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Saint John of God Hospitaller Service Malawi Ltd Annual Report 2015

Foreword As we come to the end of another year and in continuous pursuance of our motto for this Sexennium: “Living Hospitality hopefully and boldly,” we cerebrated significant events across our centres in the year 2015. Most of these, as highlighted in this report helped us to keep alive the legacy of Hospitality which our Founder Saint John of God has bequeathed to us.

The major activities of 2015 were the Canonical General Visitation and the first successful evaluation of

our Standards of care by an independent team- a Score above 97% was no mean achievement! We also

saw the expansion of our mental health services to Maula prison in Lilongwe. The launch of the St John

of God Research day, with attendance of policy makers from government and most of our partners,

demonstrated our passion for evidence based mental health practice. The orientation of media

practitioners in mental health and positive reporting strengthened our quest to heighten public

awareness of mental health. During the year, the service’s revenue base increased by 26% as compared

to 2014. The Government increased the subvention by 89%. Increase in enrolment of student increased

College fees by 20%. Total revenue collected amounted to K1.6 billion against expenditure of K1.5 billion

with surplus funds of K75 million by end of the year.

As we conclude the Hospitaller Vocation year, we pray that the Holy Spirit will give us the discernment

to be merciful in the coming year, just as the Lord has been with us.

While a lot was accomplished, there were challenges to be confronted. Malawi continued to experience

serious economic problems resulting from donors’ withdraw of Government budgetary support. This

and the continuing hunger caused hardship for the majority of its people, especially those

disadvantaged by poverty, illness or disability. In spite of this and with financial support from our

benefactors, the Hospitality inherited from our Founder was extended profoundly to clients with whom

we share this gift. We are, therefore, indebted to the Provincial and Council; Group CEO and

management at Hospitaller Ministries Headquarters; Saint John of God Development Company and

Misean Cara, Ireland; Hospitaal Broeders and Wild Geese, Netherlands; Kindernothilfe, Germany &

Luxembourg; and many others for their contribution towards this achievement. We also thank the

Chairperson and members of the Board of Directors, Brothers and all at Saint John of God Hospitaller

Ministries headquarters who generously share their time and talents towards our mission. We thank

God for what was achieved in His name and by His grace in the year 2015. Lastly we can’t overlook the

hard work, sacrifice, dedication to our mission and values that keep manifesting among all Hospitallers

in Malawi!

Charles Masulani Mwale.

Director of Services

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MISSION

In pursuit of Christian values and holistic approach, our mission is “To identify, respond and support the

needs of individuals in the manner of Saint John of God”.

2015 HIGHLIGHTS

SAINT JOHN OF GOD CENTRE – LILONGWE

Our Services in Lilongwe were formally registered with Lilongwe Health Board in first quarter of 2015.

This recognition creates opportunities for networking with other partners/stakeholders and lobbying the

Government through Christian Health Association.

Year 2015 also saw signing of Memorandum of Understanding between Saint John of God Hospitaller

Services and The Lilongwe Archdiocese regarding utilization of Likuni facilities.

INTRODUCTION OF MENTAL HEALTH SERVICES AT MAULA PRISON

The services commenced provision of mental health and counselling services within Maula Prison in

Lilongwe starting with a series of training sessions to raise awareness and develop competencies

amongst prison staff on mental health with 54 prison warders trained so far. We have also established a

monthly mental health clinic and so far three (3) clinics have been conducted and a total of 23 clients

have been registered. St John of God has since been incorporated in Prison stakeholders’ network

mandated to review and develop The Prison Act. On 19/11/15 we participated in a consultative meeting

co-organised by the United Nations office on Drugs and Crime (UNODC) and the Malawi Government

Prison and security Services. Below are pictures taken during prison warders training;

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INTEGRATION OF MENTAL HEALTH INTO MATERNAL AND CHILD HEALTH CARE

In 2015 efforts to integrate mental health into maternal and child health care were intensified in

Lilongwe. Several interface meetings were conducted with official of Likuni, Bwaila, Kamuzu Central

Hospital and nkharango health centre to introduce the concept and plan the way forward. On 7and 8th

July, we conducted orientation training on maternal mental health and early child conditions and its

interventions to 17 nurses and midwives from the above health facilities as depicted below. We hope

the new knowledge will improve the referral process.

SAINT JOHN OF GOD CENTRE – MZUZU

ORIENTING THE PRINT AND ELECTRONIC MEDIA ON MENTAL HEALTH AND ILLNESS

On 10th September 2015 we organized an orientation workshop for 21 journalists and reporters from all

the print and electronic media houses based in Mzuzu on mental health, mental illness and the services

we provide and appropriate reporting on mental health issues. The aim of the training was to inform

and demystify issues surrounding mental health and illness and we have since observed some

improvement in the media’s attitude and perception towards mental illness and also there is wider

media coverage and consultation on mental health.

