KNH NEWSLINE ED 20 2022

More than just health

The Last Respect

Editor’s note

Editor’s note p.2

The Last Respects p.3-4

Making strides: Couples therapy at KNH p.6

Early prognosis, care key in child cancer fightp.7-8

Intern’s experience p.8

Key issues shaping future of global health hcare p 9-10

Positive mentions from KNH socials p.10

How to master the ABCs of social skills p.11

Friends, family should heed suicide warning signs p.12

Golfers, caddies benefit from medical outreach p.13

Summary Statement on the twelfth WHO meeting of the International Health Regulations (2005) Emergency Committee regarding the coronavirus disease (COVID-19) pandemic p.14

Our story in Pictures p.15

Fighting Sexual and Gender-Based Hospital hosts World Patient Safety Day 2022 p. 17

Comic zone p. 18

ON THE COVER

The Last Respect p. 3

Marketing & Communication Department

Design Concept Team:

Dave Opiyo, Edel Q. Mwende, Yvonne Gichuru & Collins Cheruiyot

Editorial Team:

Dave Opiyo , Edel Q. Mwende, Linnette Leyi, Moses Njomo, Yvonne Gichuru, Luke Kung’u, Priscah Angwenyi, Emmanuel Mutisya, Cynthia Ruto, Shiphrah Njeri & Samira Yusuf

Stories:

Philip Etyang, Priscah Angwenyi, Luke Kung’u, Marian Moraa, Samira Yusuf, Shiphrah Njeri, Verah Mugambi, Luke Kung’u, Petterson Njogu,Doreen Mbae, Catherine Muhanji & Faith Gesambi

Design By: Collins Cheruiyot

Photos: Nicholas Wamalwa, Luke Kung’u & Steve Arwa

Tel: +254 20 2726300-9

Ext. 43121 or 43969

Fax: +254 20 272572

Email: caffairs@knh.or.ke knh.caffairs@gmail.com

CHILDHOOD CANCER AWARENESS

Dear Colleagues,

KNH held the first annual Paediatric Haematology Oncology workshop on 20th and 21st September 2022 at Hill Park Hotel to commemorate the Childhood Cancer Awareness Month; an annual event celebrated in September worldwide.

The two-day conference attracted multidisciplinary participants from various counties in Kenya. The health experts from fields such as neurosurgery, paediatrics, nursing, nutrition, counseling, general medicine, and much more held discussions on ways to manage and enhance capacity in childhood cancer care in Kenya.

This year’s theme is ‘Better Survival is Achievable, Through Your Hands,’ and the aim is to bring to light the various types of childhood cancers, diagnosis, causes, early warning signs and treatment options available.

This hospital initiative will be an annual event that will commit to improving and supporting universal health care, particularly in paediatric cancer care.

It is important to look out for the early warning signs of cancer in children to boost treatment and eliminate it as one of the leading causes of death in children and adolescents.

Childhood cancer can be treated and is curable if diagnosed early!

All the Newslines and Newsletters can be accessed online at: https://bit.ly/3uQGCcI

Ms. Marian Moraa, Marketing & Communication Officer, Kenyatta National Hospital.

on Social

Kenyatta

The Last Respect

The befitting send-off

By Philip Etyang

The core business of any hospital is patient care. However, in the unfortunate event of death, most people wish the bodies of their dearly departed ones are given a befitting send-off. This process usually begins at the farewell home where the body will be preserved before interment.

Having been established in 1901 as the hospital started, the Kenyatta National Hospital Farewell Home has grown in leaps and bounds changing names along the way.

Newsline spoke to several employees at the funeral home to get a clear perspective of how the facility operationalizes its core business of handling the dead.

“The Kenyatta National Hospital Farewell Home has grown since I joined it three years ago. Most of the staff members were not trained. Today, however, we boast of a 98 percent trained workforce,” an elated Mr. Maina said.

He revealed that the facility has a total of 21 employees, most of whom got certification while already working at the farewell home.

“Those employees who did not have proper certification were sponsored by the Kenyatta National Hospital management, to pursue courses in mortuary science,” Mr. Maina revealed.

A spot check inside the facility by the Newsline team revealed several employees all covered in PPEs and attending to their various duties, which included but were not limited to receiving, releasing, and washing the bodies as well as embalming and conducting post-mortems.

According to Mr. Maina, the emergence of new and modernday morgues that use the latest technologies has not changed the facility’s clientele since the majority of the bodies received at the farewell home are directly coming from the hospital.

In 2020, the facility received an average of 10,000 bodies, a statistic that did not change much in 2021 as the number of received bodies remained the same at 10,000.

“Our costs are very fair and competitive in the market. We have a consolidated package of Ksh.14,000 for the private wing while the general wing is Ksh.4,700. There is also a daily rate of Ksh.470/-. We offer other than the storage of bodies such as embalming, postmortem, fingerprinting and viewing,” Mr. Maina revealed.

On corruption, Mr. Maina insisted on the message that the KNH Farewell Home is a corruption-free zone and that the employees at the facility do not condone corruption practices.

“It is very important that the members of the public are enlightened about the costs of our services. We do not have any other ‘hidden’ charges for our services other than the official services which are receipted,” Mr. Maina said.

“We do not ask for extra money from what has been receipted. As a department, we do not condone corruption and corruption practices. Donations are at times given but there is no extra charge for dressing or washing of the bodies,” Mr. Maina said.

