Newsline We Listen, We Care
8/4/2022
A ray of hope and resilience
PHOTO | NICHOLAS WAMALWA
Issue 7
8/4/2022
Contents ISSUE 7 Editor’s note p.2 A ray of hope and reselience p.3 Feminine hygiene, get the facts! p. 4-5 Quality Data Management-today’s most important business discipline p.5 Haemophilia: Becoming Haemo-aware p.6-7 Our story in pictures p.8 CBRNE Disaster Management at KNH p.9 KNH Mental Health staff receive Psychological First Aid (FPA) training in preparation for Disaster Management p.10 KNH facilitates KCSE exams for admitted candidates p.11 World Bipolar Day 2022 p.12 KNH-Othaya: Taking health care services to consumers’ doorsteps p.13 KNH Mbagathi Hospital - IDU released back to Nairobi Metropolitan Services p.14 Positive mentions from KNH official facebook page p.14 Creating hope for breast cancer patients in Kenyatta National Hospital p.15-16 From the communication desk: How to use communication to tackle sexual harassment in the workplace p.17-18 KPCC Finance: All you need to know about insuarance covers and medical schemes p. 18-19 Comic zone p. 20
ON THE COVER A ray of hope and reselience p. 3
Marketing & Communication Department Design Concept Team: Dave Opiyo, Edel Q. Mwende, Yvonne Gichuru & Collins Cheruiyot
Editorial Team: Dave Opiyo , Edel Q. Mwende, Luke Kung’u, Linnette Leyi, Priscah Angwenyi, Winfred Gumbo & Njoki Waigi
Stories: Edel Q. Mwende, Luke Kung’u , Yvonne Gichuru, Jacqueline Ngure, Godfrey Ekisa Osang’ir, Poline Njue, Alex Mutyambwii, Stephen Nguru Nduati, Petterson Njogu, Priscah Angwenyi, Suzern Nyamu, Sheila Murithi, Njoki Mbaire, Moses Njomo, Enid Kigondu, & Edward Njuguna
Design By: Collins Cheruiyot
Photos: Nicholas Wamalwa, Suzern Nyamu, Yvonne Gichuru, Jacqueline Ngure, Steve Mutuku & Steve Nduati
Tel: +254 20 2726300-9 Ext. 43121 or 43969 Fax: +254 20 272572
Editor’s note
PHOTO | INDIATV
Dear colleagues, On 7th April, KNH joined the rest of the world to mark World Health Day. The event is celebrated annually. Each year draws attention to a specific health topic of concern to people all over the world. This year’s theme was ‘Our planet, our health’. The date also marks the anniversary of the founding of World Health Organization (WHO) in 1948. In the midst of a pandemic, a polluted planet, increasing cases of diseases like cancer, asthma and heart disease, the day focused on global attention on urgent actions needed to keep humans and the planet healthy as well as foster a movement to create societies focused on well-being. WHO estimates that more than 13 million deaths around the world each year are due to avoidable environmental causes. This includes the climate crisis which is the single biggest health threat facing humanity. The climate crisis is also a health crisis. At Kenyatta National Hospital, we celebrate our caregivers who work tirelessly round the clock to provide quality and specialized health care to our patients. #HappyWorldHealthDay2022 from the Newsline team. All the Newslines and Newsletters can be accessed online on: https://bit.ly/3uQGCcI Ms. Winfred A. Gumbo Public Relations Officer, Marketing and Communication Kenyatta National Hospital
Find us on Social Media Kenyatta National Hospital
Email: caffairs@knh.or.ke
@CeoKnh @KNH_hospital
knh.caffairs@gmail.com To contribute or report on newsworthy items, please contact the Editorial team.
ISSUE 7 | Kenyatta National Hospital Newsline
Kenyatta National Hospital Official Page
www.knh.or.ke
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A ray of hope and resilience By Luke Kung’u & Yvonne Gichuru
A
multidisciplinary team of medical specialists from Kenyatta National Hospital led by Dr. Naomi Gachara, a Paediatric Cardiologist, successfully carried out a four (4)-hour highly delicate and complicated Tetralogy repair surgery on two-year-old baby Carson Micky. He is a child of Rose Mirema and Eric Otieno Mirema. Baby Carson was diagnosed with Tetralogy of Fallot at birth in 2020. This is a rare condition caused by a combination of four heart defects that are present at birth which limits blood flow out of the heart and into the rest of the body: a hole in the wall between the two lower chambers, a narrowing of the pulmonary valve and main pulmonary artery, enlarged aortic valve and the muscular wall of the lower right chamber of the heart (right ventricle) being thicker than normal. It is a birth defect that affects normal blood flow through the heart; leading to bluish-looking skin color called cyanosis because the blood doesn’t carry enough oxygen. It happens when a baby’s heart does not form correctly as the baby grows and develops in the mother’s womb during pregnancy. Two weeks after the diagnosis, doctors from the Mama Lucy Kibaki Hospital referred baby Carson to KNH for specialized treatment. He was admitted on January 10, 2022, with the surgery being conducted on January 18, 2022. Unfortunately, young Carson developed complications right after the operation such as pneumonia, lung complications, and kidney failure, which necessitated a multidisciplinary team of specialists that included intensivists (medical personnel specially trained to look after very sick patients round the clock), paediatric
PHOTO | NICHOLAS WAMALWA Dr. Naomi Gachara, Paediatric Cardiologist, KNH (R), Mr. Eric Otieno Mirema (2nd R), and Rose Mirema (L) with Baby Carson Micky during a press briefing at KNH
“Baby Carson was diagnosed with Tetralogy of Fallot at birth in 2020. This is a rare condition caused by a combination of four heart defects that are present at birth which limits blood flow out of the heart and into the rest of the body.”
Baby Carson Micky during a press briefing at KNH
ISSUE 7 | Kenyatta National Hospital Newsline
cardiologists, renal and nursing team among others to take care of him during his two months stay in the ICU and during his admission to Ward 4B. KNH is the only hospital in the public sector that has the capacity both in personnel/expertise and supporting infrastructure to carry out highly delicate successful surgeries. As such there are several patients on the waiting list since KNH attends to 3-4 patients per week against the reported cases in need of specialized surgery. In such cases as for Carson, it limits the number of surgeries since it requires quite involving care (24/7) and a long duration of time in post-operation care (2 months ICU care). Baby Carson has been given a clean bill of health and is expected to live an active, healthy life as well as attend regular follow-up visits to monitor progress.
