 Today the mission hospitals have become ‘health projects’ executing‘ health programmes’ which are ‘sold’ on the secular and spiritual, as well as private and public, market created by donors in Switzerland and elsewhere.Fishing has always been the main economic activity of the people living along the Kilombero River.The river provides different fish species including prawns, sardines, ndipi, mbewe, kitoga, tilapia, mjongwa, catfish, sulusulu, bulu, juju, ngunga, ngufu, ngundu, nguyu, ningu and mbala.