myungsung christian medical center

MYUNGSUNG CHRISTIAN MEDICAL CENTERANNUAL REPORT 2011

COPYRIGHT 2011 MYUNGSUNG CHRISTIAN MEDICAL CENTER. ALL RIGHTS RESERVED.MISSION DEVELOPMENT (251)11 629 54 20

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MYUNGSUNG CHRISTIAN MEDICAL CENTER

ANNUAL REPORT 2011

발행일 2012.7.3

Table of Contents

MYUNGSUNG CHRISTIAN MEDICAL CENTER ANNUAL REPORT

2011

Chairman of the Board’s Message / 4Director’s Message / 5About MCM / 6Organization Chart / 6Vision, Mission, and Core Values / 7History of MCM / 8 About Addis Ababa / 9

Staff Profile / 10New Changes and Development of 2011 / 12Articles / 14 Events / 17Community Outreach / 20Division Reports / 23Financial and Statistical Data / 39


4 ANNUAL REPORT 2011



Director’s Message

Since 2004, MCM has been here for the people of the Ethiopia. I deeply honor the many people, especially the missionaries and medical volunteers from Korea and other foreign countries, who have dedicated their lives to serve the people in this remote place. At first, MCM was a small clinic set up with the help of Ethiopians and Koreans, but with the sincere request of the Prime Minister of Ethiopia, it was recreated into a hospital housing 300 patients.MCM offers quality hospital services to the sick, especially for the poor, and serves communities directly. Moreover, MCM has now become the most trusted hospital in Ethiopia, as well as a designated hospital for important persons who are visiting the country. MCM is in itself a miracle, a fruit of blessing given by God. Without God’s help and prayers from our friends all over the world, this would not have been possible. MCM will continue to grow in both medical and spiritual aspects. We sincerely wish for MCM to soon become a great cornerstone for missionary work in Ethiopia. May the blessings of God be with all those who have prayed for and supported MCM Hospital. Without a doubt, year 2011 has been a year of great achievement for our hospital. However, we also recognize that our goal to create MCM into a world-class health facility will require much effort to achieve. We are ready for the challenge.

Senior Pastor, Myungsung Church Kim, Sam-hwan

Hallelujah! Everything is grace from our healing God.Myungsung Christian Medical Center (MCM) is a general hospital with modern facilities that has been built to preach the gospel of God through medical care. We are devotedly working hard to treat physical sickness as well as heal spiritually.In 2011, we were honored to meet numerous precious people through various events at MCM. United Nations Secretary General Ban Ki-moon, South Korean Foreign Affairs and Trade Minister Sung-hwan Kim, South Korean President Myung-bak Lee, and many others have visited MCM in 2011. Also, we were able to set up a foothold for Ethiopia’s medical development through Health Expo 2011 and the 1st Ethiopian Korean Medical Conference. Moreover, we have successfully launched many annual medical projects including Facing Africa, Open Heart Surgery, and Mobile Clinics throughout the year of 2011. With Senior Pastor Kim Sam-hwan of Myungsung Church, we celebrated the completion of the Good News Church, the ground-breaking of a new hospital building, and the completion of Myungsung Medical College (MMC). Furthermore, we are planning to cultivate future medical professionals through Myungsung Medical College to lead Ethiopia’s medical development and innovation. Through MMC, we will do our best to nurture excellent professionals, implement Ethiopia’s medical infrastructure, and provide advanced education to Ethiopians. MCM’s mission is to show the love of Jesus Christ by providing advanced medical services to Ethiopians who are unable to get proper medical care, in cooperation with missionary organizations, churches, and non-governmental organizations all over the world. We sincerely request your prayers and interests for MCM and MMC, so that we can continuously be used as God’s tool to heal physically and spiritually in Ethiopia.

Medical Director and C.E.O.Dr. Chulsoo Kim

Message from the Chairman of the Board





The Myungsung Christian Medical Center (MCM), located in Addis Ababa, Ethiopia, wasestablished by the Myungsung Presbyterian Church of South Korea to provide quality ealth care to the people of Ethiopia and to train Ethiopian medical professionals. MCM has both foreign and Ethiopian medical personnel who are motivated and committed to take care of the medical needs of patients who enter the hospital. Being the first state-of-the art hospital in Addis Ababa, our hospital offers high quality personal and professional health care services to all. We also reach out to the rural areas of the country through our mobile clinics. We provide financial aid to many patients who cannot afford treatment. In addition, throughout the year, medical professionals come from countries around the world (Korea, United States, Norway, Canada, etc.) to provide free and highly specialized medical care, which is not available in Ethiopia. MCM seeks to collaborate with organizations and professionals who share its interest in developing training facilities for Ethiopia’s medical professionals and providing modern health care training.

VisionOur vision is to become the best hospital in Ethiopia and to providequality medical service. We also strive to play a pivotal role for medicine and medical education in Ethiopia by training medical professionals and expanding the availability of advanced medical treatment.

MissionOur mission is to show the love of Jesus Christ by providing advanced medical services to Ethiopians who are unable to get proper medical care. We want MCM to be self-sustaining so the hospital can prosper for many generations to come.

About MCM

CoreValues

Compassion To reach out to people in need and give comfort as Jesus did.To nurture the spiritual, physical, and emotional well-being of oneanother. To embrace those who are suffering.

Excellence To strive for highest quality and continuous improvement.To be thoughtful and decisive in leadership, be accountable for our actions, and be willing to improve our quality and services.

Cooperation and RespectTo cooperate with the Ethiopian government, international organizations, evangelistic churches, and other mission organizations throughout the world. To help and respect employees, and to pursue the development of the organization.

Organization Chart

Missionary Group

President

Chief Executive Officer Chulsoo Kim

Myungsung International Development(MID)

Myungsung Christian Medical Center(MCM)

Myungsung Prosbyterian Church

Chapel

Pastor Pastor

MissionaryAdministration Social Work

Advisory Board of Director

Administratio

Chief Operating Officer Jae Yeoul Lee

MesicalAssisrant

Accounting

Admission and Discharging

Medical Record

Human Resources

Equpment Maintenance

Building Maintenance

Security Team

Nutrition

Management

Chief Advisory Board

Medical Department

Chief Medical Board

SpecialTreatment

Center

VIPTreatment

Center

MedicalTreatment

Nursing Pharmacy Sanitation

Trauma unit

Burn unit

Internal Medicine

General Surgery

Neurosurgery

Orthopeddics

Pediatrics

Radiology

Anesthesiology

Dentistry

Ophthalmology

Obstetrics and

Gynecology

Clinical Pathology

Physioherapy

Ward room

Operation room

Delicery room

Neonatal care

Intensive care

Solomon Bekele

Donald E.Pearson

Supported by Myungsung Church (USD)

Construction of Medical College and Church 1,701,000

Medical Equipments and Medical Supplies 12,950,000

Charity Works 1,680,000

Others 613,000

Total 16,944,000





History of MCM

Relations between Korea and Ethiopia grew close during the Korean War between 1950 and 1953. It was during this time of intense conflict in Korean history that Ethiopia came to assist Korea by sending its troops under the U.N. Coalition Forces. This military support was of utmost importance to Korea; therefore, many Koreans feel obligated to support Ethiopia in its effort to become a developed country. When Reverend Kim Sam-hwan’s (senior pastor of the Myungsung Presbyterian Church) visited Ethiopia, a beautiful and open land of nine hectares was given to Myungsung International Development by the city of Addis Ababa in 1996 for the construction of a hospital. Located in Addis Ababa, the capital city of Ethiopia, MCM started its operations on November 25, 2004. It was outfitted with state-of-the-art modern facilities and has been treating a continuously increasing number of patients. From the beginning, the objective of the hospital had been to meet the healthcare needs of the Ethiopian people and further the development of medical professionals inthis developing country. It is by the grace of God that MCM could be a small token of appreciation from Korea to Ethiopia. It is the Korean way of giving back to the Ethiopian community, and we hope that it will be a vessel of relief for the sick. We believe that the MCM will be a tool for God’s healing hand in Ethiopia.

About Addis Ababa

The capital of Ethiopia, Addis Ababa, is not only the seat of the Ethiopian central government, but also that of the African Union, making it the diplomatic capital of Africa. The city also hosts many meetings of international non-governmental organizations. The international importance of Addis Ababa makes it the gathering point of many diplomats and heads of states and increases the already rich ethnic diversity of Ethiopia. The city enjoys a temperate climate as it is situated on a highland plateau 2,200 to 2,600 meters (7,500 ft. – 8,000 ft.) above sea level. Temperature in Addis Ababa ranges from 26˚C (80˚F) to 4˚C (40˚F).The weather is usually sunny and dry, but with short rainfalls occurring from February to April, and the primary rainy season beginning in mid-June and ending in late September.