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FORMULATION OF SUPPORT GROUPS

On 16th September, 2015 St John of God Centre, Mzuzu in collaboration with social work facilitated the

formulation of support groups for clients and their families/guardians within Mzuzu City. Five support

groups have been formulated to assist clients with various mental health problems including epilepsy

share experiences, offer each other moral support and advice.

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HOUSE OF HOSPITALITY

STRENTHENING REHABILITATION ACTIVITIES AT THE CENTRE FOR LIVING

To facilitate community reintegration of clients the centre developed a wide range of tailor made

rehabilitation activities. Apart from the usual activities including horticulture, home management,

personal grooming and tailoring skills, most clients expressed interest in handcraft work and basic

computer skills and this was introduced in the second quarter of the year

CHILD DEVELOPMENT CENTRE

RENEWAL OF FUNDING FOR CHILD DEVELOPMENT CENTRE

The year 2015 saw the renewal of funding for Child Development Centre Project by Kindernolthife

(KNH), Germany, following an end of project term review that took place in the first quarter, 2015 and

establishment of a new project proposal. We started implementing the approved 3 year project worth

60, 000 Euros per year in July, 2015

STRENTHENING EARLY CHILD INTERVENTION SERVICES

Child development centre conducted awareness training on early child intervention and safe

motherhood to Health workers within Mzuzu Health Institutions. The main aim was to enlighten the

health workers on how to prevent birth complications during and after delivery that can lead to a

disability. They were also oriented on services we provide to enhance referral services of children with

both physical and intellectual disabilities to our Centre for assessment and enrolment into our

programs. Fifteen health workers in total attended the training drawn from labour wards and antenatal

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wards/clinics of NKhorongo health centre, Mzuzu Central Hospital, St John’s Mission Hospital

POSITIVE PARENTING GROUPS

To improve the positive parenting and management skills of parents with children with disabilities we

have facilitated formation of 12 positive parenting groups during the year. Each group comprises of

parents/guardians’ with children experiencing similar problems as they are able to effectively share their

experiences. During the year all parents in Child Development Centre were introduced to an association

called Parents of Disabled Children Association of Malawi [PODCAM] in order to enhance advocacy skills

among parents of children with disabilities.

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UMOZA CHILDREN PURSUING TERTIARY EDUCATION

Umoza children’s program has recorded a major milestone this year with four children proceeding to

tertiary education. One girl, Upile Mussa has joined University of Malawi’s Chancellor College for a four

year degree studies in Media for Development. Charles Ndawala, Clement Msowoya and Emmanuel

Simbeye have all joined St John of God College of Health Sciences to pursue a generic University diploma

in Nursing. This comes as such big news considering their street child background to an extent that their

lives will be transformed for the better once they successfully complete their studies and we hope their

achievement will inspire others in similar situation to emulate them.

From left to right: Charles Ndawala, Upile Mussa, Clement Msowoya and Emmanuel Simbeye

CHILD RIGHTS ADVOCACY PROGRAMME IN THE DISTRICTS IN THE NORTHERN MALAWI

We facilitated child rights training in three Northern districts of Chitipa, Karonga and Nkhatabay to build

capacity of stakeholders in the districts so as to minimize cases of children requiring repatriation. The

trainings attended by members from the social welfare office, child magistrates, Community Based

Organizations (CBOs), faith leaders, police officers (Victim Support Unit) and ward Councillors,

department of labour and District Youth Officers were aimed to enhance understanding of the street

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children phenomenon, and its preventive measures whilst also tackling child protection measures at

district level.

A counselor facilitating a session in Chitipa District

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INSTITUTE OF VOCATIONAL TRAINING EXPANDS ITS YOUTH AND VULNERABLE ADULTS TRAINING

WITHIN MZUZU CITY

During the year our Institute of Vocational Training implemented both center based training

programmes in Tailoring, Home Management, Brick laying, Horticulture and Carpentry and joinery and

community based training in Motorcycle repair, soap making, cellphone repair, welding and fabrication

and beauty and hair dressing. A total of 229 candidates were facilitated with the training with 125 at

community and 104 at Centre levels. Of these, 159 have since graduated and absorbed into the Industry.

Soap Making Cell Phone Repair

Metal Fabrication & Welding Hair Dressing

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Apart from basic skills training, trainees in all programmes were also equipped with skills on how to add

value to their products to attract buyers and earn more income. We also had an exhibition of the trainee

products during the year

Tailoring product (decorated blouse) Carpentry and Joinery Product

TOVWILANE SERVICES FOR THE ELDERLY

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TOVWILANE SERVICES FOR THE ELDERLY

In the year we extended services to another vulnerable group of people by opening two centers for the

elderly at Nkhorongo and Masasa townships within Mzuzu. This has been made possible with the

generous support we received from Hospitaal Broders- Netherlands, TROCAIRE and especially Misean

Cara of Ireland who have committed to support the program for the next three years. We provide for

133 and 147 beneficiaries at our Nkhorongo and Masasa Centres respectively and programs activities

include provision of health care and support, psychosocial support, pastoral care, adult literacy, sporting

and leisure and economic empowerment through a self-help approach. These services are aimed to

enhance physical, emotional and psychological wellbeing of the elderly and also improve literacy level

and economical situations wile empowering them with knowledge of their rights and self-advocacy skills

and general mobilisation of support for the aged with various stakeholders in the community including

their families.