Mr. Peter Ouma, a senior mortician who has worked at the facility for the last 23 years, however, had a word of caution over the perception of the public about careers in mortuary science.

“This is a career like any other. We are sober people, contrary to the popular belief that 90 percent of morticians are alcoholics,” Mr. Peter Ouma.

“Serving in a farewell home is sensitive. In a general sense, it is like any other medical profession. Morticians and other farewell home employees should be educated and informed individuals. There is a negative perception that all morticians are heavy alcoholics. Having worked in this industry for the last 23 years, I want to assure

“Our costs are very fair and competitive in the market. We have a consolidated package of Ksh.14,000 for the private wing while the general wing is Ksh.4,700. There is also a daily rate of Ksh.470/. We offer other than the storage of bodies such as embalming, postmortem, fingerprinting and viewing,” Mr Maina.

PHOTO | STEVE ARWA

The main building of Kenyatta National Hospital Farewell Home. The facility boasts of a fully trained workforce of 21 employees.

you that is a myth!” Mr. Ouma added.

Mr. Maina further noted that not alcoholism is a matter of individual preference. “Taking alcohol is a matter of individual preference and has nothing to do with the career path one takes,” he said.

“This facility started as a mortuary, then it changed to a mausoleum and now finally it is a farewell home,” an elated Mr. Boniface Mugo, another experienced mortician at the facility said.

“We have two sections in this facility. The general wing has a storage capacity of 97 bodies while the private wing has a capacity of 30 bodies,” Mr. Mugo added.

The farewell home was renovated creating room for the private wing which was not there before.

“Our greatest challenge here is probably just capacity. However, I understand plans are underway to expand this facility, and I commend the management for the plans,” concluded Mr. Mugo.

Those employees who did not have proper certification were sponsored by the Kenyatta National Hospital management, to pursue courses in mortuary science

“This facility started as a mortuary, then it changed to a mausoleum and now finally it is a farewell home,”

- Mr. Boniface Mugo.

PHOTO | STEVE ARWA

Mr. Boniface Mugo - a supervisor attending to a client at KNH farewell home

PHOTO | STEVE ARWA Mr. Paul Maina, Acting KNH Farewell Home Manager

Meet the modern-day office assistant

By Catherine Muhanji

The office assistant, widely known as the secretary, plays one of the most important roles in any organization. In the 15th and 16th centuries, secretaries attained an elevated status in society and were appointed to prominent positions such as “personal assistant” or “private secretary”.

There was a huge shift in company culture during the 1880s and the role became more popular among females as the number of men in the career took a sharp decline. Traditionally, the role was to support executives manage their tight schedules as well as handle visitors among other duties.

The 21st Century has seen a drastic change in secretarial work with the emergence of new technology. It was perceived that the introduction of technology will make the secretarial function archaic; this is hardly the case,

as most machines still require people to use them, even though technology increases efficiency.

Today, secretaries (also known as Office Administrators) use computers, the internet, and other advanced office technologies to perform essential secretarial functions. Secretaries now have unique attributes which make them stand out in the workplace. These include:

• Task and Time management –An Office Administrator checks for and alerts the executive on what is urgent but not important and important but not urgent and prioritizes a list of activities

• Exceptional organization skills: Keep track of office activities swiftly

• Strong listening skills: Have the ability to listen with an open mind

• Have good communication skills

• Create and manage strong interpersonal skills and relationship

• Committed to staying ahead of the technology curve through maximum utilization of current technology

• Resourceful, well connected, and constantly focus on working ahead of the executive.

• Execute a well-developed sense of humor

• Keen intuition: ability to read minds is part of the Secretarial Job description

• Multi-tasking skills- This is the most powerful attribute of an Office Administrator

You will agree that a good office administrative team can make or break the success and productivity of an organization. They are the unsung heroes who oversee the smooth running of any organization.

PHOTO | STOCK A modern secretary at work

Making strides: Couples therapy at KNH

By Luke Kung’u

The Couples Counseling Centre at KNH Comprehensive Care Centre (CCC), offers a myriad of comprehensive and essential services to heterosexual couples in their numbers, who visit the facility every day. Some of the services offered include:

1. Family Planning

It is eligible for all women of childbearing age who are encouraged to plan for their pregnancies using the dual method; all methods should be used alongside condoms. Such methods include injectables (depo), implants, condoms, Intrauterine Contraceptive Devices (IUCDS), and orals (OCPs).

2. Discordant Couples

This service is eligible for all couples who are tested at KNH (including KPCC) and one partner is found to be HIV positive while the other is negative. Those positive are placed under treatment and care for HIV while the negative partner is put on prevention management treatment. Post-Exposure Prophylaxis (PEP), Pre-exposure Prophylaxis (PREP), or condoms. The service also assists discordant couples to get safer conception (pre-conception) services.

3. PrEP for HIV prevention

PrEP is used by persons who are at great risk of contracting HIV infection. HIV-negative people in discordant relationships take a single pill a day for HIV prevention, especially from their partners.

4. Cervical Cancer Screening

Cervical cancer screening is available for all eligible women. The screening includes a pap smear, Human Papilloma Virus, Via, and Villi.

Newsline in a quest to gather more information on couples counseling engaged Ms. Jerusha Malubi, a counselor for a candid interview on the unit.

What is couple counseling?

It is counseling in which guidance and advice focus on issues confronting relationships between

partners.