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Feminine hygiene, get the facts! By Jacqueline Ngure There’s nothing new under the sun, so the saying goes. And the more things change, the more they remain the same. One would imagine that with the increased literacy levels and information overload in our social media spaces, we would know how to distinguish the information targeted for business and profit purposes and the truth, especially regarding our health. A quick scroll through various social media platforms reveals various pages offering feminine hygiene services, such as Brazillian waxing, steaming, and vajacials, just to mention a few. These pages have a massive following, mainly of welleducated, cultured, and sophisticated women who want their vagina to have a ‘golden’ Spa experience. The fact that these pages are promoted by influential women doesn’t help the situation at all. Newsline interviewed Dr. Wachira Murage, a Consultant Obstetrician Gynaecologist in KNH to demystify the myths around feminine hygiene and hopefully save the modern woman from the fallacies perpetuated by people who are merely in business. “It is good to appreciate that the female reproductive system is naturally and wonderfully made, in terms of coping with infections. Hygiene regimes and any modification to the flora and fauna worsen the situation,” added Dr. Murage. The anatomy of the outer part is such that it is always closed and even during an examination, they literally have to separate the lips to access the cavity. That closure
itself is a way of preventing dirt and other organisms from entering. It equally has some other minor movements that keep expelling secretions from the inside to clean the organ. The vaginal mucosa or lining is resistant, meaning it is sort of hardened so that the
ISSUE 7 | Kenyatta National Hospital Newsline
penetration of bacteria and external organisms is not easy. It is also acidic and has low oxygen; making it unfavorable for bacteria to thrive. “When a woman decides that their reproductive organ is dirty, and they have to make certain artificial modifications externally to clean it, then they are opening themselves up to the risk of so many infections that if recurrent could eventually lead to infertility,” says Dr. Murage. “If the vagina has a smell for example, or the discharge is not normal (normal discharge is clear, non-smelling, and mild) then it means that one could be having an infection and should see a doctor who will take a swab, send it to the lab and treat it based on scientific
PHOTO| INSTAGRAM An example of the services offered by the mushrooming feminine hygiene centres across Nairobi
Dr. Wachira Murage, a Consultant Obstetrician Gynaecologist in KNH
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“The vagina should be left to flourish naturally. Basic routine hygiene during shower time is adequate and it involves cleaning the outer part including the vulva and the labia, thus avoiding going inside to avoid messing with the flora and fauna,” said Mr. Wachira results,” he adds. What ladies have been doing by douching, steaming, and cleaning with Vwash is distorting the natural self-defense mechanism and it makes the vagina an easy target for bacteria. Perpetually, one will become dependent on those products, because the more one uses them, the more they distort the natural cleaning mechanism. They will soon enough experience itching and have smelly discharge, and this will begin to affect them psychologically and even lowering their self-esteem. “The vagina should be left to flourish naturally. Basic routine hygiene during shower time is adequate and it involves cleaning the outer part including the vulva and the labia, thus avoiding going inside to avoid messing with the flora and fauna,” added Dr. Wachira. This also applies to the pubic hair removal methods as well. The waxing and vajacials equally expose one to infections and skin conditions such as dermatitis. One can never be certain about the sterility of the instruments used in these procedures and considering how sensitive the vagina is, it is safer not to gamble with it. Dr. Wachira Murage’s message to women is simple: “We are losing our originality when we adopt all these foreign concepts, that are just really business people exploiting one’s lack of confidence. Just stay simple and pursue healthy practices instead.”
Quality Data Management-today’s most important business discipline By Neema Kemunto In today’s modern economy, data is the most valuable business asset. It is the foundation of a business’s information, knowledge, and ultimately the wisdom for correct decisions and actions. Having data that is relevant, complete, accurate, meaningful, and actionable, helps in scaling organizational growth, while the opposite can be detrimental. For an organization to survive and thrive in the current modern economy, it is key that it understands the importance of data management. Data management is the function of planning, controlling, and delivering data effectively in an organization throughout the data cycle. It includes practicing the disciplines in the development, execution, and supervision of plans, programs, policies, and practices that protect, control, deliver, and enhance the quality and value of data and information in the organization. At KNH, Health Data Management has enabled us to integrate and analyze medical data to make patient care more effective and efficient. According to Mr. Samuel Wainaina, the Chief Manager of Planning, Monitoring, and Evaluation, proper data management extracts insights that improve medical outcomes while protecting the security and privacy of the data. He added that effective data management helps in minimizing potential errors and reduction of the
ISSUE 7 | Kenyatta National Hospital Newsline
damages caused by bad data. Investing in data management solutions is fundamental for a health organization such as KNH in strengthening evidencebased decision-making. As the Hospital continues to grow in capacity and service offering, data creation and consumption continue to increase at unprecedented rates making data management solutions essential for making sense of the vast quantities of data. Assessment of the quality of this data is essential to facilitate the Hospital in embracing evidence-based decision making. To improve data management, the Hospital has developed Data Auditing and Supervision Guidelines that will enhance data management processes and improve the quality of data in the Hospital. According to Mr. Felix Kilumbi, Manager of Monitoring and Evaluation, these guidelines will mitigate the impact of poor quality data on the Hospital’s performance while enhancing capacity in routine data collection and
use across the Hospital. To ensure employees have the right data for decisionmaking, the Monitoring & Evaluation Department has incorporated regular data audits in its operations. The data audits according to Ms. Neema Kemunto, Principal Planning Monitoring & Evaluation Officer will be conducted in the various departments as part of the ISO 9001:2015 Internal Quality audits as well as specific audits to be conducted by the Monitoring and Evaluation unit. She added that the data audit guidelines will guide the specific types of audit skills and techniques required for audit preparations, assessment of data quality dimensions, conducting the audit and reporting as well as tools/ instruments that will be used in the data audit process. Managing data quality through analyzing, improving, and controlling will improve transparency and accountability for data management which will result in improved visibility, reliability, security, and scalability of data.
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Haemophilia: Becoming Haemo-aware
By Godfrey Ekisa Osang’ir No-doubt the central nature of blood functions in the human bodies cannot be underestimated, nor overemphasized, as the red fluid defines the health and life of every soul that is alive. Blood has many functions one of which is to ensure a well regulated balance between bleeding, forming a stable clot and the body breaking down this clot to prevent blockage of blood vessels; a process called hemostasis. Hemophilia is an inherited bleeding disorder that results in those affected having low levels of clotting factors that are important to avoid prolonged bleeding. Hemophilia A is more common and these patients have clotting factor 8 deficiency whereas Hemophilia B which is less common; patients have factor IX deficiency. Hemophilia can also be acquired where patients develop antibodies to the clotting factors therefore resulting in bleeding. There are other bleeding disorders such as von Willebrands disease. Hemophilia has a male predominance due to how it is
PHOTO |NICHOLAS WAMALWA Circumscision procedure of the Haemophilic patient being performed by a team of proffesionals led by Consultant Urologists - Dr. James Ikol and Consultant Paediatrics - Dr. Peter Muika
PHOTO | STEVE MUTUKU Dr. Victoria Kithinji- Medical Officer prepairing a haemophilic patient for Factor Infusion procedure
inherited (X-linked recessive pattern) and women are mostly carriers meaning they have one X chromosome with the abnormal gene and the other is normal therefore they do not manifest with disease. People living with hemophilia are at high risk of spontaneous bleeds mostly into the joints such as the knees, elbows and ankles
ISSUE 7 | Kenyatta National Hospital Newsline
or prolonged bleeding and bruising during physical activities. This may also manifest with prolonged bleeding after minor procedures like tooth extraction. Life threatening bleeds can also result such as bleeding into the brain, vomiting blood or bleeding into the throat or neck which can result in breathing difficulties.
