KNH NEWSLINE EDITION 23

More than just health

Health

visits KNH

Editor’s note p.2

Health CS visits KNH p.3-4

Managing pain one day at a time p. 4- 5 A lease of life as 12-year-old boy undergoes successful kidney transplant p.6

Positive mentions from KNH socials p.6 World Occupational Therapy Day, 2022 p.7- 8 Intern’s experience p.8

In focus: KPCC Occupational Therapy P. 9 Nursing Process training comes to a close p.10

CTC holds cancer screening and awareness outreach for KNH staff p.11

The expansion program of KNH p.12-13 KNH Prime Care Centre (KPCC) celebrates technology breakthrough p.13

Emotional re -union in Machakos village p.14

Our story in Pictures p.15

Excellence in quality health care provision p.16

Birthday wishes P. 17-19 Comic zone p. 20

ON THE COVER

Health CS visits KNH p. 3

Marketing & Communication Department

Design Concept Team: Dave Opiyo, Edel Q. Mwende, Yvonne Gichuru & Collins Cheruiyot

Editorial Team: Dave Opiyo , Edel Q. Mwende, Winfred Gumbo, Linnette Leyi, Shiphrah Njeri, Moses Njomo & Luke Kung’u

Stories:

Verah Mugambi, Winfred Gumbo, Edel Q. Mwende, Linnette Leyi, Luke Kung’u, Petterson Njogu, Philip Etyang & Faith Gesambi

Design By: Collins Cheruiyot

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

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

Editor’s note

Dear Colleagues,

Our country received a cholera outbreak alert from the Ministry of Health with 61 cases being reported and confirmed from six (6) counties in October 2022.

The outbreak was traced to have originated from a wedding festival in Kiambu County and was further spread across Kiambu (31), Nairobi (17), Murang’a(1), Kajiado(2), Nakuru(2) and Uasin Gishu(8) counties (MOH, 2022).

According to WHO, cholera is an acute diarrhoeal infection caused by eating or drinking food or water that is contaminated with the bacterium Vibrio cholerae. Cholera remains a global threat to public health and is an indicator of inequity and lack of social development. Researchers have estimated that every year, there are 1.3 to 4.0 million cases of cholera, and 21,000 to 143,000 deaths worldwide due to the infection.

It is an extremely serious disease that can cause severe acute watery diarrhoea with severe dehydration. It takes between 12 hours and 5 days for a person to show symptoms after consuming contaminated food or water. Cholera affects both children and adults and can kill within hours if untreated.

As front-line health care workers, let us be vigilant and get vaccinated against Cholera. The vaccine is available at the KNH International Vaccination Centre located at the KPCC Corporate Outpatient Clinic (COC); 1st floor of the Accident and Emergency Department at an affordable cost.

Working hours: Monday to Friday 8 a.m.-5p.m.

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

Ms. Edel Q. Mwende, Manager, Marketing & Communication Kenyatta National Hospital

Health CS visits KNH

By Verah Mugambi

The newly appointed Health Cabinet Secretary Dr. Susan Nakhumicha has urged health care institutions across the country to employ a people-centered approach in the management of their affairs.

The CS said the customer should always be the focus as the health care institutions deliver services to the public at all times.

She made the remarks during her maiden visit to the largest referral hospital in the country; Kenyatta National Hospital (KNH) on November 3.

Noting that the hospital’s vision is to be a world class patientcentered specialized care facility, the CS reiterated the need for staff to ensure this is their mantra as they undertake their daily duties.

She said the government remains keen on supporting

She was received by the hospital’s Board Chair Mr. George Ooko, Chief

The CS signed the visitor’s book before holding a meeting with the hospital’s management. She was then taken on a guided tour of the Accident and Emergency (A&E) Department.

At A&E, Dr. Kamuri walked the CS through the casualty process, from the point a patient walks in to the exit point (either discharged or admitted to the wards).

“Our Accident & Emergency team is quick and efficient. We have CCTV cameras all over the hospital and I can see what is happening from my office,” explained the CEO.

The CEO showcased the highly equipped two Resuscitation Rooms (RR A & B) which operate like Intensive Care Unit (ICU) on their own.

“RRA and RRB are specialized rooms equipped with ICU beds. The services offerd here are the same as the ones in ICU,” he said.

During the tour, the CS freely mingled with patients and their relatives. The team then toured the Corporate Outpatient Clinic (COC).

“Our Accident & Emergency team is quick and efficient. We have CCTV cameras all over the hospital and I can see what is happening from my office,” said Dr. Evanson Kamuri, EBS

host of senior officials

Director, Clinical Services Dr. Irene Kenyatta Prime Care Centre Dr. John Ngigi,

PHOTO | NICHOLAS WAMALWA

CEO KNH Dr. Evanson Kamuri, EBS (FAR LEFT) shows the various KNH amenities to the Ministry of HEalth Cabinet Secretary Dr. Susan Nakhumicha (Front, second right) during her visit to KNH. Looking on, are Ministry of Health PS Mrs Susan Mochache, CBS (front, 2nd left) and KNH Board of Management Chairman, George Ooko (Front, far right) in the prescence of other senior KNH officials.

PHOTO | NICHOLAS WAMALWA MOH CS Dr. Susan Nakhumicha using the Queue Management System (QMS) at the Corporate Outpatient Clinic

Managing pain one day at a time

The place dedicated to holistic pain and palliative care

By Winfred Gumbo

Pain management is a treatment option not so many think of whenever they get sick or have relatives with long-term illnesses. Many often mistake it to be the end-of-life care for a sick one whenever it is suggested to them as part of treatment. However, this is not and should not be the case.

To have an in-depth knowledge of what Pain and Palliative Care Unit does, Newsline had a one on one with Dr. Esther Nafula,

location one can barely miss catching a glimpse of. The services offered here have with time gained ‘fame’ and given relief to patients suffering from long term illnesses which come along with discomfort and unbearable pain. The care givers too have embraced the importance of services offered here.

Before the sit down, we did not fail to notice the buzz of activities taking place at the Unit, not to mention the visible hope radiated on the faces of clients from all

settled down to talk to Newsline.

“From experience and research, people need palliative care from the time they are diagnosed with life threatening or life limiting illness. In life threatening illnesses, one is likely to survive or complicate quickly resulting into death like Covid-19, Leukemia for children etc. Life limiting illnesses are like advanced cancer, End Stage Renal Disease (ESRD), cardiac failure. We can see that the patient is going to get complicated so from diagnosis to when we see the prognosis is not going to be good, it is better for them to start palliative care because we offer support to the patients, manage their symptoms, improve their quality of life and we also offer support to the family to understand the illness and how to take care of their patients,” added Dr. Nafula.

So, what are some of the stages of pain management offered by the Unit? Newsline asked Dr. Nafula to which she replied; “We are called Pain and Palliative Care Unit because pain is the biggest reason why patients are referred to us.”

“Pain goes beyond physical. When we look at pain and palliative care, we look at it in a holistic way; that the patient has physical pain but they also have psychological, social and spiritual pain. In most cases, you find that the patients who are referred to us, have an illness that is causing a lot of pain. Physically, they are impaired because of the pain, they are not able to work; their social roles have changed causing a lot of suffering. When we do assessment, we approach it holistically then identify the type of pain. If it is a physical one, we give pain killers that are good enough to manage the degree of pain that the patient has, but we also need to give the extra support since most of the time, the patients that come to us are incurable, we cannot eliminate their diseases so they need to be put on pain management for a long period of

time,” said Dr. Nafula.

Before one gets the palliative care services, there is a consultation fee of Kshs. 1,150 to be paid via mobile money transfer at the various cash points after which there is provision of consultation services, counseling and family conferences. An assessment is done and a return or appointment date for the next visit is given. For the medication, one buys from the pharmacies that determine the cost of the drugs.

“We have two categories of clinics, there is daily outpatient pain clinic and then we have the specialized clinic. The outpatient clinic runs every day from 8am4pm. For Monday and Wednesday, the patients are booked, but, again throughout the week, if there is an emergency, we are still able to take care of them. We also review other patients in the ward. We have specific days for pediatrics, medical and consequently the surgical wards. The approach is referred to as mobile consultation since we attend to patients wherever they are.

The clinic days for Pain and Palliative Care Unit

Monday Consultant clinic Tuesday Pediatric and medicine ward rounds, outpatient clinic Wednesday Consultant clinic Thursday Oncology ward rounds, outpatient clinic

Friday Surgical, Burns Unit, Intensive Care Unit ward rounds, outpatient clinic

“On average we attend to about 100 patients per week, out of this 20-30 are new patients while the others are reviews for example after seeing a patient once, we need to see them again to confirm how our management is working and any other service the patient needs. Cumulatively, in a month we attend to about 300 reviews.

