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Tanzania Rural Health Movement Annual Report 2016 Final

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Published by markohingi, 2017-05-08 10:14:30

Tanzania Rural Health Movement Annual Report 2016 Final

Tanzania Rural Health Movement Annual Report 2016 Final

Tanzania Rural Health Movement Annual Report 2016.

A LETTER FROM EXECUTIVE DIRECTOR

Dear Friends,

Thank you for making 2016 yet another remarkable year for Tanzania Rural Health Movement
(TRHM). This year marked a second anniversary of service for the organization. Our dedicated
staff and volunteers have done an incredible job at expanding our outreach while strengthening
our programs and services.

In 2016, we have initiated and developed a new project called Rock City Market targeting to
reduce incidence of occupational injuries among street youth/children through providing
stitching/tailoring training. In addition, TRHM, in collaboration with local/international partners,
such as fire fighters, police traffic, and Motortaxi Drivers together with Trek Medics
International has increased access of free pre hospital care to the communities within Mwanza
city and went further beyond to save obstetric emergencies. Our volunteers also have attended a
good number of street children with an average of ten street children per outreach and the project
has advanced to the level of mobile wound care project targeting to bring wound care services
closer to the clients. Lastly, in research, we maintained our routine practice of conducting studies
aiming at increase knowledge and understanding of various public health challenges, but also we
have involved in local/international scientific conference to disseminate research findings and
creating new networks and collaboration with other organization across the globe.

Over the last year, TRHM has continued to work with local/international volunteers where we
have hosted volunteers from USA, UK, Kenya and German also we have attracted similar
minded organization such as MakeSafe International, First Aid Africa, Bethke Medical
Consulting and Restore: Mission to join our initiatives of providing health services to Mwanza-
Tanzania.

In 2016, we managed to attract international acclaim thanks to video news releases and articles
features on CNN‟s Vital Signs with Dr.Sanjay Gupta, BBC News and DW Radio with Ross
Velton. We look to 2017 as a successful year, in which we will stay determined, enthusiastic,
motivated and innovative with the goal to make a big difference across the country.

Thank you for taking your precious time to read and celebrate with us our annual achievements.

Asante

Marko Hingi, MD
Founder/Executive Director-Tanzania Rural Health Movement

Contact Details Contact Person
Tanzania Rural Health Movement (TRHM) Marko Hingi, MD
P.o.Box 1464, Bugando, Founder/Executive Director
Mwanza Mob: +255 783 090 370
Mob: +255 685 147 348 [email protected]
Fax: +255 736 605 134
[email protected]
www.tanzaniaruralhealth.info

Registration
Tanzania Rural Health Movement is registered as community based organization at Misungwi
District council with registration number 3084.

Bank Details:

KCB (Tanzania) LTD
Mwanza Branch, P.O.BOX 130, Nyanza Building, Ground floor Kenyatta Road Mwanza

Beneficiary Details: Tanzania Rural Health Movement.
3301080766
Customer's Name
Customer's account number

SWIFT CODE KCBLTZTZ

ORGANIZATIONAL GOVERNANCE

Tanzania Rural Health Movement Administrative staff

Name : Marko Hingi, MD : Ms.Fatma Yusuph,BPA

Position : Executive Director/Founder : Finance and Administrative Assistant

Name : Hyasinta Jaka, MD, MMED : Nyambura Moremi, MD, MMED

Position : Program Director : Partnership Development Director

Tanzania Rural Health Movement Board of Directors

Name : Hussein Janowalla, Pharm.D. : Ulumbi Ezra, B Pharm
: Board Member
Position : Board Chairman
Name : Marco Fihavango
Position : Board Member

TRHM VOLUNTEERS

In 2015/2016 TRHM has worked with 68 volunteers from different academic backgrounds. Their
professional skills, diversity of outlook and experience together with the innovations they
brought were responsible for improving organizational performance.

Edward Mbagala Happyness Charles Kapilya Haruni Masanja S Kitwanga
Edward A Sarungi Raymond Gasembe
Emmanuel Singo Nyagibura C Mhochi
Kelvin Rodrick Rahel John
Petro Benard Nicodemu Ndaro Salila H Mohammed Abdul Mzakiru
Emmanuel Ginyiman Pudensiana A Assy
Wilson J Bange Benjamin Yao Philomen A Kato
Simon Joseph Annastazia A Hamaro
Roberth Ngendabhanka Kaitlin Vick Neema A Mayagila Keja Muruke
John J Ngonyani
Winifrida Christopher William Ahrenholz Frank G Kajiru Anitha M Swai
Irene J Kawiche Nyagibura Mohochi
Lewys M Peter Daniel J Muhushi Abdallah H Hamduni
David Riwa Jonathan Blackman
Jack Lyness Deus J Nzella Raina K Syliacus Winifrida Sebastian
Mwamini Mbage Gidion Stephano
Samuel Li Gesonko P Nyasuguta Mathei T Kauki Yusuph Mlekwa
Hassan Nasibu Yonathan Moris
Kelvin E Chubwa Emmanuel E Nkunda
Robert Subira
Iman Milton Abraham Simkoko Bosco Japhet
Julius Charles
Charles Fidelis Msemakweli G Dr.Penn Sama

