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Expenditure and Payment Unit

The Expenditure and Payment unit is responsible for ensuring that the Hospital incurs expenditure in accordance with Public Financial Act of 2004 and Public Procurement Act of 2013 as well as MNH Financial Regulations. Furthermore, the unit is obliged to ensure that claims due to staff, suppliers, and other creditors are made within a reasonable period of time to enable the Hospital to operate as effectively and efficiently as possible.

The Expenditure and Payment Unit is headed by Expenditure Accountant who is responsible for ensuring that all activities which the Unit is mandated to perform, are carried out in an efficient and effective manner and according to approved operating standards.

Responsibilities and duties of the Head of Expenditure and Payment Unit shall include the following:

  1. Design strong internal controls over payment processing system and monitor its implementation,
  2. Develop and advise strategies to reduce and effectively manage expenditure,
  3. Design and implement mechanisms to ensure that all payments to imprest holders are properly and fully accounted within 14 days from the date of completion of activity for which payment was made,
  4. Ensure that liabilities which are due, are settled on time to build and maintain a constructive working relationship with suppliers, employees, business partners and other stakeholders,
  5. Ensure that liabilities which are due are settled on time to avoid unnecessary penalties due to late payment,
  6. Ensure that payments are made for only approved claims,
  7. Prepare reliable, relevant and complete reports on a weekly, monthly and quarterly basis to assist management in making informed decisions,
  8. Facilitate and assist external and internal auditors to perform audit assignments by providing required data, information and explanations,
  9. Prepare and submit written responses to audit findings,
  10. Implement and closely follow up to ensure that auditors’ recommendations are timely and consistently implemented, and
  11. Prepare statutory financial statements in accordance with International Financial Reporting Standards.

Billing and Credit Control Function

The Hospital offers services both on cash and credit basis. Credit clients are provided 30 days, from bill dispatch date, to settle their bills. The billing section is responsible to ensure that services provided to credit clients are completely captured; bills are timely prepared and dispatched to respective credit clients by 15th of the following month.

The billing and credit control sub section is responsible for ensuring that credit terms and conditions are adhered to.;

In-Patient Billing

At every inpatient ward block there is an accountant whose main duty is to ensure that our inpatients or patients’ relatives are posted with their bill position and take appropriate actions to ensure that bills are settled in time.

Procedures for Accessing Credit Facility

The Hospital has an arrangement in which corporate bodies and insurance Companies are offered medical services on credit basis. Service is provided on credit basis once a contract for services is entered between corporate bodies, insurance companies and the Hospital. Potential credit clients are required to follow the following procedures in accessing credit facility:

  1. Submit an application letter addressed to the Executive Director. The letter should be accompanied by the following documents:
    1. Institution/ Company profile
    2. Institution/Company operating registration and license
    3. Audited financial statements for the latest three years
  2. On receipt of the above stated documents, the Hospital Credit Committee shall evaluate the applicant to determine its credit worthiness
  3. Once it is established that, a potential credit client meets all set criteria, an acceptance letter accompanied by a standard contract shall be sent to the applicant.
  4. Once both parties are satisfied with terms and conditions of a contract for provision of services, the contract will be signed. Thereafter the contract will start to be executed by both parties.

Guiding Principles


MNH has a social responsibility to improve the health of future generations. Guided by fundamental ethical principles of access and equity and in compliance with related laws and regulations, MNH will work with integrity in the pursuit of high quality clinical services. Respect Our patient and our workforce are our greatest resources. We are committed to a patient centred hospital environment and workforce built on respect for diversity, trust, communication, and institutional teamwork at all levels within the organization. .


Our patience and workforce are our greatest resources. We are committed to a patient centred hospital environment and workforce built on respect for diversity, trust, communication and institutional team work at all levels within the organization.


MNH will accomplish objectives by using all available resources to continually ensure best value for patients and stakeholders. This strategic planning process directs available resources to achieve strategic goals in the most cost effective manner. MNH shall collaborate with the Ministry of Health (Government), Muhimbili University College of Health Sciences (MUHAS), Muhimbili Orthopaedic Institute (MOI), Ocean Road Cancer Institute (ORCI), the Dar es Salaam Municipal and other referral hospitals to deliver the highest quality services within existing resources.


MNH is committed to ensure the security of the Hospital. MNH will work proactively with patients, employees, and Hospital security officials to maintain a secure work environment for patients, staff, and Hospital assets.

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