Temeke District is one of the 5 Districts of Dar Es Salaam Region. It has an area of 656 sq. km, and is considered to be the largest area among the five Districts. It has a population of 1,101,209 as per 2002 National Population Census with an estimated population growth of 4.6% per annum as per projection for year 2016. Temeke district is administratively divided into 3 Divisions and 30 Wards with 180 Mitaa.
Health-wise the district is served by 110 facilities amongst which 33 are public and 77 are private (2010). Public facilities include 2 government Hospitals, (Temeke and Mbagala Rangi tatu) and 30 dispensaries, and 1 maternity wing the Round table. Most of the private facilities being commercial in nature are concentrated in the urban areas whereas the rural part which is the main area of the district are served by the public services mostly dispensaries only.
Temeke District Hospital started as a dispensary in 1972 and was upgraded to health center in 1980, and operated as a District Hospital in 1985 and later upgraded to regional referral hospital in the year 2010 to date. It is the regional referral hospital that is serving the Temeke population and its neighboring districts of Mkuranga, Rufiji, Kisarawe and Ilala. Despite the hospital being proposed to be upgraded to a regional hospital, it is discharging its services on the same site and size of 1972 when it was a dispensary to date.
Services that are provided include; The OPD department which has a number of services; to mention a few they include; General OPD, RCH Clinic, Oral Health services, ENT/ Eye services, Diabetes Clinic, TB/LEPROSY, Mental Health Unit, VCT services, and ART clinic. Others are Social Welfare services and NHIF/NSSF services which are currently quite over crowded. The OPD  receives between 1,000 and 1,500 patients a day attending various service delivery points. The number of patients attended is too high as compared to the hospital capacity in terms of human resources, infrastructure, resulting into congestion of patients at different sites of service provision at the hospital. Technological advancement in medicine and the emerging of new diseases has necessitated the need for improving the services offered in the Temeke hospital. To meet this advancement status, the training has enabled us to identify 5 Key performance areas that need be addressed;
These 5 key performance areas have been addressed in the plan document through 5 strategic Objectives and Goals as follows;
Increase number of qualified staff.
Increase number of new and standard buildings and renovation of the existing structure.
Increase working tools and procure of high-tech equipment.
Strengthening data collection and management.
Improve financial availability and management.