagala which are further subdivided into 23 wards and 122 sub-wards

(mitaa). Health facility distributions in the Municipality have observed the administration boundaries to ensure that each

ward has at least one health facility.18 wards have a public health facilities while 6 do not have a public own facility but served by

private health facility. However some of the wards have more than one facility due to high population density. Densely populated

wards like Tandika and Kurasini are not served by any government facility, but being in the urban setting they are served by good

number of private facilities. Plans are underway to construct a dispensary at Tandika ward in the near future.

1.3.3. Transport and communication

Most part of the district is semi urban with rapid urbanisation in all wards. All areas are accessible by roads which are either tarmac or

all gravel roads. Popular communications services among others is the personal mobile phones and in some parts mostly urban areas

they are served by Internet services. Improved transportation and communication services has enhanced accessibility to all the

facilities and strengthened referral services.

1.3.4. Electric supply.

Currently, Temeke Municipality is experiencing rapid urbanisation with high demand of electric power. The ongoing power distribution

has covered all 23 wards. The improved power distribution coverage has enabled many health facilities to provide health services 24

hourly throughout the year.

1.3.5 Water supply:-

Water supply coverage in the Municipality has increased appreciably with more deep wells which are widely distributed, covering all

23 wards and their respective Mitaa. The Municipality is currently discouraging construction of shallow wells, and promoting proper

toilet empting with the use of Gulpers emptier whose tanks are small and easily carried in highly density populations areas. Nevertheless

Temeke residents are still getting water supply from City Water Mains though the supply is not constant. Water availability has greatly

influenced the reduction of waterborne related diseases like diarrhoea, cholera and dysenteries. Moreover the available wells are

treated by chlorine.

1.3.6 Social - Economic Activities:

Most people in the urban of the Municipality are mainly engaged in business, petty trading and industrial labourers. Due to its large size

many people from different parts of the city and country side have moved to the Municipality, hence new and heavy constructions of

infrastructure are taking place rapidly. Improved social and economic services have also enhanced the livelihood of the people of

Temeke hence enabling them to contribute towards improving health delivery system through cost sharing.

1.3.7 Education:-Schools distribution in Temeke Municipal Council

The Municipality has 126 primary schools of which 83 are public and 43 are private owned. There are 49 pre-primary schools are private

owned while the rest are public owned which are included in 83 primary schools). There are 61 secondary schools (26 are public and

35 are private owned). In view of the fact that health status and wellbeing of an individual depend largely on the level of

understanding or education of the respective society, this entails that the marked increase of education institutions is a fundamental

and core factor to health promotion and improved live hood of the people of Temeke. The more people are educated the more

responsible they will in taking care of their own health.

1.3.8 Population profile

Temeke Municipality has a population of 1,629,043 whereas 794,100 are males and 834,943 being females with a growth rate of at 4.6%

annually.

Table. 1. Population profile as per 2012 census

NO WARD MALE FEMALE TOTAL

1 AZIMIO 69,835 73,919 143,754

2 BUZA 13,857 14,780 28,637

3 CHAMAZI 9,358 10,199 19,557

4 CHANG'OMBE 21,914 23,814 45,727

5 CHARAMBE 20,589 22,068 42,656

6 KILUNGULE 18,421 20,810 39,231

7 KEKO 39,208 36,492 75,701

8 KIBURUGWA 33,879 35,048 68,927

9 KIJICHI 35,151 37,037 72,188

10 KILAKALA 39,864 40,480 80,345

11 KURASINI 38,984 42,127 81,111

12 MAKANGARAWE 34,293 36,565 70,859

13 MBAGALA 46,895 49,349 96,243

14 MBAGALA KUU 44,580 47,245 91,826

15 MIANZINI 31,838 33,663 65,501

16 KIBONDEMAJI 22,462 26,315 48,777

17 MIBURANI 47,270 49,577 96,847

18 MTONI 55,837 56,829 112,665

19 SANDALI 45,392 46,304 91,696

20 TANDIKA 48,258 50,399 98,657

21 TEMEKE 31,970 33,506 65,476

22 TUANGOMA 15,064 17,044 32,108

23 YOMBO VITUKA 29,182 31,371 60,553

TOTAL 794,100 834,943 1,629,043

Source: NBS, 2012;

Population distribution has shown that there is rapid urbanisation amongst many wards in the Municipality that it has

necessitated the Government to subdivide the 32 wards to 2 Municipalities such as ;Temeke MC consist of 23 wards while 9

wards located to the new Kigamboni MC (2016). Azimio, Tandika, Miburani, Mbagala and Keko are most densely populated

wards. This population distribution pattern facilitates smooth and logical distribution of health facilities while observing

population density and boundary divisions.