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Dr. Kibet Shikuku, Chairman of Kenya Hemophilia Association and a lecturer at the Universty of Nairobi, Pathology Department says that for the all-important red fluid to clot, the body needs special proteins called clotting factors and blood cells called platelets. “Normally, platelets clump together to form a plug at the site of a damaged or injured blood vessel. In people with bleeding disorder, however, the clotting factors or platelets don’t work the way they should or are in short supply,” Dr. Kibet says. A bleeding disorder is a condition that affects the way a human’s blood normally clots. The clotting process also known as coagulation, changes blood from its liquid state to solid. “When a person is injured, blood normally begins to clot to prevent a massive loss of blood. Congenital deficiencies of plasma proteins involved in blood coagulation generally leads to life-long bleeding disorders,” Dr. Kibet affirms. Though are statistics indicate that one in a million people have hemophilia and efforts must be put in place to support those with this condition, to live a normal life. Early diagnosis is key in ensuring proper management and avoid or reduce complications. The KNH Haemophilia and Bleeding Disorder Clinic was launched in 2014 through the support of donors to provide comprehensive care to patients with haemophilia and bleeding disorders. The clinic is currently located in Clinic 17 and runs from Monday to Friday from 8am to 5pm. The clinic serves both adult and paediatric patient population. It is staffed by nurses and a medical officer trained in Haemophilia patient care and work with both paediatric and adult haematologists. The success of this clinic has been hinged on support from the KNH management, Kenya Haemophilia Association (KHA) and donation of factor by the World Federation of Haemophilia (WFH). To date the clinic registry has 302 patients who follow up. In a move aimed at giving a lifeline to people living with hemophilia, Kenyatta National Hospital in collaboration with the University of Nairobi conducted a week-long circumcision initiative from 28th
March to 1st April 2022. A total 55 male patients, including 25 adults and 30 minors underwent the circumcision exercise, which was aimed at painting a smile on the special group that has endured pain and anguish, especially whenever faced with a cut that exposes them to life threatening bleeding. Thirty-eight-year-old Joshua Mutinda, a hemophilia patient who benefited from the circumcision exercise has been living in fear of the cut, a situation that sidelined him from his peers. He states “since most of them do not understand what really it is to have hemophilia as a condition.” “The aftermath of the circumcision procedure was such an exciting moment for me. The experience was so refreshing that I felt like a new lease of life had been injected into my existence,” an elated Mutinda says, as he beams into the future that equates him with his peers, especially in
“Normally, platelets clump together to form a plug at the site of a damaged or injured blood vessel. In people with bleeding disorder, however, the clotting factors or platelets don’t work the way they should or are in short supply,” said Dr. Kibet Shikuku, Chairman of Kenya Hemophilia Association and a lecturer at the Universty of Nairobi
ISSUE 7 | Kenyatta National Hospital Newsline
an environment and culture that traditionally circumcises men. “Male circumcision in people with hemophilia is possible and safe when performed be trained surgeons and under the cover of clotting factor concentrates,” says Dr. Matilda Ong’ondi, Consultant Physician and Clinical Hemato-oncologist at the KNH and Head of Hemophilia Clinic. “This has been a great success with amazing team work from a multidisciplinary team that included surgeons, hematologists, nurses, lab technologist among others. In addition there was participation from teams from other counties and Tanzania with a hope of facilitating the same at county levels,” Dr. Matilda added. This exercise was possible through local and international partners who all played pivotal roles. The Kenyatta National Hospital who provided a ward dedicated to the exercise and ensured it was well staffed as well as the surgical team who dedicated theatre space for the weeks exercise. The World Federation of Hemophilia (WFH) who provided the clotting factor concentrates, Roche facilitated inhibitor testing for all the patients, NovoNordisk Hemophilia Foundation and WFH that assisted in logistics for training during the exercise and Kenya Hemophilia Association who coordinated and organized logistics for the exercise and training. The Kenyatta Hospital continues to live up to its motto; “We listen, we care” and this week it was by meeting a special need in people living with Hemophilia.
PHOTO | STEVE MUTUKU A paediatric Haemophilic patient being prepared for the cut
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Our story in Pictures
PHOTO | COURTESY KNH Finance department during a team building exercise at Maasai Lodge in Nairobi
PHOTO | STEVE MUTUKU
Dr. William K. Sigilai, Director Medical Services (Front, M) with the haemophilia team celebrating the success of the circumcised heomopholia patients
PHOTO | STEVE NDUATI
Dr. Irene Inwani, Senior Director Clinical Services (3rd R) with ward 42 team when she visited the post-op circumscised Haemophilia patients. She was accomapnied by Dr. Lydia Okutoyi, Director Healthcare Quality (3rd L)
ISSUE 7 | Kenyatta National Hospital Newsline
PHOTO | JACQUILINE NGURE
Dr. Caroline Robai, Ag. Director Clinical and Nursing services MMUH-KNH Annex addresing community leaders during engagement meeting between MMUH Management and Kariobangi Community
PHOTO | WINFRED GUMBO
Jaramogi Oginga Odinga Teaching and Referral Hospital (JOOTRH) staff after a benchmarking session at the KNH Farewell Home. They were led by Paul Maina, Ag. Manager Farewell Home (2nd R)
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CBRNE Disaster Management at KNH By Poline Njue A disaster is an occurrence disrupting the normal conditions of existence and causing a level of suffering that exceeds the capacity of adjustment of the affected community. Disaster management entails action or prior organized and managed resources and responsibilities for dealing with all humanitarian aspects of emergencies. It involves mitigation and proper preparedness for disaster response, modalities for stabilizing the victims, rehabilitation, and it further calls for proper strategy and coordination as per the Disaster Management and Risk Reduction: Strategy and Coordination global plan 2010-2011 and The International Federation policies. There are various disaster risk factors such as poverty & inequality, vulnerability, susceptibility to climate change and variability, unplanned and rapid urbanization, lack of disaster risk considerations, myths about disastersunpreparedness on capacity & capability. Chemical, Biological, Radiological, Nuclear, and Explosives (CBRNE) refers to the uncontrolled release of CBRN in an environment or Explosives that cause widespread damage. There are various mitigation factors for CBRNE including: • •
Training to safeguard people and countries from the terrible effects of CBRNE Resource mobilization- this involves procuring and or constructing required items for CBRNE prevention
When CBRNE is not prevented, various effects occur with mass human destruction which results to: • Massive physical impact and loss of lives • Financial/economic constraints • Psychosocial /emotional instability
Disaster management aims therefore to reduce (avoid, if possible) the potential hazards, ensure prompt and appropriate assistance to the victims when necessary, and achieve rapid and durable recovery. According to CBRNE champion for KNH in Kenya and Assistant Chief Nurse, Poline Njue, CBRNE is a disaster of key concern due to various factors: • It is difficult to recognize or detect once released (since it is odorless, colorless, not seen nor felt) • There are ignorance and myths factors on information about CBRNE, ignorance of authority, CBRNE Institutions are not taken seriously, ignorance of CBRNE Partnerships, and lack of plans, resources, and procedures to activate CBRNE specialists. Preparedness for CBRNE can employ either primary or secondary mitigation strategies. Primary mitigation includes reducing the presence of hazards and reducing vulnerability. Secondary mitigation includes reducing the effects of the hazard which entails preparedness through trained personnel, funds, equipment & supplies, safe environment for effective relief. In addition, the response is secondary mitigation that involves an assessment of the equipment needed to reduce CBRNE effects and reduce suffering by ensuring that there is no secondary contamination. Rehabilitation & reconstruction ensures that equipment and facilities needed to reduce CBRNE effects are up to standard. On March 28th, 2017, the European Union (EU) granted Kenya specialized equipment worth Kshs. 32 million to enhance the country’s capability to respond to chemical, biological, radiological, and nuclear (CBRN) incidents arising from intentional, accidental, or natural causes. The collaboration resulted in the implementation of five projects aimed at enhancing CBRN risk
