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Deliveries are carried out by the nurse midwife and/or nurse assistant. Patients typically leave the clinic the day after delivery. When needed, an ambulance is called from Shirati Hospital to transport labor patients in need of advanced services such as Cesarean Section.
Regular outpatient visits totaled 2,269 visits in December 2015 compared to 2,212 visits, the prior year. Our challenges involve treating: Malaria, Schistosomiasis (contracted by fresh water contact) and Soil Transmitted Helminths plus Amebiasis together or separately produce the most commonly treated symptom complexes in the clinic, Peptic Ulcer Disease, Sexually Transmitted Illness, HIV and Tuberculosis. Treatment of TB is free of charge in Tanzania.
Imaging-Ultrasound is available for scanning of general abdominal and obstetric patients. The BL patients residing at the clinic get frequent follow-ups of their tumor regression by ultrasound. One routine ultrasound on every pregnant patient is done as part of the second antenatal visit, free of charge
(the most common childhood cancer in East Africa) - Children suspected of having BL cancer areferred to Bugando Medical Center for investigations, confirmation of diagnosis, and initial treatment. For the five followup treatment cycles they return to our facility.
Burkitt’s Lymphoma (BL) Research - was a case control research study of the childhood BL cancer, a three country study including Tanzania, Uganda, and Kenya, funded by NCI in Washington, DC, USA.
This study has been concluded at our site. Future study is planned for followup in the future.
Male Circumcision Project (“Tohara Project”) is funded through partners of Association of Private Health Facilities in Tanzania (APHFTA) and USAID. We undertook a large campaign in May 2015 based at many health facilities in Rorya District, North Mara Region and a total of over 3,000 procedures were done in just under three month. This procedure is done as part of HIV prevention.
The Rubella Vaccine and Measles are given to babies at 9 months and again at 18 months of age. This program became a routine part of immunizations, after the introductory mass campaigns in 2014.
Childhood Immunizations are provided free of charge, mostly through multiple visits during the first year of life. Vaccines are against Polio, Diphtheria, Pertussis, Tetanus, Hepatitis B, Pneumococcus, TB, and Measles.
Antenatal Care is provided free of charge to patients, as per Tanzanian government policy. This ideally includes screening for HIV and Syphilis, Tetanus immunization, Iron and Folic Acid to combat Anemia, and deworming medication.
Papilloma virus vaccine, a new vaccine, will be given to girls age 9 to 14 Starting April 2018. This vaccine prevents cervical cancer. This will take place throughout Tanzania. Our clinic will be one of the sites. After mass vaccinations to cover the whole age cohort., vaccination of 9 year olds will continue to be done yearly.
Prevention of Mother to Child Transmission (PMTCT) - ARV drug treatment is initiated immediately in any pregnant woman found to be HIV positive on antenatal screening.
The newborn is also placed on preventive medication for the first 18 months of life.
Family Planning – Methods available at Sota Health Clinic are oral contraceptives, injectable hormones, intrauterine devices, hormonal implants, and condoms.