Community and other stakeholders’ involvement

The new Municipal Council Health Board and Health Facility Governing Committees (HFGC) were inaugurated in November, 2014 and

will be in place for next 3 years. This is an important community organ that bridges the voice of the users to the health facility providers

in safeguarding the interest of the consumers and the service providers.

Responsibly the committees are the overall foreseer of all the services that are offered in their respective facilities. Among other

responsibilities are to ensure proper use of the facility resources both material and finance and participation in planning and evaluation

of implementation of the planned activities.

Partners in health service in the district.

There are several partners collaborating with the Municipality in rendering quality health care at various levels of health service

provision; a few to mention are included; PSI, UNICEF, PATHFINDER, MDM, CCBRT, MDH, and Muhimbili UCHS for others refer to table 8.

Review of the implementation of the last year’s plan:

Achievements.

Based on national package of essential health interventions and performance monitoring indicators for year 2015 (HMIS), among

others good performance was attained in the following areas;

19% of all cases attended in OPD were Malaria

Vaccination coverage for all antigens was attained at an average above 93%,

23 (100%) health facilities have functional health boards and health committees,

There is a dramatically reduction of TB case fatality rate from 9% to 7.5%

Construction of Kijichi Health centre is in final stage

Construction of Charambe dispensary at is in a final stage

Supervision coverage for both public and private health facilities was attained at 75%,

Health partner’s support in the Health service Delivery of system for Temeke Municipality includes;

1. Support from MDH comprised of Hospital supplies, furniture, reagents and renovation of health facilities.

2. Support from CCBRT on mentoring of health staff mainly in Obstetrics area.

3. Tanzania Breweries Ltd supported construction of deep well at Roundtable Health centre.

4. Malaria case management supported by Malaria Care and PSI

5. Pathfinder International supported training of health workers the use and insertion of Long term(mini lap)family planning

methods

Main challenges;

Some of the challenges that were experienced by the Temeke Health Delivery System during the implementation period are as follows;

While appreciating the approved number of human resource for health as per request for 2015/16 there is still high work load

Bureaucracy in procurement and tendering procedures are among the contributing factor to low performance of

implementation of the planned activities.

Frequent stock out of medicine, equipments and radiological supplies from MSD

Rangitatu and Temeke referral and regional hospital are still experiencing marked congestion of patients in most of the service

areas.

Way forward for the new plan 2016/2017

To continue recruitment of health staff of all cadres to cope with the existing and expected workload.

To abide to approved allocation of funds for medicine equipment and supplies to cover the MSD gap.

To continue negotiate with

To purchase one Suzuki motor vehicle for surveillance activities of measles and AFP.

To install electronic data collection system at Round table and Yombo Vituka Health centre as well as Mbagala Kizuiani

Dispensary.

To continue allocating funds for the construction of the proposed upgrading of the Yombo Vituka Health centre.

To expand Rangitatu Hospital by construction of one storey building.

Construction of a mortuary building at Temeke Regional and Referral Hospital.

To carry out major rehabilitation of the Temeke Regional and Referral Hospital theaters.

To construct an emergency unit for Temeke Regional and Referral Hospital.

To purchase an ambulance for Rangitatu Hospital and 10 vehicle for 10 dispensaries.

To purchase medical equipment and supplies for the Charambe Dispensary and Kijichi Health Centre.

Current CCHP 2017/2018

The purpose of the Comprehensive Council Health Plan

The new plan has engaged major interventions as addressed by the 13 health priority areas which are linked with the Temeke

Municipal Council main objectives as predetermined in its strategic plan for the year 2016/2022.