Peter Kahigi Msemakweli

Naishiye Lemwana Paschal A Hyera

Fatuma Juma Hussein A Bandari

Faith James Omary M Daimu

Diana Mgaya Bulandi Mulolwa

Benard Massawe Irun D Luchius

VISION, MISSION, and VALUES

Vision
To provide a model health service by continually learning and providing extraordinary services
in all its endeavors.

Mission
Excellence in the provision of health services in the communities of Tanzania.

Values
 Mutual Respect: We treat others the way we want to be treated
 Accountability: We accept responsibility for our actions, attitudes, and mistakes
 Trust: We act with integrity and can count on each other
 Excellence: We do our best at all times and look for ways to improve

Tanzania Rural Health Movement founded by Dr. Marko Hingi and Dr.Husain Janoowalla,
was formerly known as Bugando Health Movement for three years from its inception in 2011.
Tanzania Rural Health Movement works under a broad objective of spreading health information
to rural communities with the aim of promoting good heath through health services, health
researches and environmental conservation in relation to health.

Tanzania Rural Health Movement relies on five goals:

 Raising awareness of health and promoting health services in the communities.
 Develop projects and programs for dealing with various public health challenges
 Sharing opinions and ideas of the community on various methods of health promotion in

the communities.
 Collaboration with other partners in the health promotion of public health and medical

services.
 Explaining the importance of environmental conservation in maintain good health in the

community.

Tanzania Rural Health Movement 2014-2017 year strategic plan focuses on the following areas:

 Increase organizational exposure and popularity
 Create and maintain high quality partnerships and collaborate with other organizations
 Develop potential and innovative projects/research
 Create strong fundraising strategies
 Maintain low administrative expenses
 Improve monitoring and evaluation of TRHM projects
 Enhance our skill set and ensure continued professional development on the TRHM

committee

PROJECT ACTIVITIES

Title: Wound Care Project

Name(s):
Lead Partner/Funders: Bisou Bailey Foundation (Ca, USA)

Catholic University of Health and Allied Sciences-Bugando (Mz, Tz)
Bethke Medical Consulting (Lubeck, Germany)
Tanzania Rural Health Movement (Mz, Tz)

Wound Care Project for street January-March 2016 One of the children had a large size
children was developed two years wound at the top of the left foot
ago and was launched in March In January 2016 we managed to and he sustained it after being
2015 by Professor Stephen Mshana increase another point for wound involved in road traffic accident.
and Dr.Nyambura Moremi. Wound care clinic at Kirumba after The wound was infected and
Care Project for street children securing more grant from Bisou sample for culture and sensitivity
targets to provide free wound Bailey Foundation. In both two were taken sent to University
nursing care, treatment and points we were receiving an Multipurpose laboratory where
education to street children who average of ten street children from multidrug resistant Achromobacter
has acquired injuries mostly due to each point and children had animicus was isolated.
road traffic accidents followed by wounds from various aetiologies
falls/cuts. including road traffic accident etc
and most of them were not able to
access tetanus toxoid vaccine after
injuries.

In February 2016 Tanzania Rural
Health Movement was involved in
giving back to the community
outreach hosted by Hubert Kairuki
Memorial University Alumni at
Kirumba ground. Wound Care
Project team provided free wound
care and education to communities
visited our tent but also we had
media coverage from Jembe fm
and local blogs.

March-June 2016

Tanzania Rural Health Movement in about nutrition, screening for non Our Executive Director presented
collaboration with Catholic communicable diseases, about “High Prevalence of
University of Health and Allied medication etc. Wounds among Street Children in
Sciences-Global Health Club, Reach Mwanza City, Tanzania: The
and Support All, Church of Christ Also March our team attended first Understudied Group” .Dr.Marko
and District Medical Officer at International Global Health Hingi concluded his presentation
Misungwi conducted Rural Health Conference at Dodoma-Tanzania. by calling upon government
Camp 2016. In Rural Health Tanzania Rural Health Movement authorities to consider providing
Camp2016 three villages within was supported with Catholic free healthcare for street children
Misungwi district were recruited in University of Health and Allied together with conduction further
the program. Within three days Sciences to send three delegates to studies on microbiological pattern
Nguge village, Mwasagela village attend and share research findings of their wounds as far as sensitivity
and Isakamawe village were provided at the conference. and resistant of antibiotics is
with free services such as wound care concerned.
services for 27 people and over 300
people were counseled

June-September 2016

After providing free lunch and
wound care services to street
children in two points across
Mwanza city. In June we
introduced wound care services to
the third point and we did regular
wound care to street children after
they took bath in Victoria Lake.
We attended ill street child with
wounds and those with parasitic
infections together with some skin
conditions.

