Newsletter June 2010

July 12, 2010 by Vicky 

The Hospital

We are working closely with Kasungu General Hospital to share skills and facilities, especially in the operating theatre. The surgical ward is now in use. The number of consulting rooms has been doubled by modifying existing facilities. The HIV/AIDS centre is open and serving the whole of Kasungu East with ARV drugs provided by the government. A new Guardian Shelter was funded and completed in July 2009 by students from Sedbergh School in Cumbria. Other schools which visited during the last summer break were St Peter’s School, Exeter who worked mainly with the secondary school but also built a classroom for Mtunthama primary school, Monkseaton School (Tyne & Wear) who decorated the primary school, and Wrekin College who again worked with the Orphanage. Our anaesthetist completed her training at the end of July 2009; other clinical staff have been on refresher courses. The dental unit has had some problems in terms of recruiting suitable staff, as dental therapists are in such short supply that they demand salaries out of proportion to the rest of the clinical team. We anticipate that a suitable candidate will soon be found.

Two English doctors arrived at St Andrew’s in October last, and after a six week compulsory familiarisation programme at Kasungu Hospital (the nearest government hospital), they worked as volunteers at St Andrew’s until February 2010. Not only were they of enormous value as clinicians, but they were also able to provide significant training for existing staff as well as develop improved systems in the Under-5 clinic. We are indeed grateful to them for all they have done, and hope that they will be the first of many young doctors who will offer their services in this way.

An encouraging comment received from them:

Things are OK at St Andrews – last week the oxygen machine and saturation monitor arrived. We are organising emergency equipment so that it is where it is most likely to be needed. The clinicians are in the process of setting up triage for children so the sickest are seen first. We would be keen to see if we could set up an under 5 clinic perhaps with the nutrition centre being involved. There is already a vaccination service so it shouldn’t be difficult (or need any more resources) to expand that to incorporate checking for malnutrition so that the kids can get followed up and given likuni phala[ a maize porridge] etc before they start failing badly. You must be pleased with what you have achieved at St Andrews. Obviously resources are limited but what they have is being used appropriately and the staff are keen to provide the best service they can.

We have recently been offered a donation to pay for installation of solar power in part of the hospital and expect work to start in the next few weeks. We hope that we shall be able to extend this in due course to cover the whole of the hospital, and later the orphanage.

We are currently making arrangements for a nurse volunteer who will spend some time at St Andrew’s in June 2010, and a nurse from Canada who has long supported Medic Malawi, intends to be there in August 2010.

Two English dentists with their family are planning to spend some time in July 2010 running training courses at St Andrew’s for Medical Officers in the Mtunthama region, and to take out a mobile dental unit which they have funded, in order to provide “front line” dental treatment in the outreach clinics.

A fourth year medical student from Oxford chose to spend her Medical Elective in Mtunthama, and sent us this report:

We arrived in Malawi in a deluge, the streets literally turned to rivers. After a brief moment of panic at passport control when we could not remember the name of the village we were staying in, the short sprint from the terminal to the car left us soaked through. However as we were wondering what we had let ourselves in for on the potholed drive north, the skies cleared, and by the time we arrived in Mtunthama the sun was shining from a blue sky.

I had known for a long time that I wanted to visit Malawi, because people who went there always seemed to come back gripped by the country and its people. The elective period of my final year at medical school was the perfect opportunity, and so another student and I found ourselves heading to St Andrew’s Hospital.

The hospital staff gave us a friendly welcome, and we quickly got involved. The hospital has around 25 inpatients, and sees 50 – 100 outpatients per day, who arrive throughout the morning and queue in the heat on wooden benches. The operating theatre is also just about to open.[now open] The majority of patients are children under 5 with malaria or malnutrition, neither of which we had seen in the UK, but the clinical officers (who have a shortened medical training) are real experts in these common conditions and swiftly taught us the basics. We found that we had knowledge we could share with them too about conditions common at home but new in Malawi, such as high blood pressure and diabetes.

The hospital has very few resources by UK standards and has to cope with the challenging infrastructure of Malawi; during the frequent power cuts no blood tests can be done, and at one point a malaria tablet ran out because it could not be supplied from the regional hospital. The population is desperately poor and we found it difficult when patients couldn’t afford to pay for tests and medications that they needed. However the hospital undoubtedly saves many lives, and the dedication of the nurses and clinical officers is impressive. It was incredibly rewarding to see children who had been brought in unconscious with malaria or meningitis going home a few days later alert and smiling.