ISSUE 7 | Kenyatta National Hospital Newsline
mitigation efforts. Kenya stands among 8 CBRN centers of excellence globally. The CBRN Centers of Excellence is an initiative of the EU, jointly implemented by the United National Interregional Crime and Justice Research Institute and the European Commission Joint Research Center. The aim is to create regional and national initiatives dedicated to improving national policies and international cooperation in CBRN risk mitigation. Kenya stands among 8 CBRN centers of excellence globally. Following the presidential directive through the letter ref no CAB/NSC/14/2/32 dated 8/8/2013, KNH established a command structure, budget, and SOP based on best practice. As a stakeholder under the Ministry of Health, KNH developed a disaster management plan policy which contained the strategic plan, federal stakeholders, national science and technology policy, scope; lead activities, foundation to bridge identified gaps, and coordination with agencies and applicability. The policy was signed on June 27, 2014. Vision 2030 promotes safety & security and protects Kenyan assets from adverse impacts of hazards & disasters. KNH being the state hospital has a standing Disaster Management Committee (DMC) whose focus is to be a world-class hospital in terms of hazard and disaster preparedness activities.
PHOTO | COURTESY Ms. Poline Njue, Assistant Chief Nurse & CBRNE champion
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KNH Mental Health staff receive Psychological First Aid (PFA) training in preparation for Disaster Management By Yvonne Gichuru Disasters take many shapes; human-made disasters resulting from human errors including industrial explosions or structure failures and natural disasters resulting from physical phenomena including earthquakes and droughts. Other disasters classified as complex can include epidemics or armed conflicts. In whatever form, disasters disrupt communities and can take a serious toll on people, property, economies, and the environment. As a result, the KNH Disaster Management Unit conducted Psychological First Aid training in disaster preparedness and management for mental health practitioners in the mental health department conference room. The 4-day training that began on Monday, March 28th, 2022, was facilitated by the Kenya Red Cross Society Training Institute and comprised various KNH mental health practitioners such as psychologists, counselors, and nurses. Psychological First Aid (PFA), is an initial disaster response intervention to promote safety, stabilize survivors of disasters and connect individuals to help and resources needed. It is delivered to affected individuals by mental health professionals and other first responders. “When a crisis happens or a disaster hits, people rush to address physical injuries and forget about the emotional and psychological effects of the disaster. People get traumatized and shocked and families also get separated to the point that their property gets destroyed. They need to feel supported and made to have a sense of belonging to encourage them and prevent deeper reactions that lead to mental health illnesses.” said Ms. Emily Gideon, Clinical Psychologist - Kenya Red Cross Training Institute and the lead trainer. While disaster management cannot
PHOTO | STEVE MUTUKU All the trainees pose for a group photo after the final class.
PHOTO |STEVE MUTUKU Mr. Benjamin Koech, Secretariat – KNH Disaster Management Committee and Ms. Emily Gideon, Clinical Psychologist - Kenya Red Cross Training Institute engaging the trainees during the class sessions respectively.
prevent disasters, it can prevent them from becoming compounded as a result of neglecting causal factors and manageable risks. Mitigation and prevention efforts can lessen the severity of a disaster’s impact therefore investing in measures that limit hazards can greatly reduce the burden of disasters. Mr. Benjamin Koech, Health Information Officer and Secretariat – KNH Disaster Management Committee who was also a trainer emphasized the importance of psychological aspects of the disaster. “We understand better what needs to be worked on and this training is an opportunity for us to learn how
ISSUE 7 | Kenyatta National Hospital Newsline
to assess the immediate concerns and needs of an individual in the aftermath of a disaster,” he said during the training. “The purpose of PFA is to assess the immediate concerns and needs of an individual in the aftermath of a disaster, and not to provide on-site therapy. To better respond and cope with the immediate aftermath of a disaster, our main objective is to reduce the loss of life and livelihoods. If a disaster happens people need to be talked to and calmed down which is what we refer to as first aid in this sense. This includes the survivors and casualties of the disasters as well as their families. If that perspective
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is not attended to, it can become a disaster on its own and therefore it is important to be prepared,” Mr. Koech added. Psychological First Aid (PFA) also involves helping to provide immediate basic needs, such as food and water, a blanket, or a temporary place to stay. “Health care workers should be made aware of this service, especially in KNH where looking at the setup, there is always a crisis caused by trauma due to terminal illnesses, accidents, or relatives who have lost a loved one, just to name a few. All this is part of psychological first aid,” Ms. Gideon told Newsline. She added that the course aimed to equip the learners with the skills, knowledge, attitudes, and competencies in identifying and responding to various types of disasters and she was happy with the team’s response. “I subjected the participants to an anonymous mental health assessment where screening testing
for anxiety, depression and substance use disorder, suicidality, and posttraumatic stress disorder (PTSD). The test also assessed the help-seeking behavior and this enabled me as a trainer to know what to provide sensitization on and the actions that need to be taken. I did a pre-test to test and gauge the participants’ knowledge before the training and used the same questionnaire as a post-test used as an indicator to determine whether learning happened or not. The score results were impressive. The participants were eager to learn; you could see how they embraced the new knowledge by participating in the training. I was impressed by the participation and it kept me motivated,” said Ms. Gideon. Ms. Judy Murithi, a psychologist and Head of Unit – Employee Assistance Program, KNH coordinated the training and also commended the team for their participation and willingness to learn as well. “The facilitator was knowledgeable
and everyone’s needs and expectations were met. We will implement the knowledge in our institution and teach others what we have learnt. Psychological First Aid is for everyone not only for mental health workers, it cuts across. We are looking forward to calling the facilitator again to reach out to other employees,” she told Newsline. “The training was eye-opening for me because it made me appreciate the importance of taking care of myself too as I help others in need,” said Ms. Peris Wangui, a psychologist and one of the trainees. “Mental health is neither physical nor visible; people suffer without being aware of why so I’d like to challenge the institution to do more such training to better equip the staff” concluded Ms. Gideon. Mr. Koech also thanked the KNH leadership and the disaster management committee members for the opportunity to do and come up with such training for staff respectively.