One patient is scheduled for about 4-5 appointments a month. At the initial point, we identify

the needs of the patient; give counseling, family conferences especially in cases where we transition the patient by discharging them for home-based care or a hospice. The number of visits depends on every patient’s needs,” said Dr. Nafula.

She further said; “When discharging, we need a solid plan. Since most of our patients do not come from Nairobi, we do have a network of palliative care providers in the country. We have an online group and meetings coordinated by various bodies like Kenya Hospices and Palliative Care Association (KEHPCA), Moi Teaching and Referral Hospital (MTRH) coordinates some meeting where we interact and know our colleagues who offer palliative care within the city and in other counties.”

“We have a database provided by KEHPCA which gives us the list of hospices and hospitals that offer palliative care and the contact person. Fortunately for us at KNH, we got a donor who gave us a mobile phone in the last Financial Year. With the phone, we are able to contact the Palliative Care Centre and give them the patient’s history. From this they are able to tell us the kind of services they offer i.e. whether it is Home care or a facility. We then liaise with the patients’ families and give them options of available homes closer to the patients. We also give the patients’ contacts and their families too while reassuring them that the care they get from KNH is the same as the one they will get from the community. Our patients are referred from other facilities; outside or within KNH. From within, our health care workers review and identify the needs of a patient then send us the patient for consultation. For those referred outside KNH, we get called by the facility thus we are able to review them from either our clinics or at the casualty,” added Dr. Nafula.

“I can comfortably say that we are quite a unique Unit. Palliative care is divided into two; general and specialized palliative care. General care can be offered by anyone trained to offer palliative care services. For specialized care, a patient is able to get all types of care that they need. Most facilities

offer general palliative care so the advantage KNH has is we offer both. The areas without specialized palliative care refer all the cases to us. Additionally, we have the essential members of a palliative care team; we have the chaplaincy, social workers, counselors, nurses trained in palliative care, doctors and medical specialists so we offer all the care that a patient needs,” said Dr. Nafula.

With all these, we are made to understand that success of palliative care is not measured by diseases being cured, but rather the outcome. “The difference we have made to the patient or family member’s life. A patient who is in hospital for 2-3 months due to relatives not being able to care properly, if we are able to teach them how to take care of the patient at home, we are able to reduce the cost of care giving. If we manage the patient and the patient is more comfortable, the relatives who spend a lot of time taking care of them are able to go back to work and fend for their families. Our success is measured by the comfort level of the patient. Palliative care gives the patient and the family an avenue of understanding. We help them to come to terms with reality,” clarifies Dr. Nafula.

“Palliative care is about improving the quality of life; the kinds of diseases that the Ministry of Health (MOH) and World Health Organization (WHO) have said are witnessing a sharp increase in like Non-Communicable Diseases (NCDs) so we help the patients and their families to cope with these challenges during illness. It should be considered since our biggest purpose is to help a patient live life to the fullest despite being sick. If they get care early, we are able to manage the pain despite the type of disease and one is able to go back to work, do whatever they want to despite having a diagnosis associated with pain. When palliative care is started earlier, the patient and relatives are able to benefit from the most aspects of palliative care and are able to deal better with the illness than when it is given towards the end of an illness,” concluded Dr. Nafula.

A lease of life as 12-year-old boy undergoes successful kidney transplant

By Luke Kung’u

Chronic kidney failure in children is difficult to note since it may not have signs and symptoms but the unfortunate information is that it shows when around 80% of the kidney function is lost.

This will be more elaborate in children having fluid build-ups that present as swellings in the skin, congested lungs as well as high blood pressure. Chronic kidney disease leads to kidney failure, also referred to as end stage kidney disease, whose remedy is dialysis or kidney transplant.

Kidney disease in children is caused by birth defects, nephrotic syndrome, systemic diseases, hereditary diseases, urine blockage/reflux trauma as well as infection. A health care provider diagnoses the disease through checking medical history, physically examining the child and also by reviewing signs and symptoms exhibited. There are several tests that confirm the diagnosis such as kidney biopsy, blood test, urine albumin to creatinine ratio to name but a

By Luke Kung’u

Mercy Nduku

We love KNH.

Mchelsea D Musyoka

KNH the best.

Evah Mamajuju

few.

Twelve-year-old Master Cyrus Karanja, second born in a family of four, is a living testimony that chronic kidney failure is manageable and not a death sentence. It was unfortunate that he was diagnosed with the disease in 2019 and for three years religiously attended dialysis sessions three times a week. This was a difficult journey that required detachment from family life, class work and peers. It had a difficult toll on him as well as consuming family income, and

agony experienced by the parents and siblings.

All this turmoil would come to a halt on 12th October 2022 when a kidney transplant was successfully done, donated by his 23-year-old maternal uncle, and he was discharged on 24th October 2022.

The kidney transplant for Master Karanja is a profound medical milestone that affirms our capacity to carry out such complex pediatric kidney transplants in our facility.

Positive mentions from KNH socials

Congratulations.

Pauline Abiero

Best hospital. I remember the year 2000 ward 9and 10 I was admitted for almost six months, the nurses were so good.

Peter GK Musumba

Thank you so much for the services.

Evangelist Peter Mwaura

To God be the Glory forever and ever amen. Serve your fellow human beings with compassion and be a beacon of hope wherever you are and in whatever you do.

Congratulations. Good job. Such evidence of exemplary service, wananchi cannot comment. But ngoja siku KNH watateleza kwa bahati mbaya in unavoidable scenario, it will be attack everywhere. I wish we wananchi could be proud of one of our own hospital.

MwalimuProf

Congratulations to Dr. Ndirangu, he was the best when my mum was hospitalized there, forever grateful.

Valz Vee

Best hospital so far, can’t complain.

Ann Jaji

Team Dadaab come and see.

Congratulations Ndirangu you were always passionate in your work, you deserve it.

Solomon Okoth

KNH offers high quality services.

PHOTO | LUKE KUNG’U

Master Karanja with his father (R) mother (C) and Mr. James Gitau the maternal uncle (L) who donated the kidney.

Mburu WaGakuria

World Occupational Therapy Day, 2022

By Verah Mugambi

In the spur of a moment, life can change. This occurs every day to children and adults who get injured or develop health conditions that knowingly affect their ability to perform routine activities and navigate their daily lives.

With the help of occupational therapy, many of these individuals can achieve or regain a higher level of independence. When skill and strength cannot be developed or improved, occupational therapy offers creative solutions and alternatives for carrying out daily activities.

On the 27th of October every year, the world joins Occupational Therapists to celebrate World Occupational Therapy (OT) Day globally. Celebratory activities run for a week, from 25th to 28th October annually. The week promotes the mission and goals of OT and also increases awareness of Occupational therapists and their global impact.

This year’s theme was OPPORTUNITY+CHOICE=JUSTICE interpreted as Empowering everyday life. Kenyatta National Hospital (KNH), Occupational Therapy Unit, together with representatives from various hospitals and institutions came together to commemorate World OT Day.

The day started with a 5 kilometer walk which was flagged off at KNH’s Administration block by the Director Surgical Services, Dr. Kennedy Ondede.

The week saw the KNH OT unit become a beehive of activities, including a webinar about the hospital’s chosen sub-theme; “occupational therapy day

and mental health”. The day’s activities included; the 5km walk, free disability screening, and registration with the National Council for Persons with Disabilities at the KNH information center grounds.

Mental Health is a state of well-being in which the individual realizes his or her abilities, can cope with the normal stresses of life, can work productively and fruitfully, and can contribute to his or her community (WHO, 2005).

According to Bonface Kaimenyi, KNH Occupational Therapist, Occupational therapy is a client-centered health profession concerned with promoting health and wellness through occupation. “Occupations refer to the everyday activities that people do as individuals, in families, and with communities to bring meaning and purpose to life.

Occupational therapists achieve this outcome by working with patients and communities

to enhance their ability to engage in occupations they want to, need to, or are expected to do or by modifying the occupation or the environment to better support their occupation engagement. (WFOT 2012)”.

Who needs Occupational therapy?

KNH Occupational Therapist Mikie Baron: OT helps people of all ages who have physical, social, sensory, or mental/ cognitive problems. OT services are offered in: Hospitals, Schools, Community settings, Industries, Home settings, Geriatric homes, and Mental health settings.

The process includes; Screening: which is all about understanding the patient’s problem and the goal of the therapy. Evaluation: involves checking the client’s understanding of the program and whether they are interested in the offered interventions and Intervention: where the client is helped according to their

PHOTO | NICHOLAS WAMALWA Director surgical Services, Dr. Kennedy Ondede flagging off the walk during the World OT day

“What matters to you” and not “what is the matter with you”

The

intern’s

By Faith Gesambi

experience

problem,” Mikie explained.

