Professional Documents
Culture Documents
ANNUAL REPORT
2017
1
TABLE OF CONTENTS
CONTENT PAGE
1. Acknowledgement……………………………………………………………………..
2. Abbreviations………………………………………………………………………….
3. General review of 2017………………………………………………………………..
4. Background/Environment …………………………………………………………….
5. Organisation Chart…………………………………………………………
6. Organization structure & development ……………………………………………….
7. Human Resource Department ………………………………………………………..
8. Registry Office………………………………………………………………………..
9. Finance Department………………………………………………………………….
10. Out Patient Department …………………………………………………………
11. Nursing care…………………………………………………………………………..
12. Obstetrics Department………………………………………………………………..
13. Male Medical ward………………………………………………………………….
14. Paediatrics ward………………………………..
15. Female Medical ward…………………………………………………………….
16. Surgical and Gynae ward…………………………………………………..
17. Physiotherapy Department……………………………………………….
18. Operating Theatre Department…………………………………………………..
19. Sexual Transmitted Infections Unit………………………………………………
20. Gender Based Violence Unit…………………………………………………
21. EMTCT Unit………………………………………………………………
22. ART Department………………………………………………………….
23. Pharmacy Department ……………………………………………………………..
24. Dental Department………………………………………………………………
25. Medical Imaging Department …………………………………………….
26. Laboratory Department………………………………………………………
27. Purchasing and Supply Department……………………………………………
28. Transport, Infrastructure and Maintenance………………………………….
29. Health Management & Information System Department………………………..
30. Social Services Department…………………………………………………
31. Training Schools ……………………………………………………………….
1. ACKNOWLEDGEMENT
Chilonga Mission General Hospital would like to acknowledge the work and effort that went
into the production of this annual report. It was through dedication and commitment of our
staff members from various departments at the hospital and the schools of nursing and
midwifery that has made it possible to provide this report on administration, academics and
health services of our institution.
We appreciate the extensive effort that was put into this report by the Health Management
Information Systems department and core team to compile it. We also greatly appreciate the
following individuals and organizations for their moral, technical and financial support:
The Archbishop of Kasama and the Apostolic Administrator of Mpika Diocese – His Grace
Ignatius Chama
The Diocese of Mpika
2
The Sisters of the Child Jesus
The Dominican Sisters
CHAZ
CRS (Catholic Relief Services)
District Medical Office - Mpika
Ministry of Health, Provincial Health Office, Zambia
Mpika District Council
Office of the District Commissioner - Mpika
World Vision, Mpika
ZESCO-Mpika
ZGT Hospital - Netherlands
Dr. Goran, visiting Plastic Surgeon
Dr. Michael Breen and the VVF repair crew
All individual donors
2. ABBREVIATIONS
ADM - Admission
3
DISC - Discharge
ECG - Echography
OBS - Obstetric
4
RM - Registered Midwife
TB - Tuberculosis
Chilonga Mission Hospital has built for years a reputation for excellence in healthcare and
our achievements in 2017 were exceptional. I am proud to work with the committed and
talented healthcare professionals, staff, students and volunteers who contributed to successful
outcomes and patient satisfaction during the year 2017. I urge each one of us to continue
promoting the four key values; Collaboration, Openness, Respect and Trust which made us to
work coherently as a team overcoming obstacles and remaining patient centred as we
constantly strived to improve the healthcare services we provide.
This annual report outlines the activities, successes and challenges from the departments,
wards and schools of Nursing and Midwifery. The Health Management Information Systems
section provides statistics on top ten hospital conditions or diseases trends comparatively to
2016.
There was a slight improvement on staffing levels due to continuous recruitment and
deployment of staff by the Ministry of Health. However, we are still far from meeting the
ideal staff establishment of a second level hospital and Schools of Nursing and Midwifery.
The financial reports provide the incomes from the Government of Zambia – MoH and
CHAZ and the expenditures. Prioritization was key to the implementation of activities as
there was need for adjustment due to many needs.
Regarding infrastructure development, we are still lobbying for the construction of the
administrative block as there is need for office space. The renovation/rehabilitation of
imaging department has also been one of challenges faced by the institution. The release of K
5
3, 000.000.00 by the government for reconstruction of gutted midwifery school infrastructure
brought hope to the management and community as this was a big blow to the institution.