“In one of the outreaches at MSD
ground we did rapid

schistosomiasis test where we
found 19/25 street children infected

with urinary schistosomiasis”.

In one of the outreaches at MSD
ground we did rapid
schistosomiasis test where we
found 19 street children infected
with urinary schistosomiasis.
Thanks to Dr.Luke Smart who
donated rapid kits for testing
schistosomiasis.

We got into contact with
Mission:Restore and signed MoU
targeting to increase health care
access in Mwanza, Tanzania by
sharing resources.

September-December 2016

Vincent Bethke, Executive Director from Bethke Medical Consulting based in Lubeck, Germany visited us. He
support wound care project activities by attending street children with wounds but also taking care cut wounds of
street children along the road. Vincent donated new supplies and equipments for wound care project.

After working closely with Microbiology and Immunology Department at Catholic University of Health and
Allied Sciences-Bugando, wound care project was officially incorporated in community projects of the
Department.

Lastly our volunteer Bernard
Massawe presented a study from
Wound Care Project entitled “High
Variability of Staphylococcus
Aureus Strains Causing Wound
Infection among Street Children
Dwelling in Mwanza City Streets
in Tanzania” at CUHAS/BMC
Scientific conference and he won a
best presenter award.

With support from Vincent Bethke street children were provided lunch with fish after donating US $ 100.00
where about 50 street children changed their routine meal of rice and beans into rice and fried fish.

Wound Care Project for Street Children Team

Name & Gender : Charles Fidelis M : Nyambura Mohochi F : Mwamini Mbange F
: Project Treasurer : Project Logistics Coordinator
Position : Project Coordinator : Nursing Student : Nursing Student

Occupation : Nursing Student

Title: Huduma ya Kwanza Kwa Jamii Project

Name(s)
Leading Partners/Funders: Trek Medics International (NY, USA)

Tanzania Rural Health Movement (MZ, TZ)

January-March 2016

Huduma ya kwanza kwa Jamii Project or Beacon Project is the project focusing to provide free pre hospital care
with available resources within the communities which cannot access 911 system and it mobilize available resources
such as community first responders and vehicle by using SMS medical dispatch software “Beacon” also it facilitate
communication among first responders.

After launching the project at end of
November 2015 with ground support
from Scott Campbell, a paramedic from
UK together with technical and financial
support from Trek Medics International
(New York, USA) and medical supplies
from Msua Pharmacy (Mwanza
Tanzania), Tanzania Rural Health
Movement and Fire and Rescue Force
continued to save injured patients from
Road Traffic Accident, fall etc around the
city.

Our community trainers John Ngonyani, Rahel John, Neema
Mayagila and David Riwa trained more community first responders
at the Mwanza Police Force and we recruited 24 police traffics and
were equipped with medical supplies from Msua Pharmacy.

With supp. ort of Crispian Abbott from South Africa who travelled
to Mwanza for filming our program resulted into gaining first
International acclaim through CNN under “Vital Signs” program by
Sanjay Gupta. Exposure from CNN was of potential value where
some of the organization/individuals built interest to work with us
and Bethke Medical Consulting (Lubeck, Germany) was first
company to support our activities in Mwanza and Vincent Bethke
founding Executive Director of Bethke Medical Consulting planned
to visit and work with us closely.

April-June 2016
We hosted volunteers from Kenya and UK where Evans Lucas, a paramedic from Mombasa
visited us and stayed with us for about a week and concentrated on training our community first
responders but also staff from Emergency Department at Bugando Medical Centre.
Samuel, Jack and Jacob, medical students from Cardiff University were hosted by TRHM to
complete their community elective rotation and they were responsible for supporting our
trending programs together with daily activities at the office.

In April 2016, TRHM Director
travelled to Cape Town, South Africa

to meet with Jason Friesen, Trek
Medics Director but also to attend
and present our program in Mwanza
Tanzania at International Conference

of Emergency Medicine.