The Role of OT in Mental Health

KNH Occupational therapist, Binti Hamisi, expounded on the role of OT in mental health. Kenya is committed to implementing the comprehensive mental health action plan 2013-2030. “When included in the task force, Occupational therapists can help in achieving meaningful progress toward better mental health in Kenya”, Binti explained.

“Occupational therapists help patients in their roles, routines, beliefs, and habits in their homes, work, or community environments. They do this by identifying patients’ capabilities, skills, and environment modification/adaption, work conditioning, work hardening, and advocating for the client.” Binti continued.

In mental health, OTs use the functional model of disability and the recovery model where they focus on what the patient can or cannot do. “OTs are health professionals who enable individuals to function to the best of their ability and engage in a range of meaningful and healthy occupations that can promote health, quality of life, and wellbeing.

Through the OT process, mental health clients are able to live life to the fullest. As OT we ask

“what matters to you” and not “what is the matter with you”, Binti concluded.

Some of the conditions in mental health that benefit from OT include; personality disorders, mood disorders, psychotic disorders, post-traumatic stress disorders, substance use disorders, and intellectual disabilities

The Occupational therapy unit is located on the ground floor; tower block, opposite the Blood Transfusion Unit (BTU).

Some of the services offered include; Training functional independence in Activities of Daily Living e.g., feeding, dressing, toileting, and bathing, Sensory Integration therapy for children with processing disorders e.g., Autism Spectrum Disorder, Training in delayed and regressed development milestones caused by cerebral palsy, Downs syndrome, etc.,

Facilitation of oral and communication skills, driving assessment and rehabilitation services for persons with disabilities, Lymphedema and scar management, Hand Therapy, Adults Neuro-rehabilitation e.g., stroke, and Parkinson’s disease, and enhancing mental well-being to support performance and participation in occupations.

Meet: Albert Munyao

Department: ICT

Tasks: ICT workshops, technical duties like; hardware maintenance, network maintenance, diagnosing and service of machine. Registration of vaccines offered to clients. Software development and management. Mobile applications.

Three things you’ve learnt about KNH?

1. The KNH fraternity believes in team work.

2. KNH is the oldest hospital in Kenya.

3. It was initially known as King George VI Hospital and got renamed after independence.

How has the internship added value to you?

I have gained skills in switch configuration, and maintenance of machines. I’ve also got to experience life from a different perspective.

Most memorable moment at KNH? Being served nice food at the main kitchen while changing VGA (Video Graphics Array) cables. The kitchen staff were so hospitable.

Your career plan after graduation? Working in small growing companies to improve my ICT skills

PHOTO | CELINE KANG’ETHE Participants during the walk.

In focus: KPCC Occupational Therapy

By Petterson Njogu

Occupational therapy (OT) is a client-centered health profession concerned with promoting health and well-being through occupation. It entails the use of self-care activities that promote and maintain health and prevent disability while enhancing development. All this is geared toward increasing independent function that allows people to be self-reliant and have a sense of identity.

Occupational therapy is an autonomous profession which means it can operate as a member of a health service provider or rehabilitation team that accept a referral from a range of sources or from other people involved with the individual.

OT has a broad range of medical, social, behavioural, psychological and psychosocial including occupational science which equips them with the right attitude, skills and knowledge to work collaboratively with their clients and family members in addressing the occupational needs of their clients. These unique skills are required in order to assess how different conditions affect our daily occupation.

At Kenyatta Prime Care Centre, OT the above skills are applied in our critical care areas, wards and outpatient.

Our team works with other healthcare professionals in critical areas to determine the best treatment possible. In the process, the occupational therapist evaluates joint integrity, the need for splinting, positioning and assistive technology, and the safety of eating and swallowing. The OT also evaluates skin integrity and prescribes prevention strategies, which aid in promoting and maintaining skin integrity. This is also done collaboratively with other teams using established pressure management and prevention guidelines.

Similarly, in the surgical, neurology or orthopaedic wards the OT; 1. Provides preventive splinting, 2. Trains on maintaining and

restoring occupational performance,

3. Trains caregivers on how to use assistive devices and contribute to discharge planning.

Our KPCC therapists in the pediatric ward are well-versed in sensory integration therapy, advanced training and neurodevelopmental skills; all come in handy at the general paediatrics wards and our Neonatal Care Unit.

Additionally, these skills have been uniquely utilized in designing programs to help a wide variety of children who experience challenges participating in daily activities such as dressing skills, bedtime routines, and play skills.

The focus of this program is to provide parents with supportive strategies and useful activities that help the child function in his or her home environment.

At neonatal units the OT is tasked with the following:

Directing intervention in treating premature or newborn infants,

1. Providing advice and guidance to the parents and NICU staff

2. Adapt and modify the stimuli that the premature or newborn baby is exposed to, and

3. Provide the appropriate stimuli and guidance needed to encourage the development of sensory modulation.

4. Provide treatment in the areas

of eating and feeding, and in this context, encourage sucking, swallowing and eating skills.

KPCC has a fully functioning rehabilitative services unit that will ensure all occupational needs are attended to.

In the same vein, the KPCC OT department has established an outpatient clinic for follow-up of the clients once discharged to ensure they get maximum benefits which will allow our clients an easy return back to the community and get continue with their daily activities independently. The clinic runs Monday to Friday from 8am -4pm.

PHOTO |COURTESY

Mr. Evans Obaigwa, Senior Occupational Therapists - KPCC

Nursing Process training comes to a close

By Philip Etyang

The Nursing Division through the Nursing Standards, Students and Research Department conducted a closure of two weeks intense training on mainstreaming the nursing process among Kenyatta National Hospital (KNH) nursing staff at the CT Scan Seminar Room.

The second cohort training took place between the 17th and 28th of October, 2022. The participants were drawn from the Specialized Pediatrics, General Pediatrics, Accident and Emergency, Room 108, Specialized Surgery and Mama Margaret Uhuru Children Hospital KNH-Annex. The first cohort was trained between the 3/10/2022 and 14/10/2022 at KNH.

The two-part training programe was organized, and facilitated by KNH staff, led by Ruth Nyansikera, Principal Nursing Officer and the acting Deputy Chief Nurse (Nursing Standards, Student and Research). Her team of coordinators comprised of senior nursing officers namely; Elizabeth Mugi, Jemimah Wanjiru, Pauline Wephukhulu (senior nursing officers), and Esther Sang, Sally Keino, Elizabeth Mutemi (Assistant Chief Nurses).

In her speech, Ruth Nyansikera who was standing in for the Senior Director Clinical Services, Dr. Irene Inwani, the Chief guest at the event, thanked the KNH management for facilitating the training which she said had already started bearing fruit.

“I appreciate the management for considering our department for the

training. We are going to do our best to optimize patient experience and increase the customer satisfaction rate,” she said.

The 2020/2021 financial year, Performance Evaluation contracting placed the hospital at 49th out of 354 MDAs (21 Ministries), Office of the Deputy President, and Office of the Attorney General, and Department of Justice, 232 State Corporations, and 98 Tertiary Institutions.

Ms Nyansikera explained to the trainees, systematically, how the mainstreaming nursing process training progress from the first phase to phase four.

“You have gone through the training for two weeks. Its Phase one is complete. We shall go to mentorship and supervision in the next step. Your performance, both in the internal assessment and external assessment will determine if you will proceed to phase four of the training exercise. As management, we are committed to hold your hand,” she said.

She identified the shortage of nursing staff as being their biggest challenge at KNH that the training addressed.

“One of the main challenges is staff shortage. Whereas management is addressing it, it’s unlikely we shall meet the required numbers. We must therefore do things differently. The training has taught us patient categorization and the care plan tool which will both help us achieve our goals,” she added.

Assistant Chief Nurse at Accident and Emergency, Lucy Ndereba,

acknowledged that the results from the first training was already eliciting positive results.

“Despite the few challenges in the nursing sector, we believe things will turn out positive. I congratulate all of you. Right now, I can report that the ground is bubbling with activities related to the nursing process,” Lucy said.

Isinta Vane, a nursing officer at KNH, gave a summary presentation of the two-week training process while using the case study of “Mr Brown” (not real name) who had been referred from Nanyuki, with a bullet lodged in his head. Ms Vane patiently went through her presentation while pinpointing the main highlights of the mainstreaming nursing process.

Mr Otero Matunda, a nursing representative from Mama Margaret Uhuru Children Hospital KNH-Annex, asked the organizers of the training to consider increasing the number of trainees from the KNH annex hospital to help improve capacity building at the health facility.

On her part, Dr Christine Musee, the Deputy Chief Nurse, Surgery Division, highlighted the importance of mainstreaming the nursing process in ensuring successful clinical outcomes.