Outside the hospital we felt welcomed by the community, and stayed in a small house near the hospital where we got a taste of everyday life: candles at the ready for power cuts, food that tasted a little smoky from being cooked on a wood fire, a pop song played everywhere that celebrates the maize harvest. We loved meeting Florence and Boyson, who continue to pour out love to their many children at the orphanage, and gave some talks on HIV at the secondary school.

Five weeks flew by, and I came home with appreciation for what I had learned and very aware of how lucky we are in the UK. I hope to be able to go back to Malawi in the future, and in the meantime the community there continues to be very much in my thoughts and prayers.
Since her return to UK she has spoken to the congregation at her church about her experiences in Mtunthama, as a result of which several people have generously sponsored children at both primary and secondary schools.

Orphanage

The Orphanage now has over 60 children. Nearly all are resident, but a few live with local families. Those families taking orphans into their own homes are not paid, but they do receive some clothes for the children, and we arrange for them to receive maize on a regular basis. It is immensely encouraging to know that local people take food from their own supplies – maize or vegetables – to AMAO to help out. All Saints’ Church has given all its maize, which should strictly go to the Diocese, to feed the children.

In the Orphanage at present are 9 babies. The cost of formula milk for them is £350 a month. We calculate that the basic costs of providing food, soap, water, electricity and firewood for the orphans are in the region of £18,000 a year. Clothes, shoes, school fees and uniform are on top of that, of course. A system was set up whereby sponsors “buy” a day’s protein for children in AMAO, the orphanage. Many chose a birthday or similarly significant date as “their day”.

The garden at AMAO is productive, providing vegetables for the children. This is looked after by a gardener who is assisted by some of the older boys. The older girls continue to do a great deal of work looking after the younger children and helping with the cooking and washing.

Education

Now over one hundred needy children are being sponsored through school, giving them an opportunity they would not otherwise have had. Education is the key to escaping dependence on the vagaries of weather and uncertain harvests, and probably more than any other single factor can change lives for the better. It is encouraging to report that the primary school achieved the best results in final exams in five out of the six districts, and the secondary school gained the best results at MSCE (GCSE equivalent) in Kasungu district, with nine students gaining automatic entry to university.

Anniversary

1st August 2011 will be the tenth anniversary of the opening of what was then a small, local clinic. St Andrew’s has grown almost beyond recognition in that time, expanding and adding new projects every year. Such growth is in no small part a result of the generous support of so many who joined the “100 Club” when it was first set up, and of many others who have “come on board” during the years since St Andrew’s first opened its doors to patients. We have been extremely fortunate also in having a number of major donors who have responded to appeals for specific projects such as the building of the orphanage, the operating theatre, a new guardian shelter, and this year the start of the installation of solar power.

We have been blessed, too, by a dedicated and professional staff who often work significantly longer hours than their contracts require. Many of them have been loyal servants of the hospital, a few having been with us since the very beginning.

You may be interested to note how funding has been spent over the last few years, and how the constant expansion and developments have required increased funding, virtually year on year.

Figures are rounded to nearest £100.

YEAR	INCOME	EXPENDITURE	HOSPITAL	ORPHANS
2005	67,500	81,200	67,000	13,700
2006	95,500	92,200	82,000	9,000
2007	87,400	100,300	91,900	7,800
2008	89,800	73,000	68,800	4,000
2009	109,900	125,200	111,200	13,700
2010 (to 14/06/2010)			57,400	10,600

For details on how to make a donation please click here.

We are proposing to celebrate the occasion of the tenth anniversary by a ceremony of some sort on Saturday 30 July, 2011. Anyone who is interested, without commitment at this stage, in knowing more about the proposed celebration and in joining a group to go to Mtunthama for about ten days/ a fortnight in the last two weeks of July, please let us know and we shall add your name to a mailing list when further details become available.
Thank you to all of you who help Medic Malawi to make a difference to the lives of so many people.

Ambuye ukhale nanu
Dot and Mac Forsyth

Newsletter: July 2009

July 6, 2009 by Vicky 

St Andrew’s Hospital now has a staff of seventy one and growing, and so the building of staff houses is a major part of development. We have a new surgical ward and an ART centre(to care for HIV/AIDS patients). Whilst it is encouraging to note that the incidence of HIV infection in the total population is falling – 14.6% in 2007, 12.6% in 2009 – of chronic condition admissions 45% are HIV+. It is also encouraging to see the reduction in mother-child transmission of HIV as a result of education, and the improving incidence of ante-natal testing.

