Newsletter 03/1/2022
We Listen, We Care
Issue 27
03/1/2022
The Evolution of KNH
PHOTO | STOCK
KNH has had three names since its establishment in 1901. It was originally called the Native Civil Hospital & had a bed capacity of 40. It is recorded that in 1908, there were 45 beds & that 712 inpatients and 6,425 outpatients were seen.
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Contents
CEO’S New Year Message
ISSUE 27 CEO’S New year message p.2 History of KNH p.3 Attachment styles and how they affect the work place p.4-7 I Came, I saw, I conquered p. 7-9 Introducing KNH molecular laboratory team p. 9-10 Inside the covid-19 ward: through a nurses’ eyes p.10-11 Meet the Marketing & Communication team p.12-13 2021 Round Up p.14-17 A ‘snowflake warrior’ Living with Myasthenia Gravis: Hannah’s story p.18-19 KNH Othaya - The year 2021 p. 20- 21 Deep work: How KNH employees can improve concentration in open offices p.22 Uliza kiatu p.23-24 Not disabled, Just differently-abled p.25 Squamous cell carcinoma of the eye. Early diagnosis is key p.26-27 Demystifying amputation in Diabetic Patients p. 28 Easing the burden of identification p. 29 Positive mentions from KNH Facebook page p. 29 Comic Zone P.30
ON THE COVER History of KNH p. 3
Marketing & Communication Department Design Concept Team: Dave Opiyo, Edel Q. Mwende, Yvonne Gichuru & Collins Cheruiyot Editorial Team: Dave Opiyo, Edel Q. Mwende, Winfred Gumbo, Luke Kung’u, Marian Moraa, Priscah Angwenyi, Petterson Njogu, Barbara Otieno & Lucy Nganga Stories: Edel Q. Mwende, Sheila Murithi , Winfred Gumbo , Yvonne Gichuru, Verah Mugambi, Petterson Njogu, Shiphrah Njeri, Susan Wakiuru, Abigael Lunani, Edward Njuguna, Ken Ndung’u, Steve Nduati, Michelle Wairimu, Joseph Musembi, Dr. Rebecah Nandasaba, Barbara Otieno , Luke Kung’u & Alex Mutyambwii Design By: Collins Cheruiyot Translators: Lucy Nganga, Elly Ouna, Tessy Shanyisha, Joseph Musembi, Barbara Otieno & Priscah Angwenyi Photos: Nicholas Wamalwa, Winfred Gumbo Luke Kung’u, Ken Ndung’u, Steve Nduati & Julius Ita Tel: +254 20 2726300-9 Ext. 43121 or 43969 Fax: +254 20 272572
Dear colleagues, The Board & Management of Kenyatta National Hospital wishes you a Happy New Year 2022! Let us roll up our sleeves to provide quality specialized health care with great teamwork and zeal. To our partners, your presence has secured a place in our hearts. Thank you for your continued partnership and extended friendship with KNH. We look forward to great interactions in the new year. Dr. Evanson Kamuri, EBS Chief Executive Officer Kenyatta National Hospital
Editor’s note Dear colleagues, The next edition will be on 28th January 2022 All the newsletters can be accessed online on: https://bit.ly/3uQGCcI
Find us on Social Media Kenyatta National Hospital
Email: caffairs@knh.or.ke knh.caffairs@gmail.com
To contribute or report on newsworthy items, please contact the Editorial team.
ISSUE 27 | Kenyatta National Hospital Newsletter
Kenyatta National Hospital Official Page
@CeoKnh @KNH_hospital
www.knh.or.ke
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HISTORY OF KNH 1,800
40 beds
1901
1,800 beds (209 beds are for the Private Wing)
Native Civil Hospital The hospital was established in 1901
50 wards
»»
22 out-patient clinics
24 theaters (16 specialized)
300beds
1939
and an Accident & Emergency Department.
»»
A more modern part of the hospital, 300 bedded medical wing was completed in 1939.
6,000+ staff members
King George VI of Great Britain died aged 56 His daughter, Queen Elizabeth (25), renamed the hospital from Native Civil Hospital to King George VI Hospital
1952
2021
»»
1957
were added
Infectious Disease Hospital was added
»»
»» »»
234 beds
»» »»
Our Mission “To optimize patient experience through innovative healthcare; facilitate training and research; and participate in national health policy formulation.”
Our Vision A world class patient-centered specialized-care hospital.
Motto We listen, we care
1987 1963 1967
King George VI Hospital was renamed Kenyatta National Hospital &was declared a national teaching hospital
Kenyatta National Hospital had a casualty department which handled all emergency cases & an admissions procedure to handle patients who had been referred for further specialized care
Kenyatta National Hospital became a State Corporation with a Board of Management
Compiled by: Edel Mwende Graphic by: Collins Cheruiyot
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Attachment styles and how they affect the workplace By Sheila Murithi
D
o you always struggle with workplace relationships and interactions with colleagues? This might be owed to your attachment style. Our attachment styles can affect the way we function and perform in the workplace. This is mainly because our work environment includes social relationships and social dynamics. It is mystifying how in our initial stages of life, we form bonds that stick in our minds and determine how we interact and process things and situations in the world. Can our initial interactions damn or gift us for life? Newsline met with Ms. Judy Murithi, a Psychologist and Head of the Employee Assistance Program in KNH to grasp how these attachment styles can affect relationships in the workplace. Ms. Murithi explains that according to John Bowlby’s work on attachment theory, attachment begins as soon as a baby is born. The helpless baby relies on its primary caregivers; mostly parents or guardians for care, safety, and support. When parents are adjusted to the child and meet his or her physiological and emotional needs, the child can form a secure bond with them. Nonetheless, if the baby perceives that his or her needs are not met by the attachment figures, he or she becomes insecurely attached. This first relationship that the baby has, serves as a template of how future relationships form and function. Consequently, the template that each of us formed in early childhood continues to affect our social interactions as adults. She continues: “In retrospect, if we, as children, perceived that our needs were not met by others, especially, the ones closest to us; we are now more likely to exhibit
“There are four main attachment styles; the securely attached, within the insecurely attached we find the other three types; the avoidant or dismissive, the anxious or pre-occupied and the disorganized.”,
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attachment issues throughout our lives. One way to distinguish between attachment patterns is to contrast secure and insecure attachment.” “There are four main attachment styles; the securely attached, within the insecurely attached we find the other three types; the avoidant or dismissive, the anxious or preoccupied and the disorganized.” Ms. Murithi describes and continues to explain each of these styles, how they are formed, and the impact on workplace dynamics: The insecurely attached: Avoidant or dismissive In their childhood they: • Believe that the caregiver will not protest or provide. • The caregiver is not a haven in stressful circumstances • The child does not protest at parent’s departure • He/ she responds the same to the stranger and the parent or more positively to the stranger
• Avoid parent or caregiver upon their return A dismissive-avoidant attachment style is demonstrated by those possessing a positive view of self and a negative view of others. Adults with a dismissive style of avoidant attachment tend to agree with these statements: “I am comfortable without close emotional relationships.” “It is important to me to feel independent and self-sufficient.” “I prefer not to depend on others or have others depend on me.” Adults with this attachment style desire a high level of independence. The avoidant employee is not the social type at work. They do not seek closeness with colleagues or leaders and do not rely on social support. Potential difficulties of having an avoidant colleague include: • Less positivity and more negative emotions
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• Avoid interpersonal closeness and group tasks; prefer to work alone • Distant and use work commitment to avoid socializing • Negative view of and criticism towards the leader • Resistant to leadership and new information (when forming judgments) • Distrust towards others in general and the leader • Seek less support from others • Not conforming to groups wishes However, it is not all gloom and doom; these individuals thrive in some situations such as: » When it comes to reacting quickly, effectively, and without hesitation especially in threatening and dangerous situations. They can detect threats quickly and deal with danger efficiently. » The avoidant colleague prefers to work independently and is good at it. They do not need extensive supervision or ‘babysitting’ to complete their tasks. » They can also contribute to the productivity and overall focus of the group. When a deadline is upcoming, they are the most likely to get the job done. The insecurely attached: Anxious or pre-occupied . As children, people with the anxious or preoccupied attachment style would show: • Uncertainty about whether the parent will protect or provide safety in stressful circumstances • Remain close to a parent. Refuse to explore the new environment • Feel distressed at the separation of parent • Mixture of approach and avoidance when reunited with the caregiver or parent An anxious-preoccupied attachment style is demonstrated by those possessing a negative view of self and a positive view of others. Adults with anxiouspreoccupied attachment type tend to agree with the following statements: “I want to be completely emotionally intimate with others, but I often find that others are reluctant to get as close as I would
like.” “I am uncomfortable being without close relationships, but I sometimes worry that others don’t value me as much as I value them.” Adults with this style of attachment seek high levels of intimacy, approval, and responsiveness from their attachment figure. Having an anxious attachment style can result in personal and interpersonal struggles in the workplace. These issues usually stem from low self-esteem and high levels of insecurity, worry, and self-doubt. As a result, anxious employees may constantly seek approval from their colleagues. Potential difficulties of colleagues with anxious attachment: • Preoccupation with acceptance from the group and seeking approval • Strong fear of rejection and negative evaluation • Conformity to group wishes • Overwhelming desire for interpersonal closeness & investment in social relationships • Negative expectations regarding the leader’s behavior • Less ability to work
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• • • •
independently and autonomously & over-reliance on the supervisor/leader Hypersensitivity to feedback Feeling under-appreciated and dissatisfied Higher burnout levels Counterproductive work behavior and turnover intentions
Individuals with an anxious attachment style might be assets when it comes to: • Detecting and responding to risks • More accuracy in detecting deceit • Creating less friction in the workplace • Alertness to their potential deficiencies and hyper‐vigilant about seeking ways to improve causing a positive effect on performance The insecurely attached disorganized children with this attachment style exhibit: • No consistent way of dealing with the stress •
PHOTO | COURTESY Ms. Judy Murithi, Psychologist, Employee Assistance Program, KNH
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Contradictory behavior at the strange situation • Typical attachment style when the infant is abused or neglected Disorganized attachment patterns of behavior are demonstrated by those possessing an unstable or fluctuating view of self and others. People with losses or other trauma, such as abuse in childhood and adolescence, may develop this type of attachment and tend to agree with the following statements: “I am somewhat uncomfortable getting close to others.” “I want emotionally close relationships, but I find it difficult to completely trust others, or to depend on them.” “I sometimes worry that I will be hurt if I allow myself to become too close to other people.” They tend to feel uncomfortable with emotional closeness. These feelings are combined with sometimes unconscious, negative views about themselves and their attachments. If an individual has disorganized attachment, they are likely to identify with the characteristics for both anxious and avoidant attachment styles. Usually, the disorganized individual will switch between high anxiety and high avoidance. Therefore, their behavior in the workplace might be ambiguous and contradictory. The securely attached Children who are securely attached believe that the caregiver will provide and protect them. They form a secure base; a responsive caregiver provides security to explore the environment. Some observable behavior may include: • If the caregiver’s responses to the child’s needs are appropriate, then the child will feel confident to explore a strange environment, occasionally returning to the caregiver for confirmation. • Might protest separatism from a parent but smiles more often when the parent is present • Shows pleasure at reunion with parents The secure attachment style in adults corresponds to the secure attachment style in children. It is
PHOTO | STOCK
demonstrated by those possessing a positive view of self and a positive view of others. Securely attached adults tend to agree with the following statements: “It is relatively easy for me to become emotionally close to others.” “I am comfortable depending on others and having others depend on me.” “I don’t worry about being alone or others not accepting me.” This style of attachment usually results from a history of warm and responsive interactions with their attachments. Securely attached adults tend to have positive views of themselves, their attachments, and their relationships. They often report greater satisfaction and adjustment in their relationships than adults with other attachment styles. Secure attachment has many benefits in all types of social contexts, including the work environment. • They tend to have it easier when it comes to interpersonal relationships at work; be it with colleagues, supervisors, or leaders. • They are comfortable with and good at forming strong bonds, and others in the workplace generally perceive them as valuable group members. • Colleagues generally perceive
Attachment styles might have a strong potential to explain and predict one’s role and experience in the workplace. ”
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them as valuable group members • Are least likely to put off work • Least likely to have difficulty completing tasks • Least likely to fear failure and rejection from coworkers • More likely to show trust towards the leaders and their intentions • Exhibit high satisfaction with their job, working conditions, and co-workers • Better well-being and fewer symptoms of illness (physical and mental) “Attachment styles might have a strong potential to explain and predict one’s role and experience in the workplace. They might also predict the social dynamics and the quality of leadership in a company. In general, secure attachment has a lot of benefits, both for leaders and employees. Secure colleagues make the best leaders and the healthiest and most satisfied employees. Still, people with insecure attachments bring along their superpowers. Anxious employees contribute by helping maintain group cohesion and detecting risks. While avoidant employees sustain better focus on the tasks at hand and get the job done. Heterogeneity in the team leads to better overall performance. The good news is that attachment styles can change. Even though it takes time and effort, you can develop a secure attachment and reap all the benefits,” concluded Ms. Murithi. Newsline hopes that this article will make us more apprecia tive and less harsh with each other and foster better teamwork in 2022. Happy New Year!
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I came, I saw, I conquered Anne Mwangi’s story of a thousand miles that began with a step to KNH By Winfred Gumbo I came, I saw, I conquered; an English translation of the Latin veni, vidi, vici which according to ancient Roman historian Suetonius’s Lives of the Caesars, Julius Caesar used the phrase veni, vidi, vici during a Roman triumph in 46 B.C. that followed a successful military company. These are words that clearly describe the joy Anne Waithira Mwangi; the Assistant Chief Nurse in Charge of Pain and Palliative Care Unit showed on her face as she sat down to give Newsline a story about her journey at KNH as she is set to retire at the end of February 2022 after spending thirty four years as a nurse. “I remember the first day I started working in KNH as a young girl who had just trained and graduated from the Kenya Medical Training College in Nairobi,” she told Newsline. “My first day was awesome. I got very good reception. Those are the days nurses used to wear the caps and my uniform fit me so well and we were working as a team” recounted Anne. Anne thus takes a walk down the memory that led to her being posted to KNH. “As a child, I grew up in Murang’a town in the prison camp
because both my parents were prison warders. It was a normal childhood. My mother was the strict disciplinarian of the family while my father on the other hand was social. He would take us out, play with us and bring us gifts so that blended so well and made me who I am today. It has also helped shape me since we had to do what is right, at the right time otherwise the beating would be thorough,” recalled Anne nostalgically. “We are only two children, my brother and I. We were a neat family and the relationship was very good between my brother, my parents and I. Apparently, my brother also grew up to become a prison warder and has married a prison wardress,” she continued. “I went to Murang’a Township Primary then Mumbi Girls Secondary School followed by Kenya Medical Training College where I was posted to KNH. During my time in both primary and secondary school, I never knew what I wanted to be, it never crossed my mind that I would be a nurse, I actually did not have an idea of what I wanted to do until when I got to form four and we had to choose the careers. Since I did not know what I wanted to do, I consulted my cousin who took me through the medical careers, that is when I realized I could try nursing so it was my first choice followed by pharmacy and laboratory respectively. Fortunately, I was called for the Kenya Registered Nursing in the Kenya Medical Training College in 1982, I was happy I got the
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admission but still I did not know what to expect,” she said. She added: “Upon my graduation in 1986, I thought I could be an administrator; so even when I did my training, I imagined that upon finishing I would be posted to a District hospital so that I would become an in charge of the hospital or a nurse manager but that was not the case. I was rather posted to Kenyatta National Hospital as a young girl at twenty-five years, I never thought I could become old, to the point of getting to retire, I was just going to remain a twenty-five-yearold,” said a smiling Anne. The Chief Nurse I reported to gave me an opportunity to choose where I wanted to be posted because of my good academic results so I chose Paediatrics and fortunately I was posted to the Paediatrics Oncology ward 1E. Upon reporting, I was met by young girls and boys who would be all over me and appreciate my presence and that gave me joy. I remember being given a task of bathing them and that
PHOTO | NICHOLAS WAMALWA Anne Mwangi inside the Pain and Palliative Care Unit office during the interview
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PHOTO | NICHOLAS WAMALWA Anne Mwangi (M) with some of the Palliative Care staff. Next to her is Dr. Esther Nafula, Head of Unit, Pain and Palliative Care (3rd L)
gave me joy, I would scrub, oil and dress them in beautiful ‘toto gowns’. I would feed them and the nature of their sickness touched and humbled my heart by realizing I had so much that I could give to these children,” recalled Anne. “One day, the CEO of Nairobi Hospice came looking for a nurse to help them with locum duties so the Nurse Manager identified and seconded me. I went to Nairobi Hospice where I could do locum duties while
PHOTO | NICHOLAS WAMALWA Anne Mwangi holding a dirty linen bag inside the Pain and Palliative Care Unit
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I was on leave, which I enjoyed very much. During one of my times doing locum, the CEO asked me whether I wanted to be seconded and I gladly agreed because I enjoyed going for home visits and making the patients comfortable, I even started running the daycare centre,” she said. “While visiting the slums, I perfected my skills in pain management, communication, listening and the doctors from Nairobi Hospice were quite impressed that they sponsored me to Kirkwood Hospice in the United Kingdom for two months of training. The KNH management released me and when I came back, I still continued to work at Nairobi Hospice and I perfected my skills in symptom management,” recalled Ms. Mwangi. “Later on, my time at the hospice had to be terminated because I wanted to grow professionally. I came back to KNH after which I went to study midwifery at Mater Hospital in the year 1997. I finished in 1998 and was posted to the medical ward, 8A as a bed side nurse. Those days we used to admit so many patients and this resulted into a lot of work. Although I was a bed side nurse, the ward’s nurse manager taught me a lot by leaving me to manage the ward while she was on leave. While in 8A and due to growth in number of medical patients, the management wanted another ward which would be the current ward
7A, it was the ophthalmology ward which was moved to the 9 th floor and together with a colleague, we were tasked to plan and start another ward; the medical ward 7A. When time came for it to be operational, I was appointed as the in charge then later on I was posted to ward 7B as the in charge too,” she said. “I did not stay in ward 7B for long. I was deployed to Critical Care Unit, the main ICU as a bed side nurse; of course I did not feel well since I had been an in charge in all these areas, and now I was a bed side nurse. I remember later on something inside me telling me that I came to serve the patients at whatever capacity and it can be an in charge or a bed side nurse, it is not about the people you are working for, you are working for me, so that pain went and I was received exceptionally well at the main ICU by Mrs. Atamba, the former Senior Assistant Chief Nurse (SACN) of the special units who has since retired,” she added. “Since I did not have an ICU background, I was given a colleague to train me for a whole month and by the end I was okay to an extent that some doctors were shocked that I was not an ICU trained nurse,” said Anne. “While in ICU, a decision was made by the hospital that I start the Pain and Palliative Care Unit so I was nominated to be a committee member of the staff that were going to come up with the unit. After all the logistics were done, I was posted to the Pain and Palliative Care Unit as the in charge in the year March 2007. I was deployed with another nurse and a doctor and given a room where we would see our patients who at the time were not many. As the patient number grew, we were given another room and we would go the wards and sensitize on pain management. It has been well in the Pain and Palliative Care Unit, she told Newsline. If she is not in her uniform attending to patients, Anne has other activities that keep her going. She likes listening to the radio and particularly likes listening to gospel music and farming. Additionally, she is a mother and a grandmother who dearly cherishes her family. “ I have enjoyed my role as an in charge which is to cordinate the services of the Unit and to make sure quality service is delivered to our clients,” concluded Anne.
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Introducing KNH molecular laboratory team By Verah Mugambi At the time of writing this story, the country is experiencing a spike in COVID-19 cases. The positivity rate is now at 6.5%. The youngest is a one-year-old child while the oldest is 97 years. Total confirmed positive cases are now 256,484 and cumulative tests so far conducted are 2,891,893. All the samples are tested by dedicated laboratory teams around the country. These heroes and heroines have been diligently doing this from the start of the pandemic. At Kenyatta National Hospital, the COVID-19 testing project cog is the laboratory staff. Newsline had a conversation with some members of the Molecular laboratory team, who oversee COVID-19 sample collection and analysis and they shared their experiences pre and post-pandemic: Ms. Audrey Rotich, a laboratory technician is the team leader of sample collection in the Molecular laboratory. In 2020, she was among the awardees of the Uzalendo Award by the President of Kenya in honor of their exemplary service, sacrifice, patriotism & heroism in helping steer Kenya through the current pandemic. “Before the pandemic, I was working in microbiology laboratory for almost three years. Then March 2020 I was posted at KNH MbagathiIDU hospital to head the sample collection team. Later on, in July 2020, a few of my colleagues and I were brought back to KNH for sample collection, said Ms. Rotich. “It has not been easy,” she continues, but I thank God. At first, there was the stigma, fear and all, but now it is much better,” she added. “What we do after the client registers and is done with payment, is to counter-check the details for accuracy before taking the sample and finally label the tubes. “The most challenging part of our work is that the public comes for swabbing scared that it will be painful. The media and social media channels describe Covid-19 testing as
It has been a wonderful learning experience for me. Covid-19 is an emerging disease; it was never there before so people are discovering things about the disease as we move on,” Mr. Alfonce Kivindyo the most painful procedure so clients come already scared and hesitant making it sometimes an interesting operation to collect the right sample. Also taking samples from children is very difficult; the crying and the shouting is a hectic situation,” she said. “The biggest lesson learnt is the strength of teamwork. In this project, we are not just the lab team but staff from different departments who work
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together to make the whole process from registration to generating the client’s results a success,” concluded Audrey. Mr. Alfonce Kivindyo is a medical laboratory technologist, currently working at the Molecular Lab. He is the fun-bone of the team. “Before this terrible pandemic which has turned our lives upside down, I was at the Critical Care Unit (CCU) doing blood work analysis to critically ill patients,” he narrated. “It’s been a wonderful learning experience for me. Covid-19 is an emerging disease; it was never there before so people are discovering things about the disease as we move on,” he said. “Here, I analyze the samples; extract the virus, get the purified RNA, and amplify them to get the final results. In the beginning, there were a lot of workload and staff numbers were low since most were scared to be assigned at the lab. The team here
PHOTO | COURTESY A lab technician inside the molecular laboratory
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has been stationed here from the onset and we have formed a strong family bond and work as a team,” he added. “I have contracted COVID-19, so I believe my immune system is now strong. Let us be careful and follow the set protocols and regulations for us and the sake of our loved ones,” Mr. Kivindyo concluded. Mr. Julius Omondi joined KNH in April and was posted to the Covid-19 sample collection team. “I test both the inpatient (wards) and outpatients (walk-in clients) and they both have challenges of their own. “For example, we collect both the nasal & the oral but then someone comes and tells you they only want nasal and not both and convincing them to do nasal will take a lot of time, therefore, keeping other patients/clients waiting,” Mr. Omondi explained.