With the implementation of ART services, it has been an uphill battle for the institution
considering the inverse proportion in programme funding by partners and escalating demand
in ART clinical services by the general population. However, despite the challenges, the
facility recorded an increase in the enrolment of clients into the programme who received
quality clinical, laboratory and pharmaceutical services. We really want to thank the hospital
staff and the cooperating partner CHAZ for the support in ART services.
On aspects of medical and non-medical supplies, the consistent receipt of the GRZ grant from
MoH managed to sustain the smooth operations of the pharmaceutical services at the
institution. We would like to strengthen management of logistical supply of commodities,
laboratory quality management systems (LQMS) among other quality enabling and reference
parameters.
Patient satisfaction and student are some of the successful outcomes based on the acceptance
of the fundamental key values which allow us to perform as a team. In conclusion, we can
happily say that despite the highlighted challenges, the hospital and the schools operated
smoothly meeting most of the set objectives for the year 2017.
1. BACKGROUND / ENVIRONMENT
OUR VISION
Chilonga mission hospital shall provide accessible, sustainable and cost effective
quality health services to the community with special attention to the underprivileged.
We shall uphold Christian, family and good cultural values and respect each person’s
dignity.
OUR MISSION STATEMENT
Chilonga Mission Hospital shall collaborate with other stakeholders and endeavour to
provide the best preventive, curative and restorative health services as well as spiritual
nurture to our patients / clients.
The period from January, 2017 to December, 2017, the institution had a total number of 244
funded positions of which 242 were occupied, two positions were vacant. The total actual
staffing levels were at 232, ten members of staff were working in other health facilities.
STATISTICS
7
STAFFING LEVELS FOR SUPPORT STAFF
3.5
3 3 3
3
2.5
2 2 2
2
1.5
1 1 1 1 1 1 1 1 1 1 1 1
1
0.5
0
E
R
C
E TS R IC N
S
R
K
R
K R
K R U
N TO AN IA LE LE AT
O
R U C H IC C
W
O
SO C
O
LL
E
E
C
TR Y S
C TR
E AC IS
L R O M C TR R
D
IN
IA C LE IS O
C AN E E G C M
SO M N
U
R
E R
E AD
U E L STAFFING
H
E
V AL I TA LEVELS
R IC SP
D O ESTABLISHMENT
E
M H
45 4142
40
35
30
25
20
15 1212
99
10 77 STAFFING LEVELS
44
5 11 11 ESTABLISHMENT
0
Comments
STAFF ATRITION
The institutional staff attrition and its causes in 2017 is shown in the table below:
Enviromental
Health 2 2
Technologist
Clinical
Officer 2 2
General
Total 0 0 1 0 14 7 21
During the year 2017, the institution had recommended a total of seven officers who have
since commenced their training as shown in the table below;
CADRE No of Officers
Paediatric Nursing 2
Certificate in Midwifery 1
Certificate in Theatre 2
9
Nursing
Diploma in Nursing 1
BSC in Nursing 1
SUCCESSES
- All officers on first appointment were introduced on payroll.
- Four officers successfully completed their long term training in 2016.
- Four officers were promoted.
- Six officers had their appointment normalised and confirmed to permanent and
pensionable establishment.
REGISTRY
The Registry office is a sub unit within the Human Recourse department. It operates hand in
hand with the Human Resource department.
SUCESSES
Registers for incoming and outgoing of letters and mails was introduced.
Open, Confidential and salary files for officers on first appointment were opened.
Creation of a new registry office.
CHALLENGES
10
Updating of staff files, file inventory as well as submission of new files for officers on
first appointment was done only in the first quarter of 2017.
FINANCE DEPARETMENT
Reported by Sister Mercy Zimba – Assistant Accountant
The Government was the main funder for the hospital during 2017. Monthly grants by the
government were received on a timely basis during the year. The Hospital received 99%
funding from the government for 2017 budget. The Hospital also received funds for Result
based Financing (RBF). This enabled the hospital to carry out most of the planned activities
throughout the year.
The institution also received funds from partners such as CHAZ- Global fund, CHAZ-CDC
and Catholic Relief Services (CRS).
In general, the year 2017 was a successful year in terms of funding from both the government
and our partners. We therefore wish to thank the government and partners for the continued
financial, material and technical support to our institution to enable us to carry out our
mandate to offer caring, clean and compassionate health care to the people of Mother Zambia.
