12/8/2022 Issue 17 12/08/2022 We Listen, We Care NewslineSpecialEdition Long FinallyWaitOverITAJULIUS|PHOTO
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Dear Colleagues, The long wait is finally over. The Mwai Kibaki hospital was launched last Saturday by President Kenyatta. This is indeed an important milestone not just for Kenyatta National Hospital but also for the millions of Kenyans, who will benefit directly from the facility.
Photos: Nicholas
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Kudos to all that have made all this work. From the Board of Management led by Chairman George Ooko, to Chief Executive Dr. Evanson Kamuri, EBS and the entire KNH and Mwai Kibaki staff for the relentless work put in place to make this a reality. We believe that healthcare services in this region will greatly improve as referrals will be channeled to this facility thereby decongesting Kenyatta National Hospital and other referral hospitals in the country.
Mr. Dave Opiyo Chief Manager, Marketing and Communication Kenyatta National Hospital Marketing & Dave Opiyo, Edel Q. Mwende, Yvonne Gichuru & Collins Cheruiyot Dave Opiyo , Edel Q. Mwende, Luke Kung’u, Shiphrah Njeri & Verah Mugambi Dave Opiyo, Edel Q. Mwende, Cynthia Cherono, Marian Moraa, Samira Yusuf, Yvonne Gichuru & Shawn Omondi Collins Cheruiyot Wamalwa, Julius Ita, Shawn Paul Omondi, Arwa, Thellesi Co 2726300-9
The hospital’s main mandate is to focus on managing non-communicable diseases which pose the greatest health burden in this county and the region. The facility is already playing a crucial role in promoting access to specialized medical services in the region and will also facilitate the implementation of Universal Health Coverage (UHC) as envisioned in the Big Four Agenda.
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Ext. 43121 or 43969 Fax: +254 20 272572 Email: caffairs@knh.or.keknh.caffairs@gmail.com Editor’s note Editor’s note p.2 Long Wait Finally Over p.3-4 Our story in pictures p. 5 Mwai Kibaki Hospital projects p. 6-8 KNH Training Centre: Pioneer cohorttrained p. 9 KNH partners with the World Federation of Hemophilia (WFH) on disease management p.10 - 11 KPCC staff feted as the best student in the Nursing process p.12 APPOINTMENTS p.13 ON THE COVER Long Wait Finally Over p. 3 Kenyatta National Hospital @KNH_hospital@CeoKnh Kenyatta National Hospital Official Page www.knh.or.ke Find us on Social Media Contents ISSUE 17 To contribute or report on newsworthy items, please contact the Editorial team.
& Presidential Strategic Communication Unit Tel: +254 20
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The president also launched the Ministry of Health-driven Digital Health Platform and a purified
The Mwai Kibaki Hospital was officially commissioned by President Kenyatta on August 6, 2022, ushering in a new era of access to Medicare for residents of the Mt. Kenya region andPresidentbeyond. arrived at the Hospital, a level six Teaching and Referral facility located in Othaya SubCounty, Nyeri County, at around 4 pm.He was welcomed by Health CS Mutahi Kagwe EGH, Kenyatta National Hospital Board Chair George Ooko, Chief Executive Officer Dr. Evanson Kamuri EBS, and a host of other leaders both from the hospital and Nyeri County. Clad in a blue jacket, grey trousers, and matching black shoes, the President first signed the visitor’s book and planted a tree, whose scientific name is Prunus Africana, provided by Kenya Forest Services personnel. The tree’s English name is African Cherry or Red Stinkwood, with the local name being ‘Muiri.’ It is mainly used in the region, for medicinal purposes (treating prostate cancer and other allergies) as well as firewood and conservation purposes. He then proceeded to unveil the commemorative plaque outside the main entrance before cutting the ribbon at the entrance, signifying the launch of the facility, whose construction commenced in 2009, with the first phase of the project being completed in December 2017.