The Ministry of Health is funding the training of our clinicians in ARV management, and St Andrew’s will be the principal HIV/AIDS centre in Kasungu East district. Generally the hospital is seeing an ever-increasing number of patients. St Andrew’s is also set to become the Kasungu East centre for all but the most complex surgical procedures, working closely with Kasungu General Hospital. Future plans include enhanced water supplies, enhanced electrical supplies through the use of additional generators, ideally solar power/water heating, additional wards and an administration block as funding becomes available.

Gemma Barrow, a medical student, spent 6 weeks at St Andrew’s. She writes:

I did learn such a lot. I learned how to prescribe drugs that aren’t routinely used; how to practise real clinical medicine where a diagnosis isn’t solely made on the basis of test results as the tests aren’t available. When I arrived the Hospital did not have the reagents to test blood levels; about half way through my stay we received the equipment which made a big difference. I’ve left part of my heart in the village and I can’t wait to return sometime in the future.

School Visits

During our summer break there will be 4 school groups going to Mtunthama. Sedbergh School from Cumbria have sponsored the building of a much-needed Guardian Shelter, and during their visit will decorate the whole of the interior.

Monkseaton School from Tyne and Wear will be busy decorating the Primary School; St Peter’s School, Exeter will work with All Saints’ Secondary School and build a classroom for the nearby government primary school; and Wrekin College will again spend most of their time decorating AMAO (the orphanage). They have also funded the purchase of a vehicle to be used as an ambulance, and 2 of their staff will drive it from Johannesburg to Mtunthama – quite an adventure in itself! In addition to the work they will carry out, there is no doubt that all the UK students will enjoy time spent getting to know a different culture and sharing activities with their peers in the schools and orphanage.

AMAO, the orphanage

AMAO, the orphanage, has forty two resident children, 9 children cared for by adoptive families and 2 who somehow manage to divide their time very happily between adoptive families and AMAO! Florence and Boyson who have run AMAO since it began, without pay and without even a room to themselves, now have a small room of their own. When we said we would get 2 beds for them their immediate response was that 3 were needed, because all the babies would be sleeping in the room with them!

There is a great deal of help provided by the local community, quite apart from those who have adopted children. All Saints’ Church gave all its maize, originally earmarked for the Diocese, to the orphange, any electrical or plumbing work is done without charge by local tradesmen, volunteers drop in to help on a regular basis, and people turn up unannounced with small gifts of maize or vegetables to help feed the children. The older children do all their own washing, and are responsible for other tasks such as looking after little ones, cooking, chopping firewood for the kitchen and so on. The Mothers’ Union has cleaned the whole of the interior, including washing down all the walls. AMAO is a wonderfully happy place.

Because there are 9 babies, large amounts of formula milk are required, the cost of which is a major drain on resources. We would love to be able to offer the children a better diet with more protein, but that depends, as everything, on funding.

Primary School

The Primary School now has 137 pupils, of whom 60 are sponsored by people in UK, All Saints’ Secondary School has 285 students of whom 45 are sponsored. The secondary school is completing the building of a science laboratory which will be a great asset. St Faith’s Kindergarten continues to provide care, food and basic teaching to some sixty children.

It is perhaps salutary to see a classroom – and remember that not all primary schools in Malawi have classrooms even as good as this. The bricks on the dirt floor are seats for the children. The cost of sponsoring a child at secondary school is £40 a year, and at primary £50 a year. There are always more children in need of sponsorship than there are sponsors.

Thank you all for your continuing support.

With your help, Medic Malawi really is

MAKING A DIFFERENCE

God bless you all.
Dot and Mac Forsyth

August 2008 Newsletter

August 8, 2008 by Vicky 

Two groups of volunteers each spent a fortnight in Mtunthama working at St Andrew’s Hospital and in AMAO – the orphanage, in addition to a group of students from St Peter’s School, Exeter who spent much of their time working with students from All Saints’ CDSS.

