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«Inhoud From the chair The start of SVSH 2011. first steps were made 2012. the real ‘kick-of’ of our foundation The hospital and its environment ...»

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Annual Report 2012

Stichting Vrienden Sengerema Hospital Annual report 2012


From the chair

The start of SVSH

2011…. first steps were made

2012…. the real ‘kick-of’ of our foundation

The hospital and its environment


Collecting used materials

First projects

Dental chair

Projects to improve hospital hygiene and infection prevention

HIV tests

Alcohol dispensers

Sanitation project

Other projects

Primary School “Sint Willibrordus”

Financial overview 2012

Balance sheet

Income and expenditure

Income of money coming from donors

Spending of donor money

Income for SDDH through different routes affecting SVSH:

Overview of running costs and expenses of SVSH

Income coming from donations from the members of the board

Running costs and expenses

Future perspectives


Cycle for future


Stichting Vrienden Sengerema Hospital Annual report 2012 From the chair This is the first annual report of the Foundation of the Friends of Sengerema Hospital (‘Stichting Vrienden Sengerema Hospital´; SVSH). SVSH was founded by ten medical doctors who all did a clinical rotation of three months in the Sengerema Designated District Hospital in Tanzania just before their graduation: Anne van der Pluijm, Femke Boot, Joep Sins, Karlijn van Halem, Kees van Ettekoven, Laura Duineveld, Niek Versteegde, Pim de Ruijter, Renske van den Elzen, and myself. Afterwards, we all felt the need to help the hospital and the people of Sengerema. On August 18, 2011, we officially founded SVSH with the objective to support and further develop the Sengerema hospital.

We took our time to deliberate on which way we could help Sengerema hospital most without harming or interfering with local and Tanzanian interests. In our opinion the Tanzanian government and the people of Sengerema are ultimately responsible for the continuation of the hospital by financing basic medication and running costs such as doctors’ and nurses’ salaries. In our opinion, by interfering in this process, we could disrupt local society and its sense of responsibility.

We strongly believe that the best way to support the hospital is by setting up projects that structurally benefit the hospital. Furthermore, in our view the projects should be supported by the local hospital staff, the financing of projects should be transparent, and 100% of the money from our sponsors should be spent in the hospital as effective as possible. Lastly, in our relationship with Sengerema hospital we aim for equivalence, hence we decided to write this annual report in English, so that our Tanzanian colleagues in Sengerema will be able to read it.

I would like to conclude by thanking all sponsors and volunteers for helping us supporting the Sengerema hospital, Ahsante Sana!

Maik Grundeken Chairman Stichting Vrienden Sengerema Hospital

–  –  –

The start of SVSH 2011…. first steps were made On Tuesday April 26th 2011, a first meeting was held with some ex-interns of Sengerema Designated District Hospital. They all felt the need to give something in return for the wonderful time they had spent in the hospital, where they have learned a great deal about Medicine and taking care of patients during their final stage of their education, and where they have experienced the warmth and hospitality of the people of Sengerema. After this first meeting, more meetings followed and after some deliberations, they decided that the best way to help Sengerema Hospital was by starting a foundation. This foundation could support the hospital by raising money and setting up small projects that should structurally improve the medical care in Sengerema Hospital. They agreed that the foundation should not structurally support running costs such as salaries and basic medical needs such as gloves and basic medication, as they believed that this should be the responsibility of the Tanzanian government.

After this consensus was reached, the following milestones were achieved:

On August 18, 2011, the foundation ‘Stichting Vrienden Sengerema Hospital’ (SVSH;

Foundation of the Friends of Sengerema Hospital) was officially founded. Five exinterns of the Sengerema Hospital were appointed to become members of the board:

Maik Grundeken (chairman), Niek Versteegde (treasurer), Laura Duineveld (secretary), Anne van der Pluijm (member) and Femke Boot (member). The charter of foundation was drawn up costless by the ‘Pinkse Philips Huberts’ office of notary in Oss.

On August 24, 2011, SVSH was registered in the commercial register of the ‘Kamer • van Koophandel’ (KvK; chamber of commerce) with KvK number 53.392.841.

In August 2011, the Foundation’s website, www.stichtingvsh.nl, was launched. Ex interns Pim de Ruijter and Joep Sins helped Anne van der Pluijm to build and maintain this website. The website will help to inform our sponsors and keep them up to date about our running projects.

Thanks to Femke Boot’s friend Jan-Hein van Dulm we obtained a beautifully designed • logo (see front page).

2012…. the real ‘kick-of’ of our foundation

In the beginning of 2012 another important milestone was achieved:

• On January 13th 2012, a bank account was opened at the RaboBank, bank account number 1679.07.220.

With the opening of a bank account, we were finally able to start recruiting sponsors for our projects. It felt like we could finally start helping Sengerema Hospital!

Stichting Vrienden Sengerema Hospital Annual report 2012 The hospital and its environment The hospital was founded in 1959 by the Brothers of Mercy of Saint John of God (‘Sint Joannes de Deo’) and the Sisters of Charity of Saint Charles Borromeo (‘Sint Carolus Borromeus’) from the Netherlands on request of Bishop Blomjous, Bishop of Mwanza. In 1976 Sengerema District was formed and the Hospital became Designated District Hospital.

In 1986 the Diocese of Geita was formed comprising Geita and Sengerema Districts and the ownership went to the Diocese of Geita.

View at the main entrance of the Sengerema Designated District Hospital

Sengerema District has approximately 600.000 inhabitants. Its size is 8,817 km2 out of which 3,335 km2 is dry land. The District has 5 divisions and 123 villages. People from different tribes are living with each other in harmony. Main economic activities are agriculture, livestock keeping, fishing, timber work and government and non-government employment.