What is the goal of couple counseling?

Our goal is to ensure couples receive information and address their issues including knowing their HIV status as a couple and planning for their future together.

How can couple counseling help?

• Strengthen relationships

• Plan for the future together

• Creates an understanding of each other

• Commands respect for each other

• Enhances support for each other

Who is eligible for couple counseling?

Any heterosexual couple who are either married monogamous or polygamous, cohabiting or dating.

How long does a couple counseling session last?

It takes between 45 minutes to one hour, depending on the issue at hand. Follow-up sessions are also recommended.

How do you ensure that you achieve your goals?

In the follow-up or subsequent session, couples give their feedback on the issue and their coping mechanisms which they would have adopted after the previous counseling sessions.

When is the right time to seek help?

We advise couples not to wait for issues to get out of hand. They should

equally be tested for HIV annually (together).

What are the demographics in KNH?

At the C.C.C we have 1,098 discordant couples on follow-up. The ratio of men to positive women is almost 50:50.

Has the unit achieved any milestones?

• 1,098 couples have enrolled at the center since the year 2013.

• We have support groups for discordant couples where they offer peer support to each other.

• Discordant couples have been offered safer conception services and can conceive safely by the use of PrEP medication for HIV prevention.

• Ability to screen women of childbearing age for cervical cancer.

• Preventive measures for HIVnegative partners by use of either PEP or PrEP

What are some of the challenges?

There have been many challenges which include but are not limited to couples who opt to go separate ways, disclosure issues of HIV status, as well as keeping appointments in this busy city.

Your parting shot?

Your partner’s HIV status is not your status. All persons with HIV need care and support from all of us. You can prevent HIV infection by taking PrEP.

CCC extension number: 43396

PHOTO | LUKE KUNGU Counselor Jerusha Malubi taking clients through the couple counseling centre services

Early diagnosis is key in Childhood Cancer Care

By Marian Moraa

Every year in September, Kenyatta National Hospital (KNH), joins the rest of the world in creating awareness of childhood cancers during Childhood Cancer Awareness Month. The theme varies every year.

This year, in particular, the theme is: Better Survival is Achievable, Through Your Hands. The aim is to bring to light the various types of childhood cancers, diagnoses, causes, early warning signs, and treatment options available.

Cancer is a leading cause of death for children and adolescents. The likelihood of surviving a diagnosis of a paediatric tumor depends on the time of diagnosis, the ability to obtain an accurate diagnosis, accessibility of therapy, availability of treatment, and avoidable relapse.

According to GLOBOCAN statistics in 2020, an average of 2,300 children were diagnosed with cancer per year. Currently, in 2022, the number has risen to 2,500 annually in Kenya.

KNH Paediatric Unit led by Dr. Irene Nzamu - Paediatric Oncology specialist, held the first annual paediatric haematology oncology workshop on 20th and 21st September 2022 at Hill Park Hotel.

The two-day conference attracted

multidisciplinary participants from various counties in Kenya. The health experts from fields such as neurosurgery, paediatrics, nursing, nutrition, counseling, general medicine, and much more held discussions on ways to manage and improve capacity in childhood cancer care in Kenya.

Several topics were discussed and among them, were the types of childhood cancers such as

leukemias, which are cancers of the bone marrow and blood which are also the most common childhood cancers.

These leukemias can cause bone and joint pain, fatigue, weakness, pale skin, bleeding or bruising, fever, weight loss, and other symptoms.

Acute leukemias can grow quickly, so they need to be treated (typically with chemotherapy) as soon as they are found.

PHOTO |NICHOLAS WAMALWA Dr. Mary Nyangasi Head of National Cancer control program during her presentation at the workshop

PHOTO |NICHOLAS WAMALWA Dr. Alfred Birichi - Director Pharmaceutical Services, KNH officialy launching the workshop at Hillpark Hotel.

Other types of cancers common in children include brain and spinal cord tumors, Neuroblastoma, Wilms tumor (also called nephroblastoma), lymphoma, Rhabdomyosarcoma, Retinoblastoma, and bone cancers.

According to Dr. Sarah Muma- a Paediatrician and speaker at the workshop, cancer affects people of all ages and can affect any part of the body. It begins with a genetic change in single cells, that then grow into a mass (or tumor), that invades other parts of the body and causes harm and loss of life if left untreated.

Unlike cancer in adults, most childhood cancers do not have a known cause. Many studies have sought to identify the causes of childhood cancer, but very few cancers in children are caused by environmental or lifestyle factors.

“In childhood cancer, early detection and treatment are key to success. Taking note of the early warning signs in a child can come a long way in saving a life,” Dr. Nzamu added.

Because it is generally not possible to prevent cancer in children, the most effective strategy to reduce the burden of cancer in children and improve outcomes is to focus on a prompt, correct diagnosis followed by effective, evidence-based therapy with tailored supportive care.

When identified early, cancer is more likely to respond to effective treatment and result in a greater probability of survival, less suffering, and often less expensive and less intensive treatment. Significant

“In childhood cancer, early detection and treatment are key to success. Taking note of the early warning signs in a child can come a long way in saving a life,”

Dr. Nzamu

improvements can be made in the lives of children with cancer by detecting cancer early and avoiding delays in care. A correct diagnosis is essential to treat children with cancer because each cancer requires a specific treatment regimen that may include surgery, radiotherapy, and chemotherapy.