Some beneficiaries in Nkhorongo Masasa Centre

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In addition, the project has facilitated service users acquire skills such as mat weaving, pottery and

carving which would enhance their economic livelihood through sale of these products depicted below.

COMMEMORATION OF THE WORLD DAY OF THE AGED

On 30th October, 2015 we commemorated International Day of Older Person under the theme

“Sustainability and age inclusiveness in the urban environment” at Nkhorongo school ground.

Those in attendance included the Member of Parliament for Mzuzu City, Government Social Welfare

officials, Mzuzu City Council, Ward Councilor, Civil Society, Traditional & religious Leaders, CBOs and

other stakeholders such as the media. Activities on the day included beneficiaries showcasing their

routine program activities through pavilions and presentation of speeches advocating for their rights.

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PSYCHOSOCIAL COUNSELLING

NATIONAL NOMINATION FOR BEST PRACTICES ON HIV AIDS PROGRAMMING (PSYCHOSOCIAL CARE)

With funding from the National AIDS commission (NAC) the Psycho social counseling team has over the

past three years been implementing a project aimed at raising awareness on the integration of

psychosocial counseling in HIV and AIDS programmes – at the community based level (CBCOs), primary,

secondary and tertiary health settings. The implementation of this project resulted in the University of

Malawi (College of Medicine) in conjunction with The Ministry of Health recognizing our program among

the 10 HIV/AIDS best practices in Malawi (Picture below is our Clinical Psychologist – Devlin Silungwe

presenting at the best practice conference in Lilongwe).

HOSPITALITY FOUNDATION PROGRAMME

FACILITATION OF A FOUNDATION PROGRAMME ON HOSPITALITY BY THE LOCAL TEAM

We conducted a number of activities during the year in a bid to improve Hospitaller identification with

heritage, identity, culture, ethos and values of Saint John of God. A local Hospitality team comprising of

6 members facilitated a two day foundation programme on Hospitality for 22 new staff members. In

attendance were members of The Institute of Hospitality Team from Ireland. We also had a second

foundation programme facilitated for 18 new staff members and 3 postulants.

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Members of the Local Hospitality Team with the Director & Members of the Institute of Hospitality,

Ireland.

SAINT JOHN OF GOD MEMORIAL GARDEN

In order to strengthen a sense of the rich heritage we have received over the centuries – we embarked

on establishing a Saint John of God Memorial Garden in Katoto -Granada Experience in Malawi. The

garden was commissioned on 7th July 2015. The First group of staff walked the path on the day it was

commissioned and second group on 10th December 2015. The memorial garden will offer staff and

service users the opportunity for reflection while following the footsteps of our founder – St John of

God. Some of the Stations of the garden below;

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SELF HELP GROUP

MAINSTREAMING THE SELF HELP GROUP APPROACH (SHGA) IN PROGRAM AREAS

In an effort to mainstream SHGA in programme areas we conducted four orientation sessions to service

users and beneficiaries in the first quarter; two sessions for beneficiaries of Tovwilane elderly program

and two sessions for Guardians of Umoza Children.

This was followed by motivational talks during guardian meeting organized by Tovwilane program on

March 16, where 7 Group Village Headmen & guardians/dependents of service users attended.

Additional talks were facilitated by social workers and other departments in the year evidenced by

referral of women to the Self Help Group Project Officer. So far three groups comprising family

members of Tovwilane services beneficiaries have been formed in Luwinga area and two groups for

mothers of children in the Umoza programme.

Orientation sessions with Umoza guardians and Tovwilane guardians

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EXCHANGE VISISTS

During the year the service hosted two organizations on educational visits. Staff and Self Help Groups

from Foundation for Child Rights visited Saint John of God groups in April 2015; Project Officer and staff

members from Global Hope Mobilization (GLOHOMO) from Lilongwe visited in November. These

interactions are expected to improve functioning of SHGs for the hosting as well as the visiting

organizations and improve staff performance as well.

Foundation for Child Rights Groups visit

Global Hope Mobilization Visit, with one of the groups in first picture and CLA in second picture

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EXTENSION OF SELF HELP GROUP APPROACH TO DUNDUZU AND EKWENDENI COMMUNITY

In the third quarter of 2015, St John of God was requested by Kindernolthife [KNH] country office to take

over management of SHGA in Lupaso and Dunduzu areas previously run by another organization. We

have since taken on board the project staff that has been implementing the program since 2014, One

Project Officer, 5 CFs who were facilitating 28 Groups and one Cluster Level Association. On 9th

November 2015, St John of God held an induction meeting with new team followed by a visit to all 28

groups. The groups are in the following areas; Lupaso, Dunduzu, Msiro, Nkhorongo, Area1B,

Chinganganga (Luwinga) St. Augustine

A meeting with new groups

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SAINT JOHN OF GOD COLLEGE OF HEALTH SCIENCES

Through its 4 main programmes i.e. Bachelor of Science in Mental Health Psychiatric Nursing, Bachelor

of Science in Clinical Medicine (Mental Health), Diploma in Psychosocial Counselling and Diploma in

Registered Nursing the College had 104 students in the year 2015. 52 students in Mental Health

Psychiatric Nursing, Clinical Medicine and Counselling completing their training on 18 December, 2015

while the Registered Nursing students are continuing.

