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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