Shirati Infrastructure Mission - February 9th to March 3rd, 2019 (with option to extend to March 24)


Mission Cost: $2820 (does not include airfare)

Estimated Flight Cost: $1800 - $2100 (international and in-country flight)
**Please note departure dates and flight costs are subject to change based on availability. 

Mission Co-Leads: Lloyd and Erla Koch 

To join this mission, please complete and send an application form, along with your CV to CACHA's Missions Coordinator at as well as to the Co-Leads, Lloyd and Erla Koch at

2019 Mission scheduled date

February 9th to March 3rd, 2019 (with the option to extend to March 24).

To join this mission click here: Mission Application Form  

A lot of infrastructure work has been completed at Shirati Hospital since 2009 by CACHA volunteers. A range of activities such as preparing a strategic plan, installing solar lights, painting the entire hospital, upgrading electrical and computer systems, providing computer training and repair, improving the sewage system, building a water storage tank, adding a water purification system, and building an ICU have already advanced the capacity of the Shirati Hospital located on the shores of Lake Victoria. A new technical secondary school is being built.

The lives of HIV patients, orphans, and extremely poor families are being improved by our volunteers through donations to the Help the Children of Tanzania fund by improving living conditions, healthcare and education and supporting Women’s Initiative groups. For more information, look in the CACHA site, under Projects and find the Help the Children of Tanzania icon on the CACHA site.

For more information or to donate open the link below.


If you are looking for a unique experience and ready to make friends with people from Tanzania, while contributing to a good cause, you may want to join the infrastructure team and undertake a range of tasks at the Shirati Hospital.


Our 2019 mission projects are;

1. Complete the renovation of a storage building into a new medical laboratoryThe expanding hospital services require new space to expand testing and student training capability.


2; Computer enhancements and training: repair and install updates. Help implement hospital-wide ADT, diagnostic, medication and financial system.

3. Assist women’s village cooperatives: Visit groups to hear their stories and determine assistance needed. According to their wishes, grinding machines, sewing machines or chickens will be given to the Women's Cooperatives to provide an income generating project for their group. Structure micro-loan programs with local staff, organize training and ensure sustainability of fund and projects.

4. Teach at Kisare Technical Secondary School; Teachers in the following trades are welcome: Welding, Electrical, and Solar, Auto Mechanics, Tailoring, Carpentry, Computer training, English and Health courses.

We are still looking for volunteers to join us!

If you cannot come along, please consider donating to the supplies we will need to buy for the Laboratory project ($35,000).

$0 raised so far


Shirati KMT Hospital, Tanzania

KMT, the owner of Shirati Hospital, operates in the Rorya District, Mara, Tanzania. Shirati KMT Hospital provides affordable health care to people living in the catchment area of Rorya district, which has a population of 245,000.

Location: Shirati, North Mara Region, Tanzania

Partners: Shirati KMT Hospital, Mennonite Church of Tanzania

Beneficiaries:  Medical teams provided treatment for 10,000 village clients over 4 years. Infrastructure teams over 8 years have provided;

  • Training for 35 hospital staff on computers. They are now using a local area network for finance, pharmacy, and administration;
  • efficient and reliable solar lighting throughout the hospital;
  • 50 staff, student nurses, and Diocese staff with English improvement classes;
  • a container load of reconditioned Canadian medical equipment (shipped, installed and in use )
  •  freshly-painted hospital buildings;
  • new toilets, showers, sinks, and taps in all wards.
  • New water storage tank and water purification system
  • A newly built ICU
  • Much work has been done in the villages and schools to improve living conditions, healthcare, and education as well as supporting Women’s Initiative Groups by setting up businesses to provide income to make them more self-sufficient and able to support their families.

Objective: To increase the access of community members to health services and improve the quality of the healthcare provided by Shirati Hospital. Improve the quality of the hospital facilities.

Achieved Results and Activities

Shirati Hospital was established in 1934 by missionaries from the Eastern Mennonite Mission in the U.S. and Canada and is now owned by the Mennonite Church of Tanzania (KMT) and operated by a Board of Directors that includes government appointees.  As the largest hospital in Rorya District, it has become the Council Designated Hospital (CDH) for the district. It now operates 200 beds with a wide range of services, including leprosy Control Center, Medical Research Center, an HIV/Aids Control Center, and a School of Nursing with 200 students enrolled.

CACHA first responded to a request for assistance from the hospital in 2008. CACHA volunteers undertook an exploratory visit to Shirati and found a hospital serving a very remote corner of Tanzania with 80 percent of the people living under the poverty line. The needs identified included a lack of medical equipment and a shortage of staff to do village outreach. It lacked a strategic plan to begin addressing many hospital shortcomings and a great desire to learn more English by hospital and church staff.

CACHA followed up by sending a container of refurbished medical equipment to Shirati Hospital in July 2009 and another container to its sister hospital, Nyere DDH at Mugumu. Three months later CACHA followed up with an infrastructure team of seven volunteers. The team worked for three weeks implementing improvements to the hospital’s finance department, installing six computers and other equipment from the container, training staff on computers, installing solar lights across the hospital and teaching English to hospital and Diocese staff, secondary students and their teachers. Two volunteers stayed on for an additional five weeks to complete a strategic plan and to continue teaching English to hospital and church staff and secondary students.

After the presentation of the strategic plan to the Regional Medical Officer, the government approved the request to support the hospital and in September 2010 became a Council Designated Hospital. Salaries are now subsidized by the government and treatment is mostly free.

In subsequent years, 4 CACHA medical teams have visited the hospital and joined with the local hospital staff to provide more than 10,000 patients in the surrounding villages with free healthcare.

Eight infrastructure teams over 8 years have installed computer systems, trained staff on computer use, installed solar lights and mini fluorescent light bulbs to save operating costs, painted the entire hospital (with help from locally hired painters!); replaced all broken taps, toilets, showers and sinks in patient care areas (with help from locally hired plumbers); installed a large water storage tank and a drinking water purification system; helped begin construction on a new Secondary Technical School for a planned enrollment of 400 students; taught English to local students, hospital and Diocese office staff; and led a strategic planning process that helps provide annual guidance for improving the hospital services.

Much work has been done in the villages with the local HIV/Palliative Care Team and Women’s Initiative Groups as described on the Help the Children of Tanzania icon under Projects on the cacha site

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