GOSHEN MEDICAL & TECHNICAL COLLEGE

INDUSTRIAL ATTACHMENT REPORT

DEPARTMENT OF COMMUNITY HEALTH AND HIV
MANAGEMENT
AN ATTACHMENT REPORT CONDUCTED AT MARY HELP OF
THE SICK MISSION HOSPITAL
REPORT WRITTEN & SUBMITTED BY:

MAUREEN KANARIO
ADM: CCHIV/10-2/2019

ATTACHMENT PERIOD: 8th FEBRUARY, 2021 TO 30TH APRIL

2021
ASSESSOR: KUNDU MACHUMA
DECLARATION
I Maureen Kanario declare that this attachment report is my original work and has never been

submitted on any other Institution for academic credit whatsoever.

STUDENT.

Maureen Kanario

Signature……………………………………… Date…………………………………

SUPERVISOR.

Kundu Machuma

Signature…………………………………….. Date…………………………………….

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ACKNOWLEDGEMENT

I would like to appreciate the guidance and knowledge I sourced from my supervisor Madam
Kundu Machuma who helped me and gave me the support through my attachment period.

My efforts could have been useless without the help of Madam Agnes who introduced me to Mary
Help Of The Sick Mission Hospital; She took us through all the departments under Mary Help Of
The Sick Mission Hospital.

Also numerous basic scientific empowerments were made success by the staffs of all departments
in Mary Help Of The Sick Mission Hospital. The need to teach and help us was endless; they spent
most of their free time on students and guided us to carry out tests and report results on our own.

My special appreciation goes to my parents, for moral, spiritual and financial support that they
granted me.

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EXECUTIVE SUMMARY
This report has been developed with the view of detailing the activities carried out at Mary Help Of
The Sick Mission Hospital; during the months of 8th February to 30th April, 2021. It details the
background information of Mary Help Of The Sick Mission Hospital, its inception, its vital role
in the fight for both poverty and injustice for the betterment of the lives of children, families and
communities.

Also included in this report is detailed write up of the fields I got exposed to in my three month
stay Mary Help Of The Sick Mission Hospital; and the actual work and experiences that I gained
both at the office and during field work.

Further it details the challenges faced as well as recommendations for the improvement of the
attachment process.

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TABLE OF CONTENTS
DECLARATION...............................................................................................................................................ii
ACKNOWLEDGEMENT................................................................................................................................iii
EXECUTIVE SUMMARY..............................................................................................................................iv
CHAPTER 1......................................................................................................................................................1
1.0 INTRODUCTION.................................................................................................................................1
1.1 ABOUT THE ORGANIZATION............................................................................................................1

1.2 ORGANIZATION OBJECTIVES, MISSION STATEMENTS, VISION & VALUES.........................2

1.2.1 VISION.................................................................................................................................................2

1.2.2 MISSION..............................................................................................................................................2

1.2.3 CORE VALUES...................................................................................................................................2

1.2.4 STRATEGIC OBJECTIVES................................................................................................................2

1.3 DEPARTMENTS IN MARY HELP OF THE SICK MISSION HOSPITAL........................................3

1.3.1 MOTHER-CHILD HEALTH DEPARTMENT...................................................................................3

1.3.2 CCC ( Comprehensive Care Clinic).....................................................................................................3

1.3.3 PHARMACY........................................................................................................................................4

1.3.4 LABORATORY...................................................................................................................................4

1.3.5 X-RAY SERVICES..............................................................................................................................4

1.3.6 ULTRASOUND/ECG SERVICES......................................................................................................4

CHAPTER 2......................................................................................................................................................5
2.0 WORK EXPERIENCE............................................................................................................................5

2.1 Attachment objectives..............................................................................................................................5

2.2 Methods used in Mary Help of The Sick Mission Hospital....................................................................5

2.2.3 PROBLEM SOLVING.....................................................................................................................5

2.2.4 ATTENDING TRAININGS.............................................................................................................5
2.2.5 GROUP DISCUSSIONS..................................................................................................................5
2.2.6 WEEKLY HELD MEETINGS.........................................................................................................5
2.3 HOSPITAL SANITATION.....................................................................................................................6

CHAPTER 3......................................................................................................................................................8
3.0 SWOT ANALYSIS.................................................................................................................................8

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 3.1 Strengths..................................................................................................................................................8

3.2 Weaknesses..............................................................................................................................................9

3.4 Opportunities............................................................................................................................................9

3.5 Threats for Mary Help of The Sick Mission Hospital,..........................................................................10

FINDINGS.......................................................................................................................................................11
CHALLENGES...............................................................................................................................................12
CONCLUSION................................................................................................................................................13
RECOMMENDATIONS.................................................................................................................................14
APPENDIXES.................................................................................................................................................15

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CHAPTER 1

1.0 INTRODUCTION
Mary Help Of The Sick Mission Hospital is a mission Hospitals & Nursing Home that provides
comprehensive medical and surgical services and facilities in aligning with the requirements of the
Department of Health Service Support of Public Health Ministry.