Also we hosted a staff from Trek Medics
International Michael Mcgee apart from supporting
us with daily activities he worked extraordinary to
ensure toll free number114 for Emergencies at Fire
and Rescue Force-Mwanza came back into
operation through Vodacom map and it has
increased coverage of our services in the city.

Lastly we got another potential opportunity from
Ross Velton, an International journalist who visited
us and filmed Huduma ya Kwanza kwa Jamii
Project and we did simulation with fire fighters to
increase publicity.

July-September 2016

Tanzania Rural Health Movement was represented at In September we received donated equipment and
GSMA conference in Dar Es salaam aiming at supplies from German after potential support from
Vincent Bethke of assembling and sending the parcel to
increasing publicity of the project but also looking
for network and partnership opportunities with Mwanza-Tanzania.
telecoms companies.
In July our first responders bodaboda drivers were
Marko Hingi traveled to Moshi-Tanzania to meet provided with mobile phones to facilitate
with Executive Director of First Aid Africa targeting
communication during pre hospital care services and
to learn and establish collaboration with them the handling over was featured in ITV news

October-December This project involves Bugando Medical
Centre where we used to bring our patients
Vincent Bethke visited us in Mwanza and he
trained Emergency Department staffs, for definitive care and in November we
donated two pedal manual sanction machine
Bodaboda and Fire Fighters. His training was at Gynecology and Obstetrics Department as
focused on equipment us such as special
splinting, vaccum splinting etc also we part of our support to patients during
inwards emergencies.
started to work on awareness programs where
by next year 2017 we will publish 20 posters

to be distributed across Mwanza city.

For about four months Fire Engine (Transporting Vehicle) was broken and interfered our daily
rescue activities instead bodaboda Drivers tried to carry patients on their motorcycle but with
support from Trek Medics International Fire Engine was repaired and got back into operation.

TRHM volunteers and staff attended and presented at 8th CUHAS/BMC scientific conference.
Tanzania Rural Health Movement, Bethke Medical Consulting and Trek Medics International
shared their joint project activities at the conference.

In November and December our project stories were release in BBC News and DW radio after a
wonderful and good work of Ross Velton who visited us in June.

Title: Mkombozi Tailors Project/Rock City Market

Name(s)
Leading Partners/Funders: Bisou Bailey Foundation (Ca,USA)

Tanzania Rural Health Movement (MZ, TZ)

January-March 2016 March-June 2016
Mkombozi Tailors Project is the preventive project Mkombozi Tailors Project was launched in 1st March 2016
aiming at reducing occupational injuries among street with four machines, four students and one instructor with
children through provision of free sewing/stitching funding from Bisou Bailey Foundation the workshop was
training among street children and recruiting them in supplied with materials/equipments, machines, chairs and
the tailors workshop equipped with sewing machine tables.
where they will be working to earn income to cover
their basic need ie shelter, food and clothes. After three months of training three girls completed their
training successful and one girl was given one more month
After funding from Bisou Bailey Foundation, to capture but unfortunately she was failed second round.
Mkombozi Tailors Project team headed by Dr. Masanja
Songa started to recruit girls into the workshop. Eliza, June-September 2016
Kashinje, Easter and Bhoke were recruited for first In June, Mkombozi Tailors Project released first products
phase of training. This group was trained to be trainers and was marketed through social medias such as Facebook,
of the street youth who will be interested with Instagram etc. We got feedback and recommendation from
vocational training like designing and stitching of customers and our tailors improved as days goes.
hands from local canvas eg Vitenge.
Mkombozi Tailors Project team did exhibition in various
gathering across the city and promoted the products together
with making sales.

September-December 2016
Mkombozi Tailors Project got a deal from Catholic University of Health and Allied Sciences-Bugando where they
ordered 500 shopping bags for conference delegates during 8th BMC/CUHAS Scientific Conference. Apart from
supplying shopping bags we were granted an opportunity for presentation as conference sponsor.

In December 2016, Mkombozi Tailors Project changed the marketing name to Rock City Market and construction of
online shop is under process.

Title: Open Access for All (OA4A) Project

Name(s)
Leading Partners/Funders: International Network Availability of Scientific Publication

United Nations Educational, Scientific and Cultural Organization
Tanzania Rural Health Movement (MZ, TZ)
Catholic University of Health and Allied Sciences-Bugando

Background: This project seeks to increase awareness and understanding of Open Access in rural areas through
delivering Open Access e-resources training among medical students and rural health workers.

