KNH NEWSLINE EDITION 8

Editor’s note p. 2

KNH Board inaugurated p. 3

Paediatric Surgery Unit holds annual Hernia and Undescended Testis Surgical ProjectMMUH p. 4

Ability beyond my disability p. 5

Reverend. Jecinta Kiugi: A Spiritual Journey to KNH Chaplaincy p. 6

World Asthma Day marked at KNH p.7

Nutrition Department holds first Wellness Day p.8-9

KNH’s five-year Strategic Plan 2018-23

Performances at a Glance p.10-11

Role of medical laboratory personnel in health care provision p.12

Debunking KNH car stickers p.13-14

Vows of marriage in a hospital set-up p.15-16

KNH observes World Hand Hygiene Day P.16

Free flap reconstruction surgery P.17

Understanding the Crucial Role of Occupational Therapy at Mama Margaret Uhuru Hospital(MMUH) p.18-19

Our story in pictures p.20

Ya mgambo imelia UK.21

Positive mentions from KNH socials p.21

Birthday Wishes p. 22-23

Comic zone p. 24

Editor’s note

Marketing & Communication Department

Design Concept Team:

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

Editorial Team:

Dave Opiyo, Winfred Gumbo, Linnette Leyi, Shiphrah Njeri, Philip Etyang, Priscah Angwenyi, & Steve Arwa

Stories:

Philip Etyang, Winfred Gumbo, Priscah Angwenyi, Steven Arwa, Effie Mboya, Stephen Mukaya, Henry Karuti, Elizabeth Wambui, Linnette Leyi, Luke Kung’u & Edel Q. Mwende

Design By: Collins Cheruiyot

Photos:

Steve Arwa, Joe Muita, Linnette Leyi & Effie Mboya

Tel: +254 20 2726300-9

Ext. 43121 or 43969

Fax: +254 20 272572

Email: caffairs@knh.or.ke

knh.caffairs@gmail.com

Dear Colleagues,

The new KNH Board of Management was inaugurated in a colourful ceremony held at the KNH boardroom on 03/05/2023. The event was presided over by Health Cabinet Secretary Susan Nakhumicha. Present during the event were Health PS Peter Tum, Board of Management Chairman Dr. Samier Muravvej and KNH CEO Dr. Evanson Kamuri, EBS. Other Board Members present included; Dr. Julius Ogato, Mr. Alfred M. Kagika, EBS, Mr. Emmanuel Bitta, Prof. George Osanjo, Dr. Joseph Wafula Mutunga, Ms. Catherine Kathure, Mr. Thomas Kipkoskei and Corporation Secretary Mr. Calvin Nyachoti.

You can access all KNH Newsline and Newsletter publications online at: https://bit.ly/3uQGCcI

Ms. Winfred A. Gumbo

Public Relations Officer, Marketing and Communication Kenyatta National Hospital

KNH Board inaugurated

By Philip Etyang

Cabinet Secretary for Health, Nakhumicha S. Wafula, inaugurated the new Kenyatta National Hospital (KNH) Board of Management on Wednesday, May 3, 2023. The Health CS was flanked by Engineer. Peter Tum, the Principal Secretary of Medical Services, who is also a board member of KNH.

The event was held at the Hospital’s boardroom and was led by led by KNH Board Chairman Dr Samier Mravvej and CEO Dr Evanson Kamuri, EGH.

Speaking at the ceremony, the CS emphasized on the importance of institutions like KNH in achieving the nation’s journey towards universal healthcare.

“The government is committed to supporting the management of KNH in fulfilling its mandate and providing high-quality healthcare services to all citizens,” she said.

The Health CS expressed optimism in the abilities of the new team to steer KNH to greater heights. “We wish the members of the new board well in their new positions and express our optimism in their ability to lead KNH towards even greater achievements. Together, we can ensure access to comprehensive and quality healthcare for all Kenyans,” she said.

The new KNH Board of Management members include; Dr Samier Mravvej (Chairman), CEO Dr Evanson Kamuri, EGH, Dr Julius Ogato (Alternate to the Principal Secretary Ministry of Health), Mr Alfred M. Kagika (Alternate to the Cabinet Secretary, The National Treasury), Mr Emmanuel Bitta (Board Member), Prof. George Osanjo Dean College of Health Sciences, UoN and Board Member). Others include Dr. Joseph Wafula Mutunga, Ms. Catherine Kathure, Mr Thomas Kipkoskei (all Board Members) and CS Calvin Mogute Nyachoti Corporation Secretary and Director for Legal Services.

The newly constituted board of management bring on board a wealth of experience and expertise in healthcare, administration and governance.

The Marketing &Communication Department wishes the new team success as they

embark

on their new roles.

“The government is committed to supporting the management of KNH in fulfilling its mandate and providing high-quality healthcare services to all citizens. ,”

Cabinet Secretary for Health, Nakhumicha S. Wafula

PHOTO | STEVE ARWA

Cabinet Secretary for Health, Nakhumicha S. Wafula addressing the new KNH Board of Management during the inaugaration ceremony in KNH board room on the 3rd of May 2023

PHOTO | STEVE ARWA

CS Health Susan Nakhumicha, flanked by PS Health Peter Tum and KNH Board Chairman Dr. Samier Muravvej during the inauguration of the new KNH Board of Management on 3rd May, 2023 at an event held at the KNH board room.

Paediatric Surgery Unit holds annual Hernia and Undescended Testis Surgical Project

By Winfred Gumbo & Sarah C. Wanjiku

Kenyatta National Hospital (KNH) Paediatric Surgery Unit held the Annual Hernia and Undescended Testis Surgical Project between the 2nd and 5th of May, 2023 and saw a number of children benefit from the life changing procedures.

Before the Surgical Project, a multidisciplinary Committee chaired by Dr. Francisca Syovata, Paediatric Surgeon who represented the Head of Unit for Paediatric Surgery was constituted with every representative being allocated a task to ensure smooth flow of events come the actual week of the project.

Screening took place at both the Paediatric Surgical Outpatient Clinic No. 23 and Ward 4A from 24th - 28th April followed by the 4-day project.

