Mulanje Mission Hospital in 2012 – the year of renewable power

1. Mulanje Mission Hospitalin 2012 – the year of renewable power

2. 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

3. Mulanje Mission Hospital

4. 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

5. Mother and Child Health clinic Mulanje Mission Hospital

6. 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

7. 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

8. 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

9. New village health post Mulanje Mission Hospital

10. Community outreach – there were 450 mums and babies waiting when we visited this clinic last week Mulanje Mission Hospital

11. 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

12. 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

13. Working in the new labor ward Mulanje Mission Hospital

14. Proposed Income 2012 – 13 MK 570m Mulanje Mission Hospital

15. 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

16. Proposed Expenditure 2012 – 13 MK 566m Mulanje Mission Hospital

17. 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

18. Thank you for listening Zikomo very much! Thank you kwambiri! Mulanje Mission Hospital