Population

Annual growth rate

Population per doctor

Population per hospital bed

Population per nurse

Life Expectancy

Maternal mortality rate

Infant mortality rate

HIV prevalence rate

Reported AIDS Deaths

Fully Immunized Children

Health expenditures

Education expenditures

Human Resources (in service)

Doctors

Nurses

Medical graduates per year

Specialists:

General Practitioners:

Nurses:

General Hospitals

Health Care as % of Govt.Budget

Health Budget Per Capita

93.8 million

3.18%

5,454

5556

4,207

Male: 54 years, Female: 59 years

470 deaths/100,000 live births

75.3 deaths/1,000 live births

2.1%

71,902

52.5%

3.6% of GDP (2009)

5.5% of GDP (2007)

4,608

18,146

210

161

1,846

143

10.8%

15.50 birr ($1.68 U.S.)

Data on Ethiopia

Opening of MCM2004

Hospitial was named asMyungsung ChristianMedical Center (MCM)

2003

Ground Breaking ceremony2001

Agreement on free landuse with the EthiopianGovernment(90,000m2)

1997

Submitted the hosptialconstruction plan to theEthiopian InvestmentAuthority; established andregistered MyungsungInternational DevelopmentP.L.C.

1996

Pastor Sam-hwan Kimled a church revivalcongregation in AddisAbaba; The Prime Minsterof Ethiopia, Meles Zenawi,asked for a medical facility

1992

Ethiopian church leadersand Korean War Veteransvisited Korea.

1991





Alemu Negera Refu-GS-

Zelalem Molla Alemayehu

-GS-

Hyun Sik Chang-GS-

Donald Pearson-OS-

Solomon Bekele Assefa-GS-

Wendaferaw Wendemu-OS-

Hailu Shewa Amare G.Tsadik

-Orth-

Einar Eriksen-Burn Unit-

Kjell Magne Kiplesund-Trauma unit-

Jihong Bae-Ophth-

Chulsoo Kim-ObGyn-

Mekonnen Kebede-ObGy-

Solomon Berkessa Birri-Radiologist-

Fanaye Yilma Desta-Radiologist-

Yared Nigusie Nigatu-Radiology-

Tadesse Legesse Bogale

-ICU-

Safi Ur Rehman-NS-

Sung Hye Kim-ObGyn-

Sergute S. Tebebe-ObGyn-

Israel H.giorgis Demissie

-Internal Med-

Asfaw Tena Gedo-Internal Med-

Zewdu Assefa Kebede-Internal Med-

Dessalegn Lemessa Tesso

-Pediatrician-

Aster Bekele Alemayehu-Pediatrician-

Kinfu Betemariam Bezabih

-Anesthesiology-

Tigist Asmelash-Dental-

Kidist Fikre-Dental-

Solomon Mulugeta-Dental-

Robera Chala Abeebe-Dental-

Sung Geun Lee-Dental-

Rahel Getachew H.michael

-Internal Med-

Noah G.meskel Dessalegn

-GP-Plastic surgery-

Bezuayehu Kebede Ayane

-Internal Med-

Kahsu Alemu Tsehay-ICU-

Bereket Tessema-ER-

Betelhem Workineh W.Amanuel

-Physiotherapist-

Wendwessen Zewdie Worede

-Clinical Pathology-

Aberash Gudeta Emana-Lab-

Ermias Tadesse Tilahun-Coord. Radiology-

Roba Banata Bali-Senior Physiotherapist-

Zenith Seltanu Kassahu-Phar-

Mintwab Habtamu Ayele-Nurse-

Tigist Meda Feki-Nurse-

Rahel Syoum Endailalu-Nurse-

Zelalem Tesfaye Mitiku-Chief Anesthetist-

Meseret Eshetu TMariam

-Nurse Operation Theater-

Ruth Boge Birru-Charge -Nurse of OP-

Ashebir Fikadu-Charge nurse ER-

Bezuayehu Taye Gizaw-Nurse MS2-

Debrework Haile Quadu-Midwife-

Natnael Girma Seboka-Chaplain-

Assefash Yazachew Shimelash

-Social Worker-

Jea Youl Lee-C.O.O-

Byung Hwa Lee–C.T.O-

Eui Kwang Song-Chaplain-

Kefele Mormora Shemeni

-Chief Accountant-

Soon Jae Lee-Food Manager-

Tekola Mekonen Zelelew

-Sanitarian-

Tadesse Gemechu Bekesha

-Med Equip Tech-

Tesfaye Tezazu Desta-HR Manager-

Staff Profile Staff Profile





New Changes and Development of 2011

1. New Medical Professionals

Many doctors, nurses, and others were newly hired in 2011, resulting in an increase of MCM staff. New and dedicated staff, who are highly skilled in their specialties and have many years of experience, joined our hospital. Some of our new MCM medical specialists are :

a. Dr. Lee Sung-geun, Korean Dental specialistb. Dr. Wendaferaw Wendemu Deyan, Orthopedic specialistc. Dr. Israel, Internal Medicine specialistd. Dr. Kim Sung-hye, Korean OB-GYN specialiste. Dr. Bae-jihong, Korean Ophthalmology specialist

New Changes and Development of 2011

3. Opening of Dental Hygienist School

Dr. Kim Chulsoo, the medical director, and Dr. Lee Sung Geun, MCM’s new dental specialist, who came from Korea in 2011, are contributing to the development of Ethiopian Dentistry. With their help, a Dental Hygienist School was opened on November 1st, 2011. The Dental Hygienist School is a 1-year-program designed to train dental hygienists at MCM and to cultivate future intellectual dental hygienists in Ethiopia. Every year, two nurses from MCM are trained in this program. Furthermore, 15-20 people from outside MCM will be trained in this program every year beginning in 2013.

4. Opening of New ICU Building

With grateful support from the Lundin Foundation, our new ICU was successfully opened. The opening of the new ICU allowed the recovery room to be separated fromthe ICU, thus enabling nurses and doctors to provide more concentrated care to those critical patients in the ICU. The ICU staff consists of Dr. Tadesse Legesse, the head of the ICU Department, and 16 nurses, including two charge nurses. There are 11 beds in the ICU, each with its own patient monitor.

5 . ICU and Theatre Nurse Training Program

Throughout 2011, Sister Anne Kari Knutsen and Noodhana Kirba (ICU nurse) were involved in developing a curriculum for a new ICU Training Program for Ethiopia. The training will be the first of its kind in Ethiopia. During July 2011, the curriculum was accepted and endorsed by Ministry of Health (MOH) and Ministry of Education (MOE). The training will take place at St Paul University Hospital Millennium College, and practical assignments will take place at the new ICU department of MCM hospital.A similar training program in Theatre Nursing was also developed in 2011 and received acceptance by MOH and MOE. Several theatre nurses from abroad have been working on this program along with an Ethiopian theatre nurse Sister Negat Woldehawariat. Both training programs are two year programs that will lead to a BSC degree in nursing. The programs will be launched in 2012. Children’s Burn Care Foundation Ethiopia has supported the preparation for both programs.

6 . Opening of Ophthalmology Department

The Department of Ophthalmology was newly opened in December 2011 under Dr Bae Ji-hong, a Korean missionary and Ophthalmological specialist.The Ophthalmology Department has begun to provide medical treatment andsurgery to patients with eye related problems.

2. New Medical Facility

a. Dentistry : Modern equipment including dental chairs and panoramic x-ray machines

b. No.5 Operating Room : An operating lamp, two anesthetic machines, an operating table, and a scrub station

c. ICU : 11 beds (each with its own patient monitor), 24 hour oxygen supplies, vacuum supply units, and six ventilators.





In January of 2011, MCM signed a MOU with Pan-African Academy of Christian Surgeons (PAACS) and Soddo Christian General Hospital in Ethiopia. This MOU promises to establish relations in the area of postgraduate surgical education. The purpose of this MOU was to derive shared benefits from academics, research, and professional collaboration based on mutual understanding, reciprocity, and equal partnership. On March 3, 2011, a MOU between MCM and the Addis Ababa University School of Medicine (AAUSM) was achieved. The major agreement was the assignment of residents to MCM to contribute to their education by achieving the goals of the AAUSM resident training program. MCM has been providing the resources to meet these educational objectives, and will monitor success in achieving them.

On August 5, 2011, MCM signed a MOU with Incheon Red Cross Hospital. Under the MOU, MCM and Incheon Red Cross Hospital agreed to cooperate in exchanging medical information and plan to organize seminars for faculties.

On November 30, 2011, MCM signed a MOU with Bethany Kids Africa. Under the MOU, the major agreements were that BethanyKids Africa will provide pediatric surgeons and hire additional nurses and volunteers. MCM will provide adequate hospital space, free accommodation on MCM,and a monthly allowance to Bethany Kids volunteers.