1.1 ABOUT THE ORGANIZATION

Nothing is more precious than the gift of life. And, there is nothing more miraculous than the
birthing of a child bringing new life into being. Prenatal care and safe birth deliveries are practices
often taken for granted in America. Yet, adequate prenatal and maternity care is seldom
experienced by women in our ancestral homeland of Africa.

Realizing this critical health issue, in 1955, Delta Sigma Theta Sorority began making plans and
laying the groundwork to establish a maternity hospital in the east African country of Kenya. The
plans for a facility came to fruition in the early 1960s when Delta made a major donation to help
finance the construction of the Thika Maternity Hospital in Thika, Kenya, which is now named
Mary Help of the Sick Mission Hospital.

The first hospital to open after Kenya gained its independence, Mary Help of the Sick Mission
Hospital continues to be operated by the missionary sisters of the Holy Rosary. In 1985 members
of the Sorority visited the hospital and saw firsthand the increased population and infant mortality
rate in and around Thika. Delta responded by donating over $20,000 in 1985 which was used to
establish two additional maternity wards and an administrative office.

Mary Help of the Sick Mission Hospital has grown to 120 beds. It provides affordable prenatal and
postnatal care, nutritional education, child immunization, and family planning. The hospital gives
prenatal care, including lab work, blood tests, and examinations to more than 200 women daily.
The facility also has a special care nursery for babies after delivery. The hospital also serves as an
educational institution for nurses and midwives. Over 66 students are trained each year.

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1.2 ORGANIZATION OBJECTIVES, MISSION STATEMENTS, VISION & VALUES

1.2.1 VISION
To become a center of excellence in the provision of health for the whole person body, mind and
values.

1.2.2 MISSION
We remain committed to our mission which is to continue the healing ministry of Christ, consistent
with our Catholic traditions and values.

1.2.3 CORE VALUES

We believe in the sacredness of life and the dignity of all people

Patient : We strive to deliver the very best to every patient every day. The patient is the first
priority in everything we do.
Integrity : We communicate openly and honestly, build trust and conduct ourselves according to
the highest ethical standards.
Respect : We greet each individual, those we serve and those with whom we work, with the
highest professionalism and dignity acknowledging that they have the right to our
services.
Innovation : We bring changes and work to improve the hospital, all we do in a fiscally responsible

manner.
Team : System effectiveness is built on the collective strength and cultural diversity of
everyone, working with open communication and mutual respect.
Justice : We will act with integrity and believe that people have the right to good health care
without discrimination.
Excellence : We will shine in all that we do every day, so that promoting the healing ministry

within our society would be maximum.

1.2.4 STRATEGIC OBJECTIVES

● To provide quality specialized health care

● To acquire international accreditation
● To promote institutional linkage and collaboration
● To strengthen training and research capacity
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 ● To participate in national health and planning policy
● To improve human resource and management
● To improve and diversify revenue generation and cost efficiency
● To implement reliable information and communication technology
● To improve on infrastructure equipment and supply chain management
● To inculcate good cooperation governance
Mary Help of The Sick Mission Hospital provides the following:

1. Curative and preventive care and promotion of health of the people in the county;
2. Quality clinical care by a more skilled and competent staff than those of the health centers
and dispensaries;
3. Treatment techniques such as surgery not available at health centers;
4. Laboratory and other diagnostic techniques appropriate to the medical, surgical, and
outpatient activities of the Mission hospital;
5. Inpatient care until the patient can go home or back to the health center;
6. Training and technical supervision to health centers; as well as a resource center for health
centers at each Mission hospital;
7. Twenty-four-hour services;

1.3 DEPARTMENTS IN MARY HELP OF THE SICK MISSION HOSPITAL

1.3.1 MOTHER-CHILD HEALTH DEPARTMENT
Mary Help of The Sick Mission Hospital mainly deals with mothers and children. We offer
antenatal care, postnatal care, maternity services, theatre services if the mother has complications
with natural child bearing and special baby care units.
Our maternity ward has adequate bed capacities with nurses always on standby. We have a Prem
unit which is equipped with oxygen machines, heat providing machines that provide the best
conditions for your baby, An Isolation Unit and incubators.

