PROJECT PROPOSAL FOR CONSTRUCTION OF NUUR DISPENSARY IN

SIKONGE DISTRICT COUNCIL

EXECUTIVE SUMMARY

Sikonge District is one of the District in Tabora lacking Muslim Dispensary for
serving majority of patients particularly Muslims. All these 34 health facilities
are not adhered on Muslim Sharia that is a man patient should be treated or
served with a man doctor or nurse and a woman patient served by woman
doctor and nurse. Majority of patients forced to be treated for the sake of
saving their lives and avoid death as Kaffir as directed in Quran that any
patient should look is for treatment or cured for save his or her life.

Investment in the construction of Nuur Dispensary will fill this gap by having
dispensary that provided services to patients by matching gender between
services provider (Health staff) and services receiver (Patient).

When project completed also is expected to benefit all people regard less their
religion living nearby Sikonge and Misheni Wards, in Sikonge district at all
and other from outside of the district either because will increase accessibility
of health services to people living within and nearby Sikonge ward under
Muslim rules.

The estimated cost for implementation of the project is Tshs.

156,611,100.00 that will be provided by Funder. Operating and maintenance
cost will be facilitated by dispensary through realization of revenue from
patients’ cost sharing as well as a contributions from the other people.
 TABLE OF CONTENTS

EXECUTIVE SUMMARY .................................... Error! Bookmark not defined.

TABLE OF CONTENTS .................................................................................... 2

1.0. INTRODUCTION. .................................................................................... 4

1.1. Background. ........................................................................................ 4

2.0. PROJECT JUSTIFICATION. .................................................................... 5

2.1. The Project Area. ................................................................................... 6

2.2. Targeted Population .............................................................................. 6

2.3. Fund to Date. ........................................................................................ 6

3.0. PROJECT OBJECTIVES, RATIONALE AND ALTERNATIVES. ................... 6

3.1. General Objectives ............................................................................... 6

3.2. Specific Objectives. .............................................................................. 6

3.3. The Project Rationale ........................................................................... 7

3.4. Alternatives. ........................................................................................ 7

3.5. The Project Components and Resource Requirements .......................... 8

3.6. Materials ............................................................................................. 8

4.0. PROJECT ORGANIZATION, MANAGEMENT AND MPLEMENTATION ....... 8

4.1. Implementing Agency. ........................... Error! Bookmark not defined.

4.2. Project organization chart. ................................................................... 9

4.3. Project Management. ........................................................................... 9

4.4. Project Implementation ........................................................................ 9

5.0. PROJECT OUTPUT AND MARKET. ........................................................... 9

5.1. Project Output. .................................................................................... 9

5.2. Project Market. .................................................................................. 10

6.0. FINANCIAL ANALYSIS. ......................................................................... 10

6.1. Project Cost Assumption .................................................................... 10

 6.2. Investment Cost ................................................................................ 10

6.3. Operating Cost. ................................................................................. 10

6.4. Without the Project “Assumption” ...................................................... 10

6.5. Sources of Funds ............................................................................... 11

6.6. Economic Analysis............................................................................. 11

7.0. ENVIRONMENTAL IMPACT ASSESSMENT (EIA) ................................... 11

8.0. CONCLUSION. ..................................................................................... 11

1.0. INTRODUCTION
Sikonge district is among of th district which comprise Tabora region. The
district was established in July 1996; formerly Sikonge was the division of
Tabora district. The district is located 76 kilometers South of Tabora Municipal
along Tabora – Mbeya road. The district surrounded by Urambo district on the
western side, Uyui on northern and North East side, Manyoni district on the
Eastern and South – Eastern side, Chunya district on the South – Western side
and Mlele district on the South – Western side.
The district covers an area of 27,873km2. The climatic condition is generally
tropical, the temperature ranges between 22oc to 32oc, and the average annual
rainfall is 750mm.
Sikonge district administratively divided into 2 divisions, 20 wards and 71
villages. According to the 2012 National Population and Housing Census,
Sikonge district had a Population of 179,883, with annual growth rate of 3.0%
until December 2016, total population of Sikonge district is projected to be
204,342 (Male 101,010 and Female 103,268) .
The major economic activity carried by residents of Sikonge is Agriculture,
which employ about 80% of the population. Other economic activities are
Livestock Keeping, Beekeeping, Timber production, Mining, Services provision
and Small businesses.