On December 7, 2011, MCM signed a MOU with the Ministry of Health, Black Lion Hospital of Addis Ababa University School of Medicine (AAUSM), and the Korea International Cooperation Agency (KOICA). Under this MOU, they intend to collaborate on the implementation of Anesthesia training.

On December of 2011, MCM signed a MOU with the Ministry of Health, Black Lion Hospital, Addis Ababa University School of Medicine (AAUSM), and the Institute of Surgical Science University of Bergen, Norway. The purpose of this MOU is the establishment of a Neurosurgery training program with Addis Ababa University medical faculty and MCM.

Sung-hwan Kim -Minister of Foreign Affairs and Trade-

On April 8, 2011, Sung-hwan Kim, the Minister of Foreign Affairs and Trade of South Korea visited MCM for the first time along with the ambassador of South Korea, Soon-seok Jung and other high ranking government officials from South Korea. Minister Kim visited MCM once again on July 9, 2011 along with the President of South Korea, Myungbak Lee. The minister expressed great interest and appreciation for the plans for the construction of the Myungsung Medical College and the Maternal Child Health Service Project. South Korean Foreign Affairs and Trade Minister Kim’s message that was addressed to MCM is on the right :

ArticlesArticles

MCM signs MOUs (Memorandum of Understanding)

In 2011, Memorandums of Understanding (MOUs) were signed between MCM and various organizations including the Pan-African Academy of Christian Surgeons (PAACS), the Addis Ababa University School of Medicine (AAUSM), Incheon Red Cross Hospital, Bethany Kids Africa, Anesthesia KOICA, and the At Risk Children Project. In addition, there are several MOUs between MCM and other organizations that are still in progress. Some of the MOUs currently in progress with other organizations are ones with the Children’s Burn Care Foundation (CBCF), FX, and ORBIS. MOUs have been paving the way for collaboration with various organizations, universities, and hospitals in order to improve medical education systems and to provide services for needy people in Ethiopia.

Ban Ki-moon, the Secretary General of the United Nations, visits MCM

On February 1, 2011, United Nations Secretary General Ban Ki-moon visited MCM. Briefing U.N. Secretary General Ban, Dr. Chul Soo Kim said that the hospital was opened in response to the request of Prime Minister Meles Zenawi during his visit to Korea. After a tour of MCM, U.N. Secretary General Ban expressed pleasure with what MCM has accomplished in Ethiopia. He encouraged the staff of MCM and Myungsung Church to continue this good work for the less fortunate people in Ethiopia. U.N. Secretary General Ban Ki-moon’s visit was a great opportunity for the hospital to promote MCM and its mission of showing the love of Jesus Christ by providing advanced medical services to Ethiopians who are unable to get proper medical care.U.N. Secretary General Ban Ki-moon left us this message :

“I highly commend the noble contribution which Myungsung Christian Medical Center has

been making for the Ethiopian people. Promoting global health is one

of the top priorities of the U.N. I applaud doctors, nurses, volunteers and many others for

their noble work.”-Ban Ki-moon-

“To those people of Myungsung Christian Medical Center who are serving and volunteering here in

Ethiopia, I pay my great respects. You are the pride of South Korea.”

– Sung-hwan Kim-





The Korean Government has always deeply appreciated Ethiopia’s military support during the Korean War. Even before the Korean Government reached out to Ethiopia in appreciation to its contribution to the Korean Independence, non-government organizations had come first to Ethiopia with the aid of churches and NGOs. Therefore, I want to show my gratitude and encouragement to MCM for showing such self-sacrifice and dedication in their works and services in helping Ethiopia. There is nothing more precious than life on earth, is there? By taking every single Ethiopian life valuable, treating people in need with all your hearts, and giving new lives to those who are dying, you are doing the works like those of angels in heaven. I have heard that MCM has greater plans for the future including hospital expansion and the establishment of medical school.I sincerely hope that all the plans will be accomplished with God’s help. Since I have seen how much you pray for MCM, I think there will be no problem in promoting these plans. There are medical volunteers from foreign countries. There are interns and volunteers from Korea as well. I want to thank everyone here for those different kinds of services taking place at MCM. I wish every one of you would always stay healthy and be loved by the people of Ethiopia. I pray that God’s richest blessings be upon you and MCM. Thank you.”

By Myung-bak Lee, President of Korea

Myung-bak Lee, the current president of South Korea, and the first lady visited MCM on July 9, 2011. The Minister of Foreign Affairs and Trade, Sunghwan Kim, the Minister of Knowledge and Economy, Joongkyung Choi, the chief director of KOICA (The Korea International Cooperation Agency), Daewon Park, the ambassador of South Korea to Ethiopia, Soonseok Jung, and a member of the National Assembly, Yoonseon Cho accompanied the President.Dr. Chulsoo Kim, the director of MCM, gave the President a brief presentation and introduction on the history, vision, mission, and future plans of MCM. During the tour of the hospital, President Lee spent time with the patients, giving them words of consolation and encouragement.

The purpose of President Lee’s visit was to exhibit the President’s official gratitude and congratulations for what Myungsung Church has accomplished in Ethiopia through MCM. It was a great opportunity for MCM to be recognized by the media.

During the visit, President Lee left us his words of appreciation and encouragement:

Since I have been well aware of a lot of good works MCM has done in Ethiopia, I have always wanted to visit this place.

This opportunity allowed me to be here today.

“ By taking every single Ethiopian’s life valuable, treating people in need with all your hearts, and giving new lives to those who are dying, you are doing works like

those of angels in heaven.”-Myung-bak Lee-

President Myung-bak Lee of South Korea Visits MCM

Articles

1. Health Expo 2011

The Ethiopia Health Expo 2011 was held from May 19th to 21st at the Addis Ababa Exhibition Centre. The Health Expo 2011 provided twenty sections including the Ethiopian Ministry of Health, hospitals, and health-related organizations.

Events of 2011

2. The celebration of the 60th Anniversary of Korean War

MCM supported the celebration of the 60th Anniversary of Korean War. It was held inEthiopian’s Korea War Veterans Memorial Park (Afincho Ber Park) on June 5th, 2011.MCM’s medical team was on standby for emergencies and other MCM volunteersattended the celebration. Korea always appreciates all the support from Ethiopiaduring the Korean War, and it was an honor to take a part in this celebration.In recognition of its contribution in medical support, MCM has receiveda plaque and a Certificate of Appreciation on the Celebration of the60th Anniversary of Korean War.

3. MCM receives Environmental Excellence Award

On July 13th, 2011, the Addis Ababa City Environmental Protection Authority presented MCM with its 2011 Environmental Excellence Award. We, MCM, are honored to accept the Award, and we promise that our ongoing development of innovative technologies and our comprehensive application of environmental strategies and practices will protect the environment of the communities and customers we serve.





6. Opening ceremony of Awash bank – November 12, 2011

Awash International Bank opened a branch inside the hospital compound. In order to give convenience and safety to patients and employees related to MCM, a new office branch of Awash International Bank was built inside the hospital grounds. It is located at the western end of the hospital compound.

Events of 2011

4. Volunteer Medical Services and Symposium in Celebration of MCM’s 7th Anniversary

On the Celebration of the 7th Anniversary of MCM, a medical symposium and free medical services by volunteers were held from September 23rd to October 2nd, 2011. Myungsung Church members and volunteers from various hospitals (Myungsung Church medical ministry, Inha University Hopital, and Ilsan Hospital) came to Ethiopia, organized a team, and helped the less fortunate people in Ethiopia and showed them God’s love and mercy. Furthermore, through the Ethiopian Korean Medical Symposium, we expect to seek more joint efforts in order to improve Ethiopian medicine as well as in our future Myungsung Medical College.

5. 1st Ethiopian Korean Medical Conference

On September 27, 2011, the First Korean Ethiopian Medical Conference was held at Addis Ababa Ghion Hotel in cooperation with Myungsung Christian Medical Center and Addis Ababa University. 141 medical professionals from Ethiopia and Korea attended in order to present the most up-to-date medical information and technology. The topics for the conference were :

Recently updated intervention for Hepatocellular CarcinomaParadigm shift in the treatment of vascular diseasesUpdate on toxic hepatitisEndoscopic intervention for GI DiseasesRecent updates in treatment of ESRDSeries in brown tumor as late manifestation of hyper parathyroidismFacial rejuvenation

Events of 2011

7. Celebration of The 7th anniversary of MCM

a. The Ceremony for the completion of Good News ChurchOn November 25th, 2011, the dedication service for the completion of the Good News Church was held by Reverend Kim Sam-hwan, senior pastor of Myungsung Church. The Good News Church was built as 30th year memorial church of Myungsung Church.

b. The Ground-breaking Ceremony of New Hospital Building

c. The Ceremony for the completion of Myungsung Medical College.Myungsung Medical College will be opened on September 2012. Myungsung Medical College is being established to train competent, compassionate leaders in medicine with an international standard of excellence, as well as to train community oriented doctors for the Ethiopian people.





