extraordinary resilient and dedicated missionary, Ms Hanchen
Prozesky, was the first provider of Western medicine to the
inaccessible Maputaland region in the 1930's. The initial Methodist
clinic and mission was perched on the sand dunes overlooking
the magnificent vista of the Kosi Bay estuary with its' famous
Tonga fish traps. It was later moved to and area called Maputa
around which the town of Kwa Ngwanase has grown.
Manguzi doctor was Dr. Schwalbe. He and his wife, Maria, arrived
in 1942 to begin, literally from clearing the bush and making
of the cement blocks, developing the then tiny hospital. They
were aided by the "fearless" Sister Nora Cookson.
It became registered as an official fifteen bed hospital in
left in 1959. Sister Erica Beaton continued as the only trained
member of staff until the arrival of Dr Laufler in 1966. Dr
Cliff Allwood , with his wife Anne and young son Anthony took
over just before Christmas 1969.
Matron J.Conway and Sister J.Hodge joined them the following
stage the hospital had been grown to 107 beds, with general,
maternity and TB wards as well as OPD and four mobile clinic
points and a minor theater. There were 24 nursing staff of
which twenty only had First Aid Training.
set himself a grueling schedule starting with the training
of Mr Henry Mabika to do basic laboratory investigations from
5:30 to 7:30 A.M., followed by ward work, administration duties
and finishing off with a chapel service.
During the Allwoods tenure, a central sterilizing facility
was created, oxygen cylinders and an anaesthetic machine was
procured and a six month training course for nursing staff
initiated. Additional clinics were set up at Phumphele, Kazambane
and Mvelabusha in 1970, and an additional three the following
year at Kwanxabane, Malangeni and Mshudu.
The hospital was upgraded to 148 beds.
12 May 1971 Catheryn Anne Allwood was born in the hospital.
Being so isolated and the attending doctor for your own wife
must have been a harrowing experience.Their third child, Brian,
was born in the hospital in 1974.
to Manguzi was still by powder soft sand road so any chance
of transferring patients or receiving help was almost impossible.
A Radio link was started between the neighboring hospitals
of Mseleni and Bethesda which enabled the isolated doctors
to have Journal club meetings over the air.
a Christian missionary flight service and later Mr Rod Kruger
provided air lift services for critical patients swooping
them off to the city hospitals. Rod Kruger was later fired
by the KwaZulu minister of health for not allowing his staff
to attend a political party meeting during working hours.
two black South African sisters were employed in 1972.They
were Gladness Ntuli and Eunice Dunjwa.
Gladness went on to become the hospital matron in 1989.She
"retired" in 2003 but we still call her back to
trouble shoot at the clinics.Mr Simon Zondo is another character
to have enriched Manguzi Hospital.
He was employed as an agriculture adviser and evangelist in
1974.He continues to contribute to the hospital through provision
of land and expertise for food gardens. His son, Pat, continues
to work as a radiographer at the hospital. Simon was evidently
a legendry tennis player with an almost un-returnable serve.
He continues keeping active and is presently learning new
computer skills much to the admiration and sometimes frustration
of his instructor.
were replaced by the Drapers in 1976.Their daughter, Catherine,
was delivered here a while later.
Ms Pam McLaren was the first started the Therapy department
in 1973. During her time she also created Ngelandlazetu, a
project aimed at training and employing disabled people. This
project continues today.
Dr Det Prozesky arrived in 1982.He initiated a program of
training Community Health Workers.
October 1981 the hospital was handed over to the KwaZulu Government
(Health) from the Methodist Church and a month later the first
residential clinic was opened (KwaNdaba Clinic)
South Africa proposed handing over Ingwavuma District to Swaziland.
This caused much political turmoil locally.
Cyclone Demoinia struck. The hospital was cut off from the
outside world with much damage being done.
In the following years new clinics were built and additions
were done to the hospital
Zama Zama clinic - 1987
Mahlungulu clinic - 1994
Thengani (IDT) clinic - 1996
Bhekabantu (RDP) clinic - 1996
New Theatre (2003)
PMTCT (under construction)
The health services expanded with more RDP Clinics, which
have been opened.
Clinic - 1998
KwaZibi Clinic - 1998
Mshudu Clinic - 1998
KwaNdaba Clinic was replaced with a new building in 2005
Mboza Clinic has been handed over to Manguzi on 01/04/2007
Maputa Clinic - construction has started and should be opened
in July 2008.
support for patients continues and the Hospital Chaplain is
paid from Donation Funds. Many Community (PHC) Programs have
been started such as:
Community Health Based Services
Oral health services
Eye care services
the war years in Mozambique, many Mozambicans settled in the
Manguzi area, while some returned after the cessation of hostilities.
During those times it was not uncommon to treat landmine accidents
at the hospital, as the health services in Mozambique had
completely broken down. Manguzi is still used by people residing
in the southern part of Mozambique, as the nearest Mozambican
hospital is situated at Bella Vista.
Statement adopted in 1996: "Under God working together
with the community for a better life."
there were 5 - 6 doctors with approximately 50% foreign doctors
(mostly from the U.K). Crocodile bites, hippo and rhino accidents
provided excitement. From 1999 onwards, Community service
was started and since then the health service had a minimum
of 10 doctors (maximum 17 in 2007).
of malaria diagnosis with Rapid tests was piloted in Mahlungulu
clinic in 1996, and due to the success of it rolled out to
all other clinics in Umkhanyakude.
model" of PHC with supervisors, own transport fleet,
stores system was developed from 1999 to 2000 and implemented
with great success, without fragmenting the health service.
essay competition was started in the 1990's as a way to improve
health promotion, and has been provincialised in 2004 by the
department's health promotion directorate. Floods were experienced
in 2000/01 with water coming up to Phelandaba clinic's veranda
and thousands of people displaced.
with Mseleni got outside funding to start PMTCT programme
before it was official departmental policy and created a furor
in the media.
for the first time in the history of Manguzi, nursing and
administrative staff joined a nationwide strike in demand
of higher wages in June 2007. Fortunately it only lasted for
two days and the medical and paramedical sections of the hospital
rolled up their sleeves and performed other duties.
is well known for its commitment to PHC, and the integrated
manner in which hospital and PHC services are rendered serves
as an example of what can be achieved in the District Health
System. Currently (2007) the hospital has got 264 beds, with
10 fixed residential clinics and 3 mobile clinic teams. It
will be increased to 304 beds and 11 clinics in 2008.
Nursing Managers, Medical Superintendent and Administrators
since establishment of the hospital.