1.1. Background of the Problem

Tanzania Health System is organized in a referral pyramid, starting from the

village level, where there are village health posts; ward level, where there are
community dispensaries; divisional level, where there are rural health centres;
district level, where there are district or district designated hospitals; regional
level, where there are regional hospitals; zonal level, where there are
referral/consultant hospitals and national level, where there are national and
specialized hospitals. Strong service delivery systems must aim to ensure that
high-quality, reliable, and accessible health services are consistently provided
at all levels and in all regions of the health system.
The status of health services in any district can easily be visualized through
health infrastructures, availability and commitments of health practitioners,
implementation of preventive and curative measures and availability of
medicines. In Sikonge District health services provided by both Government
and Private sector through 34 health facilities. Out of 34 health facilities, 1 is a
designated hospital owned by Moravian Church whereby services provided in
collaboration between Church and Government, 3 health centres which are
owned by government, and 30 dispensaries whereby 24 are owned by
government, 1 is owned by Roman Catholic, 5 are owned by Morovian Church.
In the district there is no Hospital, Health centre and Dispensary that is owned
by Islam and operates under Muslim rules. Treatments of patients in the
Sikonge District are conducted irregular to Muslim Sharia by encourage mixed
services providing. Construction of Nuur Dispensary will enable treatment be
follow Muslim cultural where by men and women will be treated in separate
according to their gender.

2.0. PROJECT JUSTIFICATION

Sikonge District is one of the District in Tabora lacking Muslim Dispensary for
serving majority of patients particularly Muslims. All these 34 health facilities
are not adhered on Muslim Sharia that is a man patient should be treated or
served with a man doctor or nurse and a woman patient served by woman
doctor and nurse. It is normal for woman nurse to inject a patient man or man
doctor to test and inspect patient woman. Majority of patients forced to be
treated for the sake of saving their lives and avoid death as Kaffir as directed in
Quran that any patient should look for treatment or cured for save his or her
life. It illegally accordingly to Sharia of Muslim a man health services provider
to treat woman patient and a woman health services provider to treat a patient
man.
Investment in the construction of Nuur Dispensary will fill this gap by having
dispensary that provided services to patients by matching gender between
services provider (Health staff) and services receiver (Patient). This dispensary
will enable Muslim Sharia and its rules together to be adhered and followed as
God told Muslim to execute in the Holy Quran. Also both services provider and
service receiver will be out of temptations that can drive them to the sin of
“Zinaa”.
When project completed also is expected to benefit all people regard less their
religion living nearby Sikonge and Misheni Wards, in Sikonge district at all
and other from outside of the district either by being employed in mining sector
or in other economic integrated sectors. Also project will benefit other people
within and outside of the country who deal with mineral trade particularly
trading in gold due to availability of quality gold.

2.1 The Project Area

The Project will be implemented at Sikonge ward in the Sikonge District where
number of Muslim Members is large and there is enough land that can support
construction of Nuur Muslim Dispensary.

2.2. Targeted Population

The project is expected to benefit all Muslim and non Muslim Members living
within and outside of the Sikonge ward by obtaining adequately constant good
health services.

2.3 Fund to Date

Muslim in Sikonge district want to implement the project by constructing

construction modern dispensary so as to enable accessibility of health services
to Muslim and non Muslim members according to Muslim Sharia. The project
not implemented due to lack of financial resources.

3.0. PROJECT OBJECTIVES, RATIONALE AND ALTERNATIVES

3.1. General Objectives

The general objective of this project is to construct Nuur Dispensary in the

Sikonge district at Sikonge Ward to create conducive and friendly environment
for providing health services.
3.2 Specific Objectives.
The following are specific objectives of investing in construction of Nuur
Dispensary project in Sikonge District at Sikonge Ward.
1. To increase the accessibility of Health services to Muslim and non
Muslim members in the Sikonge District.
2. To facilitate adhered of Muslim Sharia and its Rules in providing of
health services to both services provider and services receiver.
3. To increase employment to both people within and outside the district
through employed in direct as health staff and indirect as other services
provider like food vender, small shops owner and Bodaboda.
4. To promote economic growth in the District by increasing volume of
money circulated in the District.

3.2. The Project Rationale

Construction of Modern Nuur Dispensary at Sikonge ward in Sikonge District

will increase accessibility of health services to people living within and nearby
Sikonge ward under Muslim rules. Also it provides crucial opportunity to the
patients to get quality and quantity of health services by use of modern
equipments for testing various diseases and cured them.

3.3. Alternatives

Health services will be provided to the Government and other non government
Hospital, Health Centers and Dispensary without take into consideration
gender of services provider and receiver. It is normal for patient man/woman to
be served by irrespective gender doctor or nurses.

3.4. The Project Components and Resource Requirements

Project Component

The project will consist of four components of construction modern OPD Block,
Construction of under fives Block and construction of Maternity Block.
1. Construction of modern OPD Block. This will provide excellent waiting
centre for services by patients.
2. Construction of under fives Block. This will provide excellent waiting centre
for services by patients.
3. Construction of Maternity Block. This will provide services to pregnant
excellent centre for waiting services for patients.
4. Provision of modern equipments for testing, diagnosing as well as for curing
diseases. This will provide better health services by diagnose and curing
various cases to the patients within and outside of the Sikonge ward.