Free Mobile Clinic in 2011No Location Date Patients Sponsor MCM

Volunteers1 Gapara May 150+ MCM 20

2Addis Ababa Ras Desta Municipal H ospital

June 4000+ MCM / Good Volunteer Center 20

3 Ginzi July 70+ MCM / KOICA 13

4 Gapara / MCM Hospital September 851 MCM 45

Free Operations in 2011

Class Pt. Number

Operation 15

Angiography 4

Endoscopy 2

Ophthalmology 35

Screening 51

TOTAL 107

Community Outreach Community Outreach

6. Neurosurgery (Hydrocephalus Operation)

Neurosurgery is a very costly surgery. MCM has been providing Hydrocephalus surgery to children who cannot afford to pay.

Hydrocephalus Operation Cases in 2011: 78

7. Free Medical treatment for Korean Veterans

In appreciation for all the support from Ethiopia and the veterans during the Korean War, MCM provides free medicaltreatment to Korean War Veterans and also supports 50 % of the medical cost for those veterans’ spouses.

8. Well Drilling –MCW (Myungsung Christian Water Well)

Many rural areas do not have access to fresh, clean water.MID, in partnership with World Together, has drilled boreholes for underground water to provide water resources for drinking, washing, bathing, and agricultural use year-round. Previously, these people had to get their water from dirty streams or in-ground springs. In 2011, many projects requested by the government and private organizations were performed successfully. The Oromiastate government has an especially good relationship with us.In 2011, 44 boreholes, including 5 deep wells, were developed.As a result, various communities can now have abundant waterresources.

Our ultimate goal is to establish the advanced technology of well drilling, and to train well-drilling technicians in Ethiopia.

5. Open Heart Surgery

Open Heart Surgery Project took place twice in 2011.

1) From April 8-14, 2011, twelve medical professionals— sixdoctors and six nurses from all over the world volunteered to come to MCM to do free open heart surgery for 8 patients.

2) From November 17-26, 2011, medical professionals from all over the world came to MCM to perform free open heart surgery for 11 patients.

3. Free Operation

During the year, many volunteer physicians from abroad came to provide free medical care to patients, including surgery at no cost.

1. Needy Patients’ Support

MCM provides medical service to the needy through funding from World Together, a Korean NGO.

4. Facing Africa –Noma

Noma (cancrum oris) is an acute and ravaging gangrenous infection affecting the face. The victims of Noma are mainlychildren under the age of 6, caught in a vicious circle of extreme poverty and chronic malnutrition. Facing Africa - Noma provides funds for the teams of voluntary surgeons from the UK, Germany, and Holland to Nigeria and Ethiopia to perform facial reconstruction surgery on the victims of Noma, and for the acquisition of related equipment for hospitals in Addis Ababa (Ethiopia) and Sokoto (Nigeria). Facing Africa teams came to Ethiopia twice in 2011— in February and in October. 43 patients and 36 patients weretreated respectively, totaling 79 patients who were treated in 2011.

2. Free Mobile Clinic

From time to time, MCM sends a team of doctors and other personnel to very rural areas of the country where medical care is almost non-existent. This opens an incredible door for both MCM and any visiting missionaries to share God’s love with those who can neither access nor afford treatment and may have heard of our loving Savior, Jesus Christ.In 2011, MCM held Free Mobile Clinics four times and more than 5,000 people were treated through these services.

2010 2011

Open Heart Surgery Case 8 19

2010 2011

Number of Korean Veterans treated 192 425

2007 2008 2009 2010 2011 Total

Shallow Wells (<100m) 4 0 40 5 39 88

Deep Wells (≥100m) 6 8 3 8 5 30

Total Boreholes 10 8 43 13 44 118





Events of 2011 Division Reports

1 .Construction of New Hospital Building

Necessity-Response to the increasing desire for excellent medical service-Elimination of the inconvenience to travel abroad for medical treatment.-Improvement in relationships between foreigners and Ethiopian VIPs by providing medical services-Increase in hospital income

Plan-Construction of a new, 5-story building next to the existing building inside the MCM compound-Total cost : USD 7,300,000-Estimated building cost : USD 3,000,000-Estimated cost of facilities : USD 4,300,000

Department of General Surgery

The General Surgical Department has a 24 hour service run by three Ethiopian general surgeons and one Norwegian trauma surgeon. In the beginning of 2011, Dr. Chang, an experienced general and vascular surgeon with many years in clinical practice, joined the department from the USA. This year, we started breast clinic and vascular surgery services that were previously not available in Ethiopia. Major and minor surgeries performed at MCM have been a great contribution toward implementing new advanced technology in the field of medical surgery in Ethiopia. In addition, the number of laparoscopic cholecystectomy has been increasing significantly each year showing that the community has become more aware of new advanced medical technologies. The department performs a wide variety of surgical procedures that account for many different types of patients such as: goiter, benign prostatic hyperplasia (BPH), hernia, hemorrhoids, and trauma. Some surgical procedures are performed more frequently than others. The common surgical procedures that are performed in the surgery department are listed below :

One special feature of MCM is the availability of laparoscopic surgery, which is an operation performed through small incisions with the aid of a camera. Because laparoscopy enables surgeons to perform minimally invasive surgeries, there have been less post surgical complications.

2. Establishment of MCM Medical College

Necessity-Cultivation of high quality medical professionals-Absolutely insufficient number of doctors in Ethiopia

Plan-2011 October : Completion of Construction-2012 March : Completion of the facilities and authorization of Medical College

-2012 September : Opening of Medical College

Estimated Cost-Construction of Building : USD 880,000-Facilities : USD 1,300,000-Construction of Dormitory and Library : USD 1,800,000

3. Establishment of mother and child hospital of Maternal Child Center

Necessity-UN MDGs Goal 4: Reduce child and mother mortality-UN MDGs Goal 5: Improve maternal health

Goal-Establishment of the Maternal Child Health Center-Improvement of the Local Health Center-Training local health and medical workers-Establishment of an evacuation system for patients

Plan1) Building and Facilities

-2013 : Selection of building company and the start of construction-2015 : Completion of construction for the Maternal Child Health Center building-2016 : Completion of the Maternal Child Health Center facilities and appurtenant work

2) Management-2015 : Selection and training of staff-2016 : Opening of the Maternal Child Health Center and start of provision of medical treatments

3) Cultivation of Professional Medical Human Resources

4) Human Resource Support to Local Major Hospitals-2019 : Dispatch of professional nurses to major

local hospitals

Estimated Cost-Approximately USD 4,400,000

New 1750

Repeat 3550

Total 5300

Patients in 2011

Rank Type of Surgeries No. of Cases

1 Laparatomy 125

2 Lap. Cholecstectomy 117

3 Open Cholecystectomy 88


1 Maxilofascia 26

Others 284

Total surgeries 370

General Surgery


1 Prostatectomy 61

2Patients in 2011Nephrolithotomy &Nephrostomy

18

Others 36

Type of Surgeries 115

Urosurgery


1 Maxilofascial 36

Others 0

total surgeries 36

Maxilofacial


1 Tympanoplasty 38

2 Mastoidectomy 25

3 Septoplasty 88

4 Endonasal 16

5 Adenotomy 1

Others 0

total surgeries 92

ENT (Otorhinolaryngology)


1 Vascular 84

2 Amputation 16

Others 0

Type of Surgeries 100

Vascular Surgery

Equipment List-Laparoscope, proctoscope-A set of minor instruments needed for different types of surgery such as forceps, clamps, occluders, scalpels, specula, etc.

Top 5 Surgeries in 2011





Division Reports Division Reports

Department of Internal Medicine

The Department of Internal Medicine is an extremely vital part of the hospital, contributing to the highest patient turnover rate both in its outpatient and inpatient service. As a result, it ranks highest in terms of income generation for the hospital. Our GI (gastrointestinal) Unit is now second to none in the country.. Since 2004, the Department of Internal Medicine has been performing diagnostic endoscopies for patients. Specifically, upper and lower gastrointestinal endoscopies are performed to examine the gastrointestinal tract and other procedures such as bronchoscopy, sigmoidoscopy, and colonoscopy are used to examine other organs throughout the respiratory and digestive system. Through these examinations, tumors are often detected and biopsied to further analyze the characteristics and severity of the disease. Since this department is sought by many patients who have problems in the gastrointestinal and respiratory tract, most diagnosis are as follows :

Neurosurgery

The Neurosurgical Department at MCM is responsible for spine and brain surgeries for pediatric and adult patients. . This department is staffed by full-time consultant neurosurgeons and is covered by residents in collaboration with Black Lion Hospital. Due to intake of vitamins and nutrients, many Ethiopian babies suffer from hydrocephalus. With the presence of advanced medical equipment, our department conducts minimally invasive hydrocephalus surgeries to those unfortunate patients. In addition, transsphenoidal hypophysectomy, and craniotomy are common surgical procedures that are performed in this department to treat patients with pituitary tumors and brain aneurysms.

