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ZIMBABWE NETWORK FOR HEALTH – EUROPE
                             (ZimHealth)
             (RÉSEAU ZIMBABWÉEN POUR L’ACCÈS À LA SANTÉ)



               SAKUBVA POLYCLINIC CLINIC PROFILE


Name of Health Institution/Clinic:
SAKUBVA POLYCLINIC


Name of Person Completing this Form:
Michael Mawadza
Designation:


Address:



Telephone No: …………………………… Fax No: ………………………………..


Date: 29 June 2010

Section 1: Clinic structure

1.1    CLINIC PROFILE:

Mutare city is the third largest city in Zimbabwe. It is situated in the eastern border of
Zimbabwe. It borders with Mozambique. It is 262 km from Harare the capital city of
Zimbabwe and 262km to the Indian Ocean. The population of the city is 184,590
according to 1992 census.

The city has nine health units. These include one infectious diseases hospital and two
maternity units.

For the purpose of support as a department we have chosen Sakubva Polyclinic for the
following reasons:

It is situated in the oldest, densely populated suburb.

This clinic provides treatment of minor ailments and provides Provider Initiated Testing
and Counselling of HIV infection.

All serious cases are referred to the provincial hospital.

The complex also houses the central pharmacy for all the clinics in the city. Most
ZIMBABWE NETWORK FOR HEALTH – EUROPE
                            (ZimHealth)
            (RÉSEAU ZIMBABWÉEN POUR L’ACCÈS À LA SANTÉ)

important is that all patients on Arts collect their drugs from this central pharmacy. The
pharmacy is also responsible for procurement of all drugs including antiretrovirals
(ARVs). ARVs are offered free of charge through global fund.




1.2    HEALTH CARE SERVICES PROVIDED:

Tuberculosis Control Programme

All patients confirmed with TB disease are referred to this polyclinic from private and
public institutions including GPs for registration and notification to the Ministry of
Health. Patients are then sent to their local clinics for DOTS. At the end of 2 months
intensive phase, they come for review at this clinic and at the end of intensive phase.

This TB service covers the whole population of Mutare.
All our TB patients are put on ARV treatment if their CD4 cell count is below 350
CD cells after 2/52 of TB treatment.

OI/ART Programme

 This clinic serves the whole population of Mutare. All public and private institutions
including GPs refer their infected patients to our programme for initiation of ARVs
and for follow up purposes. We have already 2000 patients on ARVs and we have
1200 on the waiting list. Lack of CD4 machine is the main course of bottle neck.

The public laboratory at the provincial hospital allows us to test 20 patients per week,
which means we recruit ± 20 patients per week.
This programme started in 2007

Total cumulative Number of patients on Cotrimoxazole prophylaxis =5518
Total cumulative number of patients of first line ARVs =1849
Total cumulative number of patients on 2nd line ARVs = 35

PMTCT Programme

 We have an ANC maternity unit and a well baby clinic the same complex.
All pregnant mothers are offered provider Initiative testing counselling for HIV
infection. Those positive are then referred to OI/ART clinic for base line tests. If
their CD4 cell count is below 350 they are commenced on ARVs plus CT2. The
maternity unit services seven suburbs with a population of child bearing women.
All children born to HIV infected mothers are followed up at the well baby clinic
where they are registered put on CT2 at six weeks and tested at eighteen months since
we do not have to detect the HIV infection at six weeks.
ZIMBABWE NETWORK FOR HEALTH – EUROPE
                            (ZimHealth)
            (RÉSEAU ZIMBABWÉEN POUR L’ACCÈS À LA SANTÉ)

Family Planning for 2009

The clinic offers different methods of planning mainly oral pills, injectables and
implants. This service is only offered to Sakubva residents only since other clinics
offer the same services.

Immunization of under Five-Year Olds
 This programme services Sakubva residence only.
 Total number of children served = 10709

Infection Control

All the equipment and linen which needs sterilization for use in maternity OPD etc
from all the clinics is done at this centre.

This centre has two old machines including one donated by the city of Harlem. They
are becoming very expensive to maintain because of the age and over use.