“The clinical outcome of patients will always change when the nursing sector is working well. Let us go out there and do our best to help our patients,” she said adding that the nursing process was what made it a profession. “Without the nursing process, we are in volunteer work or and we must therefore, guard the nursing process jealously,” she said.

Kenyatta National Hospital

PHOTO | STEVE ARWA Principal Nursing Officer and the acting Deputy Chief Nurse, Ruth Nyansikera addressing cohort two participants of the intense training on mainstreaming the nurse process among Kenyatta National Hospital (KNH) nursing staff at the CT Scan Seminar Room

PHOTO | STEVE ARWA

Coordinators of the intense training on mainstreaming the nursing process among Kenyatta National Hospital pose for a group photo after the closing ceremony

CTC holds cancer screening and awareness outreach for KNH staff

By Winfred Gumbo

On 27th and 28th October 2022, the Cancer Treatment Centre in collaboration with multidisciplinary Kenyatta National Hospital (KNH) departments held a cancer screening and awareness outreach for KNH staff.

The two-day event saw members of the public being incorporated in the drive aimed at getting to know the importance of early screening and detection of cancer to save lives. They offered these free services to members of the public: consultation, blood sugar test, blood pressure check, nutritional services, clinical breast examination, cervical screening - Visual inspection with acetic acid (VIA) and health education.

However, members of staff got all the above services with additional services like Pap smear, mammogram, ultrasound, colonoscopy, Fecal Occult Blood Test (FOBT) and colonoscopy.

Day two of cancer awareness and screening was officially launched by Director, Surgical Services, Dr. Kennedy Ondede on behalf of the Chief Executive Officer, Dr. Evanson Kamuri, EBS.

In his speech, Dr. Ondede called for the need to start with prevention of cancer by making healthy lifestyle choices. He urged the health care givers to uptake continuous screening for early detection of cancer as the services are readily available within KNH.

“I would like to appreciate the milestones gained by the Cancer Treatment Centre in provision of services like cancer screening and awareness, Chemotherapy, Radiotherapy, Radionuclide Therapy, Patient Navigation, CT simulation and Brachytherapy,” he said as he urged members of staff to stop self diagnosis and medication since majority are medics who know about drugs.

The Head of Department, Cancer Treatment Centre, Dr. Catherine Nyongesa appreciated the staff who work tirelessly to help in the fight against cancer. She also emphasized on the need for early detection as most patients get detected with cancer at late stages. She urged men to go for regular breast cancer checks since a smaller percentage of them suffer from breast cancer too.

“In a year, we see 6000 new patients. The number however, reduced during the time when Covid-19 was at its peak. Cervical cancer is rampant in women but most patients present in late stages thus there is a need to double the effort in cancer prevention,” she said.

Senior Assistant Chief Nurse, Medicine Ms. Esther Murunga representing the Director, Nursing Services equally urged health care givers to take care of themselves, as much as they take care of the patients.

Breast cancer survivors, Dr. Stella

Ombati and Irene Wangui, (both health care givers), through their testimonials emphasized on the need for support during medication. They urged ladies to do regular self breast checks.

“I would like to emphasize on the need for support while one is undergoing cancer treatment,” said Dr. Stella Ombati.

Irene Wangui, a nurse by profession, talked about her survival experience and was grateful to the medical team who took care of her while undergoing treatment.

“I urge my fellow members of staff to make good use of such opportunities and be healthy caregivers,” she said.

The Kenya Broadcasting Corporation donated colostomy bags as part of their Corporate Social Responsibility.

A total of 245 people were screened during the event.

PHOTO | NICHOLAS WAMALWA Head of Department, Cancer Treatment Centre, KNH Dr. Catherine Nyongesa (R) accompanied by other KNH officials to receive colostomy bags donated by Kenya Broadcasting Corporation repre sentatives during the cancer awareness and screening out reach for KNH staff at the Helipad Ground

PHOTO | NICHOLAS WAMALWA Director Surgical Services, Dr. Kennedy Ondede who represented CEO KNH, Dr. Evanson Kamuri, EBS giving a speech during the cancer aware ness and screening outreach for KNH staff at the Helipad Ground

PHOTO | NICHOLAS WAMALWA KNH Staff (L) taking the Blood Pressure of fellow staff who showed up for the cancer awareness and screeining outreach at the KNH Helipad Ground

The expansion program of KNH

Initially started with 40 beds, today it boasts of a 1,800

By Philip Etyang

From humble beginnings with a bed capacity of 40, the Native Civil Hospital now Kenyatta National Hospital (KNH) has undergone massive transformations since inception in 1901.

According to government records, the facility was the very first medical center to be established in Nairobi and it was located at the junction of Government Road (Moi Avenue) and Kingsway Road, present day University way.

However, in 1908 the bed capacity at the facility, had increased to 45 beds from the initial 40. In the same year, 712 inpatients and 6,425 outpatients were seen at the hospital.

The modern part the hospital was opened to the public in 1939, comprising of a 300-bed medical wing. Extensions to the wing were made between 1951 and 1953 leading to the completion of another 300-bed surgical wing.

Following the death of King George VI, in February 6th 1952, after a long illness, the Native Civil Hospital was renamed the King George VI Hospital.

The Ismail Rahimtulla Walji Trust building at KNH was completed in 1953 by the Ismail Rahimtulla Walji Trust with the sole intention to accommodate patients from the Asian Community, and therefore, increasing the bed capacity to 600.

In 1957, the Infectious Disease Hospital now Mbagathi County Hospital was built with a 234-bed capacity. When it was founded, it served as the infectious diseases isolation facility for the then King George VI Hospital.

KNH took over the British Military Hospital in Kabete in 1965, and dedicated it for orthopaedic patients. A dental wing at the same facility was later established. After the construction of the present day KNH, the Orthopaedic Unit was moved to KNH, while the Kabete unit was handed back to the British.

Prof Ronald Huckstep, Dr Micah Majale and Prof Kirkaldy Willis, were the very first group of Orthopaedic surgeons to establish and operate the newly built 120 bed Orthaopaedic Ward

at KNH.

In 1972, the Department of Orthopaedic Surgery was established and in the same year, the first group of University of Nairobi medical undergraduate students sat their final examinations and graduated.

Initially, the Orthopaedic Department had Mr John Church (who advocated use of maggots in treatment of septic wounds) and Dr. Jeshrani as lecturers.

Following the independence of Kenya, in 1963, King George VI Hospital was renamed KNH and was declared a national teaching hospital.The hospital was envisioned as having three main functions:

• Serve as the national referral hospital

• Provide facilities for teaching

• Provide facilities for research Consequently, an expansion program was carried out in three phases which included the main hospital, the clinical science blocks, the medical students’ hostels and the hospital service blocks.

Phase 1

bed capacity

In 1964, a decision to improve the hospital was taken. By then the operational demands of the hospital as a national referral center were continuing to rise. In addition, facilities had to be provided for the clinical training of medical students in progressively increasing numbers.

The decision to carry out the expansion at KNH was taken with the following objectives expected to be achieved: to provide the hospital with additional space in terms of more modern buildings and an efficient maintenance department, the hospital needed to have better standards of equipment as well as an improved supplies organization.

The other objective the expansion team had in mind was to ensure the hospital has clinical facilities for the training of students (both undergraduate and postgraduate) and finally to improve the administrative function of the health institution.

With these objectives in mind, the first phase of the programe was therefore, designed to increase and

PHOTO | STEVE ARWA The tower block building that houses most of the wards at KNH. Adjacent to it is the building that houses the ICU and Burns Unit.

improve the diagnostic and treatment facilities with little focus on increasing bed capacity.

The neighbouring British Military barracks (Buller Camp) was cleared for purposes of the extension project.

The military base was named after General Sir Redvers Henry Buller, a respected British army general and recipient of the Victoria Cross, the highest award for gallantry in wa awarded to British and Commonwealth forces.

Buller Camp is today the Kenya Regiment Association offices near the Ngong Road-Hospital Road junction. Construction of the filter clinics, the records stores and the paediatric demonstration rooms commenced on 29th July 1968. At the same time,

the construction of the Radiotherapy Department got underway.

Construction od a larger boiler house began towards the end of 1968.

Phase one included the completion of several buildings and units within the KNH compound. They included; Clinical Sciences Block and Laboratories, Hostels for medical Students, Boiler House, Filter Clinics, Medical Records, Central Sterile Supplies Department and Casualty.

Other facilities completed in the first phase included the Surgical Out-patient, Medical Out-Patient, Gynaecology Out-patient, Paediatric Out-Patient, ENT Out-patient, Outpatients Dispensary, Anaesthetic Department, Out-patient Laboratory, Burns Unit, Operating Theatres and Theatre Sterile Services Unit, Intensive Care Unit and the Maintenance Department.