In the second half of the year the College commenced recruitment process for 2016 intake; Adverts,

shortlisting and interviews were conducted from the months of May – August for all the 4 programmes.

The College enrolled 148 candidates (79 – Generic Nursing; 23 - Diploma in Counseling; 30 – BSc in

Clinical Medicine – Mental Health; and 16 - BSc Mental Health Psychiatric Nursing); developed a

Nursing Procedure manual for the skills laboratory which will help to guide student learning and

commenced activities towards University accreditation processes.

We secured funding amounting to €446,985 from Misean Cara to support the new Generic Nursing

program for the next three years

Some of Diploma in Registered nursing student Diploma in Psychosocial Counselling students

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BSC in Mental Health Psychiatric Nursing

BSC in Clinical Medicine (Mental Health)

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INAUGURATION OF SAINT JOHN OF GOD RESEARCH DAY

Having orientated departmental representatives to research methods in 2014, on 26th November we

launched the much awaited research open day with 52 participants from within and outside the

organization including Ministry of Health Headquarters in attendance. In addition we have initiated

various research projects in departments and we set aside a day each month for concept and proposal

presentation. With funding from the Hospitaller Ministries in Ireland we were able to finalize two

research projects namely “parental experiences for parent in caring for children with intellectual

disabilities in Malawi: The impact that reaches beyond coping” conducted by Charles Masulani the

Director of Service and also “Clients and Carers perception of mental illness and factors that influence

help- seeking : Where they go first and why” conducted by Harris Chilale the Clinical Director .

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SERVICE LEVEL AGREEMENT WITH GOVERNMENT

During the year we renewed the Service Level Agreement with the Malawi Government [SLA] initially

signed in 2007 for another five years. This will ensure continued provision of residential care to people

with acute mental illness resident in northern region free of charge at the point of delivery. Improved

partnership between the Service and Government will likely enhance access to mental health services

for people resident in the northern region of Malawi. Meanwhile despite payment challenges with

Government, over 150 people with acute mental illness were facilitated through the arrangement

during the year.

Left to right: Mrs. Lijoni Ministry of Health Acting Director of mental health services; Charles Masulani Director

of Service; Mr. Chembe- Ministry of Health Health Deputy Director of Planning and Administrative Manager and

Mr. Mnjaidi – Zomba Mental Hospital Administrator

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EVALUATION OF SERVICE STANDARDS

In September 2015 the Service facilitated an internal audit and evaluation of standards throughout our

various departments by a team comprising some senior management team members and also officials

from the Ministry’s Zonal Health office and the Mzuzu Diocese Health Commission office. Final report

has been published and indicates that our overall adherence to standards is excellent.

A picture of the facilitators and wider management team after presentation of the audit report

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OTHER SIGNIFICANT DEVELOPMENTS

a. THE HOSPITALLER’S RESPONSE TO FLOOD VICTIMS IN MALAWI.

Following floods that hit Malawi and mostly affecting Chikwawa, Nsanje and Phalombe districts in the

South and Rumphi and Karonga districts in the North, management felt there was need for the Order to

respond towards assisting the victims and hence approached the Provincial who responded positively

by granting 5000 Euros to facilitate purchase of relief items for the victims.

On Tuesday 10TH February 2015, the Administrative Manager – Kisa Mwafulirwa travelled to chikwawa

CADECOM offices to donate relief items to the Diocese for distribution to the affected people, the

following items were donated (200 bags of 20 kg each maize flour, 100 bales of 50 packs each soya

meat, 100 water buckets , 100 wrappers for women (cloth, 50 mosquito nets) The items were handed

over to the Diocese, who will be responsible for distribution to households in Chikwawa and Nsanje

Districts. In his speech the Vicar General thanked the Order for this generous offer of a helping hand to

the flood victims within the Chikwawa Diocese. He especially noted that it was humbling to the entire

Diocese leadership that Saint John of God had chosen to donate to chikwawa Diocese where the Order

had no presence at all before other areas under the Mzuzu and Karonga Diocese which have been

equally affected and where the Order currently operates. Among the beneficiaries who witnessed the

handover ceremony included vulnerable groups such as the elderly, the disabled, widows and the blind.

Similar items were donated to Rumphi District Council through CADECOM office, Mzuzu Diocese on 16th

February, 2015. Forty-five people were identified to receive the relief items from Bolero and Mzokoto

sixty to seventy kilometres from our base in Mzuzu. A representative of the District Commissioner

thanked Saint John of God for the relief items that will assist people who were affected by a hail storm

that occurred in October 2014.