“One of the greatest ways of managing childhood cancers is through managing the family of the patient. Ensuring that caregivers understand the diagnosis and treatment options is key in handling cancer,” Dr. Michael MagohaConsultant Neurosurgeon, University of Nairobi advised.

During his presentation, Dr. Asaph Kinyanjui from Nairobi hospice talked about the importance of palliative care as the active total care of a child’s body, mind, and spirit that also involves supporting the family of the patient. It begins when the illness is diagnosed and focuses on the quality of life of the child.

The intern’s experience

By Faith Gesambi

Meet: Steven Arwa

Department: Marketing and Communication

Tasks: Customer care services, enhancing the hospital’s image through photography and videography , public relations and events management

Three things you’ve learnt about KNH:

• KNH is the largest teaching and referral hospital in Kenya

• It has a bed capacity of 1,800

• KNH provides neonatal services at the Newborn Unit

How has the internship added value to you?

I’ve improved my practical skills in photography and videography and sharpened my skills in public speaking, social networking, and critical thinking.

Most memorable moment at KNH?

One of my best moments during my internship was video-shooting the drill done on disaster preparedness during Accidents and Emergencies

Your career plan after graduating: I aspire to be a business finance officer and implement policies at the particular organization I’ll work in

PHOTO |NICHOLAS WAMALWA Dr. Minke Huibers a Paediatric Haematologist from the Netherlands giving a presentation during the Paediatric Haematology Oncology workshop.

Key issues shaping future of global health hcare

By Linnette Leyi

The past five years have seen a sharp increase in NonCommunicable Diseases (NCDs) across the globe. According to the World Health Organization (WHO), NCDs kill 41 million people each year, equivalent to 74 percent of all deaths globally.

In January of 2020, the World Health Organization (WHO) declared the COVID-19 outbreak, a global health emergency, and ever since it has proven to be a growing concern.

These and many other factors, have raised concerns in the health sector and have led to new and emerging trends that have changed how health professionals, stakeholders, and even patients handle healthcare.

Here are some of the issues that are shaping the future of healthcare in 2022, and in years to come.

1. Health Equity

Many Kenyans are faced with challenges accessing quality healthcare due to issues such as gender, income, and geographical location. For example, rural

communities and areas with high poverty rates may have few or no hospitals and medical professionals.

The Universal Health Coverage program, rolled out by former President Uhuru Kenyatta in all 47 counties in February 2022, was expected to increase access to health services in the country. The aim was to enable each Kenyan to exercise their right to accessible, quality, and affordable healthcare.

During the campaign period leading to the 2022 General Elections, we witnessed politicians unveiling manifestos focusing on health as the main agenda. The recently sworn-in government promised free healthcare to ease the burden of medical costs that have impoverished many ordinary Kenyans.

2. Mental Health and Well-being

The Covid-19 pandemic pushed discussions concerning mental health and well-being to the forefront. Although concerns about suicide, depression, and self-harm were growing over the past few years before the global crisis, the challenges caused by the pandemic

and lockdown caused a universal mental health crisis.

Mental health problems are considered a social stigma in our part of the world; therefore, people may be reluctant to share their feelings. Stressors like the increasing number of cases and deaths due to Covid-19, prolonged social isolation due to lockdown and social or physical distancing, economic regression and limited access to health care services due to fear of contracting Covid-19 caused more panic, anxiety, and depression among the general public. The interplay of these factors in turn precipitated suicide and self-harm.

Healthcare professionals and mental health advocates championed for timely interventions to promote and protect the mental health of people and strategies to prevent suicide.

3. Artificial Intelligence

Robots have been part of the ever-evolving healthcare sector since the 1980s when the first robot was put into experimental use in a surgical setting. The robotic arm called “Puma” assisted in a delicate

PHOTO | STOCK

neurosurgical biopsy in 1985, which was a complete success.

With time, robot technology developed and artificial intelligence advanced. The machines have since found several uses in the hospital and laboratory settings. Robots are being used in conducting/assisting surgeries, disease detection and treatment, maintaining hospital hygiene, conducting outdoor public hygiene, and carrying out clinical diagnosis and epidemic control.

In January 2021, Kenyatta National Hospital received two of three smart anti-epidemic robots (ROBORafiki) which had been donated by the UNDP in collaboration with the Japan Government to the Ministry of Health.

The robots named “Shujaa” and “Tumaini” were donated to support frontline healthcare workers in the fight against the Covid-19 pandemic. The third one called “Jasiri” was deployed at Jomo Kenyatta International Airport to fast-track clearance and temperature screening.

In the future, the role of robots could be expanded to include managing the administrative side of hospitals, such as overseeing waiting rooms, organizing appointments, and guiding patients around hospitals. If robots can succeed in these healthcare areas, we will see much more time available for doctors and nurses

to deal with matters that require human attention.

4. Telemedicine

Telemedicine is the practice of using technology to deliver care at a distance. A physician in one location uses a telecommunications infrastructure to deliver care to a patient at a distant site.

At the height of the Covid-19 pandemic, Kenyatta National Hospital partnered with county referral hospitals through telemedicine. This was actualized through the adoption of the Hub and Spoke model with KNH as the Hub and county referral hospitals as Spokes. A telemedicine center was also launched to enable remote diagnosis and treatment of patients utilizing telecommunication technology. This helped patients by reducing the cost of travel to KNH while they can get the same service in the counties. This also helped strengthen referral systems and enhance capacity building for various healthcare workers.