He further said “I feel there has not been much of public education when it comes to sample collection. What has been there is how you can protect yourself and not what to expect when you come for sample collection.” “The trickiest situation when dealing with patients in the wards is when you have to take a sample from a mentally challenged patient. The process is challenging but with time, we have gained the knowledge to manoeuvre through,” he explained. “As a country, we have never encountered such emerging diseases on this scale and I believe we are now more prepared to handle such. We have overcome the fear, so if there is information about a disease, I believe medics in Kenya can handle the situation. Finally, I thank the team for accepting me as one of them and we have been moving on together,” he concluded.
According to Mr. Henry Awasi, a Medical Laboratory Technologist, the most difficult clients are the ‘clients who have ‘enough knowledge’ of the disease.’ “The middle-aged group is the information age, and it is the most challenging group. They google a lot about Covid-19. Facts or not, they will ask and want to know more, therefore it takes more time trying to make them co-operate. Otherwise, it has been an interesting experience working here,” said Mr. Awasi. The molecular team congratulates the entire KNH staff for their efforts in various capacities and thanks the management for their support since the Covid-19 team was set up. The Molecular Laboratory team would like to wish the KNH fraternity a blessed New Year-2022!
Inside the Covid-19 ward: through a nurses’ eye By Petterson Njogu The following story of bravery and hope highlights the experience of the pandemic from the perspective of a Kenyatta Prime Care Centre (KPCC) nurse, inside a Covid-19 ward. The virus was first reported in December 2019. Reports indicated Covid-19 had close links to Wuhan’s Seafood City Market in South China. In the preceding few weeks, the novel Covid-19 pressured nursing services in the region, since thousands of people were infected. In Kenya, the first case of coronavirus was confirmed in March 2020, the same time when World Health Organization (WHO) declared it a pandemic, as it caused infections amongst many people across the world. It is worth noting that vaccines did not arrive in the country until a year later after the first confirmed case. A KPCC nurse and front-liner; Mr. Zaphaniah Otiso has been in the thick and thin of Covid-19 response since day one. He shared his experience with Newsline. NL: How was it like taking care of Covid -19 patients for the first time? Mr. Otiso: Saying that I was afraid and anxious would be an
understatement, because it was more than that. We were nervous when an entire ward was declared a COVID-19-only restricted area. My colleagues and I happened to be working at the same facility. That meant long hours of loneliness and isolation; a state that none of us was used to. This coupled with the news flashes of the disease sweeping through Europe and other parts of the world got us so worried since we had very little knowledge on how to tackle it. People were dying in large numbers. Nevertheless, we had to do our best to save these lives and by handling more of these cases, the going got easier.
in the isolation ward. We used to update close family members on the progress while they stayed at home. However, once it was clear the patients’ condition was rapidly deteriorating the next of kin would be notified to bid farewell. It broke my heart
PHOTO | COURTESY Mr. Zephaniah Otiso , one of KPCC front line nurses in the fight against Covid-19 virus
NL: How did it feel to know your patient was going to die without being able to see their family and relatives for the last time? Mr. Otiso: Relatives were not allowed to visit their patients
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watching someone say goodbye to their loved one. It was emotionally draining seeing families torn apart by the disease. Every time I would leave and go home, I kept wondering whether I would find my patients when I reported the next morning or question whether they would make it through the night during those long night shifts. NL: What did all these deaths do to you, how did you cope with that, and what kept you going? Mr. Otiso: It would be a fair assessment to say that initially most patients were brought in with extreme difficulties in breathing add that to existing comorbidities, it was a no-brainer that soon they would be no more, and that happened quite a lot. Witnessing all that left me with sleepless nights, I was exhausted and depressed and sad, to say the least. Nursing was my career of choice. It is what I desired to do since my tender age to help people get better and live happily and healthy. Unfortunately, I found myself questioning everything. At some point, I contemplated changing my profession altogether. It was a lot to take in. The only way I would have dealt with this was to ask for help. I thank KPCC management for its efforts in providing counselling services to all our colleagues who needed it. Our psychological and social well-being was not right and those sessions came in handy. I also received great advice, support, and encouragement from doctors my supervisors, and senior nurses who had served in the profession longer than myself. My family and friends also cheered and inspired me to get through everything that was happening around me. NL: Now that we have vaccines, how has this affected how you work?
PHOTO | COURTESY
Mr. Zephaniah Otiso (left) in company of colleague during the interview inside KPCC Covid-19 ward
Mr. Otiso: With the rollout of covid-19 vaccines in the country early this year, I truly felt grateful for the first time since the pandemic started. Vaccines offer hope, something that we could only wish for at one time now that they are here with us. I urge all members of the public to get out there and get vaccinated. This disease is real and the virus continues to ravage most of the patients, so please do the right thing before it gets too
late. Despite uncertain times, Zephaniah said it’s more than rewarding to be a nurse and be part of a team that helps save lives. “People are brought to our ward on the worst day of their lives and we have no idea what will transpire next other than having hope for them to see another day. And you are a part of that, that’s not a mean feat,” he said. “Sometimes I look at the patient,
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knowing very well that I could be in a similar critical state, if I am not careful, or if I let my guard down or I am just unlucky. This scares me,” concluded Mr, Otiso. We send lots of love to those families who had to deal with the loss of their loved ones due to the virus. Nurses are the real soldiers in this Covid-19 pandemic battle.
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From the communication desk:
Meet the Marketing & Communication team By Shiphrah Njeri The KNH Marketing and Communication department exists to help bring life to the KNH corporate brand, through strong storytelling and effective communication. The team is comprised of experts who bring many skills to the table; from strategy and implementation, to analytics and storytelling, to design and creativity. We are here as a unique tool to further the conversations surrounding KNH and the communities we serve and live in. It is a vibrant team with the best there is in the market, wait did we say market? It is Marketing and Communication, but you are right, pun was intended. We hold dear our mandate as a department and without a doubt, we have to keep at par with our customers (our patients, relatives and partners). In this information age, KNH is on various social media handles; Facebook, Twitter, YouTube, Tiktok, and while at it, we drive social media engagement by throwing in some memes. We have a dedicated team that reads the feedback, answers dozens of questions that flock in our direct messages and some of these enquiries require the M&C team to liaise with the various KNH departments, mainly because these question require expert opinion. The Marketing & Communciation team fully understands the
health talks from our medics and informative newspieces about KNH. Below are the links to KNH social media pages and Newsline online: Facebook: Kenyatta National Hospital Twitter: @Ceoknh , @ KNH_hospital YouTube: Kenyatta National Hospital Official Page TikTok: KenyattaNationalHospital Website: www.knh.or.ke Newsline: https://bit. ly/3uQGCcI
Ms. Edel Mwende
assignment. We understand that information is consumed real-time and we therefore bring our medical experts to our social forums through live streams to just make sure that people get to know what KNH offers. The customer service team handles complaints, compliments and suggestions and or enquiries from clients in the hospital. They ensure that feedback is received, addressed and the closed with the client receiving solutions or acknowledgement. The Editorial team ensures that there is content for the bi-weekly Newsline, YouTube channel, Facebook, Twitter and TikTok. These channels account for what is happening in the hospital, success stories from our patients, informative and educative
Behind these publications is a Marketing &
Communication team that burn the midnight oil to make KNH communication a success. To the
Mr. Dave Opiyo HoD, M&C
Mr. Nicholas Wamalwa
Ms. Melody Ajiambo
Ms. Cynthia Cherono
Ms. Priscah Angwenyi
Ms. Yvonne Gichuru
Ms. Sheila Muriithi
Ms. Marian Moraa
Ms. Winfred Gumbo
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writers, for the magnificent and enlightening stories, graphic designer who makes impressive designs for the hospital (posters, social media announcements, brochures for different departments) etc, to our photographers for the professional photos we have for the KNH brand and our creatives for the best communication to the public; you are celebrated.
Ms. Shiphrah Njeri
Mr. Collins Cheruiyot
Mr. Moses Njomo
Ms. Joan Macharia
Ms. Linnette Leyi
Ms. Sarah Wanjiku
Ms. Verah Mugambi
Mr. Luke Kung’u
Ms. Jacqueline Ngure
Mr. Godfery Osang’ir
Mr. Lukas Ombogo
Mr. Gyvira Odhiambo
Mr. Daniel Nthumo
Mr. Mohamed Dima
Mr. Peter Githua
Ms. Naom Kerubo
Mr. Alex Mutyambwii
Mr. Emmanuel Wambua
Mr. Naftali Ruto
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2021
Round Up
How it has been By Verah Mugambi & Yvonne Gichuru
DONATIONS
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he emergence of Covid-19 has brought with it unprecedented levels of anguish not only to individuals but also institutions and governments as they deliver on their mandate. This has called for a multipronged approach to alleviate the shortages, especially in the medical field. In heeding to this call, many donors and well-wishers filled the gap with medical equipment, drugs, toiletries, meals, and personal protective equipment (PPE’s) among others. We look forward to more relationships in the future. On behalf of the KNH Management, the Newsline team would like to thank all the donors and well-wishers and wish them a Merry Christmas and Happy New Year.
KNH CEO, Dr. Evanson Kamuri EBS (L) receives an ambulance donation from NHIF CEO Dr. Peter Kamunyo
We are 120 years! One more year loaded with sweet recollections and cheerful times has also passed. The KNH family made 2021 exceptionally uncommon, and we wish this continues forever. So as glasses are raised and fireworks explode in the sky, we just can’t wait to see what the New Year holds…
Director Diagnostics Services and Health Information Dr. Rose Nyabanda (R) receives donations from R.J. Kanani Foundation representative on behalf of the KNH management
A section of KNH and Equity Bank staff outside Ward 1 A . The Equity Bank staff donated a flat screen television to the ward
IBER Africa representatives (R) handing over a donation of assorted hospital equipment to the Deputy Chief Nurse Clinical Services Mrs. Margaret Githire (L)
National Government Constituency Development Fund Board Christian Union representatives presenting their donations to the hospital. The donation was received by Mr. Hezekiel Gikambi - Former M&C Manager
Salute & Happy New Year!!!
How it has been By Verah Mugambi & Yvonne Gichuru
MILESTONES
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n our quest to provide quality specialized health care, our teams have been at the forefront in registering major milestones that have pinned KNH at the apex of the referral system nationally. The re-certification by the Kenya Bureau of Standards ISO 9001-2015 QMS, shows our unwavering commitment to the provision of quality specialized health care. To this end, and in a bid to lessen the turnaround time, a one-stop-shop banking hall ‘Malipo Centre’ came in handy for patients clearing their bills under one roof. Our staff efforts have received presidential recognition; through The Kenya Gazette notice publication Vol. CXXIII-No. 255 dated 17th December 2021 Director Planning and Strategy; Mr. Makanga Job Bernard was conferred with Order of Grand Warrior (O.G.W.) of Kenya and Administrative Officer, Transport; Mr. Omondi Fredrick through the Kenya Gazette notice publication Vol. CXXIII-No. 255 dated 17th December 2021, bagged Head of State’s Commendation (HSCCivilian Division). We look forward to a seamless rollover to 2022 as we anticipate having more breakthroughs in medical fields as well as improving infrastructure and skills by capacity building of our medical specialists.
KNH CEO, Dr. Evanson Kamuri, EBS (L) receives the Kenya Bureau of Standards ISO 9001-2015 QMS certificate from KEBS Managing Director Mr. Benard Njiraini (R)
MOH Ps. Susan Mochache , CBS (Front L), JKUAT Vice-Chancellor Prof. Victoria Ngumi during the launch of Master of Medicine Programmes in Dermatology Medicine in Kenya
KNH Board Chairman, Mr. George Ooko (L), and MOH P.S Susan Mochache EBS, (R) during the launch of MMed Programmes in Dermatology and Medicine in Kenya
OUTREACHES
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enyatta National Hospital remains steadfast in ensuring Universal Health Coverage (UHC) is achieved as per the mandate envisioned in the President’s Big Four Agenda. To this end, we embarked on an elaborate outreach program as a marketing strategy for specialized medical services, with a target audience of the socio-economically disadvantaged and vulnerable population across the country facing health risks such as the high prevalence of communicable and non-communicable diseases compared to the general population. This involved a multidisciplinary approach incorporating community health workers with the aim of capacity building and ultimately enhancing the mutual understanding between us and the community as well as charting ways
to avert the risks, venturing on possible avenues to easily accessible health care thus increasing health promotion.
Gerald Muriithi, Nursing Officer from KNH Othaya vaccinating one of the initiates during a medical outreach in Marsabit County
Nephrologist, Professor Seth McLigeyo speaking during Renal Unit AV fistula surgery outreach
How it has been By Verah Mugambi & Yvonne Gichuru
KNH Staff during a medical outreach to Mercy Servants of the Poor Home in Kithyoko, Machakos County
KNH-Othaya in collaboration with KNH main Hospital during an outreach to mark the World Diabetes Day
VACCINATION
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ur international vaccination center has been providing vaccines, but with the emergence of the Covid-19 pandemic and the large numbers of people turning out for the vaccines, a separate Covid-19 testing and vaccination center was set up per the Ministry of Health protocols. The center runs daily from Monday-Friday and attends to more than five hundred clients per day; offering Pfizer BioNTech, Moderna, and AstraZeneca vaccines in both first and second doses.
KNH CEO Dr. Evanson Kamuri, EBS receiveing the Covid-19 jab during the launch and roll out of the country wide vaccination drive in KNH
Director Medical Services, Dr. William Sigilai receiving the Covid-19 jab during the launch and roll out of the country wide vaccination drive in KNH
Lead Coordinator Infection Prevention Control, Ms. Jemima Katama receiving the Covid-19 jab during the launch and roll out of the country wide vaccination drive in KNH
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A ‘SNOWFLAKE WARRIOR’ Living with Myasthenia Gravis: Hannah’s story PHOTO | PEXELS
By Yvonne N. Gichuru Meet Hannah Wambui, 56. Her son, Martin Muturi, 33 describes her as a prayerful and committed Christian who is very active when it comes to children’s ministry. Hannah started experiencing pain in her legs in 2012 when she sought medical attention. She was then diagnosed with Arthritis from a local hospital, given medication, and later felt fully recovered. However, in 2019, she again started experiencing similar symptoms but this time, her hands and legs felt weak and she started falling. “It was as if I had no strength,” she said. According to her son, Mr. Muturi, she started developing complications such as drooping eyelids to the point he thought it was an optical issue. “She was experiencing muscle weakness; she could not stand for long. Her bladder got weak and this was when it became alarming and so we concluded it might be a serious medical condition,” he said. She was then taken to a nearby clinic then referred to Kenyatta National Hospital. Ms. Lucy Kimemia, Nurse ManagerMedical Critical Care Unit, KNH said that upon examination and testing, Hannah was diagnosed with Myasthenia Gravis – a chronic autoimmune disorder in which antibodies destroy the
communication between nerves and muscle, resulting in weakness of the skeletal muscles. “Myasthenia gravis affects the voluntary muscles of the body, especially those that control the eyes, mouth, throat, and limbs,” she said. It is often called the snowflake disease due to the fluctuating symptoms experienced from one person to another. On admission to the Medical Critical Care Unit (CCU), Ward 8A, a tracheostomy – insertion of a tube through the trachea to help one
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breathe was done to manage the condition. “Hannah was in and out of mechanical ventilation. “Nonetheless, prolonged use makes one irritable therefore fixing the tracheostomy tube made use of the mechanical ventilation more comfortable for Hannah who was eventually able to talk. Initially, she was on a nasogastric tube for feeding and later on a Percutaneous Endoscopic Gastrotomy (PEG) tube which was inserted to enable her feed orally,”
PHOTO | STEVE NDUATI A section of the medical team from the KNH Critical Care Unit - Ward 8A
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said Ms. Kimemia. According to Valerie Maleche, Senior Nutrition Officer, KNH; Hannah was an alert patient. She was able to communicate verbally and express her concerns clearly, unlike most patients in the critical care unit who are always unconscious. “This status made it easy for me to provide quality nutrition care. She was on enteral feeds - nutritionally complete feeds that are delivered directly into your stomach or small intestines via a tube. These feeds were alternated by enriched blended feeds from our Therapeutic Feeds Production Unit in the Main Kitchen. Every day after reviewing Hannah during the major rounds, her feeding regime would be altered and customized to her nutrition needs which were determined by her current lab works and anything discussed by her primary doctors and nurses,” Ms. Maleche added. Hannah always believed that one day she would be out of the critical care unit. “Patients are sometimes in denial but for Hannah, she accepted her condition and believed she could get healed,” said Ms. Kimemia. She emphasized that healing needs a lot of support from the medical side and family too such as in Hannah’s case. “Hannah was very cooperative.
She eventually came out of the unit without bedsores and within a few days was even going to church. One thing about Hannah, she never gave up. She is very happy and appreciative,” she added. In preparation for discharge, Mr. Muturi – Hannah’s son was given intense nutrition counseling so that there could be continuity of nutrition care at home. “I provided them a detailed meal plan and advised on recommended feeds with regard to her diagnosis. A few weeks after discharge, Hannah was already eating solid food as opposed to the blended feeds. For me that was a great milestone achieved in a very short time,” said Ms. Maleche. “There was a lot of teamwork in the critical care unit from the physiotherapists, occupational therapists, doctors, nurses, nutritionists to the supportive staff who all played a tremendous role for Hannah to be what she is today,” she added. Mr. Muturi commended KNH for being helpful throughout the whole process. “They supported me by providing information on her progress. Although it was physically, financially, and spiritually weary, I did the best I could to assist,” he said. Hannah is thankful for her son who
was her main support system. “My son used to be in the ward by 5:45 am, leave for work at 7 am then come back at 5 pm to check on my progress and make enquiries,” she said gratefully. She also remembers the KNH prayer team coming to visit and this gave her the strength to have hope she would recover. Currently, there is no known cure for the disorder. “Most patients with Myasthenia gravis don’t have a good turnout but there are many treatments that can make it easier to manage life,” concluded Ms. Kimemia. Hannah often comes to her clinical appointments for follow-up in the KNH Neuro-clinic. “On Hannah’s first outpatient appointment, I was thrilled to see her walking and looking much brighter when we met. It is so fulfilling to see a CCU patient discharged and in good health,” concluded Ms. Maleche. Hannah encouraged proper dieting as she says that this too played a major role in her recovery. She concludes the interview by noting that Psalms 23 was where she drew her strength to overcome the disease. “I claimed God’s promises in Psalm 23 that we would have no lack and that we would lead healthy and fruitful lives. I feel healed and contented,” she concluded.
Head of State’s Commendation (HSC-Civilian Division) Administrative Officer, Transport, Mr. Fredrick Omondi, has been conferred with Head of State Commendation (HSC-Civilian Division) by the President of the Republic of Kenya, Uhuru Muigai Kenyatta (EGH) via The Kenya Gazette notice publication Vol. CXXIII-No. 255 dated 17th December 2021.
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KNH Othaya - the year 2021 By Susan Wakiuru & Abigael Lunani In 2021, Kenyatta National Hospital took over operations at Othaya level 6 hospital. Within the two years of operations, a lot of resources have been put into place by the management and other stakeholders both in terms of finances and human power. To this end, the hospital has managed to record some remarkable achievements within a short span. Kenyatta National Hospital –Othaya now boasts of some of the finest and most effective services in this region thanks to these efforts. Among the projects that the hospital has successfully commissioned are: a) Laundry Unit With Nyeri being a predominantly cold region, there was a need to have a modern and effective unit for cleaning patients and staff garments without reliance on unpredictable weather patterns. The laundry unit equipped with 3 washing machines, a dryer, and an ironing machine can clean about 560 Kgs for immediate use in a day. With these efforts, the hospital has guaranteed patients comfort and cleanliness of their apparel irrespective of what season it is. b) Modern Kitchen With an increase in the number of patients who need diverse meals that ought to be strictly observed, there was a need to have a kitchen that offers both timely and exact dietary services that the patients require. The modern kitchen is fully equipped with automated service points. The equipment has gone a long way in helping the facility offer the much essential catering services to both our patients and staff members. c) Oxygen Plant KNH-Othaya now has an operational oxygen production unit that has the capacity of producing 90,000 liters of oxygen per hour. This feature makes it the only facility in the Mt Kenya region with such a service. The service will enable patients in critical care to access
oxygen any time they need it and by extension, other health facilities can obtain oxygen from this unit too. This comes in line with Kenyatta National Hospital’s mission of optimizing the patient experience.
equipment including, monitors and ventilators for each bed, 2 isolation beds, and an in-house laboratory. The unit also boasts of an entire team of critical care nurses dispensing services.
d) Modern Morgue Kenyatta National Hospital Othaya now has a 95% complete 100 body morgue. The morgue is already equipped with a state-of-the-art refrigeration system which will ensure proper preservation of bodies. The need for the service in Othaya had been highlighted even before Kenyatta National Hospital came to Othaya. Bereaved residents have been grappling with the dilemma of where to take bodies of their loved ones. As it is, their loved ones’ bodies are being transferred to Nyeri town or neighboring Murang’a county thus incurring extra charges. This morgue will answer the call of residents in Othaya and its environs.
f) Modern maternal High Dependency Unit In line with the World Health Organization’s objective of eliminating deaths during childbirth, Kenyatta National Hospital Othaya in partnership with Safaricom foundation renovated and equipped a 6- bed high dependency unit for mothers or expectant mothers. The unit is fully equipped to handle all complications that arise during the process of childbirth thus helping in averting any undesirable eventuality.
e) Modern Critical Care Unit Kenyatta National Hospital Othaya now boasts a 21- bed capacity Critical Care Unit. The unit was an upgrade from the previous one which could only host six patients at a time. The upgrade was done in a record 6 weeks highlighting the commitment Kenyatta National Hospital Othaya management has to provide specialized services to our patients. The facility also has upgraded
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PHOTO | JULIUS ITA KNH - Othaya entrance
g) Modern New Born Unit In partnership with the Safaricom Foundation, Kenyatta National Hospital Othaya has established a 16 -cot New Born Unit that offers medical care services to neonate babies. The unit is also equipped with 6 incubators designated for preterm babies. h) Parking Lots The hospital saw the need for ease of access into the facility for both patients and staff members. Thus, the management embarked on a plan to increase the available parking space and pavements navigating through
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the hospital compound. There are therefore no more cases of vehicle snarl-up within the facility and the smooth flow has eased the safety concern as per where patients and staff will park their vehicles. i) New Services Plastic and Reconstructive
Surgery Clinic. With the vision of providing specialized care, KNH Othaya expanded the provision of services by introducing plastic and reconstructive surgery clinics. This is a service that is widely sought by residents as there are very few facilities that offer the same. In just 2 years, there has been
a lot of changes not only in the hospital but in Othaya town as well. The KNH management led by the CEO Dr. E.N. Kamuri, EBS is on course to transform the facility into a world-class patient-centered specialized care hospital. This will in turn and boost the livelihood of the surrounding community.