Hernia is a condition where a tissue pushes out of its original cavity and bulges out of the wall. There are various types of Hernia which include Epigastric Hernia, Femoral Hernia, Hiatal Hernia, Incisional Hernia, Inguinal Hernia and Umbilical Hernia which all have various causes.

According to Dr. Jeremiah Kamwetu, Paediatric Surgeon at KNH, Hernia can be detected as soon as a child is born or during the neo-natal period. “Normally for the Inguinal Hernia, a parent, a physician or a mid-wife will identify it immediately a child is born. They will notice a protrusion in the groin or umbilicus when a baby is crying or when there is an increase in the abdominal pressure like when attempting to pass stool or urine. It is most common when the babies are crying or in distress,” he said during the interview.

“When the children are in the womb, the testis are usually inside the abdomen. They need to descend, pass through the groin and get to the scrotum by the time the babies are born so you find that there are some children who by the time they are born, the testis can get stuck somewhere along that line,” added Dr. Kamwetu.

He further said that failure to rectify these can lead to long-term consequences. “The longer the testis is out of the scrotum or high, the higher the risk of infertility and testicular cancer.”

To easily identify the conditions, parents need to look out for

symptoms that could point to the need for urgent medical intervention, particularly by a Paediatric Surgeon.

“For the boys, it is always advisable for mothers, fathers to just check in their scrotum and see if they can feel both testis. If they cannot feel them, they should get checked and be confirmed for the diagnosis,” said Dr. Caroline Mwende, a Paediatric Surgeon, KNH.

Newsline had an opportunity to speak to a couple of mothers whose children were among the first group to undergo surgery and the delight on their faces was evident.

“Kusema ukweli hii Kenyatta imetusaidia sana,” (Speaking the truth, KNH has been of great help to us), said Ms. Millicent Ragot whose 8-year-old child was recovering at Ward 4A.

Ms. Ragot knew her child had undescended testis one week after birth while dressing him with diapers.

“Nikimfunga diapers, nilikuwa naona upande moja imehang,” (I noticed one side of the testis were hanging), she said.

Every hospital she went to kept pushing the surgery forward since there were a lot of children booked previously before her. She eventually gave up on waiting and was excited when she got to know of the project via the KNH Twitter page.

Ms. Linda Wambui could not hide her joy too. “For the past two months, my child started having a swelling on his private parts and when I got to know of the project, I brought him

for screening and he was booked for surgery,” she said.

They are among the majority of parents who are going home with their children safe following the tireless efforts of the multidisciplinary team at Theatre 12 and Ward 4A where they were recovering post-surgery.

At the time of writing this piece, Ms. Rosemary Thaiya, a Senior Nursing Officer at Ward 4A said a total of 70 children had been successfully operated on.

“We expect to reach about 90 children by close of the day and the remaining ones will be scheduled for operations at a later date,” she said. “After discharge, we give them some medication consisting of antibiotics and painkillers then book for them clinic appointments to see how far the recovery process is,” she concluded.

From Newsline, we would like to appreciate the Paediatric Surgery Unit team for their dedication to the project and wish the children a quick recovery.

PHOTO | STEVE ARWA

Dr. Joel Lesan, (L) Head of Unit, Paediatric Surgery leading a multidisciplinary team of specialists to conduct surgery on a patient during the Annual Hernia and Undescended Testis Surgical Project

Representatives of Ward 4A staff led by Ms. Rosemary Thaiya (C), Senior Nursing Officer. The Ward hosted all beneficiaries of the Annual Hernia and Undescended Testis Surgical Project

Ability beyond my disability

By Priscah Angwenyi

The United Nations defines the term persons with disabilities as those who have long-term physical, mental, intellectual or sensory impairments.

Even with such inabilities, people have gone past the narrative to perform their tasks better, become a motivation and mentors to those with disabilities. Any form of disability does not define such people.

Newsline interviewed CPA. Asenath Obiero, Senior Clerical Officer at the Finance Division where she shared her journey. Read On!

She is an early bird. Though she lives within the Kenyatta National Hospital (KNH) staff quarters, you always find her at her duty station by 6:30am. She exudes confidence, positive energy and laughter. Her calm demeanor, teachable spirit and a welcoming smile makes her approachable.

You either find her teaching her colleagues on how to transact a certain data entry as per the latest International Financial Reporting Standards or how bank reconciliations are done. She has perfected her accounting skills that she even mentors students on attachment currently she is in charge of fixed assets and donation accounting. Team work and team spirit has always been her mantra. Her level of professionalism and integrity cannot be compromised. Wait, what is the driving force that has made her stay in KNH for 17 years? This is what she had to say.

“I was born and raised in Homabay County, Rachuonyo Sub-County. I started my education in Kandiege Primary School then moved to Ogande Girls’ High School where I completed my ‘O’ levels. I went through school with other children and jelled in well with them thus it has been easy to deal with people. There was no single day that I negated my duties that people who are well able were assigned, this is the energy that I have carried through my life. ’’ Says Ms. Obiero.

“When I got employed in

KNH, I started off as a Clerical Officer II but with a passion in accounts and finance. This motivated me to study Certified Public Accountants (CPA) Course as a private candidate and then register for examinations.

In 2015 I graduated as a Certified Public Account-Kenya and I am registered by the Institute of Certified Public Accountants of Kenya to practice this trade. Finance has always been my passion and that is why I will continue training everyone. It runs in my nerves. Being an expert in my area has boosted my selfesteem,” says Ms. Obiero.

“I was born like any other normal child, played all the childhood games but during my teenage years I developed poliomyelitis after battling a sickness that affected my nerves on the right side of my body paralyzing my right leg thus, I had to stop my primary education briefly. It affected me for a long time but my mother encouraged me to continue with my studies. She has been my support system since my father died when I was very young,” continues Ms. Obiero.

Ms. Asenath loves her family so much. A mother of two beautiful girls but with her disability her pregnancy journeys have not been easy. “When I see my two babies, I see resilience. Carrying the pregnancies to term

was never an easy journey. As I sit here I have lost three pregnancies. The experiences have been painful but thankfully when I see the girls they are like fresh roses and lilies in my life” says Ms. Obiero.