5. Patient Experience

Patients are naturally demanding better service from their healthcare providers as they now know their rights better, and most of the time they pay for these services. They are

hoping to get timely appointments, easy access to information, and good communication with health care providers.

There has therefore been a greater focus on bettering and streamlining the patient experience. Most hospitals now collect and act on feedback from patients on how they feel about their interaction with the healthcare system, doctors, nurses, staff, and other healthcare facilities/ resources. Providers are tailoring care to be more patient-centered based on individual preferences, needs, and values. Evaluating patient experience along with other components such as effectiveness and safety of care is essential to providing a complete picture of healthcare quality.

6. Pandemics and health emergencies preparedness

Health has become a global issue, for instance, the Covid-19 pandemic, which made it evident that we are not alone. A disease that pops up on one side of the globe could soon debilitate the global economy. The situation put to the test Kenya’s preparedness and readiness for such emergencies, and the government had to ensure that in the future, such happenings do not cause panic and strain on the economy.

Positive mentions from KNH socials

By Luke Kung’u

Mso Mputhia Ivandoe

I appreciate the love and care you gave my mum when she was admitted to your facility. What I loved was the professionalism and cleanliness of the hospital. Kindly thank the Catholic Chaplain who used to visit my mum for encouragement. Once again from the bottom of my heart THANK YOU.

Maurice Nyabera

Thanks a lot. My baby is admitted there and I must say that all your staff from the reception, nurses and doctors are extremely

professional and very friendly. May God bless you all, you’re the best.

Shawry for movies (Kate Actress)

Is it me or service at @ KNH_hospital has greatly improved? Ata nimekula lunch ya patient.

Diana Mochoge

I brought my baby for vaccination there recently. The service was excellent. Thank you to your staff and the friendly nurse who injected my baby and gave me a follow-up appointment.

How to master the ABCs of social skills

By Shiphrah Njeri

Picking up on social cues and knowing how to respond to them is an incredibly helpful skill when you’re trying to be socially adept. It can also be pretty frustrating when it doesn’t come naturally to you. You might be left wondering, “Why can’t they just say what they mean?”

If you struggle to read social signals, there is good news for you. We listed ten (10) pointers that will assist you to learn.

1. Focus on the speaker’s eyes and mouth

If trying to remember all of the details of social cues is too much for you, try to focus on the eyes and the mouth, as these carry the most information. Tight muscles in these areas usually signal a negative emotion, while relaxed eyes and mouth are usually positive signs.

2. Look for positive or negative cues first

Social cues can be complicated and surprisingly precise. However, the most important aspect of understanding a social cue is figuring out whether it is positive or negative. A positive social cue is telling you to continue what you’re doing. A negative social cue is asking you to stop or change what you’re doing. Positive social cues tend to be open, relaxed, and inclusive. Negative social cues can feel like the other person is pushing you away or as if they are pulling themselves inwards.

3. Don’t try to be perfect

Trying to pick up on all social cues isn’t necessary or even helpful. It’s likely to leave you feeling exhausted and drained. Permit yourself to only devote as much energy to social skills as you can spare. Reading social cues can be a job, and it’s not an easy one. If Special Forces have to work at this, you can probably go easy on yourself when you find it difficult.

4. Notice the speaker’s anger and irritation

When someone is annoyed, they will usually speak in short sentences with an often clipped tone of voice.

Comments will often be matter-offact and blunt, without any ‘softer’ comments, such as “I think” or “if that works for you?” Physically, someone who is annoyed will usually be very tense, often with their arms crossed, and make relatively quick, jerky movements. They might ‘huff’ and sigh and shake their head.

5. See when people feel awkward

People can be uncomfortable for all kinds of reasons, but recognizing their feelings gives you the chance to try to make things better. Someone who feels unsafe will often be looking around the room, keeping track of who’s around. They may have very closed body language, making themselves smaller and protecting their torso. They may try to have their back on a wall.

6. Notice when the audience is being playful

There are playful and fun ways of interacting with people you care about e.g. laughing, banters. Not being able to tell when someone’s joking can feel pretty awkward, especially if you’re the only one. People often signal that they’re joking with a sideways glance, a slight raise of an eyebrow, and a grin. Be aware that some people will use the phrase “I was joking” as an excuse for being rude or hurtful. If there’s someone who regularly upsets you and then says it was a joke, you might not be missing the social cue. They might just not be friends but toxic jerks.

7. Know when the audience wants to leave

Knowing when a conversation is over can be tricky. Ending it too quickly can make you seem standoffish whilst carrying on too long seems clingy.

When someone is ready to end a conversation, their body language will generally be directed towards the exit. They may look at the door or their watch, or they might be looking around the room. They may say things like, “It’s been lovely talking with you” or “I have a ton of work I should be getting on with.”

8. Understand when people are not interested

Sometimes our self-consciousness can lead us to miss when someone is not in a conversation. If someone’s enjoying a conversation, they will usually be making eye contact with you. Their face will probably be quite mobile, they may smile a lot (though this depends on the topic of the conversation), and their torso will probably be pointing towards you. They will usually ask questions and listen carefully to the answers.

9. Notice when the speaker wants to change the subject

Sometimes people are happy to talk to you, but they don’t want to talk about a particular topic. In this case, they will usually give very short, surface answers to questions you ask and repeatedly offer new topics of conversation.

