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Microsoft word - 2009-02_report.doc

2ND QUARTER 2009 NURSING REPORT

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


Comments

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

Services Provided
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.
Outpatients’ services

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

Comments

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

Comments

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. General Information

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

PLANS

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

Source: http://www.matibi.ch/wb/media/2009_02_report.pdf

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