“KNH has taken care of me so well that my children have survived. During the pregnancies, doctors advised me to have bed rest for the first 12 weeks. The counseling sessions have always boosted my morale. This is what made my girls survive. My spouse has always supported my endeavors and he has always loved me beyond my disability. I still perform my motherly duties without complaining leading as an example to my girls” continues Ms. Obiero.

Outside KNH, Ms. Obiero helps bright but needy students in her community. “I have so far helped 6 students from my village 2 of whom recently graduated from university,” says Ms. Obiero. This is her way of giving back to the society.

Ms. Asenath encourages people with special needs not to shy away from their disability (ies), instead they need to work hard, and stay focused and always endeavors to be an asset in the society.

“Be resourceful in your environment, be teachable, a voice of reason, work in teams and never look down upon yourself because you are important and that is why you are created by God for such a time as this,” concludes Ms. Obiero.

As the old saying denotes, “disability is not inability”.

“I was born like any other normal child, played all the childhood games but during my teenage years I developed poliomyelitis after battling a sickness that affected my nerves.”

PHOTO | JOE MUITA

CPA. Asenath Obiero, Senior Clerical Officer Finance, KNH

PHOTO | JOE MUITA CPA. Asenath Obiero with her colleagues from Finance Department

Reverend. Jecinta Kiugi: A Spiritual Journey to KNH Chaplaincy

By Steven Arwa

A Chaplain offers spiritual care to patients and their families. But they are more than just spiritual guiding conduits as they use the insight and principle of psychology, spirituality guidance and theology.

He or she is clinically trained to help patients, their families and medical staff navigate the healthcare experience. They support the belief system across faiths and cultures in order to better meet the needs those they are helping.

A hospital can be a frightening environment not only for patients but as well as also become a high stress work environment for hospital staff. This is where Reverend. Jecinta Kiugi comes in, having recently been confirmed by the Presbyterian Church of East Africa as a Reverend. Kenyatta National Hospital (KNH) recognizes that both patients their dependents/families require spiritual, pastoral guidance, care and support during their time in the hospital and as well the staff to assist in enhancing performance culture, quality of healthcare and those discharging it.

Rev. Jecinta’s story did not start here but it has been an eventful journey that started back in Nyeri County. The last born in a family of three siblings, Rev. Jecinta came to understand and embrace the value of family when she lost both her parents at a tender age. Growing up as an orphan paved a way for her spirituality journey.

Growing up, Rev. Jecinta had the dream of venturing into finance even pursued it in campus and successfully got employed at CFC Insurance Company. Despite working in a financial environment, by the virtue of being known as the Pastor wife that led to many of her colleagues coming to her for spiritual advice and counsel.

Due to the frequency of these consults, positive feedbacks and self fulfilment that it brought her, she felt that finance was not her rightful path and later enrolled for a Theology class. In her second year of

her study, advises from her lecturer and subsequent interactions with them helped her decide to venture to Chaplaincy a field that by then had not experienced a lot of attraction as compared to pastoral work.

After her fourth year she was posted to KNH and that’s where her journey at the hospital started.

Growing up an orphan and receiving support from the church, this expounded and rooted her sense of spirituality and being able to perform the Chaplaincy duties in a hospital set up, Rev. Jecinta saw this as her life coming full circle. Her induction to the Presbyterian Church of Kenya has come at a critical time where she will be fully streamlined into the church doctrine and KNH therefore, this process confirmed that she will be henceforth station at KNH on behalf of the Presbyterian church of Kenya.

“This induction has given me more energy to work for the church and KNH. Both institutions affirmation and constant support only empowers my resolve to break down barriers that might present itself in the course of discharging my duties. Even though the hospital has yet to fully mainstream chaplaincy into the rest of the departments am happy that great strides are being made in that effort and more and more staff members are acknowledging our roles. I believe it is overdue that an established institution like KNH has recognized that holistic healing has an essential role to play just as physical and mental healing

therefore, mainstreaming us into the rest of the hospital.”

“As I reiterate a hospital can sometimes become a high stress working environment for anyone therefore, this is where we as Chaplaincy come in as our role is multi-faceted. As other departments offer medical and mental services that cater for the patient and staff, we also come in to provide spiritual support and encouragement.”

Rev. Jecinta together with her colleagues have taken a step towards providing a spiritual proactive care which is not only centred towards the patients but also involving the staff by guiding them towards a sacred space that is aimed at nourishing the inner deficiency of morals, values, beliefs and giving them inner purpose that enhance all-round healing and boosting performance culture.

Being part of the KNH community has greatly helped Rev. Jecinta to deal and heal from her own personal challenges and trauma. In the course of discharging her duties, positive interactions with her colleagues, other staff have continued to endear her and her work within and outside the KNH community.

Currently, she is working together with patients and doctors to understand patients’ problems more and come up with better ways of providing quality healthcare. Also, part of her specialization is centred towards enhancing staff spiritual well-being in order to enhance positively their patient healthcare.

PHOTO | STEVE ARWA Reverend Edward Karanja, Moderator Milimani North Presbyterian conducting Reverend. Jecinta Kiugi (C) induction at PECA Church, KNH. On looking is her husband Reverend Kiugi Apollo.

World Asthma Day marked at KNH

By Linnette Leyi

Did you know that cockroaches can worsen asthma symptoms in some people? Cockroach droppings, saliva, and decomposing bodies have proteins that can trigger allergic reactions and asthma attacks.

This was revealed to staff and members of the public who attended the World Asthma Day celebrations at Kenyatta National Hospital (KNH) Information Center grounds on 2nd May, 2023.

The event themed “Asthma Care for All” which was held in collaboration with Cipla Kenya and National Tuberculosis, Leprosy and Lung Disease Program (NTLD-P) aimed to raise awareness on the health condition and its treatment.

Asthma is a condition in which a person’s airways become inflamed, narrow, swell and produce extra mucus, which makes it difficult to breathe. It can be mild or severe, thus interfering with daily activities. In some cases, it may lead to a lifethreatening attack.

Asthma affects a sizeable portion of the Kenyan population so far at 17-18 percent, with more of the affected patients in urban than rural areas. KNH handles severe cases of asthma which account to 5-12% of the entire asthma population. Clinic 17 caters to these patients.

