ANNUAL REPORT 2016 - 2017pceachogoriahospital.org/images/pdfs/Chogoria... · resbyterian University of East AfricaP SOPC. Surgical Outpatient Clinic VCT. Voluntary Counseling and

AnnuAl RepoRt 2016 - 2017

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PCEA ChogoriA hosPitAl

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Outstanding Healthcare Services

Christ-Centered

Excellence in Nursing Education

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Contents

Acronyms 4

Quality Policy Statement 5

About PCEA Chogoria Mission Hospital 6

Chairman’s Statement 8

Executive Summary 9

Hospital Leadership 12

Chaplaincy Department 13

Financial Highlights 15

Clinical Services 17

Nursing Services Department 31

Operational Information 34

HR & Administration Report For The Period 2016/2017 37

Clive Irvine College 44

Quality Improvement 48

Procurement 49

Strategic Partnerships 50

Statistics 54

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ACRONYMS

AIDS AcquiredImmunodeficiencySyndrome

ANC/FP Antenatal Clinic and Family Planning

ART Anti Retroviral Therapy

CCC Comprehensive Care Centre

CEO ChiefExecutiveOfficer

CHAK Christian Health Association of Kenya

CHD Community Health Department

CHW Community Health Worker

CIC Clive Irvine College

CMO ChiefMedicalOfficer

CO ClinicalOfficer

CWC Child Wellness Clinic

HAT Hospital Administration Board

HIV HumanImmunodeficiencyVirus

HTN Hypertension

HR Human Resource

ICU Intensive Care Unit

MCH Maternal Child Health

MO MedicalOfficer

MOPC Medical Outpatient Clinic

NHIF National Hospital Insurance Fund

OPD Out Patient Department

PCEA Presbyterian Church of East Africa

PUEA Presbyterian University of East Africa

SOPC Surgical Outpatient Clinic

VCT VoluntaryCounselingandTesting

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QUALITY POLICY STATEMENT

PCEA Chogoria Mission Hospital is dedicated to consistently strive for excellence in Health Care Service provision that will meet and exceed requirements and expectations of our customers.

PCEA Chogoria Mission Hospital will uphold a high standard of Health Care Service provisions with professionalism and compassion, using specialized skills and ethical practice towards our valued customers.

Management is committed to:

• Comply with relevant regulatory requirements to discharge our mandate

• Ensure internal and external Customer satisfaction

• Determine quality goals and objectives, and collect data to improve Health Care Service provisions and Patient Satisfaction within the Hospital

• Provide proactive, predictive and preventive Occupational Health and Safety, Risk Management, Infection Prevention Control and Waste Management for all customers

• Partnering with various stakeholders to ensure provision of quality Health Care Services

• Provide adequate resources to offer quality Health Care Services and ultimately improve performance of the hospital

Chief Executive Officer

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ABOUT PCEA CHOGORIA MISSION HOSPITAL

Corporate Identity

PCEA Chogoria Mission Hospital is a faith based institution which was founded in 1922 by the Church of Scotland. The ownership of the hospital is by the Presbyterian Church of East Africa (PCEA). The hospital is a level 5 teaching and referral hospital. PCEA Chogoria Mission Hospital is a Christian not-for-profit organisation registered under MedicalPractitioners and Dentist Board Act of Kenya.

Hospital Vision

To be a Christian centre of excellence offering quality health care services and training.

Hospital Mission

To witness the Lord Jesus Christ by providing quality holistic healthcare that is affordable and sustainable, to the Glory of God.

Hospital Courtyard


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Core Functions

• Provision of holistic health care (preventive, Promotive and curative)

• Training and development of Health Human Resources

• Medical Research

Core Values and Guiding Principles

• Stewardship – We strive to be accountable for resources bestowed on us in our healing ministry.

• Team Work – We acknowledge the diverse skills, talents and ideas that we all bring together and seek to coordinate these, and our efforts, to the service of our patients.

• Corporate Social Responsibility – We are part of the community that we live in and we seek to be involved in the continuous improvement of our community.

• Quality Service–Wedefinequalitytomeanprovidingtoourpatientssafe,effectiveandefficientoutcomesbyapplyingthehighestlevelofprofessionalisminourservice.

• Holistic Service – Rooted in the healing ministry of Christ, we seek to provide not just physical healing of the body but also the healing of the souls and minds of our patients.

• God Fearing – We seek to serve our patients in ways that show our respect and love of God.

Surgical Team at work

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CHAIRMAN’S STATEMENTDear Stakeholders,

It is with much delight that I report yet another year of growth and encouraging performance. In line with our mission, the hospital has remained steadfast in its commitment to transforming the lives of the community by provision of reliable, quality and affordable health services.

Guided by our strategic objectives, as outlined in the strategic plan, the hospital has gained a milestone in expansion of clinical specialties.

To this end the hospital has continued to acquire modern equipment widening the scope of service provision and improvement in diagnostics. The hospital has also improved in the level of consultant coverage in all departments. The hospital has engaged visiting consultants in special areas such as orthopedic, Maxillofacial, pediatric dentistry, cardiology and skin. With these achievements, the hospital has been able to retain its referral status and expand its catchment.

The hospital continues to seek for strategic partnerships as we strive to implement our strategic plan therefore realizing our vision “ To be a Christian centre of excellence offering quality health care services and training”. We remain truly grateful to all our partners and collaborating organizations.

The year has not gone without challenges; The effects of the national doctors strike and the nurses strike lead to high demand for services leading to engagement of additional healthworkers,henceahugewagebilloverstretchingthealreadyconstrainedfinances.The increase in the number of needy patients saw an increase in bad debts which may not be recovered .The hospital also faces a problem of ageing infrastructure which requires huge sums of money to rehabilitate.

Inconclusion,IwishtoaffirmthatPCEAChogoriaMissionHospitaliscommittedtoimprovingand delivering better health care services to our clients and all stakeholders. We believe we have the experience and expertise to offer quality, affordable and reliable health care.

Thank you for being a great friend of PCEA Chogoria Mission Hospital.

Rev. Edward Micheni Paul Hospital Board Chairman

Then said I unto them, Ye see the distress that we are in, how Jerusalem lieth waste, and the gates thereof are burned withfire:come,andletusbuildupthewallofJerusalem,thatwebenomoreareproach.”Nehemiah 2:17 King James Version (KJV )

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EXECUTIVE SUMMARY

2016/2017 was another successful year for PCEA Chogoria Mission Hospital with regards to posting great results and achievements. Despite the challenges, the hospital has remained on course in fulfillingitsmissiontowitnesstheLordJesusChristbyprovidingquality holistic healthcare that is affordable and sustainable, to the GloryofGod.OurVision is tobeaChristiancentreofexcellenceoffering quality health care services and training. PCEA Chogoria Mission Hospital for the last 95 years has continued to provide reliable evidence based medical care to our clients and the community we exist. It has over the years engaged competencies and put in place strategies that are concordant with the customer needs and requirements.

Strategic Plan 2016-2020

Health system is complex and dynamic. Faith based Hospitals like ours have even a more complicated delicate balance to strike. The patients that expect services without paying being that the hospital is a church owned facility among others. PCEA Chogoria Mission Hospital’scurrentfive–yearstrategicplanhasbeenunderimplementationforatleast2years. The management has continuously on an annual basis evaluated the progress made. The management intends to take midterm evaluation of the organizations strategies to ascertain their relevance and come up with initiatives to address the challenges through remedial actions that reverse, prevent or mitigate the same.

The strategic plan priority focus areas have been grouped into six directions namely;

1. Establish and expand clinical specialties

2. Improvecashflowposition

3. Achieveanefficientandeffectivework-force

4. Expand the nursing school’s scope

5. Increase collaboration with partners

6. Increase the role of spiritual ministry in holistic care

Many achievements have been noted as well as challenges. The management continually implemented the laid down strategies together with friends of the hospital.


