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Mulanje Mission Hospital in 2013

Mulanje Mission Hospital in 2013. Governance. Member of Christian Health Association of Malawi (CHAM) Overseen by CCAP Blantyre Synod Health Board, reports to DGS

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Mulanje Mission Hospital in 2013

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  1. Mulanje Mission Hospitalin 2013

  2. 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. 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. 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. In 2012/13 MMH provided care for: 37,133 general outpatients 35,099 under 5 outpatients 7,571 admissions 2,678 antenatal patients 2,345 deliveries 405 caesarian sections 66,606 ART clinic attendances Mulanje Mission Hospital

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

  11. New village pump Mulanje Mission Hospital

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

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

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

  15. 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. 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. 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. 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. 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. 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. For further information, a copy of this presentation and much more.......... www.mmh.mw Mulanje Mission Hospital

  24. Thankyou for listening! Zikomokwambiri! Thank you very much! Mulanje Mission Hospital

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