KNH facilitates KCSE exams for admitted candidates
PHOTO | STEVE NDUATI A candidate doing her KCSE inside the ward in KNH.
By Alex Mutyambwii & Stephen Nguru Nduati A section of Kenyatta National Hospital was temporarily turned into an examination centre for three (3) candidates who sat their Kenya Certificate of Secondary Education exams on March 14th March, 2022.
ISSUE 7 | Kenyatta National Hospital Newsline
The exams kicked off early in the morning with the candidates taking the English paper. The examination took place across 10,413 centers countrywide where it was being supervised by various assigned Teacher Service Commission officers. The concerned authorities from
Kenya National Examinations Council (KNEC), invigilators, and security personnel were set to ensure that the three (3) candidates managed to write and complete their examinations from the Hospital. The students had various underlying conditions; one (1) burns victim, and two (2) of them were orthopedic cases. Mr. Andrea Mogi, Senior Nursing Officer at KNH said: “Though admitted, the students were medically capable of sitting for their exams as per the medical assessments. The students have assured us that they are well prepared and fully capable of doing their exams.” The candidates did their exams with a medical team on standby to handle any arising health issues. The Hospital provided a spacious and secluded space that was away from other patients hence perfect environment for examination and revision. He also commended the support of the parents for their children.
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“Our patients are our biggest priority, which means that all protocols must be observed; that is the washing of hands, social distancing, and wearing face masks properly while maintaining an examworthy environment for the students,’ said Mr. Mogoi. “We wish to thank the parents for their support in every step and their
input has been valuable in getting candidates ready for examinations. Our medical teams are working hand-in-hand with the KNEC team to provide prompt assistance when needed. I believe that we are up to the task as a medical institution. We wish all the candidates success as they pursue their dreams. They are the future of this country,” added Mr.
Mogi. KNEC had a security team to supervise the delivery of the exams, right from the containers to the Hospital, as well as during the actual examination and returning them for marking. The KNH medical team supported and encouraged the students as they sat for their exams.
World Bipolar Day 2022 By Priscah Angwenyi World Bipolar Day is celebrated annually on 30th March. Newsline interviewed Dr. Gibson Mareko, Senior Medical Specialist department of Mental Health on bipolar mood disorder. This year’s theme is #BipolarTogether! NL: What is Bipolar Disorder? It is a condition that features extreme shifts in mood and fluctuations in energy and activity levels that make day-to-day living difficult.
PHOTO | STEVE MUTUKU
Dr. Gibson Mareko, Senior Medical Specialist department of Mental Health on bipolar mood disorder.
NL: What are the major symptoms of the condition? The main symptoms of this condition are alternating episodes of extreme euphoria, mania, and major depression. The fluctuations can be severe, but moods may be normal between the peaks and troughs. The mood swings involved in
bipolar disorder are far severe, debilitating and incapacitating. Hallucinations may also occur in some people. NL: How do symptoms vary from one person to another? Some people have clear mood swings, with symptoms of mania and then depression each lasting for several months, or with months of stability between them. Some spend months or years in a ‘’high’’ or ‘’low’’ mood. A ‘’mixed state’’ is when a manic and a depressive episode happen at the same time. The person may feel negative, as with depression, but they may also feel ‘’wired’’ and restless. Mania or hypomania is a ‘’high’’ mood with symptoms such as: • Impaired judgment • Missing work or school and underperforming • A sense of distraction or boredom • Excessive self-confidence, an inflated sense of self-esteem and self-importance • Likelihood of engaging in risky behavior • ‘’Racing’’ thoughts that come quickly and go quickly, and bizarre • A sense of being on top of the world
mood disorder? • Extreme sadness • Insomnia & sleeping problems • Anxiety about trivial things • Pain or physical problems that do not respond to treatment • Guilt and a feeling that everything that goes wrong or appears wrong is their fault • Weight loss or gain • Inability to face going to work or school, possibly leading to underperformance • Irritation is possibly triggered by noises, smells, tight clothing, and other things that would usually be tolerated or ignored In severe cases, the individual may think of suicide, and they may act on those thoughts. Children and teenagers with bipolar disorder are more likely to have temper tantrums, rapid mood changes, outbursts of aggression, explosive anger, and reckless behavior. The features must be episodic rather than chronic to receive a diagnosis of bipolar disorder. NL: What are treatment options available? Treatment aims to minimize the frequency of manic and depressive episodes and reduce the severity of symptoms to enable a relatively normal and productive life. It combines medications, psychotherapy, and hospitalization (use of mood stabilizers, antipsychotics & anticonvulsants). NL: What is the take-home for anyone with the condition? Talk therapy, physical exercise, and a balanced diet help enhance the overall mental health of a human being.
NL: What are the symptoms of the depressive side of the
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KNH-Othaya: Taking health care services to consumers’ doorsteps By Suzern Nyamu Kenyan workers are more often than not weighed down by the strains and stresses of their respective trades after a long day of hard work. In view of this and the fact that specialised medical services are provided in few hospitals the idea of KNH-Othaya was borne with the aim of decentralising specialized medical services. In view of this and in a bid to take services closer to patients across the region, Kenyatta National HospitalOthaya has embraced the concept of satellite clinics running every month. At the satellite clinics, patients are attended to, and if there is a need for the opinion of a specialist, the patient is booked. The satellite clinics embrace a financialy stable patients getting specialized services at their doorsteps, thus easing the burden for general out patient services. “These clinics aim to give patients the same standard of care they receive at the KNH main Hospital. The satellite clinics have a major role in boosting access to medicine and healthcare” noted Mr. Gwaro, the satellite clinic coordinator. The services offered include general consultation, laboratory tests, nutrition counseling, covid-19 vaccination, counseling, and HIV testing. All these are offered at a slightly subsidized cost. In addition to increasing access to healthcare and reducing the crowding at the main Hospital, these satellite clinics are also a strategy to expand the reach of the KNH-Othaya brand. Through these clinics, individuals that have never visited the main Hospital get to learn about the services that KNH-Othaya offers. “We appreciate the services brought to us right here at our place of work. This has saved us a lot of time and transport expenses,” remarked Ms. Rose the Production Manager at Iria-ini Tea factory in Othaya where the Hospital held the first satellite clinic on February 8th and 9th 2022.
