Mulanje Mission Hospital in 2013. Mulanje Mission Hospital Governance Member of Christian Health Association of Malawi (CHAM) Overseen by CCAP Blantyre

Mulanje Mission HospitalMulanje Mission Hospitalin 2013 in 2013

Mulanje Mission HospitalMulanje Mission Hospital

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

(CHAM)(CHAM) Overseen by CCAP Blantyre Synod Health Board, Overseen by CCAP Blantyre Synod Health Board,

reports to DGSreports to DGS Work in partnership with Government - since Work in partnership with Government - since

2006 Service Level Agreement with Mulanje 2006 Service Level Agreement with Mulanje District Health Office, providing free services forDistrict Health Office, providing free services for

Maternal health for catchment populationMaternal health for catchment population Inpatient services for children under 5 Inpatient services for children under 5

MMH Mission StatementMMH Mission Statement

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



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

OUTPATIENT SERVICESOUTPATIENT SERVICES Reproductive health Reproductive health Under 5s clinic Under 5s clinic Dental clinic Dental clinic Outpatient clinicsOutpatient clinics HIV care and ART clinicHIV care and ART clinicINPATIENT SERVICESINPATIENT SERVICES Maternity wingMaternity wing Female wardFemale ward Children’s ward Children’s ward Male wardMale ward Isolation wardIsolation ward

PRIMARY HEALTH CARE PRIMARY HEALTH CARE Environmental healthEnvironmental healthOrphan Care CentreOrphan Care CentreNutrition rehabilitation Nutrition rehabilitation unitunit

SUPPORT SERVICESSUPPORT SERVICESPharmacyPharmacyLaboratoryLaboratoryRadiologyRadiologyLaundry Laundry MortuaryMortuaryMaintenance deptMaintenance deptGuardian shelterGuardian shelter


Mother and Child Health clinicMother and Child Health clinic



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


In 2012/13 MMH provided care for:In 2012/13 MMH provided care for: 37,133 general outpatients 37,133 general outpatients 35,099 under 5 outpatients 35,099 under 5 outpatients 7,571 admissions 7,571 admissions

2,678 antenatal patients 2,678 antenatal patients 2,345 deliveries 2,345 deliveries 405 caesarian sections 405 caesarian sections

66,606 ART clinic attendances 66,606 ART clinic attendances


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– Maternal and Child HealthMaternal and Child Health– NutritionNutrition– HIV / AIDS and palliative careHIV / AIDS and palliative care

Community outreach – there are often 450 mums Community outreach – there are often 450 mums and babies waiting when we visit this clinicand babies waiting when we visit this clinic


New village pumpNew village pump


Developments in 2012/13Developments in 2012/13 Renovation and extension of operating Renovation and extension of operating

theatrestheatres


Developments in 2012/13Developments in 2012/13 3 new community health posts 3 new community health posts

constructedconstructed


Developments in 2012/13Developments in 2012/13 Installation of solar power to key areas of Installation of solar power to key areas of

hospitalhospital


Why solar?Why solar?

Reliable source of light and power Reliable source of light and power essential for modern high quality essential for modern high quality healthcare.healthcare.

e.g. for theatre, intensive care, labour e.g. for theatre, intensive care, labour wardward

Generator? Generator? Solar power is reliable, clean, easy to Solar power is reliable, clean, easy to

install, low maintenance, and after install, low maintenance, and after initial installation, cheap to runinitial installation, cheap to run


BenefitsBenefitsReduction in power outages and thus infant Reduction in power outages and thus infant deathsdeathsIncreased safety for staff at nightIncreased safety for staff at nightImmediate reduction in Escom bill Immediate reduction in Escom bill Demonstration projectDemonstration project

Next phases:Next phases:Light and power for operating theatreLight and power for operating theatreSolar pumps for boreholesSolar pumps for boreholesExtend to male and female wardsExtend to male and female wards


Developments in 2012/13Developments in 2012/13 Scaling up of ART service – 6,200 ptsScaling up of ART service – 6,200 pts Primary care - implementation of malaria Primary care - implementation of malaria

control strategycontrol strategy Strengthening district wide palliative care Strengthening district wide palliative care

programmeprogramme Participation in College of Medicine Participation in College of Medicine

teaching of 4teaching of 4thth year medical students on year medical students on Family Medicine programmeFamily Medicine programme

Continuing emphasis on Infection Continuing emphasis on Infection Prevention and controlPrevention and control



Staffing in 2012/13Staffing in 2012/13

6 Senior management team6 Senior management team 2 volunteer doctors2 volunteer doctors 13 clinicians + 2 interns 13 clinicians + 2 interns 9 technicians9 technicians 58 nurses 58 nurses 167 support staff 167 support staff



Main donors in 2012/13Main donors in 2012/13 Edinburgh Medical Missionary SocietyEdinburgh Medical Missionary Society Presbyterian Church USAPresbyterian Church USA English Reformed Church – AmsterdamEnglish Reformed Church – Amsterdam Church of ScotlandChurch of Scotland Friends for Africa – the NetherlandsFriends for Africa – the Netherlands Presbyterian World Service & Development, CanadaPresbyterian World Service & Development, Canada Malawi Workgroup – the NetherlandsMalawi Workgroup – the Netherlands Presbyterian Church in IrelandPresbyterian Church in Ireland Beit TrustBeit Trust …….and many other organisations and individuals.and many other organisations and individuals



Our main challengesOur main challenges Financial management in a difficult climate, Financial management in a difficult climate,

with govt funding and donations decreasing, with govt funding and donations decreasing, inflation on clinical supplies ≈30%inflation on clinical supplies ≈30%

Continuing difficulties between CHAM and MoHContinuing difficulties between CHAM and MoH Maintaining drug suppliesMaintaining drug supplies Scaling up disease control programmesScaling up disease control programmes

• HIV/AIDS, TB, malaria, water and sanitationHIV/AIDS, TB, malaria, water and sanitation• MCH – esp ANC and FP, reducing teenage pregnancyMCH – esp ANC and FP, reducing teenage pregnancy

Reliable power and water supplies Reliable power and water supplies Providing staff training opportunitiesProviding staff training opportunities Maintenance of infrastructure and equipmentMaintenance of infrastructure and equipment

www.mmh.mwwww.mmh.mw


For further information, a copy For further information, a copy of this presentation and much of this presentation and much

more..........more..........

ThankThank you for listening!you for listening!

ZikomoZikomo kwambiri! kwambiri!

Thank you Thank you very much! very much!


Documents

Mulanje Mission Hospital in 2013. Mulanje Mission Hospital Governance Member of Christian Health Association of Malawi (CHAM) Overseen by CCAP Blantyre