Initiative
Funding
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Makonde Christian Hospital ZACH Hospital Project
Accessibility of healthcare in rural and hard to reach areas in Zimbabwe is impeded by the conditon of physical, material, human, financial and managerial resources, along with societal barriers in the healthcare system. Health indicators are worsening drastically in Zimbabwe. Hospitals in the country are unable to undertake the most basic service delivery due to collapsed infrastructure and shortages of resources, equipment, and other essential supplies. The poor health performance has been exacerbated by pandemics and other outbreaks, like cholera, due to resource-limited settings that have unsafe drinking water, poor sanitation, inadequate hygiene treatment cost, and low energy supplies due to long load shedding used to treat the water.
Makonde Christian Hospital History
Built in 1954 and opened in 1957, Makonde Christian Hospital is situated in a local town called Mhangura, in Mashonaland West Province Zimbabwe. This hospital is a 120 bedded referral center for nine satellite clinics. The Hospital serves a population of approximately 70,000, but is operating at 85 bedding capacity due to its remote location and distance. Acting as the designated hospital for Makonde District while also offering services to bordering districts, namely Zvimba and Hurungw, the hospital focuses on the rural and hard to reach populations.
Makonde Christian Hospital Today
The Health Facility offers health care services which include Family Child Health, Laboratory Services, Pharmacy Services, Maternity Services, Opportunistic Infections (O.I) Services, Rehabilitation Services, X-ray Services, Laundry Services, Kitchen Services, Ambulance Services, Theatre Services, VIAC Services, In-Patients Services, Out-Patients Services, and Voluntary Medical Male Circumcision Services. (VMMC)
The hospital has an official establishment of 82 staff members. Out of that number, 14 also cover human resource gaps caused by the migration of staff to the diaspora.
20 years later to date, the condition of the hospital has dilapidated and it is in need of major repairs and remodelling.
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who we are
Our Organization
ZACH is a Local Non-Profit Faith-Based Organization and is registered under the Revised Private Voluntary Organization Act of 2001. ZACH was founded in 1974 and is the medical arm of all Christian churches in Zimbabwe. ZACH’s operations are conducted on strict ecumenism. The association is accountable to owners, the Zimbabwe Heads of Christian Denominations (ZHOCD), regarding the running of church health institutions namely mission hospitals and clinics.
Through mission health facilities, ZACH provides 68% of health care delivery in rural Zimbabwe and 45% nationally, based on bed capacity.
ZACH represents the link between the Zimbabwe Head of Christian Denominations (ZHOCD), the Ministry of Health and Child Cares (MOHCC), other health providers, donors, government departments, and agencies.
Sustainability Transparency Accountability
Christianity
Values Accessibility Equity
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Responsive
Our
Professionalism
Medical Superintendent of Makonde Christian Hospital, Dr. Munyaradzi Musiyiwa, passed on ___________. Asheis, Zimbabwe intends to name the new Administration Building in his honor.
Our Mission
Following the example of our Lord Jesus Christ, ZACH adopts the holistic approach to health and healing through encompassing principles of equity, quality, and accessibility. ZACH promotes the highest standard of health care among its members for the benefit of all people in Zimbabwe.
Our Vision
ZACH envisions a healthy society in which all people in Zimbabwe have access to sustainable, high quality, and holistic health care delivery.
Our Mandate
To assist and support member institutions in the provision of quality health care delivery to all Zimbabweans. Especially to the poorest, vulnerable, and marginalized groups in society.
ZACH Membership currently stands at 135 hospitals and clinics. 78 are hospitals. 22 of those hospitals are designated district hospitals and nurse training schools. The rest are clinics, with a total official staff establishment of 1,877. At the ZACH office level, which is a national level only, there are 267 members of staff.
Christianity Accessibility Professionalism
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Mr. T Kadungure, Makonde Christian Hospital Administrator
INTERVENTIONS AND PHASING Site Plan
Phase 4 12 months: Renovation
Phase 2
8 Months: New Construction
New Laboratory
Phase 3
8 Months: New Construction
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Repairs Wards, Hospital Theatre, Corridors, of Paediatric
New Administration Building
4 months: Renovation Construction
and Maintanance Work to Hospital Central Services, Theatre, Radiology Department, Corridors, Mortuary, and Intergration Paediatric Ward
Stewardship Through Partnership
ZACH is working with Third Lens Ministries, a nonprofit organization which manages the design-build process in order to ensure a successful building project for ministries. Zimbabwean partners, Architectural Planning Studio and Corry & Mukuyu Quantity Surveyors, have volunteered and donated architectural design services for this capital campaign, greatly lowering design + planning costs.