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During the year the hospital has continued to invest in assets like the laparoscopy tower , laboratory equipments for the hospital. The hospital plans to acquire an X-ray machine for Chuka medical centre to better provide imaging diagnostic services for our clients. PCEA ChogoriaMissionHospitalisconfidentaboutthehospitalsdirectionandthefutureofthehospital.

Financial Position

Revenue during the year were KES 450,380,882, increasing 27.9 % over that of last year. Expenses increased by 16% due to administration cost, staff cost and capital equipment investments as well as renovations. Net surplus was KES 75,088,849, attributed to increased demand for PCEA Chogoria Mission Hospital services as well as synergy of all stake holders.

Projected revenues, expenses and surplus for 2017-2018 are KES 491,264,000; KES 393,033,000; and KES 98,231,000 respectively as per the budget. The achievement of these projected estimates is highly dependent our commitment and aspiration to be ‘The Hospital of the Future’ that enables us to provide the most modern cutting edge treatments which go beyond primary care. This is the niche we want to occupy.

Quality Improvement

PCEA Chogoria Mission Hospital has documented its quality management systems and quality policy outlining the managements commitment to assured quality service. During the year the hospital was able to retain its accreditation in the laboratory. The quality department was able to represent the hospital at CHAK AGM and Conference in presenting the achievements and improvements the hospital has experienced through quality initiatives. This is a clear endorsement of our commitment to providing quality services that meet and exceed the expectations and requirements of our customers and partners.

Training and Capacity Building

During the year the hospital invested in the capacity building of the staff. The trainings were in line with the organizations training plan. This contributed immensely in addressing thetraininggapsidentified.TheImpactChangeLtdplayedabigroleintrainingstaffonbehaviorandattitudechangeatworkplace.Variousunitsanddepartmentsalsotrainedidentifiedsuitablestaffmembersonvarioustrainingsasthatarebeneficialtothehospital.

Strategic Partnerships And CSR

In order to achieve the milestones mentioned, the hospital partnered with organizations like mission agencies and Government among others that shared in its aspirations and initiatives. These partnerships included donations inform of resources, secondment of human resources that we needed, support materially by donated equipments and machines.


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CSRisabusinesspracticethatinvolvesinitiativesthatbenefitthecommunity.Thehospitalhas incorporated this practice as one of its core values that we pride in. The hospital is grateful that it was able to conduct a number of free medical camps including one dental medical camp during the year with support from friends of the hospital. The smile train projectcontinuestobenefitthecleftpalatepatientsandthehospitalisgratefulforthisopportunity. The hospital also conducted a free medical camp for the elderly in December 2016.

In conclusion , it is important to note that the hospital continue to touch lives differently in conformity to our beliefs and mission. Details about our operations are contained in the following pages, please consider how you and your network can provide PCEA Chogoria Mission Hospital support, guidance or encouragement in this journey.

Thank you for your continued support.

Mrs Catherine Munene ChiefExecutiveOfficer

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HOSPITAL LEADERSHIP

PCEA Chogoria Mission Hospital is headed by a board of management and a Hospital administrative team.

Hospital Administrative TeamMrs. Catherine Munenene, CEOMs. Maryanne Gitonga, HR/Admin ManagerDr. Frankline Ikunda, CMOMrs. Mary Maina, Principal CICMrs. Joan Rima, Nursing Services ManagerMrs. Leah Mbarire, Finance ManagerRev Roy Kamau, Chaplain

Hospital Board Members

Rev Edward Micheni Paul—ChairmanRev Alfred Mugendi Kanga— D. Sec GenDr. Lucy Kawira GitongaMr. Foreman Kinyua KiriaRev Mutwiri NkanyaMrs. Caroline W IreriRev Leonard MareteDr. Samuel MwendaProf Jotham MicheniHon Purity WanjaMrs. Catherine G MuneneEng. Loyford MuthuriMrs. Purity MbabuMr. Gibson Mugendi

HAT Members

Hospital Board Members

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CHAPLAINCY DEPARTMENT

Spiritual ministry is an integral part of the Hospital. This is one of the mainstay services of the hospital being a faith based institution. The chaplaincy complements treatment with spiritual care. The chaplaincy team consist of 4 staff members headed by the chaplain.

Activities

• Daily Departmental preaching/prayers

• Daily Ward devotion

• Daily Bed to bed witnessing/counseling

• Bereaved prayers at the mortuary

• Counselingwhencalleduponorwhenneedidentified.

• Once a week staff worship

• Monthly staff intersession (1st Wednesday)

• Fortnight chaplaincy committee meeting

• Waiting bay prayers for relatives from 12.45pm to 1pm

Achievements

The hospital has seen the Lord perform great things to his people. Many souls have come to Jesus through this ministry. Others have been restored Spiritually, Psychologically and Socially. All this is to the glory of God.

ONE YEAR CUMMURATIVE STATISTICSBed to bed witnessing 16249Departmental prayers 587Counseling 865Bereaved prayers at the mortuary 230Received salvation 337 (male 195, female 142)Bibles distributed 489Waiting bay prayers 278Thursday prayers 48Ward devotion 240


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Challenges

The year was a success although in August we lost Evangelist Fredrick Mbae. New converts follow up has remained a challenge all through but the department has been trying to link them to their local churches and also call them for encouragement. The follow up challenge is due to lack of adequate resources for outreach and follow up. The manpower still remains a challenge because of demands although the hospital has added two evangelists and one of the experienced evangelist retired. Chaplaincy services in this institutionisquitedemandingandthereforethereisneedforadditionalstaffinginthedepartment.

Way Forward/Future Plans

Intensify patients follow up through home visits and through calling. Plan for burnouts for the department, Psychosocial counseling for the staff in the chaplaincy, connect the hospital units to a central controlled public address and evangelism system. Benchmark with other institutions. Formation of social support groups.

Evangelist Fredrick praying with patients relatives at the waiting bay

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FINANCIAL HIGHLIGHTS

TheHospitalmanagementremainedfirmlycommittedtoachievingthe strategic objectives of the hospital as guided by the strategic plan. The shared responsibility of the administrative team made it possibletoimprovetheperformanceofthehospitalasdefinedinour Key Performance indicators. The department was responsible for the budgeting, financial management, budget controls andreporting.

The Finance department coordinated a budget production for the entire hospital.

Revenue during the year was KES 450,380,882, increasing 27.9 % over that of last year. Expenses increased by 16% due to administration cost, staff cost and capital equipment investments as well as renovations. Net surplus was KES 75,088,849, attributed to increased demand for PCEA Chogoria Mission Hospital services as well as synergy of all stake holders.

Projected revenues, expenses and surplus for 2017-2018 are KES 491,264,000; KES 393,033,000; and KES 98,231,000 respectively as per the budget. The achievement of these projected estimates is highly dependent our commitment and aspiration to be ‘The Hospital of the Future’ that enables us to provide the most modern cutting edge treatments which go beyond primary care. This is the niche we want to occupy. However there has been a challenge of patients not able to clear their bills leaving huge debts with hospital which later turn out to be bad debts. This is as a result of poor patients who come during the government health facilities strikes with no money to pay for the accrued bills. The hospital recognizes the efforts made by organizations’ like MBF and Wilson rehabilitation in chipping in poor patient bills.

See Income Statement in Appendix for details on operational and SG&A expenses.


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Information Technology

During the year the hospital continued to use Sanitas as the hospitals HMIS. The IT unit continued to offer technical support in maintaining the computers and other resources. The unit successfully carried out Cctv installation project in the hospital during the year. Similarly it has introduced a new project of Digital IP intercom for internal and external communication that is ongoing. The unit has instituted Improvement initiative like InstallationoffiberopticinternetconnectionandInstallationofKENETLimitedinternetfor college.

TheHMIShasensuredefficiencyindeliveryofservicetoourclientsaswellasenablingthe hospital to progress towards a completely being paperless. However there is need to upgrade the server of the hospital.

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CLINICAL SERVICES

Clinical services department appreciate the role it plays in health care delivery in the hospital. It is the primary reason of the hospitals existence. During the year the hospital through the department signed a MOU between the hospital and World Gospel Mission, Serge, Samaritan Purse and World Medical Mission, Christian Health Service Corp. These are partnerships aimed at providing health care in this hospital by assisting the hospital with missionary Drs among others.