By Dave Opiyo
Long wait finally over drinking water station. He was then taken on a guided tour of the Hospital, visiting the Critical Care Unit, the Maternity and New Born Unit, laboratories, the Renal Unit as well as the Oxygen Production Unit. He then took photos with members of the KNH Board of Management present – Dr. Stanley Kamau EBS and Ms. Winnie Beauttah, the hospital’s Executive Management Committee as well as nurses and doctors operating from theHefacility.thenaddressed a huge crowd that had braved the cold weather to have a glimpse of him. An elated President said setting up the facility was part of his grand plan to ensure ease of access to healthcare by Kenyans. “You now don’t have to go all the way to Nairobi to get proper treatment,” said the President. The Hospital sits on 7.9 acres of land of the 25 acres which is shared with the Othaya Level 4 Hospital. It has a capacity of 350 beds covering maternity, pediatrics, medical & surgical wards, critical care, renal, newborn services & chemotherapy units. “ “You now don’t have to go all the way to Nairobi to get treatment,”propersaidthepresident
PHOTO | JULIUS ITA President Kenyatta signs the visitors book before the launch off the Mwai Kibaki Hospital
PHOTO | JULIUS ITA President Kenyatta planted a tree provided by Kenya Forest Service during the Launch of Mwai Kibaki Hospital in PresidentOthaya Kenyatta launched the Mwai Kibaki Hospital and said it will ease access to World-class health care for patients in the region
PHOTO | JULIUS ITA KNH CEO Dr. Evanson Kamuri explains a point to president Kenyatta shortly after he commissioned the Oxygen production Unit at the Mwai Kibaki Hospital. Looking on is Board Chair George Ooko
The Hospital is mandated to:
• Receive patients on referral from other hospitals or institutions within or outside Kenya for specialized health care; • Provide facilities for medical education for the University of Nairobi Medical School, and research either directly or through other co-operating health institutions;
• Provide facilities for education and training in nursing and other health and allied professions; • Participate as a national referral hospital in national health Theplanning.MwaiKibaki Hospital offers a wide range of specialized outpatient services which include; General medicine, general surgery, orthopedic, Urology, Ophthalmology, Ear, Nose & Throat (ENT), Dental & maxillofacial, plastic & reconstructive surgery, Obstetrics & Gynecology, Dermatology, Psychiatry, Endocrinology, Oncology, andThePediatrics.hospitalhas an A&E department that is easily accessible for ambulances and walk-in patients. Emergency & general consultations are the main services offered, as well as minor & trauma surgeries and procedures. The Hospital sits on 7.9 acres of land of the 25 acres which is shared with the Othaya Level 4 ItHospital.hasacapacity of 350 beds covering maternity, pediatrics, medical & surgical wards, critical care, renal, newborn services & chemotherapy units.
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Specialized services offered are general surgery, orthopedic, urology, ENT, ophthalmology, gynecology, obstetrics, plastic & reconstructive surgery, endocrinology,dermatology,cardiology, and gastroenterology.TheMwaiKibaki Hospital is projected to become a center of excellence in Non-Communicable Diseases (NCDs) management, especially in Diabetes, Cancer, Renal and Cardiovascular diseases which bear the greatest disease burden in the region. The facility is instrumental in supporting the management of patients and building the capacity of medical staff from the surrounding counties namely; Nyeri, Embu, Nyandarua, Laikipia, Tharaka Nithi, Meru, Isiolo, Samburu, Kirinyaga, Muranga, and Marsabit.
PHOTO | JULIUS ITA President bornKibakinewcongratulatesKenyattaamotheratMwaiHospital’snewunit
Our story in pictures
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The Kitchen has the capacity of producing sufficient meals for 450 in-patients and has adequate machinery required for the preparation of special diets. The facility has its cold room, storage, and cafeteria among other facilities.
LaundryKitchen
The laundry can handle all the Hospital laundry needs and related services such as tailoring and ironing.
Mwai Kibaki Hospital projects
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By Newsline Team The Government of Kenya funded the construction of key Hospital projects that are critical to the operations of the Mwai Kibaki Hospital (KNH Othaya Annex) for Sh343M. The projects include the Kitchen, Laundry, Mortuary, Oxygen Plant, Internal Roads Water storage tank & Borehole. All projects are 100% complete and operational.