Objectives
 To raise awareness and educate the rural health workers about access of e-resources.
 To enhance e-resources seeking behavior among health workers for promoting good health practices.
 To promote libraries initiative to provide hosting services for open access journals.
 To recruit medical students through cultivating cultures of Open access by sharing experiences and best
practices in the development and implementation of Open Access Policies within the institution.
 To explore the benefits of Open Access, Open Source and Open Standards to medical students and rural health
workers

Methods
 Use of all forms of media including print, electronic, social media and text to spread the projects campaign and
activities.
 Hold workshops to sensitize the rural health communities/medical students and generate more ambassadors for
the Open Access campaign.
 Conduct research on health workers/medical students‟ attitude and perceptions on Open Access.

Expected Impact
 Increased awareness on the impact of Open Access campaign in medical practices.
 To improve medical studies and practices through free access of Open Access, Open Source and Open
Standard.

Since 2014, Tanzania Rural Health Movement conducted OA workshop during Open Access week to advocate on the
annual theme of Open Access week. In 2016 we were featured in INASP magazine and our title was entitled “Health
workers in Tanzania benefit from open-access research thanks to INASP grant”

In the article our volunteer Irun Dee Luchius quoted as follows “Better access to online research helps with
understanding different issues, such as safer sex, contraceptives and screening for diseases. It improves women’s
health status, reduces unplanned pregnancies and thus improves health in rural communities in general”

Title: Tuzungumze Project

Name(s)
Leading Partners/Funders: International Youth Alliance for Family Planning

Tanzania Rural Health Movement

Tuzungumze Project deals with provision of online friendly family planning, Sexual and
Reproductive health education and counseling to University students through online platform in
local language.

This project was launched in March 2016. Ten online counselors underwent five day training and
were responsible for responding clients through our chat box in the website. Project outcomes
less than expected due to difficult of accessing University students during awareness programs
but also website break down regularly.

RESEARCH AND PUBLICATION ACTIVITIES

In 2015/2016 we went further, hosting medical students to conduct their research studies
fulfilling criteria required for their medical degrees. TRHM volunteers worked extremely hard to
ensure their studies were completed and research findings were disseminated appropriately but
also we were invited to present at local and international scientific conferences.

HIGH PREVALENCE OF WOUNDS AMONG STREET CHILDREN IN MWANZA
CITY, TANZANIA: THE UNDERSTUDIED GROUP

Marko Hingi1, 2, John Mtomo1, 2, Nyambura Moremi*1, Hyasinta Jaka1, 2, Stephen E. Mshana1
1. Weill Bugando School of Medicine, Catholic University of Health and Allied Sciences
P.o.Box 1464, Mwanza, Tanzania
2. Tanzania Rural Health Movement. P.o.Box 1464,Mwanza,Tanzania

*Correspondence :[email protected]

Background: Rapid growth of towns in low- and middle-income countries goes hand in hand
with the increasing number of street children. Knowing the general health problems and needs of
these children is crucial in helping them to live a better life. Therefore, this study was conducted
to have baseline health status data of street children in Mwanza.

Methodology: Between April and July 2015, 226 children were enrolled in a study via the
Wound Care Project after meeting the inclusion criteria. Their demographic data, anthropometric
measurements, physical examinations and other factors related to their street life were
summarized in a data collection tool. Children were examined to confirm the presence of
wounds. Data were analyzed using STATA version 11(STATA Corp LP, USA).

Results: Male sex was predominant by 97.8% (221/226). The mean age was 14.1± 3.8 years.
Majority 47.8% (108/226) of children were found to be „of‟ the street children who spent all their
time in streets. Based on BMI, 49.6% (112/226) were underweight. The rate of drug abuse was
32.3% (73/226); out of 73 who reported to use drugs; 49.3% (36/73) used marijuana. Of the 226
children, 109 (48.2%) had wounds with 88% (96/109) of them being traumatic type. The most
common mechanism of injury was accidents 57.8% (63/109) followed by cut 20.2% (22/109). Of
the 109 children with wounds, only 11 (10.1%) reported to receive Tetanus Toxoid vaccination.

Conclusion: There is a need for government authorities to consider providing free healthcare for
street children. Further studies on microbiological pattern of their wounds, other common health
conditions such as upper respiratory tract conditions and sexually transmitted infections should
be carried for better understanding their health needs.

PREVALENCE AND ASSOCIATED FACTORS OF OVERWEIGHT AND OBESITY
AMONG HIGH SCHOOL ADOLESCENTS IN NORTHWEST COMMUNITIES OF
TANZANIA

Marko Hingi1, and Hyasinta Jaka*1, 2

1Tanzania Rural Health movement, Mwanza Tanzania, Po Box 1464, Mwanza, Tanzania
2Department of Internal Medicine, Bugando Medical Centre, Po Box 1370, Mwanza, Tanzania

*Corresponding Author Hyasinta Jaka [email protected]

ABSTRACT

Background: The increasing existence of overweight and obesity especially among adolescents
is alarming and becomes a serious public health challenge. It is currently estimated that as much
as 20-50% of urban populations in Africa are classified as either overweight or obese and that by
2025, 75% of the obese population worldwide will be in developing countries.

