MIREMBE NATIONAL MENTAL HEALTH HOSPITAL (MNMH)

MIREMBE NATIONAL MENTAL HEALTH HOSPITAL (MNMH)

MNMH plays a big role in prevention, treatment, rehabilitation , training and research in mental health and substance misuse. It is the only specialized mental health hospital in Tanzania. In the curative aspect it has section for Substance use disorders, forensic psychiatric services, child and adolescent mental health services, and maternal mental health services, neuropsychiatric services, General adult psychiatric services. Also it has a Research and Training unit for mental health and substance use disorders.

Mission statement

To provide mental health services through diagnosis, management, forensic investigations and research on mentally challenged individuals for a healthy community.

Our Visions

Mental wellbeing attributed by educated, early intervening and accepting community.

Mirembe Hospital was opened in 1927 with a total of 29 patients who were transferred from Lutindi rehabilitation center.The number of patients has been increasing over the years up to 53,946 in 2020, with 340 used beds serving patients with physical and mental illnesses. In 1960, Isanga correction center which was previously under the Prisons Service Department was handed over to Ministry of Health under Mirembe Hospital with the aim of treating mental disorder defenders. At that time, it was called Broad moor because it’s functions were similar to that Broad moor of UK. The facility currently has a capacity of 250 beds. Patients are legally brought in by orders from the Courts. In the course of expanding the hospital, Mirembe Annex was established in 1967 with the purpose of serving mentally ill patients who are on remission but could not remember where they came from. During their stay the patients were engaged in rehabilitative activities but this did not last for long due to shortage of staff. In the long run the place was renovated and patients with substance use disorders were enrolled in different income generation activities as part of occupational therapy so as to facilitate their re-intergration into the community. This place has a bed capacity of fifty. In the same year 1967, the hospital established Hombolo Rehabilitation Center, which is 50 km from Mirembe hospital. At this centre, recovered mentally ill patients who have been rejected by the community due to crimes they had committed are equipped with skills of self reliance through agricultural and animal husbandry activities. This place has a bed capacity of fifty. Nevertheless the hospital expanded in the provision of other services so as to carter the needs of the customers . These services include Dental Clinic (2004),Ophthalmology Clinic(2009),Physiotherapy (2010), Neurology Clinic (2016),Itega Drugs Dependence Treatment Center (2018) and Child and Adolescent Clinic (2019). Currently the hospital is a Super Specialized Mental Health Hospital as it was declared so in 2010. Psychiatric services have been integrated with physical health services. These services include outpatients (OPD), inpatients (IPD), and diagnostic services. The hospital also provides voluntary counseling and testing for infectious diseases such as AIDS, other sexually transmitted diseases and tuberculosis (TB). These services are provided through vertical programs of CTC and VCT.

Functions

  • To provide preventive services related to mental health
  • To provide super specialized treatment and care to people with mental disorders
  • To provide treatment and care to people with substance use disorders.
  • To provide education and information on mental health to the community.
  • To advise the Prison officers on the evidence based way of managing prisoners with mental illnesses
  • To advise courts on mental health and mental disorder defenders

Summary of relevant work

  • Community outreach programs to lower level health facilities, schools, congregations
  • Mental health and substance use disorders research
  • Medication Assisted Therapy for people with opioid use disorders
  • Forensic psychiatric services
  • Child and Adolescent mental health services
  • Epilepsy care and treatment

Key partners

  • MOH- Ministry of Health, Tanzania
  • IMSHUS- International Mental Health and Substance Use Support
  • UDOM- The University of Dodoma
  • CNWL – Central and Northwest London NHS foundation
  • DIHAS- Dodoma Institute of Health and Allied Sciences

Seeking collaboration with

Experts by experience/service users
Other organizations
Policy makers
Researchers

Details

Approach(es)
Advocacy
Detection and diagnosis
Empowerment and service user involvement
Prevention and promotion
Technology
Training, education and capacity building
Treatment, care and rehabilitation
Disorder(s)
Alcohol/drug use disorders
All mental health conditions
Child behavioural and developmental disorders
Dementia and other neurocognitive disorders
Depression/anxiety/stress-related disorders
Epilepsy/seizures
Psychosis/bipolar disorder
Self-harm/suicide
Region(s)
Africa
Population(s)
Adults
Children and adolescents
Communicable diseases (e.g. HIV/AIDS, TB)
Disability
Families and carers
Humanitarian and conflict health
Maternal and neonatal health
Minority populations
Non-communicable diseases (e.g. cancer, diabetes, stroke)
Older adults
Setting(s)
Specialist care
Country(s)
Tanzania, United Republic of