The hospital was upgraded from level 4 to level 5 that is Faith based specialized tertiary regional referral hospital.

In our Strategic Plan of 2016-2020 one of our objectives was to develop clinical niche in surgery, establish ICU, strengthen ENT and ophthalmology services and establish family medicinetrainingprogram.Tothisendthehospitalhasinvestedsignificantlyinstrivingto achieve this objective.

The hospital has recently acquired and installed a laparoscopic tower increasing the capability to do keyhole surgeries. The hospital also bought diathermy separately. Earlier in the year the hospital had bought anesthetic machine. The hospital also got a donation of C arm and orthopedic theatre table which has made orthopedic operations much easier. The hospital has upgraded and increased the capacity for the laboratory.

During the year the hospital engaged visiting orthopedic surgeon that have done complete hip replacement, knee replacement and other specialized surgeries in our hospital. This is a major milestone for the facility.

In surgery the hospital prides itself in having 2 full time surgeons, and one orthopedic surgeon who comes to do complicated orthopedic surgery. Similarly the hospital has also engaged a visiting maxillofacial and pediatric dental surgeons.

One of the hospital missionary doctors has been to Kijabe hospital to study the set up of the ICU in preparation to start off. Renovation work has already began and nurses have been sent for training. For a start the hospital will use it for supporting surgical patients

There is still a gap in our community for psychiatric services. The hospital is are still in the process of recruiting a psychiatric nurse to start the clinic.


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Our specialized clinics have picked up well and the patients are happy. Dermatology, during the year the hospital saw 174 patients. Cardiology – saw 102 patients.

During the year the hospital held a Maxillofacial week. It was held in the hospital and 11 patientsbenefited.Oneincludedajawreconstructionsurgerywhichtook6hrs.andwasasuccess. The hospital also conducted a Cleft lip/palate week. In this week 7 children with above deformities were treated for free and 2 referred.

The hospital intends to recruit a Physician, Pediatrician and establish a Psychiatry ward on a needs basis in the near future.

Comprehensive Care Centre

Thecomprehensivecarecentre(CCC)isasitewherepeopleinfectedandaffectedbyHIV/AIDS comes for holistic care and services. Our CCC is supported by Centers of Disease Control and Prevention (CDC) through Christian Health Association of Kenya (CHAK). CHAK wasawardeda follow-onproject to theCHAKHIV/AIDSproject (CHAP) thatendedonMarch31st2017.Thefollow-onaward(CHAPUzima)isafiveyearprojectthatcommencedon 1st April 2017 and will run until March 31st 2022. CHAP Uzima has increased scope andcoverage,withkeyfocusondeliverablestowardsHIVpreventioncareandtreatment.ThefundingsupportreceivedfromCHAKtofinanceCCCfromOctober2016toSeptember2017 was ksh 17,956,870

Our CCC provides quality evidence based services to clients within Tharaka Nithi County and beyond. The Unit has partnered with the county government health sector, the community, other organizations likeAphiaKamili andVillageHopeCore.The servicesbeingofferedinclude:-HIVTestingServices,PreventionofMothertoChildTransitionofHIV,HIVtreatmentservices,HIVpreventionservices,Psychosocialcareservices,nutritionservices, patient education and TB care and treatment services.

CCC Staff participation during World Aids Day 2017.


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Comprehensive Care Centre was started on the 4th July 2004 by catholic mission medical board (CMMB)

In CCC , we offer testing services and prevention care and treatment services to people infectedwithHIV.Preventionservicesincludepreexposureprophylaxis(prep)andpostexposure prophylaxis (PEP) among others. Care and treatment services include Anti retroviralTherapy(ART)toHIVinfectedindividualsandtheiraffectedfamilies.

The unit has 32 staff members, 3 staff members retired in the year. The unit visited Kiangondu dispensary for support visit. CHAK conducted several support supervision and were visited by NASCOP DQA, umb-cqi for mentorship

During the year the unit completed chap project and began a new project called chap uzima. The unit has enrolled 2791 new patients an average of 18 pt per month.

The unit looks forward to the sustainability of the project and donor support of the project to the betterment of our patients health.


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Starting ART

HIV Exposed Infants

PMTCT Mothers

Patients visit Care Enrollments


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Laboratory

AccreditationThe laboratory provides a much-needed service to inpatients and outpatients . Our accreditation journey began in the year 2012 baseline assessment conducted we attained 0stars.The laboratoryoutlined thenonconformities identified, laterwasauditedat6months intervals then we attained 2 stars and 4 stars respectively. The laboratory applied for accreditation in September 2015 and through the strong management support we got accredited in April 2016. Our laboratory has 19 staff members.

ThelaboratoryalsoreceivedseveralCertificatesandrecognitionsincluding:

• Kenya Medical laboratory technician technologist board

• Kenyaaccreditationcertificate

• Africa society for laboratory medicine

The hospital laboratory has been improving to meet the needs of our clients. The unit also maintain is accreditation status . Our laboratory enhance our clients confidencethrough quality results which are internationally accepted. The laboratory performs EQA (External Quality Assurance) and IQC (Internal Quality Control). We perform inter laboratory comparison with accredited laboratories. The unit is however optimistic that it will retain and maintain its accreditation. The unit is optimistic to continue performing well during theannualauditsandaddressthenonconformitiesidentified.Theunitalsoreporttestresults in a timely manner to promote client satisfaction.

Lab staff at work


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Pharmacy

PharmacyiscertifiedandapprovedbythepharmacyandpoisonsboardofKenya.Itdispenseapproximately 250 prescriptions per day making it one of the busiest department in the hospital.

The pharmacy operates 24 hours a day serving both the inpatients and outpatients and also CCC Patients. The pharmacy staff are committed to their continuous education to ensure they are at par with outlined pharmacy standards. Our drug list is based on the WHO Essential Drug list, with a number of additions to cater for specialities and emergency cases. Our pharmacy dispenses quality medicine sourced from MEDS and KEMSA and other reputable suppliers. The hospital has a formulary developed and tailor made to address the disease patterns in the hospitals catchment area.

The unit received 3 new staff that has helped improve services in the unit. The Pharmacy has started doing a survey on MUC (Medicine Use Counseling) and its impact on patient adherence to medication. During the year the pharmacy began a new project for preparation of soap for general purpose and hand washing soap as a cost cutting measure.

This has not been without challenges like staff turn over, lack of enough space for the pharmacy operations among others.

Looking forward the unit will continue providing outstanding pharmacy care necessary for the best management of patients conditions. The unit will also come up with more innovative ideas on cost cutting.

Pharmacy staff working in the Pharmacy Store


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Records

Records unit is responsible for keeping of patient files, birth notification, anddeath notifications. The unit also doesall monthly reports of the hospital. Registration is also part of records as the unit ensures that all important bio-data is captured in the HMIS for reporting and ease of identification of repeat clients.Records unit also provides the services of document retrieval for our clients.

During the year the unit participated in improving documentation of Maternity clinical notes into the Sanitas.

The unit still experience the challenges of inadequate staffing. The reportingmodules of the HMIS are still being improved.

Rehabilitation Services

The rehabilitation unit consists of the physical therapy, occupational therapy and the orthopedic sections. All these sections work together to help patients gain and/or regain function post injury and /or disability of any nature. Patients are seen in both inpatient and outpatient settings.

The unit has 6 technical staff members and 1 support staff. 1 occupational therapist, 3 physiotherapists and 2 orthopedic technologists

New Projects InitiatedThe unit introduced thermoplastic splinting in its occupational therapy section late in the financialyear.

Number of Patients SeenThe unit saw an upsurge in the number of patients to about 2843 outpatients in 2016/2017 from 2408 out patients in 2015/2016.

Conclusion and Outlook For 2017/2018While the unit has continued to grow over the years, there still remain unexplored areas.

