KNH NEWSLINE ED 17 2020

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NEWSLINE We Listen, We Care

Issue 17.

25/09/2020

A Career Chosen for a Purpose “There are no wrong turnings. Only paths we had not known we were meant to walk.” ― Guy Gavriel Kay

By Sheila Murithi

H

aving worked at Kenyatta National Hospital for 32 years Mrs. Truphena Murila, Quality Assurance Coordinator, KNH is now approaching retirement.

Newsline sat with her to explore her journey and derive key lessons from her experience.

What inspired you to work at KNH?

and did the entry exam carelessly, I would fail and he would give up.

So I implemented my plan. To my surprise, I emerged the best and my dad was elated.

This young lady from Shiabwani Village in Kakamega was finally going to college… not just college but a Nursing School!

Before I joined

college, he gave me one piece of advice I still hold dear to date - Don’t work under supervision, work as unto the Lord. Let him be your supervisor.

I joined the Nursing school at a very difficult time for me. I had a two-week-old baby then. Juggling family duties and studies was not an easy thing. Most of the time my lecturers would see me dashing home after classes. They several times cautioned me on laxity and not taking my school work seriously.

When I completed my nursing training, I was deployed to Coast General Hospital in Mombasa. I wasn’t for it because my husband worked in Nairobi as well. We appealed the posting and requested to be reassigned to a hospital either in Nairobi or Kakamega. An opening was found at Kenyatta National Hospital. That’s how my career at KNH began on January 8, 1988.

My father had two wives. I had 22 siblings. Interestingly, of all his kids, he chose me to follow his career. He was a Clinical Officer. However, this is not what I wanted. My passion was teaching, but he would have none of it.

I, therefore, ran away from home, got married thinking he would stop pushing his agenda.

An opportunity for a Diploma Course in Teaching at Kenya Science presented itself and Was your profession a I applied. I was accepted and calling or was it chosen for was happy about it. I informed you? my dad about it. He, however, objected. Another opportunity God can use people to help to join Kagumo Teachers you discover your calling.

College presented itself. He In my case, he used my still refused. father. I never knew my I had to bring this torment calling was in Nursing. My to an end. I thought, if father saw this talent in I applied for a Nursing me and persuaded me to course at Kenya Medical take it up.

Mrs. Truphena Murila, Quality Assurance Coordinator Training College in Nairobi The moment I accepted

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http://www.knh.or.ke and focused, I found joy in it.

Patients love my work and I serve them whole-heartedly. It became my passion…my commitment…my calling and I fully immersed myself in it.

How has KNH helped you in your career development?

KNH is perhaps the best employer, according to me. It gives you opportunities to learn as you earn. As you learn to give the best services, you are also developing and improving yourself. KNH also gives you opportunities for innovation.

If you are creative and have ideas there is a chance to explore them as long as you do not compromise service delivery. Improvise but do not compromise! As you acquire knowledge, you grow professionally and other doors in your career open.

I started as a Nursing Officer 2 (Two). KNH provided an opportunity to go for training at Pumwani Hospital.

Thereafter, I was given a promotion to Nursing Officer 1 (One). I trained as a mentor in Kenya Medical Training College and when a chance came up in 1994, I took up a course in Quality Assurance.

Introducing medication schedules in the wards where patients were administered drugs according to the prescribed times and recorded for accountability were some of my initiatives after the training. I was among those handpicked for Quality Assurance training and later for ISO 9001:2015 QMS standard and documented procedures, statutory, regulatory, and contractual requirements.

These are just some of the training and courses I have had a chance to take part in, there are so many more.

I currently hold the position of Quality Assurance Coordinator in the Quality Assurance Department in KNH. Name three things people do not know about you?

I am called to help the needy and to serve those who are oppressed and I heed to this calling. In this capacity, I have been honored to be one of the pioneers of the KNH Staff Union and served as a Trustee in the KNH Pension Scheme.

Secondly, I value integrity and trustworthiness and therefore I portray the same qualities. Thirdly, I am a team player. I love nurturing people and helping them achieve success. I have nurtured some to leadership and I am proud of their

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Members of staff of the Quality Assurance Unit. achievements. It is all about passing the mantle and being a step for others to achieve more than you have. That is true servanthood.

What one thing would you like to change in KNH? I would like workers to be selfdriven. Everyone who works at KNH is a professional. All we need to do is maintain the same professionalism when it comes to our work. If we are committed to our work, we will see change.

