I n 2024, the board of the MSF consisted of the following members: Y. Wilders, Chairman, M. Visser, Vice-Chairman, H. de Boer, Secretary, P. Aanhane, Treasurer, E. Leyten, A. vd Lecq, S. de Jong and O. Langezaal, Board Members.

As of October 21, 2024, Jorn Meekel has joined the MSF board. He has already visited Mikumi several times. In 2024, the MSF met three times at the Alrijne Hospital in Leiderdorp. There was also regular email and WhatsApp communication again with Sr. Antusa, Dickson (administrator), and Sr. Restituta. On February 24, a ZOOM meeting was held with Antusa and Dickson regarding the Emergency Department, among other things.

Mikumi
In 2024, no medical team traveled to Tanzania. However, MSF did have extensive consultations from the Netherlands with the team in St. Kizito regarding the installation of a computer network. The hospital is required to submit all invoices and other administrative records digitally. Patient records and medication records must also be entered into this digital system.

The new Emergency Department building in Mikumi was completed by the Tanzanian contractor in 2024. The installations and interior fitting still need to be done in 2025. This fitting is being sponsored by MSF with EUR 43,000 using the proceeds from the 30th MSF anniversary in 2023.

A 20 ft. container is also partially loaded with furniture, sofas, and chairs from Alrijne for the furnishing of the new Emergency Department building.

In May, Henk and Hans de Boer spent two weeks in Mikumi on behalf of MSF. During that period, the laundry room was renovated so that dirty laundry is now kept separate from clean laundry. This was an important requirement of the Ministry of Health. Also, with the help of MSF, the solar systems in the various departments were renovated. As a result, all departments now have emergency lighting available again whenever the power company fails, which happens regularly. This allows work to continue at night when there are emergency patients.

The nursing school (sponsored by Friends of Mikumi) at the back of the grounds is in an advanced stage, and training of nurses will begin there shortly, who can then complete internships at St. Kizito.

Lugono
In May, Henk and Hans de Boer also spent a week in Lugono. Together with the people from the St. Agnes Clinic, a new laundry room was built there with the help of MSF. This was also a requirement of the ministry. The families of the patients can now do their laundry there, keeping it separate from the clinic.

There was another problem with the water. A new water pump and inverter have been made available by MSF for this. These were purchased in Morogoro, where more and more shops are opening and therefore more and more parts are available.

The solar panel batteries are also starting to deteriorate. However, the energy company will likely make an electricity connection to the public grid in 2025. Under the leadership of the new laundry and drying facility, Restituta, the St. Agnes Clinic is operating increasingly well, and patients are coming from the wider area. Mother and child support, in particular, is an important component.

This project is supported by the Pieter Breek Foundation via MSF. The buildings look neat and the entire complex is well maintained.

Projects supported by MSF in 2024:

St. Kiziti Hospital Mikumi:
1. Replace batteries and inverters of the solar system for lighting	€7,700
2. Purchase of computer program and training	€3,000
3. New water pump	€2,800
4. Renovation of laundry room	€2,300
		€15,800
St. Agnes Clinic Lugono:
5. Medicines and vaccinations Mother and Child project	€5,000
6. Training of St. Agnes Clinic staff	€4,200
7. Costs of new laundry room	€2,700
8. New pump and inverter	€2,200
9. Training successor Restituta	€1,000
		€15,100
	Total	€30,900

MSF:
The last Mission Auction in Zoeterwoude took place in 2024. This large group of volunteers supported MSF for many years with a donation. On behalf of MSF, the group is sincerely thanked for their contribution. Education has always been a key focus of MSF, as education is always the best investment. However, few applications have been submitted by St. Kizito in recent years, and feedback has often been difficult. MSF will attempt to resume this in 2025.
All MSF volunteers traveling to Tanzania pay for their own travel expenses. Therefore, all donations benefit the projects (almost) entirely.

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