PHOTO | JULIUS ITA KNH - Othaya new New Born Unit
PHOTO | JULIUS ITA KNH - Othaya new kitchen
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Deep work: how KNH employees can improve concentration in open offices By Edward Njuguna Expert performers conduct their professional activities while utilizing the principles of deep work. This is what helps them produce valuable output consistently since it pushes their ability to reason and be creative and solidifies skills in their field or industry. So what do we mean by working deep? Let’s think of work as an ocean, concentration as water in the ocean, distractions will be the waves in the ocean. Using this analogy, it entails working in the deep ocean where waves(distractions) are minimal. It can be described as an activity that requires knowledge and skill and is done at a high level of concentration with no distractions at all which results in being able to push your cognitive capabilities to the limits. Pay particular attention to the depth of concentration required to work deeply and the fact that distractions have no place in deep work. Why should you work in a state of distraction-free concentration resisting the urge of checking the number of views in your status or the trending videos on Instagram and TikTok? That depends on how productive you would like to be. Carl Newport an author and a pioneer of Deep Work introduce the intensity formula that shows the relationship between quality of work and level of concentration. The formula states that; HighQuality Work = (Time Spent) * (Intensity Of focus). If you want to be productive at an elite level of quality and speed, you need to master the skill of deep work. “Men of genius themselves are great only by bringing all their power to bear on the point at which they had decided to show their full measure”(K. Anders Ericsson as cited in Carl Newport 2016). Let’s now look at working with continuous distraction a common and discouraging phenomenon by knowledge workers nowadays. What is shallow work? In the ocean analogy, shallow work is characterized by waves of distractions. Shallow work
is undertaking activities that do not require a lot of knowledge and reasoning usually of logistical style in a continuous state of distraction. The effects of distractions on productivity have been the subject of research by Sophie Leroy a professor of management at the University of Washington School of Business. She introduced the concept of attention residue in a 2009 paper. In the paper titled “Why is it so hard to do my work,” she states that “When you switch from Task A to Task B, your attention doesn’t immediately follow – a residue of your attention remains stuck thinking about the original task.” She further adds, “This residue gets especially thick if your work on Task A was unbounded and of low intensity, before you switched, but even if you finish Task A before moving on, your attention remains divided for a while.”(Leroy 2009 as cited in Carl Newport 2016). Open offices were made famous in the 1980s as a scheme to reduce real estate costs and break down divisions between teams. At Kenyatta National Hospital the open office layout has been applied in many departments. It helps enhance transparency in critical departments as well as idea flow and communication between the hospital staff. The employee workstations are located together creating a more social space in the office. According to Mr. Msafiri, a Senior HR Officer in the hospital, each department has a performance contract with the board of directors. This usually entails the value that the Board expects from the department. The open office layout helps employees work as a team to meet these targets and achieve the objectives and tasks allocated to them by the board. Carl Newport named the idea of allowing people to run into each other leading to smart collaborations and new ideas, the theory of serendipitous creativity. How do you promote concentration and serendipity to encourage critical thinking through Deep Work and generate creative insights from
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divergent thinking (a collaborative endeavor)? You can use these guidelines for working with people while integrating depth in an open office. First and foremost, distraction continues to be a depth destroyer. Separate your efforts to think deeply from your pursuit of serendipitous interactions. Rather than combining them into a sludge that obstructs both goals, you should try to optimize each effort separately. Secondly, for some types of problems working with someone else can push you deeper than working alone. But the work needs to be divided into small tasks that can be done separately which are then allocated between the individuals. The idea is to avoid two or more people doing the same thing since this will create distractions. When it comes to deep work, think about working collaboratively when it makes sense, as it can help you push your results to new heights. At the same time, don’t uplift this quest for positive randomness and interaction to the point where it eclipses the unbroken concentration required to extract something useful from the whirlpool of ideas all around us.
PHOTO | LUKE KUNG’U
KNH Marketing & communication open office arrangement.
The writer is on internship at the Marketing & Communication department at Kenyatta National Hospital.
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ULIZA KIATU
By Luke Kung’u You may have heard the phrase ‘Uliza kiatu’ or ‘Ask my shoe’ or even heard songs on the same. Maybe it reminds you of a situation you may have passed through or observed subconsciously? Well, you may have been right or wrong altogether. What is in it for a shoe wearer? The questions linger on and on; why this type and not the other? Why do our ladies spend so much money and time to buy and determine the kind of shoe? At what ages are shoes a necessity? Walking barefoot is a style by itself but why should one walk barefoot? This is a broad topic and it goes dates back to old ages and societies. Did you know that the earliest known shoes are sagebrush bark sandals dating from approximately 7000 or 8000 BC, found in the Fort Rock Cave in the US state of Oregon in 1938? The world’s oldest leather shoe, made from a single piece of cowhide laced with a leather cord along seams at the front and back, was found in the Areni-1 cave complex in Armenia in 2008 and is believed to date to 3500 BC.
Ötzi; the Iceman’s shoes, dating to 3300 BC, featured brown bearskin bases, deerskin side panels, and a bark-string net, which pulled tight around the foot (Dolores Monet). Shoes improve the quality of life greatly preventing injury, especially when working in hazardous conditions such as in chemical industries, quarries, and most industries. Shoes also help with the healing of chronic foot conditions for people suffering from diabetes in the prevention of injury and preservation of hard-to-heal wounds which in most instances lead to amputation. Remember the jigger infestation witnessed in the early 1980s? Shoes were and still are, the number one remedy
Shoes prevent back, knee and foot pain by absorbing shock or pressure. Therefore it is good to replace shoes that no longer serve the intended purpose as this goes a long way in the maintenance of optimal foot conditions and protection.
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in the prevention of parasitic worm infestation that includes hookworms. You may have heard that shoes make statements; the first impression is made by subconsciously checking on the shoe. A well-polished shoe combined with needed credentials, a groomed body, and fitting clothes could land one that coveted job. That lady or gentleman you missed could all be because of the shoe you wore on that day. Fashionistas uphold that high heels are an expression of adulthood and sexuality; a sleek design with elongated legs as a means of attraction (rings a bell?). Shoes aid in support and stability of our feet and it is always good to wear properly fitting shoes that help in aligning the feet, ankles, knees, hips, and back to correct gait and improve posture. Shoes prevent back, knee and foot pain by absorbing shock or pressure. Therefore it is good to replace shoes that no longer serve the intended purpose as this goes a long way in the maintenance of optimal foot conditions and protection. Culturally, shoes are a show of social status; an extension of self
PHOTO | ALLEOFFICESOLUTIONS
History of shoes as depicted in the above diagram
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as well as enhanced perception (feel good). They are also extensively used in decorations for fashion; fashion shows are a profession and real business. In some cultures, walking barefoot is construed as freedom and an attachment to youthfulness and
places. Psychologically, they are a boost to the personality and development of adolescents; a sense of a jump from ordinary to the supernatural (magical transformation). Recall ‘Spiderman’ and the craze by
children to look alike? It is all in the shoe! The rugged appearance elicits emotions of freedom, strong personality strength and independence. After all, is said and done, life generally has been rendered a lot easier with shoes and we are forever indebted to the invention of the shoe. We feel safer, more expressive with improved performance; can travel further as well as aid in overall health. The shoe is the ultimate gamechanger.
PHOTO | STOCK
Ötzi; the Iceman’s shoe
In Choosing the right shoe, consider the following tips: • The right shoe can help keep your feet healthy and your body safe from injury • Shoes should cushion and support your feet, feel comfortable and fit well • Shop for shoes when your feet are at their largest – at the end of the day or after exercise • Get your feet measured every time you buy shoes– it is common for one foot to be larger than the other, and your foot size and shape can change as you age • If you play a sport, choose a shoe designed for that sport
PHOTO | STOCK
Modern shoes
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Talk to our healthcare professionals about any problems with your feet or footwear.
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Not disabled, Just differently-abled By Ken Ndung’u, Steve Nduati, Michelle Wairimu & Joseph Musembi Martin Kioko alias “Marto”, 23, is an industrial attaché at Kenyatta National Hospital, pursuing fabric coloration in National Industrial Training Authority Nairobi (NITA). He suffers from Down syndrome, a genetic disorder caused when abnormal cell division results in extra genetic material from chromosome 21. It causes a distinct facial appearance, intellectual disability, and developmental delay. It may be associated with thyroid or heart disease. Its treatment and management efforts include early childhood intervention, screening for common problems, medical treatment where indicated. A good family environment and work-related training can improve the development of children with the disease. Typical childhood vaccinations are also recommended in their management. Mr. Kioko experiences speech delays, slow learning capabilities and lacks neural coordination and strength. In an interview with Newsline, he narrates the story of how he has lived with the condition since childhood, how hard it was for him to make friends and also associate with fellow children of his age. Martin faces many challenges and the major one being communication. His speech delay is not well tolerated by everyone he tries to speak to, so more often than not he chooses to say less. Martin lives in Pangani with his aunt and commutes every day to Kenyatta National Hospital where he is stationed at the
PHOTO | KEN NDUNG’U
Martin at work
Laundry department, Linen Marking section. His job entails branding hospital garments as well as embroidery of clothes. He is very passionate about his craft and he dreams of one day opening his own t-shirt printing business and being independent. He loves to describe himself as joyful, charismatic, and a loyal Liverpool fan with his favorite player being Mohammed Salah. Martin joined Kenyatta National Hospital on 28th September 2021 and he described his first day at his place of work as being a very warm one with the staff welcoming him to the department and being supportive and patient with him. Ms. Joan Mutiso, Manager, Laundry, and Tailoring department describes Martin as hard-working, a person who takes instructions well, and Ms. Joan Mutiso, a great Manager Laundry and team Tailoring Unit
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player. In addition, she explained that the department is staffed with well-qualified employees who are accommodative to persons with disability. Martin praises the warm and courteous personality of his mentor Ms. Alice Musani, a laundry assistant, at the tailoring section who has been supporting him in fitting in and carrying out his tasks as required. He further thanks KNH management for being accommodative and allowing persons with a disability just like him to be a part of the loving KNH family. He encourages other persons with disability to stand up and be counted as citizens who belong, and not to rely on other people’s kindness, and in his own words he says: “jiaminie usijihurumie.” The writers are on internship at the Marketing & Communication department at Kenyatta National Hospital
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Squamous cell carcinoma of the eye. Early diagnosis is key
By Dr. Rebecah Nandasaba
T
here is no easy way to receive bad news. Not even with the best of preparation, the words that give a name to bad news always hit you hard. Being prepared to receive bad news may soften the blow but at the end of the day, one still feels it. It was not any different for me the day I visited the hospital for a review. I had had a small growth on my left eye for a few months which kept growing but was not painful. I could still see well with my eye, and I was feeling well. I decided to have it checked still; it was not supposed to be there in the first place. I walked into the examination room with the usual unease and slight anxiety we all have, when we visit a hospital. The doctor had my file open on the desk. I noticed a few small bottles of what I assumed to be eye drops neatly arranged on his desk. Next to it, was a bottle of sanitizer. Another pile of files was placed in a neat stack. Some appeared new, others were somewhat worn out.
On the right, next to his desk, sat a special eye examination machine. A nurse professionally sanitized it in preparation for use for the next patient, me. I had only seen it in advertisements on television during eye health promotion campaigns. Next to it was a sink with a bottle of pink liquid soap. The hygiene standards here were up to par; I thought to myself. I settled into the comfortable chair as the doctor greeted me. He looked composed and welcoming all at the same time. His calm demeanor was reassuring and I started feeling the unease lift. “Karibu Dennis, what brings you today?” the doctor began the conversation. Ten minutes later I had finished explaining my complaints to him. This was followed by a set of questions as he narrowed in on the possibilities of what could be affecting my eye. This was followed by a methodical examination on the eye examination machine which I later learned was known as a slit lamp. After completing the examination he went back to my file and wrote his findings.
ISSUE 27 | Kenyatta National Hospital Newsletter
He then set down and focused his attention on me. A conversation followed in which he took me through the findings of the clinical examination he had conducted a few minutes earlier. Then came the words I hadn’t expected when I had first walked into the clinic. But at this point of my visit, I had started anticipating something was coming, based on the counseling he had started. I was being prepared for the diagnosis. “Dennis, this looks like a type of eye cancer that affects the eye known as squamous cell carcinoma.”
PHOTO | STOCK An eye infected with Squamous cell carcinoma
The word For a moment the environment seemed to shift to take on an unrealistic feel. The word cancer has long been associated with fear and apprehension. It wasn’t any different for me. Was this it? I started asking myself. “Dennis”, I heard the doctor call for my attention. “Yes,” I answered as I tried to listen in. “The good thing is that you have come on time and the disease is still in its early stages.” The doctor continued.
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Hard as it was to listen, his counselling and preparation helped. I was glad that currently, patients are walked through a diagnosis and plan of treatment. News is not dumped on you. What followed was a discussion on how we were going to work together to manage this condition. Squamous cell carcinoma falls in a group of eye surface cancers referred to as Ocular Surface Squamous Neoplasia, abbreviated as OSSN which classifies the extent of cancerous changes of the cells on the surface of the eye. The abnormal cells grow slowly. They then preset as a growth on the exposed part of the eye. This type of eye cancer can be treated completely if diagnosed early. The abnormal growth is usually removed through surgery followed by treatment with medication known as antimetabolites. The risk factors associated with the development of Squamous cell carcinoma include exposure to Ultraviolet rays from the sun, advanced age, HIV/AIDS infection, and a disease known as Xeroderma pigmentosa. Squamous cell carcinoma starts with a cell on the exposed surface of the eye changing to become cancerous. With time, the cell multiplies and starts invading the different layers of the eye. Squamous cell carcinoma is an invasive stage of the eye.
Patients may have no symptoms or may develop pain, irritation, and redness of the eye. The cancer grows slowly and may eventually affect vision. The key to the successful treatment of squamous cell carcinoma is early diagnosis and treatment. When diagnosed early, the abnormal growth is removed through surgery. This is followed by one month of using special drops that contain medication known as antimetabolites which reduce the chances of the disease from recurring. Thereafter, one has to be followed up at an eye clinic to ensure the disease does not come back unnoticed. Unfortunately, when not treated, squamous cell carcinoma grows slowly but progressively and eventually may destroy the eye and the tissues around the eye. This may then necessitate the removal of the destroyed eye and the affected surrounding tissues to get rid of cancer. This may need additional radiotherapy. If the disease progresses beyond this to affect the face and the bones around the eyes it may reach a stage where surgery cannot be done and at this point, palliative care is then initiated. Several studies have shown that Squamous cell carcinomas occur in 0.2/million people/year to 35/ million people/year. Africa, according to a
ISSUE 27 | Kenyatta National Hospital Newsletter
study done by Dr. S. Gichuhi et al, has the highest number of cases compared to the rest of the world. This is due to ultraviolet light from the sun characteristic of the tropics and the relatively high prevalence of HIV/ AIDS. My story ends well. I underwent the surgery and completed my treatment. The cancer was removed entirely. A timely visit to my doctor meant that the cancer was detected early and treatment commenced to remove it. The bad news isn’t always the end of a journey. It may very well trigger the beginning of interventions that save lives. Ensure you have your eyes checked if you notice an abnormal growth. Many of these are harmless. But some may be early stages of eye surface cancer. An eye doctor i.e. an Ophthalmologist is well trained to make a diagnosis and institute the necessary management. Kenyatta National Hospital has oculoplastic clinics with oculoplastic specialists who are highly trained to manage abnormal growths on the eye. The clinics run every Monday and Tuesday at the eye clinic. Visit KNH today if you have any concerns. Dr. Nandasaba is a Consultant Ophthalmologist, Kenyatta National Hospital dr.nandasaba.namweyi@gmail.com
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Demystifying amputation in Diabetic Patients By Barbara Otieno & Joseph Musembi Efficient management of diabetic foot infections is hindered by a lack of understanding: Contrary to popular belief, amputations from diabetic foot infections are preventable. The need to debunk misconceptions surrounding the ‘Diabetic Foot’ is crucial in improving diabetic foot care in Kenya. The prevalence of diabetes in adults in Kenya was 3.3% in 2019 and is projected to rise to 4.5% by 2035 according to the International Diabetes Federation. About 100,000 new cases of adults with diabetes will spring up if nothing is done; worse 50% of the population is undiagnosed and often seek health services when they have diabetic complications, increasing the Non Communicable Diseases (NCD) burden in Kenya. The number of diabetic foot complications that often lead to lower limb amputation and mortality will increase as specialized diabetic wound care services are sparse and inaccessible to many in Kenya. More than 85% of amputations begin with foot ulcers delineating to a deep infection or gangrene in type 2 diabetes mellitus patients. Type 2 is the most common. It occurs when the body either does not produce enough insulin or cannot effectively use the insulin it produces. How then is this ‘silent’ disease a common pathway to amputation? The most frequent underlying cause of diabetic foot ulcer is neuropathy-the loss of “the gift of pain” as some call it. Diabetic patients do not notice minor scrapes or cuts from stepping on sharp objects or ill-fitting shoes as warning signs of pain are diminished. The patient develops a wound in their weakened foot that doesn’t hurt. Ulceration and peripheral neuropathy accompanied with peripheral artery disease with an added layer of extended periods of elevated blood sugars impedes wound healing in diabetic patients. Mrs. Mary Jones (not her real name) was diagnosed with type 2 diabetes in 1994. She never imagined that during her journey with diabetes, a blister would almost end up in a
below the knee amputation. “It happens slowly that you do not realize how bad it has gotten,” recalled Mrs. Jones. Margaret’s infection deteriorated during her two months of admission in a hospital in Kiambu and her blackened toe was a result of a cut of blood supply. It was then that it was recommended that she have a below the knee amputation. Prior to coming to KNH in 2012, she had no knowledge of diabetic foot complications let alone selfcare management. To prevent the infection spreading further, Mary only lost her dead toe and not her entire leg. At 50 years, she has been able to prevent the reccurrence of foot ulcers by monitoring her blood sugar levels, checking her feet daily, wearing diabetic insoles, regular checkups and attends weekly clinic patient education at the KNH Diabetes and Endocrinology Centre of Excellence Clinic. “Healing rates of foot ulcers are between 80% - 90% for patients who come early to the clinic. Diabetic foot can be prevented with minimal intervention,” said Mr. Isaac Miruka, KNH clinical podiatrist, wound care specialist with over 20years experience. Like Mary many patients that he sees here have already been offered amputations elsewhere. He believes that many of these may not be necessary. All patients attending the diabetes clinic undergo a careful
ISSUE 27 | Kenyatta National Hospital Newsletter
foot examination that tests for neuropathy and arterial insuffiency to lower the rate of lower limb amputations. The test identifies patients at risk for diabetic foot ulcer and categorizes patients with ulcers into different grades (low, moderate or high ulceration) which is a useful initial guide to the appropriate treatment and wound care management of diabetic foot infections. Patient education in self care foot management is often not enough to prevent foot ulceration. The complexity of foot ulcer necessitates a multidisciplinary and process oriented approach where early infections are diagnosed, treated rapidly and aggressively and long-term follow up to conserve the foot and prevent reccurrence of foot ulcers. Diabetes and Endocrinology centre of Excellence is doing a competency based curriculum with the Ministry of Health and the Diabetes Management Information Centre on training healthcare providers in Kenya on the prevention, rehabilitation and accurate management of diabetic foot ulcers to eliminate preventable amputations.”
PHOTO | BBSATTORNEYS
A nurse bandaging an amputated leg
The writers are on internship at the Marketing & Communication department at Kenyatta National Hospital
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Easing the burden of identification By Alex Mutyambwii & Luke Kung’u KNH receives patients from diverse backgrounds; some of who present themselves with no documentation thus making it hard to identify them or their next of kin. These range from accident and assault victims to incoherent ones, thus raising the question; ‘who is this person?’ In most instances they are received and treated as ‘unknown’. To this end, and to make it faster to identify them, the management successfully organized training by the National Registration Bureau under Ministry of Interior and Coordination of National Government on finger print taking course for some staff from Marketing & Communication, Safety & Security and Social Work departments to address the challenge of identification. The participants were taken through the finger print taking process and the dispatch process to Integrated Automated Finger Identification System (IAFIS) for searching and data retrieval. The Medical Social Work Department
then uses the retrieved data to identify the person and trace the relatives, repatriate and re-integrate the patients back to the community. Automated Fingerprint Identification System (AFIS) is a biometric identification (ID) methodology that uses digital imaging technology to obtain, store and analyze fingerprint data.
UN K N O W N
These range from accident and assault victims to incoherent ones, thus raising the question; ‘who is this person?’ In most instances they are received and treated as ‘unknown’.
PHOTO | LUKE KUNG’U
Senior Assistant Officer Medical Social Work Ms. Catherene Bonareri demonstrating finger prints taking process to Ag. HoU Medical Social Work Unit, Mr. Kelwon Kandie
Positive mentions from KNH Facebook page Maina Mwangi On 27/11/21 my 14 days’ little angel was referred to KNH in a dire situation, little did we know that her kidneys were not functioning as expected, but the paediatric emergency wing handled her in an exemplary manner until she was a bit stable, then she was taken to theater, the doctors and nurses at PRU and ward 3B were just amazing, they attended to her until recovery . I do not have enough words to describe how thankful I am for how the doctors and nurses attended to my daughter because I felt like I was losing the battle. To the doctors and nurses at KNH, may your pockets never run dry. Josphat Junior I have a patient at ward 8 and I have seen great change in this hospital. Lifts are working, nurses & doctors are friendly, askaris and security are doing a great job. Thanks to the management for the job well done!