Physiotherapy staff attending a patient

Patients waiting at the records office


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The unit expects further growth and increase in revenue following implementation of the following in 2017/2018;

• Introductionofthekeep-fitprogram.

• Ensuring that splinting is available throughout the year.

Dental Services

The dental clinic was started in 1982 . The Clinic has grown from a small to a spacious dental clinic with 4 operatories, a laboratory and world class equipment and machines. The unit has expanded its scope of operations to include visiting pediatric dental surgeon and visiting maxillofacial surgeon. Thanks to the efforts by Presbytery of Northern Plains for their support. The number of patients seen and procedures done is at an all time high due to the insurance scheme and permanent Dentist available at all times.

The unit was also awarded the best unit in the annual quality audit. The unit has made a lot of progress including applying for recognition as a dental internship training Centre, Introducing Maxillofacial Surgery week and conducted Outreach to Chogoria Complex Primary School and Mpangwa Primary School.

During the year the unit acquired new equipment that expanded the scope of procedures done.

There is overwhelming positive support from administration for the Dental Clinic and we can only grow bigger and better in the next year to come. There is need for additional human resource which will be sorted once approved as an internship.

Professional Counseling

The counseling unit was started in 2015 September. It deals with general counseling and also specializes in addiction treatment.

The counseling unit operates from 8am-5pm weekdays. For both inpatient and out patient who need the services. Its an integral part of the hospital as treatment, a clinic which receives patients from far and wide including a far as Mandera, Nairobi and other areas. The clinic handles both for addiction related treatment. The clinic is managed by a counseling psychologist.

The unit is involved with activities such as follow up procedures, Client personal care, Intervention treatment, individual and family therapies.

The unit has started community out reach programs that runs periodically. The counseling unit saw an improvement in the number of clients receiving counseling services on drug and substance abuse.

Dental procedure in progress


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The Community is not well informed on the counseling services offered . Excessive access ofdrugs in thecommunityhas challengedourefforts infightofdrugsand substanceabuse

The unit emphasizes the need to sensitize the community on counseling services offered in the unit through community outreach programs especially in schools.

Radiology

The radiology unit provides an essential service to the hospital, both for outpatient and inpatients. The service in outpatient is offered on a 24-hour basis and the CT Scan and Ultrasounds have been offered on a case to case basis during the nights. Our Radiology Services offers quality imaging using the latest modern X-ray, Ultrasound, CT scan, and ECG machines. There are also special radiological examination such as Barium meal, swallow, enema and HSG. It is Well-equipped unit offering general diagnostics services and specialized examinations . Our Imaging Unit is a regional referral centre receiving patients from other facilities and from the region.

The unit has 6 staff members. The unit served 15792 new patients and 5000 repeat clients.TheunitbenefitedfromanumberofimprovementsincludingNHIFpayingforCTscan services and for ultrasound services. The unit also further reduced the charges for


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ultrasound from KSH 2,500 to KSH 2000. During the year the hospital also completed the renovation of new ultrasound room, renovation of Chuka clinic for radiology department.

Looking forward the Radiology unit is an important unit of all hospitals and needs additional personnel. The NHIF approvals also needs to be looked into to reduce the turn around time for CT scan approvals.

Surgical Theatre

There are 2 operating rooms in the main theater and one out patient theater (minor theater). The Theatres are strategically and centrally placed within the Hospital to respond to emergencies in the Outpatient (Minor theatre) and in patient (main theatre).

These are served by a committed team of 2 surgeons, 1 gynecologist, one visiting maxilloficial, 1 visiting orthopaedic surgeon, medical officers, nurses and attendants.Other staff do their placement in the theatre include MOI, medical students, nursing students, among others. The theatres handle General Surgery, Orthopedic, Gynecological and obstetric surgeries as well as Cesareans.

The unit has 16 staff members. The unit remained busy and handled major and minor operations. During the year the total operations were at 2175 .

During the year the unit initiated some projects that are ongoing including; introduction of Laparoscopy and the 2nd gastroscope was bought. Another improvement was the training on fumigation of the operating theatre.

The theatre during the year was faced with inadequate theatre space due to lack of a maternity theatre and interruption of maternity ceserians. The theatre also has only 1 anesthesia machine and the problem of aging equipments. The hospital needs 5 theatres due to increased workload and competition for theatre space.

Theatre staff during a procedure


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Dialysis

Dialysis unit started on Feb 2017. The hospital offers dialysis services to patients with end stage kidney disease. The hospital offers 2 dialysis sessions per patient per week. The services are paid by NHIF or cash for patients without NHIF. Currently we are using 4 dialysis machines. Our Dialysis services are reliable and affordable to our patients. The unit is customer friendly providing services to all dialysis patients including the NHIF national scheme clients.

Currently the unit has 4 staff members. During the year 1 staff of the unit visited PCEA Tumutumu Mission Hospital on job training for 1 month. One staff was also trained on Renal Nursing. On average from Feb-Sept 2017 the unit have conducted 517 sessions and generated a Revenue of 3,755,341. The unit looks forwards to Continuing serving our clients in order to increase the number and revenue.

Casualty /OPD

The casualty and the emergency unit cares for patients with emergency needs .It offers variety immediate care from urgent care to trauma care and deals with genuine life threatening emergencies i.e. (Loss of consciousness, acute confusion, severe chest pain, breathingdifficulties,severebleeding,allergicreaction,andburnsamongothers

The OPD on the other hand Cares for out patients with medical needs, surgical needs, gynecology needs, maternal and child wellness needs. These services are offered in our MOPC, SOPC, GOPC, MCH/ANC/CWC and POPC Clinics.

The OPD/Casualty has 15 nurses and 8 support staffs. 3 staff members retired during the year. The unit appreciates the managements effort to construct new modern triage, put better seats, and purchase of new trolleys for the unit. The unit receives around 530 patients per day.

There is improved turnaround time of patients due to increased cash points and extra DR rooms. The unit is faced with challenges of patient coming with no money, no NHIF card. Pathway from casualty and pharmacy corridor is very narrow and needs modification of thepharmacy inside to create access to the casualty easily.

Hospital Dialysis Unit

Patients at the waiting bay


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Nutrition and Wellness Clinic

Nutrition unit is a supportive clinic that revolves around the nutrition care process . The clinic operates from Monday to Friday it provides counseling services, dietary planning and even supplementary diets. The unit also manage malnutrition (Overweight and underweight).

A wellness clinic for lifestyle change counseling, supplementation and therapeutic management of patients.

The unit has 3 Staff members.

The unit is dedicated to providing the highest quality patient-focused nutrition care, to advancing the practice of clinical nutrition, and to educating future dietitians and other healthcare providers. The unit believes that good nutrition is for everyone.

The unit has 3 sections namely; the inpatient, the out patient and the CCC nutrition sections.

Chuka Medical Centre

OurChukaMedicalCentreislocatedatChukaTownnexttoNHIFofficesbelowFamilyBank. It offers a range of services from general outpatient services to services including pharmacy and laboratory services among others.

Diabetic Clinic

The clinic is run by a team of Medical Personnel, all dedicated in the management of diabetes. Services offered from Monday to Friday.

Dental staff explaining a point during an open day


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Eye Clinic

The clinic deals with the assessment and management of conditions pertaining to the eye. The clinic also deals with provision of eye glasses for the people who have been assessed and a need for them ascertained. The clinic has full time opticians and an optometrist who avails himself every third Wednesday of the month. The unit requires an additional operating microscope and a slit lamb for its expanded operations.

Corporate Clinic

The clinic operates from Monday to Friday. It caters for clients referred by organized groups, insurance companies, Civil servant, schools and any other organization.

Special Clinics

Cardiology clinic- held every second Wednesday of the month.

Dermatology clinic- held every third Thursday of the month.

The above clinics are conducted by visiting consultants. .

Palliative Care

Palliative Care Unit is one of the units of the hospital. This unit started in the year 2001 as a result of Community Need Assessment conducted within the catchment area. The Community Needs Assessment revealed that 75% of patients with life limiting illnesses are stigmatized thus the care that they deserve is denied. Therefore the need to start a palliative care unit was realized.