Staff should not compare themselves with other staff and what they do. We all work for patients who are innocent and deserve the best from us. When we do that, we give KNH a good name. When KNH has a good reputation we individually have a good reputation. We can make KNH great, what we need is already within us.

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Mrs. Murila is one of the oldest serving staff in QA. She has worked in this department for more than 10 years, during which she has been assigned different departments to oversee in matters of Quality Assurance. She always comes to work on time and is always very energetic and performs her work well.

When required to go the extra mile, she always delivers. That is a very attractive quality for any employee. We wish her the very best when she goes on retirement and we know she is someone we can rely on in the future.“ - Agnes Chika, Quality Assurance Manager

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All systems go as construction of KNH Othaya facilities set to begin Contractors have 12 weeks to put up Laundry, Mortuary and Kitchen ahead of presidential launch of the hospital

By Dave Opiyo And Julius Ita Its all systems go at Kenyatta National Hospital – Othaya following the handover of the site for the construction of a Laundry, Mortuary and Kitchen to their respective contractors.

They now have 12 weeks to put up the facilities ahead of the launch of the hospital by President Uhuru Kenyatta later on this year During the handover of the site on September 25,200, that was presided over by KNH board Chair George Ooko and Chief Executive Dr Evans Kamuri, the contractors were however, urged to complete the projects on time.

“The construction of these three facilities is important, not only to this region, but to the country as a whole.

We therefore want these projects to be delivered quickly…the quality should equally not be compromised,” said Mr Ooko.

“We want to develop this into a Referral hospital. We are therefore counting on you to do your work diligently. The board will not accept any delays otherwise there is a high chance that you will be blacklisted,” he went on.The same messages were also

KNH CEO Dr. Evanson Kamuri shares a cake with staff to commemorate the handing over of the official site for the construction of a Laundry, Mortuary and Kitchen to their respective contractors in KNH- Othaya.

relayed by Dr Kamuri and Corporation Secretary Calvin Nyachoti.

“Time is of the essence…you all understand that the hospital is up and running…we therefore need the buildings and the equipment to all be in place at the same time. There is no time for delay,” said Dr Kamuri.

Added Mr Nyachoti: “ We must move with speed so that we complete the projects on time.”

Also present during the event was KNH Othaya AG Director Dr Peter Muiruri, Eng Richard Binga (Director Facilities and Services).

Dr Muiruri said the implementation of the projects was part of a vision to expand the hospital, to enable provide more services to patients.

“The journey has began,” he said while thanking the management for making it happen.

KNH management during a cake cutting ceremony at handover of KNH-Othaya site to contractors

KNH CEO, Dr.Evanson Kamuri taking part in ground breaking ceremony of KNH-Othaya’s construction site

KNH board Chair, George Ooko leading the ground breaking ceremony for the various facilities to be constructed at KNH-Othaya

KNH management at the grounbreaking site

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The beginning of last respect.

By Alex Mutyambwii

morgues.

Being the “last office’’ at KNH, the Mr. Simon Mbandi has worked at the Farewell home offers pocket-friendly Kenyatta National Hospital’s Farewell services.

The standing charge home for the last 20 years. is Sh4,700 and daily charges of Every new day at the facility comes ksh.470. with its challenges, but he has grown The facility has also a private wing to love the job. for clients who want the remains of When Newsline visited the facility their loved ones embalmed. last week, he was hard at work The embalming process preserves preparing a body for its final rights. the body longer. It costs Sh 14,000 to But he still had time to take us preserve a body at the private wing around. for 10 days after which an additional “I know this place like the back Sh1000 is charged for each day it KNH Farewell Home building of my palms,” he quips, pointing stays longer. to us the various places bodies are The Farewell Home Manager Mrs. Briefly: processed before being handed over Carolyn Kobia says they also offer to their relatives for burial. other services that also include “My day here is very interesting. postmortem.

Every morning, we collect bodies of “Postmortem is a very critical departed loved ones and bring them aspect of clinical outcome as it to this facility to prepare them for pinpoints the actual cause of death. the final rights. Once they are here, The postmortem exercises cost Sh5, Kenyatta National Hospital has we store them in special drawers 000 in the general wing and Sh10, received some 300 oxygen cylinders, awaiting processing,” he says.