You may also notice that their inflection goes down at the end of their sentences, giving a feeling of finality to their statements. They might use phrases such as “But anyway…” or “Well, how about you?” to try to deflect the conversation. Their face may also seem stiff or immobile, as they try to limit any cues that might encourage you.

10. Realize when they want to speak

Sometimes people can struggle to be included, especially in group conversations. Making space for them, maybe by saying “What do you think?” can help build friendship and trust with others.

From the communication desk

Friends, family should heed suicide warning signs

By Priscah Angwenyi

Every September, the world marks World Suicide Prevention month. This year’s theme, ‘Creating hope through action’ reflects the need for collective action to address this urgent public health issue.

All of us, family members, friends, co-workers, community members, educators, religious leaders, healthcare professionals, political officials, and governments should take action to prevent suicide in the region.

According to the World Health Organization, suicide is defined as death caused by self-directed injurious behavior with the intent to die as a result of the behavior. A suicide attempt is a non-fatal, self-directed, potentially injurious behavior with the intent to die as a result of the behavior.

There are several causes of suicide. To unravel the suicidal face, Newsline had a sit down with Ms. Getter Wasilwa, Senior Counseling Psychologist in the department of mental health and this is what she had to say:

“There are many causes of suicide, especially with the tough economic times we are in, high rates of unemployment, family divisions, childlessness, etc,” said Ms. Wasilwa

The root cause of suicide in many instances is untreated depression. Below are some of the red flags of someone who may be suicidal;

Family and friends should always be wary of specific warning signs in individuals and not ignore some obvious signs of suicide. Everyone should be alerted when an individual who ordinarily does not talk about death starts talking about it in a manner to suggest they wish to die. Having feelings of great guilt, disillusionment, sadness, shame, and physical pain should not be ignored as well.

Drastic behavior changes such as withdrawing from friends, saying goodbye, giving away important items, or making a will are also signs of a suicidal individual who needs help. Other strange behaviours include extreme risks such as speeding, unexplained and sudden mood swings, changes in sleeping patterns, as well as drug and substance abuse.

“If these warning signs apply to someone you know, get help as soon as possible, particularly if the behavior is new. Suicide is complicated and tragic, but it is often preventable. Knowing the warning signs for suicide and how to get help can help save lives,” Ms. Wasilwa said.

Prevention measures against suicide begin with the identification of persons at greater risk and linking them with professionals who will provide them with care and support.

Reduced access to means of selfharm and suicide such as withdrawal of guns and installing barriers on bridges can help mitigate the chances of suicide.

Important life skills such as critical thinking and stress management can enhance resilience to suicidal tendencies in individuals. The use of medication that stabilizes mood fluctuations is also very essential in suicide prevention.

“If you want to show me that you love me, don’t say that you would die for me, and instead stay alive for me. It is a collective responsibility to prevent suicide in the community,” concluded Ms. Wasilwa.

PHOTO |

A devastated man contemplating sucide by hanging

Golfers, caddies benefit from medical outreach

By Petterson Njogu

Kenyatta Prime Care Centre (KPCC) held a medical outreach at the Royal Nairobi Golf Club.

During the day’s event dubbed ‘September Pendant’, a multidisciplinary team from KPCC offered numerous services to club members and their caddies.

Leading from the front was KNH Chief Executive Officer, Dr. Evanson Kamuri, EBS, who was in the company of KPCC Senior Director, Dr. John Ngigi.

The KPCC medical tent offered general health sensitizations as well as triage services which included weight and height checkups to determine BMI, blood sugar levels, nutrition and dietetics counseling, and doctor’s consultations.

Additionally, officers from the Marketing and Communication department were also on-site to ensure the KPCC brand was well represented- the team carried out a market activation on the various services offered at the facility.

Golf is not only valuable in stimulating a level of mental challenge but also can be good for one’s health.

Studies suggest that walking an average course for a round of golf can be between five to seven kilometers. If one can walk 18 holes four to five times a week, they get an optimal endurance exercise for their heart.

It is also important to note that playing golf helps one stay fit, improves muscle endurance, shedding off weight and body fat, help in reducing stress, provide

opportunities to meet new people, and promote a sense of community connectedness among others.

Speaking while awarding the winners, Dr. Kamuri expressed his gratitude toward the team from KNH for taking part in the tournament.

“I thank my team for always representing the Hospital. We want this partnership to continue growing as we strive to make a positive change in our communities,” said Dr. Kamuri.

During the outreach, the KNH team interacted with 79 club members.

PHOTO | PETTERSON NJOGU

Nurse Edith Olumasai from KPCC helping a golfer check her height and weight so as to determine her body mass index (BMI)

PHOTO | PETTERSON NJOGU

Dr. Philemon Kimathi having a one-one medical consultation with one of the golfers during the outreach.

PHOTO | PETTERSON NJOGU

KNH CEO, Dr. Evanson Kamuri, EBS (L) handing prizes to the winners of the day.

“I thank my team for always representing the Hospital We want this partnership to continue growing as we strive to make a positive change in our communities,”

Dr. Evanson Kamuri, EBS

Summary Statement on the twelfth WHO meeting of the International Health Regulations (2005) Emergency Committee regarding the coronavirus disease (COVID-19) pandemic

By Verah Mugambi

The twelfth meeting of the Emergency Committee convened by the WHO Director-General under the International Health Regulations (2005) (IHR) regarding the coronavirus disease (COVID-19) pandemic took place recently.