The phase one expansion program was completed in 1971 and the new out-patient’s clinics and Casualty, among other departments, were opened to the public.

Part Two to follow in the next edition

KNH Prime Care Centre (KPCC) celebrates technology breakthrough

By Edel Q. Mwende

The Corporate Outpatient Clinic (COC) has successfully piloted the ERP/E-Hospital system to all new patients effective Monday, October 24, 2022.

The ERP; a Health Management Information System (HMIS) has automated patient registration, appointments, outpatient clinic management, Electronic Medical Records (EMR), Services billing, Pharmacy, Accident and Emergency Management, Ward Management, General enquiries and User Management.

The integrated system, effectively supports decision making for patient care, and hospital administration in one seamless flow. It also helps patients to make early and informed decisions on their health care.

Speaking during a cake-cutting

ceremony with the KPCC COC team, the Manager, Nursing & Clinical Services, Ms. Doris Kimbui congratulated the Clinical & ICT

teams for their tireless effort in ensuring excellent patient experience through the new HIMS.

PHOTO | STEVE ARWA

The back view of the old hospital building that housed the Native Civil Hospital. It was renamed the King George VI Hospital following his death in february 6th, 1952.

Inset: A monument of the tower block building

PHOTO | NICHOLAS WAMALWA

Manager, Nursing & Clinical Services, Ms. Doris Kimbui (2R) cuts cake with representatives from the Clinical & ICT teams to celebrate ERP(E-Hospital) introduction to KPCC COC

Brief:

Emotional re -union in Machakos village

By Winfred Gumbo

On Saturday, October 15, 2022, emotions ran high as a family got re-united with their kin who was reported missing in 2015.

At Mercy Servants of the Poor Institution; a home managed by Sister Mary Musembi in Kithyoko, Machakos County, Monica Nduku and her daughter Anne Twili were elated to meet Mwamali Muthiani; a son and a brother who they vividly reminisced from the last day they saw him. Warm hugs and tears of joy rolled down their cheeks as they assumed they had lost Muthiani forever after visiting several farewell homes to no avail.

Shortly after, Sister Musembi took Mr. Muthiani to his family members, where they sat down to catch up. Ms. Twili and Mr. Muthiani could not hide the emotions of happily re-united siblings.

Lunch was served but the daughter and mother could barely partake the meal but they managed to share afterwards. Amidst all, Mr. Muthiani asked her sister how their father was doing. Sadly, they had lost him while Mr. Muthiani was away from home.

Ms. Monica Nduku; a mother to 7 children, 5 girls and 2 boys says this is one of the best days of her life. The love and joy of a mother was clearly in the air as she embraced her son warmly. “My son got a well-wisher after completing class 8 to join Form 1 in Nairobi. The well-wisher who I barely have memory of promised to enroll him in school, little did I know that was the beginning of misfortunes,” said Ms. Nduku.

“After coming back home well for the first time and leaving for the city, a neighbor met him in the streets of Kibera, Nairobi where he decided to take him home after he noticed the state of his mind,” said Ms. Monica Mr. Muthiani’s sister.

“Shortly after, he started hallucinating and could barely associate with the rest of the family members. He used to eat insects, rodents and all sorts of weird creatures he could trap or hunt,” recounted Ms. Twili. “One day, our mother went to the market and came back to a completely burnt home. It was unfathomable that our house was razed to the ground

by my brother. Upon learning about the incident, I called our mum who indicated that she had left home to never return,” she added.

Mr. Muthiani who had some memories about the past could not help but look at his sister’s face with concern. He said he remembered some incidents but could barely remember others.

“I remember not leaving home jovially. Once I got to Nairobi, I used to sleep in the streets of Nairobi West where I used to beg for money and passers-by could give me some coins for survival. I could find warm corners to spend the night till one day I was involved in an accident and I was taken to Kenyatta National Hospital (KNH),” recounted Mr. Muthiani.

According to Mr. Kelwon Kandie, the Head of Unit, Medical Social Work at KNH, Mr. Muthiani was picked along Lusaka Road by Mr. Elijah Mutuku of Delta Ambulance after he was involved in a hit-and-run road traffic accident (RTA). Contact tracing of his next of kin through finger prints search at the National Registrar Bureau returned no trace.

“Upon recovery, the patient was later placed at Mercy Servants of the Poor Institution on 4th November 2021, after unsuccessfully tracing his relatives. While at the home, he improved and managed to recall the names of his next of kin and the home area,” said Mr. Kandie.

Sister Mary Musembi who had been hosting Muthiani as she fondly calls him recounted her stay with him.

“He did not need any medication

during his stay apart from when he fell ill. I noticed him regaining his memory early this year. I carefully monitored the words he frequently repeated and that is how I managed to contact the Assistant Chief at his village who assisted in tracing the family,” said Sister Musembi.

Sister Musembi gathered the caregivers at Mercy Servants of the Poor Institution a few minutes to 3pm to bid farewell to Mr. Muthiani. The family members thanked the team as Sister Musembi prepared to drop them at a nearby bus stage to get means back home.

From Newsline, we would like to thank Sister Musembi for the noble work she does to the poor by providing a shelter, clothing and feeding them and wish Mr. Muthiani a happy stay with the family.

NB: Mercy Servants of the Poor Institution is currently a home to 12 unknown patients from Kenyatta National Hospital.

HoU Medical Social Work, KNH Mr. Kandie Kelwon (L) Mrs. Monica Nduku (2nd L), Mr. Mwamali Muthiani (C) Ms. Anne Twili (2nd R), Mercy Servants of the Poor Institution Manager, Sister Mary Musembi after the re-union

| WINFRED GUMBO Ms. Anne Twili (L), sister to Mr. Mwamali Muthiani (C), and their mother Mrs. Monica Nduku (R), when they re-united at Mercy Servants of the Poor Institution in Kithyoko, Machakos County Service Week

PHOTO | WINFRED GUMBO

PHOTO

Our story in pictures

Cabinet Secretary, Health - Mrs. Susan Wafula paid a courtesy call to Kenyatta National Hospital accompanied by the Principal Secretary, HealthMrs. Susan Mochache as they toured the facility. She was hosted by KNH CEO Dr. Evanson Kamuri, EBS and KNH Bord Chair Mr. George Ooko.

Kenyatta National Hospital

PHOTO | NICHOLAS WAMALWA

PHOTO | STEVE ARWA

Moi Educational Center Music Team performing a music therapy session for pediatrics in Level 3.

PHOTO | NICHOLAS WAMALWA

KNH Choir entertain staff members who turned up for Cancer screening at KNH helipad grounds

PHOTO | STEVE ARWA

GE Healthcare Customer Relations and Marketing Officer (L) David Wandabwa planting a tree at KNH Rahmtullah wing grounds in commemoration of the environmental and safety month.

Excellence in quality health care provision

By Linnette Leyi

KNH Management on 27th October 2022 recognized the excellent performance and professionalism witnessed by one among many nurses in the Hospital, Mr. Kirunyu Kirunyu Ndirangu.

Ndirangu is a hemato-oncology nurse stationed at Ward 8D and has been working in the Hospital for four (4) years now. He was first recognized through a television interview by one patient, Sandy Momanyi, a bone cancer survivor and amputee. She is a university student in her early 20’s and received care at Kenyatta National Hospital.

While at KNH, she went through chemotherapy and was offered psychosocial support which helped her brave through treatment and amputation. Currently, she is living boldly, facing life with a positive attitude whilst pursuing her hobbies, like dancing.

Speaking while handing over a Certificate of Recognition, Letter of Commendation and Appreciation Plaque to Mr. Ndirangu, KNH Board of Management Chairman Mr. George

Ooko, recognized the extra effort that the Hospital nurses and staff put in to help patients.

“Amputation at any age can be devastating, but Mr. Kirunyu walked the journey with Ms. Momanyi who has now risen above her situation, continued with her life and is even a TikTok star,” said Mr. Ooko. “On behalf of the KNH management and staff, we would like to recognize your professionalism, and we take pride in your hard work and dedication.”

Mr. Ndirangu is grateful for the acknowledgement and appreciation, stating that his motivation is seeing a patient smile. He narrated his experience with the patient, who was at first reluctant to get amputated. “She was devastated upon hearing that her

leg would have to be amputated. I am glad that she did not give up and has now found happiness in her life,” he said.