Resources Requirements and Availability of Man Power

The project will be conducted by Muslim in Sikonge District under financial
assistance of donors, where all appropriate procedures will be adhered.

3.5 Materials

The project will require materials like construction material both industrial and
local materials according to Bill of Quantity (BOQ).

4.0. PROJECT ORGANIZATION, MANAGEMENT AND

IMPLEMENTATION

4.1 Implementing Agency

The project will be executed by National Muslim of Council of Tanzania

(BAKWATA) at Sikonge District through project Committee. The project
committee will involve Muslim members from each village in the Sikonge ward.
Muslim Government staffs and other Institutional staffs employed in different
carriers in Sikonge District will be responsible in provision of technical
support.
4.1. Project organization chart

FUNDER

BAKWATA -Sikonge

Project Committee (supervision)

Contractor Suppliers Muslim Government and

other Institutions employees

4.2. Project Management

The project will be managed by BAKWATA in Sikonge District Council in

collaboration with project committee. Supervision will be conducted by project
committee.

4.3. Project Implementation

The project will be implemented for the period of one year from July 2018 to
June 2019 if fund is available. Both monitoring and evaluation will be
conducted during project implementation and after project completion to see if
the intended goals of the project have been realized.

5.0. PROJECT OUTPUT AND MARKET

5.1. Project Output

The implementation of construction modern dispensary project will results into
increase in provision of quality health services adhered under Muslim culture
and Sharia, which is highly demanded by Muslim members in Sikonge.
Provision of Health services by taking into consideration respective gender
between the patient and services provider will attract many Muslim and non
Muslim members to get services in this excellent medical centre. Also
availability of this dispensary will create employment opportunity to other
sectors like Bodaboda, food venders, small shop.

5.2. Project Market

Since this dispensary aim at provision of services and not profit oriented, all
good health services provided under civilized system of services gender base
will attract influx of patients from within and outside of the ward.
Advertisement will be made to local and national media so as to attract health
services seekers.

6. FINANCIAL ANALYSIS
The estimated cost for implementation of the project is Tshs.
156,611,100.00 that will be provided by Funder. See Annex ‘A’ for more
clarifications

6.1. Project Cost Assumption

The total cost of project is Tshs. 156,611,100.00 that will be provided by
Funder.

6.2. Investment Cost

The total cost estimated for this project is Tshs 156,611,100.00.
143,242,800.00. See Annex ‘A’ for clarification.

6.3. Operating Cost

Operating and maintenance cost will be facilitated by dispensary through
realization of revenue from patients’ cost sharing as well as a contributions
from the other people.

6.4. Without the Project “Assumption”

If the project will not be implemented the irrespective gender between services
provider(Doctor/Nurses) and services receiver (Patient) will proceed in a non
Muslim Hospital, Health Centres and Dispensaries which is contrary to
Muslim Sharia and its rules. It will be normal for woman patient woman to be
treated by man doctor or nurse.

6.5. Sources of Funds

The funding sources for the project will be provided by a Funder.

6.6. Economic Analysis

The investment in construction of modern Dispensary will result into provision
of adequately constant health services to the people within and outside of
Sikonge ward that lead people particularly working age group to be healthier
and participate effectively in production activities. Hence lower income poverty
at micro level and living standard among the people will be improved.
Also Dispensary will speed up economic growth as well as GDP of Sikonge
because people will get direct employment in the dispensary and others will get
employment to the other sectors through integration with health sector.

7. ENVIRONMENTAL IMPACT ASSESSMENT (EIA)

Environmental Impact Assessment (EIA) is a tool used to identify the
environmental, social and economic effects of the projects prior to decision
making. Environmental and sanitation department will conduct EIA in early
stage before project implementation so as to find the consequences that will be
caused by project and solution. End results will be presented to decision
makers.

8. CONCLUSION
Allah through the Holy Quran give us laws (Islamic Sharia) and rules that give
directives to us on how to maintain moral lives and to be away from the sins
that can bring out curses to Allah. Generally Investment in construction of
dispensary will enable gender match services provided model to be considered
in the health services in Sikonge District Council as one of Muslim Sharia Allah
give us. Moral behavior will prevail in the dispensary because Patients will be
served by the doctors or nurses respectively to their gender unless otherwise.
Also Dispensary will speed up economic growth as well as GDP of Sikonge
because people will get direct employment in the dispensary and others will get
employment to the other sectors through integration with health sector and
supplied of healthier labour.
CONTACT PERSONS
1. SHEIKH JUMANNE HASSAN
DISTRICT SHEIKH
Mobile Number: +255 786 034 773
SIKONGE

2. JAAFAR WIBONELLA
DISTRICT CHAIRMAN OF BAKWATA
Mobile +255 787 924 492
SIKONGE

3. MAALIM NASSOR JUMA KALUNGWANA

DISTRICT SECRETARY OF BAKWATA
Mobile Number +255 788 880 139
SIKONGE