ST JOHN OF GOD HOSPITALLER SERVICES MALAWI

2017 ANNUAL REPORT

2017- Developments and Achievements

OFFICIAL OPENING OF LILONGWE SERVICE GRANADA CENTRE

We celebrated the official opening of St John of God Hospitaller Services, Granada centre on Wednesday 14th June 2017.

The ceremony was presided over by the previous Minister of Health Dr. Peter Kumpalume, who was the guest of honor while

The Vicar General, Reverend Father Francis Sonkhani blessed the facility on behalf of his Lordship Archbishop Tarsizio Ziyaye.

Guest of honor with Irish Ambassador & British High commissioner

The Guest of honor and The Vicar General unveiling opening plaque

Granada Centre program expands its networks of outreach clinics in Lilongwe District

• Additional outreach clinics were established at Mitundu, Lumbadziand Nathenje communities

• This development now brings a total number of mental health outreach clinics to 17.

• A total of 12568 clients accessed mental health services

Setting up a new Community Based Rehabilitation (CBR) clinic for children with disability

• In a bid to extend our early child intervention services in Lilongwe we opened a CBR clinic in Mtsiliza township to serve children around Mtsiliza, Mtandile, part of area 47 and area 49 in Lilongwe.

• Mtsiriza is one of the most populated slums in Lilongwe.

• The clinic operates from St Kizito Community Health Centre and targets children 0 – 15 years of age.

Full rolling out of the prison mental health, psychosocial services and vocational skills training project

• With support from Misean Cara we fully rolled out our mental health, psychosocial services and vocational skills training project

• The target is 6 prisons in Malawi (Mzuzu, Mzimba, Rumphi and Nkhatabay prisons in the Northern region; Maula and Kasungu prisons in the Central Region)

• The aim is to improve quality of life of inmates through provision of treatment and care to those with mental health problems and epilepsy; psychosocial counselling and support; rehabilitation and vocational skills training; capacity building and advocacy.

Prison warders and Cell leaders attend mental health orientation session

Some displays of the vocational programs

Results of end of project evaluation – Community mental health outreach in Lilongwe

• In December, 2016 – January, 2017, we engaged A& R Development Consulting firm to conduct an end of term evaluation of Community Mental Health and Early Child Services Project.

• Key findings of the evaluation were that the project was relevant at individual, community and National level (enhanced accessibility of services, in line with Government priorities)

Development of Information, Education and Communication (IEC) materials

• In conjunction with Ministry of Health (MOH), we organized an expert session to develop IEC materials in mental health from 6 to 10th

February, 2017

Youth Mental Wellness WorkshopWe conducted a youth mental health wellness workshop at Granada center in September 2017 to equip the youth with better decision making skills

Enhancing Staff Capacity to respond to clinical emergenciesIn an effort to equip clinical staff with skills to respond to clinical emergencies like cardiorespiratory

arrest, we facilitated a two day training on cardio pulmonary resuscitation to clinicians and nurses.

Partnership and linkages through Memorandum of Understanding (MoU) with Government

• We signed a Memorandum of Understanding with Lilongwe District Health Office for provision of community mental health services in the District

We also signed another MOU with Malawi Prison Services in August, 2017 at St John of God, Granada Centre regarding implementation of Prison Project.

Saint John of God Centre establishes more outreach clinics• Three new clinics were opened in the year including Jenda in Mzimba,

Bolero in Rumphi and Chintheche in Nkhatabay.

• Community mental health education

HOUSE OF HOSPITALITY

• In 2017 the House of Hospitality in Mzuzu continued to provide short term residential mental health services to our clients.

• 244 clients were admitted and 220 were discharged. Out of these 98 were readmissions

Extension of period for Venegas Addiction Centre recovery program

• The Venegas Centre started offering a four week substance abuse treatment program to individuals with substance abuse problems in January 2017

• This followed the program evaluation exercise that was finalised in 2016

• 115 clients entered the treatment program. These comprised of 114 males and 1 female

• The Venegas Centre received different types of books from a recovering alcoholic from United States of America.

Elvira School graduation

• In July the Child Development Centre conducted graduation ceremony for children under Elvira.