1.5    ANNUAL STATISTICS:

Maternity Services

Totals figures for 2009

ANC first bookings           =       2015
Women HIV tested             =       681
Women HIV positive           =        220
Total number of beds         =       20
Deliveries                   =        2294

Tuberculosis Control Programmed


Annual TB case for 2009       585
New cases                     547
Relapses                      16
Retreatment                   22

Tb cases by sputum status
Sputum smear positive         275
Smear negative                181
Extra PTB                     112
Sputum not done               17 (3%)
ZIMBABWE NETWORK FOR HEALTH – EUROPE
                            (ZimHealth)
            (RÉSEAU ZIMBABWÉEN POUR L’ACCÈS À LA SANTÉ)


Family Planning for 2009

Total number of attendances =1910

Out Patient Services

Total number of attendances =32457

Common Diseases

Respiratory Diseases
Malaria
Diarrhoea
Skin diseases
Injuries
Sexual transmitted infections


Section 2: List of equipment required

2.1    MEDICAL REQUIREMENTS

               Materials                Number required
Blood pressure machines                       10
Stethoscopes                                  10
Coulter machine (for FBC)                      1
Biochemistry machine (for LFTS)                1
Glucometers                                    6
Baby weighing scale                            4
Baby incubator                                 4
Suction machines (electric)                    2
Suction machine                                2
Dressing trolleys                              6
Sheets                                     100 pairs
Bed spreads                                  100
Draw sheets                                  100
Gallipots medium                              20
Receivers medium                              20
Examination couches                           10
Toothed forceps                               20
Diagnostics sets                               6
CD4 machine and accessories                    1
Automatic autoclave                            2
Sonicaid                                       1
ZIMBABWE NETWORK FOR HEALTH – EUROPE
                             (ZimHealth)
             (RÉSEAU ZIMBABWÉEN POUR L’ACCÈS À LA SANTÉ)




2.2     NON MEDICAL EQUIPEMENT

                Materials                               Number required
Generator                                                       1
Laundry machine and accessories                                 2




The Zimbabwe Network for Health (ZimHealth) in Europe is a non-governmental
association registered in Geneva, founded by Zimbabweans as a non-profit organisation.
It seeks to mobilise the support of Zimbabweans living in Europe, as well as other
interested individuals, agencies and development agencies to strengthen health-care
services in Zimbabwe.

ZimHealth seeks to make a difference in Zimbabwe primarily through the following:
 Raise funds directly from Zimbabweans in the Diaspora, in Zimbabwe and from
   friends of Zimbabwe all over the world.
   Through a transparent and highly targeted system, procure and distribute drugs,
    diagnostics, vaccines and other medical and non- medical commodities and essential
    equipment to rehabilitate the health facilities in Zimbabwe.
   Inform and engage interested stakeholders about the needs, successes and impact of
    the support to the health-care system in Zimbabwe.



