Report Mulanje Mission Hospital
Mulanje Mission Hospital in 2012 – the year of renewable power
Governance
Member of Christian Health Association of Malawi
(CHAM)
Overseen by CCAP Blantyre Synod Health Board
Works in partnership with Government - since
2006 Service Level Agreement with Mulanje
District Health Office, providing free services for
Maternal & neonatal health
Inpatient services for children under 5
Chest X-rays for TB contact tracing
Mulanje Mission Hospital
Mulanje Mission Hospital
Services provided at MMH
(205 beds)
OUTPATIENT SERVICES
Reproductive health
Under 5s clinic
Dental clinic
PRIMARY HEALTH CARE
Environmental health
Orphan Care Centre
Nutrition rehabilitation unit
Outpatient clinics
INPATIENT SERVICES
HIV care and ART clinic
Maternity wing
Female ward
Children’s ward
Male ward
Isolation ward
SUPPORT SERVICES
Pharmacy
Laboratory
Radiology
Laundry
Mortuary
Maintenance dept
Guardian shelter
Mulanje Mission Hospital
Mother and Child Health clinic
Mulanje Mission Hospital
Main diagnoses in 2011/12
Malaria (7,930)
Patients on ART for AIDS (5,368)
New HIV infections (2,228)
Dental conditions (3,589)
Acute Respiratory Infections (1,754)
Sexually Transmitted Infections (1,070)
TB (230)
Mulanje Mission Hospital
In 2011/12 MMH provided care for:
41,344 outpatients
3,163 antenatal patients
32,031 under 5s
7,241admissions
2,412 deliveries
380 caesarian sections
Mulanje Mission Hospital
Primary Health Care
Catchment area:
– 72 villages
– 74,785 people
– 12 outreach clinics
Four focus areas:
– HIV / AIDS, orphan care and palliative care
– Environmental Health
– Mother and Child Health
– Nutrition
Mulanje Mission Hospital
New village health post
Mulanje Mission Hospital
Community outreach – there were 450 mums and babies waiting when we visited this clinic last week
Mulanje Mission Hospital
Developments in 2011/12
Renovation and extension of male ward
2 new community health posts opened
Scaling up of ART service
Development of malaria control strategy
Successful award of Infection Prevention trophy
Certificate of recognition for maintenance of nursing, midwifery and education standards from MoH
Mulanje Mission Hospital
Staffing in 2011/12
7 Senior management team
1 doctor
13 clinicians + 2 interns
9 technicians
58 nurses
167 support staff
College of nursing with 11 tutors, 160 students
Mulanje Mission Hospital
Working in the new labor ward
Mulanje Mission Hospital
Proposed Income 2012 – 13 MK 570m
Donations and grants 68%
Other
Patient fees
SLA
Salaries
(CHAM)
Mulanje Mission Hospital
Main donors in 2012/13
Presbyterian Church USA
English Reformed Church – Amsterdam
Church of Scotland
Edinburgh Medical Missionary Society
Friends for Africa – the Netherlands
Presbyterian World Service & Devt Canada
Malawi Workgroup – the Netherlands
Presbyterian Church in Ireland
Medical Benevolence Foundation
….and many other organisations and individuals
Mulanje Mission Hospital
Proposed Expenditure 2012 – 13 MK 566m
Drugs and clinical supplies
Administration and cleaning
Transport, repairs and maintenance
Primary Health
Care
Salaries
Mulanje Mission Hospital
HIV/AIDS and orphan care
Environmental
Health
Maternal &
Child Health
Nutrition
Palliative care
Other
Our main challenges
Financial management in a difficult climate, govt funding decreasing, inflation ++
Maintaining drug supplies
Scaling up disease control programmes
• HIV/AIDS - counselling and testing, treatment, orphan care, school and youth programmes, nutrition
• Malaria, TB, water and sanitation
• Reproductive health – esp ANC and FP, reducing teenage pregnancy
Reliable power and water supplies – solar
Providing staff training opportunities
Maintenance of infrastructure and urgent renovation of operating theatre
Mulanje Mission Hospital
Thank you for listening
Zikomo very much!
Thank you kwambiri!
Mulanje Mission Hospital
