Mulanje Mission Hospital Report 2010 - 2011

Mulanje Mission HospitalMulanje Mission HospitalReport 2010 - 2011Report 2010 - 2011

Mulanje Mission HospitalMulanje Mission Hospital

GovernanceGovernance Member of Christian Health Association of Malawi Member of Christian Health Association of Malawi

(CHAM)(CHAM) Overseen by Synod Health BoardOverseen by Synod Health Board Partnership with Government - since July 2006 Partnership with Government - since July 2006

Service Level Agreement with Mulanje DHOService Level Agreement with Mulanje DHO Free services:Free services:

Maternal & neonatal healthMaternal & neonatal healthReferralsReferralsEssential health services for children under 5 Essential health services for children under 5

Chest X-rays for TB contact tracing Chest X-rays for TB contact tracing

Outpatients

Services at MMH (205 beds)Services at MMH (205 beds)

Mother and child Mother and child health clinichealth clinic

Outpatient Outpatient DepartmentDepartment

Maternity wingMaternity wing Female wardFemale ward Children’s wardChildren’s ward Male wardMale ward Isolation wardIsolation ward Nutrition rehabilitation Nutrition rehabilitation

unitunit

PharmacyPharmacy LaboratoryLaboratory Primary Health Care Primary Health Care

departmentdepartment Orphan Care Orphan Care

Training CentreTraining Centre Laundry departmentLaundry department MortuaryMortuary Maintenance Maintenance

departmentdepartment


Specialised ServicesSpecialised Services

Some focus areas:Some focus areas: Modern Dental ClinicModern Dental Clinic Cervical Cancer ScreeningCervical Cancer Screening Anti Retroviral Therapy clinicAnti Retroviral Therapy clinic Palliative Care ClinicPalliative Care Clinic Kangaroo Mother Care centreKangaroo Mother Care centre

Mother and Child Health careMother and Child Health care


Staffing in 2010/11Staffing in 2010/11

7 Senior management team7 Senior management team 13 clinicians + 2 interns 13 clinicians + 2 interns 9 para-medics 9 para-medics 55 nurses 55 nurses 167 support staff 167 support staff


Income 2011-12 MK 334m


Main donorsMain donors Presbyterian Church USAPresbyterian Church USA Church of ScotlandChurch of Scotland Presbyterian Church in IrelandPresbyterian Church in Ireland English Reformed Church – AmsterdamEnglish Reformed Church – Amsterdam Friends for Africa – the NetherlandsFriends for Africa – the Netherlands Malawi Workgroup – the NetherlandsMalawi Workgroup – the Netherlands Medical Benevolence FoundationMedical Benevolence Foundation Presbyterian World Service & DevelopmentPresbyterian World Service & Development …….and many other organisations and individuals.and many other organisations and individuals




Our main challengesOur main challenges Financial management in a difficult funding Financial management in a difficult funding

climateclimate Maintaining drug suppliesMaintaining drug supplies Developing sustainable power solutionsDeveloping sustainable power solutions Staff recruitment and retentionStaff recruitment and retention

– Training opportunitiesTraining opportunities– Incentive packagesIncentive packages– Accommodation Accommodation

Scaling up disease control programmesScaling up disease control programmes Maintenance of infrastructureMaintenance of infrastructure

Community outreachCommunity outreach



Primary Health CarePrimary Health Care

Catchment area:Catchment area:– 72 villages72 villages– 74,785 people74,785 people– 12 outreach clinics12 outreach clinics

Four focus areas:Four focus areas:– Environmental HealthEnvironmental Health– Mother and Child HealthMother and Child Health– NutritionNutrition– HIV / AIDS and palliative careHIV / AIDS and palliative care


Main diagnoses in 2010/11Main diagnoses in 2010/11

Malaria (12,437)Malaria (12,437) Patients on ART for AIDS (3,843)Patients on ART for AIDS (3,843) New HIV infections (2,054)New HIV infections (2,054) Dental conditions (3,989)Dental conditions (3,989) Acute Respiratory Infections (2,131)Acute Respiratory Infections (2,131) Sexually Transmitted Infections (659)Sexually Transmitted Infections (659) TB (313)TB (313)


Some HMIS dataSome HMIS data20072007 20082008 20092009 20102010 20112011

OPD visitsOPD visits 46,36746,367 43,59243,592 37,16937,169 38,81038,810 42,12542,125

Antenatal Antenatal ptspts

3,9103,910 4,0664,066 3,3993,399 3,5913,591 3,3153,315

Under 5sUnder 5s 34,36434,364 30,49130,491 31,14431,144 34,98434,984 32,92732,927

AdmissionsAdmissions 8,0508,050 7,9977,997 8,2968,296 9,5559,555 8,3438,343

DeathsDeaths 616616

(7.7%)(7.7%)575575

(7.2%)(7.2%)479479

(5.7%)(5.7%)472472

(4.9%)(4.9%)261261

(3.1%)(3.1%)

DeliveriesDeliveries 2,7212,721 2,5852,585 2,3242,324 2,5372,537 2,5442,544

C/SectionC/Section 281281

(10.3%)(10.3%)273273

(10.6%)(10.6%)229229

(9.9%)(9.9%)284284

(11.2%)(11.2%)308308

(12.1%)(12.1%)

Developments in 2010/11Developments in 2010/11 Completion of labour ward renovationCompletion of labour ward renovation Children’s ward – intensive care areaChildren’s ward – intensive care area Renovation and extension of male wardRenovation and extension of male ward 2 new community health posts opened2 new community health posts opened Successful award of Infection Prevention Successful award of Infection Prevention

trophytrophy Certificate of recognition for maintenance Certificate of recognition for maintenance

of nursing, midwifery and education of nursing, midwifery and education standards from MoHstandards from MoH


Outreach clinicOutreach clinic

Working in the new labor wardWorking in the new labor ward

Infection Prevention awardInfection Prevention award


Documents

Mulanje Mission Hospital Report 2010 - 2011