Perminus Gisore I have been in CTC department for the last 25 days with my sick auntie and honestly, the service was cool and nurses were always there as early as 6:30am. May you be blessed for whatever you are doing. Kathure Elizabeth Awesome & wonderful job by our KNH doctors and nurses! They are doing a great job! God bless you abundantly. Mercy Barasa KNH is one of the best hospitals in our country and far beyond. May God bless the whole fraternity. David Wanganga I love the way KNH work. Steve Kamore May God bless all KNH doctors and nurses for good work.
ISSUE 27 | Kenyatta National Hospital Newsletter
Jackyz Iraro KNH you are the best, God bless you. Jackline Tosh May God bless you always. Kenyatta National Hospital is the best. Justice Sam KNH-best hospital in the city. Good work. Julius Moiruruki The facility extended lifespan for my late dad who has a cancerous growth. Keep at it team. Phil Musela You are all doing an amazing job. With minimal equipment, you are still doing exceptionally well. Hopefully, the medical records can become fully electronic in the future and we can acquire medication, delivery pumps, and automated medication dispensing machines. However, with what you have, you are truly doing an amazing job, exceptional to say the least!
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Comic Zone Laughter, the best medicine!!
1. I told this girl, “you’re very average.” She said, “that’s mean.” 2. Twister tough to tackle The sixth sick sheikh’s sixth sheep’s sick.
OUR VISION A world class patient-centered specialized care hospital OUR MISSION To optimize patient experience through innovative healthcare; facilitate training and research; and participate in national health policy formulation OUR MOTTO We Listen, We Care
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ISSUE 27 | Kenyatta National Hospital Newsletter
Inspirational Quotes A time to say goodbye and a time to say hello. A time to bid farewell and a time to look forward. A time to let go and a time to learn new things, that is what happens when the New Year rings in Catherine Pulsifer A new year is a time for inspirational dreams but more importantly, a time to set your goals to see the dreams turn into a reality Samuel Fixon Midnight on New Year’s Eve is a unique kind of magic where, just for a moment, the past and the future exist at once in the present Hillary DePiano New day - new start; new you, New Year! It’s never too late to start anew, merely throw out the old and bring in the new Jean Renee Porter When the shadows begin to lengthen on the afternoon of December 31st we experience a feeling of buoyancy as we hurry home. The air is already charged with hope for the New Year, now so close at hand Author Unknown Like many beginnings, a new year brings hope and excitement - Melissa Buyer Witman
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Vichekesho Kicheko ndicho dawa
Daktari: Ujana ni moshi Mgonjwa: Ndio maana vijana wengi huvuta sigara. Unaezaje sema nakukanyagia, na mimi ni kiwete? Si ni mzaha!= How can you say that I am stepping on you while I am lame? Maono Yetu A world class patient-centered specialized care hospital Dhamira Yetu To optimize patient experience through innovative healthcare; facilitate training and research; and participate in national health policy formulation Kauli mbiu We Listen, We Care
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Wosia Wakati wa kusema kwaheri na wakati wa kusema hello. Wakati wa kuaga na wakati wa matarajio. Wakati wa kuachilia na wakati wa kujifunza mambo mapya, ndivyo hufanyika wakati Mwaka Mpya unapoingia - Catherine Pulsifer Mwaka mpya ni wakati wa ndoto za kutia moyo* lakini muhimu zaidi, ni wakati wa kuweka malengo na maono yako ili kuona ndoto zikigeuka kuwa ukweli - Samuel Fixon Usiku wa manane wa kuamkia Mwaka Mpya ni aina ya kipekee ya miujiza ambapo, kwa muda mfupi tu, siku za nyuma na za baadaye zipo mara moja kwa sasa - Hillary DePiano Siku mpya - mwanzo mpya, Mwaka Mpya! Hujachelewa sana kuanza upya, kuwacha ya zamani na kukaribisha mpya - Jean Renee Porter Wakati vivuli vinapoanza kurefuka alasiri ya tarehe 31 Desemba tunapata hisia za uchangamfu tunapoharakisha kurudi nyumbani. Hewa tayari imeshika kasi kwa matumaini ya Mwaka Mpya, sasa karibu sana - Mwandishi Hajulikani
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Kama mwanzo mpya, mwaka mpya huleta tumaini na msisimko - Melissa Mnunuzi Witman.
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Kurahisisha mzigo wa utambulishaji Na Alex Mutyambwii & Luke Kung’u Hospitali Kuu ya Kenyatta hupokea wagonjwa kutoka tabaka mbali mbali;miongoni mwao kuna wale ambao hawana vyeti vya kujitambulisha hivyo basi ni vigumu kuwatambua wenyewe ama jamii zao. Kati yao ni waathiriwa wa ajali,mashambulio na visa vinginevyo,hivyo basi kuzua swali ;’Je, mtu huyu ni nani?’Mara nyingi wagonjwa hawa hupokelewa na kutibiwa kama “wasiojulikana”. Ili kukabiliana na janga hili na kurahisisha utambuzi, wasimamizi wa hospitali waliandaa mafunzo na Tume ya Kitaifa ya Usajili iliyo chini ya Wizara ya Mambo ya Ndani na Mipango ya kuhusu usajili wa alama za vidole. Mafunzo haya yaliandaliwa kwa wafanyikazi katika idara za Mawasiliano,Usalama na Kitengo kinachoshughulikia mambo ya Kijamii. Wahusika walifunzwa kuhusu usajili wa alama za vidole na njia ya kuzituma kieletroniki (IAFIS) kwa uchunguzi na upataji wa data. Idara ya Utabibu wa Kijamii hutumia ujumbe
inaoupata kutambua mgonjwa na jamii yake, ili kumrejesha kwao na kumuunganisha upya na jumuiya yake. Mfumo wa kieletroniki (AFIS), ni mfumo wa utambuaji wa kibayometriki ambao hutumia teknolojia ya kidijitali kupata, kuweka na kuchambua data ya alama za vidole.
“WA SIOJ ULIKA NA “
Kati yao ni waathiriwa wa ajali,mashambulio na visa vinginevyo,hivyo basi kuzua swali ;’Je, mtu huyu ni nani?’Mara nyingi wagonjwa hawa hupokelewa na kutibiwa kama “wasiojulikana”.
PICHA | LUKE KUNG’U
Msaidizi mkuu kwenye Utabib Kijamkl) Bi. Catherine Bonareri Nyakundi akionyesha usajili wa alama za vidole.
Pongezi kutoka kwa Ukurasa wetu wa Facebook. Maina Mwangi Tarehe 27/11/21 malaika wangu wa siku kumi na nne alipata rufaa ya Kenyatta akiwa katika hali mbaya. Sikuwa na ufahamu kwamba alikuwa na shida ya figo. Mrengo unaoshughulikia watoto wa dharura ulimshughulikia kwa njia mwafaka hadi pale hali yake ilirudi imara. Kisha akapelekwa kwa chumba cha upasuaji. Madaktari pamoja na wauguzi katika PRU na kwenye wodi ya 3B walifanya kazi nzuri sana,nawapa pongezi na waendelee na moyo huo huo. Sijui ni vipi ninavyoweza kuwapongeza maanake nilikuwa nishakufa moyo. Kwa madaktari na wauguzi wa hospitali Kuu ya Kenyatta nawaombea mifuko zao zisiwai kosa hela. Josphat Junior Niko na mgonjwa katika wodi ya nane na nimeona mabadiliko makubwa katika hospitali hii. Lifti, zinafanya kazi, madaktari na wauguzi wanafanya kazi nzuri. Shukrani za dhati kwa usimamizi wa hospitali hii. Peninus Gisore Nimekuwa katika idara ya
kushughulikia wagonjwa wa saratani kwa muda wa siku ishirini na tano (25). Shangazi yangu alikuwa mgonjwa na kusema kweli, huduma zilikuwa sawa na za kupigia mfano. Wauguzi kila mara walifika kwa wakati, mbarikiwe kwa yote mnayoyafanya. Kathure Elizabeth Kazi nzuri sana inayofanywa na madaktari pamoja na wauguzi katika hospitali Kuu ya Kenyatta, Mungu awabariki sana. Mercy Barasa Hospitali Kuu ya Kenyatta ni hospitali bora zaidi nchini Kenya na hata nje. Mungu aibariki jamii nzima ya hospitali hii. David Wanganga Napenda jinsi hospitali hii inavyotekeleza majukumu yake. Steve Kamore Mungu awabariki madaktari na wauguzi wote wa hospitali Kuu ya Kenyatta kwa kazi nzuri.
Jackyz Iraro Kenyatta nyinyi ni bora zaidi, Mungu awabariki. Jackline Tosh Mungu awabariki kila wakati, Kenyatta nyinyi ndio bora Zaidi. Justice Sam. Kenyatta nyinyi ni bora zaidi katika jiji hili, kazi nzuri. Julius Moiruruki. Baada ya babangu kugunduliwa kuwa na uvimbe wa saratani, hospitali ya Kenyatta ilizidisha muda wa kuishi kwake. Ijapokuwa aliaga, nawashukuru kwa kazi nzuri mliyoifanya, mwendelee vivyo hivyo. Phil Musila Mnafanya kazi bora. Ijapokuwa hakuna vifaa vya kutosha, kazi yenu ni nzuri. Natumai rekodi za kimatibabu zitafanywa kwa njia ya kielektroniki siku za usoni ili tupate matibabu kiurahisi. Kikweli mnafanya kazi safi.
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Kuondoa dhana potovu za kukatwa viungo kwa wagonjwa wa Kisukari Na Barbara Otieno & Joseph Musembi Ukosefu wa utunzaji bora wa maambukizi ya ugonjwa wa kisukari kwenye mguu hutokana na kutoelewa. Kinyume na inavyoaminiwa, kukatwa kwa mguu kutokana na maambukizi ya kisukari yaweza zuilika. Haja ya kuondoa habari potovu inayohusiana na “mguu wa kisukari” ni jambo muhimu katika kuboresha huduma ya miguu kwa wagonjwa wa kisukari nchini Kenya. Kwa sasa, maambukizi ya kisukari kwa watu wazima nchini Kenya ni asilimia 3.3 kulingana na takwimu za mwaka wa 2019 na inakadiriwa kupanda hadi asilimia 4.5 ifikapo mwaka wa 2035, kulingana na Shirika la Kimataifa linalopambana na ugonjwa wa kisukari. Takriban, visa vipya laki moja vya watu wazima wenye ugonjwa wa kisukari vitaibuka ikiwa hakuna kitakachofanywa; mbaya zaidi asilimia hamsini ya idadi ya watu hawajatambulika kuwa na ugonjwa wa kisukari. Mara nyingi wao hutafuta huduma za afya wanapokuwa na shida kutokana na ugonjwa wa kisukari. Hii huongeza mzigo wa magonjwa yasiyo ya kuambukizana (NCDs) nchini Kenya. Idadi ya matatizo ya ugonjwa wa kisukari, mara nyingi husababisha kukatwa kwa mguu na vifo kuongezeka kwani huduma maalum za utunzaji wa majeraha ya kisukari ni chache na hazipatikani kwa urahisi nchini kenya. Zaidi ya asilimia themanini na tano ya watu waliokatwa viungo huanza na vidonda vya mguu ambavyo vina sifa ya maambukizi ya kina au gangrene kwa wagonjwa wa kisukari wa aina ya pili. Aina ya pili ndiyo ya kawaida na hutokea wakati mwili hautoi insulini ya kutosha ama hauwezi kutumia insulini ipasavyo. Je ni vipi basi ugonjwa huu unaosambaa polepole husababisha kukatwa kwa viungo? Mara kwa mara ugonjwa huu husababishwa na neva- kupoteza uwezo wa kuhisi maumivu. Wagonjwa wa kisukari hawahisi mikwaruzo midogo au mipasuko kutokana na kukanyaga vitu vyenye
ncha kali. Mgonjwa hupata kidonda kwenye mguu ulioumia bila kuhisi uchungu. Bi. Mary Jones alipatikana na ugonjwa wa kisukari aina ya pili mwaka wa 1994. Hakuwahi kufikiria kwamba ugonjwa wa kisukari ungegeuka na kuhitaji upasuaji wa chini ya goti kutoka na kile kilichoanza kama malengelenge. “Huanza polepole na mgonjwa huenda asigundue kiwango cha athari” Anakumbuka Bi. Jones. Wakati wa miezi miwili ya kulazwa katika hospitali ya Kiambu, hali ya Bi. Jones ilizidi kuzorota, kidole chake kilikuwa cheusi kutokana na usambazaji mdogo wa damu na hapo ndipo aliposhauriwa kukatwa chini ya goti. Kabla ya kuja katika Hospitali Kuu ya Kenyatta mnamo 2012, hakuwa na ujuzi wowote kuhusu matatizo ya mguu wa kisukari wala utunzaji wake. Ili kuzuia maambukizi kuenea zaidi, Bi. Jones alipoteza kidole chake kilichokuwa hakifanyi kazi na sio mguu wake wote. Leo akiwa na umri wa miaka 50, ameweza kuzuia kutokea tena kwa vidonda vya miguu kwa; kufuatilia viwango vyake vya sukari kwenye damu, kuangalia miguu yake kila siku, kuvaa soli ya kiatu cha wagonjwa wa kisukari, uchunguzi wa mara kwa mara na kuhudhuria mafunzo ya kila wiki ya wagonjwa katika kituo cha magonjwa ya kisukari na Endocrinolojia ya Hospitali Kuu ya Kenyatta (Diabetes and Endocrinology Centre of Excellence). “Viwango vya uponyaji wa vidonda vya miguu ni kati ya asilimia themanini hadi tisini kwa wagonjwa wanaokuja kliniki mapema. Mguu wa kisukari unaweza kuzuiwa na uangaliaji mdogo.” Alisema Bw. Isaac Miruka, daktari bingwa wa magonjwa ya miguu katika Hospitali Kuu ya Kenyatta, mtaalamu katika huduma ya jeraha na aliye na uzoefu wa zaidi ya miaka ishirini (20). Kama Bi. Jones, wagonjwa wengi anaowaona tayari wamepewa nafasi ya kukatwa viungo kwingineko. Anaamini kuwa kukatwa kwa viungo sio lazima wakati mwingine. Wagonjwa wote wanaohudhuria
kliniki ya ugonjwa wa kisukari hufanyiwa uchunguzi makini wa mguu, wao hupimwa ugonjwa wa neva na upungufu wa mishipa ili kupunguza kiwango cha kukatwa viungo. Kipimo hiki hutambua wagonjwa walio katika hatari ya kupata vidonda vya mguu wa kisukari. Huainisha wagonjwa wenye vidonda katika viwango tofauti (vidonda vya chini, vya wastani au vya juu) ambavyo ni mwongozo muhimu wa matibabu sahihi na udhibiti wa majeraha ya maambukizi ya mguu wa kisukari. Elimu ya mgonjwa katika utunzaji wa mguu wa kisukari mara nyingi haitoshi kuzuia vidonda vya miguu. Ugumu wa vidonda vya mguu hufanya iwe muhimu na unahitaji mbinu ya taaluma mbali mbali inayolenga mchakato ambapo maambukizo yanajulikana mapema, hutibiwa kwa haraka, kwa kina na ufuatiliaji wa muda mrefu ili kuhifadhi mguu na kuzuia kutokea tena kwa vidonda vya miguu. Kituo cha magonjwa ya kisukari na Endocrinolojia, linafanya mtaala unaozingatia uwezo pamoja na Wizara ya Afya na Kituo cha Taarifa cha usimamizi wa Kisukari, kuhusu kutoa mafunzo kwa watoa huduma za afya nchini Kenya juu ya kuuzuia, ukarabiti na matibabu sahihi ya vidonda vya mguu wa kisukari ilikuondoa ukataji wa viungo unaoweza kuzuilika.
PICHA | BBSATTORNEYS
Muuguzi akiufunga mguu uliokatwa.
Waandishi ni wanafunzi katika idara ya mauzo na mawasiliano katika Hospitali Kuu ya Kenyatta.
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TOLEO 27 | Kenyatta National Hospital Newsletter
yake yalisaidia. Nilifurahi kwamba kwa sasa wagonjwa wanapitishwa katika hatua za uchunguzi na mpango wa matibabu. Kilichofuata ni mazungumzo ya jinsi tutakavyofanya kazi pamoja kudhibiti hali hii. Squamous cell Carcinoma iko katika kundi la saratani za uso wa macho zinazojulikana kama Ocular Surface Squamous Neoplasia, iliyofupishwa kama OSSN ambayo huainisha kiwango cha mabadiliko ya saratani ya seli kwenye uso wa jicho. Seli zisizo za kawaida hukua polepole. Kisha huweka kama ukuaji kwenye sehemu iliyo wazi ya jicho. Aina hii ya saratani ya macho inaweza kutibiwa iwapo itagundulika mapema. Ukuaji usio wa kawaida huondolewa kupitia upasuaji ikifuatiwa na matibabu na dawa inayojulikana kama antimetabolites. Hali za hatari zinazohusiana na maendeleo ya Squamous cell carcinoma ni pamoja na kukabiliwa na miale ya Urujuani kutoka kwa jua, uzee, maambukizi ya virusi vya ukimwi, na ugonjwa unaojulikana kama Xeroderma pigmentosa. Squamous cell carcinoma huanza na seli kwenye uwazi wa jicho na kubadilika kuwa saratani. Baada ya muda seli huongezeka na kuanza kuvamia sehemu tofauti za jicho. Squamous cell carcinoma katika hatua ya uvamizi wa jicho. Wagonjwa wanaweza kukosa dalili au wanaweza kupata maumivu,
kuwashwa na jicho kubadilika kuwa nyekundu. Saratani hukua polepole na inaweza kuathiri macho. Mafanikio ya matibabu ya squamous cell carcinoma ni utambuzi wa mapema. Inapogunduliwa mapema, uvimbe usio wa kawaida huondolewa kwa njia ya upasuaji. Hii inafuatiwa na mwezi mmoja wa kutumia dawa maalum ambayo inajulikana kwa jina la antimetabolites. Dawa hii hupunguza uwezekano wa ugonjwa huo kujirudia. Baada ya hapo ni lazima mtu afuatiliwe kwenye kliniki ya macho ili kuhakikisha ugonjwa huo haurudi bila kutambuliwa. Kwa bahati mbaya isipotibiwa, saratani ya squamous cell hukua polepole lakini kwa utaratibu na hatimaye inaweza kuharibu jicho na tishu zinazozunguka jicho. Hii inaweza kuhitaji kuondolewa kwa jicho lililoharibiwa na eneo lililoathiriwa. Hii inaweza kuhitaji radiotherapy ya ziada. Ikiwa ugonjwa unaendelea kuathiri uso, mifupa karibu na macho, inaweza kufikia hatua ambayo upasuaji hauwezi kufanywa na kwa wakati huu, huduma ya tiba ya utulivu inaanzishwa. Tafiti nyingi zimeonyesha kuwa saratani ya seli ya Squamous hutokea kwa watu laki mbili hadi watu milioni thelathini na tano kwa mwaka. Kulingana na utafiti uliofanywa na Dk. S. Gichuhi et al, Afrika ina idadi kubwa ya kesi ikilinganishwa na kwingineko
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duniani. Hii ni kutokana na mwanga wa urujuanimno (UV Light) ambao hutoka kwa jua na kiwango cha juu cha maambukizi ya Virusi vya Ukimwi. Hadithi yangu inaisha vizuri, nilifanyiwa upasuaji na kukamilisha matibabu yangu. Saratani iliondolewa kabisa. Hatua ya kumtembelea daktari mapema ilichangia katika ugunduzi wa saratani mapema na matibabu yakaanza. Habari mbaya sio mwisho wa safari kila wakati. Inaweza kuanzisha mwanzo wa hatua zinazookoa maisha. Hakikisha kuwa macho yako yamekaguliwa ikiwa unaona uvimbe usio wa kawaida. Daktari wa macho, i.e. Daktari wa macho amefunzwa vyema kufanya ukaguzi na kuanzisha matibabu yanayohitajika. Hospitali Kuu ya Kenyatta ina kliniki za oculoplastiki zilizo na wataalam wa oculoplastiki ambao wamefunzwa kudhibiti uvimbe usio wa kawaida kwenye jicho. Kliniki hizo hufunguliwa kila siku ya Jumatatu na Jumanne. Tembelea Hospitali Kuu ya Kenyatta leo ikiwa una wasiwasi wowote. Dkt. Nandasaba ni Daktari Mshauri wa Macho katika Hospitali Kuu ya Kenyatta dr.nandasaba.namweyi@ gmail.com
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TOLEO 27 | Kenyatta National Hospital Newsletter
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Squamous cell carcinoma ya macho, ugunduzi wa mapema ni muhimu
Dkt. Rebecah Nandasaba
H
akuna njia mwafaka ya kupokea habari mbaya. Hata ukiwa umejipanga, kupokea habari mbaya huvunja moyo. Haikuwa tofauti kwangu siku nilipotembelea hospitali kwa ukaguzi. Nilikuwa na uvimbe kwenye jicho langu la kushoto kwa miezi michache ambao uliendelea kukua lakini haukuwa mchungu. Ingawa uvimbe huu haukunidhuru, niliamua kwenda kufanyiwa ukaguzi. Niliingia kwenye chumba cha uchunguzi nikiwa na uwoga wa kawaida ambao mtu yeyote huwa nao anapotembelea hospitali. Daktari alikuwa amefungua faili yangu, na niliona vichupa vichache vya kile nilichodhania kuwa dawa ya macho ikiwa imepangwa vizuri kwenye meza yake. Pembeni mwake mlikuwa na chupa ya kiyeyuzi. Rundo jingine la faili lilikuwa kwenye safu. Zingine zilionekana mpya na zingine kuchakaa. Upande wa kulia, kulikuwa na mashine maalum ya ukaguzi wa macho.
