Medical Services The hospital is divided into a casualty / OPD building, which is the starting point for patients seeking medical attention at the hospital. There are several in-patient wards, including a male and female general ward, a paediatric ward, maternity and lastly a TB ward. We have a small theatre in which we perform mostly caesarean sections and uterine evacuations as well as the occasional amputation. We are able to offer a 24 hour caesarean section service. There is a small x-ray department, which uses a digital X-ray machine, and we have recently started up an after-hours radiography service allowing for emergency x-rays. Our small laboratory has equipment to perform basic tests, (FBC, U&E, LFT’s, X-pert MTB Rif) the remainder of which are couriered to a bigger lab in Mthatha. Unfortunately this service is limited to working hours. In addition to a standard TB ward, we also have a ward dedicated to MDR patients as well as a weekly clinic catering for MDR outpatients. We have a well-run pharmacy with a team of enthusiastic pharmacy assistants as well as a recently-appointed chief pharmacist.
Clinic outreach Once a week a team of rehabilitation therapists and a doctor or clinical associate visit two of the seven feeder clinics to Madwaleni Hospital. At the moment they are able to visit each clinic once a month. These visits entail seeing patients booked in advance by the nurses at the clinic, training and/or working through updated protocols with the nurses and sometimes they are even able to do home visits for patients who are not able to get to the clinic.
Rehabilitation department Our rehab team includes three occupational therapists, three physiotherapists and a speech and language therapist. They have recently moved into a new section of hospital where they have more space to treat patients and have access to a low-care ward where medically stable patients can stay for regular therapy. This is especially beneficial for patients in our setting as many patients live far from the hospital and cannot always afford to come for frequent therapy appointments.
Dentistry Department For many years Madwaleni Hospital did not have a dentist and therefore had no functioning dentistry department. At the beginning of 2014 two dentists joined the clinical team and got things up and running again. They now do two clinic outreaches a week as well as seeing patients in the outpatients department at the hospital. They have also been able to provide dentures for patients and are now able to do fillings. One of their main obstacles is making the community aware that the hospital now has these services and helping them learn about basic dental care.