The Oxygen plant has a capacity of producing 800 liters of Oxygen per minute and has a complete cylinder filling unit. Therefore, the center can meet the Hospital’s oxygen needs and support other facilities in the region.
The Mortuary has a capacity of accommodating more than 120 bodies when fully operational. Currently, it has initial operationalization for 33 bodies and has a chapel and a fully equipped post-mortem room among other related facilities.
Oxygen plant
Mortuary
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The internal roads have created easy access to all the facilities within the Hospital both by vehicles and pedestrians. The Hospital also worked closely with the Kenya Rural Roads Authority to create connections to the nearby roads.
The established water storage tank has a capacity of 75,000 liters and is connected to a borehole. This facility is expected to supplement the main water supply to the Hospital by Mukurweini Water and Sewerage Company (MUWASCO).
Water Storage Tank and Borehole
Internal Roads
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The pioneer cohort and management representatives pose for a photo during the training
PHOTO | STEVE ARWA Senior thepioneerOGWMr.corporateDirectorservicesJobMakanga,addressingthecohortduringtraining
PHOTO | STEVE ARWA
By Edel Q. Mwende & Samira Yusuf It is all systems go at the new Kenyatta National Hospital Training, Research & Innovation Centre as forty (40) hospital managers and supervisors from various departments were trained on Strategic Planning in Health careMonitoring & Evaluation. The three-day training that was held from August 3rd to 5th, 2022 was facilitated by a team of talented members with a great wealth of knowledge from the KNH Planning & Strategy Division. It covered extensively matters on Monitoring and Evaluation (M&E) including the introduction, structure, and M&E plan as well as the costing of M&E activities and the indicator handbook.TheKNH training school is a knowledge tank that has been converted from a deserted residential building and is aimed at providing a venue for both internal and external trainingSeniorsessions.Director Corporate Services, Mr. Job Makanga. O.G.W attended part of day 2 training on behalf of CEO, Dr. Evanson Kamuri, EBS, and expressed his joy to see the great milestone by the“Thishospital.isthe first step towards achieving our mission that entails facilitating training and research, to optimize the patient experience. The knowledge transfer and sharing show that we have heard your call for training based on the training needs assessment,” he said. “The Board of Management and the hospital management have full support for this training center. We shall ensure more learning units are created soon and also invite other institutions for sharing best practices. We have also made deliberate efforts to provide inputs and have also mobilized resources to ensure the success of the hospital and operationalization of upcoming digital systems,” he revealed.
Deputy Director Medical Research and Training, Dr. Kinuthia said: “We are working tirelessly to ensure that the training center is continuously improved. All the divisions and departments will provide training to revolutionize the skills of staff.” “We have worked day and night to ensure the ambiance is favorable for you as you receive training in this facility. The management has supported proper utilization of hospital space and we hope to expand this training center to other unutilized spaces around this area,” said Mr. Morris Karaine, Chief Manager, Management,Manager,Administration.Planning&PerformanceMr.VincentChagara
implored the first cohort to apply for advertised courses on time because as the training center and unit offering expands, then the demand is expected to heighten. “An annual calendar will be developed to plan for staff training,” he said. The first cohort of students registered their appreciation to the KNH management for the provision of a favorable training facility. They said that the Monitoring & Evaluation sessions were eye-opening and will assist them in the proper management of hospital resources.
KNH Training Centre: Pioneer cohort-trained
The clinic serves both adult and pediatric patients, is located in Clinic 17, and runs from Monday to Friday from 8 am to 5 pm. The success of this clinic hinges on support from the KNH management, the Kenya Haemophilia Association (KHA), and donation of factors by the World Federation of Haemophilia (WFH).KNH Director, Medical Services Dr. William Sigilai says the collaboration will bring immense benefits to both the hospital and patients at large.
6. Participating in training (in and out of the hospital) to capacity build health care team to manage
The team also benchmarked how the services are offered following a successful circumcision for Hemophilia patients in March 2022.