The following cases are recruited in the project:

a) Cancers

b) HIV\AIDSStages3&4

c) Severe Cerebral Palsy

d) Stroke\CardiovascularAccidentwith50%ormoreparalysis

The unit carries out a number of activities including;

• Total pain assessment and control

• Treatment of opportunistic infections

• Outpatient and inpatient services

• Medical supplies eg uridoms, dressing materials, urine bags and colostomy bags to those in need.

• Counseling for both clients and care givers

• Recruitment of more patients in palliative care . A patient in the hospital reading the bible


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The unit faced a some challenges during the year. Home based care have become a challenge to the unit due to lack of partners to support home visits. The number of desperate palliative care patients who need our care has been in the increase. Resources are not available to hold day care workshop for patients and relatives.

Our Special Clinic Days

Congratulations Chogoria Hospital. You are doing a good job.

God bless you all.Duncan Rucha

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NURSING SERVICES DEPARTMENT

Nurses provide the bulk of direct patient care at all levels of health services delivery within the hospital. The hospital have a team of 130 nurses that work in different units of the hospital. The teams of nurses are highly motivated and they work in shifts to make 24 hours coverage. The nurses are involved in teaching the team of student nurses who come for learning in the clinical area.

As Florence Nightgale the founder of nursing stated in her environmental theory that Nursing should provide care to the healthy as well as the ill and discussed health promotion as an activity in which nurses should engage in. The hospital has a team of nurses that does health promotion through health education and prevention of diseases through immunization. The nurses’ role is to put the patient in the best condition for nature to act upon him (nightgale, 1859/1992).

As professional nurses we are expected to maintain a professional relationship with patient through theprincipal of confidentiality. In order to keep thenurses of PCEAChogoriaMission Hospital updated with current information. The nurses have a Continous Nursing Education every week. This is very important to the nurses because change is always constant.

The hospital has managed to sponsor one nurse to do critical care nursing for 1 year and 1 nurse did renal nursing for 3 months. However the challenge is that there is increased need for specialized care nurses in PCEA Chogoria Mission Hospital such as Oncology nurse, Neonatal nurse, Theatre nursing, Paediatric, Trauma and emergency nurse.

The future of the nursing profession is through specialized profession who will then mean improved patient outcome and care.

Surgical team during a procedure


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Male Circumcision

Through this program young boys are initiated to manhood in a hygienic environment. Theyaretaughtonrelationswithoppositesex,dangersofHIV/Aidsanddrugs.Since1926the hospital has offered an alternative to traditional circumcision by providing a safe sterile procedure.

MCH/FP

The unit offers Immunization, antenatal clinic, family planning, post natal, PMTCT, treatment of sick children, health education, preventive services eg issuing of ITNs services. The unit needs roof repair , extra rooms to be used for PMTCT mothers on Thursdays during POPC. The unit requires a pediatrician once a week and also painting of clinic walls

Surgical Services

Surgical clinic continued to be busy throughout the year. Patients with RTA ,Gyne cases, pre-operation, post operation pts, pts with wounds/dm/htn, care of patients with head injury, dental pats who have got abscess or infections. The diet of patients, enough beddings have improved. The ward needs renovation and paintings . Toilets needs repair, doors also needs repairs and patients staying long in the ward mostly become absconders.

Maternity Services

Maternity is one of the units in the hospital. It has 3 sub units; labor ward deals with patients in labor, delivering and medical illness for the sick ANC pts. New born in it which deals with sick babies, premature babies. Post natal which deals with delivered mothers till discharge may be caesarian section or normal delivery During the year the unit conducted an exchange visit at Kikuyu hospital. The unit was provided with several medical equipment and diet has improved for the patients. The unit is hopeful for the establishment of a Maternity Theatre and procuring of an electronic fetal monitor.

Internal Medicine

The ward can accommodate up to 120 patients that deals with the application of clinical expertise and care in dealing with the prevention, diagnosis and treatment of adult diseases and complex illnesses. The outpatient clients visit MOPC for outpatient internal medicine care.

Domestics

Domestics has 4 small units laundry, housekeeping, sewing and mortuary. During the year the unit received a new laundry machine which has helped us with linen cleaning. The laundry ensures the linen management, a process that ensure the sorting, cleaning and storage of linen. The sewing room ensures the sewing of the-atre gowns, nursing gowns, curtains, and mending of linen. The mortuary has continued to diligently carry out their work during the year.


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Accommodation services

The hospital runs a guesthouse, situated in a serene and quiet Christian environment. Come and experience our hospitality. You only need to book through the guest coordinator.

Kitchen

The hospital offers catering services that provide balanced diet to complement treatment of patients. Looking ahead the staff need a refresher course. To continue serving the patients better.

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OPERATIONAL INFORMATION

Outpatient Statistics

Admission Statistics

MCH Statistics

Out Patient Attendance Trend 2014-2017

Admissions Trend 2014-2017

Maternity - Delivery Statistics


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Surgery Statistics

MCH Statistics

Operations

Other Operations

Clinic Performance for 2015-2017


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Out Patient Clinics

Special Clinic

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HR & ADMINISTRATION REPORT FOR THE PERIOD 2016/2017

The HR & Administration department has two departments namely

• Human Resources Department

• Administration Department

Human Resources Department

Human Resources Department is the department that is focused on activities relating to employees and the activities/ key functions are:-

• Recruitment and Selection

• Workplace Safety and Health

• Orientation

• Employee Relations

• Training & Development

• CompensationandBenefits

• Employee Welfare

• Compliance

The ability of an organization to meet its goals and strategic objectives largely depends on the knowledge, skills, motivation and deployment of human capital. PCEA Chogoria Mission Hospital understands that the greatest resource at its disposal is its Human resources.

In its strategic direction, the Hospital strives to acquire, capacity build and retain the staff working in the hospital. Being a critical component of achieving this direction the HR department has invested in hiring the right personnel and working on programs like training to build on their capacity.


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Staff Establishment within the period• Total Employees 378

• HAT - 7

• Unit heads /supervisory staff – 38

• Consultants doctors – 3 (2 resident general surgeon 1 family physician)

• Visitingconsultants=6(1gynecologist,1orthopedicsurgeon,1maxillofacialSurgeon, 1 pediatric Dental surgeon, 1 cardiologist and 1 Dermatologist)

• Dentist 1

• Missionary Doctors (pick from CMO report for that period)

• 2residentMedicalofficers

• Family Medicine residents from Kabarak University on training

• 13 C.O Interns

• 10 M.O Interns

• Clinicalofficers-14,clinicalofficerintern8,

• visiting RCO Ophthalmic 1

• Nurses 130

• Paramedics- 30

The Hospital recruited a new College of Nursing Principal, Mrs. Mary Maina who brought with her vast experience in College administration as well as nursing. The period saw the implementation of the KIM’s recommendations going on. Staff numbers remained at a minimal with the number of unskilled staff going down.

Staff training on Quality


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Staff salaries were reviewed upwards to meet the ever growing competition for skilled sets which saw a drastic reduction in turn over and improvement of staff morale towards work. It has also helped greatly in attracting and retaining more skills sets.

The Hospital’s Unit Managers and HAT were engaged in a two day team building activity that saw members interact while out of station and re-energize while appreciating the value of a team. The period saw the Hospital register for NITA which has assisted in meeting its training requirements and stay compliant to the Act.

The department developed a number of policies including the Human Resources policy statementofHIV/AIDS,NonDiscriminatoryPolicyandreviewingotherpoliciestoconformwith the control of documents procedure. The Hospital also is in the process of reviewing its HR Policy Manual where already and an all inclusive Hospital organogram was developed.

The Hospital outsourced security services from a recognized institution. This way, the Hospital was then assured of providing a safe and secure environment to its client and patients as well as its employees. With 17 employees retiring within the period, the Hospital appreciates the value addition they had given to their respective departments some having served for a period of 30 years plus. All retires including other employees continued being trained on Retirement planning where the Hospital collaborated with theRBA.EachretireewasalsogiftedandcertifiedfortheirlongservicetotheHospitalbythe Hospital Board together with the HAT.

