Nyadire United Methodist Mission Hospital was established in 1923, it has a catchment population of over 25,000 people. Situated in Mutoko rural area about 143 km from the capital city of Zimbabwe. Owned by the United Methodist Church in Zimbabwe, the hospital is manned by two doctors, 34 nurses, 19 nurse aides, and 35 general hands. The hospital has the following departments Laboratory, Pharmacy, Out Patient department, Radiology, Maternity, OI/ART departments, In Patient Care, School of Nursing and Midwifery program. The Hospital offers second level health care services in Zimbabwe’s public health care. Nyadire hospital is a referral center of its surrounding rural health center in the surrounding four wards. It is a center of training nurses and also gets medical students for attachment. We offer the following services, OI/ART services, TB/HIV services, malaria program, curative care services, family planning, maternity services, surgical services, laboratory tests, and ambulance services. All health care workers get their salaries from the government. The hospital infrastructure as well as the staff accommodation is now old and no longer meeting the current health care standards. The main hospital kitchen is very old and this poses health risk since the ceilings and wall paint is pealing off and the roof is leaking. The pharmacy is very small and has a limited drug storage capacity, it does not offer suitable drug storage conditions, and it is in need of extension. The laundry machine are so old we are having constant breakdowns. This is resulting in staff handling infectious soiled linens that posing serious health and is hazard to the staff. The hospital floor tiles are now cracked which is creating a potential areas of bacterial multiplication. Also creating predisposes patients to nosocomial infections (hospital acquired infections). There is an urgent need for tiling the hospital floors. The laboratory equipment and tests require controlled temperature environment to optimally function and give them quality assured results. Currently the laboratory does not have an air conditioning system so there is a need to install air conditioning system. The ultra sound scanning machine is very old and there is a need to purchase a new ultrasound scan machine for the radiology department. Our operating theater is full functional because our anesthetic machine, but is old and outdated. This limits us in performing other surgeries. The hospital main generator is currently not functional so there is need to make repairs as the country is facing major power outages. Currently, there is a shortage of staff accommodation and most of our staff is sharing. There is a need to construct staff houses so it can ease the accommodation pressure.