Objective: To assess the prevalence and associated factors of overweight and obesity among
high school adolescent in Northwest communities of Tanzania.

Methodology: A single centric epidemiological study was conducted among 381 high school
adolescents selected randomly in Nyamagana District,Mwanza City in 2014.Overweight and
obesity were assessed using height and weight of each student in the class. The interview done to
students for the socio demographic history and adolescent‟s life style information as well as
pattern of dietary intake were enquired.

Result: The overall prevalence of overweight and obesity was 14.2% and 2.6% respectively. The
prevalence of overweight (13.4%) and obesity (2.6%) in adolescents residing in boarding school
was higher than (0.8% overweight, 0% obese) those residing out of school campus. The meal
frequency, meat, vegetables, fruits consumption was statistically significant with the p value of
P<0.05.

Conclusion: The present study attempts to highlight adolescent‟s overweight/obesity as an
emerging health problem which need to be confirmed by large scale studies and effective
preventive strategies should be developed to halt this epidemic at its beginning.

TEXT MESSAGE-BASED MEDICAL DISPATCH FOR ACCIDENTS OCCURING IN
URBAN MWANZA COMMUNITY IN NORTHWESTERN-TANZANIA

Marko Hingi*1, Jason Friesen2, John Ngonyani1,3, Alfred Chibwae1,3, David Riwa1,3, Rachel
John1,3, Neema Mayagila1,3, Scott Campbell2, Michael McGee2, Hyasinta Jaka1,3, Nyambura
Moremi1,3, Benjamin Gilmour2.

1. Tanzania Rural Health Movement, P.O.Box 1464, Mwanza, Tanzania.
2. Trek Medics International, 193 Bleeker 14th Street, New York, NY 10012 USA.
3. Catholic University of Health allied Sciences-Bugando, P.o.Box 1464, Mwanza,

Tanzania.

*Corresponding author: [email protected]

Background: Despite the increase of road traffic accident (RTA) injuries that claim significant
lives of people in low and middle income (LMIC), there is no reliable pre-hospital emergency
care in Tanzania. This survey was conducted to study the use of text messages as an emergency
medical dispatch system.

Methods: In December 2015, a text message (SMS)-based emergency medical dispatch system
known as BEACON software was deployed in Mwanza as a pilot region in Tanzania, The system
receives a notification SMS from any person in urban Mwanza who happens to be at an accident
scene. It then alerts trained responders located nearby to quickly move to the accident scene,
provide an emergency first aid care to the injured and then transport the injured to local
hospitals.

Results: from December 2015 to August 2016, a total of 104 trained volunteers responded to
112 incidents. An average of seven minutes was used by the responders to arrive at the accident
scene following an initial alert.

Conclusion: Minimal human, physical and financial resources can be used in LMIC like
Tanzania to dispatch RTA victims who need an urgent emergency care and enable them to get
treatment within the golden hour. SMS-dispatching can be a cost-effective model of pre-hospital
care system in all locations with mobile phones coverage in Tanzania.

HIGH VARIABILITY OF STAPHYLOCOCCUS AUREUS STRAINS CAUSING
WOUND INFECTION AMONG STREET CHILDREN DWELLING IN MWANZA CITY
STREETS IN TANZANIA.

Nyambura Moremi*1, Marko Hingi1, Heike Claus2, Ulrich Vogel2, Stephen E Mshana1.

1. Department of Microbiology and Immunology, Catholic University of Allied
Sciences, Bugando, Mwanza, Tanzania.

2. Institute of Hygiene and Microbiology, University of Wuerzburg, Germany.
*Corresponding author: [email protected]

Background: The epidemiology of community-associated methicillin-resistance

Staphylococcus aureus (CA-MRSA) has shown to vary not only geographically but also in

different population groups. Street children were investigated for S. aureus colonization and

pathogens causing wound infections to establish baseline epidemiological information in

Mwanza community.

Methods: Nasal and wound swabs were collected and processed to identify S. aureus carriage
and pathogens causing wound infections respectively following standard operating procedures. A
polymerase chain reaction was used to screen for Panton Valentine leucocidin (PVL) and
mecAgenes of 29 selected Staphylococcus aureus isolates followed by spa typing.