• 10 children transitioned to Institute of Vocation Training and 7 children graduated to mainstream primary schools

Portage volunteer training • To strengthen the capacity of portage volunteers the Child

Development Centre team facilitated training volunteers in February 2017

Postural Management

Umoza program holds a child rights Conference

• To strengthen the implementation of the Child and Vulnerable Adults Protection Policy, we Identified and trained 7 individuals in the department as Child Protection Focal persons

• Also developed a child user friendly leaflet depicting important perspectives from the policy

Facilitated nutrition session for the guardians

Facilitated stakeholders during a meeting to deliberate on the impact of the evening market on children

Institute of vocational training

• The following milestones have been attained with the vocational training programs;

• 69 of 113 Centre based graduates (61.06%) successfully passed Tevetacertificates.

• 28 of 57 (49.12%) Centre based graduates with disabilities have successfully passed a Teveta Certificate.

• 347 of 350 Community graduates (99.14%) have passed Teveta certificates. • Overall 454 0f 601 have sufficient job oriented knowledge and skill.• A “can DO spirit” for those with special needs has been achieved. • The Institute has strengthened diversity in training programmes•

Trainees that participated in value chain approach to training in carpentry and home management

Elderly Service – enhancement of health programs

• The Tovwilane Services for the elderly program registered a total of 578 service users.

• The project has initiated partnership with public hospitals to ensure that older people receive appropriate basic health services and, once the need arises, they are being referred to these hospitals.

• In total 450 service users that presented with specific health complaints were screened and treated with 78 were referred to general hospitals for further management

A clinician providing medical attention to a service user at an outreach clinic

Rights awareness training among guardiansand and community committee members

Self -help group Approach

• The first Batch is currently having 241 self-help groups; translating to 4820 members who have 11417 children benefiting from the approach. These have 40 children groups with a capital of over MK55, 000, 000

• The second batch has a total of 139 groups rising from 28 from at the time we took over three years ago. These comprise of 2780 women and who have 3,008 children benefiting from the Self-help approach. They have a total capital that has accumulated to MK17,165,450

• The clusters in the Self Help Group Approach have also facilitated community based vocational skills training, currently 35 youths have just undergone various skills trainings like Tailoring, hair salon and bricklaying bringing to a total of 105 youths who have been trained through SHG’s Community Based Training (CBT) facilitated by Cluster Level Associations (CLAs).

CLA joint meeting at Ekwaiweni

St John of God College of Health Sciences

• Apart from almost doubling its in-take in 2017 as compared to the previous, the college in the year also embarked on a process of developing draft curriculums: Midwifery and BSc in Nursing and Midwifery and also completed a Bachelor of Arts in Counseling curriculum which has been presented to Chancellor College

• They are awaiting for approval by University of Malawi Senate

Other Significant development and eventsOpening of the Pisa Physiotherapy Centre on 19th June 2017

A child undergoing physiotherapy in the new Pisa Centre

Construction and opening of a third outreach Centre for the Elderly program-In July we opened a third centre for the elderly

Service users performing a traditional dance after the opening ceremony

Hospitality foundation program: reflecting on the values of Saint John of God

• The Service’s Hospitality Team facilitated a “personal journey in Hospitality” for new staff members in Lilongwe and Mzuzu from 22nd to 23rd May, 2017 and 5th to 7th June, 2017 respectively.

• A total of 27 new staff members participated in the session.

• The team also conducted revisiting values sessions for 58 existing staff members on 24th, 25th and 26th May, 2017.

Enhancement of the Child and Vulnerable adult protection initiatives

• In an effort to strengthen implementation of the Child and Vulnerable Adult Protection Policy in all program areas in Lilongwe in the year 2017, we identified four (4) child and vulnerable adult protection focal persons in all departments (Administration and Support, Granada Centre, Portage and House of Hospitality)

• They were oriented to our Child and Vulnerable Adult Protection Policy and their roles on 28th June 2017.

• We also conducted an orientation to the Child and Vulnerable Adult Protection Policy to 24 new members and some who missed the 2016 orientation on 27th June, 2017.