Muuguzi alisafisha mashine tayari kutumika kwa mgonjwa mwingine. Nilikuwa nimeiona tu kwenye matangazo ya televisheni wakati wa kampeni za kukuza afya ya macho. Kando yake kulikuwa na mahali pa kuoshea mikono na chupa ya sabuni ya maji yenye rangi ya waridi. Viwango vya usafi hapa vilikuwa vya hali ya juu, nilijiwazia. Nilitulia kwenye kiti huku daktari akinikaribisha. Alionekana mtulivu na mchangamfu kwa watu wote, utulivu wake ulinitoa uwoga na kunitia moyo. “Karibu Dennis, nini kilichokuleta leo?” daktari alianza mazungumzo. Dakika kumi baadaye nilikuwa nimemaliza kumuelezea matatizo yangu. Hii ilifuatiwa na mfululizo wa maswali, huku akiondoa uwezekano wa kile ambacho nilidhani kinaathiri jicho langu. Hii ilifuatwa na uchunguzi kwenye mashine ya ukaguzi wa macho ambao baadaye nilifahamu kuwa ulijulikana kama Slit lamp. Baada ya kumaliza ukaguzi alirudi kwenye faili yangu na kuandika matokeo yake. Kisha akaweka kalamu yake chini na kunitazama. Mazungumzo yaliyofuata yalihusu maelezo ya
matokeo ya uchunguzi wa kimatibabu uliokuwa umefanyika dakika chache zilizopita. Kisha yakaja maelezo ambayo sikuyatarajia nilipoingia kliniki kwa mara ya kwanza. Lakini katika hatua hii ya kumwona daktari, nilikuwa nimeanza kutabiri kuwa kuna jambo alilotaka kunielezea, kulingana na ushauri nasaha aliokuwa akinipa. Nilikuwa nikitayarishwa kupokea habari hizo. “Dennis, hii inaonekana kama aina ya saratani ya macho ambayo huathiri jicho linalojulikana kama squamous cell carcinoma.” Kwa muda mazingira yalionekana kubadilika na kuchukua hisia tofauti. Neno saratani kwa muda mrefu limehusishwa na hofu na wasiwasi. Haikuwa tofauti kwangu. Maswali mengi yalianza kutiririka akilini mwangu. “Dennis”, nilimsikia daktari akiniita. “Ndiyo,” nilijibu huku nikijaribu kusikiliza. “Jambo zuri ni kwamba umekuja kwa wakati, isitoshe ugonjwa bado uko katika hatua za mwanzo.” Daktari aliendelea. Ingawa ilikuwa vigumu kusikia hivyo, ushauri na maandalizi
PICHA | STOCK Jicho lililoathiriwa na Squamous cell carcinoma .
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TOLEO 27 | Kenyatta National Hospital Newsletter
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Sio mlemavu, nimewezeshwa tofauti Na Ken Ndungu, Steve Nduati, Michelle Wairimu & Joseph Musembi Martin Kioko almaarufu “Marto”, 23, ni mhudumu wa viwanda katika Hospitali Kuu ya Kenyatta, anayefuatilia kupiga nembo kwenye nguo katika Mamlaka ya Kitaifa ya Mafunzo ya Viwanda Nairobi (NITA). Anaugua ugonjwa wa Down, ugonjwa wa kijeni unaosababishwa wakati mgawanyiko usio wa kawaida wa seli husababisha nyenzo za ziada za kijeni kutoka kwa kromosomu 21. Husababisha mwonekano tofauti wa uso, ulemavu wa kiakili, na ucheleweshaji wa ukuaji. Inaweza kuhusishwa na ugonjwa wa tezi au ugonjwa wa moyo. Juhudi zake za matibabu na usimamizi ni pamoja na uingiliaji kati wa watoto wachanga, uchunguzi wa shida za kawaida, matibabu inapoonyeshwa, Mazingira mazuri ya familia na mafunzo yanayohusiana na kazi yanaweza kuboresha maendeleo ya watoto walio na ugonjwa huo. Chanjo za kawaida za utotoni pia zinapendekezwa katika usimamizi wao. Bw. Kioko anakumbana na ucheleweshaji wa usemi, uwezo wa kujifunza polepole na hana uratibu na nguvu za neva. Katika mahojiano na jarida la Newsline, anasimulia jinsi ambavyo amekuwa akiishi na hali hiyo tangu utotoni, jinsi ilivyokuwa vigumu kwake kupata marafiki na pia kushirikiana na watoto wenzake wa rika lake. Martin anakabiliwa na changamoto nyingi kubwa ikiwa ni mawasiliano. Ucheleweshaji wake wa hotuba hauchukuliwi vyema na kila mtu anayejaribu
kuzungumza naye, kwa
hivyo mara nyingi anachagua kusema kidogo. Martin anaishi Pangani pamoja na shangazi yake na husafiri kila siku hadi Hospitali Kuu ya Kenyatta katika idara ya Ushonaji na Ufuaji nguo, sehemu ya kuweka nembo za Kitani. Kazi yake ni kuchapa nguo za hospitali pamoja na kudarizi wa nguo. Anapenda sana ufundi wake na ana ndoto ya siku moja kufungua biashara yake ya uchapishaji wa fulana na kujitegemea bila kutegemea ustawi wa watu wengine. Anapenda kujieleza kuwa mwenye furaha, haiba, na shabiki mkubwa wa Liverpool huku mchezaji anayempenda zaidi akiwa Mohammed Salah. Martin alijiunga na Hospitali Kuu ya Kenyatta mnamo tarehe 28 Septemba 2021 na anaeleza siku yake ya kwanza kazini ilikuwa yenye uchangamfu sana huku wafanyakazi Bi. Joan Mutiso, Meneja wa Kitengo cha Ushonaji na Ufuaji nguo.
PICHA | KEN NDUNG’U Martin akiwa kazini
wakimkaribisha katika idara hiyo na kumuunga mkono na kumvumilia. Bi. Joan Mutiso, Meneja, Idara ya Ushonaji na Ufuaji nguo, anamtaja Martin kama mchapakazi, mtu anayechukua maagizo vizuri, na mchezaji mzuri wa timu. Aidha, anaeleza kuwa idara hiyo ina watumishi wenye sifa stahiki na wanaoshughulikia watu wenye ulemavu wa aina mbalimbali. Anashukuru zaidi wasimamizi wa Hospitali Kuu ya Kenyatta kwa kuwa wakarimu na kuruhusu watu wenye ulemavu kama yeye kuwa sehemu ya familia kubwa yenye upendo ya Hospitali Kuu ya Kenyatta. Anawahimiza watu wengine wenye ulemavu kusimama na kuhesabiwa kuwa ni raia wanaostahili, na sio kutegemea wema wa watu wengine, na kwa maneno yake mwenyewe Martin anasema “jiaminie usijihurumie.” Waandishi ni wanafunzi wa ndani (interns) katika idara ya mauzo na mawasiliano katika Hospitali Kuu ya Kenyatta.
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TOLEO 27 | Kenyatta National Hospital Newsletter
mguu. Kiutamaduni, viatu ni onyesho la hali ya utabaka; ugani wa kibinafsi na mtazamo ulioimarishwa. Pia hutumiwa katika mapambo kwa mtindo; maonyesho ya mitindo ni taaluma na biashara halisi. Katika baadhi ya tamaduni, kutembea
miguu tupu imefafanuliwa kama uhuru na kushikamana kwa ujana na maeneo. Kisaikolojia, ni kuongeza utu na maendeleo ya vijana; hisia ya kuruka kutoka kawaida hadi isiyo ya kawaida. Kumbuka ‘Spiderman’ na tamanio la watoto kufanana naye?
Yote ni katika kiatu! Muonekano wa kuwa ngumu na hisia haramu za mtindo huru, utu wenye nguvu, na uhuru. Baada ya yote kusemwa na kutendwa, maisha kwa ujumla yamefanywa rahisi kwa sababu ya viatu na sisi ni wenye shukrani kwa uvumbuzi wa kiatu. Tuko salama, tunaweza kusafiri zaidi na pia kiatu kinachangia katika afya kwa ujumla. Kiatu ni mtindo wa kisasa. Katika uteuzi wa kiatu bora, fikiria vidokezo vifuatavyo: Kiatu bora kinaweza kusaidia kuweka miguu na mwili wako salama kutokana na kuumia Viatu vinapaswa kusaidia miguu yako, kuhisi vizuri na vinapaswa kukutosha Nunua viatu wakati miguu yako iko katika ukubwa wao - mwisho wa siku au baada ya zoezi Pima miguu yako kila wakati unaponunua viatu - ni kawaida kwa mguu mmoja kuwa mkubwa kuliko mwingine. Kama wewe ni mchezaji, chagua kiatu kilichotengenezwa kwa ajili ya mchezo huo Zungumza na wataalamu wetu wa afya kuhusu matatizo yoyote yanayohusiana na miguu yako au viatu.
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PICHA | STOCK Ötzi; Kiatu cha Mwanabarafu
PICHA | STOCK
Viatu vya Kisasa
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END YEAR 2021 | Kenyatta National Hospital Newsletter
Na Luke Kung’u Mtafsiri: Musembi Joseph Huenda umesikia usemi ‘uliza kiatu’ au ‘uliza kiatu changu’ au hata ukasikia nyimbo kuhusiana na habari hii. Labda inakukumbusha hali ambayo huenda umepitia au umezingatia kwa ufahamu. Unaweza kuwa sahihi au umekosea. Ni nini kilicho ndani kwa yule anayevalia kiatu? Maswali yanabubujika; kwa nini aina hii na sio nyingine? Kwa nini wanawake hutumia pesa nyingi, muda mwingi kununua na kuamua aina ya kiatu ? Ni katika umri gani viatu ni muhimu? Kutembea miguu mitupu ni mtindo wa kipekee lakini kwa nini mtu atembee miguu mitupu? Hii ni mada pana na inarejelea tarehe ya nyuma, enzi za kale na jamii. Je, wajua kwamba viatu vya kwanza vinavyo julikana ni viatu vya ‘sagebrush’ vya gome za kutoka takriban 7000 au 8000 K.W.K, vilivyopatikana katika pango la Fort Rock katika jimbo la Oregon nchini Marekani mwaka wa 1938. Kiatu kongwe zaidi cha ngozi duniani, kilichotengezwa kutoka kipande kimoja cha ngozi ya ng’ombe kilichofungwa na kamba ya ngozi sehemu ya mbele na
03/1/2022
ULIZA KIATU
nyuma ,kilipatikana katika pango la Areni-1 huko Armenia mwaka wa 2008 na inasalia kuwa hivyo hadi 3500 Kabla Ya Kristo.Otzi; viatu vya Mwanabarafu ,hadi 3300 Kabla Ya Kristo ,ilitengenezwa kwa ngozi ya dubu,ngozi ya kulungu,na wavu wa kamba ya neti, ambayo ilizungushwa kwa mguu (Dolores Monet) Viatu hukuza ubora wa maisha na kuzuia kuumia, hasa wakati wa kufanya kazi katika mazingira hatari kama vile kwenye viwanda vya kemikali,machimbo na viwanda vingi. Viatu husaidia katika uponyaji wa hali sugu ya mguu kwa watu wanaosumbuliwa na ugonjwa wa kisukari na kuhifadhi majeraha sugu ambayo mara nyingi husababisha kukatwa kwa viungo.
Viatu vibaya husababisha maumivu ya mgongo,goti na miguu;viatu huondoa mshtuko au shinikizo.Kwa hivyo ni vizuri kuviondoa viatu ambavyo havitumiki tena kwani hii husaidia katika kutengeneza hali bora ya mguu.
Unakumbuka uvamizi wa funza ulioshuhudiwa mwanzoni mwa miaka ya 1980? viatu vilikuwa na bado vipo suluhisho nambari moja katika kukabiliana na wadudu aina ya minyoo . Huenda umesikia kwamba viatu hutoa kauli; hisia ya kwanza inafanywa kwa kuangalia kiatu kwa ufahamu. Kiatu kilichopigwa rangi vizuri pamoja na sifa zinazohitajika, mwili safi na nguo zinazofaa zinaweza kutua mmoja kazi inatamanika. Mwanamke au muungwana uliyekosa wakati huo kuna uwezekano kuwa ni kwa sababu ya kiatu ulichovaa siku hiyo. Wanamitindo wanashikilia kuwa viatu vya juu ni utu uzima na ujinsia; muundo laini na miguu mirefu huvutia. Viatu huleta msaada na utulivu wa miguu yetu na daima ni vizuri kuvalia viatu vinavyofaa, kwani husaidia katika mpangilio wa miguu, vifundo, magoti, makalio, na mgongo kuchangia katika kutembea na kuboresha mkao. Viatu vibaya husababisha maumivu ya mgongo, goti, na miguu; viatu huondoa mshtuko au shinikizo. Kwa hivyo ni vizuri kuviondoa viatu ambavyo havitumiki tena kwani hii husaidia katika kutengeneza hali bora ya
PICHA | ALLEOFFICESOLUTIONS Historia ya viatu jinsi ilivyoonyeshwa kwenye picha hapo juu
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TOLEO 27 | Kenyatta National Hospital Newsletter
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Kazi ya Kina: Jinsi Wafanyakazi wa KNH Wanaweza Kuboresha Umakini Katika Ofisi Huria. Na Edward Njuguna Waigizaji wataalam hufanya shughuli zao za kitaaluma huku wakitumia kanuni za kazi ya kina. Hili ndilo huwasaidia kutoa mazao muhimu kila mara kwa kuwa inasukuma uwezo wao wa kufikiri na kuwa wabunifu na kuimarisha ujuzi katika nyanja au tasnia yao. Kwa hivyo tunamaanisha nini kwa kufanya kazi kwa kina? Wacha tufikirie kazi kama bahari, umakini kama maji ndani ya bahari, vizuizi vitakuwa mawimbi ya bahari. Kwa kutumia mlinganisho huu, unahusisha kufanya kazi katika kina kirefu cha bahari ambapo mawimbi (visumbufu) ni kidogo. Inaweza kuelezewa kuwa ni shughuli inayohitaji maarifa na ustadi na inafanywa kwa kiwango cha juu cha umakinifu bila vikengeushio vyovyote ambavyo husababisha kuweza kusukuma uwezo wako wa kiakili hadi kikomo. Makini hasa kwa kina cha mkusanyiko unaohitajika kufanya kazi kwa undani na ukweli kwamba usumbufu hauna nafasi katika kazi ya kina. Kwa nini unapaswa kufanya kazi katika hali ya mkusanyiko usio na usumbufu ukipinga hamu ya kuangalia idadi ya mara ambazo umetazamwa katika hali yako au video zinazovuma kwenye Instagram na TikTok? Hiyo inategemea jinsi ungekuwa na tija. Fomula inasema kuwa; Kazi ya Ubora wa Juu (Muda Uliotumika) (Uzito wa Kuzingatia). Ikiwa unataka kuwa na tija kwa kiwango cha wasomi wa ubora na kasi, unahitaji kujua ustadi wa kazi ya kina. “Wanaume wa fikra wenyewe ni wakubwa tu kwa kuleta nguvu zao zote katika hatua ambayo walikuwa wameamua kuonyesha kipimo chao kamili” (K. Anders Ericsson kama ilivyotajwa katika Carl Newport 2016). Hebu sasa tuangalie kufanya kazi kwa usumbufu unaoendelea jambo la kawaida na la kukatisha tamaa na wafanyikazi wa maarifa siku hizi. Kazi duni ni nini? Katika mlinganisho wa bahari, kazi ya kina kifupi inaonyeshwa na mawimbi ya usumbufu. Kazi ya kina ni kufanya
shughuli ambazo hazihitaji ujuzi mwingi na hoja kwa kawaida za mtindo wa vifaa katika hali ya kuendelea ya usumbufu. Madhara ya usumbufu kwenye tija yamekuwa mada ya utafiti na Sophie Leroy profesa wa usimamizi katika Shule ya Biashara ya Chuo Kikuu cha Washington. Alianzisha wazo la mabaki ya umakini katika karatasi ya 2009. Katika karatasi yenye mada “Kwa nini imenilazimu kufanya kazi yangu” anasema kwamba “Unapobadilisha kutoka Jukumu A hadi Kazi B, umakini wako haufuatii mara moja – mabaki ya umakini wako hubakia kukwama kufikiria juu ya kazi ya asili. “ Anaongeza zaidi, “Salio hili linakuwa nene haswa ikiwa kazi yako kwenye Jukumu A haikuwa na mipaka na ya kiwango cha chini, kabla ya kubadili, lakini hata ukimaliza Jukumu A kabla ya kuendelea, umakini wako unabaki kugawanywa kwa muda.” (Leroy 2009 kama ilivyotajwa katika Carl Newport 2016). Ofisi wazi zilifanywa kuwa maarufu katika miaka ya 1980 kama mpango wa kupunguza gharama za mali isiyohamishika na kuvunja mgawanyiko kati ya timu. Katika Hospitali Kuu ya Kenyatta mpangilio wa ofisi wazi umetumika katika idara nyingi. Husaidia kuongeza uwazi katika idara muhimu na pia mtiririko wa mawazo na mawasiliano kati ya wafanyikazi wa hospitali. Vituo vya kazi vya wafanyikazi viko pamoja na kuunda nafasi ya kijamii zaidi katika ofisi. Kwa mujibu wa Bw. Msafiri, Afisa Utumishi Mwandamizi katika hospitali hiyo, kila idara ina mkataba wa utendaji kazi na bodi ya wakurugenzi. Hii kwa kawaida inajumuisha thamani ambayo Bodi inatarajia kutoka kwa idara. Mpangilio wa ofisi wazi huwasaidia wafanyikazi kufanya kazi kama timu kufikia malengo haya na kufikia malengo na majukumu waliyopewa na Carl Newport alitaja wazo la kuruhusu watu kuingiliana na kusababisha ushirikiano mzuri na mawazo mapya, nadharia ya ubunifu usio na furaha. Je, unakuzaje umakini na utulivu ili kuhimiza kufikiri kwa kina kupitia
Kazi ya Kina na kuzalisha maarifa ya kibunifu kutoka kwa mawazo tofauti (juhudi ya ushirikiano)? Unaweza kutumia miongozo hii kufanya kazi na watu huku ukijumuisha kina katika ofisi iliyo wazi. Kwanza kabisa, kuvuruga kunaendelea kuwa uharibifu wa kina. Tenganisha juhudi zako za kufikiria kwa kina kutoka kwa harakati zako za mwingiliano mbaya. Badala ya kuzichanganya kuwa matope ambayo yanazuia malengo yote mawili, unapaswa kujaribu kuboresha kila juhudi kando. Pili, kwa aina fulani za matatizo ya kufanya kazi na mtu mwingine yanaweza kukusukuma zaidi kuliko kufanya kazi peke yako. Lakini kazi hiyo inahitaji kugawanywa katika kazi ndogo ndogo ambazo zinaweza kufanywa tofauti ambazo zinagawanywa kati ya watu binafsi. Wazo ni kuzuia watu wawili au zaidi kufanya kitu kimoja kwani hii italeta uharibifu. Linapokuja suala la kazi ya kina, fikiria kuhusu kufanya kazi kwa ushirikiano inapofaa, kwani inaweza kukusaidia kusukuma matokeo yako kwa viwango vipya. Wakati huo huo, usiinue azma hii ya kubahatisha na mwingiliano chanya hadi kufikia hatua ambayo inafunika mkusanyiko usiovunjika unaohitajika ili kutoa kitu muhimu kutoka kwa wingi wa mawazo uliotuzunguka.
PICHA | LUKE KUNG’U Mpangilio wa zi katika afisi ya Idara ya Mauzo na Mawasiliano.
Mwandishi ni mwanafunzi wa ndani (intern) katika idara ya mauzo na mawasiliano katika Hospitali Kuu ya Kenyatta.
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TOLEO 27 | Kenyatta National Hospital Newsletter
tawi la Othaya imeanzisha kitengo cha New Born Unit 16 -cot ambacho hutoa huduma za matibabu kwa watoto wachanga. Kitengo hiki pia kina vifaa 6 vya kutotoleshea vilivyowekwa kwa ajili ya watoto wanaozaliwa mapema. h) Sehemu za Kuegesha Hospitali iliona umuhimu wa hitaji la urahisishaji wa kuingia katika kituo hicho kwa wagonjwa na wafanyikazi. Kwa hivyo, usimamizi ulianza mpango wa kuongeza nafasi ya kuegesha na barabara zinazopita kwenye eneo la hospitali. Hakuna kesi zaidi za
magari kugongana ndani ya hospitali, kuna mtiririko mpangilio ambao umepunguza wasiwasi wa usalama, kwa kuwa kuna sehemu ya wagonjwa na wafanyikazi kuegesha magari yao . i) Huduma Mpya Kliniki ya Upasuaji na Urekebishaji wa Plastiki Katika maono ya kutoa huduma maalum, Hospitali Kuu ya Kenyatta tawi la Othaya ilipanua utoaji wa huduma kwa kuanzisha kliniki ya upasuaji na urekebishaji wa plastiki. Huduma hii ambayo hutafutwa sana na wakaazi wa eneo hili, kwani kuna
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hospitali chache zinazotoa huduma hii. Katika miaka miwili tu, kumekuwa na mabadiliko mengi sio tu katika hospitali lakini katika mji mzima wa Othaya pia. Usimamizi wa Hospitali Kuu ya Kenyatta ukiongozwa na Afisa Mkuu mtendaji; Dkt. Evanson .N. Kamuri, EBS, uko mbioni kubadilisha kituo hicho kuwa hospitali maalum inayohudumia wagonjwa wa kiwango cha kimataifa. Hatimaye, maisha ya jamii inayoizunguka hospitali yataimarika.
