Hospital - Shirati Infrastructure Mission - Oct. 16-Nov. 8, 2017 (mission extension to Nov. 28)


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

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 installing solar lights, painting the entire hospital, upgrading electrical and computer systems, providing computer training and repair, improving the sewage system, working on water issues and strategic planning have already advanced the capacity of the Shirati Hospital located on the shores of Lake Victoria.

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 2017 mission is ambitious;

1. Clean drinking water: Install filter and chlorine injection pump into the lines that fill the large water tank installed last year. This will provide clean drinking water to the 1,700 patients, visitors, staff, students, and families onsite.

2. Renovate former pediatric ward into a 6 bed ICU: The unit will provide critical care and specialized equipment for severe medical and trauma cases currently kept in the general wards. This will be the first ICU for the 100,000 residents of the district. We will build walls, install windows and doors, replace the asbestos roof, install plumbing and electrical, then finish and paint the unit.

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

4. Train nurses: Canadian nurses will work alongside hospital nurses, observe practices, then provide training to improve skills through informal mentoring, workshops and documentation.

5. Assist women’s village cooperatives: Visit groups to hear their stories and determine assistance needed. Structure micro-loan programs with local staff, organize training and ensure sustainability of fund and projects.

We are still looking for a few volunteer workers to join us!

If you cannot come along, please consider donating to the supplies we will need to buy for the ICU project ($40,000) and the water treatment unit ($10,000).

$8,000 raised so far


Shirati KMT Hospital, Tanzania

About: KMT, 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,35 hospital staff were trained on computers and are now using a local area network for finance and administration; efficient and reliable solar lighting throughout the hospital;  50 staff, student nurses, and Diocese staff provided with English improvement classes; and a container load of reconditioned Canadian medical equipment shipped , installed and in use .  All staff, patients and visitors appreciate and comment on the freshly-painted hospital buildings and newly installed toilets, showers, sinks and taps in all wards.

Objective: To increase the access of community members to health services and improve the quality of the health care 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 a  Leprosy Control Center, Medical Research Center, an HIV/Aids Control Center, and a School of Nursing with 150 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 per cent 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 responded 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 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 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, 3 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.

Infrastructure teams over 8 years have installed computer systems, trained staff on computer use, installed solar lights and mini florescent 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 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.

The Infrastructure team in Feb 2015 replaced the leaking concrete water storage tank with a new, larger glass-lined one. Other volunteers helped construct and paint the new secondary school & volunteered in the elementary schools &/or hospital.



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