St John of God Feast

• The Mzuzu family of St John of God celebrated the St John of God feast with His Lordship Bishop John Ryan presiding over the mass in the company of Father Edmond Nyoka, the Pastoral Secretary and Father Martin from the Mzuzu Diocese.

• The function not only brought together brothers and co-workers, but also clients from all services within St John of God and students from the St John of God College of Health Sciences including those from other denominations such as Presbyterians, Anglican, Adventists and many others joined the celebration.

Participants during the Feast of St John of God

The Child Development Centre children visit to Katoto /Granada memorial centre visit

Staff Training & DevelopmentName Course Institution

Charles Masulani PHD in Public Health Research College of Medicine, Malawi

Devlin Silungwe PHD in Clinical Psychology University of Southern California – USA

Dr. Saulos Gondwe Registered Psychiatrist University of Cape town

Chrispin Kamanga Masters in Pastoral Counselling University of Stellenbosch

Glory Mwafulirwa Masters in Community Health Nursing Kamuzu College of Nursing - UNIMA

Febbie Kaminyoghe MBA Finance University of Derby - UK

Japhet Myaba Masters in Psychiatry University of Cape town

Manson Msiska Masters in Psychiatry University of Cape town

Richard Banda Masters in Psychiatry University of Cape town

Chimwemwe Munthali Masters in Trauma & Surgical Nursing Muhimbili University – Tanzania

Prisca Kaunda Masters in Child Health Nursing and Midwifery Muhimbili University – Tanzania

Human Resources

Support staff125, 35%

Administraation39, 11%

Programs176, 50%

College13, 4%

Pie Chart Showing Staff Composition

Support staff Administraation Programs College

Profession124, 52%

Auxiliary114, 48%

Pie Chart Showing Composition of Program Staff

Profession Auxiliary

• Notes: Auxiliaries include: Volunteers, Care Assistants and Rehabilitation Assistant

•

• Summary

• Support Staff (Includes 63 volunteers) = 125

• Administration (Includes Director of Services) = 39

• Programs (Includes the Prior for Community House) = 176

• College (Includes the Principal) = 13

• Grand Total = 353

PROGRAM STATISTICS

St John of God Centre Mzuzu

St John of God Centre Mzuzu- Out patient attendance

On Register 35

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total

Male2 4 3 7 6 2 0 0 0 0 0 0 39

Female2 1 1 3 2 2 0 1 1 1 1 0 36

Total number of clients

4 5 4 10 8 4 0 1 1 1 1 0 74

Number of visits8 11 8 30 22 4 0 2 4 4 4 0 148

Number of Clients Stabilized

1 4 3 4 6 3 0 0 0 1 1 0 33

Support Visits6 6 7 8 7 7 6 6 8 6 8 5 96

Domiciliary Care Statistics- Mzuzu

Lilongwe Static clinic clients on Register

Total On Register

Details Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Male

265 297 329 354 386 406 444 466 496 525 555

587

Female

156 176 192 204 218 230 242 260 273 284 301

308

Total # of Clients 421 473 521 558 604 636 686 726 769 809 856 895

Area 25 Nsaru Kangóma Area 18 Chiwamba Kawale Mkwelera Kanyere Malili KunthuluNguluwe

MtooPhiri la Njuzi Maula Prison Likuni

Jan 213 182 169 75 129 53 17 59 35 86 57 74 35 179

Feb 221 189 171 75 138 53 19 60 35 87 61 75 35 181

Mar 229 199 169 76 143 54 19 61 35 89 64 75 47 181

0

50

100

150

200

250

On Register Chart - Lilongwe Outreach Clinics

Jan Feb Mar

Area 25 Nsaru Kangóma Area 18 Chiwamba Kawale Mkwelera Kanyere Malili KunthuluNguluwe