PICHA | JULIUS ITA Kitengo cha kisasa cha kuwahudhumia akina mama wenye matatizo ya uzazi,
PICHA | JULIUS ITA KNH - Othaya Jiko la kisasa
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TOLEO 27 | Kenyatta National Hospital Newsletter
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KNH Othaya – Mwaka wa 2021 Na Susan Wakiuru & Abigael Lunani Ni miaka miwili tangu Hospitali kuu ya Kenyatta ichukue usimamizi wa tawi lake la Othaya. Ndani ya muda huu, rasilimali nyingi zimewekwa na wasimamizi pamoja na washikadau katika Nyanja mbalimbali yakiwempo masuala ya fedha na wafanyikazi. Kutokana na mpangilio huu, Hospitali imeweza kurekodi baadhi ya mafanikio makubwa ndani ya muda mfupi. Hospitali Kuu ya Kenyatta tawi la Othaya kwa sasa inajivunia baadhi ya huduma bora Zaidi, katika eneo hili la ukada wa kati kutokana na juhudi hizi. Miongoni mwa miradi ambayo hospitali imefanikiwa kutekeleza ni pamoja na: a) Kitengo cha kufulia Kutotakana na baridi kali inayoshuhudiwa eneo Nyeri, kulikuwa na haja ya kuwa na kitengo cha kisasa na mwafaka cha kusafisha nguo za wagonjwa na wafanyikazi bila kutegemea hali ya hewa isiyotabirika. Sehemu ya kufulia ina mashine tatu za kufulia, kukausha, na ya kupiga pasi inayoweza kusafisha takribani Kilo 560 kwa matumizi ya siku. Kwa juhudi hizi, hospitali imewahakikishia wagonjwa usafi wa mavazi yao bila kujali msimu. b) Jiko ya kisasa Pamoja na ongezeko la idadi ya wagonjwa wanaohitaji lishe za aina mbalimbali ambayo inapaswa kuzingatiwa kwa uangalifu, kulikuwa na haja ya kuwa na jikoni ambayo hutoa huduma za chakula kwa wakati, usahihi ambao wagonjwa huhitaji. Jikoni hii ya kisasa ina vifaa kikamilifu pamoja na vituo vya huduma za kiotomatiki. Vifaa vimesaidia sana hospitali kutoa huduma muhimu za upishi kwa wagonjwa wetu na wafanyikazi. c) Kiwanda cha Oksijeni Hospitali Kuu ya Kenyatta tawi la Othaya sasa ina kitengo cha uzalishaji oksijeni ambacho kina uwezo wa kuzalisha lita 90,000 za oksijeni kwa saa moja. Kituo hiki ni cha kipekee katika eneo la Mlima Kenya kinachotoa huduma hii.
Huduma hii itawawezesha wagonjwa walio katika hali mahututi kupata oksijeni wakati wowote wanapoihitaji, vituo vingine vya afya vinaweza kupata oksijeni kutoka kwa kitengo hiki pia. Hii inakuja sambamba na lengo la Hospitali Kuu ya Kenyatta ya kuboresha utoaji wa huduma kwa wagonjwa. d) Chumba cha kisasa cha kuhifadhia maiti Hospitali Kuu ya Kenyatta tawi la Othaya sasa ina uwezo wa kuhifadhi takriban miili 100 ikiwa imekamilika kwa asilimia 95. Chumba cha kuhifadhia maiti tayari kimewekwa mfumo wa hali ya juu wa majokofu ambao utahakikisha uhifadhi sahihi wa miili. Umuhimu wa huduma hiyo huko Othaya ilikuwa imeangaziwa hata kabla ya Hospitali Kuu ya Kenyatta kufika Othaya. Wakazi waliofiwa wamekuwa na changamoto ya kupeleka miili ya wapendwa wao. Kwa muda mrefu, miili ya wapendwa wao imekuwa ikihamishiwa katika mji wa Nyeri au kaunti jirani ya Murang’a na hivyo kukabiliwa na gharama ya ziada. Chumba hiki cha kuhifadhi maiti kitahudumia wakaazi wa Othaya na viunga vyake. e) Kitengo cha Kisasa cha kuhudumia wagonjwa mahututi Hospitali Kuu ya Kenyatta tawi la Othaya sasa inajivunia Kitengo cha kuhudumia wagonjwa mahututi
chenye uwezo wa vitanda 21. Kitengo hicho kiliboreshwa kutoka kwa kile cha awali ambacho kiliweza kuhudumia wagonjwa sita tu kwa wakati mmoja. Uboreshaji huo ulifanyika ndani ya muda wa wiki sita (6) kama ilivyo lengo la usimamizi wa Hospitali Kuu ya Kenyatta tawi la Othaya kutoa huduma maalum kwa wagonjwa wetu. Kituo hicho pia kina vifaa vilivyoboreshwa vikiwemo, vidhibiti na vipumuzi kwa kila kitanda, vitanda viwili (2) vya kutengwa, na maabara ya ndani. Kitengo pia kinajivunia timu nzima ya wauguzi wanaotoa huduma kwa wagonjwa mahututi.
PICHA | JULIUS ITA KNH - Othaya Lango La Kuingia
f) Kitengo cha kisasa cha kuwahudumia akina mama wenye matatizo ya uzazi Kwa kuzingatia lengo la Shirika la Afya Duniani (WHO) la kukabiliana na vifo wakati wa kujifungua, Hospitali Kuu ya Kenyatta tawi la Othaya kwa ushirikiano na wakfu wa Safaricom ilikarabati na kuweka vitanda 6 vya kisasa vivyotegemewa sana na akina mama wajawazito. Kitengo hiki kina vifaa kamili vya kushughulikia matatizo yote yanayotokea wakati wa kujifungua na hivyo kusaidia katika kuepusha tukio lolote linaloleta maafa. g) Kitengo cha Kisasa cha Watoto wachanga Kwa ushirikiano na Wakfu wa Safaricom, Hospitali Kuu ya Kenyatta
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TOLEO 27 | Kenyatta National Hospital Newsletter
na wagonjwa wengine waliokuwa kwenye kitengo cha huduma mahututi ambao mara mingi walikua wamepoteza fahamu. “Hali hii ilinifanya niweze kumpa utunzaji wa lishe kwake. Alikua kwenye malishe ya enteral.- lishe iliyokamilika ambayo hulishwa moja kwa moja kwenye tumbo na utumbo mdogo kupitia kwa bomba au mpira. Lishe hizi zilitumiwa mbadala na vyakula vilivyorutubishwa na kuchanganywa kutoka kwa kitengo cha malisho ya matibabu. Kila siku baada ya kuhakiki Hannah wakati wa raundi za kawaida, utaratibu wake wa lishe ulibadilishwa na kuboreshwa kulingana na mahitaji yake ya lishe, yaliyoamuliwa na matokeo ya maabara na majadiliano baina ya madaktari na wauguzi wake,” Bi. maleche aliongeza Hannah aliamini kwamba siku moja angetoka kwenye kitengo cha huduma. “Wagonjwa wengi huishi kwa kukataa lakini hana alikubali na kuamini atapona” alisema Bi. Kimemia. Alisisitiza kuwa kupona kunahitaji usaidizi kutoka kwa upande wa madaktari na pia familia kama ya Hannah. Kulikua na kazi ya pamoja katika kitengo cha huduma kutoka kwa wataalamu, madaktari, wauguzi walijitahidi pakubwa kufikisha Hanna alipo Leo. Bw. Muturi alipongeza Hospitali Kuu ya Kenyatta kwa kuwa wasaidizi
kwenye mchakato huu mzima. “Walinisaidia kwa kunipa ujumbe kuhusu hali yake. Ingawa ilikua vigumu, kimwili, kiroho, kifedha na kihisia nilifanya yote niliyoweza kusaidia,” Alisema. Hannah ana shukrani kwa mwanawe ambaye ndiye alikua msaidizi mkuu. “Mwanangu alifika kwenye wadi saa kumi na mbili kasorobo asubuhi, na kwenda kazi saa moja asubuhi kisha kurejea jioni kuniona” alisema kwa shukrani. Hannah alikumbuka timu ya maombi ya Hospitali Kuu ya Kenyatta ambayo ilimpa matumaini akapona. Hannah alikua na ushirikiano. Hatimaye alitoka kwenye kitengo bila vidonda vya kitanda na baada ya siku chache alianza kuenda kanisani. Hannah hakuwai kata tamaa. Ni mwenye furaha na shukraani,” alisema Bi. Kimemia Katika matayarisho ya kutoka, Bw. Muturi - mwanawe Hannah alipewa ushauri mwingi kuhusu lishe ili kuwe na mwendelezo wa lishe bora nyumbani. “Niliwapatia mpango mzima wa chakula na nikiwapa ushauri kuhusu vyakula vilivyopendekezwa kulingana na utambuzi wa ugonjwa. Wiki chache baada ya kuenda nyumbani, Hannah alikua anakula vyakula vigumu kinyume na vyakula vilivyosyagwa. Kwangu hio ilikua
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hatua kubwa kuafikiwa kwa muda mfupi sana.” Alisema Bi. Maleche afisa wa lishe. Kwa Sasa, hakuna tiba ya ugonjwa huu. Wagonjwa wengi walio na myasthenia gravis hawana ushirikiano mzuri lakini kuna matibabu yanayoifanya maisha kuwa rahisi” alimalizia Bi. Kimemia Hannah huja kwenye kliniki ya Neuro kufuatilia hali yake. “Kwenye miadi ya kwanza ya Hannah, nilifurahia kumuona akitembea na akiwa mchangamfu. Ni kutumia kumuona mgonjwa wa ccu ameachilliwa hospitalini na ana afya njema,” ni maleche akimaliza. Hannah anasisitiza umuhimu wa lishe bora kwani anasema hiyo ndiyo iliyomsaidia sana katika kupata nafuu kwake Alitamatisha mahojiano kwa kunukuu biblia takatifu katika kitabu Zaburi 23 ambapo alipata nguvu ya kushinda ugonjwa. “Nilidai ahadi za Mungu kwenye Zaburi 23 kwamba hatutakua na kukosa Bali tungeishi maisha yenye afya na matunda mengi. Najihisi niliyerithika na niliyepoma,” alitamatisha.
Pongezi za mkuu wa nchi (HSC-Kitengo cha Raia) Afisa wa Utawala, Uchukuzi; Bw. Fredrick Omondi alitunukiwa Head of State Commendation (HSC- Kitengo cha Raia) na Rais wa jamhuri ya Kenya, Uhuru Muigai Kenyatta (EGH) kupitia chapisho la notisi katika Gazeti rasmi la Kitaifa Vol. CXXIII-No. 255 ya tarehe 17 Desemba 2021.
Kongole! 19
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SHUJAA WA THELUJI Kuishi na Myasthenia Gravis: simulizi ya Hannah PICHA | PEXELS
Na Yvonne Gichuru Kutana na Hannah Wambui 56, na mwanawe Martin 33 anayemueleza kama mkristo mcha Mungu anayejishugulisha na wizara ya watoto. Hannah alianza kuhisi uchungu katika miguu yake mwaka 2012 alipotafuta matibabu. Alipatikana kuwa na ugonjwa wa Yabisi katika hospitali ya mtaa ambapo alipewa dawa na akapona. Mwaka wa 2019 alipata dalili kama za hapo awali lakini wakati huu mikono na miguu yake ilianza kukosa nguvu na akaanza kuanguka. “Nilihisi kana kwamba sikuwa na nguvu yoyote” alisema. Kulingana na mwanawe Bw. Muturi, alianza kupata matatizo kama kope zinazolegea hadi akadhani ni swala la macho. “Alikua na ukosefu wa nguvu za misuli, hangeweza kusimama kwa muda mrefu. Kibofu chake cha mkojo kililegea na hapa tukagundua kwamba lilikua swala la matibabu.” Alisema Muturi Alipelekwa kwa kliniki iliyokua karibu ambapo alipelewa rufaa ya Hospitali Kuu ya Kenyatta. Bi Lucy Kimemia muuguzi msimamizi wa kitengo Cha utunzaji muhimu alisema baada ya uchunguzi na kupima, Hannah alitambuliwa kuwa na myasthenia gravis - ugonjwa sugu ambao kingamwili huharibu
mawasiliano kati ya mishipa na misuli inayosababisha udhaifu wa misuli ya mifupa. “Myasthenia gravis huathiri misuli ya hiari ya mwili sana sana inayoongoza macho, mdomo, Koo na viungo,” alisema. Kwa kawaida, inaitwa ugonjwa wa theluji kwa kuwa dalili zake hubadilika badilika kutoka kwa mtu mmoja hadi mwingine. Alipolazwa katika kitengo cha utunzaji wagonjwa mahututi wadi 8A, tracheostomia ambayo ni kuingizwa kwa tubu kwenye trachea ili kusaidia
mtu kupumua, ilifanywa kukabiliana na hali. Isitoshe matumizi marefu ya mitambo ya uingizaji wa hewa hukera ila inasaidia katika kupumua na kula. Hannah alikua ndani na nje ya mitambo hii, lakini baadaye aliweza kukula kwa mdomo. Alisema Bi. Kimemia. Kulingana na Valeria Maleche mtaalamu mkuu wa afya na lishe Hospitali Kuu ya Kenyatta, Hannah alikua mgonjwa wa tahadhari. Aliweza kuzungumza kwa maneno na kueleza wasiwasi wake tofauti
Baadhi ya madaktari na wauguzi katika Hospitali Kuu ya Kenyatta ,Kitengo cha kuwahudumia wagonjwa mahututi,Wadi 8A PICHA | STEVE NDUATI
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TOLEO 27 | Kenyatta National Hospital Newsletter
Jinsi ilivyokuwa Na Verah Mugambi & Yvonne Gichuru
Wafanyakazi wa KNH walipotembelea Watumishi wa Huruma wa Makao Maskini huko Kithyoko, Kaunti ya Machakos
KNH-Othaya kwa ushirikiano na Hospitali kuu ya KNH wakati wa hafla ya kuadhimisha Siku ya Kisukari Duniani.
CHANJO Kituo chetu cha chanjo cha kimataifa kimekuwa kikitoa chanjo, lakini kutokana na kuibuka kwa janga la UVIKO-19 na idadi kubwa ya watu waliojitokeza kupata chanjo, kituo tofauti cha upimaji na chanjo cha UVIKO-19 kiliundwa kulingana na itifaki za Wizara ya Afya. Kituo hiki kinatekeleza wajibu wake kila siku kuanzia Jumatatu hadi Ijumaa na kinahudumia zaidi ya wateja mia tano kwa siku; inatoa Pfizer BioNTech, Moderna, na AstraZeneca shots katika dozi ya kwanza na ya pili. Afisa mkuu mtendaji DKT.Evanson Kamuri, EBS apokea chanjo yake ya kwanza ya UVIKO -19 wakati w uzinduzi wa opershani hiyo nchini.
Daktari William Sigilai ni mmoja wa wakurugenzi wa hospatli kuu ya Kenyatta apokea chanjo hiyo
Bi Jemima Katama apokea chanjo ya UVIKO-19
Jinsi ilivyokuwa Na Verah Mugambi & Yvonne Gichuru
HATUA KUBWA ZA KIMAFANIKIO
K
atika azma yetu ya kutoa huduma bora za afya, timu zetu zimekuwa mstari wa mbele katika kusajili matukio muhimu ambayo yameiweka Hospitali Kuu ya Kenyatta katika kilele cha mfumo wa rufaa kitaifa. Uidhinishaji upya na Shirika la vigezo na Viwango la Kenya (KEBS) ISO 90012015 QMS, unaonyesha dhamira yetu isiyoyumba katika utoaji wa huduma bora za afya maalum. Kwa maana hii, na jitihada za kupunguza muda wa kubadilisha fedha, jumba la ‘Malipo Centre’ lilikuja kusaidia wagonjwa waliokuwa wakilipa bili zao chini ya paa moja. Juhudi zetu za wafanyikazi zimetambuliwa na rais; kupitia chapisho ya notisi katika Gazeti rasmi la Kitaifa Vol. CXXIII-No. 255 ya tarehe 17 Desemba, 2021 Mkurugenzi Mipango na Mikakati; Bw. Makanga Job Bernard alitunukiwa Order of Grand Warrior (O.G.W.) wa Kenya na Afisa wa Utawala, Uchukuzi; Bw. Omondi Fredrick kupitia chapisho ya notisi katika Gazeti rasmi la Kitaifa Vol. CXXIII-No. 255 ya tarehe 17 Desemba 2021, alipewa Pongezi za Mkuu wa Nchi (HSC-Kitengo cha Raia). Tunatazamia uboreshaji kamili wa 2022 tunapotarajia kuwa na mafanikio zaidi katika nyanja za matibabu na pia kuboresha miundombinu na ujuzi kwa kuwajengea uwezo wataalamu wetu wa matibabu.
Bi. Susan Mochache , CBS (Mbele KS), Makamu Mkuu wa JKUAT Prof. Victoria Ngumi wakati wa uzinduzi wa Programu za Uzamili za Dawa katika Tiba ya Ngozi nchini Kenya
Mkurugenzi Mtendaji wa KNH, Dkt. Evanson Kamuri, EBS (KS) apokea cheti cha Shirika la Viwango la Kenya ISO 9001 2015 QMS kutoka kwa Mkurugenzi Mkuu wa KEBS Bw. Benard Njiraini (KL)
Mwenyekiti wa Bodi ya KNH, Bw. George Ooko (KS), na Naibu Waziri wa Afya, Susan Mochache CBS, (KL) wakati wa uzinduzi wa Programu za MMed katika uzinduzi wa Udaktari wa Ngozi na Tiba nchini Kenya.
UHAMASISHAJI Hospitali Kuu ya Kenyatta bado imesalia thabiti katika kuhakikisha Huduma ya Afya kwa Wote (UHC) inaafikiwa kulingana na jukumu lililotazamiwa katika ajenda nne Kuu za Rais. Ili kufikia lengo hili, tulianza mpango wa kina wa kufikia kama mkakati wa uuzaji wa huduma maalum za matibabu, huku walengwa wa watu wasiojiweza kiuchumi na kijamii kote nchini wakikabiliwa na hatari za kiafya kama vile kuenea kwa magonjwa ya kuambukiza na yasiyo ya kuambukiza. Magonjwa ikilinganishwa na idadi ya watu kwa ujumla. Hili lilihusisha mbinu mbalimbali zinazojumuisha wafanyakazi wa afya ya jamii kwa lengo la kujenga uwezo na hatimaye kuimarisha maelewano kati yetu na jamii pamoja na kupanga njia za kuepusha hatari, kujitosa kwenye njia zinazowezekana za kupata huduma za afya
kwa urahisi hivyo kuongeza uimarishaji wa afya.
Gerald Muriithi, Afisa Muuguzi kutoka KNH Othaya akimchanja mmoja wa waanzilishi wakati wa shughuli za matibabu katika kaunti ya Marsabit.
Daktari Bingwa wa Magonjwa ya Fahamu, Profesa Seth McLigeyo akizungumza wakati wa huduma ya upasuaji wa Fistula wa Kitengo cha Renal AV
Jinsi ilivyokuwa MICHANGO NA FADHILA
Na Verah Mugambi & Yvonne Gichuru
K
uibuka kwa UVIKO-19 kumeleta viwango vya huzuni ambavyo havijawahi kushuhudiwa kwa watu binafsi tu bali pia taasisi na serikali wanapotekeleza majukumu yao. Hili limetaka kuwepo kwa mbinu mbalimbali ili kupunguza uhaba huo, hasa katika nyanja ya matibabu. Katika kutii wito huu, wafadhili wengi na watu wema walijaza pengo hilo kwa vifaa vya matibabu, dawa, milo, na vifaa vya usalama (PPE’s) kati ya nyingine. Tunatazamia uhusiano zaidi katika siku zijazo. Kwa niaba ya Uongozi wa Hospitali Kuu ya Kenyatta, timu ya Newsline ingependa kuwashukuru wafadhili wote na watu wenye mapenzi mema na kuwatakia Krismasi Njema na Mwaka Mpya wenye heri na fanaka.
Afisa Mkuu Mtendaji, Dkt. Evanson kamuri (ks) anapokea msaada wa ambulensi kutoka kwa Afisa Mkuu Mtendaji Dkt. Peter Kamunyo wa Shirika La Bima Afya ya Kitaifa.
Mkurugenzi Dkt. Rose Nyabanda (KL) kutoka hospitali Kuu ya Kenyatta apokea msaada kutoka kwa wawakilishi wa wakfu wa R.J. Kanani.
Bi Margaret Githire(KS) apokea msaada wa vifaa tofauti tofauti kutoka kwa wawakilishi wa IBER (KL)
Tuna miaka 120! Mwaka mmoja zaidi uliojaa kumbukumbu tamu na nyakati za furaha umepita. Familia ya Hospitali Kuu ya Kenyatta iliufanya mwaka wa 2021 kuwa wa kipekee na usio wa kawaida , tunatazamia hii iendelee milele. Kwa hivyo tunavyosherehekea kwa kuinua vinywaji vyetu na kulipua fataki angani, tuna hamu ya kuona Mwaka Mpya una nini. Salamu na Heri ya Mwaka Mpya!!!
Waaguzi wa wadi 1A wapokea msaada wa televesheni kutoka wa kwa wawakilishi wa Benki ya Equity.
Bw. Hezekiel Gikambi(ktk) akipokea msaada kutoka kwa uwakilishi wa bodi ya hazina ya kitaifa ya fedha ya maeneo bunge.
Matukio ya mwaka
2020-2021
Kenyatta . Kwa waandishi wetu, wabunifu wa picha, ambao hufanya kazi nzuri kama vile kutengeneza (mabango, matangazo katika mitandao ya kijamii, na vikuromeo kwa idara mbalimbali n.k. Wapiga picha wetu kwa kuonyesha taaluma ya hali ya juu, tunajivunia michango yenu.
Bw. Alex Mutyambwii
Bi. Naom Kerubo
Bw. Daniel Nthumo
Bw. Gyvira Odhiambo
Bi. Jacqueline Ngure
Bw. Luke Kung’u
Bi. Verah Mugambi
Bi. Sarah Wanjiku
Bi. Linnette Leyi
Bi. Joan Macharia
Bw. Moses Njomo
Bw. Collins Cheruiyot
Bi. Shiphrah Njeri
Bw. Godfery Osang’ir
Bw. Mohamed Dima
Bw. Emmanuel Wambua
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Bw . Lukas Ombogo
Bw . Peter Githua
Bw. Naftali Ruto
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Kutoko kwa meza ya mauzo na mawasiliano:
Kutana na kikosi kizima cha mauzo na mawasiliano Na Shiphrah Njeri Kikosi kizima cha idara ya mauzo na mawasiliano kipo kwa ajili ya kuleta habari za ukakamavu katika Hospitali Kuu ya Kenyatta, kupitia ushirika wa chapa na mawasiliano ya kihadithi. Kikosi hiki kinajumuisha wataalam ambao hutumia ujuzi wa hali ya juu, mipango mahususi na utekelezaji katika uchanganuzi na ubunifu wa habari. Tuko hapa kama chombo cha kipekee ili kuzidisha mazungumzo katika Hospitali Kuu ya Kenyatta pamoja na jamii inazohudumia. Kikosi hiki vile vile kina umahiri na ufasaha katika nyanja za mauzo na mawasiliano. Tunashikilia majukumu yetu kwa ustadi kama idara bila tashwishi ili kudumisha kiwango kinachohitajika na wateja wetu (wagonjwa, jamii zao, na washirika). Katika karne hii ya mawasiliano, Hospitali Kuu ya Kenyatta iko kwenye mitandao tofauti tofauti ya kijamii ikiwemo; Facebook, Twitter, You Tube na Tiktok. Mitandao hii hutumika mara kwa mara kupitisha jumbe kwa jamii nzima ya Kenyatta ndani na nje. Tuna wafanyikazi ambao wamejitolea kusoma maoni, kujibu maswali yanayotiririka moja kwa moja na pia kupokea mapendekezo jinsi yanavyotufikia. Kisha, tunawasiliana na idara mabalimbali husika kwa sababu maswali haya huhitaji wataalam kuyajibu. Idara hii ya mauzo na mawasiliano inafahamu vyema majukumu yake.