000 in the private wing respectively,” boosting its capacity to deliver oxygen “They are then cleaned, dressed She says. therapy to its patients. before being surrendered to their The Farewell home management The donation from the Centre for loved ones for burial,” he adds. has come up with measures of Public Health and Development and The fact that Mr Mbandi optimizing customer experience Hewatele also includes Oxygen piping loves his job is evident. by having staff sensitization on and manifold installation, to enable “This is what I live for. I customer care. This has seen the safe oxygen administration at the will do it to the best of my clients being handled with dignity Mbagathi Isolation facility. ability. But you cannot do and professionalism.

The organizations further gave the it well if you do not have Their major challenge, she hospital several accessories including respect for the dead. This is says, remains limited space at the 1 PM6800 patient monitor, 24 wallflow meters with humidifiers, 10 pulse key for you to succeed in morgue. this trade,” he says.

“We are also understaffed. oximeters, and masks.

The donations were handed over But even as he This means the people to KNH Senior Director in charge of advises other working now have to Corporate Services Mr Carylus Odiangó. morticians to work extra to cope “Oxygen is a key component in the take their work with the numbers. We seriously, he are therefore asking fight against COVID-19. The equipment will greatly assist in managing other urges the the mnagement to health conditions even when COVID -19 public to stop consider addressing is over,” Mr Odiangó said. the stigma our issues for us to CPHD is also offering a training Mrs. Carolyn Kobia against those perform effectively,” platform for frontline health workers Farewell Home Manager working in she says. through subscription to the zoom

Boost as KNH receives 300 Oxygen Cylinders

webinar to enable virtual training of a total of 1,000 health workers at a time.

Dr. Bernard Olayo, Founder CPHD on his part said: “Oxygen is one of the critical gaps we’ve been dealing with to save lives. It should be affordable to maintain the system and no patient should die due to its lack in hospital.”

The organization’s Executive Director Steve Adudans expressed delight at their partnership with KNH. “This is part of our initiative of ‘saving lives, one breath at a time,” said Mr Adudans.

(By Yvonne Gichuru and Winfred Gumbo)

A section of staff at the farewell home

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One call, Cleans it all…

A sneak peek at KNH’s Laundry and Tailoring Unit

By Linnette Leyi Kenyatta National Hospital is the largest public hospital in Kenya, attending to up to 70,000 inpatients and 600,000 outpatients annually.

The facility has a bed capacity of 1,800. However, due to this large number and of course, more than 6,000 staff, the facility uses and churns out large amounts of dirty linen - from bedsheets, blankets, patient gowns, theatre gowns and attire, scrubs, table cloths, curtains et cetera.

It is the work of KNH’s Laundry and Tailoring Unit to clean up and ensure the linen is fresh and clean.

The Unit headed by Ms. Joan Mutiso has been divided into two subunits. They include the Laundry and Tailoring. The two subunits work hand-in-hand to stitch and produce new linen as well as repair, launder, and clean all used linen.

Ms. Mutiso has a strong desire for the advancement of the unit. She hopes that soon, the unit will achieve ISO certification and be the first hospital laundry unit to accomplish the same in East and Central Africa.

The department has a total of 143 staff who have been distributed to various areas within the institution like Kenyatta Prime Care Center (KPCC), Occupational Therapy, Sisters’ Mess, New Born Units, and Mbagathi IDU. Despite the obstacles, Ms. Mutiso says that she has received immense support from the management who continue to provide her with more casual staff and extra machines to keep the unit running.

The Newsline team took a walk to the segment of the Hospital to find out what a typical day there is like.

Sospeter Momanyi: SupervisorTailoring, Cutting, and Sewing “Tailoring is an art that is difficult to master, you have to be inch-perfect in all the minute details of making clothes.” -Anonymous.

Sospeter oversees the staff who bring together beautiful pieces, one stitch at a time. They sew all hospital pieces used for patient care and nonpatient care.

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A section of the Laundry Department (Tailoring) during their days work.

These are some of the duties he performs.

1. Arrives early, makes sure the workshop is clean, and that the machines are working.

2. Receives orders from various wards and offices around the hospital.

3. Cuts fabric for stitching.

4. Sets daily targets for each staff based on the numbers and nature of orders collected.

5. Checks the final pieces to ensure they are well sewn and makes sure any mistakes are corrected.

6. Packs the linen and sends it to the designated recipients.

specific wards/floors and theatres.