The hospital continues to support the CMEs and CPDs for all staff. Employees continued being trained in area like:- Customer Care and Attitude Change for all employees, Infection Prevention and Control, Management Course for Administrative Secretaries, Financial Management for Non Financial Managers, Effective Credit Management, Debt Collection &CashFlowSkillsforfinanceofficers,CyberSecurityandEthicalHackingtraining,trainingon Calibration of medical equipment, ICU Nursing, Critical Nutrition training etc

Group work during attitude change training


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Other trainings performed within the period were as follows:-

Pharmacy: Training– inventory managementArt harmonized curriculum.

Nutrition. Training: Nutrition and TBParenteral Nutrition./Critical Care Nutrition

CCC: TraininginareaofHIV/TBToolsMDR TBHarmonized curriculum

Lab: Bio safety, bio security trainingGene expert

Dental Standard operating proceduresRecords DHIS training

Mortality study training.Theatre life support, laparoscopy ,trainingDialysis On Job training PCEA Tumutumu Hospital

Nephrology training at UONRCO Emergency medicineEngineering ERC Compliance

Challenges within the period were:-

• Competition in the labor market & free labor mobility causing employee turnover especially for the skilled staff

• Impact of terminal illness on staff.

• Government policy on practice licenses, taxes & increased retirement age to 60.

Administration Department

TheAdministrativeDepartmentprovidesefficient andeffectiveadministrative supportand management services to the Hospital to meet its goals and objectives.

Scope & FunctionThe Hospital invested heavily in renovation of doctor’s houses, the private ward and Lenana restaurant. The department is mandated to supervise all administrative support services including;

• Transport

• Mortuary

• Security

• Maintenance

• Bio Medical Engineering

• Customer Relations Team Building training for Unit heads


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• Public Health

• Compliance Issues and Court Issues.

The Maintenance unit consists of Plumbing & Sewerage services, Masonry, Repairs, Carpentry & joinery, infrastructure and equipment, Grounds & Pathways, Flowers and Fence maintenance.

The Hospital’s Legal Unit is a unit that handles matters ranging from:

• Professional Negligence

• Industrial Disputes

• Labor Law and Relations

Debt Collection etcCurrently the Hospital lawyer is Waruhiu K’Owade & Ng’ang’a Advocates and the Hospital has a Professional Indemnity cover provided by Madison Insurance

Some challenges the Hospital faces in this department are:-

• Lack of master architectural plan for the entire Hospital to aid new infrastructure.

• Use of obsolete machinery & equipment although plans are underway to replace some equipment.

• Ageing buildings, staff houses etc, which are expensive to maintain.

Limitedfinances toupgrade themortuary intoamodern funeralhome;modernguesthouse.

RetirementsWe wish to thank all our staff that retired from service during the year. The hospital appreciates their dedicated role in supporting the hospital to this point. Their contribution during the period of service supported us immensely. The hospital wish them the best in their retirement and future endeavors.

Security

The hospital security has been excellent during the year. Previously hospital was vulnerable since there were aging fence and gate manned. The hospital has undertaken initiatives to correct this area. The initiative of installing the fence and gates as well as outsourcing additional guards has beefed up the security of the hospital . The fencing and deployment of guards has also reduced cased of escapee patients. During the year in 2017 the management installed cctv which has helped much in security operations. The gadgets helps with clear evidence where needed. The use of hand screening gadgets also has helped a lot in improving he security of the hospital.

Retired staff during a farewell party


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The security faces a challenge of dealing with increased demand for parking space. The unit looks forward to a perimeter wall fence to enhance privacy of patients and to improve the security.

Customer Relation

The unit was introduced in the year 2009. The services that are offered includes

• Providing guidance and direction to the hospital clients

• Participate in publicity of the hospital

• To keep clients informed of organizations services

TheunitappreciatesthatthemanagementinstallednewTVsincrucialareas,setupnewbenches and put up water dispensers for patients in all service points.

Transport

Provide transport services to the hospital as a complimentary tool for the entire hospital . The hospital also offers ambulance and vehicle hire services. Cost cutting measures of pooling journeys where/when applicable is one improvement the unit has implemented.

The unit continue to experience overwhelming demand for the ambulance service putting pressure on the existing one. The transport unit continues to provide ambulance service to the community and outreach services through the CCC. The unit is hopeful for the adding new vehiclestoourfleet–51seaterbus,lightcommercialvehicleandanadditionalambulance

Engineering

The Biomedical Engineering provides a number of support services including:

• Givingtechnicalspecificationsonmedicalequipments

• Carry planned preventive maintenance (PPM)

• Ensuring all equipments are functional and testing ok

• Carrying out annual service to the machine

• Staff training to medical equipments

• Ensuring safety to the patient and user of equipments

During the year the unit successfully set up calibration centre for medical equipments and achieved ERC Compliance. The scheduled annual equipment services were also carried out. This was possible with the support from the HAT towards service issues

Hospital Bus at a medical camp


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The unit continue to face challenges of training on newly purchased/donated equipments. Donation equipments without spare parts are still a challenge to the unit. The unit look forward to more Staff trainings, technical consultations before purchase of equipments by theprocurementunitandjobcompletioncertificationforservicerendered.

Hospital Biomed officer servicing the Oxygen Plant

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CLIVE IRVINE COLLEGE

Clive Irvine College is founded on Christian values and ethics. It was established in 1951 as a Nurse training college and started training students in Kenya Enrolled Assistant Nurses (KEAN), then upgraded to Kenya Enrolled Nursing (KEN) course, then to Kenya Enrolled Community Health Nursing (KECHN) and currently offers a Diploma in Kenya Registered Community Health Nursing.

The college started with 2 students and has grown to a population of 268 students. The visionofthecollegeistohaveapopulationof500studentswithinitsfiveyearstrategicplan (2015-2020). To achieve this number the college has to strengthen the current program, upgrade the program and diversify to other courses.Currently, the college has 26 members of staff

Vision

To develop and qualify responsible, competent, spiritually and morally upright professional Nurses

Mission Statement

Towitness to theLord JesusChrist, throughprovisionofefficient, affordableandhighquality Nurse Training in the 21st Century.

Core Values

• Professionalism

• Integrity and honesty

• Hard work and innovation

• Holistic Christian Education

• Evidence based Nursing Practice

School Profile

Current Training Program: The College runs a three and a half year course leading to the award of a Diploma in Kenya Registered Community Health Nursing. The education program is regulated by the Nursing Council of Kenya which also administers the Licensing examination.


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Kenya Registered Community Health Nursing Programme

Minimum Entry Requirement: Age: 17 years and above, Candidates must be physically and mentally healthy.

KCSE Mean Grade: C plain or above

Mandatory Subjects: C (plain) or above in English language or Kiswahili language, C (plain) or above in Biology or Biological Sciences.

Additional subjects: C- (Minus) in any one of the following: Mathematics, Physics or Physical Science, Chemistry

Training intakes: are in the months of March and September

Course Training Approach

The course is conducted through theory and clinical placements. The students undertake classroom learning for a period ranging between 4 to 6 weeks (except in introductory block where they learn for 16 weeks) in a semester before proceeding to clinical placements which range from 12 to 16 weeks. A semester includes a period of theory followed by relevant clinical practice.

Clinical Placements:Areas of practical training include rotations within Chogoria Hospital. The other clinical placements are:

1. Muthambi Health Centre for rural health experience

2. Meru General Hospital for Psychiatry experience

3. Educational tours in the following areas: Meru Sewerage and dumping site, Meru Water treatment plant, Afya milling factory, Meru Central Milk processing plant

4. Chuka hospital

CIC students at the new Tuition Block


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Teaching Resources

The college has the following: 6 teaching classrooms, 1 skills lab for demonstrations, 1 Library, 1 Computer Laboratory with internet connectivity

Christian related activities whereby they have a vibrant Christian Union

Student welfare through the SRC where they have elected officials to representthem and act as a link between the students and administration.