1.3.2 CCC ( Comprehensive Care Clinic)

We offer the following services;
 HIV Testing and counseling
 ARVs drug administration
 TB Drugs administration

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 Psychosocial support groups that consist ;women’s’ group, men’s group, children’s group,
Adolescents’ group where affected persons can encourage each other through difficult times

1.3.3 PHARMACY
Mary Help Hospital has a pharmacy which is located in the waiting area. After consultation, the
doctor may write you a prescription. You will not have to go searching for that particular medicine
as it is available right here in the hospital pharmacy.

1.3.4 LABORATORY
At Mary Help of The Sick Missionary Hospital, We have a well-equipped laboratory that offers the
following services at affordable prices;

 Urysis(Urine Testing)
 PCR(HIV Testing)
 RBS(Blood Sugar Testing)
 FHG(Full Blood Count Testing)
 Sputum aafb test for TB
 DTC(Genetic Testing)
 GXM(Blood Group Testing)
 UECs(Urea Electrolytes and Creatinine Testing)
 CTA(Cervical cancer Screening & Testing) & many more.

1.3.5 X-RAY SERVICES

At Mary Help of The Sick Mission Hospital, We are equipped with modern x-ray equipment which
helps our doctors to determine the type and size of your fracture enabling them to give you the
right treatment.

1.3.6 ULTRASOUND/ECG SERVICES

We also offer ultrasound and ECG services. Ultrasound helps our doctors to monitor the progress
of your pregnancy, be assured of your babies’ health throughout the period of your pregnancy. At
very affordable prices of per ultrasound.
ECG monitors the rate at which your heart is beating determining whether your heartbeat is healthy
depending on your cholesterol levels to avoid any risks of heart failure or heart attack.

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CHAPTER 2

2.0 WORK EXPERIENCE

During my attachment at Mary Help of The Sick Mission Hospital, I managed to familiarize myself
with different ongoing projects and activities as well as the staff charged with the various tasks.
There were weekly departmental meetings which I participated in. Apart from the daily office
activities, some of the projects I was privileged to participate. Discussed below is a summary of the
activities carried out in my 3 month stay with the Mary Help of The Sick Mission Hospital.

2.1 Attachment objectives.

 To gain hands on experience on clinical methods in the hospital
 To appreciate and gain deeper understanding of theory knowledge attained in class.

2.2 Methods used in Mary Help of The Sick Mission Hospital

2.2.3 PROBLEM SOLVING

This course analyzed methods for solving job related problems ,both technical and non-
technical in nature, the method outlined involved setting goals creating and evaluating
alternatives planning, organizing and controlling alternatives and analyzing deviations of
results from set goals.

2.2.4 ATTENDING TRAININGS

The training program was designed for the field staffs were detailed presentations were made of
the capabilities and problems solving of different systems by design engineers from
manufacturing companies. Anticipated questions from the staff and students were answered and
participants were allowed to operate the system independently.

2.2.5 GROUP DISCUSSIONS

The supervisor arranged all the students into groups of five to six members ,this offered an
opportunity to share ideas, discussion of different machines in the hospital, their working
principles, components that make each up, causes of failure, remedies and maintenance and
specifications.

2.2.6 WEEKLY HELD MEETINGS

The attachment period provided the opportunity to meet other staff members like the HOD of the
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Mary Help of The Sick Mission Hospital to discuss various problems facing students and give
possible solutions by consulting the staffs. During this time we also had brief presentations of the
assignment offered in the previous meeting by the supervisor, which was done by all the members
of every group and finally the others asked questions and more ideas were encouraged.

2.3 HOSPITAL SANITATION.

Hospital being producer of certain percentage of hazardous waste, it was important that I visit to
identify the methods used for waste management and disposal.

Inside the hospital wards there has to be three bins.

1. Black bin

This is for disposal of general waste like used gloves, packaging material or food remains.

2. Yellow bin

This is for disposal of infectious waste like, general dressing, used gloves and infusion set
among others.

3. Red bin

This is for the disposal of pathological waste which entails things like anatomical waste-teeth,
placenta and pathological waste-sputum and test tubes containing specimen.

4. Safety box

This is for disposal of sharp waste like broken vial, broken ampoules, lancet, blades, needles,
scalpels and other sharp objects.

I participated in educating the hospital personnel on the effective use of the above tools because in
most cases they were not used appropriately.