The table below highlights different sources of funds received during the year 2017.
11
HOSPITAL ACTIVITIES
MCH ATTENDANCIES
SUCCESS
NURSING CARE
I take this opportunity to thank our committed nurses and midwives throughout the year.
NURSES’S MEETINGS
The meetings were conducted both at ward level and as general meetings for nurses as
planned. General meetings were held on a quarterly basis while ward meetings on a monthly
basis.
Challenges
13
OBSTETRICAL DEPARTMENT
Reported by Mrs. P. Banda – Ward In -Charge
1Common causes of morbidity
Department Admissions
2017
OBS 1637
Successes
Challenges
Department Admissions
2017
MEDICINE 471
Successes
Challenges
PAEDIATRICS WARD
Reported by Mrs. Mwaka. K. Ndolo Ward In-Charge
1Ten common causes of morbidity
Conditions
or diseases ADM DISC DEATHS CFR
Malaria 210 205 03 14
Pneumonia 141 138 03 21
Trauma
94 94 00 0
(fractures)
Gastro
82 80 02 24
enteritis
Burns 40 32 01 25
Anaemia 51 44 02 39
PCM 63 58 04 63
Snake Bite 17 17 00 0
Department Admissions
Year 2017
PAEDIATRICS 698
Successes
Challenges
Condition / Disease
ADM DISC DEATHS CFR
Hypertension 89 87 2 22
Anaemia 45 40 5 111
Tuberculosis 22 20 2 90
Pneumonia 43 41 2 47
Malaria 48 47 1 21
Congestive cardiac 82
49 45 4
failure
Gastro enteritis 43 42 1 23
Unitary tract 42
24 24 1
infections
Diabetes 21 21 0 0
Gastritis 18 17 1 56
Successes
Challenges
SURGICAL WARD
conditions or
diseases ADM DISC DEATHS CFR
Trauma RTA 42 38 04 95
Hernias 78 72 00 0
Fractures 111 109 02 18
Wounds 48 40 08 167
Abscess 32 29 00 0
Snake bite 17 17 00 0
BPH 22 20 00 0
Burns 29 24 05 172
18
Department Admissions
Year 2017
SURGERY 932
GYNAE 250
TOTAL 1182
Successes
Challenges
The unit facilitates the recovery of patients from recoverable life threatening conditions. The
patients benefit from more detailed observation and invasive treatment that cannot be safely
provided on the general ward.
19
Services offered are mechanical ventilation, defibrillation, cardiac monitoring, ECG among
others. During the year, the unit attended to a total number of 37 patients, recorded 5 deaths
and referred 11 patients to higher health institutions by the advanced life support ambulance.
Successes
Challenges
PHYSIOTHERAPY DEPARTMENT
The department is a branch of medicine that is primarily concerned with the remediation of
improvements and disabilities. The department attended to a total of 331 patients, out patients
were 260 and in patients were 71 of which children below 15 years were 87, above 15 years
were 244. In addition, orthopaedic cases were 236 and neurological cases were 95.
Successes
Challenges
3. Inconsistent attendance of clients due to long distances making it difficult for the
department to carry out patient monitoring and evaluation.
OPERATING THEATRE
The department managed to conduct various activities and all planned activities were
implemented. The total number of patients received were 859 of which 263 were for minor
cases, 386 were for major cases and male circumcisions were 114 at local and outreach sites.
Successes
Challenges
20
4. The department does not have a porter.
5. The department experienced shortage of orthopaedic materials.
ANAESTHESIA UNIT
The operating theatre team is composed of the surgical team (Surgeon), Operating theatre
nurses and the Anaesthesia team. The unit only had one member of staff. This meant that the
officer was on duty throughout. There was an increase of cases as the hospital received a
surgeon.
Successes
1. The unit received a newly trained Anaesthetic officer who went for training at
Chainama College.
Challenges
The GBV unit is located under the ART Department, and came into being after training
staff in GBV by CHAZ in June, 2015. During the year 2017, the following cases were
recorded; 25 wife/husband battering, 4 family neglect, 2 attempted defilement, 12
defilement, 4 early marriage, 1 attempted rape, 60 teenage pregnancies, 2 economical
abuse, 2 rape, 6 child neglect, 5 psychological /emotional abuse, and 3 child abuse giving
a total of 102 cases.