The Nutrition Rehabilitation Unit (NRU)

At this time of year the NRU is almost empty, as the recent harvest has provided sufficient food for the time being and the horrors of malnutrition are less evident. Increasingly we receive support for this work with the Under-5’s from a number of NGO’s such as Action Against Hunger, and this enables us to direct some additional funding to the orphanage. Consequently we have been able to purchase a supply of maize which should last certainly until April, and to leave sufficient funding to purchase “relish” (whatever is eaten with the nsima – a kind of mash made from maize) through to the end of April as well.

At current prices, it costs £12 a day for the 32 children in the orphanage for food, water and electricity. The AMAO weekly main meal menu is:

Monday: nsima, soya, vegetables

Tuesday :nsima, fish, vegetables

Wednesday: rice, meat, vegetables

Thursday: nsima, fish, vegetables

Friday: nsima, eggs, vegetables

Saturday : rice, beans, vegetables

Sunday: nsima, meat, vegetables

This looks quite reasonable until you realise that sometimes there has not been enough money to buy the necessary food, and that meat can mean ONE or at best TWO chickens between all 32 children! Fortunately the funding we have left should solve such problems for the immediate future. Inevitably the cost of maize will go up; today’s price is in the region of MK3000(£10.50) for 100kg, enough to provide the nsima only – no relish – for a family of five for one month. Set that against the income of the poorer families at MK4200/month (£14.70) and the perspective of poverty perhaps becomes clearer. It is so pleasing to know that with the help of all our supporters in UK Medic Malawi really is making a difference in these people’s lives.

Hospital News

The work of the Hospital continues to be immensely encouraging. The Dental Unit is fully functioning for the moment, though we have had problems in staffing it because a dental technician can virtually set his own salary, which is more than we are willing to pay because of the knock-on effect on the rest of the clinical staff in terms of both cost and morale. We are optimistic that we have now found someone who will be happy to work at St Andrew’s. The surgical ward should be completed by the end of October. We have a member of staff undergoing training in Blantyre to become an anaesthetist, and she has signed a legal bond tying her to the Hospital for at least five years after she qualifies. (Anaesthetists, too, are in short supply.) We were very fortunate to have a consultant anaesthetist with one of our groups of volunteers, and he was able with additional volunteer help, to do an invaluable assessment of medical stores and equipment, and to advise on the additional equipment we shall require when the operating theatre comes “on-line” next year.

Our new Administrator, Mr Aubrey Wande, has persuaded the Global AIDS Interfaith Alliance to donate an anaesthesia machine.

We shall shortly be publishing on the website a ‘shopping list’ of equipment we shall need for the Operating Theatre, in the hope that other organisations may also wish to offer similar help.

HIV/AIDS Centre

Work with HIV/AIDS patients is developing. We have two fully qualified HIV/AIDS counsellors, and anticipate the training of all clinical staff before Christmas. St Andrew’s will become over the next two months the HIV/AIDS centre for the whole area, with backing from the Ministry of Health and the consequent supply of free ARV drugs.

A group of young people living near the Hospital have set up a Youth Fellowship AIDS Club. They write and perform their own songs, poems and plays, and take them to the outlying villages as a means of educating about HIV, its causes, consequences and treatment.

This kind of self-help is at the very heart of the philosophy of Medic Malawi, that our role is to empower people to take responsibility for their own lives, and to work together to improve them.

Outreach Clinics

We have just purchased an additional second-hand vehicle to enhance the work of our outreach clinics for general medicine as well as HIV/AIDS work, thus enabling us to increase the number of outreach clinics and to provide a better follow-up for children discharged from the NRU. Outreach clinics are a great demand on staff time, as a clinical officer, a nurse/midwife, a homecare worker a dental worker and a driver are the minimum staffing needed for each clinic. How fortunate, then, that an anonymous donation in July of £10,000 enables us to proceed with the building of a pair of semi-detached houses for two more nurses. There is always a waiting list of nurses who wish to join the staff of St Andrew’s Hospital, and as quickly as we can build houses we can add to the medical staff.

We are blessed to have such a dedicated and enthusiastic staff at St Andrew’s, and to have so many volunteers willing to go out and use their talents in the service of needy people; and to have so many supporters here at home who donate money to enable all these wonderful developments to take place.

May God bless you all!

Dot and Mac Forsyth

Newsletter: August 2007

August 7, 2007 by Vicky 

We have recently returned from Mtunthama, and can report that over the last twelve months there has been the most impressive progress. The Operating Theatre is finished and awaits only the necessary equipment and an anaesthetist to start functioning; there is a large surgical ward nearing completion, which should be finished by end of October; a very large storage building has been constructed to keep goods supplied by various NGO’s such as World Food Programme for the NRU.