2. Infusion of a factor (either factor VIII (8) or factor IX (9)) to patients with hemophilia on follow up
Some of the services being offered at KNH’s Hemophilia clinic include;
4. Follow-up and administration of Emicizumab (a monoclonal antibody that has been developed for patients with Factor 8 deficiency)
PHOTO | STEVE ARWA Members of the World Federation of Hemophilia (WFH) join the KNH management in a photo session after a partnershipsuccesfulmeeting
1. Review of new patients who present with bleeding disorder and need a diagnosis
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By Cynthia Cherono & Marian Moraa
During the meeting, Ms. Anguche Roseline - Nurse in charge of the Haemophilia clinic thanked the visiting team for exhibiting care for patients and for investing in KNH.
KNH partners with the World Federation of Hemophilia (WFH) on disease management
5. Daily review and factor administration of patients admitted to the wards
KNH hemophilia and bleeding disorder clinic is one of the clinics that carry a bigger burden of patients with a rare condition and because of that, the management after a successful engagement launched the clinic in 2014. This was through the support of donors to be able to provide comprehensive care to patients with hemophilia and bleeding disorders.
3. Review of existing patients who present with bleeds and offer initial management (icepack, analgesic, splinting of limb where necessary as well as on-demand factor administration)
Hemophilia is an inherited bleeding disorder in which the blood does not clotThisproperly.moreoften than not leads to spontaneous bleeding following injuries or surgery. Blood contains many proteins called clotting factors that can help stop bleeding. People with hemophilia have low levels of either factor VIII (8) or factor IX The(9). severity of hemophilia that a person has is determined by the number of factors in the blood. The lower the amount of the factor, the more likely it is that bleeding will occur which can lead to serious health problems. In rare cases, a person can develop hemophilia later in life. The majority of cases involve middle-aged or elderly people or young women who have recently given birth or are in the later stages of pregnancy. This condition often resolves with appropriate treatment. On Friday 28th July 2022, Kenyatta National Hospital officials hosted a team from the World Federation of Hemophilia (WFH) led by their President, Mr. Caesar Garrido to engage in collaboration on the management of the disease.
The hospital team led by Dr. Sigilai –Director Medical Services took the guests round to the Special Hematology Lab and Parasitology Lab to check on the progress of their operations in managing hemophilia and the hemophilia clinic. “We are grateful to the KNH team for facilitating the circumcision of hemophilia patients in March, 2022 said Mr. Garrido as he presented a gift to Dr. Sigilai. Dr. Sigilai also appreciated the team for their effort to support the hospital in the management of Hemophilia.Later,the Head of Unit Physiotherapy - Mr. Kennedy Mogire accompanied the WFH group to the CME (Continuous Medical Education) session.Speaking during the CME, Ms. Angela Forsthe - a representative from WFH talked about the two types of Hemophilia; Hemophilia A which occurs due to a lack of clotting factor VIII.“This type of hemophilia is four times more common than hemophilia B. Of those, more than half of people with hemophilia A have the severe form. Hemophilia B occurs in around 1 in every 25,000 males born worldwide and is an inherited bleeding disorder. With this condition, the blood does not clot as it should, which can result in spontaneous bleeding and bruising after surgery or other injuries. This means that the person tends to bleed for a longer time after an injury and is more susceptible to internal bleeding,” she said. Some of the common symptoms of Hemophilia include but are not limited to; bruising hematomas (which is when there is bleeding into the muscle or soft tissues), bleeding from the mouth and gums, bleeding after circumcision, blood in the stool and urine, nosebleeds that are frequent and difficult to stop, bleeding after vaccinations or other injections and bleeding into the joints. Diagnosis of hemophilia involves a review of symptoms, a clinical evaluation, a review of personal medical history, blood tests, and other diagnostic testing. ‘’If a person has bleeding problems, or if a doctor suspects hemophilia, a physician will ask about the person’s family and personal medical history. A doctor will then perform a physical examination. Blood tests can provide information about how long it takes for the blood to clot, the levels of clotting factors, and which clotting factors, if any, are missing. Blood test results can also help to identify the type of hemophilia and its severity,’’ advised Dr. Forsthe. Though no cure exists for hemophilia, doctors can successfully treat the Treatmentcondition.focuses on replacing the missing protein and preventing complications. It involves giving or replacing the clotting factors that are too low or missing. Doctors can derive clotting factor treatments for replacement therapy from human blood or synthetically produce a form in a laboratory. Synthetically produced factors are called recombinant clotting factors. Specialists often consider recombinant clotting factors as their first treatment choice because they further reduce the risk of transmitting infections that can be present in human blood. However, modern screening techniques have decreased the likelihood of disease transmission from human samples. There are two main forms of replacement therapy.