“Asthma is an often a misunderstood disease clouded by many myths and misconceptions. KNH wants to develop targeted messages to correct this misinformation which affects patients’ ability and will to seek treatment,” said Dr. Juliana Muiva-Ag. Director Medical Services, before officially opening the event.

“Many people do not know that you can acquire asthma at any age,” continued Dr. Muiva. “We advise our patients to visit the Asthma Clinic which is open every day of the week. In case of emergencies during the weekend or public holidays, please feel free to visit the Accident

and Emergency section.”

KNH is and continues playing its flagship role in forging forward care and research in the care of the disease, not only in Kenya but also the larger East Africa. It also conducts research in asthma care as part of fulfilling its core mandate in being a research center. The findings of a recent research dubbed the African Severe Asthma Study have informed asthma care hence improving treatment outcomes.

“The clinic has been able to reduce the number of severe asthmatics treated daily from 40 to 20,” she added during her speech.

The role of the nurse in asthma care and management was also highlighted, with requests to train more nurses in asthma care. Chief Nurse Mr. Peter Mwiti urged patients to be consistent with treatment and clinic visits, even when they do not feel unwell. He also urged people to be

In the spirit of bridging the gap of underdiagnosis and undertreatment, members of the public received free lung screening and health education.

PHOTO | STEVEN ARWA

Members of staff and partners engaging in the processional walk

PHOTO | STEVEN ARWA

Members of the public undergoing screening under the guidance of KNH staff

PHOTO | STEVEN ARWA

Dr. Juliana Muiva-Ag. Director Medical Services giving her remarks during the event

Nutrition Department holds first Wellness Day

By Mercy J. Barwecho and Philip Etyang

The Nutrition Department at Kenyatta National Hospital (KNH) held its first ever Nutrition Wellness Day on the 14th of April, 2023.

The event attracted over 100 participants who included members of staff and their dependents, who partook in the activities of the day which included nutrition assessment, counseling education, referral and follow-up.

Participants brazed the rain and cold to attend the event held at the open-space on the 2nd floor, Tower Block between 08:00AM and 3:00PM.

According to Mercy Barwecho, Principal Nutrition and Dietetics Officer at KNH and the Acting Head of Department, Nutrition, the activity is in the departments performance contract and it aimed to create awareness among KNH staff and their dependents so as to be equipped with all round health wellness information.

“The Kenyatta National Hospital Performance Contract, Culture Change and Management Initiatives is one of the cross-cutting activities that led to the introduction of thematic days including the Nutrition Wellness Day for KNH Staff and dependents,” she said.

The star attraction of the event was the InBody S10 machine which identifies excess fluid while assessing cellular health. The machine uses attachable electrodes to test patients by gently clipping the patient’s fingers and ankles. For patients with paralyzed or amputated limbs, the machine uses adhesive type of electrodes to perform the tests.

The machine which was donated to KNH by the supplier specifically for the event, sends safe, low-level currents through the body using the hand and foot electrodes. The impedance the currents encounter is measured, and from there, the body composition is derived.

Mr. Joseph Wainana (name changed to preserve identity), a member of staff at KNH who underwent the

body composition testing using the InBody S10 machine, said he was very impressed with the precision of the machine in determining his musclefat ratio, segmental lean analysis, segmental water ratio and general nutritional information.

“I am very impressed with what the InBody S10 machine can do. Within 90 seconds, I was able to get results for my body composition, Muscle-fat analysis and segmental lean analysis all printed on this paper!” he said.

Under body composition analysis, the machine tests the intracellular water, extracellular water, protein mass, mineral mass and body fat mass. For the muscle-fat analysis, the weight, skeletal muscle mass, body fat mass, percent body fat and BMI are tested. While the segmental lean analysis tests the amount of fats on the limbs and the trunk.

The supplier of the machine was kind enough to donate the machine for more testing of staff and their dependents at the KNH Prime Care Center for the entire week starting 17th -21st April.

Ms. Barwecho attributes the

significant proportion of current healthcare spending to noncommunicable chronic diseases such as diabetes, high blood pressure, cardiovascular disease and cancer. She says incorrect lifestyle, in terms of unhealthy diet and physical inactivity, is associated with the possibility of becoming overweight or obese: all of these are recognized risk factors associated with chronic noncommunicable diseases.

“An unhealthy lifestyle reduces physical function, which negatively affects work performance, decreases quality of life and increases the use of prescribed medicines. Therefore, these factors can hinder individual opportunities to extend workers’ active working time and at the same time increase the number of days of absence from work due to illness, reduce productivity and can lead to a premature loss of experienced workers,” she said.

Lifestyle-related risk factors are changeable, but achieving a substantial change in daily habits is difficult. Workplaces have great potential to change personal lifestyle

PHOTO |STEVE ARWA

A KNH staff member undergoes body composition, Muscle-fat analysis and Segmental lean analysis during the Nutrition Wellness Day on the 14th of April 2023

choices: people of working age spend much of their active time together at work which can contribute to change as they will motivate and support each other. It has been shown that an appropriate initiative to promote a healthy lifestyle in the workplace has increased health, increased productivity and had a good costeffect ratio.

Research shows that employee health status directly influences work behavior, attendance and on-the-job performance. High-performance companies clearly understand the human-capital-driven health and work behavior equation. That’s why more than 75 percent of highperforming companies regularly measure health status as a viable component of their overall risk management strategy which should be advocated in the institution as body composition is cheaper and affordable cost employees should be encouraged for frequent checks of monthly or quarterly depending on the health risk.

“Promoting employee well-being will improve health, performance and the bottom line will help organization’s lower health care costs and develop a healthier workplace culture. It summarizes the latest research on wellness and prevention,” Ms. Barwecho added.

One way to build competitive advantage for the organization is to improve the health status and

well-being of the employees. The latest research shows that health, work behavior and the value of human capital are linked. Simply, employee health status directly influences employee work behavior, work attendance and on-the-job performance. Therefore, developing healthier employees will result in a more productive workforce programs and their impact on the workforce.