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The Vicar General Fr. Chasukwa presenting a bag of soya meat to a beneficiary assisted by the

Administrative Manager – Kisa Mwafulirwa and a representative of the District Commissioner – Mr

Manjolo

Beneficiaries included Elland Chikaoneka, Malina Dines, Joseph Chidambo, Nasingoni Makiyoni,

Minolia Chisonzi

From Left to Right – Gift Luwe – Cadecom Program Manager, Br. Michael , Chrispin Kamanga – Pastoral

Care Coordinator, Fr. Chirwa – St Denis Parish Priest and some beneficiaries in Rumphi and Some of the

beneficiaries who had received the relief materials in Rumphi

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b. Capital Development – Lilongwe Service Centre

Construction of facilities for phase 1 of the new St John of God Centre – Lilongwe continued during the

year. Quality of work done by Terrastone, the contractor was generally very good. Due to delays in

sourcing materials from South Africa it was not possible to achieve the phase 1 completion date of end

of November 2015. It has however been impressed on the construction team to have phase 1 building

fully completed and handed over by end February 2016. Official opening of the residential facility is

planned for the second half 2016.

In front of the admission block of the new Lilongwe Service

c. Construction of Umoza Chingámbo Outreach Centre

Through the facilitation of John Mitchell and Bernice Obrien we got funding from pupils of Scoile Mhuire

in Cork Ireland amounting to 40,000.00 Euros for the construction of Umoza Outreach Centre. This

comprises of two classroom blocks, a resource room, an office and kitchen and store room. The

construction project commenced in February 2015 with completion date set at end of April 2015 in

readiness for the opening function which was attended by the group involved in raising the funds

including John Mitchell; Bernice Obrien; Debbie and the four pupils. The new building will ensure

conducive environment for facilitating the over 400 children availing services at our Chingámbo

Outreach Centre and we are very much grateful to our benefactors for this generous donation.

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d. Construction of the Umoza Ginesa Children’s Home

We previously did not have designated temporary accommodation facility for children found on the

street through our Umoza Program night/day patrol team. Therefore in a bid to ensure appropriate;

safe and child friendly environment especially for children awaiting repatriation to their homes; we

planned to construct a purposeful built facility to act as temporary home for these children. Having

submitted an application, we received funding amounting to 53,000 Euros from Wild Geese and

Hospitaal Broeders of the Netherlands which has enables us construct the facility and also received

funds for furniture and equipment from Cathy in the United Kingdom. With the new building in place we

will now onwards be able to provide appropriate accommodation for these vulnerable children and in

line with our child and vulnerable adults’ protection policy. The new facility was blessed by the Diocesan

Administrator Rt. Rev Mughogho and opened by the Provincial - Br Donatus in December 2015

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RETIREMENT AND SENIOR APPOINTMENTS

– Harris Chilale - first Clinical Director of Malawi Services retired at the end of the year having served

with the Order for almost two decades. We thank Harris for his invaluable contribution to the

Service in the area of clinical leadership, development and research over the years and further wish

him a successful retirement.

– Michael Nyirenda was recently appointed Clinical Director. Before going to the United Kingdom for

his studies in MA Psychiatry, Michael previously worked as a Senior Clinical Officer at our Lilongwe

Centre and has been with the Service for over 10 years.

– Flemmings Nkhandwe was appointed College Principal following the departure of Dr. Isabella Musisi

in 2014. Flemmings studied at University of Malawi’s College of Medicine where he obtained a

Master’s in Public Health. Before joining St. John of God, he worked As Principal Ekwendeni College

of Health Sciences and Executive Director of Association of Midwives of Malawi. He commenced

work on the 4th of May2015.

– Christopher Mhone was appointed Program Manager following a decision to relocate the current

Program Manager to head the newly established Lilongwe Service. Christopher has a Master’s

Degree in Social Work and has been with the Service for over 15 years.

STAFF TRAINING AND DEVELOPMENT

Saulos Gondwe, Medical Officer, commenced Fellowship studies in Psychiatry at University of Cape

Town in South Africa in June 2015. This is a four year full time program specializing in Psychiatry with

critical appraisal, theoretical and practical instruction in general psychiatry and its sub specialties.

Saulos upon completion of his studies will be the first Psychiatrist for the Services in Malawi and will

offer advanced clinical competence and leadership in the area.

During the year, following staff completed training:

– Michael Nyirenda- Master of Science in Psychiatry – Cardiff University – United Kingdom

– Zelipher Chimlala – Master of Science in Mental Health – Trinity College - Dublin

– Waste Kayira – Masters in Counseling Psychology at Tangaza University in Kenya

– Chimwemwe Tembo – MSc in Public Health, Perth – Australia

– Kisa Mwafulirwa – Masters in Public Administration – University of Bolton/ MIM - UK

– Doris Kazado; Loveness Gona and Justice Khosa : Bachelor of Science- Psychiatric Nursing from St.