PHOTO | SUZERN NYAMU A patient being triaged at Gìtugì Tea Factory in Othaya.
PHOTO | SUZERN NYAMU KNH-Othaya team at a satellite clinic at Iria-inì Tea Factory in Othaya
These sentiments were also echoed by the Production Manager, Gitugi Tea factory in Othaya where we held the second satellite clinic. The satellite clinics are based on a patient-centered consultation
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style with a lot of active listening. It is fulfilling to see the satisfaction on the faces of those who have been attended to through the KNH-Othaya satellite clinics.
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KNH Mbagathi Hospital –IDU released back to Nairobi Metropolitan Services By Sheila Murithi KNH Mbagathi Hospital- IDU was handed over to Nairobi Metropolitan Services on Tuesday, March 29th, 2022, as a result of the decrease in COVID-19 cases. The facility was used as an Infectious Disease Unit during the peak of the pandemic. “We are happy to have been able to serve Kenyans during the surge and now we will be able to transform the facility back to be our maternity area,” said Dr. Loice Mutahi, Medical Superintendent, NMS. Mr. Job Makanga, Senior Director Corporate Services, KNH said: “Various inventory including 3 -10,000 liter water tanks, generator, an oxygen tank, which were improvements on the facility after KNH took over, will be left in the hospital to continue serving Kenyans.” The inspection of the facility was done by both teams as part of the handover process. Thereafter, the event came to a successful end with the official handing over of the Facility’s keys.
PHOTO | NICHOLAS WAMALWA Dr. Loice Mutahi, Medical Superintendent, NMS chairing the handover meeting for the KNH Mbagathi-IDU facility
“We thank Nairobi Metropolitan Services Kenya for the support they granted Kenyans during the rocky peak of the COVID-19 pandemic,” concluded Mr. Makanga as he handed over the keys.
PHOTO | NICHOLAS WAMALWA Mr. Job Makanga, Dir. Corporate Services, KNH and Dr. Loice Mutahi presents the signed agreement to officiate the handover
POSITIVE MENTIONS FROM KNH OFFICIAL FACEBOOK PAGE By Luke Kung’u Beth Mwangi: Special thanks to Dr. Mong’are and his team at ward 8D. You worked day and night trying to investigate my mum’s issue and you kept assuring us that you were doing your best to hasten the process. She’s responding so well to the chemotherapy. May God bless you and your entire team. Lucey Njery Mwangi: I am humbled by Dr. Njogu, KNH Renal department. You did a kidney biopsy for my son, and later the treatment started. You treated and God healed my son. God bless you. Top fan Celly Minanga : Neurosurgery department, Dr. Mwangi, Dr. Owiti and Dr. Tracy, may divine blessings follow you and your team. The nurse in charge ward 4C and all the nurses, be blessed too. Public
Health department. Maurine mbarikiwe sana. Azra M Runji: I had 2 nurses attending to me when I was in labour (I was trying for V-birth after my 1st CS). They would come to check up on me every 30mins and I truly felt supported. I still appreciate the fact that they gave me an opportunity to try for normal birth. I had a C-section in the end but I appreciate they did not rush me. They did that CS only when it was necessary. Esther Nanjala Aroka: I was served at 9th floor by Obadiah from catering department in December 2021. He is pleasant and gave me amazing service so kind and also nurse Eunice of ward 9A. Magdaline Shera Karera: Dr. Michoma and all 9D prime care staff. God bless them.
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Kez Wanja: Thank you Jack from Casualty department. You helped me when I needed it. Big ups, I appreciate you sana! Top fan Nelly Waithira : Xray this goes to you guys mbarikiwe they are good hearted God remember them. Carolyne Makokha: I’m thankful to surgery department as a whole you made me have life once more. God bless Kenyatta National Hospital. Karing’uri M’Mwirichia: I thank Dr. Karanja the paediatrician lady who treated my daughter very well while admitted in ward 9A in 2018. Also Dr. HW Kihara, continue resting in peace. Jacinta Itenya: Paediatric neurosurgeon; Doctor Omar,I salute you and all the nurses in ward 4C.God awabless tu sana.
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Creating hope for breast cancer patients in Kenyatta National Hospital Meetings are held monthly, to not only spread awareness of the illness but also to support oncology patients through the tough treatment. By Njoki Mbaire Waigi and Moses Njomo The Patient Navigation Program (PNP) was initiated in 2017 as a collaboration between Kenyatta National Hospital and the American Cancer Society(ACS). It seeks to address challenges faced by cancer patients as they seek treatment at the Hospital. The program involves three levels of navigation, and they work systematically to achieve the best hospital experience among cancer patients. The levels include Clinical navigation; which is composed of specially trained nurses who simplify the cancer diagnosis into a simple language that patients can understand. They also provide cancer education booklets. The second level comprises Patient access representatives/ physical navigators who give directions to service centers in the Hospital. They also provide wheelchairs and stretchers to patients who need them. Lay navigators/ Oncology social workers mobilize resources to support cancer patients; they organize support groups and link patients to support centers. There are three lay navigators in the Hospital; Wilson Mosbey, Tabitha Wangari, and Tom Ochieng who work closely with specialists, and other organizations to host support group sessions. One of these organizations is Warrior Glow which was started by UON medical students and aims to help cancer patients cope with the harsh side effects of cancer treatment. The students are volunteers and take this initiative as an opportunity to learn about the condition and hone their skills to help the cause with activities such as making breast prostheses using wool. For breast cancer patients, Warrior
Glow specializes in helping the patients with the two main side effects: Alopecia (Hair Loss), and nail damage. Cancer treatment is a tough illness and with this in mind, KNH/UON recently organized a beautification program. The event was organized by Tom Ochieng and Tabitha Wangari, who invited two specialists: Radiology oncologist, Dr. Anne Rugwe and Assistant Chief Nutrition officer, Judy Cheruiyot. They also invited breast cancer survivor, Mrs. Florence Akoth to give and inspire the breast cancer patients on Friday, February 25th, 2022. Her story is of pain, resilience, and victory. Dr. Anne Rugwe, the Radiology Oncologist, highlighted the risks and symptoms of breast cancer while responding to questions during the session, and this was very informative and much needed. Most patients did not comprehend why others were going through chemotherapy, while others went straight to surgery. She explained that it depended on the biopsy results, and how the results specify how large the tumor is and the rate of spread. The clarification enlighted the patients since some had complained that they were not informed. Nutritionist, Judy Cheruiyot explained in detail the importance of
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changing their diet during treatment and also gave the effects of proteins, iron and vitamins, calories among others and the importance of exercise. A very passionate cancer patient survivor, Florence Akoth gave her testimony that early 2015, during a free medical screening at her church, Florence was informed there was a lump in her breast. She was not too worried, however, her sister insisted that she gets checked at KNH. In December of the same year, she was diagnosed with left breast cancer. During her second ultrasound, her doctor informed her that the tumor had grown from 2cm to 8cm. She then took the results to Aga Khan, where she learned that she was at stage 3. She began her chemotherapy in 2016 and oftenly preached about God’s grace in her situation. “I help others because I came to realize that God made me experience this so that I may encourage other oncology patients,” said Ms. Akoth. Her chemotherapy sessions resulted in major side effects and her two daughters received the news with heavy hearts. She however did not give up but continued to encourage her children and other patients. In October 2016, she had finished her radiation treatment, and