Department of Orthopedics

Orthopedic surgical service in Ethiopia is a relatively new specialty with limited number of professionals in service. Many of the patients are unaware of this service and tend to go to local bonesetters, often causing disastrous complications. Along with earlier accomplishments, an MCM program to enhance musculoskeletal service to the general public has been completed in 2011. Referrals come from throughout Ethiopia, and most of the patients are suffering from a delay in treatment or complications caused by infections. This results in a significant challenge in achieving satisfactory results. The Orthopedic department has added Dr. Wendaferaw to the staff of MCM, joining Dr. Hailu ShewaAmare and Dr. Donald Pearson. Dr. Wendaferaw completed his residency at Black Lion Hospital and has also completed a one year fellowship in Pediatric Orthopedic Surgery at the Johns Hopkins University in Baltimore, Maryland, U.S.A. The SIGN (Surgical Implant Generation Network) intramedullary nail implemented in 2010 has been used extensively throughout 2011 with increasing skill. The SIGN database has been updated regularly for scientific studies. Materials and supplies have increased and purchasing procedures have been put in place. Through the issuing of a grant, a Stryker Arthroscopy System was purchased and donated to MCM. Training of the ancillary personnel is in progress. Volunteer foreign specialists are a major part of the teaching in the long range enhancement of orthopedic service at MCM. During 2011, visiting pediatric orthopedists, hand surgeons, spine surgeons, and general orthopedists have generously shared their knowledge and skills with us and residents at Black Lion. In addition, we were joined by a resident from France and students from the U.S. participating in our summer program of 2011.

Chronic gastritisErosive gastritisBile reflux gastritisGastro esophageal reflux diseasePeptic ulcer diseaseInflammatory bowel diseaseGastric malignancyEsophageal

-Endoscope-Colonoscope-Sigmoidoscope-Bronchoscope-Echocardiog

Equipment List

New 6,445

Repeat 11,685

Total 18,130

Patients in 2011

New 1,189

Repeat 3,388

Total 4,577

Orthopedic Patients in 2011

Top 5 Surgeries in 2011 Orthopedics


1 ORIF 54

2 Sign Nail 33

3 Pinning 29

4 Amputation 27

5 External fixation 12

Others 101

total surgeries 256

Top 5 Surgeries in 2011 Orthopedics


1 Craniotomy 142

2 Burr hole 101

3 VP shunt (Hydrocephalus case) 78

4 Laminectomy & Discectomy 40

5 Fusion 32

Others 92

Total surgeries 485

New 350

Repeat 1,290

Total 41,640

Patients in 2011

Equipment List-Craniotomy Set-Myelomeningocele (MMC) set-Endoscopic Third Ventriculostomy (ETV) set-Laminectomy set-Anterior Cervical Discectomy (ACD) set-Microscope -Horseshoe support-Nitrogen drill -Burr hole set-Skull clamp -Leylaretractor

Pediatrics

The department of pediatrics at MCM has two major areas of pediatric care: the prevention program and the treatment program. The prevention program ensures the health of babies through growth monitoring, vaccinations for babies who are 10-20 weeks old, and vitamin A supplementation. For the treatment for pediatric patients, there are often collaborations with specialists from other departments such as Neurosurgery, Burn Unit, ICU, and OB-GYN in order to decide the most effective option that is available for the patients.

The Pediatric Department usually consults about 30-40 outpatients per day. Most of the patients who come to this department have conditions such as lung diseases, gastrointestinal diseases, and ordinary fever or cough. The department is also responsible for examining the health of all the newborns that are delivered. Newborns with complications or diseases are transferred to the Neonatal Intensive Care Unit (NICU) for specialized.

Types of VaccinationsBCG, POLIO, DPT, HeB, HIB, MUMPS, PCV, ROTA VIRUS, MEASLES Patients in 2011

RankType of Surgeries No. of Cases

Inpatients (NICU) 172

Inpatients (Delivery Room) 851 neonates evaluated

Outpatients (New) 2386

Outpatients (Repeat) 5103

Outpatients (Immunizations) 751

Total 9263

Equipment List-Incubation-Phototherapy unit-Infantile ventilation-Infant monitor





Division Reports

Department of Anesthesiology

The Department of Anesthesiology provides a perioperative Anesthesia service to patients. With a dedicated staff, this department provides the standard of care utilizing the most up-to-date machines and monitors available in Ethiopia. The service is provided 24 hours a day for both elective and emergency operations.

Division Reports

Department of Obstetrics and Gynecology

The services provided by this department are divided into two parts: Obstetrics and Gynecology. Obstetrics focuses on the care and treatment of the mother and the child before pregnancy, during pregnancy, and after delivery. Gynecology deals with the diagnosis and treatment of diseases and disorders originating from the female reproductive system. Preventive measures and tests (Pap smear, mammography, HIV test, etc.) are practiced in both fields. The services in this department are mainly provided by experienced specialists and midwives, while general practitioners and clinical nurses provide supportive care. Under the direction of Dr. Kim, Medical Director of MCM, the department started to perform laparoscopic gynecological surgeries since 2010.

Major Clinical ProceduresExpectedly, the medical services offered in this department are usually sought by women with reproductive disorders or pregnant women. MCM’s OB-GYN performs minimally invasive gynecological surgeries (laparoscopic and hysteroscopic). Some of the common surgical procedures performed are listed below.One special service offered by this department is PMTCT (Prevention of Mother-To-Child Transmission of HIV). This service is provided in collaboration with Addis Ababa Regional Health Bureau (AA-RHB), Johns Hopkins University’s Tsehay project, and the Ethiopian Society of Obstetricians and Gynecologists.

Another special service offered by this department is PMTCT (Prevention of Mother-To-Child Transmission of HIV). This service is provided in collaboration with Addis Ababa Regional Health Bureau (AA-RHB), Johns Hopkins University’s Tsehay project, and Ethiopian Society of Obstetricians and Gynecologists

-General surgery-Pediatric Surgery-Orthopedic Surgery-Gynecological Surgery-Obstetrics Surgery-Neurosurgery

Major area of clinical activities is providing Anesthesia for :

-General surgery-Pediatric Surgery-Orthopedic Surgery-Gynecological Surgery-Obstetrics Surgery-Neurosurgery-Fasciomaxillary Surgery-ENT Surgery-Thoracic surgery (including one lung anesthesia) -Peripheral Vascular Surgery -Plastic Surgery-All emergency Surgeries

Special Anesthesia delivered for major surgeries and some lasting formore than 8 hours are :

-Four state of the art Anesthesia machines with Isoflorane, Enflourane, and Halothane Vaporizer-Monitors: One for each room that function to monitor ECG(rhythm, rate), automatic NIBP, SaO2 (absolute value andgraph), and EtCO2 (end tidal CO2 and Capnograph)

-Defibrillator-All materials to be used are sterilized by gas

Equipment List

-Fasciomaxillary Surgery-ENT Surgery-Thoracic surgery (including one lung anesthesia) -Peripheral Vascular Surgery -Plastic Surgery-All emergency Surgeries

Elective Surgery 77%

Emergency Surgery 23%

Types of Anesthesia in 2011

-Increase the activity by including one additional operation room-Introduce Sevoflurane for general anesthesia-Start invasive monitoring like CVP, direct arterial line and monitor BP, CO, PCWP, etc.-Provide Pain Clinic on a regular basis•Start Anesthesia training program

Future plans

Types of Anesthesia for Elective Surgeries in 2011

Type Percentile

General Anesthesia 70%

Short GA with mask 12%

LMA 11%

Spinal Anesthesia 7%

Teaching Activities

-Practical teaching for Msc anesthesia students from•School of Anesthesia Addis Ababa University and•School of Anesthesia Gonder University

-Students are trained at our department for a period of 1-3 months

Deliveries in 2011

Type Case

SVD (Spontaneous V.Delivery) 358 (42.5%)

Caesarian Section 440 (53.0%)

Instrumental delivery 32 (3.9%)

Total delivery 830

Total babies 851 (19 twins and 1 triplet)

New 1274

Repeat 9084

Total 10358

Patients in 2011

Top 5 Surgeries in 2011


1 Caesarean section delivary 433

2 Hysterectomy 31

3 Myomectomy 21

4 Hysterescopy 15

5 Laparatommy 14

Others 6

total surgeries 520

Obstetrics and Gynecology

-Caesarian Section-Myomectomy-Hysterectomy-Salpingo-oopherectomy





Patients in 2011New 189

Repeat 569

Total 758

Division Reports

Department of Dentistry

Many Ethiopians are not aware of the importance of correct dental hygiene and dental care. As a result, patients often comewith conditions such as dental cavities, gingivitis, and cellulitis.MCM’s dental department offers high quality dental treatment on Mondays, Thursdays, and Saturdays. On thesedays, the office is usually crowed with patients. The Dental Department generously provides free dental treatments to many people who cannot afford them.