Phase 2
8 Months: New Construction
New Family Health and Child Care Clinic (FHC)
Phase 1
6 months:
Renovation Construction
OutPatients Department
Spaces to be reconfigured and introduce Casualty Department Incorporate OI into OPD
Additional Waiting Area Pavillion
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Where god is leading
Phase 1 - $525,000 - 6 months
Outpatient Dept.
The existing OPD is very congested with limited waiting space for patients.The layout of this department is ill-structured and creates crisscrossing of patients to access consultation rooms, treatment rooms, the pharmacy, records, etc. We plan to open up space in the department to improve the flow of patients and create a conducive working and waiting space, for both staff and patients.
Waiting Area pavillion
The new Waiting Area will accommodate a wide range of occupants including children and those less mobile or in wheelchairs. (estimated seating space for 2030 patients). This waiting area will be an addition to the new Outpatient Department.
The goal of
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this funding initiative is
Additional Spaces to be reconfigured, introduce Casualty Department, and Incorporate OI into OPD
Phase 2 - $350,000 - 8 Months
is to make necessary remodels and repairs to The Makonde Christian Hospital Laboratory
Currently, the Laboratory is housed in the OPD and has one functional room for all tests. This creates a high risk for cross contamination, as sampling is conducted in the same room. There is also limited storage space. The new Laboratory should will be easily accessibible for all hospital departments and within theproximity to the Outpatient Department as most test come in from there.
Family Health & Child Care Clinic
The hospital has no designated paediatric unit. The current make shift unit is housed in the female medical ward. This arrangement is creating a high infection risk for infants. We will build a 30 bedded General Paediatric unit next to the Maternity ward. It will house a Malnutrition Management Unit with six beds, six burn units, four ICU/HDU, six Neonatal section, six general beds for medical and surgical patients, and two isolation beds & play areas.
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Where god is leading
Phase 3 - $225,000 - 8 Months
Admin Building
We plan to build a new Admin Buidling to house the Hospital Management Team. The new buidling will be equipped with a reception & waiting area, Medical Superintendent, two Government Medical Officers, Matron, Sr.-in Charge, Hospital Administrator, Hospital Chaplin, Accounts office, Accountant & Clerks, Environmental Health Technician, Health Information Officers, board room, kitchenette and staff tea/common room, and new toilets. Asheis, Zimbabwe plans to name the new Administration Building after Dr. Munyaradzi Musiyiwa.
The goal of this funding initiative is STORY OF ONE WHO WE ARE
to make necessary remodels and repairs to The Makonde Christian Hospital
Phase 4 - $2.20M - 12 months
Repairs and Maintanance Work to Wards, Hospital Central Services, Theatre, Radiology Department, Corridors, Mortuary, and Intergration of Paediatric Ward
Maternity Ward
Currently, the hospital conducts about 120 deliveries per month, and there is inadequate space. The unit is using two labour beds and a four bedded pre-and post-natal room. Hence the need for an independent unit to cater to these clients. We aim to build a maternity ward with a total of 40 beds broken down as follows: Pre Labour (eight beds), Labour Ward (four beds), Delivery Room (four beds ), PostDelivery (10 beds), C/S and Post Surgical (10 beds), and Pre-term & Resuscitation room for monitoring (four beds).
Mortuary
The current Hospital Mortuary has cracked and rusted walls. The cold room lock is broken and is currently being held together with wires. Lastly, the mortuary roof is sagging. ZACH plans to repair the mortuary, making it better than new.
