Battle: Dar es Salaam vs Nairobi

Battle: Dar es Salaam vs Nairobi

Kosugi said:
Tanzania hospitali zinafanya kazi kwa mpangilio.
Kama jambo limezidi utapewa referral uende hospitali ya wilaya,likizidi unapewa kwenda hospitali ya mkoa ama hospitali ya kanda.
Kila hospitali kulingana na hatua yake imewekwa vifaa vyake na aina ya matibabu yanayopatikana.
Ila Tanzania imehakikisha hospitali za kikanda zina mashine zote muhimu kwaajili ya vipimo na matibabu.
Uwe unaelewa sio unakurupuka na kuropoka mpuuzi wewe.
Hata hujui Tanzania hospitali zake zinafanya kazi kwa namna gani.
Mathalan Dar ukienda Temeke ukitizamwa ikihitajika vipimo zaidi utapewa referral uende MUHIMBILI Kesha urudi na majibu.
Ukiwa Kilimanjaro utaambiwa KCMC.
Ukiwa Mwanza utaambiwa Bugando.
Hizo mashine sio za kukaa Kila hospitali,nahisi hata matumizi yake huyajui unaropoka tu hapa.
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Unatuambia kitu kila mtu anajua, the same system applies to Kenya too. Ama unadhani hatujui maana ya referral hospital, Kenya ina over 50 referral hospitals kwa hivyo hakuna kitu mpya unatuambia. Unatuambia MRI sio machine za kukaa hospitali zote, sasa ebu imagine mtu amepata ajali ya barabarani and they are in urgent need for an MRI, bado ataanza kuzungushwa eti sijui aendee kilomita mia tatu kutafuta tu MRI scan. Tumia akili Mr. Quack Clinical Officer, wacha kuletea nchi yako aibu.
 
Kosugi said:
Sikuwahi kukutukana ila ngoja nikuite MSENGE kwa mara ya kwanza.
Nimesema saa ngapi kuwa hospitali zetu haihitaji MRI??
Usinilishe maneno mpumbavu wewe.
Nimesema Tanzania imenunua hizo mashine kwa kulingana na mahitaji.
Unajua Tanzania Ina hospitali za kanda ngapi?
Je kanda inahudumia hospitali ngapi?
Unajua mfumo wa huduma za afya za Tanzania?
Au unaropoka tu!?
Au ulitaka Kila hospitali iwekwe MRI!?
Muda mwingine ficha UPUMBAVU na USENGE wako.
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Wewe ndio msenge, how can you justify that 14 MRI Machines are enough for a population of close to 70 million people. We live in a modern world today where the use of MRI is gaining more traction and is very critical for proper diagnosis. Hata kama unatetea nchi yako, usiwe mjinga bana.
 
nairobae said:
Wewe ndio msenge, how can you justify that 14 MRI Machines are enough for a population of close to 70 million people. We live in a modern world today where the use of MRI is gaining more traction and is very critical for proper diagnosis. Hata kama unatetea nchi yako, usiwe mjinga bana.
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Tanzania haifanyi kazi kwa sifa za kijinga kama Kenya. India yenye watu 1.5b ipo na MRI less than 200. Unadhani MRI wanagawiwa watu kama bag ya unga?

Unataka kila mtanzania awe na MRI yake nyumbani. Kwikwikwikwi As usual kenyans are stupid
 
nairobae said:
Unatuambia kitu kila mtu anajua, the same system applies to Kenya too. Ama unadhani hatujui maana ya referral hospital, Kenya ina over 50 referral hospitals kwa hivyo hakuna kitu mpya unatuambia. Unatuambia MRI sio machine za kukaa hospitali zote, sasa ebu imagine mtu amepata ajali ya barabarani and they are in urgent need for an MRI, bado ataanza kuzungushwa eti sijui aendee kilomita mia tatu kutafuta tu MRI scan. Tumia akili Mr. Quack Clinical Officer, wacha kuletea nchi yako aibu.
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Inaonekana hata nayozungumza huyaelewi.
Kuna hospitali za rufaa na Kuna kuandikiwa rufaa.
Unaweza ukaandikiwa rufaa kutoka hospitali ya rufaa kwenda hospitali ya Kanda.
Mna hospitali za kanda ngapi?
Nani kakwambia kwenda hospitali za kanda inahitaji utembee kilometa 300+??
Hilo jeraha la ajali lilishindikanika kutumia x-ray kwanza hadi ihitajike MRI!?
Inapofanyika patient management ndio inajulisha kama inahitajika vipimo zaidi ama laah.
Kuna hospitali za rufaa na Kuna hospitali za kanda.
Embu soma kwa uelewa.
 
