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Saint Luke's Mission Hospital, nested in the valley surrounded by the Manenekela Mountains, serves the local region and communities and is constantly expanding its services and programmes. There are currently three European and one Zambian doctors working at the Hospital, as well as three clinical officers, one dentist, nurses and midwives.

The following Rural Health Centres/Clinics refer their most difficult cases as well as all their AIDS patients to St. Luke's Mission Hospital: Luangwa Bridge RHC, Lukwipa RHC, Rufunsa RHC, Shikabeta RHC, Mulamba RHC, Chimusanya RHC and Nyampande RHC.

Among the services and departments of the hospital are:

  • Surgery
  • Operating Theatre
  • Internal Medicine
  • Outpatient Department
  • OGBYN Services
  • Maternity Ward
  • Isolation Ward
  • Dental Department
  • Children's Ward
  • X-Ray Department
  • Laboratory
  • Hospice
  • Nutritional Programme
  • Pharmacy
  • Nursing School

ST LUKE’S MISSION HOSPITAL-PROFILE

Background
St Luke’s mission hospital is located along Great East Road about 200km from the city under Rufunsa District of Lusaka province. Until 2010, it was the only hospital in the Chongwe district before the district was divided into two and Chongwe Hospital was built. The hospital lies 6km off the Great East Road just before the Manenekela Valley under the Chiefdom of Chief Mpanshya.

The hospital falls under the Catholic Archdiocese of Lusaka and was opened in 1964.it is currently run by the Sisters of mercy of St Charles Borromeo. It is a first level referral hospital for 13 rural health clinics and health posts. The catchment population is 33,099 (CSO 2010) while the hospital affiliated centre caters for a population of 5,536.The economic activities in the area is small scale retail business and peasant farming. The main crops grown are maize and cassava.

The hospital is member institution of CHAZ and is supported in the health programmes like malaria, tuberculosis, PMTCT and ART. The ministry supports the hospital with the staff, running cost and medicines. The hospital has in-patient, out-patient and outreach services. It has a bed capacity of 106 with other departments such as theatre, dental, eye hospice and nutrition centre for malnourished children.

The hospital started the HIV/AIDS programme in 2004 and started getting financial, material and technical support from CHAZ in 2006 leading to the scale up of the HIV and TB response. In 2007, the hospital started the mobile ART and PMTCT outreach to try and reach those that were in the far flung areas.

Being in the rural area, the hospital is surrounded by poverty, poor road networks, hunger, disease and unemployment. The situation is worsened by the harsh climate conditions of extreme hot weather and little rainfall. Soils are not very fertile for good agriculture production.
The hospital faces many challenges such as low staffing levels, inadequate staff accommodation, inadequate funding for running cost, inadequate power supply as we are not connected to the national grid and inadequate transport for patients to the next level of health care.

SELECTED 2012 MILESTONES

Members of staff(including support staff

86  out of 143 .Others are working in other facilities because of inadequate accommodation

Attendances at the out patient department.

18,810

Admissions in the in-patient department.

2641

Patients enrolled on TB treatment

121

Number of patients on Treatment(ART)

1620

Number of children on ART

112

 

 

 

The hospital has different departments such as outpatient and in-patient. The in-patient department covers General Surgery, Obstetrics & Gynecology, Pediatrics, Internal Medicine. The outpatient services include HIV Testing and Counseling (CT), ART Clinic, TB, Malaria Diagnosis and Treatment, PMTCT, MCH, Dental, Ophthalmology, Environmental  and Physiotherapy. Other supportive services include Laboratory, Radiology, Community outreach and Sensitization. The Inpatient department has a bed capacity of 106.

Staffing Levels


Cadre

Establishment

Actual

Variance

%diff

Doctors

4

4

 

Medical Licentiate

2

1

1

 

Clinical Officer

7

4

3

 

Pharmacy Technologist,

2

2

 

Radiographer

2

1

1

 

Pharmacy dispenser,

1

1

 

Physiotherapy Technologists

3

3

 

Lab technologists,

4

2

2

 

Dental Therapist,

1

1

 

Nutritionist

1

1

0

 

Clinical Officer Anesthesia

1

1

0

 

Environmental Health Technician

1

1

0

 

Registered midwives,

6

4

2

 

Registered nurses,

13

10

3

 

Enrolled midwives

8

3

5

 

Enrolled nurses

20

16

4

 

 

HIV/AIDS Service delivery
Mpanshya Mission Hospital started its ART treatment services in 2007 with support from CHAZ using Global Funds. Services provided include HIV CT (VCT, DCT, PITC), CD4 and other Lab monitoring, Adherence counseling, Provision of ARVs, PMTCT, Community outreach and sensitization, Male circumcision, STI management, OVCs.

Achievements 2012

  • Total tested counseled and tested for HIV 2012: 3781
  • Total Number enrolled in HIV Care:  3781
  • Patients  on Pre-ART care: 568 The center reached  ……. people through  awareness campaigns

Malaria Service Delivery:
Mpanshya Mission Hospital started its Malaria program on a small scale in 2005. Activities included community sensitization, training of malaria control Agents, treatment and re-treatment of ITNs, Diagnosis and Treatment.