Successes
Challenges
21
ART DEPARTMENT
INTRODUCTION
It is now ten years since the ART department was initiated at Chilonga Mission General
Hospital. From the humble statistical background of 205 patients on Care Cumulative, 122
cumulative patients on ART and 116 patients active (current) on ART respectively by the end
December, 2006.
The programme has seen a lot of expansions in a number of facets resulting in a high
retention rate of 4,118 patients cumulative on Care, 3,099 patients cumulative on ART and
1,929 patients active (current) on ART respectively by December, 2017.
1. VCT/DCT
5. Capacity building.
Total tested were 3,657 of which our target was 3,500 which was giving us 104%.
(ii) POSITIVE RESULTS FOR DCT/VCT HIV TESTS FOR 2016 VS 2017
POSITIVE RESULTS FOR GENERAL DCT/VCT HIV TESTS FOR 2016 VS 2017
80
74
70 69
60 60 61
54
50 47
40 39
30 32
20
10
0
We had a low number of proportion of clients taking an HIV test and tested Positive
of 5% as compared to 2016 positive rate at 6%.
23
CHILDREN FROM 1-14YRS 2016 VS 2017
160
152
140
120 116
100 101 95
80 84
67 67 68
60
40
20
0
A total number of 382 children in 2017 from the target of 323 in 2017 were tested
representing (118%). In 2016 (368) had been tested for HIV.
POSITIVE RESULTS FOR DCT/VCT FOR CHILDREN FROM 1-14YRS 2016 VS 2017
4.5 4 4
4
3.5
3
2.52 2 2 2
2
1.5 1 1
1
0.5
0
We had so many children tested for HIV we had also high number of children who
were found HIV positive as compared to 2016.
The rate of positivity for 2016 was 2.1% and 2017 was 3%.
24
HIV POSITIVE CLIENTS REFERRED FOR ENROLLMENTN FOR 2017
80 74
HIV POSITIVES NEWLY ON CARE
70
62
60 54
50 48 47
42
39
40
32
30
20
10
25
NEWLY CHILDREN ENROLLED ON CARE AND TREATMENT FOR 2017
NEWLY ON CARE NEWLY ON TREATMENT
6
5 5
5
4
3
3
2 2 2 2 2
2
1
0
Defaulters on ART
40
35 35
30 29
25
20 20
18 18
15 16 16
13
10
5
0
We had a low number of defaulters on ART in the fourth quarter of 2017 because of
the out reach activities which were carried out. Most of the clients were tracked and
refills were done.
26
CLIENTS LOST TO FOLLOWUP ON ART
600
500 490
456 458
433
400
373 374
300 313
216
200
100
Clean up or updating of data was done for those who were not coming for the drug
pickups.
2016 VS 2017
The fourth quarter of 2017 had a high number of clients transferred out on ART as a
result of lost to follow up and defaulters. We had found out that most of the defaulters
and lost to follow up clients had were already getting treatment from other facilities.
27
CUMULATIVE STATISTICS: ON CARE, ON ART &
CURRENT ON ART
Cum On Care Cum On ART Current On ART
4500
4000 4118
3932
3721
3500 3460
3000 3121 3099
2789 2867
No. of patients
2500 2588
2406 2283
2000 1989 2054
1670 1922 1867 1929
1543 1382 1662
1500 1403
1056 1281
1000 1033 808 1110
634 573 854
390
344 660
500122
205 457
0 109
2006 2007 2008 2009 2010 2011
Years 2012 2013 2014 2015 2016 2017
By the end of 2017, we had to drop down in the numbers of current on ART because
of the transferred out clients.
28
1. Managed to conduct out–reach programmes in quarter three and four in satellite
clinics of Mpumba, Lukulu, Lubunga, Chiundaponde and Muwele.
2. Received funding for ART activities from CHAZ
3. Monthly and quarterly reports were submitted on time to partners and the Ministry of
Health.
4. The 2017 ART revised protocols were adhered to.
5. Technical support was offered by government and the cooperating partners and
members of staff were trained in various programmes.
6. Opening of the ARVs dispensary in the ART clinic.
CHALLENGES
1. Increment in the number of defaulters due to none availability of funds for mobile
ART activities.