Other Infrastructure

Hostels: There are three hostels for the female students. The existing hostel do not provide enough accommodation facility for the students, some are forced to get accommodation out of campus. The current hostel requires reconstruction and expansion.

Dining and kitchen: The college has a dining hall where the students take their meals and a kitchen where the meals are being prepared.

Partnerships

There are Local and international organizations who have partnered with the college. These are

Tharaka Nithi county, Jamestown college USA who donate books and other materials.

HELB (Higher education Loans Board) offers educational loans through Afya Elimu fund.

Medical Benevolence Foundation (MBF) offers to the needy and deserving students. Their fund is different from the others because the students do not repay back in form of cash. The students are bonded by the hospital depending on the sponsorship.

The college staff benchmarked with Outspan Medical College in Nyeri during the year.

Students Involvement

Students are engaged in various activities. These include: Extracurricular activities e.g. football

CIC Library

The Library is well equipped with different information materials. It has approximately 4000 books and can accommodate at least 20 students. During the year the library received newbooks.ThelibraryalsohasinitiatedtheuseofDDCClassificationschemeratherthanin-house class.

Nursing student explaining a point to community members


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Way Forward

The vision of the college is to offer new health related courses. We are in the process of starting a higher Diploma in Nephrology Nursing that is Renal Nursing in September 2018.

Challenges

Hostels: Due to an increase in the number of students, there is an urgent need for more hostels.

Library: Need to expand the library space in order to accommodate more students.

Graduation ceremony candle lighting

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QUALITY IMPROVEMENT

The Hospital has continued to implement 5S to improve internal processes . The hospital through the department and the human resources department trained 49 middle level managers on indicators of quality including leadership and IPC. Of significance withpartnership with CHAK and Rebekka Oezle a Health systems advisor for CHAK, all unit heads were trained in development of standard operating procedures. So far 2 departments and their units have written their standards these include; Clive Irvine College of nursing and the Finance Department. So far these departments have developed 20 standards. This is still work in progress as the department hopes to document standards in Nursing, HR andChaplaincyDepartmentinthenextfinancialyear.

Annuallythedepartmenthasrepresentedthehospitalintheannualqualityofficersforumand shared best practices including adoption of health quality management models with sustainablebenefits.DuringtheyearitwasPCEAChogoriaMissionHospitalsturntohostthequalityofficers.Theirexternalinsightintothehospitalduringtheirassessmenthashelpedthehospitalinitiateimprovementsforthebenefitofourpatients.

Clinical effectiveness is one of our KPIs, an improvement in the frequency of our maternal deaths audits as well as a well structured and consistent Mobidity –Mortality meetings have impacted on the improvement in the quality of care. The customer feedbacks have been reviewed during the year and corrective actions instituted. The QIT continue to conduct 5s audits and do baseline checks.

The continued compliance and retention of accreditation by the laboratory provides an assurance system for the quality of our services for our customers. The department going forward is hopeful to begin the process of the entire hospitals accreditation (ISO 9001:2015) in the FY 2017/18. The automation of the QMS system will be a great achievement for the hospital.

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PROCUREMENT

This unit is about buying and seeking for services while following defined roles ofpurchasing as per policies and procedures of the hospital. The unit also carries out the disposal function. The unit works together with the Procurement Committee and Disposal committee of the hospital. Some procurement function is also carried out by the HAT and theBoardasdefinedintheprocurementpolicy.

During the year the unit has facilitated installation of various machines and purchased a laparoscopy tower for theatre with the support of management. The unit has also facilitated the procurement of services mainly equipment and machine servicing as well as purchase of the daily consumables. New projects that have been initiated is the renovation of the private ward and purchase of a blood bank refrigerator for the laboratory.

Theunitcontinuetofacethechallengeofunreliablesuppliers,andfinancialchallagesto meet the user needs. The hospital wishes to thank our all our supportive suppliers for serving us well including MEDS.KEMSA. Phillips, Laborex, COSMOS, Caremed, Tuorene, Medspec, Solution Medical Systems, INVITRO, Magunas, MEDIX, micro vision, ACYMED,Kenya trappers, Kenknit, Dobbietec, First Choice, Afrodent, School Pride, Ryce Dental Supplies, Sima point among others . The hospital continue to invite our suppliers to continue serving us as we serve the patients.

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STRATEGIC PARTNERSHIPS

PCEA Chogoria Mission Hospital embraces strategic partnerships in order to achieve its strategic objectives. During the year , the hospital partnered with like minded organizations such as MBF (Medical Benevolence Foundation), Wilson rehabilitation foundation , Munson group, Samaritan purse ,World medical mission, Serge , Kabarak university, Bethel, University, CHAK, North Darkota University, Church of Scotland, Friends of Chogoria Scotland, MEI (Medical Education International) , Smile train , Christian health service corps, James Town University and World Gospel Mission

The partners share in our aspirations and initiatives aimed at achieving milestones for the benefitofourpatientsandthecommunity.PCEAChogoriaMissionHospitalisindebtedtothese partners for their partnership in the year and most generous support. The hospitals Cordial relationship with Tharaka Nithi county government is appreciated and we thank them for the seconded staff. Strategic partnerships with the regulators including the Kenya Medical and dentists Board, Nursing Council, The Radiation Board of Kenya, The Laboratoryboard,ThePharmacyandPoisonsBoard,TheClinicalOfficersCouncilamongothersaswellasthenationalgovernmenthasenabledusmakesignificantimpactinthelives of the patients and the communities around us.

Through the MBF the hospital has been able to touch lives of needy students and needy patients through the needy patients and students scholarship as well as supporting in infrastructure and equipment support. MBF also funded the process of documenting our Quality Manual. Partnership with CHAK in health system management strengthening and health service delivery in CHAK/CHAP programme and non communicable diseases carehasbeenbeneficial toourclients. We are grateful for the support of missionary doctors by Serge, WGM, Christian health service corps, Samaritan Purse, Bethel among others that have contributed towards our commitment to holistic care. MBF and Samaritan purse Munson Group Partners visiting the hospital


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continued to support our Spiritual Ministry during the year .Our partnership with MEI has contributed towards better continuous professional development of the clinical staff ensuring that the clinicians are up-to-date with current information. The MEI also continue to support the hospital with equipment.

The patients that have bore the stigma of cleft palate have something to smile about courtesy of the support from Smile train. The smile train is also training a surgeon for the repair services. We thank the Wilson rehabilitation foundation , through their support we have been able to strengthen our rehabilitation services and orthopedic surgery services through support of equipments ie the C– arm, orthopedic table among others and manpower. Kabarak University continues to partner with us in providing residency training for residents in Family Medicine. During the year they also trained 9 staff members in Microresearch.Thesecollaborationshavebeenmutuallybeneficial.

The church of Scottland and Friends of Chogoria continue to support the hospital with equipments. Kenya Oral Health Initiative supported the dental clinic with equipments during the year. Apart from teaching and missionary doctors support, the Munson Group also supported the hospital with equipments.

We are grateful to all partners who have supported our course. We extend also our invitation to other partners to join the hospital in this important ministry of healing.

Locality

AdministrationTharaka Nithi County shares common borders with Meru County to the North, North West and North East, Kitui County to the East and South East, and Embu County to the South. It is located at latitude -02.27324° N and longitude 37.882411° E. The County has a total area of 2,638.8 km². It is made up of Maara and Nithi constituencies (1089.3 km²) in addition to Tharaka South and North constituencies (1549.5 km²).

PopulationAs per 2009 national census, Tharaka Nithi County has a total population of 365,330, of which 178,451 are male and 186,879 female. There are 88,803 households in the county and a population densityof138 people per Km². Thirteen (13.6%) percent of the county’s populationisunderfiveyearsoldwhile5.2%ofthepopulationisaged64yrsandabove.The labor force (15-64 years) is 50% of the county’s population.