The Committee agreed that the ongoing COVID-19 pandemic continues to constitute a Public Health Emergency of International Concern (PHEIC).

Members and Advisors of the Emergency Committee expressed concern regarding the current global COVID-19 epidemiological situation. Cases of COVID-19 reported to WHO had increased by 30% in the last two weeks, largely driven by Omicron BA.4, BA.5, and other descendent lineages and the lifting of Public Health and Social Measures (PHSM).

The committee highlighted additional challenges to the ongoing COVID-19 response which were: recent changes in testing policies that hinder the detection of cases and the monitoring of virus evolution; inequities in access to testing, sequencing, vaccines, and therapeutics, including new antivirals; waning of natural and vaccinederived protection; and the global burden of Post COVID-19 condition.

It was noted that the SARSCoV-2 virus had not yet established its ecological niche and that the implications of a pandemic caused by a novel respiratory virus may not be fully understood.

This requires the responsible, consistent, and continued use of individual-level protective measures, to the benefit of communities as a whole; as well as the continued adjustments of community-wide PHSM, to overcome the “all or

nothing” binary approaches.

The Committee expressed concern as to the ongoing changes observed in different countries with respect to steep reductions in testing, resulting in reduced coverage and quality of surveillance as fewer cases are being detected and reported to WHO; and fewer genomic sequences being submitted to open access platforms – resulting in a lack of representativeness of genomic sequences from all regions.

This impedes assessments of currently circulating and emerging variants of the virus, including the generation and analysis of phenotypic data. The above is translating into the increasing inability to interpret trends in transmission, and consequently to properly inform the adjustments of PHSM.

The epidemiology of SARS-CoV-2 virus infection remains unpredictable as the virus continues to evolve,

through sustained transmission in the human population and, in the absence of the adoption of PHSM aiming at reducing transmission, the resulting selective pressure on the virus increases the probability of new, fitter variants emerging, with different degrees of virulence, transmissibility, and immune escape potential.

According to WHO, health sectors should regularly assess the epidemiological situation at subnational levels and adjust PHSM proportionately based on estimates of disease prevalence and population protection from infection and vaccination, as well as the capacities of the local health system (already challenged, inter alia, by staff shortages due to COVID-19 related burn-out).

SOURCE: WORLD HEALTH ORGANISATION (WHO)

PHOTO | WHO/ Christopher Black

Our story in pictures

PHOTO | STEVE ARWA

KNH choir performing during the Paediatric Oncology Workshop at Hill Park Hotel

PHOTO | COURTESY

PHOTO | STEVE ARWA

KNH hospitality team as they serve clients during a special meal barbecue

PHOTO | STEVE ARWA

KNH staff display their certificates they were awarded after a succesful Paediatric Oncology Workshop that took place at Hill Park Hotel

The KNH Marketing and Communication team participate in various team building activities during their departmental annual team building

Fighting Sexual and Gender-Based Violence

By Doreen Mbae

Kenyatta National Hospital has been providing services to survivors of rape, defilement, sodomy, physical and emotional violence since 2006.

This was in response to the global and national concern on the growing numbers of cases worldwide of sexual and gender-based violence mainly among women and children. This was also in response to the enactment of the Sexual Offences Act in 2006 which required genderbased violence survivors to be cared for in a special way.

According to a report titled ‘Situational Analysis and legal framework’ by Dr. Ruth Aura, a senior lecturer at Egerton University and the current Chairperson of the Federation of Women Lawyers, Gender Based Violence (GBV) refers to any harmful act that is perpetrated against one person’s will and that is based on socially ascribed (gender) differences between males and females.

According to the report, GBV includes acts that inflict physical, mental, or sexual harm or suffering, threats of such acts, coercion, and other deprivations of liberty, whether occurring in public or private life. In 1993, the UN Declaration on the Elimination of Violence against Women offered the first official definition of gender-based violence

“GBV in Kenya, as elsewhere in the world, is a complex issue that has its roots in the structural inequalities between men and women that result in the persistence of power differentials between the sexes,” the report reads in part.

“Effective programming has become more pressing as humanitarian aid agencies, donors and governments seek guidance on how to create interventions that effectively prevent and respond to GBV,” the report says.

The nature and extent of specific types of GBV vary across the different cultures in Kenya. Examples of GBV include, but are not limited to sexual violence, sexual exploitation, and abuse, forced prostitution, domestic violence, human trafficking, forced or early marriage, and harmful traditional practices such as female genital mutilation, honour killings,

widow inheritance, among others.

In Kenya, as in other places around the world, Sexual and Gender-based Violence (SGBV) occurs in diverse forms across all socio-economic and cultural backgrounds and women are socialized to accept, tolerate and even rationalize it.

Some of the key barriers to the access and uptake of this service include but not limited to:

(a) Weak Coordination, harmonization, and networking among actors at all levels

To effectively deal with the myriad of issues related to SGBV, all the relevant players must participate fully in the process. This means that both government and private entities consistently engage each other in an attempt at eradicating the vice, more so at the grassroots level.

(b) Inadequate resources

Lack of and/or inadequate resources, both human and financial have led to watered-down efforts in terms of dealing with SGBV. Resources, especially manpower and fiscal, are needed to deal with cases of SGBV which are more prevalent. This is because there is a need to disseminate information through the organization of workshops, training programs, and sponsoring gender-related courses in schools to create awareness of the highlights and consequences of SGBV to the entire community. This cannot be done where the resources are either limited or are not there completely.