2. Late receipt of virological test results.
3. Limited space for clients files.
PHARMACY DEPARTMENT
The department managed to implement all planned for activities during the period under
review. Medical Stores Limited fulfilled their delivery schedule 100%. However, Essential
Medicines and Medical Supplies which were not supplied by Medical Stores Limited, the
institution supplemented from the GRZ grant using the 4% allocation.
The delivery of supplies from MSL was excellent, the department experienced smooth
operation due to good logistic management and prioritization.
Pharmacovigilance
Successes
1. Late delivery and low fill-rates of Essential medicines and Medical Supplies by MSL.
2. Inadequate trained manpower in the department in view of the 24/7 work shifts.
DENTAL DEPARTMENT
The department, attended to a total number of 3,323 clients and patients. Recorded a lot of lot
of successes in the implementation of activities that were planned for as compared to 2016.
The following procedures and conditions were attended to; Trans alveolar extraction,
Periodontal disease, gross caries with complete crown damage or with periapical infection,
attrition, hyperplasia, or pulp lesions such as (pulpits, pulp hyperplasia), trauma to the teeth or
jaws leading to dislocation of a tooth from its socket and tooth lying in the fracture line.
SUCCESSES
30
In the picture above, pupils receiving oral health education from Dental staff at Kaombe
Primary School.
CHALLENGES
31
SUMMARY OF PROCEDURES DONE - 2017
3323
3500
3000
2500
2000
1330
1500
1069
1000
542
500 214
38 90 4 36
0
IMAGING DEPARTMENT
Successes
Challenges
32
1. Disruption of x-ray services due to the breakdown of the x-ray machine.
2. Limited work space in the department.
LABORATORY
Reported By: Mr. Siame Amon, BioMedical Scientist (Dip. & BSc. in
Biomedical Sciences)
HAEMATOLOGY UNIT
JA FE M AP M JU JU AU SE O NO DE TOT
N B AR R AY NE LY G PT CT V C AL
TOTAL
62 68 58 86 88
FBC 626 906 860 767 628 713 842 8,986
9 7 0 6 2
DONE
ESR and
11 21 28 13 23 13 18 12 20 6 10 5 180
others
Sickling
Tests 7 15 3 18 9 12 8 5 9 4 5 2 97
done
Positive 2 6 2 0 3 4 5 1 3 0 0 0 26
Positivit
27%
y Rate
Total
Haemat
ology 9,263
Tests
Done
33
BLOOD TRANSFUSION UNIT
TESTS JA FE MA AP MA JU JU AU SE OC NO DE TOT
N B R R Y NE LY G PT T V C AL
X-
matche
s
done/U
sed
Blood
Type A 9 7 10 14 9 9 13 21 14 22 20 4 152
Type B 5 6 10 10 8 13 8 10 12 6 26 13 127
Type
1 0 2 1 0 4 0 1 3 2 4 2 20
AB
Type O 5 13 9 24 30 30 16 20 31 49 29 16 273
ABO
and RH
Typing
Receiv
ed
Blood
units
Type A 4 13 4 8 6 4 5 9 0 9 10 11 82
Type B 4 5 0 7 3 5 10 5 0 8 12 10 69
Type
1 2 0 0 3 1 0 0 0 2 1 3 13
AB
Type O 5 10 0 10 15 15 21 16 0 19 14 13 138
Expirie
s
Type A 6 2 3 0 3 0 1 0 0 2 0 0 17
Type B 5 0 0 0 0 0 2 0 0 2 0 0 9
Type
0 0 0 0 0 1 0 0 0 1 0 0 2
AB
Type O 8 0 3 0 1 0 3 0 0 5 0 0 20
PARASITOLOGY UNIT
JA FE M AP M JU JU AU SE NO DE TO
OCT
N B AR R AY NE LY G PT V C TAL
STOO
L
Total
48 52 51 72 141 50 84 53 69 94 46 55 815
Done
Hookw 4 3 5 4 1 2 2 3 2 2 1 3 32
34
orms
S.
manso 0 1 1 0 0 0 0 2 1 3 0 2 10
nii
Ascari
s
1 0 0 0 0 0 0 0 0 0 0 0 1
lumbri
coides
E.
histolyt 1 0 1 1 3 3 3 1 1 2 1 1 18
ica
S.
stercol 0 0 0 1 0 0 0 1 0 3 0 1 6
aris
C.parv
0 0 0 0 0 0 0 0 0 0 0 0 0
um
G.
