Mulanje Mission Hospital Report 2010 - 2011

1. Mulanje Mission HospitalReport 2010 - 2011

2. 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 Mulanje Mission Hospital

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

6. Mother and Child Health care

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

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

9. 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

10. Mulanje Mission Hospital

11. 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 Mulanje Mission Hospital

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 Mulanje Mission Hospital

15. 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

16. Some HMIS data Mulanje Mission Hospital

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