PHOTO | NICHOLAS WAMALWA

KNH Board of Management Chairman Mr. George Ooko awards Mr. Kirunyu Kirunyu Ndirangu for exemplary performance on his duties as a Nurse in KNH. Looking on is Director, Nursing Services Ms. Raheli Mukhwana (far Left), board member Mrs. Winnie Beauttah (2nd R) and KNH CEO Dr. Evanson Kamuri, EBS

PHOTO | NICHOLAS WAMALWA Mr. Kirunyu Kirunyu Ndirangu display his awards

MR. JUSTUS MAINA WAMAE DR. PATRICIA AKINYI OTHIENO 3. MISS. MARY WANGARI KIMANI 4. MRS. PHYLLIS MUTHONI CHEGE 5. MISS. MARGARET NJERI KIBICHO 6. MRS. ROSILIDER ADHIAMBO JUMA

MRS. HELLEN KAVERE ENGEFU

MR. GEORGE OTIENO ODUOL

MISS. JANE WANJIRU WAWERU 10. MR. MAURICE ONYANGO OTIENDE

MR. JOSEPHAT ANUSU GODIA 12. MR. STANLEY CHERUIYOT LANG’AT

MISS. JULIA NYAKANINI KUNGU

MISS. LUCY WANJIRU WAMBUGU

MRS. FLORENCE MORAA OGAGE 16. MRS. JANE MUTHONI WACHIRA 17. MISS. YUNES KWAMBOKA ONGERI 18. MR. SAMUEL C. MACHARIA 19. MRS. CATHERINE NANGIRA WASIKE 20. MISS. ROSELYNE NAFULA NYONGESA 21. MRS. MARTHA WAJEIYA OKELLO ODIWUOR 22. MRS. LONAH ANYANGO OGUOK 23. MRS. CECILIA WANGARI MATHENGE 24. MRS. JOSPHINE MALEMBA MWACHONI 25. MR. ISAIAH ABINERI MINYONGA 26. MRS. VERONICA AKALE ILERE 27. DR. ANDREW KANYI GACHII 28. MISS. ALICE WAMUYU RWAI 29. MRS. GERALDINE NKIROTE MAINA 30. MR. AMBROSE KIOKO KYULI

MISS. PRISCILLA NJERI KAMAU

MISS. CHRISTINE MWIKALI MUSEE

MISS. JANEROSE WANJIKU KARANJA

DR. PHILEMON OWINO ODUOR

MR. OSUMO OBAGA

MR. DAVID NYABUTO MISIANI

MISS. CECILIA WATHITHI MUNGAI

MRS. CATHERINE KALEKYE MUSEMBI

MISS. PHYLLIS JEPKORIR KISABEI

MISS. JOSEPHINE MORAA NYATWONGI

MISS. ROSE ADHIAMBO OGWENO

MISS. LOICE MARY NJOKI MAINA

MRS. ESTHER WAMBUI KIARIE

MR. VICTOR LEWA JAKA

MISS. RUTH MBITHE KIMAILI

MR. BENJAMIN OBITA ORANGI

MR. GINSON GITONGA BIRICHIA

MR. BOCSO LEONARD OTIENO

MRS. BEATRICE KADENYEKA AMADI

MISS. CHARITY WANGUI KARUMBI

MISS. JANE WANGARI WACHIRA

MRS. ROSELYNE APONDI OPUBA

MISS. MARIEJEAN CHARLES KAWINI

MRS. JANE WANJIRU KARANJA

MISS. ELIZABETH KANANA MWITHIMBU

DR. PETER NDUATI MUIRURI

MISS. ANNE WANGARI KAMANJA

MISS. BEATRICE MUTSAMI SHIRWATSO

MR. HEZEKIAH NJERU NORMAN

MISS. ROSEMARY MUTINDI MUTUA

MISS. VICTORIA NDETO MUIA

MR. FRANCIS MAINA NGUGI

MR. WILLIAM KIPROP CHEPTUMO

MISS. BEATRICE NDUTA WANGAI

65. MR. STANLEY MIRITI LINGERA 66. MISS. ANN WANGARI WANDETO 67. MR. JOSEPH WAINAINA NDUNGU 68. MR. MICHAEL ODHIAMBO KADU 69. MRS. JELIAH NYARINDA OSORO 70. MISS. JULIA MONI OMWAMBA 71. MISS. BEATRICE NJERI WANJAU 72. MRS. ISABELLA NDUKU MULINGE 73. MRS. JOYCE NYERERE 74. MISS. FRIDAH GACHERI THINGU 75. MISS. STELLAMARIS MUKETHE MUTHINI 76. MISS. JANE WAIRIMU NGATIA 77. MISS. SARAH SUCHIA JAVAN 78. MR. ZAKAYO NGEERA MARETE 79. MISS. MAGDALINE WAIRIMU MBUGUA 80. MRS. HANNAH WANGUI MUTUA 81. MISS. JULIA C. GATWIRI ISIAHO 82. DR. BERNARD MURIUKI GITURA 83. MRS. BEATRICE MKAWUGHANGA MWAINDO 84. MISS. SICILY WAWIRA NJIRU 85. MR. JAMES KIPKEMBOI BIRECH 86. MR. WILFRED KIPKETER MOROGO 87. MR. DAVID KAGO NJOROGE 88. MR. WALTER MWASHIGHADI 89. MISS. KENDI LUCY 90. MR. NATHAN KIMATHI TURUCHIU 91. DR. FRANCIS NGATIA KAGEMA 92. MR. CHARLES MUTEMBEI MBAKA 93. MISS. ANNE NKIROTE 94. MR. JOSEPH KIAMA WANGONDU 95. MRS. NANCY WANJIKU MWANGI 96. MRS.MONICA NJERI MUKUNGU NDUATI 97. MR. JOHN KURIA KAMAU 98. MR. JOHNSON KILUMO KOMBE 99. MR. STEPHEN KIMANI KIBUI 100. MISS. LILIAN AKINYI AMOLO 101. DR. SYLVIA KABAGANJA KASSAMI 102. MISS. LINET ACHIENG OBIERO 103. MISS. CATHERINE KAMENE MUBIUH 104. MISS. ELIZABETH WANJIRU KINYUNGU 105. MISS. LUCY WAIRIMU KABURUGU 106. MISS. DOROTHY TEREZA HABWE 107. MRS. JAEL OCHIENG 108. MRS. RACHEL WANGARI WAMBIRU 109. MISS. JANE NJERI KARANJA 110. MISS. LUCY NYANCHAMA MAKORI 111. MISS. ALICE AWUOR AYIEKO 112. MR. FRANCIS MURITHI MWEGA 113. MRS. HANNAH SYOMBUA NGURE 114. MRS. EUNICE MINYACY MMBONE KEZIA 115. MR. QUINTUS KASALA 116. MISS. JACINTA WANJIKU MURAYA 117. MISS. MERCY WANGARI MUNDIA 118. MRS. EPONY NYAKONGANYI KERAGORI 119. MISS. JANE KARIMI ITONGA 120. MISS. GRACE NAFULA KHAYENJE 121. MISS. VIOLET SYOKAU KITAVI 122. MRS. JUDY JEPTUM CHERUIYOT 123. MISS. LUCY MUMBI KIHARA 124. MR. JOSEPH KARUNDI MWANGI 125. MRS. ELIZABETH AKINYI OMOLLO 126. MISS. STELLA MURUGI KAIRI 127. MR. JAMES NDIRANGU NDUNGU 128. MR. PETER MURIU MWANGI