lambri 0 0 1 0 0 0 1 2 0 0 0 2 6
a
Other
Parasi 0 0 0 0 0 0 1 0 0 1 0 0 2
tes
URIN
E
Total
174 145 118 181 216 181 178 258 224 244 186 144 2249
Done
T.
vaginal 3 1 2 2 0 2 0 0 0 0 0 1 11
is
S.
hemato 1 0 0 1 1 0 0 1 0 0 0 1 5
bium
MAL
ARIA
TEST
S
Total 97 70 76 113 119 89 140 166 46 63 247 73
Blood 1299
Slides
Positiv 35 24 35 57 53 18 12 27 10 13 76 22
382
es
Positiv
36. 34. 46. 50. 44. 20. 8.6 16. 21.7 20. 30. 30. 29.4
ity rate
1% 3% 1% 4% 5% 2% % 3% % 6% 8% 1% %
(%)
MOLECULAR UNIT
JA FE M AP M JU JU AU SE O N DE TOT
35
N B AR R AY NE LY G PT CT O C AL
V
Total CD4 73 34 238 10 150 115 119 12 106 90 12 13 1,413
Done 9 0 5 4
D Total - 11 26 0 9 32 8 14 15 8 8 6 136
BS Positi - 0 0 0 0 0 0 0 1 0 0 0 1
ves
No Results - 0 15 0 5 1 5 2 3 6 0 3 40
Positivity 1%
Rate (%)
SEROLOGY UNIT
U
ri
Rapid Hepatiti ne
Prostate Helicob Cryptoc Rheuma Other
Plasma sB H
Specific acter occal toid Serologi
Reagin Virus C
Antigen pylori Antigen Factor cal
Syphilis Antigen G
Test Test Test Test Tests
Test Test T
es
ts
To To To To To To To To To To To To To Tot
tal tal tal tal tal tal tal tal tal tal tal tal tal al
Te Po Te Po Te Po Te Po Te Po Te Po Te Pos
ste siti ste siti ste siti ste siti ste siti ste siti ste itiv
d ve d ve d ve d ve d ve d ve d e
JANU
13
ARY 23 0 0 15 14 4 0 24 3 8 0 47 1 1
7
FEBR
41
UAR 8 0 0 2 0 3 0 8 2 3 0 40
5
Y
MAR
82 15 0 0 0 0 0 0 23 7 4 3 45
CH
APRI
72 11 2 2 0 0 0 0 27 5 4 2 50
L
15
MAY 5 0 0 25 17 0 0 45 3 3 0 71
8
JUNE 73 8 3 2 0 0 1 0 14 0 0 0 56
10
JULY 10 3 2 0 0 0 0 76 6 3 0 88
7
AUG 14
11 3 1 0 0 2 0 37 7 6 3 60
UST 2
36
SEPT
EMB 96 9 1 1 0 0 1 1 25 2 6 1 68
ER
OCT
10
OBE 60 2 0 0 0 0 2 1 19 4 5 0 1 0
1
R
NOV
EMB 72 5 0 0 0 0 2 0 21 2 0 0 74
ER
DEC
10
EMB 7 0 0 0 0 1 0 23 5 2 0 48
6
ER
TOT 1,5 11 34 74
12 8 42 31 16 2 46 44 9
AL 20 4 2 8
Positi
vity
7.5% 66.7% 73.8% 12.5% 13.5% 20.5%
rate
(%)
MICROBIOLOGY UNIT
JA FE M AP M JU JU AU SE O NO DE TOT
TESTS
N B AR R AY NE LY G PT CT V C AL
HVS 27 24 23 9 19 13 14 10 15 7 9 11 181
Urine 13 6 6 9 17 13 10 14 12 11 16 10 137
Stool 1 4 1 2 194 40 3 6 5 8 5 13 282
Urethral
Discharg 8 3 3 2 2 3 6 2 1 2 6 3 41
e
Spermio
1 0 1 0 0 2 1 1 1 0 0 1 8
gram
Pus
2 3 1 5 2 12 6 9 15 9 8 13 85
Swabs
Effusions 0 1 0 0 2 1 0 1 0 1 2 1 9
Others 0 2 0 2 0 1 3 6 6 3 0 2 25
Total
Tests 52 43 35 29 236 85 43 49 55 41 46 54 768
Done
TB/LEPROSY UNIT
JA FE M AP M JU JU AU SE O NO DE TOT
TESTS
N B AR R AY NE LY G PT CT V C AL
Total
41 58 25 38 42 30 56 49 45 41 22 16 463
Smears
37
Positive
4 3 12 3 7 4 6 6 2 2 2 0 41
Smears
Negative
37 55 23 35 35 26 50 43 43 39 20 16 422
Smears
Positivity 9.7 5.1 8.0 7.8 16. 13.3 10.7 12. 4.4 4.8 9.0
0 8.86
Rate (%) 6 7 0 9 67 3 1 24 4 8 9
GENEXPERT TESTS STATISTICS
MTB Not
0 6 5 4 4 5 5 5 3 10 6 11 64
Detected
MTB
Detected
