Selian Lutheran Hospital is a semi-urban hospital of the Evangelical Lutheran Church of Tanzania. It is a 125-bed full-service hospital that, in affiliation with the Arusha Town Clinic, serves 100,000 outpatients per year, performs 100 surgical procedures per month, and does over 30 deliveries per month. Bed occupancy averages 60 to 90 patients. These services are provided at a cost of approximately $3 per outpatient visit. An inpatient visit is approximately $5 per day and includes laboratory tests and medicine. Common medical and pediatric diagnoses are malaria, AIDS, TB, upper respiratory infections, pneumonia, diarrhea, and amebiasis.
The Community Health Project is the community outreach and preventive component of Selian's and the Lutheran Diocese's health work. It serves in AIDS, Tuberculosis, Nutrition, School Health Education, AIDS Education, and Home Based Hospice Care, and has a working relationship with the Traditional Birth Attendants of the surrounding villages.
With the recent opening of The Arusha Lutheran Medical Centre in December 2008, the diocese entered into an agreement with the Ministry of Health to transfer Selian to the government system. As of January 2009, Selian is one of two District Hospitals in Arusha.