nairobae said:
Wewe ndio msenge, how can you justify that 14 MRI Machines are enough for a population of close to 70 million people. We live in a modern world today where the use of MRI is gaining more traction and is very critical for proper diagnosis. Hata kama unatetea nchi yako, usiwe mjinga bana.
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😂😂😂😂😂😂Itoshe kusema wewe ni zwazwa.
Umewahi kufanya kazi kituo chochote Cha afya?
MRI inahitajika kutumika kwa vipimo gani?
Tuanze hapo kwanza.
Nipe jibu.
 
Venus Star said:
Tanzania haifanyi kazi kwa sifa za kijinga kama Kenya. India yenye watu 1.5b ipo na MRI less than 200. Unadhani MRI wanagawiwa watu kama bag ya unga?

Unataka kila mtanzania awe na MRI yake nyumbani. Kwikwikwikwi As usual kenyans are stupid
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Msameheni kaka hata hajui matumizi ya hiko kifaa.
Hiyo MRI ni ya kutizama viungo vya ndani kwa kiwango kikubwa zaidi.
Upigaji picha wa viungo vya ndani wa MRI ni wa ufanisi kuliko CT scan na X-ray.
Ila kwanza inaangalikana tatizo liko wapi na je linaweza kuangalika kwa x-ray au CT au MRI?
Kama ni la ndani zaidi basi MRI itahusika ndio ijulikane upasuaji pia utafanyikaje.
Na hivi vipimo havifanyiki mara kwa mara ndio maana unakuta eidha zinawekwa kwenye hospitali za kanda kama TZ .
Ili ziweze kuhudumia kanda nzima.
 
Kosugi said:
Msameheni kaka hata hajui matumizi ya hiko kifaa.
Hiyo MRI ni ya kutizama viungo vya ndani kwa kiwango kikubwa zaidi.
Upigaji picha wa viungo vya ndani wa MRI ni wa ufanisi kuliko CT scan na X-ray.
Ila kwanza inaangalikana tatizo liko wapi na je linaweza kuangalika kwa x-ray au CT au MRI?
Kama ni la ndani zaidi basi MRI itahusika ndio ijulikane upasuaji pia utafanyikaje.
Na hivi vipimo havifanyiki mara kwa mara ndio maana unakuta eidha zinawekwa kwenye hospitali za kanda kama TZ .
Ili ziweze kuhudumia kanda nzima.
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Kaka maelezo ya matumizi haya hapa. Wala hawatusumbui wanatafuta sababu za kujifariji ili wapoze maumivu.

FeatureX-RayCT Scan (Computed Tomography)MRI (Magnetic Resonance Imaging)
TechnologyElectromagnetic radiationMultiple X-rays + computer processingStrong magnetic fields + radio waves
Radiation ExposureYes (low dose)Yes (moderate to high dose)No (safe for long-term/children/pregnant women)
Best ForBones, lungs, fracturesBones, brain, chest, abdomen, trauma, cancer stagingSoft tissues, brain, spinal cord, muscles, ligaments
Image Quality2D images, limited detail3D cross-sectional images with better detail than X-rayVery detailed soft tissue contrast
SpeedFast (1–5 minutes)Medium (5–10 minutes)Slower (30–60 minutes or more)
Cost (approximate)LowModerateHigh
PortabilityHighly portable (can be mobile units)Less portableNot portable
Common UsesBone fractures, chest infectionsStroke, trauma, tumors, internal bleedingBrain lesions, spinal injuries, ligament tears, tumors
ContraindicationsRareNot recommended for frequent use due to radiationNot safe with metal implants, pacemakers
 