0 1 0 1 1 2 2 0 0 0 2 3 12
+ Rif Not
Detected
MTB
Detected
0 0 0 0 0 0 0 0 0 0 0 0 0
+ Rif
Detected
MTB
Detected
+ Rif 0 0 0 0 0 0 0 0 0 0 0 0 0
Indeterm
inate
Error
0 0 0 0 0 0 0 0 0 0 0 0 0
Results
Invalid
0 0 0 0 0 0 0 0 0 0 0 3 3
Results
No
0 0 0 0 0 0 0 0 0 0 0 0 0
results
RR
Referred
for
0 0 0 0 0 0 0 0 0 0 0 0 0
Culture
DST/LP
A
Culture
DST/LP
0 0 0 0 0 0 0 0 0 0 0 0 0
A
Received
TOTAL 0 7 5 5 5 7 7 5 3 10 8 17 79
CLINICAL CHEMISTRY
JA FE M AP M JU JU AU SE OC NO DE TOT
TESTS
N B AR R AY NE LY G PT T V C AL
14 17 14 19
AST 277 205 178 208 136 156 187 199 2213
7 9 9 2
ALT 14 17 277 15 208 179 210 162 93 189 182 18 2164
38
7 9 0 8
Creatini 15 18 12 17
193 206 181 213 175 142 194 211 2153
ne 1 1 8 8
14 17 12 19
Urea 229 174 129 193 149 188 153 177 2037
9 7 5 4
Albumin 39 45 15 4 9 9 20 0 15 26 30 22 234
Total
42 57 48 76 8 15 0 0 51 14 1 1 313
Protein
Total 12 15
206 37 88 17 44 51 73 63 22 59 932
Bilirubin 1 1
Direct 11 15
216 58 86 42 45 49 73 63 73 10 985
Bilirubin 9 1
Triglyce
38 16 27 7 0 11 12 0 1 0 27 17 156
rides
Choleste
20 16 19 6 3 8 0 1 5 12 10 0 100
rol
Glucose 90 29 39 5 5 12 5 3 0 1 5 0 194
ALP 44 69 0 0 0 23 41 1 1 1 0 2 182
Uric acid 9 16 0 0 4 7 0 9 0 0 0 0 45
Total
11 12 154 74 86 1170
Tests 996 811 991 736 798 903 937
16 66 6 5 3 8
Done
SUCCESSES
Challenges
SUPPORT SERVICES
All the planned activities were implemented accordingly during the period under review.
SUCCESSES
CHALLENGES
1. Difficulties in soliciting for quotations at local level as most of the venders do not
accept cheques.
2. Currency fluctuations which affected prices of commodities.
(a) TRANSPORT
The institution functioned with a fleet of four vehicles, three land cruisers (1 for CHAZ
programs and 2 for the hospital) and one advanced life support ambulance.
Successes
1. Routine vehicle servicing was done after every 5000 km of mileage, and maintenance
was done at Vehicle Service Centre and Mpika Diocesan garage.
2. All the vehicles were insured with VERITAS General Insurance.
3. Routine inspection, general cleaning of vehicles and mileage update was done weekly,
and reports were generated.
4. There were no major vehicle breakdowns.
Challenges
1. One land cruiser for CHAZ programme was lost in a road traffic accident which
claimed the life of the Medical superintendent.
2. Two land cruisers are very old.
3. The institution has no light truck for transportation of bulky supplies.
4. The institution does not have a staff bus.
Routine maintenance of buildings and surrounding was done throughout the year.
Successes
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1. The hospital managed to do routine maintenance and major maintenance works for
both grounds and buildings by hospital maintenance department.
