Bugando Medical Centre has new and renovated Private and VIP wings which caters for patients who would prefer to have such services. The Private Wing has 38 beds including a 5 beds High Dependence Unit (HDU) with 24 hours critical nursing services. There are 5 rooms, each room containing 5 beds that are well partitioned for privacy and share 2 bathrooms and toilets. The rooms are all equipped with an alarm system to call for any help or assistance from a nursing station. The Private Wing has also Mini-VIP rooms that contain 2 beds with 1 bathroom and a toilet, Television, fridge and a water heater. Medical services include daily specialist rounds and nursing services. The VIP wing has 18 rooms and each room has 2 beds for the patient and his or her relative. The rooms are furnished with a TV, air condition and a free WiFi. Medical services include daily medical specialist round, around the clock nursing services as well as fast tracked laboratory and imaging services. NEPHROLOGY UNIT The burden of renal diseases in Tanzania is growing, as in sub-Saharan Africa. Non communicable diseases are a driving force of chronic kidney disease. Acute kidney injury is also common with increased morbidity and mortality. Hence a significant need exists for disease prevention with pro-active screening and diagnosis, to provide early treatment to high risk populations across the country.Additionally, existing advanced renal failure needs treatment with dialysis and or transplantation. Implementation of the current knowledge can substantially reduce kidney disease burden and improve patient SUCCESS Nephrology unit is the fastest growing unit in terms of having exponential raise in number of patients as well as hemodialysis patients who are cumulatively increasing with minimum number of discharge. We started hemodialysis with 3 three patients in July 2016 and we have cared since then more than 456 patients and currently we have 95 patients doing maintenance/chronic hemodialysis at our centre. And we started with 10 machines we have expanded the unit and currently we have 23 machines including infectious unit, and we are using new modern machines. Our nephrology clinic is taking care of approximately 600 patients with different renal diseases per month who are on different stages of renal failure, expecting that at one time they will need hemodialysis as a bridge to the renal transplant as a definite treatment. VISION To provide personalize sustainable patient care with compassion and dignity that is supported by dedicated health care professionals, medical innovation and collaboration. We are growing to be independent department and eventually Bugando Institute of Nephrology MISSION To be the “choice provider” of specialized kidney diseases and dialysis services. Our motto “MAKE IT HAPPEN. Permanent access Currently we are doing Permanent central line catheterization, soon we are going to start Renal transplant.

The department deals with, Outpatient orthopedic services, Fractures fixation/trauma treatment, pediatric orthopedic surgery, Osteomyelitis, and septic arthritis, Total Hip and Total Knee Replacement Arthroplasty, Pelvis and Acetabular Reconstruction, Bone lengthening and reconstruction, Spine orthopedic surgery, Prosthesis and orthosis Education and consultancy and outreach orthopedic services.

Services Which Are Provided By The Paediatric Surgery Unit are Management of all pediatric surgery conditions, except cardiac and orthopedic conditions, including; Anorectal Malformation, Hirschspung’s Disease, Intussusceptions, Gastroschisis, Hernias, Pyloric Stenosis,Tumors

Introduction The Department of General Surgery is the mother Department for surgical services, as since the beginning of the Bugando regional hospital services, it is one of the four branches of medical services, including internal medicine, children's services and maternal and reproductive health services (Obstetric and Gynecology). At present, the Surgical services are divided into several Departments and one of them is General Surgery after the creation of other surgical services departments including bones, air system and ears, nervous system and brain, urinary system, lungs and heart and eyes. All these departments are under the directorate of surgery. Service status in the Department of General Surgery At the moment, the General Surgery Service has a total of 12 specialists and two others are in general surgery training. The Department of General Surgery has a Pediatric surgery unit with two general surgeons and one in training. The Department of General Surgery provides clinical services to more than 1,200 patients and performs more than 220 surgeries per month. These patients are mostly those who were referred from hospitals in the lake region and the western region with a total of seven regions. These patients are in different conditions, some with diseases that have failed in the regional care centers, although others are in normal condition for routine surgery services. The Department of General Surgery provides services in collaboration with other departments to complete diagnosis and treatment. Some of those important units are; Laboratory for tests of blood, urine, toilet and other body fluids samples, including the study of the type of parasites in wounds. • Radiology for the diagnosis of diseases including tumors in various parts. • Oncology department for cancer treatment before and after surgery for cancerous tumors • Physiotherapy department for post-operative exercise care • The nutrition unit in planning the nutrition of our patients before and after surgery Services provided by the Department of General Surgery The Department of General Surgery serves its patients in 4 main areas • Surgical clinic; These clinics are run by expert doctors and experts in General Surgery to see all patients who have been referred, those who came without a referral and patients who arrive to continue health monitoring after surgery. • General surgery wards; patients who need close attention or surgery are admitted and seen by teams of doctors led by specialist doctors and specialists • Operating rooms; patients who need major and minor surgery are provided with these services in three rooms designated for non-emergency surgery and also in emergency rooms for emergency patients. • Wallet Service; a team of specialist doctors and specialists provide surgical services in hospitals in the lake region and in the west according to schedules arranged at the beginning of the year according to the needs of the respective areas. Currently, the surgery department performs surgery for the following diseases • Intestinal obstruction (Intestinal obstruction) • Intestinal and gastric perforation • Intestinal fistula (intestinal fistula) • Intra-abdominal tumors • Tumors outside the body (sarcomas, lipoma, melanoma, ganglions ect) • Breast diseases (breast diseases and cancers) • Diseases of the neck gland (Goitre) • Tumors of the food system (gastric tumors, colonic tumors, rectal tumors) • Pancreatic tumors • Splenic masses and injuries • Liver masses and laceration • Stones and tumors of the gall system (cholelithiasis and biliary tumors) • Various wounds (wounds and ulcers) • Hernias • Haemorrhoids • Anal fissure and fistula Prepared by the Head of the Department of General Surgery

