Given the situation at Zazibar Mnazi Mmoja Hospital (Tanzania) assessed during the mission carried out from May 28 to June 5, 2011, we consider it a priority to improve the quality of care by training the paramedic staff on minimum aseptic requirements at this institution.

When it comes to resources, it is necessary to acquire an electrocardiograph machine for the proper diagnosis of cardiac pathologies. This tool would be used in at least six wings, which serve about 100-150 patients.

It is essential that each mission provide a sufficient amount of graph paper to supply the electrocardiograph machine.

Likewise, and given the cost of drug therapy for patients involved in the Tanzanian public health system, one of the priorities must be to appropriately fund an adequate supply of intravenous antibiotic treatment in particular, as well as second and third level analgesics.

In the future, it would be useful to consider the purchase of reagents as well as train laboratory personnel to perform ion measurements, which are currently at outrageous prices for the purchasing power of the Zanzibar inhabitants.

An educational program to enrich such supplemental training could be developed given the presence of a medical school and if internal medicine specialists take a regular part in missions.

The coordinator for this project is:


Dr. Francisco José Tarazona Santabalbina