Ms. Edel Mwende
Tunafahamu kuwa mawasiliano ni kiungo muhimu na kwa hivyo sisi huleta wataalam wetu wa kimatibabu kwenye mitandao yetu ya kijamii kuhakikisha watu wanapata kufahamu huduma ambazo zinazotolewa katika Hospitali Kuu ya Kenyatta. Kitengo chetu cha maafisa wa kutoa huduma kwa wateja hushughulikia malalamishi, pongezi, mapendekezo na hata maswali kutoka kwa wateja wetu hospitalini. Wao huhakikisha maoni yamepokelewa, kunakiliwa, kushughulikiwa na mteja kupata suluhu. Kitengo cha wanahabari nacho hakijaachwa nyuma, kitengo hiki huhakikisha kwamba kuna habari za kila siku kwenye chapisho la “Newsline”, mtandao wetu ya You Tube, kurasa za
Bi. Sheila Muriithi
Bi. Yvonne Gichuru
Bi. Melody Ajiambo
Bw. Nicholas Wamalwa
Facebook, Twitter na Tiktok. Mitandao hii huwajibika kwa yale yote yanayofanyika katika Hospitali Kuu ya Kenyatta, jumbe za kutia moyo kutoka kwa wagonjwa, habari na elimu ya kiafya kutoka kwa wataalam wetu. Tafadhali tazama kurasa zetu za mitandao ya kijamii hapo chini: Ukurasa wa Facebook: Kenyatta National Hospital Ukurasa wa Twitter : @ Ceoknh, @KNH_hospital You Tube: Kenyatta National Hospital Tiktok : KenyattaNationalHospital Newsline : https://bit. ly/3uQGCi
Kwa k i l a chapisho, kikosi kizima cha mauzo na mawasiliano hukesha usiku kucha kafanikisha mawasiliano katika Hospitali Kuu ya
Bi. Cynthia Cherono
Bi. Marian Moraa
Bw. Dave Opiyo Msimamizi wa Idara ya Mauzo na Mawasiliano
Bi. Priscah Angwenyi
Bi. Winfred Gumbo
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yanaendelea wakiwa nyumbani, lakini punde ilipodhihirika kuwa mgonjwa yuko katika hali mbaya , jamaa mmoja wa karibu angeitwa kumpa heri ya mwisho. Kilichonivunja moyo ni kuona mtu akimpa heri mpendwa wake. Kilichoniuma sana ni kuona familia zikitengana kwa sababu ya ugonjwa huu. Kila wakati nilipoenda nyumbani nilihofia kama wagonjwa wangu wangeona siku nyingine ama kushuku kama wangeweza kufika asubuhi wakati wa zamu ndefu za usiku. NL: Vifo hivi vyote vilikuathiri kwa njia gani, ni vipi ulishughulikia tatizo hili na ni kipi kilichokupa motisha wa kuendelea? Bw Otiso: Mara nyingi hapo awali wagonjwa walioathiriwa walikua na ugumu wa kupumua na wengi wao walikua mahututi kwa hivyo ilikua dhahiri kwamba wangeaga dunia. Kushuhudia haya yote yalinijaza huzuni, ukosefu wa usingizi na uchovu. Kazi ya uuguzi ilikuwa chaguo langu, hii ilikua ndoto yangu tangu utotoni. Kuwatibu wagonjwa na kuwasaidia kuishi kwa afya na furaha. Wakati mwingine nilijipata nashuku taaluma hii, na nikafikiria kuibadili. Nashukuru wasimamizi wa KPCC kwa jitihada zao za kutushauri sote. Nilipata ushauri, nasaha, usaidizi na kutiwa moyo na madaktari, wasimamizi na wauguzi waliokua wamefanya kazi hii kwa muda mrefu. Familia yangu na marafiki walinifurahisha kwa kunitia moyo ili niweze kukabiliana na yote yaliyokua yanatendeka. NL: Kuwepo kwa chanjo kumeathiri kivipi jinsi unavyofanya kazi? Bw Otiso : Kutokana na usambazaji wa chanjo ya UVIKO-19 nchini mwakani, nilijihisi mwenye shukrani kwa mara ya kwanza tangu janga lilipotukumba,chanjo hii imeleta matumaini. Ninawasihi watu wote wajitokeze kuipokea,ugonjwa huu upo na unawaangamiza wagonjwa. Kwa hivyo nawasihi wote wachanjwe kabla ya muda kuyoyoma. Licha ya changamoto zinazotukumba katika taaluma hii, Zaphaniah alisema kuwa anajivunia kuwa muuguzi na mmoja wa wale wanaookoa maisha. “Watu huletwa kwenye wadi wakiwa hali mahututi na sisi pia huwa hatuna uhakika
Bw. Zephaniah Otiso akiwa na mwenzake ndani ya wadi ya UVIKO-19
kitakachotendeka, bali huwa na matumaini wataiona siku nyingine,” alisema. “ Wakati mwingine naangalia wagonjwa nikijua kwamba kesho yaweza kuwa mimi, nisipokua makini ama kwa bahati mbaya. Jambo hili linatisha sana,”Otiso alimalizia. Tunatuma rambirambi zetu kwa familia ambazo ziliwapoteza wapendwa wao kutokana na janga la UVIKO-19. Watu husema askari ni
PICHA | COURTESY
wale hukua mstari wa mbele, lakini wauguzi ndio askari wa kweli katika vita hii dhidi ya virusi vya Korona.
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mnamo Aprili na kutumwa kwa timu ya kukusanya sampuli za UVIKO-19. “Ninapima wagonjwa (wodi) na wagonjwa wa nje (wateja wanaoingia ndani) na wote wana changamoto zao. “Kwa mfano; tunakusanya pua na mdomo lakini mtu anakuja na kukuambia anataka pua tu na sio zote mbili na kuwashawishi kufanya pua itachukua muda mwingi, kwa hivyo, kuwaweka wagonjwa/wateja wengine wakingoja”, Bw Omondi anaeleza. “Ninahisi hakujawa na elimu nyingi kwa umma linapokuja suala la ukusanyaji wa sampuli. Kilichokuwepo ni jinsi unavyoweza kujilinda na sio kile cha kutarajia unapokuja kuchukua sampuli. “Hali ngumu zaidi unaposhughulika na wagonjwa katika wodi ni wakati unapaswa kuchukua sampuli kutoka kwa mgonjwa mwenye shida ya akili. Wao ndio wagumu zaidi lakini kadiri muda unavyopita, tumepata ujuzi wa
kufanya ujanja,” aeleza. “Kama nchi, hatujawahi kukutana na magonjwa yanayoibuka kwa kiwango hiki na ninaamini kwa sasa tumejipanga zaidi kukabiliana na magonjwa kama haya. Tumeshinda hofu, kwa hivyo ikiwa kuna habari kuhusu ugonjwa, ninaamini madaktari nchini Kenya wanaweza kushughulikia hali hiyo. Hatimaye, naishukuru timu kwa kunikubali kuwa mmoja wao na tumekuwa tukisonga mbele pamoja,” anamalizia. Kulingana na Bw. Henry Awasi, Mtaalamu wa Teknolojia ya Maabara ya Matibabu, wateja wagumu zaidi ni wale ambao wana ujuzi wa kutosha wa ugonjwa huo. “Kundi la watu wa makamo ni umri wa taarifa, na ndilo kundi lenye changamoto nyingi zaidi. Wana google sana kuhusu UVIKO-19. Ukweli au la, watauliza na kutaka kujua zaidi, kwa hivyo kupoteza wakati mwingi kujaribu
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kuwafanya washirikiane. La sivyo, imekuwa tukio la kufurahisha kufanya kazi hapa, “anasema Bw. Awasi. Timu ya molekuli inawapongeza wafanyikazi wote wa KNH kwa juhudi na inashukuru usimamizi kwa usaidizi wao tangu timu ya UVIKO-19 kuanzishwa. Timu ya Maabara ya Masi ingependa kuwatakia udugu wa KNH Krismasi Njema na Mwaka Mpya wenye baraka.
Ndani ya Wadi ya UVIKO-19; Maoni ya Muuguzi Na Petterson Njogu Ifuatayo ni hadithi ya ushujaa na matumaini inaonyesha yanayotendeka kupitia mtazamo wa muuguzi wa (KPCC) ndani ya wadi ya UVIKO-19. Virusi viliripotiwa kwanza mwezi wa Desemba mwaka wa 2019. Ripoti zilionyesha kuwa UVIKO-19 ilikua na uhusiano mkubwa na soko kuu la vyakula vya majini la Wuhan Kule kusini mwa China. Wiki chache zilizotangulia, ugonjwa wa UVIKO-19 uliwashinikiza wauguzi kwa kuwa watu wengi waliadhirika. Nchini Kenya, kisa cha kwanza cha virusi hivi kilidhibitishwa mwezi wa Machi mwaka wa 2020 na wakati huo huo, Shirika la Afya Ulimwenguni(WHO) lilitangaza virusi hivi kama janga kubwa kwa sababu lilisababisha maambukizi mengi kote Duniani. Ni muhimu kutambua kuwa chanjo ya virusi hivi haikuwadia nchini hadi mwaka mmoja baada ya kutangazwa kwa kisa cha kwanza. Muuguzi wa KPCC ambaye amekuwa katika mstari wa mbeleBwana Zaphaniah Otiso aliitikia mwito wa kupambana na virusi hivi vya UVIKO-19 tangu vilipotangazwa nchini. Alielezea mtazamo wake kwa chapisho la Newsline.
NL: Kushughulikia wagonjwa wa UVIKO-19 kwa mara ya kwanza ilikuwaje? Bw Otiso: Kusema nilikua na uoga na wasi wasi haitoshi kwani ilikua zaidi ya hayo. Tulipatwa na wasiwasi wakati ambapo wadi nzima ilitengwa kama eneo la UVIKO-19. Mimi na wenzangu tulikua tunafanya kazi katika kituo kimoja. Hio ilimaanisha masaa marefu ya upweke na kutengwa; hali ambayo hakuna hata mmoja wetu alikua amezoea. Pia,ni kweli kwamba ugonjwa huu ulikua mgeni hadi kwa wa sekta ya utabibu, tulikua na tajriba ndogo, nilijawa na wasiwasi sana nilipoona hali ya Uropa. Kulikuwa na maafa mengi. Isitoshe, lazima tungefanya tuwezavyo kuokoa maisha na kwa utunzaji wa wagonjwa hawa, kazi ilirahisika zaidi katika siku za mbele.
bila kuona familia na jamaa zake kwa mara ya mwisho? Bw Otiso: Jamaa hawakuruhusiwa kuwaona wagonjwa kwenye wadi zilizotengwa. Tuliarifu jamaa zao yaliyokua
PICHA | COURTESY Bw. Zephaniah Otiso mmoja wa wauguzi shujaa wa ugonjwa wa UVIKO-19
NL: Ulihisi vipi kujua kwamba mgonjwa wako angeaga dunia
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Tunakuletea Timu ya KNH ya Maabara ya Molekuli Na Verah Mugambi Wakati wa kuandika hadithi hii, nchi ilikuwa inakabiliwa na ongezeko la visa vya UVIKO-19. Asilimia ya Kiwango chanya sasa ni 6.5. Mdogo zaidi ana mwaka mmoja ilhali mkongwe ana miaka tisini na saba. Jumla ya kesi zilizothibitishwa ni 256,484 na makusanyiko ya vipimo vya COVID 19 vilivyofanywa hadi sasa ni 2,891,893. Sampuli zote zinapimwa na timu maalum za maabara kote nchini. Mashujaa hawa wamekuwa wakifanya hivi kwa bidii tangu mwanzo wa janga hili. Katika Hospitali Kuu ya Kenyatta, mradi wa kupima virusi vya UVIKO-19 unasimamiwa na wafanyikazi wa maabara. Newsline ilikuwa na mazungumzo na baadhi ya washirika wa timu ya maabara ya Molekuli, ambao husimamia ukusanyaji nauchambuzi wa sampuli za UVIKO-19. Walitoa ujuzi wao kabla na baada ya janga hili. Bi. Audrey Rotich, fundi wa maabara ndiye kiongozi wa timu ya ukusanyaji wa sampuli katika maabara ya Molekuli. Mnamo 2020, alikuwa miongoni mwa waliotunukiwa Tuzo la Uzalendo na Rais wa Kenya kwa heshima ya utumishi wao wa kuwekwa kielelezo bora kupitia kwa kujitolea, uzalendo na ushujaa katika kusaidia Kenya kukabiliana na janga la sasa. “Kabla ya ugonjwa huu kuenea kote, nilikuwa nikifanya kazi katika maabara ya biolojia kwa karibu miaka mitatu. Kisha Machi 2020 niliwekwa katika hospitali ya KNH Mbagathi-IDU kuongoza timu ya kukusanya sampuli. Baadaye, mnamo Julai 2020, mimi na wenzangu wachache tulirudishwa KNH kwa ajili ya kukusanya sampuli, alisema Bi Rotich. “Haijakuwa rahisi,” aendelea, “lakini namshukuru Mungu. Hapo awali, kulikuwa na unyanyapaa na hofu lakini sasa imekuwa bora zaidi. “Tunachofanya baada ya mteja kusajiliwa na kukamilisha malipo, ni kudhibitisha maelezo yako sahihi kabla ya kuchukua sampuli na hatimaye kuweka andiko kwenye
“Imekuwa uzoefu mzuri wa kujifunza kwangu. UVIKO-19 ni ugonjwa unaojitokeza; haikuwepo hapo awali kwa hivyo watu wanagundua mambo kuhusu ugonjwa tunapoendelea. Mr. Alfonce Kivindyo mirija. “Moja wapo ya changamoto kubwa ya kazi yetu ni kwamba umma huhofia uchungu wa kuusifiwa. Vyombo vya habari na vituo vya mitandao ya kijamii vinaelezea utaratibu wa upimaji wa UVIKO-19 kama chungu zaidi. Kwa hivyo, wateja huja wakiwa na hofu na kusitasita na kuifanya iwe operesheni ya kuvutia kukusanya sampuli sahihi. Pia kuchukua sampuli kutoka kwa watoto ni vigumu sana; kulia na kupiga kelele ni hali ya kuhangaika”. “Somo kubwa lililopatikana ni nguvu ya kazi ya pamoja. Katika mradi huu, sisi si timu ya maabara pekee bali wafanyakazi kutoka idara mbalimbali wanaofanya kazi pamoja ili kufanikisha mchakato mzima kuanzia usajili hadi kuleta matokeo ya mteja,” anahitimisha Audrey. Bw. Alfonce Kivindyo ni
mwanateknolojia wa maabara ya matibabu, kwa sasa anafanya kazi katika Maabara ya Molekuli. Yeye ndiye mfupa wa kufurahisha wa timu. “Kabla ya janga hili mbaya ambalo limegeuza maisha yetu chini, nilikuwa katika Kitengo cha Uangalizi Mahututi (CCU) nikifanya uchambuzi wa damu kwa wagonjwa mahututi”, alisimulia. “Imekuwa uzoefu mzuri wa kujifunza kwangu. UVIKO-19 ni ugonjwa unaojitokeza; haikuwepo hapo awali kwa hivyo watu wanagundua mambo kuhusu ugonjwa tunapoendelea. Anaendelea, “Hapa, nachambua sampuli; toa virusi, pata RNA iliyosafishwa, na uimarishe ili kupata matokeo ya mwisho. Hapo awali, kulikuwa na mzigo mwingi wa kazi na idadi ya wafanyikazi ilikuwa ndogo kwani wengi waliogopa kutumwa kwenye maabara. Tumekuwa hapa tangu mwanzo na tumeunda uhusiano thabiti wa kifamilia na kufanya kazi kama timu. “Nimeambukizwa UVIKO-19, kwa hivyo ninaamini mfumo wangu wa kinga sasa uko imara na unaweza kushinda chochote. Tuwe waangalifu na kufuata itifaki na kanuni zilizowekwa kwa ajili yetu na kwa ajili ya wapendwa wetu,” Bw. Kivindyo anamalizia. Bw. Julius Omondi alijiunga na KNH
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PICHA | NICHOLAS WAMALWA Anne Mwangi (M) akiwa na baadhi ya wafanyakazi wa Palliative Care. Pembeni yake ni Dk. Esther Nafula, Mkuu wa Kitengo, Maumivu na Palliative Care (3 Kushoto)
walikuwa na furaha na kuthamini akanipendekeza. Nikaenda Nairobi uwepo wangu na hilo lilinitia moyo. Hospice ambako ningefanya kazi ya Nakumbuka nilipewa kazi ya ziada nikiwa likizoni. kuwaosha, kuwapaka mafuta na Niliboresha ujuzi wangu katika kuwavisha mavazi mazuri ya ‘toto kudhibiti maumivu, mawasiliano na gowns’. Hali ya ugonjwa wao ilinigusa kusikiza. Madaktari kutoka Nairobi na kuunyenyekeza moyo wangu na Hospice walifurahishwa sana na nikatambua nina mengi ya kuwapa walinifadhili kwenda Kirkwood watoto hawa. Hospice nchini Uingereza kwa mafunzo zaidi ya miezi miwili. Siku moja Mkurugenzi Wasimamizi wa Hospitali Kuu ya Mtendaji wa Nairobi Hospice Kenyatta waliniachilia na niliporudi alikuja kutafuta muuguzi bado niliendelea kufanya kazi Nairobi wa ziada. Muuguzi Mkuu Hospice na nikaboresha ujuzi wangu katika kudhibiti dalili,” alikumbuka Bi Mwangi. “Baadaye, muda wangu wa kukaa hospitalini ilibidi usitishwe kwa sababu ninataka kuongeza masomo ya kitaaluma. Baada ya hapo nilienda kusomea ukunga katika Hospitali ya Mater mwaka wa 1997. Nilimaliza mwaka wa 1998 na nikawekwa kwenye wadi ya matibabu ya 8A kama muuguzi maalum. Siku hizo tulikuwa tunawalaza wagonjwa wengi na hili lilisababisha kazi nyingi. Nilijifunza mengi katika wadi hii, muuguzi mkuu alinifundisha mengi na nilisimamia wadi kwenye akiwa likizo. Kutokana na ongezeko PHOTO | WINNIE GUMBO la idadi ya wagonjwa katika Anne Mwangi holding a dirty linen bag inside the Pain and wadi ya 8A, nilipewa jukumu Palliative Care Unit la usimamizi pamoja na wenzangu. Tulianza na kupanga wodi ya matibabu ambayo ilikuwa wodi ya magonjwa ya macho. Niliteuliwa kama msimamizi wa wadi hiyo, ambayo kwa sasa ni 7A
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kisha baadaye nikawekwa kwenye wadi ya 7B kama msimamizi pia. “Sikukaa wadi hii kwa muda mrefu kwani nilipelekwa wadi ya wagonjwa mahututi (ICU). Bila shaka, sikujisikia vizuri kwani nilikuwa msimamizi wa maeneo haya yote , na kwa sasa ni muuguzi wa pembeni mwa kitanda. Nakumbuka baadaye kuna kitu ndani yangu kiliniambia kuwa nilikuja kuwahudumia wagonjwa kwa uwezo wowote. Hata nikiwa muuguzi mkuu au muuguzi wa kitanda; haikuwa kuhusu vyeo, ni kuhusu watu unaowafanyia kazi. na nilipokelewa vyema katika ICU kuu na Bi Atamba, aliyekuwa SACN wa kitengo maalum ambaye amestaafu kwa sasa. “Kwa kuwa sikuwa na ufahamu kuhusiana na ICU, nilipewa mfanyakazi mwenzangu kunifundisha kwa mwezi mzima. Mwishowe nilikuwa bora hadi baadhi ya madaktari walishtuka kwamba mimi sio muuguzi aliyehitimu katika ICU. “Nikiwa ICU, uamuzi ulitolewa na hospitali kwamba nianzishe Kitengo cha Maumivu na Tiba. Baada ya vifaa vyote kuletwa, nilitumwa kwa Kitengo cha Utunzaji wa Maumivu *Palliative* kama msimamizi mnamo mwaka wa 2007. Niliwekwa na muuguzi mwenzangu na daktari, tungeona wagonjwa wetu ambao wakati huo hawakuwa wengi. Wakati idadi ya wagonjwa ilipoongezeka, tulipewa chumba kingine na tungejadili juu ya uhamasishaji wa udhibiti wa maumivu ambao ulifanywa na kitengo cha huduma ya maumivu *palliative*. Ikiwa hajavaa sare zake za kuhudumia wagonjwa, Anne hujiburudisha kwa kuskiza redio na haswa nyimbo za injili. Zaidi ya hayo, yeye ni mama na nyanya ambaye anaithamini familia yake. Jukumu langu kama msimamizi ni kuratibu huduma za kitengo na kuhakikisha huduma bora inatolewa kwa wateja wetu.
