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Orthopaedic Clinic

Our Orthopaedic Outpatient Clinic is held on the 2nd and the 4th Thursday of every month. One of the conditions managed is club foot, which is treatable immediately after birth. Other orthopaedic conditions seen in the clinic include:

  • Fractures
  • Dislocations
  • Corrections of bone deformities including the spine and limbs, bow legs, knocked knees, rickets,
  • Cerebral palsy
  •  Fabrication of artificial limbs-prosthesis.
  •  Back pain and arthritis

 

 

Inpatient Services

 i)    Medical/surgical ward
Our medical/surgical ward offers nursing care to adult patients of both genders with various medical and surgical conditions. The ward has a capacity of 48 beds.

ii)    Maternity Ward


Our maternity ward has a capacity of 31 beds. Care in this unit includes inpatient antenatal care, care of mothers in labour, and post natal care. Special baby unit for sick and premature babies is part of this ward.
 Reproductive Health Output Based Approach – RH-OBA program has highly subsidized the cost of care, and this has made maternity services accessible to mothers who would otherwise deliver at home. Bonding between mother and baby starts as soon as the baby is born. All our mothers, except those whose babies are premature or sick, room in with their babies. Approximately 120 babies are delivered each month.

iii)    Paediatric

Paediatric ward admits children up to the age of 14 years – both medical and surgical conditions. The ward accommodates both mother (or care taker) and child and values its ability to partner with parents (or caretakers) in the treatment of their children. The ward has a capacity of 27 beds, including the burns unit. The baby friendly environment of the ward facilitates quick recovery of the children.



iv)    Operating Theatre
The hospital has 2 operating rooms that are adequately equipped to handle basic major and minor operations, with a theatre team that is ready to handle emergencies when they arise. The theatres offer a wide range of services that include:
•    Various minor surgeries
•    Obstetric Surgery
•    General Surgery
•    Urology
•    Orthopaedic procedures

Youth Peer Education

Mutomo Youth Peer Educators

Who are they?
The members are young people who have just finished second level education and who apply to work as volunteers in our Youth Peer Educator Group at the Hospital. Their mission is to equip youth with life skills and living values to enable them to make good choices in their lives. The group was set up in 2004 with funding from the Irish Government through the Sisters of Mercy. It has been a very active, effective and popular group since its inception. Peer Education is the strategy used to reach the target group – youth in and out of school. They work in schools clubs and in Churches. The group is inter-denominational. Members stay with the group on average 18 months to 2 years.

Potential volunteers apply when they complete their Form IV. Their applications are supported by their respective chief and their local priest/pastor. They are interviewed and they undergo a written test on their knowledge of basic facts about health and HIV.  They must be fluent in English and Kiswahili. Training is provided at local level to start with, and then they are sent to be trained as facilitators (TOF) by Education for Life (Kenya). They are supervised in their work in the schools until they are declared competent and accurate in answering questions posed by the students. They provide programs in behavior change process (BCP) in secondary schools and church groups and behavior formation (BFP) in primary schools for 8- 13 year olds).

Click on link below for more information on their activities.
https://onedrive.live.com/redir?resid=E7E2C1841F6BBF44!158&authkey=!ACDYQshXRKfzbZE&ithint=file%2cpub

Comprehensive Care Centre

 The Comprehensive Care Centre (CCC) at Mutomo Hospital was established in September 2006, with sponsorship by the US Government (PEPFAR), to provide outpatient access to care and treatment for people infected with HIV. To date the cumulative number enrolled is 3,486. Currently there are 1,658 in active care of which 1,598 (96%) are on anti-retroviral therapy (ART). Fourteen per cent (14%) of those on ART are children. Access to the service is provided on a daily basis at the CCC and at 6 outreach sites through mobile services going out each day from the CCC. The team providing the services include a Medical Officer, two clinical officers, 5 nurses, 6 counselors, a driver, three data managers, an accountant and a coordinator. The number of patient visits per month averages 1,000.Intensive education sessions are provided during clinic visits to help them to take responsibility for their health.

Counseling and pastoral care services

Mutomo Hospital has professional therapists whose approach to counseling and pastoral care in addressing spiritual, social, emotional, behavioural, and psychological issues. Confidentiality is of the essence in offering counseling services. Both our patients/clients and staff are beneficiary of these services.

Services are offered to children, youth, adults, couples, and families as individuals or in groups. Services include
•    Couple counseling
•    Peer counseling
•    Trauma counseling
•    Psychological support following loss, grief and berievement
•    HIV/AIDs counseling
•    Group counseling
•    Family counseling
•    Behavior change
•    Psycho socio counseling
•    Eucharistic celebration

Imaging

This is one of the main diagnostic department of the hospital which aims at providing high quality images of diagnostic value. The hospital has the sole X-ray machine in Kitui South Sub County that covers more than 1000 square kilometers. Services offered include:

·         Ultrasound – particularly obstetric ultrasounds
·         Plain radiography (X – ray) of all body parts

Maternal and Child Health (MCH) Services

 The staff in MCH is committed to enhancing the health of mothers and children under the age of five years. The services offered here include:
•    Antenatal care (ANC)
•    Child welfare and Immunization (CWC)
•    Prevention of mother transmission of HIV(PMTCT)
•    Health Education

ANC is supported by OBA program. On average about 400 mothers visit the clinic each month. Through this initiative, mothers are allowed four antenatal visits during which they receive health education on pregnancy related issues –FANC- Focused Ante Natal Care. Care of mother include: monitoring of vital signs including weight, full physical examination with emphasis on the growth of the pregnancy, laboratory examination – ANC profile.  All mothers who attend the clinic and counseled and tested for HIV infection (PMTCT) during their first visit. Couple counseling is encouraged during this period and the mother are asked to bring their spouses/partners to the clinic. The uninfected couples are counseled on the need to remain infection free while the infected couples are enrolled for HIV treatment and care.

The Child Welfare Clinic (CWC) attends to children under the age of five – through health education to their mothers, monitoring weights and administering primary vaccines - BCG, polio, pentavalent, and measles. Special concerns such as underweight and malnutrition are identified during this clinic and appropriate intervention taken. The sick children are also identified and treated.

 MCH is manned by nurse/midwives.

General Outpatient Care

 Our Outpatient department operates 24 hours. Patients are received at the registration desk where they pay a small fee for service. They are then directed to the nurse in the triaging area. The nurse while triaging must be alert to identify the very sick patients and direct them to be seen by the clinicians immediately.  In the clinical rooms, history is obtained from the   patients or their relatives. This is followed by a thorough physical examination and evaluation of the patients that aids in making a diagnosis. Additional laboratory tests or radiological examinations may be required to make a diagnosis. Once a diagnosis is made, the clinician prescribes treatment and discharges the patient through pharmacy, or the patient is admitted for further care and treatment.
The outpatient department works very closely with the laboratory, radiology and pharmacy. Messages are relayed from one department to the other through the through the Health Information System in use (SmartCare).

Emergency cases are dealt with promptly before they are admitted to the wards or referred for specialized treatment. On average, the number seen in outpatients on a daily basis is 100. The top five causes of morbidity at outpatient level are:
•    Malaria
•     Hypertension
•    Diabetes
•    Upper Respiratory Tract Infections
•    Amoebiasis

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