“When employees feel more in control of their professional and personal lives, they are more engaged and have more of a connection to the organization and each other. Every company has its own way of catering to its employees’ needs. One way

of promoting this culture in KNH would be to create incentives to stay healthy,” she said.

Employers that invest in shifting their culture to one of well-being are able to build and sustain better wellbeing over time and achieve even greater benefits in terms of reduced health care costs as well as greater productivity and performance. The key components of sustaining quality of life are: Physical Activity, Nutritionhealthy eating.

PHOTO |STEVE ARWA KNH staff and dependants being briefed on how the inBody s10 machine operates at the tower block on the 14th of April 2023

PHOTO |STEVE ARWA

Medical personel drawn from the Nutrition Department observe a participant who was undergoing a full body analysis

KNH’s five-year Strategic Plan 2018-23 Performances at a Glance

By Henry Karuti

Organizational past performance is an activity in which the success or failure of past planned activities, programs/projects in an organization is critically and analytically assessed. Assessing organizational past performance has been proven empirical in provision of effective insights and benchmarks in forging the organizational future aspirations. Kenyatta National Hospital (KNH) has been executing various plans, activities, strategies, programs and projects aimed at achieving its overall strategic objectives, mission and ultimately vision.

KNH has established an elaborate and tightly knit performance management system for effective and efficient management, monitoring evaluating performance. The performance management framework consists of various tools

that are used interdependently in ensuring high and sustained performance levels are achieved within the organization.

These include; corporate strategic plan, business level strategies, operational strategies, scorecards, implementation matrices, performance contracts, annual work plans, employee performance appraisal and job descriptions. Others include; Individual target setting tool, employee productivity tool, rewards and sanctions policy, succession planning, staff retention strategy, performance reviews and peer reviews.

The Hospital’s main performance management tool is the Strategic Plan. The Hospital develops fiveyear strategic plans that provide a roadmap for the direction that the Hospital intends to take towards realizing her mandate. To help in the achievement of the Hospital performance objectives and goals, as espoused in the strategic plan, other anchoring strategies policies and guidelines have been developed. These are aimed at instilling a culture of performance while minimizing any threats that may affect performance. These include the Culture Change Strategy, Code of Conduct and Ethics, Anti-corruption Policy, Succession Plan, Whistle Blower Policy, Staff Retention Policy, Sexual and Gender

Based Violence Policy, and Rewards and Sanctions.

Hospital performance at a glance

Over the last five years, the Hospital performance has increased tremendously owing to a raft of deliberate and targeted initiatives by the Hospital management aimed at performance improvement. Currently, the Hospital is implementing the final phase of the Fourth Strategic Plan 2018-2023.

The Hospital past performance assessment using different lenses and parameters is as elucidated below:

Specialized Diagnostic Services

The numbers of the various radiological services increased steadily in the first half of the strategic plan period followed by a small drop in the 4th year and a subsequent surge in the 5th year. Significant increase in CT scans, interventional radiology MRI and X-Rays were reported compared to the base year 2018/19. The Hospital has increased the number of laboratory tests conducted over the previous plan period as illustrated below:

The improvement in performance in these services is as a result of improvement in process flows through process mapping, business

“An analysis of past performance is a key ingredient in formulating a workable and effective strategy as it identifies challenges experienced in previous periods and lays downs deliberate foundations to alleviate possible pitfalls in implementation of the next strategy,”

- Mr. Job Makanga, OGW Senior Director Corporate Services

PHOTO | COURTESY KNH Board and ManagementStrategic Planning during a recent retreat

process re-engineering, automation of processes and acquisition of new diagnostic equipment including MRI, CT Scans and centralization of laboratory services.

Total Revenue and Expenditure Performance

During the strategic plan period under review, a significant increase in revenues was witnessed from the base to year 3 (53%) followed by a slight drop in FY 2021/22. The Hospital’s sources of income include recurrent grants from the government and internally generated revenue from fees charged for services rendered.

Organizational Performance

The Hospital, in furtherance to its endeavor for attainment of higher performance has developed a three tier performance management system that is closely interwoven and interlinked. The performance system is in line with the empirically proven principle of alignment in strategy execution.

Patient and employee satisfaction

The Hospital treasures and holds in high esteem the importance of satisfying its primary customers i.e. the patients and employees. The Hospital, being a public entity, is mandated to offer quality services to patients. A satisfied and motivated health workforce is critical to achieving desired healthcare outcomes. A well performing workforce is one that is responsive to the needs and expectations of people, is fair and efficient to achieve the best outcomes possible given available resources and circumstances. The Hospital monitors patient satisfaction with respect to the different services sought at the facility using various parameters. Employee satisfaction is tracked with respect to the promised value proposition as detailed in the work and employee satisfaction indices.

The employee and work environment indices rose from 64.30 and 61.60 in the base year FY 2018/19 to 74.70 and 71.60 in the first half of the strategic plan period. The respective indices reduced in FY 2020/21 before rising again in the next FY. The reduction in the two indices in the FY 2020/21 can mainly

be attributed to the impacts of the COVID- 19 pandemic that caught the entire world unawares and the Hospital was struggling with ensuring that staff are safe and satisfied at work. A significant rise in customer satisfaction has been witnessed as indicated by the trend from the 65.30 in the base year to 76.90 in FY 2021/22.This can be mainly attributed to process improvement initiatives, automation of processes, creation of centres of excellence, expansion of existing services and culture change drives.

Is Past Performance important or muddling through can suffice?

“An analysis of past performance is a key ingredient in formulating a workable and effective strategy as it identifies challenges experienced in previous periods and lays downs deliberate foundations to alleviate possible pitfalls in implementation of the next strategy,” states Mr. Job Makanga, OGW Senior Director Corporate Services.

Mr. Vincent Chagara, Chief Manager Strategy and Performance Management acknowledges the pivotal role of this evaluation noting that the analysis of past performance helps an organization to delineate what worked from what didn’t work thus enabling it to leverage on the areas its best at, develop new strategies or refocus its strategy altogether.

“Past performance is essential for making evidencebased decisions on the various courses of action to be taken to achieve the desired goals. Data forms the backbone of decision making and authenticates various courses of action,” echoes Mr. Felix Kilumbi, MangerMonitoring & Evaluation.