129. MISS. ANNE MWIHAKI MUTURI 130. MISS. LILIAN ATIENO NYIKAL 131. MR. DAVID MICHAEL KIBIRO NJOGU 132. MR. PHILIP KIPKORIR KENY 133. DR. PETER MORARA MICHOMA 134. MISS. HELLEN KANANU IMATHIU 135. MR. LUKA ATULO ONDONDO 136. MRS. IRENE IYADI 137. MISS. CATHERINE KAGENDO MUTUIRI 138. MISS. PAULINE NGENDO MURIITHI 139. MISS. BEATRICE MUNYAGIA NYAWIRA 140. MR. MICHAEL GITHAE KURIA 141. MISS. JOSEPHINE CHEBOR LIMAN 142. MR. DUNCAN KINYUA CHABI 143. MR. NAFTALY GACHAU MUREITHI 144. MISS. ROSE BRILLIAN MUSANGA 145. MR. ENOCK OMANGA MAINA 146. MR. PETER MWAURA GITHUA 147. MR. ROBERT NYAMBANE MAKORI 148. MR. GERALD GAKURU CHEGE 149. MISS. MARY NGINE MULI 150. MR. PETER KIPTUI TOMNO 151. DR.(MISS) PHILOMENA AKOTH OWENDE 152. MISS. ROSELINE NEKOYE KIMINGICHI 153. MR. FREDIE SWAI SILVANO 154. MR. PIUS KIPKOSGEI KOECH 155. MR. EDWARD MUTISYA MUNYWOKI 156. MISS. GLADYS JEPKEMBOI KIPTUI 157. MISS. DORCAS WAMUYU WAHOME 158. MISS. CAROLINE ACHIENG JUMA 159. MR PAUL MURUNGO WACHERA 160. MISS. ABIGAEL CHEPNGENO CHUMO 161. MISS. HANNAH NDUTA GIKIRU 162. MISS. ROSELYNE AMAKANJI OKUTOYI 163. MISS. AGNES KAVULI NDUMBU 164. MR. ALI KIPILAT KAPUSIA 165. MISS. MARY MAGOMA NYAKANGI 166. MR. THEOPHILUS MUMO WATHOME 167. MISS. JUDITH MBEVI MUENI 168. MISS. MARY WANGUI MATHENGE 169. MR. ENOCK ERIC OCHIENG MURUKA 170. MR. JOHN MACHARIA NGUMI 171. MR. RICHARD OMENGE NYAMOKO 172. MISS. BEATRICE MURUGI MWAI 173. MRS. VERONICAH NDUMI SIMIYU 174. MISS. MARY WAMBUI CHEGE 175. MRS.FLORENCE NANZAI MAKACHIAH 176. MR. ANTHONY IKONYA NDUNGU 177. MR. ALVINS CHERUIYOT LANGAT 178. MISS. AGNES MUMBUA MUSYIMI 179. MISS. LILLIAN KWAMBOKA NYANGAU 180. MISS. TABITHA NZULA NDETO 181. MR. ROBERT NGOKONYO NDEGWA 182. MRS.NANCY WANJIRU MUTAHI 183. MISS. BOTUL MOHAMED 184. MISS. CHRISTINE WAMUYU KAMURI 185. MISS. PURITY IGOJI MUTUNGA 186. MISS. MARGARET WANJIRU NDATHE 187. MISS. CECILIA NGINA NZAU 188. MISS. SHARON JEBET 189. MISS. FAITH WANJIRU MWANIKI 190. MR. MOSES ODINDO OTIENO 191. MISS. SUSAN NKATHA JUSTUS 192. MISS. JOYCE CATHERINE KAGWIRIA

193. MR. JOSEPH OCHIENG ONG’UDI

194. MISS. ENED KANINI NKUNE

195. MR. JOSEPH NGUGI KARANJA

196. MISS. ESTHER MWIKALI MWANIA

197. MISS. FAITH NJERI WAITHAKA

198. MISS. JACLINE WANJA MURIUKI

199. MISS. SUSAN MORAA MOMANYI

200. MISS. EUNICE NAIRESIAE MUSEI

201. MR. GILLBERT ONYONKA OBEGI

202. MRS. HAWO ALI

203. MR. PAUL MWENDA MWIRIGI 204. MISS. CATHERINE WAMBUI KAMANDE

205. MR. PHILIP MOLLO ODUK

206. MR. COLLINS JORAM OTIENO ATEGO

207. DR. SAMMY KILONZO MUTISYA

208. MR. MICHAEL NGUGI KAGUORA

209. MISS. SUSAN KARIMI

210. MRS.BRENDA AKINYI OTIENO

211. MISS. BETSY JEPKORIR CHERUTOI

212. MR. ERICK K CHIRCHIR

213. MR. KEVIN KIPKEMOI KAITTANY

214. MR. JASPER NYAMWAYA AYAYE

215. MR. SAMUEL KAMAU KIMANI

216. MISS. ESTHER JEPKOECH SANG

217. MISS. MARY RUTH GEOFFREY

218. MISS. CAROLINE ANYANGO ODHIAMBO 219. DR. KETERE KUNTAI

220. MISS.ANN BANCY WANJA MARTIN NJOGU 221. MR. ANTHONY ATUKE OTISO

222. MISS. JACKLINE NYANCHOKA MOGOA

223. MR. MORRIS MWANIKI NJOKA 224. MISS. JOYCELINE MWARANIA 225. MISS. ROSE MUTHONI NJAGI 226. MR. LEONARD KIPKORIR MUTAI 227. MISS. SARAH WAWIRA MBOGO 228. MISS. IRENE NASIMIYU NAMISI 229. MRS.ELLAH WACHUKA MAINA 230. MR. KENNEDY KIPCHUMBA LIMO 231. MR. FRED J. NGARI NDUNGU 232. MISS. BEVERLY JEBAWEN KOSKEI 233. MISS.CAROLINE KAWIRA GATOBU 234. DR. MARIAN ESIROMO AMASE 235. MR VINCENT SHIMANYULI AMBEYI 236. DR. ERICK NGANGA MWANGI 237. MR. JAMES MATHENGE WANJOHI 238. MR. JESSE KAMAU KINUTHIA 239. MISS. GRACE JEPCHUMBA KOSGEI 240. MISS. LUCY MAITI JACKSON 241. MR. ALEXANDER RICHARD GATIMU GACHAR 242. MR. ALEX MUTYAMBWI WILLY 243. MISS.KEZIAH SAYO KIPANDE 244. MISS. RUTH SYOMBUA KIMEU 245. MISS. VIRGINA WANGUI KAMAU 246. MISS. CHARLES MUNGAI MWAURA 247. MISS. JOSEPHINE NYABATE CHUMA 248. DR. ABDULLAHI ABDI MOHAMED 249. MR. LAWRENCE SIATIKHO MADERE ODUORI 250. MISS. ZIPPORA NDINDI MASAKU 251. MR. EVANS GWARO SAGINI 252. MRS.ALICE NJOKI NTHIGA 253. MISS. LILIAN WANJIRU KINYUA 254. DR. PETER MUNENE GIHUNGE 255. MR. ISAAC MALELE ISEMECK 256. MISS. VIOLA JERONO KENDAGOR 257. MR. ELIUD KIPCHIRCHIR ROP 258. MISS. MERCY NJOKI NJUGUNA 259. MISS. HELLEN MULOMBE KYELI 260. MISS. PHIBIAN ANGECHI JAMODZA

HAPPY BIRTHDAY NOVEMBER BABIES

261. DR. PENNINAH MUMBI KABETHI

262. MISS.FAITH NJOKI MAINA 263. MR. BENARD GACHAGO WAWERU 264. MR. PATRICK MUTINDWA KAMUNDI 265. MISS.ROSE AKIRU NATIR 266. MISS. PAMELLA KAWIRA NTONG’ONDU 267. MR. BENSON ABINERI NYANKURU 268. MR. JOSEPH WARUINGI MWANIKI 269. DR. CAROLINE CLARA WAMBUI NDARATHI 270. MISS. KHADIJA MUTHONI ALI 271. MR. CALEB OLEKETE NYONGESA 272. MISS. JEMIMAH WANGARI WANJIRU 273. MISS. CATHERINE MUNYIVA MUTIE 274. MRS.MARY NDUNDA MBENGE 275. DR. FAITH WANJIRU KARANJA 276. DR. JACQUELINE KAVETE MBULI 277. MR. CHARLES MAKINDA MWENDA 278. MRS. FLORENCE MWENDE NJERU 279. MISS.ANASTACIA NKATHA KAMUNDI 280. MISS. LILIAN CHEPKOECH MARITIM 281. MISS. JOYCE WAMBUI KAROKI 282. MISS. JOSPHINE JEPCHIRCHIR CHEMALAN 283. MR. GEOFFREY KAROMO MURITU 284. MR. ALFONCE TAMA KIVINDYO 285. MR. CLIFF MOSETI OBWOGI 286. MR. DAVID KIMURGOR KOGO 287. MISS. ANITA KAVOCHI MENGESA 288. MR. SAMUEL ORICHO ABUYA 289. MR. AUGUSTINE MUTISYA MUKITI 290. MR RICHARD MBOGO KAMAU 291. MR. JONES MORARA NYABINGE 292. MR. PHILIP OMARIBA ATEMBA 293. MR. DAVID KIBIWOT KANDA 294. MISS CECILIA NYOKABI MWANIKI 295. MISS.FLORENCE WANJIKU MACHARIA 296. MR. SHADRACK KIMATHI MITHIKA 297. MISS.REGINAH ADOYO OUMA 298. MISS. FAITH MWIKALI KITHOKOI 299. MISS. DORIS KANANU MURIANKI 300. MISS. EUNICE NJAMBI NYAGA 301. DR. THOMAS JUNIOR MUNYAO 302. MR. FESTUS JORAM OSINDE 303. MR. VICTOR KIPKULEI KIMECHWA 304. MR. BENJAMIN MUTHINI MBEVI 305. DR. JOHN OUMA NANGURI 306. MR. AMOS MURIITHI MUCHARA 307. MISS.EMMY MUTHOKI MWANTHI 308. MR. JOSEPH ODUOR OWINO 309. MISS. CAROLINE WANJIRU GATHINGI 310. MR. EPHANTUS OSORO OMURWA 311. MISS.HANNAH WANGECI IRUNGU 312. MR. MORRIS MUREITHI NDEGWA 313. MR. CHARLES CRYUS NGAARI MWANIA 314. MR. ARTHUR AYIEKO 315. MR WYCLIFFE TATAYO IYADI