Wards and Corridors
The hospital wards and corridors currently have heavily cracked floors and ceilings. Electrical updates are imperative in the Labour Ward and major updates to the bathrooms are needed.
is
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OUT-PATIENTS DEPARTMENT OPERATING THEATRE AND X-RAY NEW CASUALTIES DEPARTMENT FEMALE WARDS COVID ISOLATION WARD LABOUR WARD MALE WARD HOSPITAL SERVICES NEW LABORATORY BUILDING PROPOSED NEW ADMININSTRATION BUILDING PROPOSED OPPORTUNISTIC INFECTIONS DEPARTMENT GENERAL PARKING STAFF PARKING STAFF AND AMBULANCE PARKING PROPOSED NEW PAEDIATRIC WARD PROPOSED NEW FHC WAITING AREA MALE WARD LABOR WARD ISOLATION WARD THEATRE & X-RAY HOSPITAL SERVICES PROPOSED NEW ADMININSTRATION BUILDING 427m2 PROPOSED NEW FHC 102m2 NEW LABORATORY BUILDING 181m2 FEMALE WARDS OUT-PATIENTS DEPARTMENT NEW CASUALTIES DEPARTMENT NEW OI DEPARTMENT NEW PAEDIATRIC WARD 102m2 Arch ec ura & P ann ng Stud o 25 Sho the a h Rd Ch s p te Hre Z m Ph +263 0)77214331 4 / 0)779659597 adm n@arch tec tura p ann ngs tud o com AP S Proposed Refurbishment Makonde Chr st an Hosp ta Enter address here A100 D - Site Plan North 1 : 200 D-0 -GND FLOOR FFL -PROPOSED 1 Detailed Site Plan
Floor Plan
17 m² Sister in Charge 20 m² Dressing Room 13 m² Consultation 13 m² Consultation 20 m² OPD Observation 10 m² OI 23 m² Minor Procedure Room 44 m² A&E Observation 22 m² Dental 14 m² Opthamology 17 m² Registration 41 m² Waiting 25 m² Archives 6 m² Store 6 m² Ablutions 5 m² Ablutions 8 m² Vitals 12 m² Ablutions 132 m² Waiting Area 33 m² Corridor 11 m² Dr's Call 43 m² Corridor 6 m² Room 6 m² Room 7 m² Ablutions 9 m² OI 8 m² Nurses Station 30 m² Board Room 14 m² Hospital Archive 20 m² Ablutions 14 m² Hospital Chaplin 23 m² Hospital Superintendant 22 m² Hospital Administrator 16 m² Accountant 15 m² Accounting Clerk 18 m² M.o.H Officers 16 m² Health Information Officer 42 m² Staff Canteen 21 m² Admin Reception 35 m² Corridor 22 m² Staff Kitchenette 12 m² Hospital Matron 12 m² Store Room By Department Legend Ablutions Administration Casualties Circulation OPD Opportunistic Infections 7 m² Sluice 17 m² Ambulance Not Enclosed Covered Seating Area STAFF PARKING 8 m² Ablutions 5 m² Store 16 m² Nurses Duty Room 14 m² Child Health Vaccinations 14 m² Consultation 12 m² Consultation 12 m² Consultation 12 m² Child Health Dr's Office 29 m² Corridor 16 m² Reception By Department Legend Ablutions Circulation FHC 9 m² Counselling 20 m² Reception Area 8 m² Tea Room 11 m² Office 11 m² Store 13 m² MicroBiology 13 m² Bloodbank 15 m² Haematology 14 m² Samples 14 m² Store 15 m² Parasitology 4 m² WC By Department Legend Ablutions Circulation Lab A ch ec ura & P ann ng S ud o 25 Shor he a h Rd Ch s p e H e Z m Ph: +263 0)772143314 / 0)779659597 adm n@arch tec ura p ann ngs ud o com AP S Proposed Refurbishment Makonde Chr st an Hosp ta En er address here
1 : 100 D-0 -GND FLOOR FFL -PROPOSED OPD and Admin 3 1 : 100 D-0 -GND FLOOR FFL -PROPOSED FHC 2 1 : 100 D-0 -GND FLOOR FFL -PROPOSED LAB 1
A101 D - Ground Floor Plan
FLOOR PLANS
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Hospital Nurse-in-Charge Mr. W Chitumba (left) with ____ (right)
to impact 89,281 lives annually, we need to raise $3.30M
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“I will heal my people and will let them enjoy abundant peace and security”
- Jeremiah 33:6