MtooPhiri la Njuzi Maula Prison Likuni

Total 99 113 92 41 64 37 17 32 25 65 43 48 22 79

Average 144 104 99 33 88 45 17 39 30 60 44 55 24 70

0

20

40

60

80

100

120

140

160

Attendance -Lilongwe Outreach Chart

Total Average

Lilongwe Domiciliary Care Statistics

Details

1st Quarter 2nd Quarter 3rd Quarter 4th Quarter

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Domiciliary care Clients 2 6 4 6 3 6 5 2 3 4 5 3

visits 11 14 15 15 18 29 27 20 19 20 12 16

referred 0 2 2 1 1 3 2 0 1 5 1 1

discharged 1 10 3 2 2 4 2 0 1 3 2 2

Supportive care clients 8 11 10 9 8 11 8 10 9 11 7 7

visits 11 12 14 8 11 18 12 16 14 15 8 11

0

10

20

30

40

50

60

70

80

90

100

January February March April May June July August September October November December

97 95 97

51 52 54 54 5458

61 62 63

Portage Lilongwe

House of Hospitality- Mzuzu A 39 Bedded residential care unit; 13 beds for clients with acute mental illness and 26 for recuperating clients

Event

Jan

Feb

Mar

Ap

r

May

Jun

Jul

Au

g

Sep

Oct

No

v

De

c

Total/ Ave

Admissions 23 20 16 19 16 21 21 20 23 21 18 23 244

Discharges 20 17 15 12 18 12 14 14 18 14 16 28 220

Re-Admissions 9 11 8 07 05 08 7 5 7 10 7 14 98

Bed occupancy 09 11 08 476 533 530 677 787 702 556 507 478 7927

Average bed

occupancy679 614 780 16 17 18 22 25 23 18 17 15 22

Average rate bed

occupancy 22 22 25 41 44 46 56% 64% 59% 46% 44% 38%

23

20

16

19

16

21

2120

23

21

18

23

20

17

15

12

18

12

14 14

18

14

16

28

0

5

10

15

20

25

30

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

HOH Admission Against Discharge Chart

Admission Discharge

Centre for Living2017

Details

Jan

Feb

Mar

Ap

r

May

Jun

Jul

Au

g

Sep

Oct

No

v

De

c

Total

Male

5 3 3 5 1 4 3 3 3 5 1 0 36

Female

2 4 4 5 5 2 2 4 4 5 1 3 41

Total # of clients

7 7 7 7 4 5 5 7 7 10 2 3 71

Referred to IVT

0 0 0 2 0 1 0 0 0 8 0 0 11

Drop outs

3 2 0 2 2 0 0 0 0 0 1 0 10

Venegas CentreNote: Admissions number includes re-admissions

Jan/Feb Feb/Mar Mar/Apr Apr/May May/Jun

Jun/Jul Aug/Sep Sep/Oct

Oct/Nov Nov/Dec Total

Admissions 16 14 14 11 10 16 16 16 10 10 133

Male 15 14 14 11 10 16 16 16 10 10 132

Female 1 0 0 0 0 0 0 0 0 0 1

Drop Out 0 0 1 0 3 0 0 0 1 0 5

Dismissed 0 2 0 2 0 6 0 0 0 1 11

Referred to HOH/MCH 0 0 0 0 0 0 0 0 1 0 1

Re-Admissions 3 3 0 0 3 1 2 2 1 2 17

Completed Treatment 16 12 13 9 7 10 16 16 8 9

.

Venegas Clients’ On Reg. Against Discharge

16

14 14

11

10

16 16 16

10 10

16

12

13

9

7

10

16

16

8

9

0

2

4

6

8

10

12

14

16

18

Jan/Feb Feb/Mar Mar/Apr Apr/May May/Jun Jun/Jul Aug/Sep Sep/Oct Oct/Nov Nov/Dec

Venegas Chart

Admission Discharge

Child Development Centre Clients on medication

Medication0

10

20

30

40

50

60

70

80

90

100

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Medication 67 63 74 73 72 76 77 74 78 80 97 97

6763

74 73 7276 77

7478 80

97 97

Medication

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Year 2017 55 57 64 65 64 64 71 71 77 81 84 88

55 57

64 65 64 64

71 71

7781

8488

Mzuzu Portage Chart: 2017 Clients On Register

Year 2017

Elvira Institute

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

On Register 68 71 74 76 74 74 74 57 83 86 86 86

Boys 44 45 47 47 44 44 44 34 49 52 52 52

Girls 24 26 27 29 30 30 30 23 33 34 34 34

Attendance Estimated 1439 1420 1478 760 1600 1391 1340 1140 830 1806 1892 1376

Attend. Actual

931 976 995 635 1160 1201 1236 0 782

1607 1790 1023

New

Admi0s1.

