"DEEPER EVANGELIZATION - IS OUR END"
UINJILISHAJI WA KINA - MUSTAKABALI WA JIMBO LETU
Development, Health & EducationHealth Care
The Vision of the Archdiocese of Arusha is “To undertake all efforts to contribute towards a better health status of the people in the Archdiocese by improving the quality of the health services and by making them more easily accessible, acceptable and affordable”.
The Mission of the Archdiocese of Arusha is “To fulfill the call of Christ in the healing ministry by improving and maintaining the health status for all, especially for those most in need”.
The Catholic Archdiocese of Arusha is constant in its vision and mission to undertake all efforts to contribute towards a better health status of the people in the Archdiocese by improving the quality of the health services and by making them more easily accessible, acceptable and affordable.
The provision of health services is a priority for the Archdiocese of Arusha because Tanzania is one of the world’s poorest countries. Many Tanzanians suffer from preventable and curable illness or disease. Life expectancy remains low at 51 years. Over 60% of the 40 million population live in poverty and survive on half a euro a day. 6.5% of people aged15-49 are infected with HIV/AIDS. This places Tanzania as the 12th most HIV and AIDS affected countries in the world.
In Tanzania, even though 94% of women attend Antenatal Clinics, only 47% deliver in health facilities. Many women receive no post-natal check up after the birth. Although generally preventable, the percentage woman dying during pregnancy is one of highest in the world at 10%. Out of every 1,000 live births, 144 newborn babies and 68 children under the age of one die.
Since its creation in 1983 the Health Department of the Archdiocese has worked to deliver the vision and mission, planning, delivering and monitoring health services especially in the most remote unaccessible areas.
The role and function of the health department staff is becoming increasingly complex and demanding due to evolving national and local health policies, the human resource crisis and the decrease in donor support.
The Archdiocese faces the daily challenge of sustainability of the health facilities especially those in remote centres which serve communities in greatest poverty.
It is essential that the Archdiocese of Arusha, which has the majority of Health facilities in the country, can continue to fulfill the call of Christ in its healing ministry. Fulfillment of this ministry can only be achieved with the support of a centralized health department empowered to negotiate sustainability for the health facilities.
The Catholic Diocese of Arusha was established on March 1, 1963 with Bishop Dennis Vincent Durning as the first Bishop of the newly established Diocese of Arusha.
The Diocese of Arusha was promoted as The Metropolitan Archdiocese of Arusha on March 16,1999. Archbishop Josaphat Louis Lebulu was inaugurated at this time and has presided over the Archdiocese of Arusha since that date.
In 1963 Bishop Durning was chairperson of the Tanzanian Episcopal Council (TEC) Medical Department. Bishop Durning had the vision to create a Diocesan health department through which all Diocesan health services and projects would be planned, monitored and evaluated.
Today the Health Department of the Archdiocese of Arusha has responsibility for:
The Archdiocese also has a comprehensive program of primary, secondary and tertiary prevention and treatment for those infected or affected by HIV/AIDS.
The flying medical services working with the Archdiocese provide weekly outreach clinics, bringing essential health services to the most remote and inaccessible communities in the Archdiocese.
In the beginning the salaries and administrative costs of the Health Department were met through an annual contribution from the Health Facilities. This proved unreliable and placed a financial burden on the Health Facilities especially the lower health facilities (health centres and dispensaries) which struggled to maintain service provision for individuals and communities in remote areas of extreme poverty.
In Tanzania the Church lower health facilities do not receive any Government income or basket fund allocation. The main source of income is from cost sharing between the patient and the facility.
Many patients served by the Archdiocese of Arusha lower facilities are so poor they cannot afford to pay the cost sharing. Because of this the health facilities struggle to pay staff salaries or buy essential drugs. In recognition of the financial struggle to maintain services and to prevent these facilities from closure, the annual contribution to the Health Department was suspended and alternative sources funding was looked for.
Since January 2006 the running costs of the Health Department has been supported by an external donor CORDAID as part of a Pay for Performance (P4P) Pilot Project. The aim of the P4P Pilot project was to improve the quality and access to health care through a pay for performance based on five health indicators. An evaluation of the project in 2009 confirmed that the overall aim of the project had been achieved.
In October 2010 Cordaid took a decision to phase out the Pay for Performance (P4P) project in Tanzania. The impact of this decision is that the P4P budget for the health facilities and running costs of the Health Department came to an end on the 30th June 2011.
The Archdiocese of Arusha is situated in the Northern part of Tanzania covering a distance of 67,340 square kilometres.
The Archdiocese falls within the Arusha and Manyara Regions. Arusha region has 6 districts - Arusha Municipal, Arumeru East, Arumeru West, Monduli, Longido and Ngorongoro. Manyara region has 2 districts - Kiteto and Simajiro.
Health Services in the Archdiocese are planned and delivered based on the Mission and Vision set out above, with emphasis on quality, affordability and accessibility.
GOVERNANCE AND ACCOUNTABILITY:
The Health Department is the Executive and Co-coordinating body for all Health Services in the Archdiocese.
Governance and Accountability for all Health Services is provided through the Archdiocesan Health Board chaired by His Grace The Archbishop.
Each Archdiocesan Hospital has a Hospital Governing Board which is chaired by the Archbishop or a designated deputy. The Hospital Board meets quarterly and report to the Archdiocesan Health Board.
Each of the Archdiocesan Health Centres and Dispensaries has a Management Committee which meets regularly and is accountable to the Archdiocese Health Board.
ROLE AND FUNCTION :
To oversee the implementation of Health Policies and proper utilization of the allocated resources.
To provide quality and affordable curative and preventive health care services along with spiritual care – affordability will depend on the circumstances of each health unit.
To co-ordinate, supervise and monitor the activities of all health facilities and health projects which fall within the Archdiocese.
To liaise with Government Departments and other stake holders for support.
To provide the Archdiocesan health facilities, project(s) and programme(s) with advice and guidance on: Management, Planning and Policy Implementation.
The Direct Beneficiary of this project is the Catholic Archdiocese of Arusha, which will be enabled to sustain a fully functioning Health Department and achieve the outputs described above.
The Indirect Beneficiaries of the project are the individuals and communities which are recipients of quality, acceptable and affordable health services, regardless of ability to pay or religious denomination.
The first delivery of drugs from Action Medeor reaches Trinity Pharmacy at most appropriate time. A donated consignment of drugs from CED (Dr. Pechel) fills up the storage.
SUSTAINABILITY PLAN :
As part of the sustainability plan for all of the health facilities the Archdiocese
The sustainablity plan for the health department, proposes to establish an annual contribution from the health facilities once their sustainablity has been achieved.
The Healthy Sustainability Plan also include the following Projects.
Medicine Support from “Else Kröner- Fresenius- Stiftung”
“Else Kröner- Fresenius- Stiftung” has given fund to the Archdiocese of Arusha (Trinity Pharmacy) to support its health facilities.
See list of available HEALTH FACILITIES
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