The Rulenge – Ngara Diocese Health Department is a key health service provider in the three districts of Ngara, Biharamulo and Chato. The department serves more than 1,008,669 people in the coverage area which harnesses the access to health services in the area. The provided services include both curative and preventive interventions. The department delivers the services from six health facilities which include 2 hospitals and 4 dispensaries. All these centers are characterized by inadequate facilities and amenities. The burden of health problems in the diocese area remains a challenge to all service providers including Health Department of Rulenge- Ngara Diocese. The health department is endeavoring to reduce deaths that are attributable to common and preventable illnesses as well as communicable and no-communicable diseases. On the other hand, this department struggles with constrains of limited financial resources and inadequate personnel capacity.