On our way back we are told that there is a 36/40 pregnant woman who needs to be transferred over. We pick her up at another dispensary then take her to the health centre, who carry on to Pangani.
I'm struggling at present though with the task I've been given. Writing a needs assessment is easier when you have queues of patients and full wards. But here at the health centre only one bed out of ten is occupied. There is little activity after midday. It was similar at the first dispensary. And they all have the same complaint - people present too late because of distrust of western medicine and a preference for traditional healers.
I speak to my Tanzanian colleague about this.
He tells me it is a difficult situation because most of the public don't trust the hospital
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