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Reports From Malawi

                                                        MEDICAL DIRECTOR’S REPORT FOR DECEMBER 2009

PART 1: LIFELINE MALAWI KASESE HEALTH CENTRE REPORT

General out Patient’s Department (OPD) attendance for Kasese Health Centre and mobile outreach Clinics in Dowa and Kasungu

Maternal Health Services for December, 2009

Family Planning stats for December 2009

Antenatal Care stats for December 2009

AMOR Maternity Unit stats for December 2009

HIV Testing and Counselling (HTC) stats for December, 2009

Anti-Retroviral Therapy (ART) Stats Clinic for November/December 2009

Under Five Services

• No report received from the department

Laboratory:

• No report received from the department

Staff Development (Training)

• The Lab Technician was attached to Chiradzulu District Hospital for 1 week to get familiar with the features and operation of the New CD4 machine we have just purchased. This was done upon recommendation from the supplier Technician as this machine is the latest model of Partec brand on the market.
• Two Technical staff (Nurse and Medical Assistant) were attached to Kasese ART Clinic for 3 days to help start-up the Clinic there.
• Two Clinical staff (Nurse and Clinical Officer) attended an orientation workshop on newly introduced maternal health registers. In turn, the two are expected to transfer the knowledge to others.
• Our Head Office in Lilongwe organised a day long management seminar for all technical staff from the two Clinics. Issues tackled included programme overview, Financial and Resource management and Strategic plan overview among others.

PART 2: LIFELINE MALAWI NGODZI HEALTH CENTRE REPORT

Introduction

This report has been compiled by Lifeline Malawi and covers the health component of the FHI comprehensive support to orphans and other vulnerable children (Surrounding the Child) project in Salima district. The report highlights activities implemented in the month of December 2009 and provides an overview of activities planned for January 2010. The report is submitted to the Project Coordinator/Manager at FHI offices for information, record and feedback.

The highlights of this report include attendance data from the four mobile outreach clinic sites entirely supported by the project. Other activities implemented in December included continued delivery of general outpatient services, screening and treatment on site of common disease conditions among under five year old children at Community Based Childcare Centres (CBCCs) and HIV Counselling, Testing and referral for Antiretroviral therapy within or outside Lifeline Malawi structures. Monthly review meeting will be held on Wednesday 13^th January, 2010 at Lifeline Malawi Offices in Lilongwe.

Achievements

In general two event greatly affected implementation of activities in the month of December. Two week Christmas/New-year break and rampant fuel shortages meant that there was less available time for project activities and activities had to be prioritized amongst the priorities. All the eight mobile outreach Clinic visits were suspended due to the ongoing fuel shortages. The static Clinic services continued to be provided at Lifeline Malawi Ngodzi Health Centre. Services provided include treatment of minor ailments and referral, Under-five Child health services, Maternal and Reproductive health services (including antenatal care, skilled health worker attended delivery of pregnant women, family planning, PMTCT and treatment of STIs), provision of HIV Testing and Counseling and treatment of AIDS opportunistic infections as well as provision of antiretroviral Therapy. The number of deliveries conducted at our Maternity unit is steadily increasing.

Outpatients Care

In December, a total of 2,247 patients were treated in the Outpatients department of the static clinic at Lifeline Malawi Ngodzi Health Centre. All the Eight mobile outreach visits were cancelled due to fuel shortage.

Other services

HIV Counselling and Testing statistics for November 2009

Maternal and Neonatal Health data for November

CBCCs

There were no visits to CBCCs as the two visits planned were cancelled due to fuel shortage

Antiretroviral Therapy (ART)

A total of 10 new HIV/AIDS patients (6 male and 4 females) were initiated on Anti-retroviral Therapy during the month of December. One of the clients initiated on ART was below the age of 14 years.

A total of 41 HIV positive individuals were also initiated on Cotrimoxazole Preventive Therapy (CPT).

There were no visits for Home based care patients as the HBC coordinator was on annual leave. However, 6 visits for Palliative care patients were made and one patient on palliative care was reported dead.

Support Groups for People Living With HIV and Aids (PLWHA)

Four visits to support groups for people living with HIV/AIDS were made to Khwidzi support group, Tiyamake support group, Limbikani support group and Tiyanjane support group.

Public Health Department Report

Our public health team provided various services to under-five children including growth monitoring, immunization and provision of vitamin A. The statistics for outreach growth monitoring clinics for December were as follows:

Under five statistics: Mobile Outreach Clinics