John of God College of Health Sciences.

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– Br. Ephraim Msowoya- Diploma in Physiotherapy at Evelyn Horne College in Lusaka Zambia.

We hope that new skills acquired by these staff will help Saint John of God serve its clients better

CHALLENGES

a. Economic challenges being experienced by the country – high inflation.

b. Increasing cost of medication and service delivery in an environment where public hospitals

have no medication and are experiencing funding challenges.

c. Accommodation for the increasing number of College students.

d. Issues with Government settling Service Level agreement fees with outstanding amount above 7

million kwacha accumulated this year.

e. Lack of political will, resources and advocacy in mental health and disability issues.

f. Delays in processing examination results by the University senate.

PLANS FOR 2016

1. Orient wider management team members on the charismatic management

2. Orient staff members/Facilitate reflection on life of St John of God at the Katoto/Granada

memorial garden (Walking the footsteps of St John of God)

3. Establish a Saint John of God Museum

4. Roll out prison mental health services in Malawi’s prisons

5. Occupation and commencement of services at the new Centre in Lilongwe

6. Establish child and adolescent psychiatric services

7. Introduce at least three additional training programs at The College of Health Sciences

8. Attain accreditation of Saint John of God University

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VISITS

►Canonical General Visitation - 5th to 10th July, 2015. Br. Pascal participated in the board meeting,

met with staff & service users in various settings.

►In August we had a delegation from Northern Ireland Association for Mental Health (NIAMH) who

supports Vwira Project in Ekwendeni.

► The Diocesan Administrators’ visit on 8th September, 2015. This was the administrator first

official visit to the service since assuming office in January, 2015. Among other activities, the

Administrator visited all service areas, held a meeting with members of the management team. He

was very impressed and grateful for the services that St John of God is providing to the sick, poor

and underprivileged.

► Zambia delegation that came in October 2015 led by Theresa Ghalainey of the Holy Family Centre

in Monze and included officials from Ministry of Health – Mental Health and Planning department

and Education – special needs department on a learning visit to our services in Mzuzu.

► Monitoring Visit by Misean Cara - October 21 and 22 and Kindernothilfe Luxembourg from 5th to

7th November, 2015

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Br. Pascal, Br Donnatus, Charles Masulani, Br. Michael and Br. Ronan participated in employee award

ceremony during the Canonical General Visitation

The Diocesan Administrator and Charles Masulani – Director of Service interacting with the children

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The Zambian Delegation

Kindernolthife (KNH) Germany and Luxembourg Visit

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FINANCIAL REPORT

Revenue Source of funds 2015 2014

Hospitaller order of St John of God 600,862,788.00

620,542,515.00

College fees 59,915,985.65

49,775,124.00

Misean Cara 283,719,612.32

89,935,566.00

Do Good charity - 4,444,523.00

National Aids Commission (NAC) - 22,179,591.00

Stitching international - scholarships 12,943,242.00

21,582,852.00

Hospitaal Broeders - Elderly 13,372,843.15 -

Government of Malawi 282,229,329.40

149,068,818.00

Pontifical Society 1,692,000.00

2,500,000.00

Kindernothilfe Germany 108,880,707.17

105,196,941.00

Bernice Obrien & Cork pupils (27,483 euros) Umoza Chingambo shelter

19,685,336.27 -

Bernice Obrien & Cork pupils(9,890.50 euros – Chin’gambo primary school block)

5,790,690.87 -

Wild Geese & Hosptaal Broeders (52,285 euros) – Umoza Ginesa Home

32,414,755.11 -

Research 13,528,519.72 -

Other donations 16,470,822.68

3,300,380.00

Other income (JOG, Exchange gains & sundry)

156,196,186.80

208,833,490.00

Totals 1,609,505,797.06

1,277,359,800.00

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Differed income

Elderly shelter (19,989.50 euros) 14,187,009.91

Elderly shelter (19,989.50 euros)

14,345,564.62

Totals

28,532,574.53

2015 2014

Expenditure

Pay 498,008,518.96

352,410,042.00

Non pay 1,036,402,454.07

849,488,922.00

Totals 1,534,410,973.03

1,201,898,964.00

Surplus

75,094,824.03

75,460,836.00

HUMAN RESOURCE

COMPOSITION OF STAFF

Administration, 32, 15%

Programs, 126, 60%

Support, 40, 19%

College, 12, 6%

No. of staff 210

Administration

Programs

Support

College

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Additional staff includes 4 Brothers of the Order and 39 volunteers.

