Huruma is one of the three hospitals owned by the Diocese of Moshi and is a council Designated Hospital (CDH) for Rombo District.
It is situated at Ibukoni village in Rombo District, Kilimanjaro Region, in the North East of Tanzania main land; it is 80km from Moshi Municipal and 100 metres from ROMBO Council Headquarters.
The borders of Rombo District are formed by Republic of Kenya on the North and East, Moshi Rural on the South, West side Hai, and Monduli District lies on the North West.
Lying on the slopes of Mt. Kilimanjaro it covers an area of 900 sq. km. Land use is divided into 44,114 hectors for cultivation, 38,194 hectors form a forest area, and 16,692 hectors area for livestock.
Mean Temperature 18ċ to 20 ċ with rainfall ranging from 500mm to 16000mm. Road network covers 446 of reliable use throughout the year. Some feeder roads are passable with difficulties during the rain season. Soon the tarmac road will be ready from Moshi to Rombo town up to the Kenyan boarder.
The District population for the year 2009 is 293,000with growth rate of 1.1%. The population is distributed in 5 divisions 20 wards and 60 registered villages. This gives a population density of 471 per sq. km of available land. Land carrying capacity has been exceeded i.e. 7 people/hector instead of approved 5 people/hector.
The District has 151 Primary Schools with total of 68,459 pupil per year and 18 Secondary Schools. The District overall literacy rate is 92%. The main occupation is mixed farming, coffee being the main cash crop. Food crops include bananas, maize, beans, potatoes, groundnuts, fruits and vegetables.
Huruma started as a private hospital in 1968. It was declared a District (council) Designated Hospital for Rombo in 1972. Huruma Hospital is a Council Designated Hospital, and owned by the Diocese of Moshi. It is governed by a Board of 10 members i.e. six nominated by the Diocese of Moshi and (4) four members nominated by the Ministry of Health.
The daily organization and Co-ordination of Hospital activities is under the Hospital Management Team (HMT) this comprises of three members namely the Doctor in – charge, Matron and the Hospital Secretary. They work together with the CHMT. There is a good collaboration especially in preparing the comprehensive council Health plan (CCHP). With the introduction of Community Health Fund (CHF) has enabled many patients access to health service as compared before.
Huruma offers a non profit health services where as the public contributes a little to share the cost. The Government (MOH) has the responsibility to support the recurrent expenditures and the Diocese as the owner is responsible for the capital expenditure.
For the past 7 years the Government could only support the item of personal Emolument and other charges (O.C) which is not enough to carter for Hospital diet post office services, Telecommunication services, supplies and electricity. A time the grant allocations are sent without specifying the items covered and also there is delay in sending the funds.
Since 2001 Rombo District Council is one of the phase two reforming councils under decentralization process. This has enable the hospital to get more funds through Health Basket Fund (HBF) from this fund intervention were made towards strengthening of the Reproductive and Child Health so as to reduce deaths in these areas. In view of the introduction of Health basket fund, we hope that some of the Health problems which we have been facing for some years will be reduced or eliminated.
The Hospital Catchment area is the entire of Rombo District and serves as referral for al other health facilities in the District namely 43 Dispensaries 4 Rural Health centres (RHC) and one Hospital (V.A). There are 7 Diocesan dispensaries and one Voluntary Agency Hospital which are under the hospital supervision. Patients further are referred to Kilimanjaro Christian Medical Centre (K.C.MC.) due to geographical location the hospital offers services to patients from neighboring country Kenya especially from Rombo Masai, Chumvini, Njukini, Taveta, Loitoktoki as well as patient from Moshi Rural and Monduli District. The bed capacity of the Hospital is 300 beds, these are distributed in different wards as follows:
|Surgical/Medical ward||74 beds|
|Male/Female Medical||52 beds|
|Mwalimu J.K.Nyerere ward||56 beds|
|Private ward||23 beds|
|Vitus Hostel||52 beds|