PICHA | NICHOLAS WAMALWA Anne Mwangi akiwa ameshikilia begi chafu la kitani ndani ya Kitengo cha Utunzaji wa Maumivu na Tiba
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Kila kilicho na mwanzo kina mwisho Safari nzima ya Anne Mwangi ya maili elfu moja ilivyoanza hadi KNH Na Winfred Gumbo Tafsiri ya Kiingereza ya Kilatini ‘Veni, Vidi, Vici’ ambayo kulingana na mwanahistoria Mroma wa kale katika kitabu cha ‘Suetonius’s Lives of the Caesars’, Julius Caesar alitumia kifungu hiki Veni, Vidi, Vici wakati wa ushindi wa Waroma mnamo 46 KWK ambayo ilifuatia kampuni ya kijeshi yenye mafanikio. Haya ni maneno yanayoelezea wazi furaha ya Anne Waithira Mwangi; Muuguzi Mkuu anayesimamia Kitengo cha matunzo ya maumivu na huduma ya uponyaji. Huku akiketi kutoa hadithi kwa jarida la Newsline kuhusu safari yake katika Hospitali Kuu ya Kenyatta, anapotarajiwa kustaafu mwishoni mwa Februari, 2022 baada ya kukaa miaka thelathini na mine (34) kama muuguzi. “Nakumbuka siku ya kwanza nilipoanza kufanya kazi kwenye Hospitali hii, nikiwa msichana mdogo ambaye alikuwa ndio kahitimu kutoka Shule ya Mafunzo ya utabibu ya Kenya (KMTC) huko Nairobi,” aliambia Newsline. “Siku yangu ya kwanza ilikuwa nzuri na nilipata mapokezi mazuri sana, hizo ni siku ambazo wauguzi walikuwa wakivaa kofia na sare yangu ilinitosha vyema” alisimulia Anne. Anne
anatuelezea hatua kwa hatua kumbukumbu zake kutoka utotoni hadi alipotumwa katika Hospitali Kuu ya Kenyatta. “Nikiwa mtoto, nililelewa katika mji wa Murang’a, katika kambi ya magereza kwa sababu wazazi wangu wote walikuwa askari wa magereza. Mama yangu alikuwa mkali katika familia, baba naye kwa upande mwingine akiwa mpole. Angetutoa nje, acheze nasi na kutuletea zawadi. Hili limenisaidia kujijenga kwa kuwa tulipaswa kufanya kilicho sawa, kwa wakati ufaao la sivyo kipigo kingekuwa cha uhakika,” alikumbuka Anne kwa huzuni.“Sisi ni watoto wawili tu mimi na kakangu, tulikuwa familia nadhifu na uhusiano ulikuwa mzuri sana kati yangu, kaka yangu na wazazi wetu. Kisadfa, kaka yangu pia ni mlinzi wa gereza na ameoa askari wa gereza,” aliendelea. “Nilienda katika Shule ya Msingi ya Murang’a kisha nikajiunga na shule ya Sekondari ya wasichana ya Mumbi, kabla ya kujiunga na chuo cha kimafunzo ya utabibu cha Kenya(KMTC) ambapo nilihitimu na kujiunga na Hospitali Kuu ya Kenyatta. Wakati nikiwa shule ya msingi na sekondari sikuwahi kujua taaluma ambayo ingenifaa, haikuniingia akilini kwamba ningekuwa muuguzi. Kwa kweli, sikuwa na wazo la nilichokuwa nataka kufanya hadi nilipoingia kidato cha nne na ikabidi tuchague kosi. Kwa sababu sikujua nilichotaka kufanya, niliwasiliana na binamu yangu ambaye alinipa maelezo ya taaluma ya utabibu, ndipo
nilipogundua kuwa naweza kujaribu uuguzi kwa kuwa ilikuwa chaguo langu la kwanza likifuatiwa na famasia kwa usanjari huo. kwa bahati nzuri, niliitwa kwa Uuguzi Uliosajiliwa Kenya katika Chuo cha Mafunzo ya utabibu cha Kenya (KMTC) mnamo 1982. Nilifurahi kupata nafasi lakini bado sikujua la kutarajia,” alisema. Aliongeza: “Nilipohitimu mwaka 1986, nilifikiri naweza kuwa msimamizi. Nilidhani nitapelekwa katika hospitali ya Wilaya niwe msimamizi au meneja wa wauuguzi, bali nililetwa katika Hospitali Kuu ya Kenyatta nikiwa msichana mdogo mwenye umri wa miaka ishirini na mitano. Sikuwahi kufikiria kwamba ningeweza kuzeeka, hadi kufikia hatua ya kustaafu.” Muuguzi Mkuu alinipa nafasi ya kuchagua mahali pa kupelekwa kutokana na matokeo yangu mazuri. kwa bahati nzuri, niliwekwa kwenye wodi ya saratani ya watoto. Baada ya kuripoti nilikutana na wasichana wadogo na wavulana ambao
PICHA | NICHOLAS WAMALWA Bi. Anne Mwangi akiwa afisini .
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uhusiano wa karibu na watu lakini napata ugumu wa kuamini na kuwategemea.” “Wakati mwingine huwa na wasiwasi kwamba huenda nikaumizwa kama nitatangamana na watu.” Watu wa mtindo huu wa kiambatisho hawataki kuwa na hisia za karibu na wengine. Hisia hizi hutokana na mtazamo mbovu zaidi yao.”
Viambatisho salama Watoto wenye viambatisho salama huamini kwamba mlezi atawalinda na kuwashughulikia. Wao hupata usalama wa kimsingi kutoka kwa mlezi. Baadhi ya tabia zinazoambatana na mtindo huu ni kama; • Iwapo mlezi atatimiza mahitaji ya kimsingi ya mtoto, basi mtoto atajiamini na kufanya mambo mengine kando na kupata ushauri kutoka kwa mlezi. • Huenda wakapinga kutenganishwa na wazazi, mara nyingi wao hutabasamu wanapowaona wazazi wao. Mtindo wa viambatisho kwa watu wazima huambatana na ule wa watoto. Viambatisho hujitokeza pale mtu anapokuwa na mtazamo sawa na watu wengine. Wao hukabiliana na mambo yafuatayo; “Ni rahisi kwangu kuwa na hisia za karibu na watu wengine.” “Ni sawa kwangu kutegemewa na watu wengine, na pia kuwategemea.” “Sina shaka kuwa pekee yangu ama kukataliwa na wengine.” Mtindo huu wa viambatisho mara nyingine hutokana na uchangamfu na utangamano wa mtu na watu wake wa karibu. Watu wazima huwa na mtazamo mzuri kwao. Kwa watu wengine na mahusiano yao. Mara nyingi wao hutosheka na jinsi mambo yalivyo kuliko wale wa mitindo mingine. • Watu hawa huwa na faida katika mazingira ya kijamii na vile vile yale ya kazi. Kwa mfano: • Wao huwa na uhusiano mwepesi baina yao na wenzao kazini, viongozi na hata usimamizi. • Huwa na uhusiano mzito na wenzao kazini Wenzao kazini huwachukulia
kama nguzo muhimu • Si rahisi kuhairisha kufanya kazi • Hawaogopi kushindwa wala kukataliwa na wenzao kazini. • Hutekeleza majukumu yao vyema kazini • Huonyesha uaminifu kwa viongozi wa kazini • Hutosheka na mazingira yao ya pale kazini, • Mara nyingi huwa ni wenye afya “Mitindo ya viambatisho huwa na uwezo mkubwa wa kutabiri tajriba na majukumu ya watu pale kazini. Inaweza vile vile tabiri mahusiano ya kijamii na ubora wa uongozi katika kampuni.Kiujumla watu wenye mitindo ya viambatisho salama huwa na manufaa kwa uongozi na wenzao pale kazini. Wao huwa viongozi bora na mara kwa mara huwa na afya bora.Bila kuwasahau wale wenye mitindo viambatisho isiyo salama. Nao
pia huchangia pakubwa kwa kugundua hatari na kutoa suluhu za haraka. Wafanyikazi wa mitindo viambatisho katalizi nao husaidia kwa kuzingatia mshikamano na kutambua yanayoweza kuleta balaa. Utofauti kwenye uongozi huzaa matokea mazuri. Jambo la kufurahisha ni kwamba viambatisho hivi vyote vinaweza kubadilika. Ijapokuwa inachukua muda mrefu, mtu anaweza kujibadilisha na kuwa na mtindo wa viambitisho salama,” alisema Bi. Murithi. ‘Newsline’ ina wingi wa matumaini kwamba Makala haya yatakufanya uwe mtu wa kupongeza kuliko kukosoa na kutangamana na wenzako vyema. Twawatakia Mwaka Mpya Mwema Wenye Mafanikio!
“ Mitindo ya viambatisho huwa na uwezo mkubwa wa kutabiri tajriba na majukumu ya watu pale kazini.”
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TOLEO 27 | Kenyatta National Hospital Newsletter
• Kuepuka kazi za watu wengi au vikundi; wanapendelea kufanya kazi pekee yao. • Hujitenga na kutumia kisingizio cha kufanya kazi kama silaha ya kutotangamana na watu. • Ukosoaji wa mara kwa mara dhidi ya viongozi na mtazamo hasi. • Pingamizi dhidi ya uongozi na mabadiliko. • Kutoamini wenzake na viongozi wake. • Kutohitaji msaada kutoka kwa wenzake. • Kutokubaliana na matakwa ya wengine. Hata hivyo, kando na matatizo haya watu hawa huwa na faida zao kama vile: • Wao huitikia wito haraka na kwa ufanisi bila kusitasita haswa hali inapokuwa mbaya. Wanaweza kugundua tatizo kwa haraka na kulitatua sawa sawa. • Mfanyikazi wa mtindo wa viambatisho katalizi hupenda kufanya kazi bila kusaidiwa na huifanya vyema. Hawapendi kusimamiwa au kubembelezwa ndio wafanye kazi. • Wanaweza kutoa mchango kwa tija na kuangazia kundi kijumla. Wao huwa katika nafasi bora ya kumaliza kazi iwapo muda wa mwisho uliotengewa kazi hiyo umekamilika. Viambatisho visivyo salama: wasiwasi
“Nataka kuwa na hisia ya upendo kwa watu ijapokuwa nagundua watu hao hawana nia ya kuonyesha upendo kwangu.” “Siwezi kuwa sawa bila marafiki wa karibu, lakini wakati mwingine huwa na wasiwasi kwamba wao hawathamini uhusiano wangu kama ninavyothamini wao.” Watu wazima wenye mtindo huu wa viambatisho hupenda urafiki wa karibu, ukaribisho, na uwajibikaji kutoka kwa jamii. Kuwa na kiambatisho cha wasiwasi hupelekea mtu kuwa na matatizo ya kibinafsi pahala pa kazi. Matatizo haya hutokana na kutojiamini, kutokuwa na usalama, wasiwasi na kujishuku. Matatizo yanayoambatana na mtindo huu ni kama: • Wasiwasi wa kupewa ruhusa na kukubaliwa katika makundi • Uoga wa kukataliwa na kuhukumiwa • Kufuata chochote kinachosemwa na kundi • Matatizo ya kutaka kuwa karibu na watu na kuekeza katika uhusiano wa kijamii • Uwezo mdogo wa kufanya kazi bila kutosimamiwa au kutegemea viongozi. • Matarajio ya uongozi mbaya • Hisia za juu kwa maoni Kuhisi
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kutothaminiwa na kutotosheka Uchovu wa hali ya juu Tija au mauzo ya chini. Watu wenye mitindo hii huwa na manufaa yao kama ilivyo pale chini: Kugundua na kusuluhisha matatizo Kugundua udanganyifu kwa haraka Kutoleta ugomvi kazini Viambatisho vya wasiwasi: bila mpangilio
Watoto wenye mitindo ya viambatisho hivi huonyesha mambo yafuatayo: • Hawana mpangilio maalum wa kupambana na matatizo. • Mienendo kinzani katika hali tofauti. • Aina hii ya viambatisho hujitokeza kwa wale ambao hawana msimamo imara na hubadilika badilika kuhusu mtazamo wao na wa wengine. Watu ambao hufiwa ama kunyanyaswa utotoni huenda wakawa na mambo yafuatayo: • “Sina furaha nikiwa karibu na watu” • “Nina hisia za kuwa na
•
Kama watoto, watu walio na mitindo ya viambatisho visivyo salama huwa na dalili zifuatazo: • Kutokuwa na uhakika iwapo wazazi watawashughulikia na kuwapa usalama. • Wao huwa na uhusiano wa karibu na wazazi kuliko mazingira. • Huhisi huzuni wanapotenganishwa na wazazi. • Mchanganyiko wa furaha na huzuni wanapounganishwa na wazazi. Aina hii ya mitindo ya viambatisho vya kukosa usalama huonyeshwa na wale ambao wana maono kwamba mtazamo wa watu wengine ni bora kuliko mtazamo wao. Wao hukubaliana na mambo yafuatayo:
PICHA | COURTESY Bi. Judith Muriithi,Mwanasaikolojia,kitengo cha kusaidia wafanyikazi
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Mitindo ya Viambatisho na Jinsi vinavyoathiri Pahali Pa Kazi Na Sheila Murithi
J
e, wewe hukumbana na ugumu wowote wa mahusiano na mwingiliano na wenzako kazini? Huenda ikawa ni kutokana na mitindo yako ya viambatisho. Mitindo yetu ya viambatisho huathiri pakubwa namna tunavyotekeleza au kufanya kazi. Hii ni kwa sababu mazingira tunayofanyia kazi hujumuisha mienendo na uhusiano wa kijamii. Ni hekaya jinsi tunavyounda vifungo ambavyo hubaki akilini mwetu, vifungo hivi huundwa wakati wa maisha ya utotoni. Na hutuamulia namna tunavyoingiliana na kutangamana katika hali mbalimbali. Je kuna uwezekano wa mwingiliano wetu wa hapo awali kutuletea mazuri au laana maishani? Kikosi cha “Newsline” kilipata fursa ya kuzungumza na mwanasaikolojia Bi. Judy Muriithi, aliye pia mkuu wa mpango wa kuwashughulikia wafanyikazi katika hospitali Kuu ya Kenyatta. Ili kuzungumzia jinsi viambatisho huathiri mahusiano mahali pa kazi. Bi. Murithi anaeleza kuwa kulingana na nadharia ya John Bowlby’s, viambatisho huanza wakati mtu anapozaliwa. Mtoto mchanga hutegemea pakubwa mlezi wa kimsingi; kwa wakati mwingi mzazi au mlezi kwa utunzi, usalama na usaidizi. Mzazi anapounda uhusiano na mwanawe huwa ametimiza mahitaji ya hisia na kisaikolojia. Kupitia njia hii mtoto huhisi kuwa ana usalama wa kutosha. Walakini, iwapo mtoto atahisi kwamba mahitaji yake hayajatimizwa na mzazi, uhusiano wao huwa na tashwishi. Uhusiano au mwingiliano anaopata mtoto ndio unaotumika kama kiolezo maishani mwake. Kwa hivyo, kiolezo tunachopata utotoni mwetu huathiri jinsi tunavyotangamana na watu maishani mwetu. Anaendelea kusema, “kwa kurejelea sisi kama watoto, iwapo
“kuna aina nne za mitindo ya viambatisho ; Viambatisho salama, visivyo salama, na kwa hivi visivyo salama kuna aina tatu. Viambatisho katalizi, wasiwasi na visivyo na mpango.”
tutatambua kwamba mahitaji yetu ya kimsingi hayakutimizwa haswa na wale wa karibu, kuna uwezakano wa sisi kuishi na swala la viambatisho. Njia mojawapo ya kutofautisha viambatisho salama na viambatisho visivyo salama ni utofauti wake.” Kuna aina nne za mitindo ya viambatisho; viambatisho salama, visivyo salama na kwa hivi visivyo salama kuna aina tatu. Viambatisho katalizi, wasiwasi na visivyo na mpango. Bi. Murithii anaelezea mitindo hii ya viambatisho na namna inavyoundwa na kuathiri mahali pa kazi. Viambatisho visivyo salama: katalizi katika utotoni mwao: • • • •
Wanaamini kuwa mlezi hataandamana wala kutoa. Mlezi sio suluhu wakati wa matatizo. Wao huitikia wito wa mtu wasiyemjua kuliko hata mzazi. Wao humtoroka mzazi au
mlezi anaporejea nyumbani. Mtindo huu wa viambatisho katalizi huonyeshwa na wale ambao wako na dhana kwamba mtazamo wao ni bora kuliko wa watu wengine. Watu wazima wenye aina ya viambatisho katalizi mara kwa mara wao hukubaliana na yafuatayo; “Niko sawa kabisa bila uhusiano wa karibu wa kihisia.” “Ni muhimu sana kujua najitegemea.” “Sipendi kutegemea watu wala watu kunitegemea.” Watu wazima walio na mtindo huu wa viambatisho huwa na hamu kuu ya kujitegemea. Mfanyikazi aliye na viambatisho hivi mara kwa mara huwa hatangamani na wenzake kazini. Matatizo yanayoambatana na wafanyikazi wa mtindo wa viambatisho katalizi ni kama vile: • Hisia hasi kuliko hisia chanya
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1901
03/1/2022
HISTORIA YA KNH 1,800
40 Vitanda Hospitali ya Native Civil
»»
Hospitali ilianzishwa mwaka wa 1901
Vitanda 1,800 ( vitanda 209 ni vya Mrengo wa Kibinafsi) wadi 50 zahanati 22 za wagonjwa
24 za sinema
1939
300vitanda
»»
1952
Eneo la kisasa la Hospitali, mrengo wa kimatibabu wenye vitanda 300 ulikamilshwa mnamo mwaka wa 1939.
»»
Mfalme George VI wa Uingereza, Mkuu na Ireland ya Kaskazini alifariki usingizini katika eneo la kifalme huko sandingham akiwa na umri wa miaka 56 Binti yake, Malkia Elizabeth(25) alikuwa nchini Kenya katika ziara ya kifalme.
1957
234 vitanda ziliongezwa »»
Hospitali ya magonjwa ambukizi iliongezwa
»» »»
(16 maalum) na Idara ya Ajali na Dharura.
6,000+ Wafanyakazi
2021
Dhamira Yetu(our mission) “kuongeza uzoefu wa mgonjwa kupitia huduma ya afya ya ubunifu; kuwezesha mafunzo na utafiti; na kushiriki katika uundaji wa sera ya kitaifa ya afya.”
Maono Yetu(our vision)
»» »»
Hospitali ya kiwango cha kimataifa inayozingatia wagonjwa.
Kauli mbiu(Motto) Tunasikiliza, tunajali
1987 1963 1967
Hospitali ya King George VI ilibadilishwa jina na kuitwa Hospitali ya Kitaifa ya Kenyatta na kutangazwa kuwa hospitali ya kitaifa ya kimafunzo.
Hospitali ya Kitaifa ya Kenyatta ilikuwa na idara ya majeruhi ambayo ilishughulikia kesi zote za dharura na utaratibu wa kulazwa kushughulikia wagonjwa ambao walikuwa wametumwa kwa huduma maalum zaidi.
Hospitali ya Kitaifa ya Kenyatta ikawa Shirika la Serikali yenye Bodi ya Usimamizi
Compiled by: Edel Mwende Graphic by: Collins Cheruiyot
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Yaliyomo Toleo 27
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UJUMBE WA MWAKA MPYA WA AFISA MKUU MTENDAJI
Ujumbe wa mwaka mpya afisa mkuu mtendaji uk. 2 Historia ya knh uk. 3 Mitindo ya viambatisho na jinsi vinavyoathiri pahali pa kazi uk. 4 - 7 Kila kilicho na mwanzo kina mwisho uk. 7-9 Tunakuletea Timu ya KNH ya Maabara ya Molekuli uk .9-10 Ndani ya Wadi ya UVIKO-19; Maoni ya Muuguzi uk. 10-11 Kutana na kikosi kizima cha mauzo na mawasiliano uk.12-13 Matukio ya mwaka 2020-2021 uk. 20- 21 SHUJAA WA THELUJI Kuishi na Myasthenia Gravis: simulizi ya Hannah uk.18-19 KNH Othaya – Mwaka wa 2021 uk 20- 21 Jinsi Wafanyakazi wa KNH Wanaweza Kazi ya Kina:Kuboresha Umakini Katika Ofisi Huria.uk. 22 Uliza Kiatu uk. 23-24 Sio mlemavu, nimewezeshwa tofauti uk. 36 Squamous cell carcinoma ya macho,ugunduzi wa mapema ni muhimu uk. 35-34 Kuondoa Dhana potovu za kukatwa viungo kwa Wagonjwa wa Kisukari uk. 29 Kurahisisha Mzigo wa Utambulishaji uk. 29 Vichekesho uk. 30
KWENYE JALADA Historia ya KNH UK. 3
Idara ya mauzo na mawasiliano Timu ya Dhana ya kubuni Dave Opiyo, Edel Q. Mwende, Yvonne Gichuru & Collins Cheruiyot Timu ya wahariri: Dave Opiyo, Edel Q. Mwende, Winfred Gumbo, Luke Kung’u, Marian Moraa, Priscah Angwenyi, Petterson Njogu, Barbara Otieno & Lucy Nganga Hadithi: Edel Q. Mwende, Sheila Murithi , Winfred Gumbo , Yvonne Gichuru, Verah Mugambi, Petterson Njogu, Shiphrah Njeri, Susan Wakiuru, Abigael Lunani, Edward Njuguna, Ken Ndung’u, Steve Nduati, Michelle Wairimu, Joseph Musembi, Dr. Rebecah Nandasaba, Barbara Otieno , Luke Kung’u & Alex Mutyambwii Kubuni na: Collins Cheruiyot Kutafsiri: Lucy Nganga, Elly Ouna, Tessy Shanyisa, Joseph Musembi, Barbara Otieno & Priscah Angwenyi
Wapendwa wenzangu, Bodi ya Usimamizi wa Hospitali Kuu ya Kenyatta inakutakia Heri na fanaka ya Mwaka Mpya wa 2022! Wacha tuungane mikono pamoja ili kutoa huduma bora za afya kwa ushirikiano na bidii. Kwa washirika wetu, uwepo wenu una nafasi katika nyoyo zetu. Asante sana kwa kuendelea kuwa washirika na marafiki wa dhati .Tunatazamia mwingiliano mzuri katika mwaka mpya. Dkt. Evanson Kamuri, EBS Afisa Mkuu Mtendaji Hospitali Kuu ya Kenyatta
Mapicha : Nicholas Wamalwa, Winfred Gumbo Luke Kung’u, Ken Ndung’u, Steve Nduati & Julius Ita Tel: +254 20 2726300-9 Ext. 43121 or 43969 Fax: +254 20 272572
Email: caffairs@knh.or.ke knh.caffairs@gmail.com
Ili kuchangia au kuripoti habari zinazofaa, tafadhali wasiliana na timu ya wahariri
Tupate kwa Mtandao Kenyatta National Hospital
Kenyatta National Hospital Official Page
@CeoKnh @KNH_hospital
www.knh.or.ke
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Newsletter We Listen, We Care
Toleo 27
03/1/2022
KNH Miaka 120 ya uzinduzi KNH imekuwa na majina matatu tangu uanzilishi wake 1901. Awali iilitwa Hospitali ya Raia wa asili.
PHOTO | STOCK 03/1/2022