Boys 2 1 2 0 0 0 0 0 17 3 1 0

Girls 0 4 2 0 2 0 0 0 9 1 0 0

Transfer

Boys 0 0 0 0 3 0 0 0 0 0 1 0

Girls 0 0 0 0 1 0 0 0 0 0 0 0

RESPITE PROGRAMJan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

On Register18 18 19 19 19 20 20 20 21 21

22 23

Boys14 14 15 15 15 15 15 15 16 16

17 23

Girls4 4 4 4 4 5 5 5 5 5

5 5

Attendance Estimated

378 360 418 190 418 500 400 400 210 441 484 368

Attendance Actual

151 163 274 176 276 430 362 0 180 392 403 289

New AdmissionBoys 1 0 1 0 0 0 0 0 1

01

1

Girls 0 0 0 0 0 0 0 0 00

00

Transferred

Boys 2 0 0 0 0 0 0 0 00

00

Girls 1 0 0 0 0 0 0 0 00

00

23

20

2221

2223

24

22

24

2223

2120

2120

1617

19

21

18

13 13

17 17 17

0

5

10

15

20

25

30

Horticulture Wood Work Tailoring Home Management Bricklaying

On Register - Vacational Training Programme 2013 - 2017 Chart

Year 2017 Year 2016 Year 2015 Year 2014 Year 2013

COMMUNITY BASED TRAINING PROGRAMCommunity Based Training Program ChartNote: May and June had 2 parallel programs running

Hair Dressing Motor Cycle Mechanics

Jan - -

Feb 25 -

Mar 25 -

Apr - -

May - 25

Jun - 25

Jul 25 -

Aug 25 -

Sep 25 -

Oct - -

Nov - -

Dec - -

152

212

192199

135

182 182194

120

184

170

187

113

232

251

178

120 118

174

93

0

50

100

150

200

250

300

Drop-In Centre Masasa Kavibale Chingámbo

Umoza Children' Program -On Register Bar Chart

Year 2017 Year 2016 Year 2015 Year 2014 Year 2013

HOH IVT Umoza Elderly CDC VenegasStJohn of God

CentreInterns Staff Members College Others

Clients 187 20 53 94 2 43 15 15 45 47 34

187

20

53

94

2

43

15 15

45 4734

Number of clients seen

Clients

PartnershipsOrganization Area of Cooperation

Ministry of Health Mental Health Services, particularly residential care

Likuni Mission hospital Primary Health Care

Diocesan Health Commission – Mzuzu & Lilongwe Coordination at CHAM level

University of Malawi Training: BSc Mental Health & Psychiatric Nursing and Diploma in Counselling

Mzuzu University Training: BSc Clinical Mental Health and Generic nursing

Kindernothilfe, Germany & Luxembourg Umoza Children’s Program, Child Development Centre program and vocational training

Misean Cara Funding of mental health outreach, elderly, college and prison programs

Voluntary Services Organization [VSO] Human resource provision

National Juvenile Justice Forum Rehabilitation of children in conflict with the law.

Goals for 2018 and Future Years

• Facilitate completion and occupation of the new Lilongwe Centre

• Improve integration of mental health services into primary health care.

• Improve collaboration and strengthen the capacity of guardians / caregivers to protect and contribute towards service delivery

• Attain accreditation and establishment of Saint John of God University

• Promote research culture within the service & college.

• Establish drug addiction recovery services in Lilongwe

• Strengthen Child and Adolescent Psychiatry Services in the community

• Promote and safeguard the rights of children and vulnerable adults availing services from SJOG

• Strengthen human rights approach and advocacy in delivering services in children programs

• Establish a local fundraising office and a National Coordination Office in Lilongwe

• Commence implementation of the 2018-2022 Service Strategic Plan.