Economic activitiesThe key economic activities revolve around crop farming. According to 2009 National census, 98.2% percent of households in the county engage in crop farming. Coffee, tea and horticultural crops are the major produce in high altitude areas while low altitude areas which are extensively dry are known for livestock husbandry such as cattle, goats, sheep keeping and honey production. Millet, sorghum and Cassava do well in the lowland areas as they are better adapted to the arid climatic conditions.


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INSTITUTIONAL INFORMATION

PCEA Chogoria Mission Hospital is incorporated under the Companies Act (Chapter 486). PCEA Chogoria Mission Hospital is registered under Medical Practitioners and Dentist Board Act of Kenya Cap 253 rule 4(3) and it adheres to the statutory regulatory and governing bodies requirements in discharging its mandate.

RegisteredOfficeandPrincipalPlaceofBusiness

PCEA Chogoria Mission Hospital Along Meru-Chuka Road, P. O. Box 35 60401, Chogoria Kenya Telephone: 0713 656 186, 0734 192 208 Website: www.pceachogoriahospital.org Email: [email protected]

Bankers KCB KENYA Chuka Branch, P.O. Box 213-60400 Chuka PCEA CHOGORIA HOSPITAL A/C No. 210294578825

Independent Auditor Maina Kinyua & Co. CertifiedPublicAccountants P. O. Box 25107 00100 – GPO NAIROBI, KENYA

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STATISTICSMCH Statistics

Admissions

Deliveries

Operations


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Unit Total income Total expense Total +/-ADMINISTRATION DEPT 9,731,802.19 85,289,843.80 (75,558,041.61)

AKIBA DEPT 1,378,850.00 3,916,790.80 (2,537,940.80)

AMENITY WARD 5,344,790.00 3,757,035.04 1,587,754.96

BOYS WARD 895,500.00 404,782.28 490,717.72

CASUALTY DEPT - 4,116.00 (4,116.00)

CHAPLAINCY DEPT - 3,171,327.00 (3,171,327.00)

CHUKA URBAN CLINIC 11,680,582.00 7,578,274.06 4,102,307.94

CLEANING POOL - 156,288.00 (156,288.00)

CLINICAL OFFICERS (COS) 28,534,450.00 12,197,992.06 16,336,457.94

DENTAL DEPT 3,949,500.00 7,359,710.86 (3,410,210.86)

DIALYSIS 3,755,341.00 2,466,487.37 1,288,853.63

EYE DEPT 2,808,600.00 1,912,955.04 895,644.96

FARM 1,172,892.00 1,584,698.00 (411,806.00)

FEMALE MEDICAL WARD 9,479,230.00 5,213,384.28 4,265,845.72

FEMALE SURGICAL WARD 10,712,123.00 4,828,606.92 5,883,516.08

FINANCE DEPT - 12,541,176.67 (12,541,176.67)

FOOD STORE - 36,314.00 (36,314.00)

GUEST HOUSE 1,813,200.00 806,849.00 1,006,351.00

HOSPITAL BAKERY - 1,675,865.40 (1,675,865.40)

HOUSE KEEPING - 1,232,252.00 (1,232,252.00)

IMAGING DEPT 31,942,100.00 5,735,716.44 26,206,383.56

I.T DEPARTMENT - 1,325,956.91 (1,325,956.91)

KITCHEN DEPT - 13,304,766.16 (13,304,766.16)

LABORATORY DEPT 42,173,240.00 17,116,813.40 25,056,426.60

LABOUR WARD - 46,500.00 (46,500.00)

LAUNDRY DEPT - 3,776,746.46 (3,776,746.46)

LENANA RESTAURANT - 154,971.60 (154,971.60)

LOWER COMPOUND HOUSES - 35,345.00 (35,345.00)

MAIN STORE DEPT 23,332,046.10 419,320.36 22,912,725.74

MAIN THEATRE 47,695,320.00 33,962,460.14 13,732,859.86

MALE MEDICAL WARD 9,445,751.00 5,013,231.85 4,432,519.15

MALE SURGICAL WARD 16,193,461.00 5,210,249.87 10,983,211.13

MARIMANTI BASE - 1,841,345.16 (1,841,345.16)

MATERNITY WARD 17,741,876.00 10,272,531.83 7,469,344.17

MCH/FP 1,492,750.00 3,422,518.10 (1,929,768.10)

MEDICALMAIN.SERVICE - 955,653.85 (955,653.85)

MEDICALSERVICES 3,391,175.50 21,360,014.86 (17,968,839.36)

MORTUARY 6,546,650.00 1,337,477.66 5,209,172.34

NEW BORN UNIT - 46,500.00 (46,500.00)

NURSING TRAINING SCHOOL 28,701,475.00 21,744,574.51 6,956,900.49

NUTRITION - 345,805.00 (345,805.00)

OPD/CASUALTY 52,585,045.00 8,780,942.33 43,804,102.67

PAEDIATRIC WARD 6,840,681.00 3,843,714.14 2,996,966.86

PALLIATIVECAREPROJECT - 32,319.00 (32,319.00)

PEPFAR PROJECT 12,741,897.00 12,917,438.68 (175,541.68)


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PETROL STATION 1,020,096.00 - 1,020,096.00

PHARMACY DEPT 71,398,474.71 37,953,847.63 33,444,627.08

PHYSIOTHERAPY DEPT 788,827.21 1,533,289.00 (744,461.79)

POST NATAL DEPT - 46,500.00 (46,500.00)

RECORDS DEPT - 1,087,386.35 (1,087,386.35)

RESTAURANT - 154,971.60 (154,971.60)

SECURITY DEPT - 5,625,796.65 (5,625,796.65)

SEWING ROOM - 2,137,610.60 (2,137,610.60)

TB & LEPROSY - 4,515.00 (4,515.00)

TRANSPORT DEPT 1,816,024.70 2,900,815.69 (1,084,790.99)

UPPER COMPOUND HOUSES - 652,357.22 (652,357.22)

WORKSHOP - 4,926,277.42 (4,926,277.42)

467,103,750.41 386,161,029.05 80,942,721.36


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The college runs a program leading to the award of the Diploma in Kenya Registered Community health Nursing (Basic). The program is a 3½ years course targeting fresh KCSE graduates. The criterion for admission for the course is determined by the Nursing Council of Kenya the regulatory body.

Minimum requirementKCSE Mean Grade C (plain) or above

Mandatory subjectsC (plain) or above in English language or Kiswahili language.

C (plain) or above in Biology.

Additional subjectsC- (Minus) in either of the following subjects

Mathematics, Physics or Physical science and Chemistry

Candidates must be physically and mentally healthy.

Candidates Must have attained 18 years of age or older.

Candidates must be in possession of the National identity Card.

Training intakes are in the months of April and October

For further information contact:

The Principal,

Clive Irvine College of Nursing,

P.O. Box 35-60401,

Chogoria, Kenya

Phone: 0717 138 452

www.pceachogoriahospital.org

CLIVE IRVINE COLLEGE OF NURSING


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Since 1922, PCEA Chogoria Mission Hospital has been providing outstanding healthcare to the Chogoria community and beyond. From our foundation, our goal has been holistic healthcare, meeting patients’ physical, emotional and spiritual needs. Our vision is to be this community’s hospital of choice, providing quality care to the glory of God. Ultimately, we serve God, through serving you, our patients.

We have individual rooms, well equipped with comfort and style. Our services and amenities are tailor-made to meet and exceed our patients’ expectations to the glory of God.

FACILITIES

Private, safe and serene environment

Best patient care

Best meals

LED T.V

Hot shower

Personalized services

Visitors Lounge

Talk to Us on:0734 192 208 / 0713656186

Email: [email protected]/chogoriahospital


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P.O. Box 35– 60401 Chogoria, KenyaCell: 0713 656 186, 0734 192 208

Email. [email protected]

Documents

ANNUAL REPORT 2016 - 2017pceachogoriahospital.org/images/pdfs/Chogoria... · resbyterian University of East AfricaP SOPC. Surgical Outpatient Clinic VCT. Voluntary Counseling and