2. Dirty linen is then properly packed in red bags and ferried to the oxygen area and transported to the laundry area.

3. The linen is sorted, weighed, and loaded to the washing machines and washed for between 45 minutes to 2 hours based on the nature of the fabric and how soiled the linen is.

Philip Otieno: Housekeeper The importance of clean medical linens cannot be overemphasized.

They help patients to feel more comfortable and calm during their stay in the facility and prevent transmission of germs between people who handle or use them.

It is also aesthetically pleasing to walk into a room with clean fabric-there is no unpleasant smell or sight.

Philip Otieno works as a housekeeper in the unit and performs supervisory duties.

1. He ensures dirty linen is removed from all the sluice rooms by staff stationed at Laundry Manager - Ms. Joan Mutiso during the interview

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http://www.knh.or.ke 4. After washing, they are dried, ironed, folded, packed, and ferried back to the wards.

The staff here are highly exposed to the virus, therefore they have to protect themselves well to prevent cross-infection.

New roles due to the pandemic.

The workload on the department

has increased immensely. The staff is now: ● Sewing masks for all inpatients. ● Making PPEs-disposable aprons. ● Stitching body bags for COVID fatalities.

This presented a big challenge seeing that it was something they had never done before. They had to get the right materials, patterns,

stitches, threads, layers, and also make sure the body-bag is up to standard in terms of no leakages.

Despite the challenges they faced after acquiring new tasks, the staff have gained new knowledge and expanded their capacity and productivity. They might even be able to supply their products to other hospitals and health facilities.

Tribute: Zealous worker who put her heart to it

By Jacqueline Ngure

A gloomy air hangs around the Kenyatta National Hospital Dental unit corridors.

On a small table at one corner, there’s a beautiful portrait of a smiling lady. Two candles slowly melt to the heat of the flame next to a bouquet of roses.

This is in honor of the late Jacqueline Wambui Kibui, who until her untimely demise on September 16, 2020, was the Assistant Chief Nurse, Department of Dentistry.

Ms. Kibui, fondly known to her colleagues as Jacky passed on after a short illness while under the care of her colleagues at the KNH Prime Care Centre.

The late Jacky was first employed in KNH in 1999 as a Nursing Officer III. She diligently served the Hospital in various departments over the years, rising through the ranks to the Assistant Chief Nurse position which she held at the time of her death.

Her colleagues in the Dental Unit described her as a charismatic leader who spoke her mind. Whenever there was an issue, she would say it as it is and help resolve it.

What remains are memories of how Jacky went about her work with lots of diligence. She would approach the challenges of the day with her beautiful smile and made sure not to carry forward any negative energy at the end of the day.

Ms. Kibui’s friends & colleagues in the Renal Unit where she had worked longest, from 1999 to 2018, remember her as a jovial, outgoing, and ever-smiling person.

She performed her duties well and mentored many of her colleagues and students as well.

To her patients, she was compassionate and a good listener who went the extra mile in patient

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care.

Above all she was socially amiable, always the party organizer when the department had events, preaching the gospel of presence in her colleagues’ weddings, birthdays, and other social events.

We send out our heartfelt

condolences to the family, friends, colleagues, and people whose lives Jacky touched in one way or another.

When a good person dies, a good seed is planted, and in time it will sprout forth and bear fruits, and the world will reap from it. Fare thee well Jacky. Yours was a life well-lived.

The late Jacqueline Wambui Kibui

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Systems Approach as we Remember Patient Safety

By Dr. Lydia Okutoyi The purpose of World Patient Safety Day is to promote patient safety by increasing public awareness and engagement, enhancing global understanding, and working towards global solidarity and action.

This was part of the 72.6 World Health Assembly where member states agreed to prioritize patient safety. On 17th September every year, we celebrate the second World Patient Safety Day (WPSD). Kenya joins the global community to commemorate Patient Safety.

Health care continues to be delivered in evolving complex systems, resulting in rise of patient harm in health care facilities. Patient safety aims to prevent and reduce risks, errors, and harm that occur to patients during the provision of health care. It is a cornerstone for continuous improvement based on learning from errors and adverse events.

Safety is an essential dimension of quality of care. When patients come for care in our facilities they ask, “give me care that works”, “don’t harm me” and “treat me with respect”.