Past performance and strategy

According to Mr.

Chagara, past performance is related to intrinsic ability inside the organization and provides a criterion for organizations adapting to the external environment. It has a significant impact on organizational performance and thus strategic choices. “Strategy evaluation plays a critical role in charting the direction for the organization. KNH conducted the evaluation in line with best practice and used lessons learned, challenges experienced and opportunities available in formulating the 2023-2028 Strategic Plan,” concludes Mr. Makanga .

PHOTO | COURTESY

Mr. Job Makanga OGW - Senior Director Corporate Services

Role of medical laboratory personnel in health care provision

By Stephen Mukaya

Clinical laboratory science also known as medical laboratory is a health profession whose primary goal is to resolve patients’ health problem(s) presented to the physician by performing laboratory analysis.

The main area of operation is the laboratory which is a facility equipped with various biomedical instruments and chemicals for performing different laboratory diagnostic activities by using biological specimens such as whole blood, serum, plasma, urine, stool and sputum.

Errors may occur when diagnosis of diseases depend on clinical symptoms alone. Laboratory personnel have a duty to analyze specimen conclusively in order to guide physicians appropriately. Treatment of diseases depends on proper choices of drugs. Antibiotic sensitivity testing is critical in identifying selective antimicrobial remedies.

Screening of diseases helps in detection of infections without clear symptoms. Early detection of cancer forestalls the devastating effects that would occur in case the condition was diagnosed late. Regular Pap smear examination, for example, help early detection of cervical cancer prompting timely treatment. In the same vein, regular blood sugar testing helps to detect diabetes. This allows the victim to commence treatment in good time. The patient is counselled and educated on how to adjust on life style activities and diet.

An epidemic is a widespread occurrence of an infectious disease in a community at a particular time. Control of epidemics through early detection of pathogens helps to avert such situations that have enormous medical challenges and economic implications.

Additionally, it safeguards against empirical prescription, which has been associated with multidrug resistance. Monitoring of patient’s

response to treatment is an important role played by laboratory experts through periodical testing. A classic example is when a patient is on dialysis treatment, constant monitoring of kidney function tests is advised.

Laboratory personnel undertake surveillance and provision of health information through water supply testing, carrier identification and risk factor assessment. They also participate in controlled field trials through new drug/vaccine testing and vaccine potency testing.

Management of finance, equipment and supplies is a salient component of the profession.

Laboratory technicians work on annual budgetary projections, and prepare technical specifications for procurement of laboratory equipment. Laboratory managers have to ensure constant supply of reagents and other laboratory consumables. This involves keeping a proper stocks inventory.

Additionally, we have to ensure reliable and quality laboratory practices are upheld. Such a comprehensive commitment to quality is essential to achieve best possible service to patients, user confidence, effectiveness and efficiency, accountability and optimal use of resources.

It goes without saying that physicians and other health professionals depend upon the skill and ability with which laboratory personnel perform their duties. They hold life and death in their hands; because the information given to the physician influences the medical treatment a patient receives.

As such, they are guided by laboratory rules, ethics and policies. Adhering to the code of conduct is mandatory. This includes those practices and attitudes which characterize a professional and responsible laboratory officer. Adopting it helps to remind medical laboratory personnel of their responsibility to patients, duty to

uphold professional standards, and, need to work with complete integrity. Laboratory personnel place the wellbeing and service of the patient above their own interest. They ought to be loyal to the profession by maintaining high standards of work and striving to improve professional skill and knowledge.

Expectedly, they should work scientifically and with complete honesty. Professionally, they should not misuse their skills or knowledge for personal gain.

Accountability requires that laboratory personnel never: take anything from the place of work that does not belongs to them, disclose to a patient or any other unauthorized person the results of investigation, treat patients with strict confidentiality, respect and work in harmony with other members of staff, be courteous, patient, considerate to the sick and their relatives.

Morally, laboratory personnel are obligated to follow safety procedures and know how to apply first aid. They must avoid drinking alcohol or prohibited drugs that would interfere with work performance. Responsibility requires that they use laboratory equipment with care, avoid wastage of supplies, and safeguard the dignity and privacy of the patient.

PHOTO | EMFULENI

A Lab technician analysing samples

Debunking KNH car stickers

By Elizabeth Wambui & Luke Kung’u

Getting parking spaces can be quite a headache, especially in high vehicular areas such as Nairobi.

It is also such a costly affair to part with parking fees on a daily basis especially if one has to park at a certain location such as office or business entity.

To cushion such people, and to ease the parking risk, many institutions have designated parking slots for specific vehicles which are issued with car stickers.

In realization of this, KNH issues car stickers, but do you know the procedure of acquiring a car sticker? Newsline reached out to Mr. Wilson Chepkwesi, Ag. Head of Security and Safety Department to debunk the KNH car sticker. Read on…

What is a car sticker?

A car sticker is an identification pass which allows KNH staff members with a car and /or any other legible person to access designated KNH parking spaces.

What is the importance of a car sticker?

A car sticker brings orderliness in the parking spaces, helps motorists to park on designated areas as well as allowing enforcement of KNH parking rules and regulations.

Who qualifies for the stickers?

Any KNH staff who owns a car as well as legible KNH stakeholder.

What is the procedure of acquiring the sticker?

Upon request, one must identify themselves by producing their staff identification card, national identity card, authorization or introduction letter from Head of Department/ Head of Unit of respective departments for non KNH staff.

A car sticker application form is issued to him/her. The application form has the following areas to be filled: personal details, vehicle details, Head of Department/Head of Unit and Human Resource/ Administrative Officer or Chairman Doctor’s Plaza.

The duly filled application form is handed back to Security and Safety Department with copies of the logbook, staff identity card and national identification card for confirmation of the requisite requirements. After verification of the documentation, the applicant is issued with the car sticker.

Note: The logbook should be in the name of the applicant; if it is not under the name of the applicant, then the copy of sale agreement for the newly acquired motor vehicle must be provided. If the logbook is under the spouse’s name, the applicant must provide a copy of marriage certificate or an affidavit.

How many car stickers have you issued at KNH so far?

We have cumulatively issued three thousand one hundred and sixty-three car stickers.

