1. Mulanje Mission Hospital Report 2010 - 2011

2. 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

3. Outpatients

4. 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

5. 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

6. Mother and Child Health care

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

8. Mulanje Mission Hospital Income 2011-12 MK 334m

9. 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

10. Mulanje Mission Hospital

12. 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

13. Community outreach Mulanje Mission Hospital

14. 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

15. 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)

16. Mulanje Mission Hospital Some HMIS data 20072008200920102011 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%)

17. 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

18. Outreach clinic

19. Working in the new labor ward

20. Infection Prevention award Mulanje Mission Hospital