There are 8 health centres and 52 dispensaries (first line health units). One health centre and 7 dispensaries are faith based health facilities while the others are government owned.

Two health colleges are attached to the hospital. The Sengerema School of Nursing awarding a diploma in Nursing and Midwifery and Sengerema Clinical Officers Training College (COTC) awarding a diploma in clinical medicine. The hospital is the practice area for the students while hospital staff is involved in teaching in COTC. Doctors from COTC take part in patient care while teaching students in the wards. There have been medical students from the Radboud University (Nijmegen, The Netherlands) doing an elective internship of 3 months in the hospital for more than 40 years. From 2009 onwards, medical students from the University of Amsterdam (Amsterdam, The Netherlands) also started to do the same rotation.

Stichting Vrienden Sengerema Hospital Annual report 2012 The hospital has inpatient and outpatient departments. Hospital’s actual bed state is 301 beds. However, the approved bed state is only 175. A request to the Ministry of health to increase the number of approved beds has been forwarded. This would also mean that the number of approved staff would increase.

The hospital has a waiting home for pregnant women with 40 beds and a relatives hostel.

Outreach and supervisory activities of first line health units are also carried out by the hospital. An ambulance service aiming at pregnant women in distress and trauma victims was established. The hospital serves as a referral center for first line health units in the district and refers patients to Bugando Medical Centre for specialist care not available in the hospital or for investigations like histopathology and advanced radiography. One or two emergency transfers are performed every week by hospital car.

Projects Collecting used materials One of our first defined goals was to collect redundant, though useful medical equipment of sufficient quality, and ship this to Sengerema. With a very special thanks to the Pius XII foundation, founded in 1959 by the congregation of the Sisters of Saint Charles Borromeo and by the congregation of the Brothers of Saint John of God, who help us by sponsoring the transportation of the equipment to Sengerema by sea container. Pius XII was founded specifically to start the Sengerema mission hospital. After the hospital was conveyed to the Diocese and after the Brothers of Saint John of God had left Sengerema, Pius XII stayed involved by raising money to help Sengerema hospital by financing projects, such as the recent replacement of the asbestos roofing. We are very grateful for their help and hope to continue our collaboration in helping the Sengerema hospital.

We also would like to thank everyone for providing us with their useful goods: a nurse (Roosje Olsthoorn) who collected scissors and forcepses for Femke Boot, for instance. We would like to acknowledge Pim de Ruijter with a special citation because he seems to collect complete hospital stocks including surgical coats, 50 endotracheal tubes, 100 CPR masks for adults, 50 CPR masks for children, inflation balloons, 4 neck braces, 2 scales to weigh the prematurely born babies, a wheelchair, 2 children beds, laboratory materials (pipettes and tubes), and so on! A complete list of all materials sent in 2012 can be found as appendix.

–  –  –

Pim de Ruijter together with his father during one of his many trips to transport useful material to the sea container for Sengerema.

First projects Dental chair Karlijn van Halem, also an ex-intern of the hospital and involved in the foundation from the early beginning, launched the plan to replace the old dental chair of the hospital. As described in the 5-yearly strategic plan of Sengerema Hospital, the dental chair was old and in need for replacement. With help of the network of her father Hans van Halem, being a dentist himself, they managed to find a brand new dental chair for Sengerema hospital. With a special thanks to Ronald Bonte from Dental Partners Rotterdam BV (suppliers of dental equipment), who delivered the chair for free. With this new chair, we were able to support all the good work done by Dr. Kamukara, dentist of Sengerema hospital. Besides basic dental care in the hospital, Dr Kamukara provides the Sengerema community with education at primary schools and screening for dental problems in small villages while on outreach.

Karlijn van Halem delivering the new hospital chair to be transported in the sea container (left). And after a long journey overseas, the new dental chair arrived in the Sengerema hospital (right).

–  –  –

Projects to improve hospital hygiene and infection prevention In addition to the above mentioned projects, we contemplated by what means we could help the hospital in its development in a structural and effective way. We came up with the idea to help the hospital by improving hospital hygiene and to focus on infection prevention.

Within these themes, clear goals were defined: 1) providing the hospital with hand alcohol dispensers on every ward; 2) sanitizing every ward by constructing water works by local craftsmen; and 3) funding of HIV tests.

HIV tests Due to reimbursement problems HIV tests were temporarily unavailable. Since there is a well-organised infrastructure in Sengerema hospital regarding counselling and treatment of HIV-positive patients which cannot be used effectively if patients cannot be tested, we decided to spend maximum half of the total amount of money raised so far on HIV test until a more structural solution for the HIV tests shortage was found. The priority here was testing pregnant women, in order to prevent vertical transmission to the unborn child. Numerous volunteers came up with ideas to raise extra money for this specific purpose. One of those persons is Stas Zylicz, who did a clinical rotation in Sengerema 8 years ago. After he heard about the existence of our foundation, he offered his help by raising money for HIV tests by doing a cross-triathlon (a triathlon with the biking track on tough powdery beach). His heroic efforts were rewarded by 875 euro sponsoring for HIV tests. Stas, many thanks and we hope you will stay involved with SVSH in the future.

Stas in training for his cross-triathlon which he finished with success.

–  –  –

This success gave ‘our’ Anne van der Pluijm the idea to also raise money for HIV tests. She decided to run a marathon! After months of training she completed the marathon in 3 hours and 57 minutes. With this performance, she raised 2,000 euro for buying HIV tests.

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