The Orphan House has doubled in size, and will be able to cater for about 50 orphan children; the laboratory now has a blood bank; there is a dedicated Voluntary Counselling and Testing room for HIV/AIDS patients; Dentaid will be sending out a refurbished Dental Surgery in the third week of September, and we already have staff who will be able to carry out dental procedures.

 

Group Visits

During July, three groups of young people from UK visited the campus to work on various projects.

Wrekin College from Shropshire paid a second visit in order to complete the second wing of the Orphan House. Quite apart from general support for Medic Malawi, they have made the orphans their special concern. This year they funded the construction of the second phase of the Orphan House, and built a kitchen to cater for 50-plus people. Additionally they started work on an irrigated garden to provide “relish” throughout the year, and made a play area for the children.

 

St. Peter’s School, Exeter also paid a second visit. Whilst working with the NRU is one element of their activities – they livened up the NRU with some fun logos on the walls – they are most closely involved with the Secondary School. They have set up an internet link with the school, and have funded project work for the students of both schools to share their research. For example, they arranged for the All Saints’ students to spend time at the lakeshore studying geography topics, whilst the St. Peter’s students worked on similar research in Devon both groups were then able to share the information they had learned. St. Peter’s hope to arrange an exchange for teachers and students in the near future.

A group of young people from Islay spent some time in Mtunthama as part of an adventure activity under the auspices of Outlook Expeditions. They began the work of building a science lab for the Secondary School. There were two other groups from Outlook Expeditions at other locations in Malawi we hope that the All Saints’/St.Andrew’s campus will become a regular feature of their activities.

 

St Andrew’s Hospital

It is remarkable that only six years ago St. Andrew’s was a small rural clinic with only a dozen staff: it is now a Community Hospital with a staff of 58! Many of them have been with the project from the beginning, and one of the really encouraging things is the fact that so many have progressed by dint of training courses to upgrade their qualifications.

The schools have grown enormously in both numbers and buildings/facilities, the kindergarden goes from strength to strength whilst provision for orphans is improving all the time. It is good to see more and more volunteers choosing to spend time at one or other of the projects, and we aim to build a house over the next year or so to provide accommodation for them.

We noted that not only are health professionals from Kasungu General Hospital choosing St. Andrew’s, but also the maternity unit is becoming popular with the midwives from Lilongwe General Hospital to have their own babies! The MP for Kasungu East chooses St. Andrew’s for his family’s health care.

NRU

The NRU continues to be central to the work of Medic Malawi. Several NGO’s support the work, but their criteria are more rigorous than we would wish, in that children have to be seriously malnourished before they become eligible for help. As almost half of all children in Malawi are chronically malnourished, at St. Andrew’s we seek to provide food and health care to children before they reach the point of malnutrition which would attract help from the NGO’s. This means that we need to fund both feeding programmes and health care supplements. We are also hoping to increase the follow-up procedures once children are discharged, in order to ensure their ongoing treatment and support.

Helping people to help themselves

It has always been the philosophy of Medic Malawi that the projects belong to the people of Mtunthama, that ultimately they must be responsible for managing and developing the work initiated by supporters here in UK. It is therefore especially encouraging to find an HIV/AIDS project in nearby Wimbe run entirely by volunteers, headed by Peter Minjale, one of our Clinical Officers. There is a team of 7 trained counsellors, each of whom has accepted responsibility for three villages, which he/she has undertaken to visit at least three times a week. Some of those villages involve a journey of 15kms each way. As there is no transport, they go on foot! We hope that we shall be able to send out some bicycles with the container due to go at the beginning of September.

Another impressive project being run by local people is an agricultural cooperative. Having been provided with initial funding for seeds and fertiliser, they are now producing excellent crops for sale. The profits are used to purchase more seed and fertiliser, and to further develop the scheme. Those currently involved have their own bank account for the cooperative, and there is a waiting list of people wishing to join. The scheme does depend on a reliable water supply, and at present there are four locations adjacent to dambo areas (marshy land) in use, but the intention is to find and develop more such areas.

At the end of this month we are sending a container of goods and equipment to Mtunthama. This will include medical equipment, computers for both Hospital and Secondary School, books for both Primary and Secondary Schools, and of course the Land Rover/ambulance.

