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Newly installed Tanzanian president, John Magufuli sacked the head of the country’s main hospital after finding patients sleeping on the floor during a surprise visit.

“The president was dismayed and saddened by the state of medical service delivery, particularly for patients sleeping on the floor,” a statement from his office said.

He also reportedly broke up the governing board at Muhimbili National Hospital after discovering the main scanning and diagnostic machines were not working and seeing other poor conditions on Monday.

“The president is trying to send a message that times have changed … It’s not business as usual … It’s all about delivery – the government has to deliver for the people,” the chief secretary at the president’s office, Ombeni Sefue, said.

Magufuli took over last week from former president Jakaya Kikwete, who stepped down after two terms in office.

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