ZIMBABWE NETWORK FOR HEALTH – EUROPE (ZimHealth) (RÉSEAU ZIMBABWÉEN POUR L’ACCÈS À LA SANTÉ) SAKUBVA POLYCLINIC CLINIC PROFILEName of Health Institution/Clinic:SAKUBVA POLYCLINICName of Person Completing this Form:Michael MawadzaDesignation:Address:Telephone No: …………………………… Fax No: ………………………………..Date: 29 June 2010Section 1: Clinic structure1.1 CLINIC PROFILE:Mutare city is the third largest city in Zimbabwe. It is situated in the eastern border ofZimbabwe. It borders with Mozambique. It is 262 km from Harare the capital city ofZimbabwe and 262km to the Indian Ocean. The population of the city is 184,590according to 1992 census.The city has nine health units. These include one infectious diseases hospital and twomaternity units.For the purpose of support as a department we have chosen Sakubva Polyclinic for thefollowing reasons:It is situated in the oldest, densely populated suburb.This clinic provides treatment of minor ailments and provides Provider Initiated Testingand 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. Thepharmacy 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 ProgrammeAll patients confirmed with TB disease are referred to this polyclinic from private andpublic institutions including GPs for registration and notification to the Ministry ofHealth. Patients are then sent to their local clinics for DOTS. At the end of 2 monthsintensive 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 350CD cells after 2/52 of TB treatment.OI/ART Programme This clinic serves the whole population of Mutare. All public and private institutionsincluding GPs refer their infected patients to our programme for initiation of ARVsand for follow up purposes. We have already 2000 patients on ARVs and we have1200 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 2007Total cumulative Number of patients on Cotrimoxazole prophylaxis =5518Total cumulative number of patients of first line ARVs =1849Total cumulative number of patients on 2nd line ARVs = 35PMTCT 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 HIVinfection. Those positive are then referred to OI/ART clinic for base line tests. Iftheir CD4 cell count is below 350 they are commenced on ARVs plus CT2. Thematernity 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 clinicwhere they are registered put on CT2 at six weeks and tested at eighteen months sincewe 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 2009The clinic offers different methods of planning mainly oral pills, injectables andimplants. This service is only offered to Sakubva residents only since other clinicsoffer the same services.Immunization of under Five-Year Olds This programme services Sakubva residence only. Total number of children served = 10709Infection ControlAll the equipment and linen which needs sterilization for use in maternity OPD etcfrom all the clinics is done at this centre.This centre has two old machines including one donated by the city of Harlem. Theyare becoming very expensive to maintain because of the age and over use.1.5 ANNUAL STATISTICS:Maternity ServicesTotals figures for 2009ANC first bookings = 2015Women HIV tested = 681Women HIV positive = 220Total number of beds = 20Deliveries = 2294Tuberculosis Control ProgrammedAnnual TB case for 2009 585New cases 547Relapses 16Retreatment 22Tb cases by sputum statusSputum smear positive 275Smear negative 181Extra PTB 112Sputum not done 17 (3%)
ZIMBABWE NETWORK FOR HEALTH – EUROPE (ZimHealth) (RÉSEAU ZIMBABWÉEN POUR L’ACCÈS À LA SANTÉ)Family Planning for 2009Total number of attendances =1910Out Patient ServicesTotal number of attendances =32457Common DiseasesRespiratory DiseasesMalariaDiarrhoeaSkin diseasesInjuriesSexual transmitted infectionsSection 2: List of equipment required2.1 MEDICAL REQUIREMENTS Materials Number requiredBlood pressure machines 10Stethoscopes 10Coulter machine (for FBC) 1Biochemistry machine (for LFTS) 1Glucometers 6Baby weighing scale 4Baby incubator 4Suction machines (electric) 2Suction machine 2Dressing trolleys 6Sheets 100 pairsBed spreads 100Draw sheets 100Gallipots medium 20Receivers medium 20Examination couches 10Toothed forceps 20Diagnostics sets 6CD4 machine and accessories 1Automatic autoclave 2Sonicaid 1
ZIMBABWE NETWORK FOR HEALTH – EUROPE (ZimHealth) (RÉSEAU ZIMBABWÉEN POUR L’ACCÈS À LA SANTÉ)2.2 NON MEDICAL EQUIPEMENT Materials Number requiredGenerator 1Laundry machine and accessories 2The Zimbabwe Network for Health (ZimHealth) in Europe is a non-governmentalassociation 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 otherinterested individuals, agencies and development agencies to strengthen health-careservices 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/