Achievements 2012

  • Conducted Malaria Outreach activates to schools: 14
  • Awareness outreach and sensitization to local communities: 16
  • Trainings (HWs and community) 0
  • Number of Community HWs trained in use of RDTs: 0
  • Number of ITNs ever received (CHAZ and MOH) 500, others 1000: Total = 1500
  • Distributed 100 ITNs to Hospital wards, 500 to under-five children, pregnant mothers & the Community
  • Average number of mothers seen during Anti-natal :982 annual, 82 per monthly
  • Number of pregnant women given IPT – 2nd Trimester: 152 and 3rd Trimester : 119
  • Number of clients diagnosed 4284 and number treated 4284

 

TB Service Delivery
The TB services under Global Funds started in 2005. Activities include trainings, outreach activities, diagnosis and treatment, and defaulter tracing.

Achievements 2012

  • Reached 3000 people through awareness campaigns
  • Treated 121 TB patients with anti-TB treatment
  • TB patients test on HIV:105
  • TB patients on ART: 84

HIV activities

  • Prevention: STI diagnosis and treatment
  • Prevention: BCC - community outreach
  • Prevention of new infections
  • Prevention: Prevention of mother to child transmission (PMTCT)
  • Care and support: Care and support for the chronically ill
  • Care and support: Support for orphans and vulnerable children
  • Treatment: Antiretroviral treatment (ARV) and monitoring

 

HIV RD 8 Activities

  • Establish anti -AIDS drama groups in schools
  • Awareness Campaign

 

  • Conduct  Mobile  VCT

 

  • Number of Community awareness conducted in high STI prevelance areas

 

  • TB Patients Provided with Counseling

 

  • Carry out outreach gathering to increase advocacy for TB prevention and TB Patients Provided with Counseling

 

  • Provide support to HBC clients

 

  • Provide nutritional supplements for OVCs

 

  • Support OVCs in College

 

  • Support OVCs in Secondary School

 

  • Support OVCs in primary school

 

  • Number of Health Workers

 

  • Number of HBC volunteer and  CHWs provided with responsibility allowance

 


Mal RD 1 Activities

  • Prevention
  • Treatment
  • Supportive environment

Mal RD 7 Activities

  • Conduct Visual media(drama) activities to highlight key malaria messages to target populations
  • Community leaders sensitization meetings to highlight key roles of community leaders in malaria control (at least five meetings per district/CHI)

 

  • Inter-village quizzes to stimulate community dialogue and support malaria programme

 

  • Inter-school quizzes and debates to disseminate key messages to school-going children

 

  • Program Monitoring


Mal RD  7 Activities – 32 million

  • Conduct Visual media(drama) activities to highlight key malaria messages to target populations
  • Community leaders sensitization meetings to highlight key roles of community leaders in malaria control (at least eight meetings per district/CHI)
  • Inter-village quizzes to stimulate community dialogue and support malaria programme
  • Inter-school quizzes messages to school-going children
  • Program Monitoring


HIV RD 4  Activities

  • Top-ups for Health Workers

 

  • Top-ups for Adherence Supporters

 

  • Training Adherence Supporters and Orienting traditional birth attendants in PMTCT

 

  • Awareness campaigns (Includes both ART and PMTCT)

 

  • Refurbishments  (Includes both ART and PMTCT)

 

  • Nutrition Supplements (Includes both ART and PMTCT)

 

 

 

TB ROUND 7 :

 

  • World TB day cerebration and monitoring activities
  • TB Day Grant
  • TB Case findings and contact tracing
  • Data Verification (Program Monitoring)

Successes

  • Improvement of quality of life amongst HIV patients since the introduction of HAART     services by enrolling clients in care in general and on ART in particular.
  • Increased number of exposed babies with negative PCR through the PMTCT program
  • Provision of Medical and Non-Medical equipment and supplies
  • Received Motor vehicle from CHAZ
  • Improvement of existing infrastructures such as New Laboratory equipment, pharmacy and ART clinic
  • The center conducted massive awareness campaigns
  • Training of Community adherence supporters.

 

Challenges

  • Human Resources -The institution has inadequate trained personnel due to inadequate accommodation
  • Inadequate resources for Laboratory equipment maintenance
  • Inadequate infrastructure such as Children’s ward
  • Inadequate funding of programs after creating demand
  • The ITNs coverage in the catchment area is low
  • Inadequate ITNs for pregnant women in the ANC clinic
  • There are no Community Health Workers trained in home management of malaria (HMM)

Recommendations

  • CHAZ to consider supporting Mpanshya for the training of Community Health Workers in home management of malaria
  • CHAZ to consider training Community Health Workers in integrated community case management
  • The institution needs more ITNs for mass distribution in the community and in the ANC clinic for pregnant women and under-five

CHAZ to consider providing more funds for TB/HIV corroborative activities in order to have more TB patients under go HIV

 

 

 
 

Copyright © 2012 Saint Luke's Mission Hospital - Mpanshya. All rights reserved.