Access to care

Upskilling professionals for sustainable healthcare in Tanzania

How training programs for medical staff are helping to build a sustainable healthcare system in Tanzania.
Andrea Lutz
Published on September 23, 2024
To boost healthcare in Tanzania, investment in medical education and capacity building are essential. At Muhimbili National Hospital, over 100 professionals have upgraded their skills through training in advanced imaging equipment.
Did you know that there is a 32-year gap between the countries with the shortest and longest life expectancies? According to the World Bank Group’s 2022 estimates, Tanzania ranks 151st of 202 countries, with an average life expectancy of just 68 years.[1] In the face of significant health challenges, this East African nation is taking bold steps to support healthcare delivery, infrastructure, and workforce training.
Tanzania Healthcare System

More than 100 healthcare professionals from across the country have been trained over the last two years through a specialized program for medical engineers and radiographers, offered at Muhimbili National Hospital (MNH). A partnership between the Tanzanian Ministry of Health, Pacific Diagnostics, and Siemens Healthineers is boosting learning and capacity building to enhance patient outcomes and strengthen the country’s healthcare system. “Healthcare for everyone, everywhere also means easing the burden on healthcare professionals,” explains Mohamed Shawky Elmashtoly, Sales Country Manager for Middle East and Africa from Siemens Healthineers.

Rachel Mhaville, MD, Director of Surgical Services at MNH says: “This kind of intensive training program is really the most pressing need. We’re learning how to utilize advanced medical systems not only to improve patient outcomes but also to enhance the overall productivity of the hospital.”

Pacific Diagnostics is a pan-African company and business parter of Siemens Healthineers that typically provides medical imaging products and services.

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How training programs for medical staff are helping to build a sustainable healthcare system in Tanzania.
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Reflecting the wisdom of the Swahili saying, “Treat your guest as a guest for two days, but on the third day, give them a hoe,” Tanzania’s healthcare strategy emphasizes the importance of empowering communities to take an active role in their healthcare. The Community Health Workers embody this principle, playing a crucial role in rural and underserved areas by providing essential curative services within the community, including implementing community health interventions, collecting and analyzing community-based data, conducting home visits and community education, or identifying patients in need of referral to a hospital like Muhimbili National Hospital (MNH).
Dar es Salaam is one of the fastest growing cities in the world. Nestled at its heart, MNH boasts around 1,500 beds and caters to thousands of inpatients and outpatients each year across a range of specialized departments. The hospital’s Radiology Department, with its team of 63 medical professionals, focuses on patient care. The department’s staff perform about 72,000 diagnostic and interventional procedures annually, but a shortage of skilled healthcare professionals and limited expertise means their advanced equipment is not always fully utilized.

For about two years now, the MNH team has been undergoing regular training and receiving continuous medical updates supported by various stakeholders. A group of 34 biomedical engineers conducted a three-week onsite training course in Tanzania, followed by a week at a training center in Germany. Continuous application training resulted in more than 100 trained medical professionals improving their qualification level. And these training efforts are about to be extended for another five years. Siemens Healthineers runs these training programs in partnership with Pacific Diagnostics—and the model is a great success! 

“These training sessions advance the ability of our team to master imaging equipment such as in low-dose CT scans, performing advanced imaging, such as in cardiac CT and MRI,” explains Frederick Lyimo, MD, Head of Radiology and Diagnostic Imaging. 

Radiographer Betty Hubert is now able to perform up to 20 different examinations per day.

Radiographer Michael Edward has learned how to minimize dose to the patient through 3D reconstruction.

Prashant Gokarn, Managing Director at Pacific Diagnostics, sums up: “With these training programs, together, Siemens Healthineers and Pacific Diagnostics are giving the hospital´s healthcare staff the necessary skills, helping them to upgrade to international levels.”

Initiatives like these help tackle some of the country’s challenges, but others persist. Health financing, for instance, remains a central issue. International donors still contribute up to 40 percent of the health budget. The National Health Insurance Fund (NHIF)—a state health insurance fund into which contributions from the entire population are supposed to flow—is just at the beginning of its development. As of December 2019, NHIF’s membership coverage stood at 9 percent of the total population of Tanzania.[7] This is far from enough to cover the increasing treatment costs, especially for chronic diseases.

The road ahead may be long, but every journey starts with the crucial first steps. With the help of strong partners who are fully committed, the country is ready to tackle the rocky path that lies ahead.

By Andrea Lutz
Andrea Lutz is a journalist and business trainer specialized on medical topics, technology, and healthcare IT. She lives in Nuremberg, Germany.