Patients and families are asking for effective, safe and people-centered care. To realize the benefits of quality health care, health services must be timely, equitable, integrated, and efficient.

Successes in patient safety are pegged on clear patient safety strategies; clear policies, leadership

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capacity, data to drive safety improvements, skilled health care professionals, and effective involvement of patients in their care.

The above strategies all contribute to the puzzle in bringing safety closer to “Wanjiku”.

We continue to show little improvement in harm reduction across health care settings.

Medication errors continue to be a leading cause of injury and avoidable harm in health care systems: globally, the cost associated with medication errors has been estimated at US$ 42 billion annually.

Hospital acquired infection contributes to 7 and 10 out of every 100 hospitalized patients in high-income countries and low- and middle-income countries respectively.

Almost 7 million surgical patients suffer significant complications annually, 1 million of whom die during or immediately following surgery.

Other safety challenges include unsafe injection practices, Diagnostic errors, unsafe transfusion practices, radiation errors, sepsis, and venous thromboembolism. It is estimated that almost 80% of the harm patients experience due to unsafe care is preventable. Quality can only be assured when health care becomes safer.

A mature health system considers the increasing complexity in health care settings that make humans more prone to mistakes.

Indeed to err is human. We have focused on improving the human and not addressing the system flaws that exist in the system.

Placing safeguards in the system will go along way in error-proofing the processes. We have traditionally focused on the individual provider who actively made the mistake (active error) who would take the blame for such an incident and be punished as a result.

This has failed to address the rising

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number of errors. Factors in the system previously described that led to the occurrence of an error (latent errors) continue to contribute to system lapses. It is when multiple latent errors align that an active error reaches the patient.

To err is human, we do not expect perfection from humans. It is naïve to require flawless performance when we work in a highly complex stressful environment. Human factors approach focuses on understanding the interaction among humans and other elements of a system within a given environment.

This applies psychological and physiological principles and theories to the design of products, processes, and systems. In health care, this approach improves safety, efficiency, quality, and reliability when applied effectively, while also reducing costs.

Indeed individual perfection is not possible, but systems can be designed and aligned to guard the humans against making mistakes.

We need a paradigm shift from blaming the individual to addressing the system.

The rotten apples are very few, most of the time we have wellmeaning health workers who work in misaligned systems. This could happen even to the best among them because latent factors align and allow harm to reach the patient.

Therefore, focusing on the system, requires that we are preoccupied with the hazards within the system and minimize them or mitigate them.

Understanding the system flaws requires a transparent culture where we have to allow staff and patients to voice safety concerns.

A positive safety culture enables openness and transparency in the workplace. This is a culture where a high level of importance is placed on safety beliefs, values, and attitudes and shared by most people within the workplace. Psychological safety at a health institution is correlated to the

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safety culture.

System solutions include safety checklist, Standard operating procedures, and design, analysis of the complex high-risk working environment, integrating human factors in education, assessing safety

culture in organizations and teams, Non-technical skills development, and team-based training, Clinical skills, and simulations, and finally team-based safety review.

We are being called upon to strengthen the system and build

resilience in it, this will give a better dividend than a blame culture.

Dr. Okutoyi is Director Health Care Quality: Kenyatta National Hospital and President, Society for Quality Health Care in Kenya

Health Worker Safety: A priority for Patient Safety

By Dr. Agnes Karingo Karume Patient Safety has been recognized as a global health priority. This, perhaps, explains why the World Patient Safety Day is celebrated on September 17 every year.

This years’ theme is Health Workers Safety: A priority for Patient Safety bringing into focus the unique role that health care workers play in promoting the safety of patients.

Through increased awareness, engagements, collaborations, and strategic partnerships, Health Care Quality Division continues to

spearhead patient and workforce safety initiatives in the hospital.

The core of ensuring safety lies in building appropriate working environments that optimize the delivery of safe health services and promote a safety culture.

Some of the challenges that health workers face the world over are the risk of physical and biological hazards including exposure to infections, violence in the workplace, mental and psychological stress.

Provision of efficient infection prevention control and public health measures, psycho-social support,

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capacity building on just culture, and person-centered care principles and improvement cycles have helped mitigate some of these challenges in our institution.

In addition, continuous feedback analysis and use of data have enabled key decision making and policy formulation and reviews.

This year as we marked World Patient Safety Day, we chose to appreciate all our health care workers (all who work in the health care setup) for their resilience in providing care that is safe, timely, and efficient even in this pandemic period.