(c) Socio-cultural issues

Socio-cultural biases which favour men over women and the girl child have consistently continued to frustrate the implementation of the legal framework. Traditionally, women have been viewed as lesser beings than men. This means that the man can do whatever he wishes to the woman given that he ‘bought’ the woman through payment of bride price. Violence has thus been condoned and accepted as a socio-cultural norm within society. This has greatly frustrated the implementation of legislation and policies.

(d) Shelter for Victims

There are few shelters run by non-governmental organizations but

even their capacities are insufficient because of the high demand and the fact that they are only located in the capital city.

The absence of safe shelters for victims of SGBV complicates situations for victims who then are forced to bear the pain and indignity of a lack of place for refuge or temporary accommodation.

The biggest challenge facing Kenya today thus is how to create an enabling environment for gender equality and translate commitments into action, together with concrete strategies to eliminate persistent gender inequality and recognize the roles of both women and men in the development of the country.

Conclusion

The effects of Gender-Based Violence can be devastating and long-lasting. They can scar a survivor psychologically, cognitively, and interpersonally.

Sexual and gender-based violence does not only occur during times of national strife, it is rampant even where legal systems and institutions are working. Many different societies and their legal systems have grappled with the problem of SGBV for eons.

Most societies have learnt and accepted to uphold and normalize practices and various forms of abuse. However, it’s time to change this narrative to realize the desired healthy Nation.

Doreen N Mbae is a Consultant Psychologist/Trauma Therapist in the Department of Mental Health for KNH -CONNECT Project – GBV Team Lead.

PHOTO | eac.it

Hospital hosts World Patient Safety Day 2022

PHOTO | NICHOLAS WAMALWA

By Samira Yusuf

We all get to a point where we have to use medication to manage pain or cure illness. Unfortunately, medication can still have negative effects on the human body if abused.

According to the World Health Organization (WHO), medication errors occur when weak medication systems and human factors such as fatigue, poor environmental conditions or staff shortages affect the safety of the medication use process. This, in the long run, can result in severe patient harm, disability or even death.

Kenyatta National Hospital (KNH), played host to this year’s annual World Patient Safety Day held on the 17th of September 2022. The day is set aside to raise global awareness on the high burden of medicationrelated harm due to medication errors and unsafe practices, and advocate urgent action to improve medication safety. The event brought together various partners in the health sector including the Ministry of Health, WHO, AMREF Health Africa

and others.

“In order to strengthen and better the health care system, we need to be timely, effective, embrace clear policies, leadership capacity and effective involvement of patients is needed,” said Dr. Simon Kibias, the Head of the Directorate of Health Standards Quality Assurance and Regulation at the Ministry of Health, Kenya.

The event was also attended by patients who were victims of misdiagnosis and had incurred adverse side effects as a result. They

highlighted the need for medical practitioners to put measures in place that ensure patient safety is met.

Speaking on behalf of KNH CEO, Dr. John Ngigi, the Senior Director, KPCC, highlighted approaches that the hospital has put in place towards ensuring patient safety.

““As a hospital, we provide adequate information on safe medication to all our patients. We also take measures to identify and manage high alert drugs including their proper labelling and storage.”

Dr. John Ngigi,Senior Director, KPCC

“As a hospital, we provide adequate information on safe medication to all our patients. We also take measures to identify and manage high alert drugs including their proper labelling and storage. Aside from that, KNH has governance structures to support a system-wide approach for medication management as provided by the Medical therapeutic committee (MTC),” he said.

The event was brought to a close with the launch of the National Action Plan for Patient Safety, Health Care Worker Safety and Quality of Care, a document aimed at scaling up the implementation policies to ensure that patient safety is met.

Dr. Simon Kibias (4th left) and Dr. John Ngige (5th left) with other partners during the launch of the ‘National Action Plan for Patient Safety, Health Care Worker Safety and Quality of Care’ manual.

Comic Zone

Laughter, the best medicine!!

By Edel Q. Mwende

MISSION

Bad Eating Habits

A mother complained to her consultant about her daughter’s strange eating habits.

“All day long she lies in bed and eats yeast and car wax. What will happen to her?”

“Eventually,” said the consultant, “she will rise and shine.”

Inspirational Quotes

1. “We’ve been making our opportunities, and as you prove your worth and value to people, they can’t put you in a box. You hustle it into happening, right?” — Jennifer Lopez

2. “When you’ve seen beyond yourself, then you may find, peace of mind is waiting there.” — George Harrison

3. “Out of the mountain of despair, a stone of hope.”— Martin Luther King, Jr.

4. “What you get by achieving your goals is not as important as what you become by achieving your goals.” - Zig Ziglar

5. “You are never too old to set another goal or to dream a new dream.” — C.S. Lewis

6. “I believe that if you’ll just stand up and go, life will open up for you. Something just motivates you to keep moving.” — Tina Turner

7. “The simple act of listening to someone and making them feel as if they have truly been heard is a most treasured gift.” — L. A. Villafane

8. “You have to be where you are to get where you need to go.” — Amy Poehler

9. Don’t be afraid. Because you’re going to be afraid. But remember when you become afraid, just don’t be afraid.” — Joan Jett

10. “We need to take risks. We need to go broke. We need to prove them wrong, simply by not giving up.”

— Awkwafina