I understand there are different colors (blue, green, orange). What do they denote?

Orange stickers are designated for Directors, Consultant Doctors and Heads of Departments/Units. Green stickers are issued to staff working within Administration Block. Blue is issued to all other staff, Yellow for CCC staff/KNH Nursing School while Maroon is for resident doctors and the temporary ones are for students on

attachment for a period of less than one year.

What is the validity of the sticker?

Validity of the car sticker is every financial year.

Where should the sticker be displayed?

The car sticker should be displayed on the left side of the front wind screen.

Does the sticker apply to all or is it gender, place, position, abled differently or any other case sensitive matter?

It is applicable to legible persons as per the procedure of acquiring the sticker.

What are the mandatory requirements e.g., logo, unique number etc.?

You need to have a copy of logbook, staff identity card, national identity card and for non KNH staff an introduction letter from respective departments/units.

Is it transferable to any other person or vehicle?

The car sticker is not transferrable to any person or vehicle.

Does it apply to vehicles other than cars e.g., bicycles and motorbikes?

PHOTO | STEVE ARWA

Senior security Warden 1- Joram Chepkech directs a mortorist at the KNH Administration block parking

Bicycles, motorcycles or tricycles are not eligible.

Does it accrue any monetary cost? Yes, it does but only when it gets lost or damaged/defaced.

What are the laws governing issuance of stickers?

KNH rules and regulations govern issuance of car stickers.

Any other relevant information on the topic (parting shot)?

After issuance of a car sticker, the applicant is issued with a notification form stamped and authorized from Security & Safety Department to KAPS management for the issuance of KAPS stickers which allows them to access through KAPS barriers.

The intern’s experience

By Elizabeth Wambui

Meet: Edward Muthomi

School: Eaisc College

Course: IT

Department: ICT

Roles

(a)Diagnosing and repairing of computers

(b)software update

(c)systems maintenance

(d)Networking

(e)customer service desk

(f)systems training

Lessons:

I’ve gained more experience in system development and maintenance of all ICT equipment.

I’ve also learnt how new systems that I’ve only heard of works and how to respond to them.

What I like about KNH

Like the team work and cooperation among all the staff. They are always ready to help and listen when you have an issue

b)I like how things are handled decently KNH is just the place to be and a very educative institution

Future plans

ICT is large and the is a lot to be covered. There is still time to learn more and more and that’s what I plan to do.

PHOTO | STEVE ARWA Security Warden 1- Benson Marete inspects a vehicle

PHOTO | STEVEN ARWA

Mr. Wilson Chepkwes- Ag. HOD Security & Safety Services Officer

Vows of marriage in a hospital set-up

By Elizabeth Wambui & Luke G. Kung’u

What comes to mind when the word ‘nuptials’ is mentioned? It is a blissful word that denotes pomp and color that is reminiscent of a wedding.

It is usually a well-planned event with many guests and is usually a happy day. That is a typical wedding. Now fathom this, you are admitted in a hospital and suffering from a long-term illness and maybe even a terminal one. How then can a wedding be done in a hospital set-up?

To answer this and many more on nuptials in a hospital, the Newsline Team had a sit down with HoU Chaplaincy, Father John Kariba and Sister Teresia Mutwii and this is what they had to say. Read on…

Can a patient have a wedding at KNH?

Yes, a patient can have a wedding at KNH provided the patient has requested, not a relative.

What qualifications have to be met in order for the patient to have a wedding?

Both must be adults of 18 years and above. Both must be of sound mind so their consent is not called into question. They must not be in a

marriage and must make the decision freely, knowingly and willingly.

Where can the wedding be conducted?

It can be officiated in the church or in the ward for patients who cannot be able to move about, provided the wishes of the couple is honored. However, it is normally officiated in the church or any other place within the boundaries of the parish or in Sheria House.

What are the laws governing marriage in a hospital set up?

Marriages officiated in the hospital can only be conducted if the couple had already been married in the Sheria House. They are given a marriage certificate which they bring with them to the church. Enquiries must be made before the marriage takes place. In each of the parties involved, churches’ marriage bans/ announcements must be done for three consecutive Sundays to ascertain none of the parties have been married before and/or the marriage is still intact. This is also to rule out forgery.

As per the church, in case of previous divorce, the couple must present themselves to the marriage

tribunal in the church for nullification of the previous marriage before they can have another wedding. Divorce in church marriages is rare but not impossible.

Are there any societal views in regards to hospital nuptials?

The society cannot prevent a marriage from taking place, not even the parents of the couple as the decision to marry lies with the couple. The society understands the implication of the marriage as a union and that it has a legal basis.

What are the myths and misconceptions regarding hospital nuptials?

For staff, it is mostly that a wedding has to be an expensive affair, while for the church marriage is a sacramental union that only requires the blessings of God.

For patients, people and relatives might think the healthy partner is marrying their spouse in anticipation of inheriting in case of death. Some believe the patient will become a burden to the healthy spouse and discourage them from getting married.

Who qualifies to officiate such

PHOTO | STEVE ARWA

Mr. Stephen Mwangi exchanges marriage vows with his wife in a ceremony presided over by HoU Chaplaincy Father John Kariba at the KNH Catholic Chapel on 4th April 2023.

marriages?

A legally registered officer of marriage by a legal body with such powers e.g. Sheria House. Such an officer can be a priest or a pastor or any other legal person.

How many weddings have taken place in the hospital?

We have officiated 31 weddings- 20 from the staff and 11 from the wards. The first wedding took place in 2004 for a Human Resource staff member. The first patient wedding was in 2006 in ward 7C.

What are the preparations done before officiating the wedding?

The couple go to Sheria House to give a notice for their marriage. They will need a copy of the certificate of the officer who will officiate the marriage. There is a 21- day notice and announcement. We hold sessions of teaching on marriage for the couple, patient or staff to teach that marriage is a sacramental and a commitment.

“ We have officiated 31 weddings20 from the staff and 11 from the wards.

- HoU Chaplaincy, Father John Kariba

By Shiphrah Njeri

In the case of patient weddings, is a reception held and if so where is it held?