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picture 1,2 & 4 Healthcare Quality division staff giving badges to various stakeholders and staff that support patient in their line of duty. Picture 3 - A cake cutting ceremony to crown the World Patient Safety Day.

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PICTORIAL

A representative of the US Ambassador to Kenya presenting a donation of PPE’S to the CEO KNH Dr. E.N.Kamuri

S-DCOS CPA Carylus Odiang’o receives donation of Oxygen Cylinders at KNH- IDU Mbagathi. Looking on is Director Diagnostic Services Dr. Rose Nyabanda

Beiersdorf East Africa Officials presenting Nivea Skincare Products to KNH CEO Dr. E.N.Kamuri and DNS Mrs. Judith Mugambi

KNH Board Chairman Mr. George Ooko listening to a nurse during a tour of the Hospital. Looking on is Dr. Irene Inwani, Senior Director Clinical Services

A&E Staff posing for a photo during the last day of Emergency Care Course training

Cornerstone SDA church members handing over cups to the Cancer Treatment Centre. Looking on is Mr. Wilson Mosebey, Medical Social Worker KNH

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Briefly:

BDF donates skincare products to KNH KNH has received hand and skin-care products for its staff from Beiersdorf East Africa who manufactures personal care products like Nivea.

The products were received by KNH CEO Dr. Evanson Kamuri who thanked BDF for the kind gesture.

“Due to Covid-19, our staff are constantly washing and disinfecting their hands; which necessitates proper moisturization to maintain healthy skin.” said the

CEO. BDF General Manager for Central, East, and West Africa Mr. Mathieu Levasseur said the donation was part of its CSR initiative towards helping fight the pandemic.

“This program is part of our “Care Beyond Skin” initiative which intends to support communities globally in their fight against Covid-19,” he added.

(By Linnette Leyi)

KNH CEO Dr. E.N.Kamuri receiving skin care products from BDF General Manager Mr. Mathieu Levasseur

Emergency Care Course for A&E staff comes to an end After several weeks of training, the Emergency Care course for the Accident and Emergency staff finally came to an end on September 18, 2020.

The capacity building course, which saw a total of 50 staff being trained was aimed at bridging various medical gaps in the department.

Speaking to Newsline, Dr. Pauline Kimeu, an Emergency Medicine Diplomate and Doctor from Aga Khan University Hospital stressed

Inspirational Quotes

the importance of having health institutions equipped with such skills.

“The main aim of emergency care course is to reinforce emergency care principles and review basic knowledge for critically ill patients,” she said.

“Every emergency caregiver in the A&E should be well trained on management of trauma of patients involved in various accidents, very sick patients who have complications

arising from cardiac arrest, blood clots, diabetes, and paediatric complications,” she added.

Dr, Carolyne Robai from KNH on the other hand thanked the KNH management for giving her enough resources to help train the staff.

“We look forward to the staff putting into practice the experience they got from the training,” she said.

(By Winfred Gumbo)

OUR VISION A world class patient-centered specialized care hospital

“Acts of Kindness: A random act of kindness, no matter how small, can make a tremendous impact on someone else’s life.”

OUR MISSION To optimize patient experience through innovative healthcare; facilitate training and research; and participate in national health policy formulation

― Roy T. Bennett, The Light in the Heart

OUR MOTTO We Listen, We Care

“Learn to light a candle in the darkest moments of someone’s life. Be the light that helps others see; it is what gives life its deepest significance.” ― Roy T. Bennett, The Light in the Heart

Find us on Social Media

“The past has no power over the present moment.” ― Eckhart Tolle

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To contribute or report on newsworthy items, please contact the Editorial team; Marketing & Communication Department Editorial Team: .D. Opiyo, H. Gikambi Stories: Dr. Lydia Okutoyi, Dr. Agnes Karingo, Yvonne Gichuru, Winfred Gumbo, Sheila Murithi , Linnette Leyi , Jacqueline Ngure & Alex Mutyambwii Design By: C. Cheruiyot Photos: Linnette Leyi, Yvonne Gichuru & Nicholas Wamalwa

Tel: +254 20 2726300-9 Ext. 43121 or 43969 Fax: +254 20 272572 Email: caffairs@knh.or.ke knh.caffairs@gmail.com

Stay tuned for more news in the next issue of Newsline

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