http://www.zimhealth.org/

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Sakubva clinic profile

  • 1. ZIMBABWE NETWORK FOR HEALTH – EUROPE (ZimHealth) (RÉSEAU ZIMBABWÉEN POUR L’ACCÈS À LA SANTÉ) SAKUBVA POLYCLINIC CLINIC PROFILE Name of Health Institution/Clinic: SAKUBVA POLYCLINIC Name of Person Completing this Form: Michael Mawadza Designation: Address: Telephone No: …………………………… Fax No: ……………………………….. Date: 29 June 2010 Section 1: Clinic structure 1.1 CLINIC PROFILE: Mutare city is the third largest city in Zimbabwe. It is situated in the eastern border of Zimbabwe. It borders with Mozambique. It is 262 km from Harare the capital city of Zimbabwe and 262km to the Indian Ocean. The population of the city is 184,590 according to 1992 census. The city has nine health units. These include one infectious diseases hospital and two maternity units. For the purpose of support as a department we have chosen Sakubva Polyclinic for the following reasons: It is situated in the oldest, densely populated suburb. This clinic provides treatment of minor ailments and provides Provider Initiated Testing and Counselling of HIV infection. All serious cases are referred to the provincial hospital. The complex also houses the central pharmacy for all the clinics in the city. Most
  • 2. ZIMBABWE NETWORK FOR HEALTH – EUROPE (ZimHealth) (RÉSEAU ZIMBABWÉEN POUR L’ACCÈS À LA SANTÉ) important is that all patients on Arts collect their drugs from this central pharmacy. The pharmacy is also responsible for procurement of all drugs including antiretrovirals (ARVs). ARVs are offered free of charge through global fund. 1.2 HEALTH CARE SERVICES PROVIDED: Tuberculosis Control Programme All patients confirmed with TB disease are referred to this polyclinic from private and public institutions including GPs for registration and notification to the Ministry of Health. Patients are then sent to their local clinics for DOTS. At the end of 2 months intensive phase, they come for review at this clinic and at the end of intensive phase. This TB service covers the whole population of Mutare. All our TB patients are put on ARV treatment if their CD4 cell count is below 350 CD cells after 2/52 of TB treatment. OI/ART Programme This clinic serves the whole population of Mutare. All public and private institutions including GPs refer their infected patients to our programme for initiation of ARVs and for follow up purposes. We have already 2000 patients on ARVs and we have 1200 on the waiting list. Lack of CD4 machine is the main course of bottle neck. The public laboratory at the provincial hospital allows us to test 20 patients per week, which means we recruit ± 20 patients per week. This programme started in 2007 Total cumulative Number of patients on Cotrimoxazole prophylaxis =5518 Total cumulative number of patients of first line ARVs =1849 Total cumulative number of patients on 2nd line ARVs = 35 PMTCT Programme We have an ANC maternity unit and a well baby clinic the same complex. All pregnant mothers are offered provider Initiative testing counselling for HIV infection. Those positive are then referred to OI/ART clinic for base line tests. If their CD4 cell count is below 350 they are commenced on ARVs plus CT2. The maternity unit services seven suburbs with a population of child bearing women. All children born to HIV infected mothers are followed up at the well baby clinic where they are registered put on CT2 at six weeks and tested at eighteen months since we do not have to detect the HIV infection at six weeks.
  • 3. ZIMBABWE NETWORK FOR HEALTH – EUROPE (ZimHealth) (RÉSEAU ZIMBABWÉEN POUR L’ACCÈS À LA SANTÉ) Family Planning for 2009 The clinic offers different methods of planning mainly oral pills, injectables and implants. This service is only offered to Sakubva residents only since other clinics offer the same services. Immunization of under Five-Year Olds This programme services Sakubva residence only. Total number of children served = 10709 Infection Control All the equipment and linen which needs sterilization for use in maternity OPD etc from all the clinics is done at this centre. This centre has two old machines including one donated by the city of Harlem. They are becoming very expensive to maintain because of the age and over use. 1.5 ANNUAL STATISTICS: Maternity Services Totals figures for 2009 ANC first bookings = 2015 Women HIV tested = 681 Women HIV positive = 220 Total number of beds = 20 Deliveries = 2294 Tuberculosis Control Programmed Annual TB case for 2009 585 New cases 547 Relapses 16 Retreatment 22 Tb cases by sputum status Sputum smear positive 275 Smear negative 181 Extra PTB 112 Sputum not done 17 (3%)
  • 4. ZIMBABWE NETWORK FOR HEALTH – EUROPE (ZimHealth) (RÉSEAU ZIMBABWÉEN POUR L’ACCÈS À LA SANTÉ) Family Planning for 2009 Total number of attendances =1910 Out Patient Services Total number of attendances =32457 Common Diseases Respiratory Diseases Malaria Diarrhoea Skin diseases Injuries Sexual transmitted infections Section 2: List of equipment required 2.1 MEDICAL REQUIREMENTS Materials Number required Blood pressure machines 10 Stethoscopes 10 Coulter machine (for FBC) 1 Biochemistry machine (for LFTS) 1 Glucometers 6 Baby weighing scale 4 Baby incubator 4 Suction machines (electric) 2 Suction machine 2 Dressing trolleys 6 Sheets 100 pairs Bed spreads 100 Draw sheets 100 Gallipots medium 20 Receivers medium 20 Examination couches 10 Toothed forceps 20 Diagnostics sets 6 CD4 machine and accessories 1 Automatic autoclave 2 Sonicaid 1
  • 5. ZIMBABWE NETWORK FOR HEALTH – EUROPE (ZimHealth) (RÉSEAU ZIMBABWÉEN POUR L’ACCÈS À LA SANTÉ) 2.2 NON MEDICAL EQUIPEMENT Materials Number required Generator 1 Laundry machine and accessories 2 The Zimbabwe Network for Health (ZimHealth) in Europe is a non-governmental association registered in Geneva, founded by Zimbabweans as a non-profit organisation. It seeks to mobilise the support of Zimbabweans living in Europe, as well as other interested individuals, agencies and development agencies to strengthen health-care services in Zimbabwe. ZimHealth seeks to make a difference in Zimbabwe primarily through the following:  Raise funds directly from Zimbabweans in the Diaspora, in Zimbabwe and from friends of Zimbabwe all over the world.  Through a transparent and highly targeted system, procure and distribute drugs, diagnostics, vaccines and other medical and non- medical commodities and essential equipment to rehabilitate the health facilities in Zimbabwe.  Inform and engage interested stakeholders about the needs, successes and impact of the support to the health-care system in Zimbabwe. http://www.zimhealth.org/