Hawana akili wangejenga viwanja viwili vya 30000/30000 Mombasa na Kisumu lakini huko hakuna facility zinazoweza kuakomodeti watu kutoka mataifa mengine mtajionea mengi Chan na Afcon
chongchung said:
Na hizo cities hata sio government owned ni za wazungu na 1 ya uhuru for money laundering ya ufisadi, wanazika billions of money kwa kitu ambacho wanatumia mara 3 kwa mwaka 😂😂 hivi viwanja vitatumika zaidi kwa government functions zaidi ya commercial functions na vitawapa hasara kuvihudumia na bado ni masikini, viwanja vya FIFA WC kule SA tu vingi vimetelekezwa na SA wana uchumi mkubwa zaidi ya Kenya

Hii Talanta wangeijenga hata Mombasa washare hasara tena iwe 30k seaters hiyo pesa nyingine wafanye renovations kwenye hayo mapagale yao, nyayo na Kasarani vilitosha kabisa for naislum
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The best 007 said:
Ni rahisi kutabiri kwamba talanta itakuwa pagale mana haikuhitajika Kenya, kwanza Kenya sio football country, ligi yao yenyewe ya mpata mpatae alafu wanajenga uwanja kama wa Mkapa ili iweje? Hawa ni wajinga sn, it's better wangejenga viwanja vya riadha.
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Kosugi said:
Inaonekana hata nayozungumza huyaelewi.
Kuna hospitali za rufaa na Kuna kuandikiwa rufaa.
Unaweza ukaandikiwa rufaa kutoka hospitali ya rufaa kwenda hospitali ya Kanda.
Mna hospitali za kanda ngapi?
Nani kakwambia kwenda hospitali za kanda inahitaji utembee kilometa 300+??
Hilo jeraha la ajali lilishindikanika kutumia x-ray kwanza hadi ihitajike MRI!?
Inapofanyika patient management ndio inajulisha kama inahitajika vipimo zaidi ama laah.
Kuna hospitali za rufaa na Kuna hospitali za kanda.
Embu soma kwa uelewa.
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Kenya hakuna kitu kama kanda, Hospitali zinapangwa na levels. Kwa dunia ya sahii hospitali yeyote kubwa inafaa kua na proper radiology department with Xray, CT Scan and MRI machines. Bongoslum amabayo ni almost two times the size of Kenya ina 14 MRI machines pekee na unataka tuamini hakuna mtu anacover over 300km kutafuta MRI services, kwani unadhani bongoslum inatoshana na Lesotho ama. Kenya county kama West Pokot which is very marginalized ikona a proper radiology department.


View: https://x.com/SimonKachapinK/status/1925157669473603760
 
Kosugi said:
😂😂😂😂😂😂Itoshe kusema wewe ni zwazwa.
Umewahi kufanya kazi kituo chochote Cha afya?
MRI inahitajika kutumika kwa vipimo gani?
Tuanze hapo kwanza.
Nipe jibu.
Click to expand...
Naona wewe ni fala kama waziri wenu wa afya amabaye anajivunia bongoslum kushika nafasai ya nane kwa MRI machines in Africa. Yani kwenu Africa ndio yardstick. 🤣 🤣 🤣 Enyewe sasa naelewa mbona bado hamjui importance ya MRI machines.


View: https://x.com/MwananchiNews/status/1937097857598632342
 
nairobae said:
Kenya hakuna kitu kama kanda, Hospitali zinapangwa na levels. Kwa dunia ya sahii hospitali yeyote kubwa inafaa kua na proper radiology department with Xray, CT Scan and MRI machines. Bongoslum amabayo ni almost two times the size of Kenya ina 14 MRI machines pekee na unataka tuamini hakuna mtu anacover over 300km kutafuta MRI services, kwani unadhani bongoslum inatoshana na Lesotho ama. Kenya county kama West Pokot which is very marginalized ikona a proper radiology department.


