Mulanje Mission Hospital Report

Mulanje Mission Hospital Governance  Member of Christian Health Association of Malawi (CHAM)  Overseen by Synod Health Board  Partnership with Government - since July 2006 Service Level Agreement with Mulanje DHO  Free services:  Maternal & neonatal health  Referrals  Essential health services for children under 5  Chest X-rays for TB contact tracing

Outpatients

Services at MMH (205 beds)  Mother and child health clinic  Outpatient Department  Maternity wing  Female ward  Children’s ward  Male ward  Isolation ward  Nutrition rehabilitation unit  Pharmacy  Laboratory  Primary Health Care department  Orphan Care Training Centre  Laundry department  Mortuary  Maintenance department

Mulanje Mission Hospital Specialised Services Some focus areas:  Modern Dental Clinic  Cervical Cancer Screening  Anti Retroviral Therapy clinic  Palliative Care Clinic  Kangaroo Mother Care centre

Mother and Child Health care

Mulanje Mission Hospital Staffing in 2010/11  7 Senior management team  13 clinicians + 2 interns  9 para-medics  55 nurses  167 support staff

Mulanje Mission Hospital Income MK 334m

Mulanje Mission Hospital Main donors  Presbyterian Church USA  Church of Scotland  Presbyterian Church in Ireland  English Reformed Church – Amsterdam  Friends for Africa – the Netherlands  Malawi Workgroup – the Netherlands  Medical Benevolence Foundation  Presbyterian World Service & Development  ….and many other organisations and individuals

Mulanje Mission Hospital

Our main challenges  Financial management in a difficult funding climate  Maintaining drug supplies  Developing sustainable power solutions  Staff recruitment and retention –Training opportunities –Incentive packages –Accommodation  Scaling up disease control programmes  Maintenance of infrastructure

Community outreach Mulanje Mission Hospital

Primary Health Care  Catchment area: –72 villages –74,785 people –12 outreach clinics  Four focus areas: –Environmental Health –Mother and Child Health –Nutrition –HIV / AIDS and palliative care

Mulanje Mission Hospital Main diagnoses in 2010/11  Malaria (12,437)  Patients on ART for AIDS (3,843)  New HIV infections (2,054)  Dental conditions (3,989)  Acute Respiratory Infections (2,131)  Sexually Transmitted Infections (659)  TB (313)

Mulanje Mission Hospital Some HMIS data OPD visits 46,36743,59237,16938,81042,125 Antenatal pts 3,9104,0663,3993,5913,315 Under 5s 34,36430,49131,14434,98432,927 Admissions8,0507,9978,2969,5558,343 Deaths616(7.7%)575(7.2%)479(5.7%)472(4.9%)261(3.1%) Deliveries2,7212,5852,3242,5372,544 C/Section281(10.3%)273(10.6%)229(9.9%)284(11.2%)308(12.1%)

Developments in 2010/11  Completion of labour ward renovation  Children’s ward – intensive care area  Renovation and extension of male ward  2 new community health posts opened  Successful award of Infection Prevention trophy  Certificate of recognition for maintenance of nursing, midwifery and education standards from MoH Mulanje Mission Hospital

Outreach clinic

Working in the new labor ward

Infection Prevention award Mulanje Mission Hospital