1. Continuing recruitment of new staff and improving retention of health personnel.

2. Strengthening measures to decongest Temeke and Rangitatu hospitals.

3. Quality of health services to reduce burden of diseases (mortality and morbidity) improved.

Interventions are planned to address the national health objectives which are linked with the council’s strategic objective plan and set

targets. However in this year’s plan the Ministry of Health and Social Welfare has been included in the BRN programme which is

planned to last from 2015 to 2018 with 4 major components with specific set targets.

1. Maternal Newborn and Child Health (MNCH)

2. Health Commodities

3. Human Resources Distribution

4. Performance Management – Health facilities and Health Care Workers

Objectives;

A. Improve services and reduce new HIV/AIDS infection.

B. Enhance, sustain and effective implementation of the National Anti-corruption Strategy

C. Improve access, quality and equitable social service delivery.

D. Quality of social services and infrastructure improved.

E. Good governance and administrative services at all level enhanced

F. Improve social welfare, gender, and community improvement

G. Improve Emergency and Disaster management

Targets;

Shortage of Medicines, Medical supplies and diagnostic supplies in Public Health

Facilities reduced from 40% to 20% by 2021

Maternal Mortality ratio reduced from 90 to 60/100,000 population by 2021

Underfive mortality rate reduced from 2 to 1/1,000 population by 2021

Neonatal mortality rate reduced from 11 to 6/1,000 population by 2021

Perinatal Mortality rate reduced from 7 to 4/1,000 population by 2021

HIV prevalence reduced from 5.1% to 4% by 2021

Malaria prevalence rate reduced from 2.3% to 1% by 2021

TB case fatality rate reduced from 7.5% to 4% by 2021

Mental Health Cases incidence rate reduced from 1.5% to 1 by 2021

Capacity in managing injuries increased from 70% to 80% by 2021

Case fatality rate due to CVD reduced from 7% to 5% by 2021

Management capacity of diabetic cases strengthened from 50% to 75% by 2021

Case fatality rate due to Anaemia reduced from 2% to 1% by 2021

Acute and Chronic respiratory disease prevalance rate reduced from 26.5% to 19%

by 2021

Eye diseases prevalence rate reduced from 3.6% to 2% by 2021

Prevalence rate of Helminthiasis reduced from 5.8% to 3% by 2021

Capacity in managing oral cases increased from 70% 80% by 2021

Capacity in managing environmental health, sanitation and hygiene at HFs

increased from 50% to 75% by 2021

Capacity in managing environmental health, sanitation and hygiene at community

increased from 50% to 75% by 2021

Access to social welfare, health, training and education services to most vunerable

groups improved from 60% to 75% by 2021

Shortage of qualified and skilled human resources for health reduced from 31% to

20% by 2021

Organization structure and institutional management improved from 55% to 75% by

2021

Skills in managing emergency cases at all levels improved from 50% to 70% by 2021

Community awareness on health and social welfare issues increased from 40% to

55% by 2021

Patients with complications associated with Traditional and Alternative medicine

healing practice reduced from 25% to 12% by 2021

Availability of health facilities physical infrastructure increased from 67% to 83% by

2021

Priority health activities are incorporated in the plan in an integrated approach and funding from all sources are well indicated to

enhance easy performance.

Planning Techniques and logistical support.

Through a bottom – up approach, identification of problems and priority setting were realised through Evaluations and Preplanning

meetings at all levels which were ultimately concluded in a common pre-planning meeting.

During the Planning phase community needs were realised through community representatives at ward level, Health board and health

facility governing committees, invited health partners i.e. MDH, PSI, MdM, Pathfinder, Sikika, NHIF, CCBRT etc.

Supportive sources of information for decision making included;

National health policies.

Analysed HMIS & HRHIS data.

Research findings from various studies in Municipality.

Reports of Supervisions and Evaluations of health services.

Reports from NGO’s and Private Facility owner meeting.

BRN Guideline document.

The figure 3.1 below indicates various sources of funds that will be used to implement the planned activities;

temeke municipal council health department … · temeke municipal council health department...

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