PROGRAM STATISTICS

ST JOHN OF GOD CENTRE, MZUZU

6646 is clients’ attendance and 5619 is the actual number on register

Figure 1: OPD 2015 /2014 Chart

542 551 553 530

527

550534

562

590 578

533

596

652638

673638

608

673 664

567

532 521

586

764

0

100

200

300

400

500

600

700

800

900

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Out Patients' Chart

2015 2014

35

OUTREACH CLINICS

Figure 2: Outreach on Register Bar Chart

33

113

86

43 4233 27

118

3246

57

175

112

134

54

113

135

34

94 100

4354

31 31

140

3042

60

194185

128

5767

232

0

50

100

150

200

250

On Register Chart 2015/2014 Outreach Records

Year 2015 Year 2014 Poly. (Year 2015) Poly. (Year 2014)

36

Figure 3: Outreach Clients Attendance Line Chart

DOMICILIARY CARE STATISTICS

On Register 99

Jan Feb Mar

Apr May Jun Jul Aug Sep Oct Nov Dec Total

Male 6 4 5 5 2 5 3 2 8 3 1 3 47

Female 3 6 4 2 5 6 5 7 5 4 3 2 52

Total number of clients

9 10 9 7 7 11 8 9 13 7 4 5 99

Number of visits 18 28 24 21 25 39 20 19 23 18 23 11 269

Number of Clients Stabilized

3 6 2 5 7 9 3 4 6 2 3 2 52

Support Visits 19 12 18 13 21 17 27 22 21 11 9 13 203

ST JOHN OF GOD CENTRE LILONGWE

A total of 919 clients were seen in this year. Of which 102 were new clients. On average 272 clients were

seen each month

Year 2014

0

50

100

150

22

62 62

24 3024 22

97

1933 29

90

125

50

26 29

120

23

7357

28 28 27 22

99

22

35

36

8881

63

3550

144

Outreach Clients Averaged Attendance Bar Chart

Year 2014 Year 2015

37

Figure 4: Clients on Register 2015 -2014 Compared Chart

OUTREACH CLINICS

Figure 5: On Register Chart - Lilongwe Outreach Clinics

297324

356383

406

449474 527

561 578

609

625

209 208 222

147

197 205242 238

249271

225

377

0

100

200

300

400

500

600

700

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Out Patients' Chart

2015 2014

183

146

126

5369

935

29

4933

4738

5646

100

56

2034

57

14

39

1324 19

27

0

20

40

60

80

100

120

140

160

180

200

On Register Chart - 2014 aganist 2015

Year 2015 Year 2014

38

Figure 6: Attendance -Lilongwe Outreach Chart

DOMICILIARY CARE STATISTICS

Details 1st Quarter 2nd Quarter 3RD Quarter 4th Quarter

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total

Domiciliary care

Clients 4 3 2 1 1 3 2 3 4 4 5 4

36

visits 10 12 11 7 8 10 16 8 21 11 22 10 146

referred 0 0 1 0 0 2 1 1 2 0 2 3 12

discharged 3 2 1 1 1 2 1 2 2 2 3 1 21

Supportive care

clients 2 2 1 1 2 4 3 7 12 5 6 2

47

visits 4 2 2 3 5 21 8 18 18 5 11 4 111

Area 25 NsaruKangó

maArea 18

Chiwamba

KawajeMkwele

raKanyer

eMalili

Kanthulu

Nguluwe Mtoo

Phiri laNjuzi

Average 119 82 77 21 44 21 9 23 12 33 16 26

0

20

40

60

80

100

120

140

ATTENDANCE -LILONGWE OUTREACH CHART

Average

39

PORTAGE

Figure 7: Portage Program - On Reg. Chart 2015/2014 Compared

HOUSE OF HOSPITALITY

Event

Jan

Feb

Mar

Ap

r

May

Jun

Jul

Au

g

Sep

Oct

No

v

De

c

Admissions 24 26 26 31 19 16 24 32 26 21

20

25

Discharges 19 11 16 24 19 18 16 18 18 21

17

12

Bed occupancy 744 761 826 838 753 634 484 776 952 825

752

910

Average bed

occupancy 24 27 27 28 24 21 16 25 38 27 25 29

Average rate

bed occupancy 62% 69% 69% 72% 62% 54% 41% 64% 94% 69% 64% 74%

5

16

29

37

4846 45 46

44

5557

5956 57

6057 57 58 58 59

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

Year 2014 Year 2015

40

Figure 8: HOH Admission against Discharge Chart

CENTRE FOR LIVING

Details

Jan

Feb

Mar

Ap

r

May

Ju

n

Ju

l

Au

g

Sep

Oct

No

v

Dec

Total

Male 5 4 5 4 3 3 2 2 2 4 4 4 42

Female 0 0 0 0 0 0 0 2 5 5 5 5 22

Total # of

clients 5 4 5 4 3 3 2 4 7 9

9

9

64

Referred to

IVT 2 0 0 0 0 0 0 0 0 0

0

9

11

Drop outs 1 0 0 1 0 0 1 0 0 0 0 0 3

Additional info: HOH Clients average attendance

Jan

Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

10 9

8 9 7 7 6 8 6 5 4 8

2426 26

31

19

16

24

32

26

2120

25

19

11

16

24

1918

1618 18

21

17

12

0

5

10

15

20

25

30

35

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

HOH Admission Against Discharge Chart

Admission Discharge

41

VENEGAS CENTRE

Figure 9: Venegas Clients’ On Reg. against Discharge

CHILD DEVELOPMENT CENTRE (CDC)