In order to treat a variety of dental problems, the departmentis outfitted with the necessary equipment to conduct bothminor and major surgeries. In 2011, the Dental Departmentwas equipped with additional modern equipment such as dental chairs, panoramic X-ray machines, and materials such as composite resin.

Major clinical procedures

a. Oral surgeryb. Conservative dentistryc. Endodontic treatmentd. Prosthodontics treatmente. Pediatric dentistryf. Periodontic treatment

We give the following services at present,with a plan to add more

Dr. Chulsoo Kim, the medical director, and Dr. Lee Sung Geun, MCM’s new dental specialist who came from Korea in 2011, have been contributing to the development of Ethiopian Dentistry. The Dental Hygienist School was opened on November 1st, 2011. The Dental Hygienist School is a 1-year-program designed to train dental Hygienists. Every year, 15-20 students will be trained in this program.

Dental Hygienist School

Examinations in 2011Type Cases

Routine radiography 9544

Special examination 69

Ultrasound studies 8548

CT (including angiographies) 2603

Interventional radiologic procedures 36

Total 20800

Division Reports

Department of Radiology

As one of the major departments of the hospital, the Department of Radiology is providing diagnostic imaging services to MCM and other hospitals as well as to patients from neighboring countries such as Somalia and South Sudan. In 2011, special procedures such CTA and interventional radiology were created. With a high speed multi-detector CT scanner from General Electric (GE), the radiology department provides sophisticated radiological imaging such as computed tomography, angiography, volume rendering, and 3-D reconstruction.

Department of Ophthalmology

The Ophthalmology Department was opened on December, 2011 by Dr. Bae Jihong, a Korean missionary Ophthalmologist. This department provides routine eye examinations as well as any medical and surgical treatment of eyes.

Major Clinical Procedures1. Routine radiography2 . Special examinations such as IVU3. Ultrasound studies including color Doppler

studies and echocardiography4. CT examinations including CTA

(Computerized Tomographic Angiography)

Major clinical procedures-Routine eye examinations-Visual Acuity-Refractive Error-Intra Ocular Pressure (Pressure of the eye)-Fundus Examination (Retinal Examination)

Medical treatment and surgeries for the eye disorders such as :-Conjunctival and Corneal disorders-Dry eyes-Cataract-Glaucoma-Strabismus (Squint)-Tear Duct Obstruction-Eye lid and Orbital disorders-Prescriptions for the glasses

Equipment List-X-ray machines-Digital radiography unit with Agfa printer-The PACS-Ultrasound machines – two SA9900 prime machines

-CT Machine—high speed multi-detectorIn 2011, the following treatments were given in theDental Department

a. Tooth extractionsb. Root canal treatmentc. Crowns and bridgesd. Filling of cavitiese.Scalingf. Preventive oral health education

Equipment List-Slit lamp biomicroscope-Pneumatonometer-Auto Refractokeratometer-Direct and Indirect Ophthalmoscope-Fundus Camera-Trial Lens Set-A scan/Biometry





Patients in 2011

New 656

Repeat 3692

Inpatients 1422

Total 5770


Department of Physiotherapy

The Physiotherapy Department provides a broad and comprehensive range of both inpatient and out-patient service to patients referred by physicians. The Physiotherapist utilizes physical therapeutic means and exercises to ensure maximum recovery and early independence of patients. The treatment is usually prescribed to relieve pain, restore normal function and strength, prevent further injury, and promote healthy living and lifestyles. Most patients, especially the outpatients, are referred from Orthopedic and Neurosurgical Department.

Department of Clinical Pathology (Laboratory)

The laboratory department is a vital part of the hospital and is well equipped with various LAB machines. By utilizing computerized techniques, chemistry, hematology, and hormone assays are made.

Highlights of 2011

With our new automated machine, VIDAS, accurate and reliable test results can be delivered within 20 minutes to an hour. In addition, we have acquired Cell Dyne 3700 for hematology and Vitros (Dry chemistry) for chemistry tests.

Inpatient Physiotherapy

Inpatients that have a specific physiotherapeutic need can be referred to the physiotherapy team by their consultant or ward staff. Inpatients includesurgical cases, medical cases, and patients in the ICU. The service aims to rehabilitate and maximize the recovery of patients whose ability to mobilize and function has deteriorated. Our services include respiratory physiotherapy, and burn rehabilitation.

Most patients, especially among the outpatients, are referred from Orthopedic and Neurological cases.

Outpatient services include pain management, rehabilitation after fractures, stroke rehabilitation, recovery from injuries, work-related conditions such as repetitive strain injury (RSI) and postural strains, the promotion of healthy lifestyles through patient education, correct use of body mechanics ,gait training, etc. Pain management, one of our unique services, helps to relieve low back pain, neck pain, joint pain, joint stiffness and swelling, aching muscle pain, and posture-related muscle spasm. The physical techniques such as therapeutic exercise, manipulation, mobilization, massage, and the application of electro-physical modalities are used to help restore normal function after injury and disability.

To treat our patients, we mainly use physical techniques such as therapeutic exercises, manipulation, mobilization, massage, and the application of electro-physical modalities to help restore the well-being of the people with injury, pain or disability. Based on our patients’ individual needs and problems related to their working condition, we help them to cope with their problems by problem-solving, clinical reasoning, goal-setting, evaluation, and review.

Outpatient Physiotherapy

Types of Tests No. of Tests Done

Chemistry :Examines liver function test, blood sugar, kidney function, electrolytes, enzyme tests, and uric acid in the blood

66,592

Hematology :tests of blood cells 48,850

Serology :Tests for HCV, HBsAg, Rhematoid factor, H.Pylory, etc. 24,850

Urinalysis :Analyzes urine with chemical tests and microscopic tests. 15,480

Parasitological :Tests any Intestinal parasites, worms, protozoan, etc. 8,016

Bacteriology :Tests for bacterial cause of infection and diseases. 2,940

Types of tests performed of Tests No. of Tests Done

Equipment List

-Beckman Coulter Synchron CX9PRO-VITRO 250-CELL-DYN 3700-Mini VIDAS

-Beckman Coulter ACT-Humacount-Humalizer 3000-Humaclot Duo-Ares Linear





Plastic Surgery and Burn


1 Skin graft 105

2 Debridment 52

3 Flap Operation 22

4 EX-Fixation 7

5 Tendon repair 6

Others 45

Total surgeries 237

Division ReportsDivision Reports

Burn and Plastic Surgery Unit

Although there are many burned patients in Ethiopia, modern facilities for burns are scarce and are not available outside of the capital.

With the help of CBCF (Children’s Burn Care Foundation Ethiopia), a Norwegian based non-profit organization that provides free services for children with burns, the pediatric burn unit at MCM treats children with chronic burns. Adult patients with burns along with other patients in need of reconstructive surgery are admitted to the general surgery ward.

Most of the patients who are admitted to this department are children suffering from chronic burns with various deformities and handicaps. These surgical patients are usually treated with some sort of reconstructive surgeries with the help of CBCF, the Pediatric Burn Unit at MCM treats children with chronic burn scars and contractures and deformities. Adult burn patients and other patients in need of reconstructive surgery are also treated.

Every year, the Burn Unit collaborates with Facing Africa to treat the NOMA patients, bringing highly qualified reconstructive surgeons to Ethiopia.

Emergency Room (ER)

MCM Emergency Room is one of the major units in our hospital. It has 10 beds, including two shock treatment rooms. The ER is staffed with trained personnel and emergency medical equipment. The department treats trauma cases, surgical, and medical emergencies.

Trauma Unit

About 25-30% of the patients to the Emergency Room are trauma patients and about 70% of those trauma patients are admitted due to head injuries. The Trauma Unit is well equipped and staffed to stabilize and treat the trauma victims. With the help of the spiral CT machine which was installed in, 2010 and is operational 24/7, our Trauma Unit provides the best services to the trauma patients in Ethiopia.

