Matibi Mission hospital is a 125 bedded hospital situated in Mwenezi District. It covers ward 3 of the district and serves as a primary center for surrounding wards within a walkable distance +-10km of Mberengwa and Chivi.
The total catchment population is 8219. This report will cover staffing, staff development, services provided in OPD, FCH,
PMTCT, VCT, EPI, Inpatients, achievements, constraints and recommendations to relevant departments. The period is from April to June 2009. Category Percentage Human Resources Staff establishment
SNO Staff Distribution
The establishment of nineteen nurses is filled but we still need more posts to cover shortage at all times and enable quality care to be rendered. No response
to the applications made on the last 3 years.
Workshops attended INSTITUTIONAL TUTORIAL CONDUCTED Prevention of Cross Infection
The institution provided the following services despite shortage of staff.
Outpatients, Medical, Immunization, PMTCT, Antenatal, Post Natal, Maternity Services, Health Promotions, OI Clinic Services, Rehabilitation and community home based care.
Total New disease/Condition
Comments Total attendance all ages is greater than last quarter by 46 patients due to referrals from other hospitals who are not providing X Ray services.
Antenatal and Post Natal Services
Antenatal bookings and repeat visit have increased by double compared to the
last quarter. Rapid Plasma Reaction tests were available hence the reason for increase in the tests done. Post natal cases also doubled as most mothers are
coming to stay at Matibi from Mberengwa, Zvishavane and Chivi.
EXPANDED PROGRAMME ON IMMUNISATION Comments There was a national immunization in June and also vaccines were not available
in most clinics so mothers were brining their children to Matibi for immunization. GROWTH MONITORING
TOTAL WEIGHED BELOW THE LINE % BELOW LINE
Percentage of malnutrition has reduced from 5% to 4% due to good harvest. Maternity
referral out Comments
There are more deliveries by 31 compared to 1st quarter. Referrals were mostly complications that needed gynaecologist’s attention.
THEATRE OPERATION NUMBER C/SECTION 18 DILATATION AND CURATAGE INCISION AND DAINAGE MANIPULATION UNDER ANAESTHESIA CATARACT EXTRACTIONS REDUCTION OF PARAPHYMOSIS SUTURING 4 Comments The new eye doctor is not performing operations at Matibi. Maybe he is still getting used to the system. The admissions increased by 276 cases. More OI services Patients on cotrimoxazole Children Patients on ARVs Children Clients tested VCT Clients positive HIV registered patients Comments Services are going on well and patients do appreciate the availability of drugs. The number of patients on Cotrimoxazole waiting for initiation of ART is large
due to lack of CD4 machine. Meetings
Disease Survailance ACHIEVEMENTS
1. We continued providing services despite the hardships versus workload. 2. outreach immunization was successful evidence by EPI coverage.
3. Home Based Care programmes are going on satisfactorily. 4. we managed to have a workshop with chloroquine holders on Malaria and its
5. the nutrition gadern is flourishing and providing vegetables. 6. Dr Muchichwa has done the attachment to Muvonde Hospital (Driefontein) to
7. the container has finally arrived in Matibi and we have received all the items
1. We intend to install satellite e-mail dish at Matibi this 3rd quarter for easy
2. To have a palliative care workshop for the trained staff locally in the 3rd
CONSTRAINTS 1. Lack of CD4 machine delays initiation of ARVs. 2. Due to the increasing costs of fuel half of our hospital collections is consumed
compounded by electrical power cuts leading delay in repairing other items. Our last supply of coupons was last.
3. Drugs are never in full supply due to financial constraints e.g.
suxamethonium, Alcronium, X-Penicillin, Indocid, Ibuprofen, Diclofenac.
4. Trained staff is not yet adequate. More posts needed. Compiled by Sr AC Munyanyi
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