Results: A total of 228 street children with a mean age of 14.09 +3.8 years were enrolled
between April and July, 2015. Out of 228 street children, 109(47.8%, 95% CI 38.2-56.9) had
wounds of which, 54(49.5%) had a significant growth of pathogenic bacteria. S. aureus formed
the majority 39/54 (72.2%) of isolates. Other bacteria isolated were Streptococcus pyogenes (7),
klebsiella spp. (4), Escherichia coli (2) Acinetobacter baumannii (1). Achromobacter animicus
(1). (Nineteen 70%) spa types were observed in 27 S.aureus from wounds that were typed. Spa
type t690 (3) and t1346 (3) were the most frequent. Out of 39 Staphylococcus aureus, 3(7.6%)
were MRSA. All MRSA strains were typed as spa type t690. Two Staphylococcus aureus
isolates including in all MRSA isolates. Of 228 children, 27 (11.8%) were colonized with
Staphylococcus aureus of which only 2 had both colonization and infection.

PREVALENCE OF OVERWEIGHT AND OBESITY AMONG HIGH SCHOOL
ADOLESCENTS IN URBAN COMMUNITIES OF MWANZA CITY-NORTH WEST
TANZANIA,

Marko Hingi3, Shaban Iddi*1, Mariam M Mirambo2, Hyasinta Jaka3.
1. Department of physiology, Catholic University of Health and Allied sciences. PO. Box
1464, Mwanza.
2. Department of Microbiology/ Catholic University of Health and Allied Sciences. PO. Box
1464, Mwanza-Tanzania.
3. Department of Internal Medicine, Catholic University of Health and Allied Sciences, PO
Box 1464, Mwanza-Tanzania.
*Corresponding author: [email protected]

Background: The increasing existence of overweight and obesity, especially among
adolescents, is alarming and is becoming a serious public health challenge as it predicts diabetes
and cardiovascular diseases. Data on the prevalence and associated factors of overweight and
obesity are needed for primary prevention. The study aimed at determining the prevalence and
associated factors of overweight and obesity among high school adolescents in urban
communities of Mwanza City.

Methods: An institution-based study was conducted among 381 high school adolescents aged
16-19 years selected randomly in Nyamagana District-Mwanza City from September 2014 to
October 2014. Overweight and obesity were assessed using height and weight of each participant
in the selected schools. Obesity was defined as a body mass index (BMI) >30kg/m2 and
overweight as BMI >25kg/m2. A pre-tested questionnaire was used to collect socio-demographic
and life style information of the participants.

Results: Of the 381 participants, 85.3% were females and 81.6% were residing in boarding
schools. The overall prevalence of overweight and obesity was 14.2% and 2.6% respectively.
The prevalence of overweight (13.4%) and obesity (2.6%) in adolescents residing in boarding
schools was higher than those (0.8% overweight, 0% obese) of day students. Compared to males,
females were more likely to be obese (3.2% vs 0%) or overweight (17.0% vs 0.32%). The meals
frequency; meat, vegetables, fruits consumption; getting out for food; and less time of watching
television and using computer were the main factors significantly associated (P<0.05) with
overweight and obesity.

Conclusion: The present study attempts to highlight adolescents‟ overweight/obesity as an
emerging health problem, which needs to be confirmed by larger scale studies. Effective
preventive strategies should be developed to halt this epidemic at its beginning.

WHAT NEXT 2017

2017 is another year, in which we will take the opportunity to go further. We will continue to
work hard and focus on expanding our current projects, advancing our organizational activities,
management and looking for more partners.

This year we are looking to expand Huduma ya Kwanza Kwa Jamii Project in other regions
beyond Mwanza city to ensure than anyone who needs pre hospital care can access it with a
trained first responder in less than 10 minutes across Mwanza city despite reliability of transport
vehicle.

Mobile Wound Care Project will be another ingredient in the wound care project for street
children where every street child with wound will be able to access care anywhere within the city
by informing us through +255 685 147 348

In addition, we are looking to develop Mwanza Community Wound Care Project where different
clients who need wound care and management can contact us under payment scheme aiming to
bring closer wound care services to the patients with wounds, but also to ensure proper wound
care to reduce incidence of infection due to poor injure care and to care for street children.

We will continue to work and maintain our mission, vision and goals to benefit communities in
Mwanza and Tanzanians at large.