PHOTO | COURTESY A very passionate cancer patient survivor, Florence Akoth
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in January 2017, she went for an MRI scan, and when the results showed that she was in remission. She was overjoyed and did not stop helping others in hospitals. To this day, she has been making a difference in this cause, changing minds one hospital at a time. The warrior glow initiative had various gifts for the patients, such as amazing scarves/turbans, to teach them how to tie them on their heads. As explained by one of the members of Warrior Glow, Wangari, patients who start losing their hair, and develop darkened nails, experience body dysmorphia, which often leads to depression. Teaching them scarf styling will help with dysmorphia stigma, and will help improve their body outlook. They taught them two simple styles to help them understand the process. The main goal was to help them perfect their tie, and not do it for them. The nail damage mainly comes from chemotherapy. Warrior Glow explained to them the costs of this care, like nail files, and nail polish to conceal the darkened nails. They also did manicures and taught them how to file. Wangari informed the patients about the affordability of prosthetics. The wool prosthetics help after mastectomy and one can send their size and the students can weave them a prosthesis. The event ended in an interactive session, where the volunteers and patients shared a meal together. This initiative continues to change one life at a time, encouraging them with these acts of kindness. Njoki is an intern at the Marketing & Communication department at Kenyatta National Hospital.
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From the communication desk:
How to use communication to tackle sexual harassment in the workplace By Sheila Murithi It was not long ago that we watched in utter fear and disbelief what happened to the young lady on Forest Road in broad daylight as she lived through her worst nightmare. Being sexually assaulted by a gang of boda boda riders was the last thing, wait, the thought did not even cross her mind earlier that day but sadly it is the harsh reality that most women and men live in; that sexual harassment is widely rampant today. In this day and era, the world is indeed a dangerous place to live in. According to Section 23 (1), Sexual Offences Act (Act No. 3 of 2006) an employee is sexually harassed at the workplace if an employer, his representative or a co-worker makes unwelcome sexual advances or requests. Furthermore, an employee is sexually harassed if the employer, their representative or co-worker shows physical behavior of a sexual nature that directly or indirectly subjects the employee to behavior that is unwelcome or offensive to that employee. Globally, an article published on 26 Shocking Sexual Harassment in the Workplace Statistics [2021 Update] demonstrates the severity of the matter as illustrated below: • 44% of women in the restaurant industry have experienced sexual harassment from someone in a management or ownership role. • Only 17% of sexually harassed male nurses report it to their employer. • Roughly 58% of women harassed at work don’t file a complaint. • Only 1% of sexually harassed victims confront their perpetrators. • 7 out of 10 disabled women have experienced sexual harassment in the workplace. • 140 countries have laws on sexual harassment in the workplace. • $22,500 per person is the
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average cost of lost productivity. • 31% of all victims feel depressed and anxious upon experiencing sexual harassment or assault. (Source:https://whattobecome. com/blog/sexual-harassment-inthe-workplace-statistics/) Workplace sexual harassment is prevalent in Kenya. This is evidenced, in part, by the results of a study conducted on 356 participants in the Medical College of Nairobi that revealed that 43 percent of the students and 27 percent of the staff had experienced various forms of sexual harassment. (Source: Koi V, Auka J and Kilaha S, ‘Perceived magnitude of sexual harassment in learning institutions: A case study of Kenya medical training college, Nairobi’ 2(1) International Academic Journal of Social Sciences and Education, 2018, 70-71.) All institutions must create and maintain a workplace that is free of sexual harassment. The communication strategies below can be instrumental in getting this vital information out to staff:
1. Demonstrating that sexual harassment prevention is the Hospital’s priority Growing the awareness of the need to be even more proactive in taking steps to educate and inform staff about the types of behaviors that will not be tolerated in the workplace. The harassment policies should not only be communicated during on-boarding and training cycles but in staff meetings and internal communications. But not all communications are created equal. To help prevent sexual harassment at work, research shows that communications should not be lukewarm in tone, rather, they should include strong, undisputable statements that preventing harassment is a high priority for the institution. It is critical that these communications come from leaders throughout the institution, preferably top executives, and not just Human Resources. If the leadership regularly and authentically communicates that sexual harassment prevention training is a high priority then it will be taken seriously, managers and employees will follow suit.
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2. Unequivocal understanding of what sexual harassment entails by all staff and management. It is essential to clearly outline what is considered as sexual harassment, types of actions and behaviors that are inappropriate. Equally important is educating executives, managers, and employees about the more elusive forms of sexual harassment. These lower-stake behaviors or comments not only damage working relationships and team culture but also if left unchecked, may escalate into more serious harassment. Therefore being clear and direct is key. 3. Keep Sexual Harassment Prevention Training Positive Considerable trainings on sexual harassment is focused on the negative which can signal to employees a belief that they may be part of the problem. Instead, prevention research shows that taking a positive approach is a better way to get the message across and engage employees in helping to create and nurture the desired environment. Using positive messaging that assumes employees want to do the right thing, engages them to be a part of the sexual harassment prevention
solution, and motivates them to help promote a respectful culture can be far more effective in shaping employee conduct than a “stick” approach that focuses on bad behavior and consequences to be avoided.
• Interrupting incidences of harassment or its warning signs • Supporting others who have experienced harm after the fact • Formally reporting harassment • Encouraging others to join in advocating for the change
4. Avoid using legal jargon Most employees are not employment law experts, so using legal language as the index against which acceptable workplace conduct is measured and guide daily actions can drive behavior standards to the lowest levels. In contrast, a focus on professional, respectful behavior is more likely to engage and influence employees and managers than a focus on identifying legal violations.