Trauma training courses programs are offered each year for MCM staff as well as for other health workers in Addis Ababa. More than100 nurses and doctors from MCM and other health institutions inAddis Ababa participate in these courses. This trauma courses include an ambulance service and care for resuscitation and stabilization on site of accidents.

Some of the major treatments are the following :-Initial assessment and management of trauma and other emergency cases-Intubation-Chest tube insertion-Orthopedic cast application-Suturing of minor wounds-Pre-hospital care by ambulance service-Bowel preparation for all GI procedures for OPD-Central vein catheter insertion-Wound care for burn victims

Equipment List-Defibrillator machine-Portable ventilator machine-EKG machine-Patient monitor machines-Wall suction units-Wall oxygen units-Adult and pediatric resuscitation kits-Ultrasound machine-Portable x-ray machine-Nebulizer and etc.

Inpatient services consist of Ambulatory Surgical Unit (ASU), Intensive Care Unit (ICU), Labor Delivery (L/D), Medical Surgical Ward 1 (MS1), Medical Surgical Ward 2 (MS2), Medical Surgical Ward 3 (MS3), and Neonatal Intensive Care Unit (NICU). There are four types of ward rooms in our medical surgical wards: general ward rooms (up to five patients), second class rooms (two patients), first class private rooms, and the VIP suite.The standard of care and cleanliness are assured at all levels. Visits by family members and friends are strictly limited in order to protect patients from contamination. Average days of stay for inpatients in 2011: 6.2 days/patients.

Inpatient Services

Inpatients in 2011

Ward Patients Deaths in ward

ICU 282 51

L/D 313 0

MS1 1,133 35

MS2 1,966 20

MS3 749 7

NICU 173 14

Grand Total 4616 127

In 2011, 7,366 patients visited our ER. Among these5,747 (78%) patients were treated and discharged,1,406 (19.1%) patients were admitted intothe inpatient units, 167 (2.7%) cases were referred toother hospital, and 46 (0.62%) patients expired at ER.





Division Reports

Out Patient Department (OPD)

There are 14 examination rooms where patients can be examined. Each of the 14 rooms is equipped with a modern examination table and a computer, and is staffed with its own dedicated doctor and nurse. The outpatient department is very busy, especially on Monday mornings. Patients come from Addis Ababa and the countryside as far as from Somalia and Sudan.

Division Reports

Department of ICU / Recovery / ASU

-Distribution of medicine and medical supplies to different departments of hospital.-Dispensing Services for Inpatient and outpatient-Anti-Retroviral Therapy (ART)—served more than 1000 patients.

Major Services

Top 5 Causes of Deaths at ICU in 2011

1. Severe Head Injury 2. Bullet / Stab injury 3. Acute Hematoma 4. Tumor 5.Hemorrhagic Stroke

The ICU is staffed by Dr. Tadesse Legesse, the head of the department, and 16 nurses. It is equipped with the most up-to-date equipments in Ethiopia: centralized 24 hour oxygen, vacuum supply units, and six ventilators. There are 11 beds in this unit, each with its own patient monitor.

ICU (Intensive Care Unit)

Patients in 2011

Ward Patients

ICU 282

ASU & Recovery Room 3359

The recovery room and ASU are staffed by Dr. Kinfu Betemariam Bezabih, the head of Recovery Room and ASU, and five nurses. There are a total of five beds. The recovery room is used for pre and post-operative care. Minor procedures are also performed in this ambulatory care unit.

ICU / Recovery Room / ASU

Patient Census at ICU

4

139

282

189

289

77

208

232

293

107

273

105

167

91

234

62

254

130

18 0

99

28 3

68

21 0

3219

Janu

ay

Febru

ayMarc

hApri

lMay

June

Ju

ly

Septe

mber

Augus

t

Novembe

r

Octobe

r

Decmem

ber

No. of Patients282

Hospital Days1,331

No. of Death48

Department of Pharmacy

Since its establishment, the MCM Pharmacy has been serving customers to procure safe, effective, and affordable medicines. The MCM pharmacy always works hard to satisfy the need of patients, both inpatients and outpatients, by constantly ensuring the sustainable availability of medicines and medical supplies. It will continue playing its part to improve the health care system of the hospital.

By the end of 2011, the MCM Pharmacy had almost doubled its service. We purchased over 14 million birrs of medicines and medical supplies from different sources and also donated some medications to different health centers in the sub-city. MCM Pharmacy has increased the number of staff and established the Drug and Therapeutics Committee in 2011. In addition, there has been a significant improvement in the stock management by using computerized inventory system. Moreover, MCM Pharmacy added additional checking step for safe and accurate dispensing of medications.

Department New Repeat Sub Total

Internal Medicine 6,445 11,685 18,130

General Surgery 1,750 3,550 5,300

Neurosurgery 350 1,290 1,640

Orthopedics 1,123 3,015 4,138

Neuropsychiatry 738 1,450 2,188

General Practitioner 4,059 15,055 9,114

Pediatrics 2,470 5,330 7,800

Urology 516 1,219 1,735

Ob-Gyn 1,274 9,084 10,380

Ophthalmology 51 1 56

Dental 189 569 758

Grand Total 61,239

OPD Patients of 2011

OPD Patients of 2011

Rank Category Consumption Representative Medication

1 Analgesic antipyretics 121243 PARACETAMOL 500MG-TAB

2 Antibiotics 115337 AMOXICILLIN 500MG-CAP

3 Antacids 78019 OMEPRAZOLE 20MG-CAP

4 Painkiller 60388 TRAMADOL 50MG-CAP

5 Vitamins 58591 MULTIVITAMIN-TAB(PREGNATAL)

Month Neurosurgery OB/GY Burn G. Surgery Medical Noma Sub Total

January 13 1 1 4 1 1 21

February 16 1 1 6 1 3 28

March 8 3 1 7 - - 19

April 13 1 - 3 1 - 18

May 15 - - 8 2 - 25

June 11 - - 9 3 - 23

July 4 - - 9 3 - 16

August 11 1 - 8 7 - 27

September 12 - - 7 10 - 29

October 6 2 - 7 5 - 20

November 19 1 - 3 5 - 28

December 15 1 - 6 6 - 28

Sub Total 143 11 3 77 44 4 282

Patient Census at ICU





1. Morning Devotion Program (In Amharic)Between 7:40-8:00 a.m. from Monday to Friday, manypatients ,families, and staff praise God, read the Bible, listen to the messages of the preacher, and pray for the Hospital,staff and patients at MCM, and Ethiopia.

2. Weekly Lunch Time Program (In Amharic)Every Monday and Friday between 12:00-12:45 pm, the chapel holds a prayer meeting of Christian fellowship in MCM. Every Wednesday between 12:00-12:45pm, there is a Bible study program. The preachers from local churches are invited for this Bible study program.

3. Visiting Patients ProgramChapel staff visit patients in one or two wards every day to pray for and give counsel to the patients and families. The Gospel is offered to non-believers and many patients and families accept Jesus Christ as their Lord and Savior.

4. Monthly Christian Fellowship (In Amharic)On the first Saturday of each month, many staff and patients at MCM participate in this program to pray for the hospital and the patients.

5. Get Together Program of Korean and Ethiopian Staff. (In English)

Every three months, we prepare this program for Korean and Ethiopian people at MCM hospital. A local preacher and choir of Ethiopian church are invited. Koreans and Ethiopians in ourhospital get together, worship, listen to the messages of the preacher, and pray for the staff, patients, hospital, and Ethiopia.

CategoryNumber of Staffs

Nurse Nurse Aid Helper Total

Nurse

OPD (Out-Patients Department) and CSR 14 3 4 21

Wards (In-Patients Service; MS1, MS2, MS3) 28 0 3 31

OR (Operation Room) 18 0 2 20

L/D (Labor and Delivery) 2 6 midwives 1 8

Critical Care (ICU, NICU, ER, ASU, Recovery Room) 38 0 1 39

Porter 8

Cleaner 25

Laundries 8

Total Number of Staffs 160


Department of Nursing MCM Chapel

The nursing department is the backbone of the hospital as it manages the laundry along with the day to day activities of nurses, cleaners, and porters. The department is led by the Matron and two assistant supervising nurses. A senior Korean nurse also works in the department as an advisor. The nurses at MCM play a vital role in every section of the hospital, from the OPD to the operating room. Although there are many different types of nurses at MCM, they all have a common goal of assuring the best care for their patients.

MCM Chapel is a vital part of MCM hospital, since MCM is a Christian hospital built by Myungsung Church in Korea. Therefore, MCM hospital has two ultimate goals—introduce the gospel of God and give medical care to the Ethiopians. The goal of MCM chapel is to spread the Good News to the patients and to the people of Ethiopia. The MCM Chapel heals the spiritual activities of MCM hospital for the patients and the staff at MCM.