316. MISS. CAROLINE MUKIRI M. KIRERA 317. MR. ROY NZUKI MUTUNGA 318. MISS. YVONNE MUTHONI MBUTHIA 319. MR. BERNARD KOECH 320. MR. ADMSON JAMES LEMINTILA 321. MR. MOSES KANTAI WOTUNI 322. MR. ERICK CHARLES ONAM 323. DR. CYNTHIA ACHIENG ODIPO 324. MISS. PAMELA KENDI KINYUA 325. MISS. MERCY KINARA 326. MISS.FAITH NZILANI MUTISYA 327. MR. ROBERT MUTUMA MURIUKI 328. MISS.EMMA AUMA OUKO

329. MR. ALFRED LANGAT 330. MR. COLLINS OKWAKO YIEMBE 331. MS. JANE NAOMI WAMUYU KIMOTHO 332. MISS. ODESSA WUGHANGA OMANYO 333. MRS.ESTHER OMALE AYUKU 334. MISS. JOYCE JERONO KIPKEU 335. MISS. DORCAS NJERI KABUGO 336. MISS. FRIDA MUKAMI NJERU 337. DR. CATHERINE NAPO MUGOMA 338. MRS.CLARA LUMADI MUDAKI 339. MR. JAMES ODHIAMBO ONYANGO 340. MRS.JACINTA MUKABANA ASHIOYA 341. MR. BENSON OBIRI MOGENI 342. MISS. DOLPHINE KEMUMA OMBATI 343. MISS.CATHERINE CHEPKOECH MUNAI 344. MRS. PENINAH MUTHONI KIHUNGI 345. MISS. WILFRED MBITHI KALUA 346. MISS. JULIET BERYL OMIRE 347. MISS.GLADYS NYAMBURA CHEGE 348. MR. SIDNEY CHIFALU ZOKA 349. MRS.FLORENCE WANGITHI WANJOHI 350. MR. JACKSON MUNENE MUGENDI 351. MISS. FATUMA EDIN ISSACK 352. MRS.ANJELA AMOITI JUMA 353. MISS.LILIAN ACHIENG OTIENO 354. MR. JOSEPH NJUGUNA WAKABA 355. MISS.DOREEN AYIECHA OKWEMBA 356. MR. PHILLIPH MAINGA MAKORI 357. DR. SHEM GEOFFREY AKOKO OKUMU 358. MR. JOSEPH NYAMAI PAUL 359. MRS.QUINTER AWUOR OWINYO 360. MRS.SALOME AYAKO KOTE 361. MISS. LEONIDA BARONGO MOGESI 362. MISS. JOAN NJERI WAMBU 363. MISS.IMELDA OMINDE 364. MISS.JANEROSE MUKAMI NDEGWA 365. MR. FRANCIS MACHARIA NDEGWA 366. DR. LUCY KAREGI MURIUNGI 367. MISS. DOROTHY WANJIKU MBUGUA 368. MISS. RUTH NGAMI MUMO 369. MR. HESBON MISERA NYAMWEGA 370. DR. DENNIS KARANI NKONGE 371. MR. CALVINE OTIENO OBARE 372. MR. RONALD NYAMBANE OGWERI 373. MISS.ELIZABETH AWUOR OLUOCH 374. MR. PETER NGIGI WAWERU 375. MISS. ANGELINE NZILANI MUMO 376. MRS. FRIDAH ADHIAMBO OINDO 377. MR. BRIAN KHAEMBA OMBIMA 378. MRS.DAISY NYAMBURA MBUTI 379. MISS.DEBORAH MULEMIA MALANGA 380. MR. KIPROTICH BENARD TERER 381. MRS.JACINTA MUTHIKE PAUL 382. MRS.PHYLIS WAITHIRA MBUTU 383. MISS.DORRIS NGINA MUNEE 384. MR. JONATHAN KIGEN KIMUTAI 385. MISS.MARTINA WAWUDA MWANYALO 386. MISS. LUCY AKOTH OMONDI 387. MRS.MERCYLINE NAFUNA KACHOMA 388. MISS.MARY WANGARE 389. MISS. VERONICA WAMUCII MUGO 390. MISS. TABITHA NYOKABI NJUGUNA 391. MISS.SARAH CHRISTABEL WANJIKU 392. MISS FAITH WANJIKU KIMUNGE 393. MISS. MERCY ACHIENG OKOYO 394. MISS. NANCY MORAA MARANGA 395. MRS.DEKA SULEIMAN AHMED 396. MISS.WINNIE JEMAIYO TALAM

397. MRS. MARY ANN MWANGANGI 398. MR. MARTIN GICHUKI GACHIE 399. MISS.LILIAN KERUBO MAINA 400. MISS.GLORIA CHEROP MISIK

401. MISS. BEVERLYN MBATHA NZIU

402. MISS.JACINTA JULIET MUTHEU KILONZO

403. MRS. NAKWAWI NATIT PAMELA

404. MISS. CATHERINE WAIRIMU GACHOKI

405. MR. EDWARD ODIWUOR 406. MISS LILIAN CHEPCHUMBA NAIBEI

407. MRS. MAQUILINE AKINYI JUMA 408. MISS.MORINE GATHONI KWAMBA 409. MR. AUGUSTINE NGANGA MUTUA 410. MISS CAROLINE KINYA KIMATHI 411. MISS. AGNES NDWARI KIROTI

412. MISS. JOANROSE CHEPKIRUI

413. MR. TONY KIPCHUMBA KIPROP

414. MR. JUSTUS MAINA WAMAE

415. DR. PATRICIA AKINYI OTHIENO

416. MISS. MARY WANGARI KIMANI

417. MRS. PHYLLIS MUTHONI CHEGE

418. MISS. MARGARET NJERI KIBICHO

419. MR. PHILIP ETYANG

HAPPY BIRTHDAY NOVEMBER BABIES!

JESIP training: Empowering communities to be resilient and prepared to avert disaster

By Joan Macharia

Disasters happen when a community is “not appropriately resourced or organized to withstand the impact, and whose population is vulnerable because of poverty, exclusion or socially disadvantaged in some way” (SRSG Mami Mizutori, UNDRR 2020).

A team from Kenyatta National Hospital (KNH) Participated in Joint Emergency Interoperability Programme (JESIP) training held on 27th Oct, 2022 at Kenya Police Pavilion South C Nairobi which was facilitated by National Disaster Management Unit (NDMU).

The aim of the training was to enhance working together coherently as a matter of routine

with other responders and ensure effective preparation to respond to emergencies in case a disaster occurs.

Among the many areas covered included information management, principles for joint working, shared situational awareness, joint understanding of risks, joint decision model, decision controls, joint understanding of risks and lastly joint learning and debriefing.

While communicating an incident to the relevant people such as to the disaster heads, one of the simplest and standard ways to share incident critical information is METHANE method. The method entails knowing whether the incident is Major (or minor), Exact location of the incident, Type of incident, Hazards associated

with the incident, Access route, Number of probable casualties and Emergency services required (METHANE).

Following the method ensures clarity of information which is crucial in sharing reliable and accurate information.

‘AIM OF TRAINING’

The aim of the training was to enhance working together coherently as a matter of routine with other responders and ensure effective preparation to respond to emergencies in case a disaster occurs.

PHOTO | SUZERN NYAMU

Members drawn from NDMU, KNH and St. John Ambulance pose for a group photo after the JESIP training

By Edel Q. Mwende

Comic Zone

Inspirational Quotes

1. “Nature has given us all the pieces required to achieve exceptional wellness and health, but has left it to us to put these pieces together.”—Diane McLaren

2. “We cannot solve problems with the kind of thinking we employed when we came up with them.” — Albert Einstein

3. “Learn as if you will live forever, live like you will die tomorrow.” — Mahatma Gandhi

4. “Stay away from those people who try to disparage your ambitions. Small minds will always do that, but great minds will give you a feeling that you can become great too.” — Mark Twain

5. “When you give joy to other people, you get more joy in return. You should give a good thought to happiness that you can give out.”— Eleanor Roosevelt

6. “When you change your thoughts, remember to also change your world.”—Norman Vincent Peale

7. “It is only when we take chances, when our lives improve. The initial and the most difficult risk that we need to take is to become honest. —Walter Anderson

8. “The pessimist sees difficulty in every opportunity. The optimist sees opportunity in every difficulty.” — Winston Churchill

9. “Don’t let yesterday take up too much of today.” — Will Rogers 10. “Opportunity is missed by most people because it is dressed in overalls and looks like work.” — Thomas Edison