FINANCIAL STATEMENTS

A.STATEMENT OF COMPREHENSIVE INCOME
___________________________________________________________________

Income 31.12.2016 31.12.2015
Revenue Grant Tzs Tzs
Other Income
Total Income 70,249,353 44,665,663
3,760,000 -
Expenditure
Health Services Expenses 74,009,353 44,665,633
Research & Publication
Administrative Expenses 45,997,600 19,298,500
Depreciation - -
Financial Costs
Total Expenditure 14,131,700 4,844,500
1,606,542 698,313
Surplus/ (Deficit) for the year 79,668 16,610

61,805,510 24,857,923

12,203,843 19,807,711

B.STATEMENT OF FINANCIAL POSITION 31.12.2015 31.03.2015
Tzs Tzs
Assets
Non-current assets 4,804,396 3,920,938
Property, plant and equipment 13,621,680 1,821,680
Investment in Tula Farming Co LTD 18,426,076 5,742,618
Total non-current assets
Current assets 700,000 -
Staff loan 19,196,048 19,198,163
Cash at Bank
Cash in hand 1,322,500 2,000,000
Total current assets 21,218,548 21,198,163
Total Assets 39,644,624 6,633,070

Equity and Liabilities 9,108,420 9,108,420
Equity 29,536,204 17,332,361
Capital Fund 38,644,624 26,440,781
Retained Earning
Total Equity - -
- -
Liabilities 1,000,000 500,000
Non-Current liabilities
Long term loans 39,644,624 26,940,781
Current liabilities
Provision for Audit Fee

Total equity and liabilities

C.STATEMENT OF CASHFLOWS 31.12.2016 31.12.2015
Tzs Tzs
Cash flows from operating activities
Surplus/(deficit) for the year 12,203,843 19,807,711
Adjustment
(Gain)/Loss on Sales of PPE 13,810,385 20,506,023
Net cash operations before working capital changes
Changes in working capital - -
(Increase)/decrease in inventories (700,000) 234,000
(Increase)/decrease in trade and other receivables 500,000
Increase/(decrease) in trade and other payables 500,000 734,000
Net change in working capital (200,000) 21,240,023
Net cash flow from operating activities 13,610,385

Cash flows from investing activities (2,490,000) (2,360,000)
(11,800,000) -
Purchase of property, plant and equipment
Investment in Tula Farming Co LTD (14,290,000) (2,360,000)

Net cash flows from investing activities - -
- -
Cash flows from financing activities - -
Long term loan (679,615) 18,880,023
Capital funds
Net cash flow from financing activities 21,198,163 2,318,140
Net (decrease)/increase in cash and cash 20,518,548 21,198,163
equivalents
Cash and cash equivalents at 1 January 2016
Cash and cash equivalents as at 31 December 2016

DONORS AND PARTNERS

We are very happy to express our deepest thanks to our donors and partners. Your financial and
technical support helped us in our mission and assisted those in our community. With your kind,
faithful financial contributions over last year you‟ve demonstrated your deep commitment to our

work in Mwanza.

We look forward to a continuing partnership with you.

 Andrea Solnes Miltenburg Professor Paschalis Rugarabamu
Susie Bailey Cephas Hingi Family
Matt Bailey Family Halifa Hussein Hida Dr. Helena Chapman
Eng. Helmut Hummel Professor Stephen Mshana Dr. Dorcas Naa Dedei Aryeetey
Dr.Luke Smart Pascal Hyera Marco Fihavango
Benjamin Gilmour Benedicto Mihayo Tulanukila Mwigune
Elias Nyanza Scott Campbell Eng.Tungaraza Mkelewe
Andrew Mbate Mohamed Likwata Duke Onyango
Crispian Abbott Evans Lucas Dr. Mariam Mirambo
Eliphace Mkumbo Vitus Silago Dr.Ziad Abdul
Michael Mcgee Dr.Sara Matuja Jack Lyness
Ross Velton Ulumbi Ezra Dr, Benson Kidenya
Vincent Bethke Dr. Dominica Morona
Leticia Urquiza Froix Samuel Li Jason Friesen
Professor Martha Goedert David McGee
Lewys Peters Evans Lucas Marcus Aust
Kate McAuliff
Gene Pause

Boniface Kwiyeya

Matt Bailey

A Little Help Foundation MakeSafe International
Be Forward Japan Msua Pharmacy

Bethke Medical Company Mwanza City Council Authority
Bisou Bailey Foundation Mwanza Motorcycle Association
Bugando Medical Centre Open Access Competition 2014/2015
Catholic University of Health and Allied Queens Young Leaders Award 2016

Sciences-Bugando Tanzania Police Force
Fire and Rescue Force Tanzania Rural Health Movement Volunteers
International Network Availability of Scientific
Tula Farming Company
Publication Trek Medics International
International Youth Alliance for Family University of Cambridge
United Nations Educational, Scientific and
Planning Cultural Organization (UNESCO)
Kenya Commercial Bank 21st Century Health Care

Bongo Live
Mission:Restore

FEATURED MEDIAS

Thank You


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