1. Reception Desk & OPD :The nurses assigned at this post receive all out patients with great respect and compassion. The nurses help the doctors and patients to create a conducive and effective atmosphere. Mother to Child Health (MCH) patients & Anti-Retroviral Therapy (ART) programs are also run by this department.

2. In-Patient Service :The department also coordinates the proper allocation and treatment of patients admitted to the existing 96 beds, including special units like ICU, OR, NICU, and L/D. Recruiting qualified nurses has been the most challenging task of the department.

3. Cleaners :MCM can assure that they are one of the cleanest hospitals amongst the hospitals in Ethiopia. As a result of their effort, a special award was granted by the Federal Health Ministry in 2011. Evidently, this achievement is a cumulative outcome of committed cleaners, nursing department coordinators, and all staff members of the hospital.

4. Porters : Nursing Department also supervises the work of porters who transport patients for examinations and treatments.

5.Laundries : The Nursing department manages laundry department for clean patient care.

The nursing department manages the following services :

Spiritual Programs

There are three kinds of nurses at MCM :-Nurse : has certificate of nursing and graduated from Nursing School

-Nurse Aid : has certificate of nursing, but not graduated from Nursing School yet

-Helper : no certificate with nursing, but helps nurses with his/her talent in other field.

Organization

6. Camping program of Christian fellowship (In Amharic)Once a year, 2-3 days of camping program of Christian fellowship takes place in a local church.About 60 staff joined the camping program in 2011. The purpose of this program is to pray for our hospital and Ethiopian and Korean brothers and sisters.

7. Tuesday Prayer Meeting (In English) Every Tuesday at noon, a short prayer meeting is held for15 to 20 minutes. We praise, read Bible, memorize oneparticular verse together, and pray.Since this meeting is held in English, anyone can join thisprayer meeting including Koreans, Ethiopians, and otherforeigners.





8.Visit night duty staff Every Thursday night, we visit night duty staff and provide refreshments. We spend time talking with them, listening to their concerns about their work and life, giving counsel if they need it, and praying for them and for the hospital.

9.Lunch Time ProgramEvery Tuesday and Thursday at 12:00-1:00pm, a lunch program is held for low income staff at MCM. During this time, they have free lunch with the chapel staff.

10.Bible Reading Program Christian leaders in each department guide the staff to gather and read one chapter of the Bible together everyday.

11.Donation from Good News Church The 2,000 birr is donated to MCM Chapel from the Good News Church Korean Church every month to support needy patients.

12.Birthday Celebration programOn the birthday of each staff member, we visit him/her and his/her their birthday together. A small gift and a photograph are offered of the scene of the celebration.

13.Counseling programAnyone is welcome to the Chaplain’s office for counseling, prayer, or sharing about their lives. Pastor Song, Chaplain Natnael, and Assafasi are here to help you.

14.Baptism CourseEvery Saturday Morning from 10:00-11:30, there is a baptism course taught by Chaplain Natnael for new believers who accept Jesus Christ in our hospital. Those new believers are both inpatients and outpatients at MCM. Many of those patients who left the hospital upon their recovery come back to MCM Chapel every Saturday morning to take this course.

Division Reports Financial and Statistical Data

MCM Chapel Financial Data

15.Christian Fellowship CommitteeThere are six committee members amongst our staff. Every 1-2 months, they have a meeting to discuss lunch time programs, as well as all other programs. Their job is to assist Chaplain’s office in running those programs. They are also responsible for inviting guest preachers for lunch time program.

16.Gospel PamphletsGospel pamphlets are regularly distributed to our patients and staff. Those pamphlets are always available to pick up easily in various locations throughout the hospital.

17.BroadcastingWe have our own broadcasting system in MCM Chapel. Within MCM’s hospital compound, anyone can watch our broadcasting channel from their TVs. Every day from 8am to 5pm, MCM Chapel broadcasting channel shows Christian Movies, Christian songs, and anything that is related to Christ or Christianity.

Spiritual Programs

FY2008 FY2009 FY2010 FY 2011

Medical treatment 25,227,290 27,686,989 26,574,825 39,483,275

Registration & bed 4,107,093 4,763,180 13,026,394 14,565,829

Auxiliary income 1,341,966 1,361,205 1,273,427 1,936,1660

Others income 1,098,272 913,435 1,969,060 3,361,826

TOTAL SOURCES OF REVENUE 31,774,621 34,724,809 42,843,706 59,347,096

Sources of Revenue (ETB)

1. Includes registration fee, bed rooms for patients2. Funds received from dining facilities, shop sales and rent sales3. Includes death care, donation and other sources

Auxiliary income [2]3%

Medical support [1]25%

Others income [3] 6%

Medical treatment

Medical support [1]

Auxiliary income [2]

Others income [3]

FY2011 Revenue

Medical treatment 66%





Charity Care (ETB)

FY2011

MCM* 1,967,302

CBCF** 1,008,161

Trauma 346,695

Korea Veteran 1,419,150

Total number of cases 4,741,308

*MCM : Myungsung Christian Medical Center**CBCF : Children Burn Care Foundation

Number of Patients FY2008 FY2009 FY2010 FY2011

Outpatient 67,603 68,829 67,034 72,889

Inpatient 25,527 28,183 29,198 30,582

Emergency Patient 5,118 6,946 8,416 8,631

Total number of cases 98,248 103,958 104,648 112,102

Department Number of Cases

General Surgery 730

ENT (Otorhinolaryngology) 92

Orthopedic 256

Plastic Surgery and Burn 237

Vascular 100

Maxilofacial 36

Urosurgery 115

Obestatrics and Gynacology 520

Neurosurgery 485

Total number of cases 2,571

Surgeries in 2011

FY2011 Expenditures

Korea Veteran

30%

Trauma 7%

CBCF** 21%

MCM* 42%

MCM*CBCF**TraumaKorea Veteran

MCMMS ChurchCBCFTraumaKorean Veterans

Expenditures (ETB)

FY2008 FY2009 FY2010 FY2011

Human resources 9,326,656 10,219,869 12,899,764 20,512,105

Medical Expenses 8,467,576 7,568,442 12,926,992 14,610,687

Depreciation 6,145,155 6,009,968 6,910,011 7,997,144

Maintenance 676,381 1,239,714 3,132,281 2,039,648

Auxiliary, others 3,237,126 4,256,260 4,973,988 8,842,020

Institutional support 2,223,467 2,216,954 2,709,366 2,855,505

TOTAL USES OF REVENUE 30,076,361 31,511,207 43,552,402 56,857,109

4. Includes advertisement, taxes and duties, stationary etc.5. Support for parking, food and gift shop services, as well as general institutional support (e.g., administration, development activities).

Institutional support [2]5%

Auxiliary, others [1]15%

Maintenance 4%

Depreciation 14%

Human resources 36%

Human resourcesMedical ExpensesDepreciationMaintenanceAuxiliary, others [1]Institutional support [2]

Financial and Statistical Data

Financial Data


FY2011 Charity

Medical Expenses 26%

Clinical Profile

89.9%

10.1%

0.5%

1.4%

1.5%

4.4%TotalRevenue

Percentage ofProfit to Charity

CBCF** 21%





By Department Death

ASU & Recovery Room 0

ICU (Intensive Care Unit) 51

Labor and Delivery 0

MS1 35

MS2 20

MS3 7

NICU (Neonate Intensive Care Unit) 14

Emergency Room 52

Total number of cases 179

By Sex Death

Male 115

Female 64


Employee Status

Chaplain Doctor Pharmacist Nurse Others Total

Korean 2 5 1 4 21 33

Foreigner 3 3 4 10

Ethiopian 1 27 2 108 165 303

Total 3 35 3 115 187 346

Ward ICU/NICU Others Total

Beds 2 5 1 33

Sub Total Total

MCM

Construction of Hospital 7,100,000

22,163,000

Construction of Guest House 500,000

Medical Equipment & Other Supplies 12,950,000

Labor Fee 1,000,000

Other 613,000

MCW 565,000 565,000

MCMCConstruction 1,208,000

Equipment 493,000

Total 24,429,000

Unit :USD

Emergency RoomPhysiotherpy

Ophthalmologydentistry

OrthopedicsNeurology

NeurosurgeryPediatrics

Obstetrics and GenycologyUrology

General SurgeryInternal Medicine

0 5,000 10,000 15,000 20,000

Patients


Financial Data


Patients in 2011

Facility Data

By Department Death

Internal Medicine 62

General Surgery 32

Obstetrics and Gynecology 0

Medical Pediatrics 16

Neurosurgery Pediatrics 18

Neurosurgery 42

Unknown 9


Death Report

Total Investment Scale

myungsung christian medical center

Documents