ENDOSCOPY UNIT Introduction Endoscopy unit is dedicated for upper gastrointestinal and lower intestinal endoscopy that is, oesophago-gastro-duodenoscopy and colonoscopy procedures; which is minimally invasive for both medical and surgical procedures utilizing instrument so called endoscope which has a camera at the tip end for magnifying of an image to be projected onto a video screen for viewing and recording. Endoscopic procedures they include diagnostic and intervention. The diagnostic procedures are oesophago-gastro-duodenoscopy (OGD) and colonoscopy. Intervention procedures involve oesophageal variceal ligation, sclerotherapy, foreign body removal, biopsy taking, dilation etc. Strengthening the endoscopy unit The unit is now well equipped with gastroscopes, colonoscopies, forceps biopsies, band ligators, processors and other endoscopic accessories which allowing a numbered of procedures to be performed. The number of procedures has increased significantly from 847 last quarter that is from October to December, 2022 to 1,069 in January to March, 2023 Moreover, the unit has introduced newly procedures; fibroscan and elastrography for assessing variety of liver diseases.

The Department of Neurosurgery at Bugando Medical Center currently consist of 4 Neurosurgeons and 3 registrars. Our team is committed to excellence in teaching and delivery of quality clinical neurosurgical care for patients with disorders of brain, spine and for patients with traumatic brain and spinal cord injuries. The clinical service serves a population in the lake zone region but also stretches out to the borders of Uganda, Congo, Burundi and Kenya as the main referral center for neurosurgical conditions and management. The department does over 600 surgical cases annually and offers the full breadth of neurosurgery lest of stereotactic and neuro-interventional procedures an area yet to be developed. Our experienced team of surgeons from Tanzania, Uganda and Cuba work collaboratively with neurologists, oncologists, pediatricians and a team of trained nurses to manage the complex delicate care of neurosurgery patients. RESEARCH The department of neurosurgery at BMC has a long tradition of integrating academic based principles into clinical evidence-based practice, and in the past years, several clinical publications especially in areas of head trauma and neuro-tube defects have contributed to the neurosurgical literature. Today the department is actively focused on research in hydrocephalus treatment outcomes, traumatic brain injury and degenerative spine conditions. International Collaborations The department boasts of several international collaborations with some of the best neurosurgical institutions worldwide, including world-known neurosurgeons who visit annually at different times of the year. These have contributed enormously to the advancement of neurosurgical services through exchange of knowledge, expertise, performing complex surgeries though surgical camps and donating surgical equipment such as implants. Contact us P.O BOX 1370 WUZBURG ROAD, MWANZA. OFFICE D604 6TH FLOOR E-mail:drlubuulwajames@ bugandomedicalcenter.go.tz

Paediatric Sevices Offered at BMC Outpatients services Sickle cell disease clinic The clinic Monday and Friday We provide SCD comprehensive package TCD & Hydroxyurea and Exchange transfusion Neurologu clinic ( Seizures, Epilepsy and CP) It runs on Wednesday We provide comprehensive package It offers specilised test EEG Cardiac clinic It runs Thursday, It offers childs evaluation, ECHO services It offers comprehensive management Cardiac conditions Diabetic clinic Runs on Thursday, It offers comprehensive check up of a diabetic child and its management Neonatal clinic Well equipped with consultant neonatologist and runs health check to all neonatal conditions It offers comprehensive management of all Neonatal conditions It runs on Wednesdays and Thurdays Nutrition assessment clinic We have nutritionists who keeps all kids in great nutrition status It runs on Mondays Renal _specificaly Nephrotic syndrome clinic Runs on Thursday It will be seing and managing all cases of nephrotic and nephritic syndrome. General paediatric clinic Runs on Tuesday Sees all other paediatrics diseases exept the above specified ones. Inpatients services In outpatient clinic, we review all cases which need specialized care, all children are seen in daily bases according to the specified condition. Comprehensive screening is done in order to ascertain child's condition Neonatal ICU (Chumba cha ungalizi maalumu kwa watoto wachanga) Critical neonates’ evaluation _ Severe Birth asphyxia, Severe Sepsis with respiratory compromise, and syndromic babies Prematurity with respiratory All other neonatal conditions Neonatal ward/Premature unit All non-critical medical and surgical cases Paediatric ICU All paediatric critical cases Malnutrition wards Severe acute malnutrition Haemato-Oncology wards We admit all hematology cases and all oncology cases E5 general wards Neurology, Endocrine, Nephrology

The department deals with heart surgery The department also manages trauma to the chest, be it penetrating or blunt injury. There are plans to expand these services and in the mean future establish an institute for Cardiac disease. The scope covered includes Cardiac Surgery Open heart Operation - Adult & Pediatrics Closed Heart Operation - Adult & Pediatrics Thoracic Surgery Thoracic Surgery Oesophageal Surgery Pulmonary Surgery Plenal Surgery

Dental checkup and oral hygiene instructions 2. Oral health education 3. Research 4. Tooth extraction 5. Tooth filling 6.root canal treatment 7.dental scaling and polishing 8. Dental Veneer 9. Orthodontic treatment 10.Artificial teeth placement (dentures, bridge and crown) 11.Dental xray (OPG &PA X RAY) 12.Minor and major maxillofacial surgery