Mulanje Mission HospitalMulanje Mission Hospitalin 2012 – in 2012 –

the year of renewable powerthe year of renewable power

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 BoardOverseen by CCAP Blantyre Synod Health Board Works in partnership with Government - since Works 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 & neonatal healthMaternal & neonatal health Inpatient services for children under 5 Inpatient services for children under 5 Chest X-rays for TB contact tracing Chest X-rays for TB contact tracing

Mulanje Mission HospitalMulanje Mission Hospital

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

OUTPATIENT SERVICESOUTPATIENT SERVICESReproductive healthReproductive healthUnder 5s clinic Under 5s clinic Dental clinicDental clinicOutpatient clinicsOutpatient clinicsHIV care and ART clinicHIV care and ART clinicINPATIENT SERVICESINPATIENT SERVICESMaternity wingMaternity wingFemale wardFemale wardChildren’s wardChildren’s wardMale wardMale wardIsolation 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

Mulanje Mission HospitalMulanje Mission Hospital

Mother and Child Health clinicMother and Child Health clinic

Mulanje Mission HospitalMulanje Mission Hospital

Mulanje Mission HospitalMulanje Mission Hospital

Main diagnoses in 2011/12Main diagnoses in 2011/12

Malaria (7,930)Malaria (7,930) Patients on ART for AIDS (5,368)Patients on ART for AIDS (5,368) New HIV infections (2,228)New HIV infections (2,228) Dental conditions (3,589)Dental conditions (3,589) Acute Respiratory Infections (1,754)Acute Respiratory Infections (1,754) Sexually Transmitted Infections Sexually Transmitted Infections (1,070)(1,070) TB (230)TB (230)

Mulanje Mission HospitalMulanje Mission Hospital

In 2011/12 MMH provided care for:In 2011/12 MMH provided care for:

41,344 outpatients 41,344 outpatients 3,163 antenatal patients 3,163 antenatal patients 32,031 under 5s 32,031 under 5s 7,241admissions 7,241admissions 2,412 deliveries 2,412 deliveries 380 caesarian sections 380 caesarian sections

Mulanje Mission HospitalMulanje Mission Hospital

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:– HIV / AIDS, orphan care and palliative careHIV / AIDS, orphan care and palliative care– Environmental HealthEnvironmental Health– Mother and Child HealthMother and Child Health– NutritionNutrition

New New village village health health postpost

Mulanje Mission HospitalMulanje Mission Hospital

Community outreach – there were 450 mums and Community outreach – there were 450 mums and babies waiting when we visited this clinic last weekbabies waiting when we visited this clinic last week

Mulanje Mission HospitalMulanje Mission Hospital

Developments in 2011/12Developments in 2011/12 Renovation and extension of male wardRenovation and extension of male ward 2 new community health posts opened2 new community health posts opened Scaling up of ART serviceScaling up of ART service Development of malaria control strategyDevelopment of malaria control strategy Successful award of Infection Prevention Successful award of Infection Prevention

trophytrophy Certificate of recognition for maintenance Certificate of recognition for maintenance

of nursing, midwifery and education of nursing, midwifery and education standards from MoHstandards from MoH

Mulanje Mission HospitalMulanje Mission Hospital

Mulanje Mission HospitalMulanje Mission Hospital

Staffing in 2011/12Staffing in 2011/12

7 Senior management team7 Senior management team 1 doctor 1 doctor 13 clinicians + 2 interns 13 clinicians + 2 interns 9 technicians9 technicians 58 nurses 58 nurses 167 support staff 167 support staff College of nursing with 11 tutors, 160 College of nursing with 11 tutors, 160

studentsstudents

Working in the new labor wardWorking in the new labor ward

Mulanje Mission HospitalMulanje Mission Hospital

Mulanje Mission HospitalMulanje Mission Hospital

Proposed Income 2012 – 13 MK 570m

Mulanje Mission HospitalMulanje Mission Hospital

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

Mulanje Mission HospitalMulanje Mission Hospital

Proposed Expenditure 2012 – 13 MK 566m

Mulanje Mission HospitalMulanje Mission Hospital

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

decreasing, inflation ++decreasing, inflation ++ Maintaining drug suppliesMaintaining drug supplies Scaling up disease control programmesScaling up disease control programmes

• HIV/AIDS - counselling and testing, treatment, orphan HIV/AIDS - counselling and testing, treatment, orphan care, school and youth programmes, nutritioncare, school and youth programmes, nutrition

• Malaria, TB, water and sanitationMalaria, TB, water and sanitation• Reproductive health – esp ANC and FP, reducing teenage Reproductive health – esp ANC and FP, reducing teenage

pregnancypregnancy Reliable power and water supplies – solar Reliable power and water supplies – solar Providing staff training opportunitiesProviding staff training opportunities Maintenance of infrastructure and urgent renovation of Maintenance of infrastructure and urgent renovation of

operating theatreoperating theatre

Thank you for listeningThank you for listening

Zikomo very much!Zikomo very much!

Thank you kwambiri!Thank you kwambiri!

Mulanje Mission HospitalMulanje Mission Hospital