1. Mulanje Mission Hospital in 2013

2. Mulanje Mission Hospital
Governance
Member of Christian Health Association of Malawi (CHAM)
Overseen by CCAP Blantyre Synod Health Board, reports to DGS
Work in partnership with Government - since 2006 Service Level Agreement with Mulanje District Health Office, providing free services for
Maternal health for catchment population
Inpatient services for children under 5
Mulanje Mission Hospital

3. Mulanje Mission Hospital
MMH Mission Statement
‘Mulanje Mission Hospital is a health facility under CCAP Blantyre Synod committed to provide quality preventive, curative, rehabilitative and palliative health care to the community in the catchment area and all others who seek our services, irrespective of gender, age, religion or social status, in an environment where Christian values are upheld’
Mulanje Mission Hospital

4. Mulanje Mission Hospital

5. Services provided at MMH (205 beds)
OUTPATIENT SERVICES
Reproductive health
Under 5s clinic
Dental clinic
Outpatient clinics
HIV care and ART clinic
INPATIENT SERVICES
Maternity wing
Female ward
Children’s ward
Male ward
Isolation ward
PRIMARY HEALTH CARE
Environmental health
Orphan Care Centre
Nutrition rehabilitation unit
SUPPORT SERVICES
Pharmacy
Laboratory
Radiology
Laundry
Mortuary
Maintenance dept
Guardian shelter
Mulanje Mission Hospital

6. Mother and Child Health clinic
Mulanje Mission Hospital

7. Mulanje Mission Hospital
Main diagnoses in 2012/13
Patients on ART for AIDS (6,235)
Opportunistic infections (2,014)
HIV testing and counsellling (11,041)
New HIV infections (1,557)
Malaria (5,493)
Dental conditions (1,541)
Acute Respiratory Infections (1,514)
Sexually Transmitted Infections (1,253)
TB (199)
Mulanje Mission Hospital

8. Mulanje Mission Hospital
In 2012/13 MMH provided care for: ,133 general outpatients ,099 under 5 outpatients ,571 admissions ,678 antenatal patients ,345 deliveries caesarian sections ,606 ART clinic attendances
Mulanje Mission Hospital

9. Mulanje Mission Hospital
Primary Health Care
Catchment area:
72 villages
74,785 people
12 outreach clinics
Four focus areas:
Environmental Health
Maternal and Child Health
Nutrition
HIV / AIDS and palliative care
Mulanje Mission Hospital

10. Mulanje Mission Hospital
Community outreach – there are often 450 mums and babies waiting when we visit this clinic
Mulanje Mission Hospital

11. Mulanje Mission Hospital
New village pump
Mulanje Mission Hospital

12. Mulanje Mission Hospital
Developments in 2012/13
Renovation and extension of operating theatres
Mulanje Mission Hospital

13. Mulanje Mission Hospital
Developments in 2012/13
3 new community health posts constructed
Mulanje Mission Hospital

14. Mulanje Mission Hospital
Developments in 2012/13
Installation of solar power to key areas of hospital
Mulanje Mission Hospital

15. Mulanje Mission Hospital
Why solar?
Reliable source of light and power essential for modern high quality healthcare.
e.g. for theatre, intensive care, labour ward
Generator?
Solar power is reliable, clean, easy to install, low maintenance, and after initial installation, cheap to run
Mulanje Mission Hospital

16. Mulanje Mission Hospital
Benefits
Reduction in power outages and thus infant deaths
Increased safety for staff at night
Immediate reduction in Escom bill
Demonstration project
Next phases:
Light and power for operating theatre
Solar pumps for boreholes
Extend to male and female wards
Mulanje Mission Hospital

17. Mulanje Mission Hospital
Developments in 2012/13
Scaling up of ART service – 6,200 pts
Primary care - implementation of malaria control strategy
Strengthening district wide palliative care programme
Participation in College of Medicine teaching of 4th year medical students on Family Medicine programme
Continuing emphasis on Infection Prevention and control
Mulanje Mission Hospital

18. Mulanje Mission Hospital
Staffing in 2012/13
6 Senior management team
2 volunteer doctors
13 clinicians + 2 interns
9 technicians
58 nurses
167 support staff
Mulanje Mission Hospital

19. Mulanje Mission Hospital

20. Mulanje Mission Hospital
Main donors in 2012/13
Edinburgh Medical Missionary Society
Presbyterian Church USA
English Reformed Church – Amsterdam
Church of Scotland
Friends for Africa – the Netherlands
Presbyterian World Service & Development, Canada
Malawi Workgroup – the Netherlands
Presbyterian Church in Ireland
Beit Trust
….and many other organisations and individuals
Mulanje Mission Hospital

21. Mulanje Mission Hospital

22. Mulanje Mission Hospital
Our main challenges
Financial management in a difficult climate, with govt funding and donations decreasing, inflation on clinical supplies ≈30%
Continuing difficulties between CHAM and MoH
Maintaining drug supplies
Scaling up disease control programmes
HIV/AIDS, TB, malaria, water and sanitation
MCH – esp ANC and FP, reducing teenage pregnancy
Reliable power and water supplies
Providing staff training opportunities
Maintenance of infrastructure and equipment
Mulanje Mission Hospital

23. Mulanje Mission Hospital
For further information, a copy of this presentation and much more
Mulanje Mission Hospital

24. Thank you for listening! Zikomo kwambiri! Thank you very much!
Mulanje Mission Hospital