These pictures of Karatu Lutheran Hospital speak volumes:
http://health.elct.or.tz/karatu/picture%20gallery.htm
The following are articles written in German. So paste the link into google and do a search. In the search results, rather than clicking on the link, click to the right of it on “translate this page”. These are excellent first-hand accounts of the hospital, its resources and needs, and the patients:
http://www.stethosglobe.de/ausland/fam/gyn_eat_04-2005_rc.php
http://www.samariterbund.net/noe/aktuelles/941?PHPSESSID=55e9aad4f636be762716d926bd96bb8a
These files are in English, they are first-hand accounts from missionaries to the region (there is a lot of useful info in theses:
http://www.interchurch.org/resources/uploads/files/237HRM_Cost_Recovery_Assessment--Tanzania_CSSC_Hospital.doc
http://mysite.verizon.net/vzerxijl/id15.html