View: https://x.com/SimonKachapinK/status/1925157669473603760
Click to expand...

Unaropoka kiasi hujielewi.
Nilikuuliza unajua matumizi ya hizo mashine!?
Unalazimisha sisi tuwe kama Lesotho kwani uendeshaji wetu wa sekta ya afya unaendana!?
Mbona unazidi kuonesha ufala we kijana!?
Tanzania ina mifumo yake ya kuendesha sekta ya afya usifananishe na Kenya au Lesotho.
Umesema hospitali zinapangwa kwa level si ndio!?
Hata TZ hospitali zinapangwa kwa level kulingana na eneo la tawala na idadi ya raia pia.
Usilete ubishani wa kijinga.

Nimekuuliza swali,unajua matumizi ya hizo mashine!?
 
nairobae said:
Naona wewe ni fala kama waziri wenu wa afya amabaye anajivunia bongoslum kushika nafasai ya nane kwa MRI machines in Africa. Yani kwenu Africa ndio yardstick. 🤣 🤣 🤣 Enyewe sasa naelewa mbona bado hamjui importance ya MRI machines.


View: https://x.com/MwananchiNews/status/1937097857598632342
Click to expand...

Naona unazidi kudhihirisha ufala wako.
Huyo kiongozi anaelezea hatua iliyopigwa katika sekta afya,hii inaonesha sekta ya afya imetokea wapi na inaelekea wapi,wapi pamepigwa hatua na wapi parekebishwe.
Mathalan nikutolee mfano, Tanzania huduma za kibingwa zilikua zinapatikana hospitali kubwa za Mkoa na za kanda tu,sasa hivi wameboresha hadi hospitali za wilaya zinatakiwa kutoa huduma za ubingwa hadi wa upasuaji takriban aina zote.
Tanzania sio kama Kenya,huwa tunafanya mambo kihatua.
Unalazimisha eti TZ iwe na mifumo kama nchi nyingine we kweli msenge maji.

Unajua matumizi ya hizo mashine!??
Bado nasubiri jibu langu.
 
AMARII said:
Nakubaliana na wewe kwa asilimia zote. Ile jambo moja makini ni kuhusu handling. Lift on na lift off ... Kama zitatumika reli za standard tofauti au kama zitatumika reli then Bus au reli ya aina nyingine. Hapo kunakuwa na additional cost na pia risks ya ku secure mzigo kwa kufanya proper lashings.
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Mgr tuache kwanza ila bado hata hivyo vicha vinatosha kwa sasa
AMARII said:
Kwa MGR yetu unaona kabisa hakuna double handling walaaa mambo ya lashings and unleashings.. kikubwa tu hapo ni assurance ya locomotive za kutosha na wagon za kutosha bhaas.
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Ebu tuchukue mfano huu wa kusafirisha tonne 6000 kutoka dar - mwanza kwa kutumia vichwa vya tz na Kenya
Fuel vs Electricity Cost & Time Comparison Report


Scenario: Hauling 6,000 Tonnes over 1,200 km (Max 1.5% Gradient)

Scenario Summary​


ParameterValue
Distance1,200 km
Train Load6,000 tonnes
Terrain GradientMax 1.5% (avg ~1%)
Kenya Locomotives4 × DF8B (diesel)
Tanzania Locomotives2 × EC6800 (electric)

🇰🇪 Kenya SGR – DIESEL Cost & Time (4 × DF8B)​

Assumptions:
  • Fuel burn per DF8B loco: 4 litres/km
  • Total burn (4 locos): 16 litres/km
  • Diesel price: $1.36/litre
  • Average speed: 80 km/h
Calculations:
  • Fuel usage: 16 litres/km × 1,200 km = 19,200 litres
  • Fuel cost: 19,200 × $1.36 = $26,112
  • Transit time: 1,200 km ÷ 80 km/h = 15 hours