6. Take Swift and Decisive Actions as Issues Arise If employees feel that nothing will be done if sexual harassment issues emerge, they will stop reporting these incidents; further, those employees who may commit harm may feel bolstered to continue. Thus, it is critical that employers respond promptly to reports of harassment, engage in a thorough and objective review/ investigation of the matter, impose meaningful consequences as appropriate, and let the reporter know that they have done so. The reporters will act as advocates of the set policies and the desired change and other employees will buy-in. The work environment will improve and this will benefit both the staff and the institution. Putting these preventative strategies to work can help prevent sexual harassment at the workplace while building a culture that is respectful and supportive.
5. Encourage employees to own the process and be part of the solution By enlisting the assistance of employees themselves can boost the probabilities that incidents or warning signs of harassment will be seen, reported and acted upon and even prevented. HR is not responsible for preventing sexual harassment at work, all employees are. All employees can be trained to serve as good onlookers by helping to support a positive and respectful culture by:
KPCC Finance: All you need to know about insurance covers and medical schemes By Petterson, Enid Kigondu & Edward Njuguna Health is wealth and having good health insurance is integral when illnesses strike. Kenyatta Prime Care Centre recognizes that health can be quite expensive and, therefore, encourage clients to have upto-date health insurance cover. The most common and widely accepted insurance is the National Hospital Insurance Fund (NHIF). NHIF has two common schemes which include National Scheme and Comprehensive Scheme. The National Scheme is for self-contributors, who besides bed cover also benefit from preauthorization services of CT scans, MRI,
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dialysis, and chemotherapy drugs. Comprehensive schemes on the other hand are subject to set limits by NHIF but the finance department requests ex-gratia assistance from NHIF regarding exhaustion of the limits upon discharge. The comprehensive scheme, on the other hand, caters to members of the civil service under Ministries, the National Police Service, Defense Forces, and Parastatals such as KPLC among others. The scheme, in most cases, provides full coverage on all expenses unless otherwise advised by our finance department. Fundamentally, clients are expected to provide their original ID and NHIF smartcards for verification on admission but copies should be availed on discharge. Members using the comprehensive scheme at KPCC are usually advised to fill in the preauthorization forms for a quick and prompt process while processing discharge. Pre-authorization forms include: • • • • •
Oncology pre-authorization form Surgical pre-authorization form Dialysis pre-authorization form Dental pre-authorization form Diagnostic pre-authorization form
The above forms have to be duly filled by the requesting doctor and correct information given. Requirements to use NHIF at the private wing are: i. One must be eligible for services at the institution. For the principal member, one must present copies of the national ID and NHIF card and the original ID. For the spouse, a copy of the principal member’s NHIF card and ID card and the spouse’s ID card with copies. ii. For children under 18, they should present a copy of the birth certificate and a copy of the principal member’s NHIF card and ID card. For children above 18, a birth certificate, a letter from the institution of schooling, and a copy of the principal member’s NHIF card and ID card Members are advised to check their limits regularly to avoid inconveniences.
Other insurances that are accepted include the AON Minet which covers members of the Teachers Service Commission (TSC). Members requiring outpatient services must have a referral letter from Bliss Health Centre and birth certificates for children under 18. For inpatient services, members are advised to fill out the admission forms before admission or within 24 hours of admission. It covers all services inpatient except bed charges where by they are catered for by NHIF. Other insurances accepted at KPCC are: • Outpatient & inpatient medical covers 1. AAR 2. Geothermal Development company 3. Kenya Ports Authority 4. Kenya Revenue Authority 5. Aon Minet Insurance 6. Medical Administrators Kenya Limited 7. Nairobi City Water 8. PCEA Kahawa Sukari 9. Moi University 10. Takaful Insurance 11. UAP 12. CIC 13. Equity Insurance
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• Inpatient-only medical covers Jubilee Insurance • Kenya Power & Lighting Co • Kenya Utalii College • Kenyan Alliance Insurance • Kenya Wildlife Services • Laser Insurance Brokers • Madison • National Intelligence Services • Pacis • Postbank • Sanlam General Insurance • APA • Armed Forces Canteen Org. • ALS Limited • Bomas of Kenya • Britam • Compassion International • Eagle Africa Insurance • Egerton University • Defense Forces Memorial Insurance Scheme (DEFMIS) • First Assurance • Heritage • Innis Burundi • JKUAT Advantages of Health Insurance 1. It covers all expenses before and after the hospitalization period 2. It pays for unexpected losses 3. Manages cash flow uncertainty 4. Promotes risk control activity
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Comic Zone Laughter, the best medicine!! By Edel Q. Mwende
Sharp Objects Employed as a dental receptionist, I was on duty when an extremely nervous patient came for root-canal surgery. He was brought into the examining room and made comfortable in the reclining dental chair. The dentist then injected a numbing agent around the patient’s tooth, and left the room for a few minutes while the medication took hold. When the dentist returned, the patient was standing next to a tray of dental equipment. “What are you doing by the surgical instruments?” asked the surprised dentist. Focused on his task, the patient replied, “I’m taking out the ones I don’t like.” Constant congestion A customer walked into my pharmacy asking for a particular nasal spray. “You know, that brand is very addicting,” I warned her. “If it’s used for a prolonged period of time, your congestion can come back worse than before, prompting even further use.” “That’s ridiculous,” scoffed the woman. “I’ve been using it every day for years.” Video game lessons While attending a laser seminar for obstetric and gynecologic surgeons, I found a booth where the doctors were encouraged to practice their laser skills on animal tissues. One young intern used an excellent technique dissecting a membrane. “Where did you learn that?” I asked her. “Labs? Seminars? Conferences?” “No way,” she replied. “Nintendo!”
Inspirational Quotes 1.
“We have to be better. We have to love more, hate less. We’ve gotta listen more and talk less. We’ve gotta know that this is everybody’s responsibility.” — Meghan Rapinoe
2.
“Trying to grow up is hurting. You make mistakes. You try to learn from them, and when you don’t, it hurts even more.” — Aretha Franklin
3.
“Never bend your head. Always hold it high. Look the world straight in the eye.” – Helen Keller
OUR MISSION To optimize patient experience through innovative healthcare; facilitate training and research; and participate in national health policy formulation
4.
“Let love rule.” — Lenny Kravitz
5.
“The power of imagination makes us infinite.” — John Muir
OUR MOTTO We Listen, We Care
6.
“The only journey is the one within.” — Rainer Maria Rilke
7.
“If my mind can conceive it, if my heart can believe it, then I can achieve it.” — Muhammad Ali
8.
“Embrace the glorious mess that you are.” — Elizabeth Gilbert
OUR VISION A world class patient-centered specialized care hospital
ISO 15189 ACCREDITED
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