Our visit this year has been immensely encouraging. Not only are all the projects with which Medic Malawi is involved running successfully, but we gained a sense that the whole country is much more positive than previously. The harvest this year ranged from good to “bumper” and we can be optimistic that any food shortages will be relatively minor.

One final thing: the increasing number of young people visiting Mtuthama, either with groups or as individuals, is serving to build bridges and foster understanding across the divides of distance and cultures.

Ambuye akhale nanu!
May the Lord be with you!
Dot and Mac Forsyth

Newsletter: June 2007

June 25, 2007 by Vicky 

Visit of Felicity Derry-Thomas and Ann Tregarthen of ‘Operation Sunshine’ SW England.

“While planning a visit to Zambia to see the projects we support there through ‘Operation Sunshine’ we thought it a good idea to see St. Andrew’s Clinic /Hospital in Malawi, and what a good idea it was – full of interest, facts, figures, work, wonderful people, sadness, laughter and joy.

This is an excellent hospital run and supported by exceptional people both in Malawi and England and elsewhere We saw the whole hospital: maternity unit soon to be enlarged and upgraded; the women’s ward with their small children with them— they have no where else to leave them; the HIV/Aids unit; the out patients and children’s ward—often two or even three children to a bed.

We worked in the pharmacy counting pills by hand, and cutting materials and rolling cotton wool balls for the dressings. Oh for a pill counter and some good scissors! We helped with the baby feeding programme for the wee malnourished babies needing help to stay alive, and their thin young mothers so quiet and dignified. We were told of the outreach project , keeping an eye on the little ones who have returned to their villages. We heard about the teaching of family planning – the women are keen but the men are not so!

One of the highlights was hearing the orphans singing for us; it was superb. I think the African has a different throat mechanism from the Westerner; the power and harmonisation of even a small child is incredible.

I spent time with Snowdean Njiwa the hospital administrator and learnt so much about Malawi, its politics, its peoples and customs, its problems and its joys, and of course about St Andrew’s and how this great project has evolved and is still evolving.

God’s hand is surely in all the planning and work with these lovely people—thank you Medic Malawi.” Felicity

School visits

In July two schools will be sending groups to Mtunthama. Wrekin College, Shropshire will complete the final stages of the new wing of the Orphan House, which they have fully funded, and St. Peter’s School, Exeter will be working in the schools. Both groups will also help in the Hospital and the Under-5 feeding programme. No doubt there will be plenty of sport and social contact, and the church services will be very special indeed, as both schools are already rehearsing their hymns/songs, and All Saints’ choirs will seek to be even more impressive than usual!

Dental Surgery

A complete Dental Surgery provided by Dentaid is about to be shipped out from UK, and plans are under way to send a container in September.

Hospital Equipment Shopping List

We would like to be able to include as much of the following as possible in the container going out at the beginning of September.

If you can help by donating anything from this list, please get in touch. Thank you.

• 8-10mls test tubes
• Adhesive plaster
• Anaesthesia machine and monitors (Pulsoximeter)
• Autoclave (110 litres)
• Biohard bins
• Caesarian section full set x 4
• Centrifuge (12 rotor)
• Chemistry Analyser (Liver function)
• Cimetidine
• Cotton wool
• Crepe bandages
• Crutches
• D & C
• Dental needles
• Dental syringes
• Diagnostic sets
• Digital scales (0-250g capacity)
• Dispensing bottles
• Drug trolleys
• Dry gauze
• Eusol
• Evacuation full set x 2
• Examination gloves
• Face masks
• Gallipots (various sizes)
• Gauze bandages
• Goggles
• Haematology analyser
• Hernia repair kit
• Kidneydishes (assorted sizes)
• Laparotomy
• Medical/Nursing books
• Nebulae machine
• Needles
• Office fans
• Office file trays
• Olympus microscope
• Operating Table
• Oxygen concentrators
• Paraffin gauze
• Patient screens
• Photocopier
• POP cutter
• Safety cabinet (fume hood)
• Savlon
• Sharps containers
• Sphygmomanometers
• Sterilisation drums
• Sterilisation pouches
• Stopping bottles
• Suction machine for newly born babies
• Surge protectors
• Surgical gloves
• Sutures
• Syringes
• Tablet cutters
• Theatre canvas
• Theatre Lamp (portable)
• Thermometers
• Toothbrushes
• Weighing scales (Kg)

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