Typical days’ work was:

Specifically, here are some of the things nurses do on a typical day:

 Conduct physical exams

 Take detailed health care histories

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 Listen to patients and analyze their physical and emotional needs
 Provide counseling and health care education to patients
 Coordinate care with other health care providers and specialists
 Stay current with advances in health care options, medications, and treatment plans
 Draw blood, and perform other health-related testing
 Check a patient’s vital signs

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CHAPTER 3

3.0 SWOT ANALYSIS

SWOT analysis is an examination of an organization’s internal strengths and weaknesses, its
opportunities for growth and improvement, and the threats the external environment presents to its
survival. Originally designed for use in other industries, it is gaining increased use in healthcare.
Healthcare organizations must continually make adjustments to maintain optimal function. A
number of different techniques can be used to determine where adjustments need to be made. One
essential technique involves a discussion of an organization’s strengths, weaknesses, opportunities,
and threats, commonly called
SWOT analysis. SWOT analysis has been used extensively in other industries but has not been
widely used in healthcare SWOT analysis is a pioneer to strategic planning and is performed by a
panel of experts who can assess the organization from a critical perspective. In Mary Help of The
Sick Mission Hospital, I could able to identify some Strengths, weakness, opportunities & threats
about the firm.

3.1 Strengths
 Special expertise/professional Consultants
 Service Differentiation
 Using ultra-modern technologies
 Having new tools and equipment
 Pleasant environment with full air condition
 convenient parking facility
 Location
 Patients are waiting patiently for consultation
 24/7 service
 Long standing institution
 Providing quality service
 Commitment staff
 Uniformity in dress code
 Provide inward facility
 Having good reputation among people
 CCTV monitoring
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  Facility of phone booking
 Indoor pharmacy facility
 Focus on community healthcare improvement

3.2 Weaknesses
 Increasing Healthcare cost
 Absence of marketing plan & market research team
 Lack of Skill full & experienced nurses
 Shortage of skill full receptionist
 Staff are not clear of their role
 Poor in unity of command
 Long waiting time
 Employees haven’t clear understanding of the organization goals
 There is no separate CR (customer relation) office/officer to handle patients’
 problems
 Rules and regulations are rapidly changing
 Lack of relationship & communication in between staff

3.4 Opportunities
 There is a significant demand for private medical & health services in Jaffna.
 Out station patients are also who come Mary Help of The Sick Mission Hospital, to get the
services
 New business initiatives are available to a healthcare organization in Northern
 Province.
 There is a growth in integrated healthcare delivery networks.
 NCH has good potential
 Enhance organization’s reputation in the community.

3.5 Threats for Mary Help of the Sick Mission Hospital,

 Increasing competition

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 Rapidly changing technology
 Government rules
 New unknown infection & diseases
 Ever changing advanced Medical equipment’s

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FINDINGS
All the students evaluated their internship as a very positive experience, not only because it
improved their technical skills but also for the opportunity to interact with other hospital staffs.
They recognized that this experience gave them a clear vision about one of their future Work
places. It served to identify the strengths that they had after completing their regular courses and to
detect the weaknesses that needed to be addressed before successfully applying for a job. It is
unquestionable that the strongest benefit from this kind of cooperation is that the students acquire
real experience before graduation. Therefore, this experience is an additional asset to their future
employers.

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CHALLENGES
Lack of confidence was pointed out at the beginning of the attachment period, students were not
confident in their abilities to work on different pieces of medical equipment.

However, this was solved during the attachment because the students had the theoretical
background and hands-on experience to be satisfactorily involved in the different projects that were
assigned to work on.

There was poor rapport between some nurses and the students as they were harsh and not
accommodative at times making the student feel intimidated and this sometimes caused conflicts.

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CONCLUSION

The nursing department recognized the important benefits of this kind of cooperative experience.
Also, the students that collaborate with industry while in collage have generally more job offers
after graduation than those students not involved in such programs. After the internship is
completed, the students bring more than 400 hours of experience to their prospective employers not
only in the technical issues, but also in issues related to the culture in the workplace, making this
experience a very valuable asset. Also, during the internship the students had the opportunity to
interact with different professionals from different institutions, equipment supply companies and
services.

The networking before graduation becomes very useful, as many of the new hiring and job offers
in the nursing are done through personal Contacts rather than blind advertisements. If the hospital
where the student is doing an internship has an entry level position, this student will be closely
watched by the supervisors, gathering much information that can be assessed through a typical
employment interview.

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RECOMMENDATIONS

There are some machines which have worked over 40000 hrs. These machines should recondition
or condemned and replaced by new ones and is possible the software updated to latest versions
wards department -space constraints were visible in the department. Presently the procurement of
stents, implants are being handled by the materials department. It is more suitable if this can be
handled by the wards department itself.

Emergency Department- presently there has been not a single reported case of breakdown while
transporting patients including a puncture. Thus the maintenance of the vehicle is adequat

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APPENDIXES

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