KILINDI VISIT REPORT TO DISTRICT MEDICAL
OFFICER TO INTRODUCE TUSHIKAMANE PROJECT AT TUNGULI AND MSAMVU
VILLAGES ON 18TH DEC 2015
Our journey to Kilindi district medical office and district council was
very successful.
We started our journey at 6:00 am and arrived at Kilindi at 10:00am,
we had few minutes to pick village leaders from Tunguli.
We were warmly welcomed by Kilindi district medical officer and other
three member of hospital management team (these were district hospital
secretary, district coordinator of maternal and child health and one medical
doctor).
The team that went to Kilindi district is as follows
1. Rev.Canon Isaac Mgego
2. Rev.Dr.Alex Gongwe
3. Wilbard Mrase
4. Tunguli ward executive officer
5. Tunguli Village executive
officer
6. Chairman
Msamvu village
7. Chairman
Tunguli village
8. Ernest Bayona (Hospital driver)
We started by introducing the project and explained the detail of the
project including all four phases and all 14 meetings in the project. The
district team was very attentive during introducing and discussion of the
Tushikamane project.
The concept of the project was highly appreciated by the district team
also district acknowledged that maternal and infant mortality are still major
problems in Kilindi district. The district medical officer agreed with us that using community
mobilization can easily reduce maternal and infant mortality, he
also says that the deaths that are reported are only from health facility and
death that occur in the community are never reported.
Despite appreciating the planned interventions of the project they had
four questions, below are questions asked:
1. How long will this project take in the
community?
We answered that the life span of the project is
unknown or has only when there are no maternal and neonatal problems existing
in Tunguli and Msamvu.
2. What improvements (health services
improvement) are going do at Tunguli health centre especially basic and
comprehensive emergency obstetric care? As part of this question of one
district team member said it is very easy to sensitize people but if people go
to health centre and find no quality maternal and children health services they
will disappointed by our project.
This question was answered by hospital director by saying the
plan for constructing theatre at Tunguli health centre is there by involving
different stakeholders including district team themselves and our friends from
UK.
As part of improving health services at Tunguli health centre the
hospital director asked the district medical officer to employ required number
of staff in order to move concurrently with other interventions, the district
medical officer agreed with this request and they are
now in a process of preparing and signing service agreement .
3. What are the role(s) of women’s group?
We told them that the role of women’s group in sensitize and stimulate
others women of child bearing age to identify their own problems and plan
solutions together under guidance of facilitators.
We also gave them a copy of Tushikamane manual for clear understanding
of the project.
4. What is referral system under the
project?
The hospital director told them that the plan is to have motorcycle
ambulance before establishment of Theatre at Tunguli health centre
We had budgeted to pay an allowance of TSH 80,000 (£27) each to
the 12 district management team, to secure attendance and buy-in of the
project. We have decided not to incur such cost because four members of the
team are now aware the project and they can clearly explain to their colleagues.
We told them that no donors are supporting Tushikamane project, thus why
activities of the project are more volunteering and this will enhance issue of
sustainability.
After discussion with district hospital team we went to district
executive director and we were led by district medical officer.
The district executive director was very positive to the project and
insisted the Tushikamane project leaders together with village development
officer to collaborate and think for income generating activities for women’s
group as part making group together without going beyond Tushikamane
plans and finally wished us all best in our project .
What is next after Kilindi Trip?
The week beginning 21st Dec 2015 we
will establish baseline survey guideline, and after full discussion and modification, we will then perform the baseline survey between 28th Dec2015 and 4th Jan 2016.
Wilbard Mrase
Tushikamane Project Director
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