2. Replacement of a new burner for a micro-bun incinerator.
3. Quarterly and bi-annual preventive maintenance of equipment was done by the
medical equipment technicians from MOH and Netherlands.
4. All departments adhered to reporting faulty equipment and furniture using the
designed maintenance request form.
5. Firefighting equipment was serviced quarterly by Consolidate fire Services.
Challenges
The department coordinates issues of data and information; by orienting data handlers,
analysing disease trends and updating the hospital management on health indicators to aid
discussion and provide interventions. In addition, the department generates reports and
submits them to the Ministry of Health to facilitate planning and decision making.
In the period under review, it conducted one orientation meeting for data handlers on quality
data management and reporting standards, presented on selected health indicators and trends
at institutional and provincial meetings. In addition, submitted 12 HIA3 reports to the MOH.
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Top Ten Conditions / Diseases 2016
395
400
300
200 163
110 108
100 49 37 26 25 24 24
0
ia ia ia iti
s se re n ia s ite
ar on m r ea u tio er
n
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n
B
al e e is ct r i
um
a nt a t H B ke
M e An E lD Fr nu a
Pn ro el al Sn
t C M
as le
G ick
S
The most cause of admission all ages in the previous year was malaria at 395 cases, followed
by Pneumonia 163, Anaemia at 101 cases and Gastro enteritis cases at 108. The least was
burns and snake bites both at 24 cases. In the year 2017, the picture was similar with malaria
topping at 319 cases though it shows a minor decline from the 2016 cases. However, there
was a rise in 2017 on the second, third and fourth of the top ten diseases as compared to the
2016 cases. The second was Pneumonia with 219, Anaemia with 123 cases, Hypertension at
117 cases and in the fifth position was Gastro Enteritis at 114. This shows us that the top
three conditions remained the same in both years with hypertension taking up fourth position
at 117 in 2017.
Successes
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1. All data handlers were oriented in quality data handling and reporting requirements.
2. Submitted all the 12 HIA3 reports to the MOH.
Challenges
1. Running out of registers at times for selected wards or departments making it difficult
for the wards to capture data effectively and consistently.
2. Poor and intermittent access to internet making it difficult to upload reports into the
DHIS2 web platform.
TRAINING SCHOOLS
BACKGROUND INFORMATION
The training institution is now running a three year Registered Nursing and a one year
Registered Midwifery programmes. The training institution planned to undertake a number of
activities which depended on monthly financial grants from the government and student fees.
The monthly funding was constant, though not adequate. This resulted in the institution
failing to undertake some of the planned activities. The government released K 3, 000.000.00
towards the reconstruction of gutted midwifery school infrastructure.
STUDENT BODY
The student population was fourty five (45) third year Registered students nurses as other
students were distributed to other schools after the guttering of the school; a tragedy which
fell the school on 1st October 2016.
The school is supposed to increase the enrolment up to maximum capacity, but it cannot
because of limited boarding facilities.
JUNE 2017
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41 student nurses sat for this examination and all passed which gave the school 100%
pass rate. The overall performance was very good compared to other schools.
DECEMBER 2017
Four (4) student nurses who were deferred due to poor performance and disciplinary
measures sat for this exam. They all cleared the examinations.
STAFFING
Teaching staff
The training started the year with four Nurse Tutors (4), one (1) principal tutor coordinating
the two programmes and three clinical instructors. Three (3) tutors accompanied students to
the training institutions where they were sent. Out of this, only one (1) tutor came and re-
joined the school in December 2017. The staffing level is below the acceptable level
resulting in work overload. It also becomes inevitable for officers to go on leave at certain
times. To try and meet the needs of the students, the members of staff teach and supervise
students in both programmes. This strains tutors as at times they teach 1-2 courses at a time.
There is still great need for a Librarian, stores officer and purchasing and supply officer.
C. STAFF SUPPORT
1. Staff training
2. International/National day’s celebrations
3. Graduation celebration
4. Administrative trips
GRADUATION CEREMONY
FINANCIAL MANAGEMENT
The training institution received funding consistently from GRZ though inadequate as it was
reduced. It also received extra funds for infrastructure to rebuild the school. The expected
user fee from students was also erratic as some students paid in instalments or failed to pay.
Generally, the training institution fared well on a day to day basis.
Despite the staffing and financial problems, the training institution functioned well and had to
meet most of the set objectives for the year.
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