Figure 10: Rehabilitation on Register: Medication and Nutrition Chart

12

14

10

7 7

13

18

14

7

14

8

1212

14

76

7

12

1614

7

14

4

9

0

2

4

6

8

10

12

14

16

18

20

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Venegas Chart

Admission Discharge

Medication0

20

40

60

80

100

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Medication 49 49 52 50 48 51 52 51 48 44 45 60

Nutrition 92 93 92 86 81 0 0 0 0 0 0 0

49 49 52 50 48 51 52 51 48 44 45

60

92 93 9286 81

0 0 0 0 0 0 0

Medication and Nutrition Chart

Medication Nutrition

42

Figure 11: Portage on Reg. Chart 2015 compared against 2014

Figure 12: Sensory Therapy on Register Chart - 2014 against 2015

ELVIRA INSTITUTE

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

On Register 75 75 75 75 75 75 75 75 75 75 75 75

42

48 53

36 38 38

43 4649

4548 4648

5356 58 58 58 58

83

66 66 66 64

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

Year 2014 Year 2015

Year 20140

20

40

60

80

100

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

56 57 6276

4959

70 72 75 75 77 7879 79 80 80 83 83 83 83 83 83 83 83

Therapy / Postural Management Chart – 2014 vs 2015

Year 2014 Year 2015

43

Boys 40 40 40 40 40 40 40 40 40 40 40 40

Girls 35 35 35 35 34 35 35 35 35 35 35 35

Attendance

Estimated

129

2

130

2

126

5

165

0

165

0

172

5

172

5

150

0

135

0

157

5

157

5

105

0

Attend.

Actual

142

5

150

0

143

2

130

4

123

0

145

3

143

1

401 110

2

132

1

137

1

802

New

Admi

s

Boy

s

3 0 0 0 1 0 0 0 0

0 0 0

Girls 3 0 0 0 3 0 0 0 0 0 0 0

Note: In August learners came only for 5 days.

RESPITE PROGRAM

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

On Register 19 20 20 20 20 24 24 24 25 25 25 25

Boys 12 12 12 11 11 15 14 14 14 12 14 14

Girls 7 8 8 9 9 9 10 10 11 13 11 11

Attendance

Estimated 315 350 385 440 440 552 552 480 450 525 525 350

Attendance Actual 361 400 420 350 368 499 430 80 401 437 437 212

New

Admission

Boys 0 0 0 0 0 0 0 0 0 0 0 0

Girls 0 1 0 0 0 0 0 0 0 0 0 0

44

PSYCHOSOCIAL COUNSELLING SERVICES

Figure 13: Clients Seen; and Clients Accessing HTC Chart

INSTITUTE OF VOCATIONAL TRAINING -CENTRE BASED PROGRAMMES

Figure 14: Vocational Training Programme on Register Chart – 2014 /2015

74

129

159

162171

184

170

182

86

164

189179

34

62

32

56

42

80

60

82 79

51

88 85

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

Clients Seen Clients Access HTC

1617

19

21

18

23

2120

2120

0

5

10

15

20

25

Horticulture Wood Work Tailoring Home Management Bricklaying

On Register - Vacational Training Programme 2015/2014 Chart

Year 2014 Year 2015

45

COMMUNITY BASED TRAINING PROGRAM

Figure 15: Community Based Training Program Chart

Note: May and June had 2 parallel programs running

UMOZA CHILDREN’S PROGRAM

Figure 16: Umoza Chart

0

22 22

0

50 50

0 0

25 25 25 25

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

Clients

Clients

113

232251

178

117

184170

204

0

50

100

150

200

250

300

Drop-In Centre Masasa Kavibale Chingámbo

Umoza Children' Program -On Register Bar Chart

Year 2014 Year 2015

46

PASTORAL CARE

Figure 17: Pastoral Care Services Chart

SELF HELP GROUP APPROACH

HOH IVT Umoza CDC VenegasStJohnof GodCentre

InternsStaff

Members

College Others

Clients 122 26 9 9 21 5 9 29 39 13

122

26 9 9 21 59

29 39 13

Clients

Clients

By December

2014

By December 2015

Total number of Functioning SHGs 116 144

No. of SHG members 1972 2448

No. of children 3212 Girls 3184

Boys

7790, 3871 boys &

3919 girls

Number of communities that SHGs are in 20 GVH 60

Total number of functioning CLAs 4 8

Total number of children groups 14 25

No. of Children in CGs 280, 114 boys,

166 girls

508, 204 boys & 304

girls

Total savings of SHGs 17,634,600.00 19, 302, 500.00

Total capital of SHGs (from savings, fines, loan interest, bank

interest, IGA profit, other income)

38,302,300.00 41, 791, 500. 00

Total amount of loans given to members 62,843,850.00 67, 471, 800.00