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Prophylactic therapy: Some patients will need regular replacement therapy to prevent bleeding. This is called prophylactic therapy. Doctors typically recommend regular treatment for people with severe forms of Hemophilia A. Demand therapy: This will stop the bleeding on demand. People living with mild hemophilia may only need to demand therapy, which is a treatment that doctors provide only after bleeding begins and remains uncontrollable.WFHthrough Dr. Angela Forsthe wrapped up the visit with a series of donations including; goniometers, tape measures, kinesiology tapes, theraband, braces, splints and Coban (stretch) wraps. The KNH Management thanked WFH for their continued effort to support KNH.
PHOTO | STEVEARWA Dr. Angela Forst leading a CME on ManagementHaemophiliato PhysiotherapistsKNH
The department of nursing at the Ministry of Health included the nursing process as a framework of care in its 2008 – 2013 strategic plan.Those who attended the event celebrated Ms. Lemba for this great achievement, saying that being the best student is a huge contribution to the department’s performance.“Thisachievement is a win for everyone,” said Ms. Nzomo, the Nurse in charge of- the Staff Clinic. During her speech, Ms. Lemba thanked the staff clinic team who have been supportive throughout the training process, and the KPCC team for allowing her to represent theKPCCorganization.teamcongratulates Ms. Lemba on this great milestone.
PHOTO | SHAWN OMONDI Staff clinic members appreciate Ms. Adelide
PHOTO | SHAWN OMONDI Ms. Adelaide is joined by her colleagues at Staff Clinic in cake cutting to celebrate the achievement KPCC staff feted as the best student in the Nursing process “Celebrating “This achievement is a win for everyone,” - Ms. Nzomo, Nurse in charge ofthe Staff Clinic.
By Shawn Omondi Kenyatta Prime Care Centre celebrates Ms. Adelaide Lemba, a nursing officer at the staff clinic for emerging best student in the new nursing process. The exercise took place from October 2021 to June 2022. The nursing process is a scientific method of approaching and executing the nursing care of the patient. It provides an organized systematic approach to nursing care, thereby improving the probability of a positive outcome for the patients.
The nursing process was implemented by the nursing council of Kenya in all health organizations to improve the quality of nursing care in Kenya.
PHOTO |OMONDISHAWN Staff studentemergingLembatoStudent(r)TeresiahManager,ClinicMs.NzomohandstheBestTrophyMs.Adelaideafterthetop
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12/8/2022 ISSUE 17 | Kenyatta National Hospital Newsline 13 Congratulations
Mr. Kilivwa Joel Stephen Mukaya - Senior Medical Laboratory Technologist has been appointed by the Cabinet Secretary for Health as a member of the Medical Laboratory Technicians and Technologists Board for a period of three (3) years with effect from 5th August, 2022 through the Kenya gazette notice under No. 9326, under the Medical Laboratory Technicians and Technologists Act 2022. The Intersectoral Committee on Health Workforce Education and Training Reforms Appointment
KNH CEO Dr. Evanson Kamuri, EBS has been appointed as the University Teaching Hospitals Representative for the Intersectoral committee on Health Workforce Education and Training Reforms. The appointment per the Kenya gazette notice No 9320, under the Health Act dated 5th August, 2022 was through the Cabinet Secretary for health in consultation with the Ministry of Education, the Commission of University Education and other stakeholders. We at Newsline would like to congratulate Dr. Kamuri and Mr. Mukaya on their well-deserved achievement and wish them every success in their new duties.
ON YOUR APPOINTMENTS
Kudos!
By: Yvonne Gichuru
The Medical Laboratory Technicians and Technologists Act Appointment
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