🇹🇿 Tanzania SGR – ELECTRIC Cost & Time (2 × EC6800)​

Assumptions:
  • Energy consumption: 30 kWh/km for 6,000 tonnes
  • Electricity cost: $0.14/kWh
  • Average speed: 120 km/h
Calculations:
  • Energy used: 30 kWh/km × 1,200 km = 36,000 kWh
  • Electricity cost: 36,000 × $0.14 = $5,040
  • Transit time: 1,200 km ÷ 120 km/h = 10 hours

Comparison Summary Table​

MetricKenya (Diesel)Tanzania (Electric)
Route Distance1,200 km1,200 km
Train Load6,000 tonnes6,000 tonnes
Locomotives Used4 × DF8B2 × EC6800
Fuel/Energy Used19,200 litres36,000 kWh
Fuel/Energy Cost$26,112$5,040
Cost per tonne-km$0.00363$0.00070
Transit Time15 hours10 hours

Maoni
  • Tanzania's electric SGR costs ~5x less per tonne-km and saves 5 hours per trip compared to Kenya's diesel SGR.
  • Electric traction provides lower marginal cost, faster speeds
NB: bei ya diesel Inaweza badilika ila tumechukulia bei iliyopo sasa hivi Kenya ya ksh 175 na kwa bei za umeme Tanzania tumechukua bei za majumban 366 tsh ila trc wanatumia bei ya wanunuzi wa kubwa yaan 212=0.080 tungetumia kiasi Cha usd 2912 sawa na 7.6mil kufikisha mwanza.
6000tonne ni sawa na behewa 80 au TEU 160 basi tutoze Kila TEU 450 Mpaka mwanza tu
 
Kosugi said:
Unaropoka kiasi hujielewi.
Nilikuuliza unajua matumizi ya hizo mashine!?
Unalazimisha sisi tuwe kama Lesotho kwani uendeshaji wetu wa sekta ya afya unaendana!?
Mbona unazidi kuonesha ufala we kijana!?
Tanzania ina mifumo yake ya kuendesha sekta ya afya usifananishe na Kenya au Lesotho.
Umesema hospitali zinapangwa kwa level si ndio!?
Hata TZ hospitali zinapangwa kwa level kulingana na eneo la tawala na idadi ya raia pia.
Usilete ubishani wa kijinga.

Nimekuuliza swali,unajua matumizi ya hizo mashine!?
Click to expand...
Pitia thread I had already posted before, MRI machine is crucial in analyzing critical internal body organs, that's why county referral hospitals in Kenya can conduct complex surgeries such as brain or spine surgery because they have the required infrastructure in place.
 
Kosugi said:
Naona unazidi kudhihirisha ufala wako.
Huyo kiongozi anaelezea hatua iliyopigwa katika sekta afya,hii inaonesha sekta ya afya imetokea wapi na inaelekea wapi,wapi pamepigwa hatua na wapi parekebishwe.
Mathalan nikutolee mfano, Tanzania huduma za kibingwa zilikua zinapatikana hospitali kubwa za Mkoa na za kanda tu,sasa hivi wameboresha hadi hospitali za wilaya zinatakiwa kutoa huduma za ubingwa hadi wa upasuaji takriban aina zote.
Tanzania sio kama Kenya,huwa tunafanya mambo kihatua.
Unalazimisha eti TZ iwe na mifumo kama nchi nyingine we kweli msenge maji.

Unajua matumizi ya hizo mashine!??
Bado nasubiri jibu langu.
Click to expand...
400 Billion GDP mu mepiga hatua na 14 MRI machines pekee. 🤣 🤣 🤣
 
nairobae said:
Pitia thread I had already posted before, MRI machine is crucial in analyzing critical internal body organs, that's why county referral hospitals in Kenya can conduct complex surgeries such as brain or spine surgery because they have the required infrastructure in place.
Click to expand...
Kwenu ninyi county refferal kwetu sisi ni hospitali za kanda.
Sasa sijui unabisha nini!?
Aya kama unajua kwa mwezi hospitali inaweza ikawa Ina ratio ngapi ya wagonjwa wa aina hiyo kulingana na uhitaji wa hiyo huduma?
 
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