For most of the patients, the reception is not necessary. Marriage is a sacrament and a commitment and the blessings are what is important. However, in the event of a reception, it is a choice of the couple.

What is the importance of marriage

to the couples, patients and staff?

The importance of these marriages is the sacramental aspect. They want to be in a union blessed by God. Some of the patients are chronically ill and on their death bed and want to be right with God. Having their marriage solemnized makes them feel they are right with God.

Father John Kariba and Sister Teresiah Mutwii joined KNH in 2002 and have 21 years of service.

KNH observes World Hand Hygiene Day

On 5th May, 2023 Kenyatta National Hospital Infection Prevention and Control Unit (IPC) joined the world in commemorating “World Hand Hygiene Day” that aims to promote the importance of hand hygiene in preventing the spread of infection and promote good health. To spread awareness, the team led by Dr. Rose Kinuthia-HoU IPC, sensitized the staff and patients at KPPC level 9, various outpatient clinics and at the Accident and Emergency. The staff and patients were reminded on the five moments and steps of hand hygiene.

1. Wet your hands with clean, running water (warm or cold), turn off the tap, and apply soap.

2. Lather your hands by rubbing them

together with the soap. Lather the backs of your hands, between your fingers, and under your nails.

3. Scrub your hands for at least 20 seconds. Need a timer? Hum the “Happy Birthday” song from beginning to end twice.

4. Rinse your hands well under clean, running water.

5. Dry your hands using a clean towel or air dry them.

The theme this year is “Accelerate action together. SAVE LIVES - Clean Your Hands”

PHOTO | STEVE ARWA

Father John KaribaHoU Chaplaincy with Sr. Teresia Mutwii

Free flap reconstruction surgery

By Luke Kung’u and Steven Arwa

Kenyatta National Hospital Plastic Surgery Unit and Department of Plastic, Reconstructive and Aesthetic Surgery UoN, held a microsurgical workshop at KNH that encompassed live surgeries in KNH, simulation in Chiromo Campus as well as online lectures by both local and international speakers from 24th-28th April 2023.

The workshop transferred skills with experts from San Giuseppe Hospital, Milan, Italy providing free training on microsurgical skills and acting as linkage to global as well as regional faculty that facilitated successful international symposium in microsurgery.

Screening for beneficiaries was done through outpatient clinics, plastic surgery and orthoplastic wards and the patients benefited from free flap reconstruction of defects and were covered by NHIF. A total of five live surgeries were carried out and attracted a total of forty five participants. KNH Plastic Surgery Unit attends to approximately fifty patients per year.

The workshop was graced by Dr Luigi Troisi MD, PhD, FEBOPRAS, FACS from San Giuseppe Hospital, Dr. Ferdinand W. Nangole MMed (Plastic Surgery), PhD, FEBOPRAS from University of Nairobi, Mr. Juan Berner MD, MSc, FRCS (Plast), FEBOPRAS from Royal Victoria Infirmary and Freeman Hospital and Dr. Joseph Kimani Wanjeri MMed (Surg), MPH(UoN), IPTM (Tel Aviv) from University of Nairobi.

The topics covered ranged from:

1. Lower Limb Reconstruction which covered areas such as: approach and timing for treating open fractures, tips and tricks in lower limb reconstruction, managing complications in lower limb reconstruction and surgical management of the diabetic foot

2. Upper Limb Reconstruction which covered areas such as: approach and timing for upper extremity reconstruction, the spare-parts concept in limb reconstruction, how to avoid and manage complications in microsurgical hand reconstruction and strategies in upper limb replantation.

3. Breast Reconstruction which covered areas such as:

alternatives and timing for autologous breast reconstruction, tips and tricks for microsurgical breast reconstruction, managing complications in breast surgery and optimizing results.

The participants also enjoyed lectures on: microsurgery:10-year experience with loupe magnification, lessons learned in microsurgical head and neck reconstruction, microsurgery simulation workshop in chicken model, the impact of international collaboration in microsurgical training and the evolution of plastic surgery in Kenya.

The international speakers were drawn from Italy, Sweden, United Kingdom, Chile, Korea, United Arab Emirates, India, Taiwan and United States of America.

PHOTO | STEVE ARWA KNH Plastic Surgery Unit and Department of Plastic, Reconstructive and Aesthetic Surgery UoN staff, together with experts from San Giuseppe Hospital, Milan during a live surgery at KNH

PHOTO | STEVE ARWA Medical experts from San Giuseppe Hospital, Milan, Italy providing free training on microsurgical at KNH plastic surgery ward

Understanding the Crucial Role of Occupational Therapy at Mama Margaret Uhuru Hospital(MMUH)

By Effie Mboya

Occupational Therapy (OT) is an essential part of healthcare that helps patients achieve their goals and improve their ability to perform daily living activities.

In an interview with Newsline, Mr. Jackson Wachenje, a Pediatric Occupational Therapist at Mama Margaret Uhuru Hospital (MMUH), shared insights on what a typical day looks like and the common conditions and challenges they help patients with. He also discussed the importance of involving family members or caregivers in a patient’s treatment and collaborating with other healthcare professionals to

treatment plans based on their specific conditions and goals. Conducting therapy sessions with individual patients or groups of patients to help them improve their ability to perform daily living activities, such as bathing, dressing, and eating. Using specialized equipment and tools to help patients improve their fine motor skills, strength, and coordination. Collaborating with other healthcare professionals, such as doctors and physical therapists, to ensure comprehensive care for patients. Documenting patient progress and communicating with other members of the healthcare team to ensure continuity of care. Educating patients and their families or caregivers about their conditions, treatment plans, and home exercise programs. Keeping up-to-date with the latest research and developments in the field of occupational therapy through continuous education and professional development opportunities.

What are some common conditions or challenges that you handle at MMUH?

• Mental health conditions: Mental health conditions, such as anxiety or depression, can also impact a person’s ability to carry out daily living activities.

• Developmental disabilities: Children and adults with developmental disabilities, such as Down syndrome or autism, may require assistance with activities of daily living, such as bathing, dressing, and feeding.

In addition to these conditions, occupational therapists may also work with patients who have experienced trauma or who are recovering from surgery or illness. Ultimately, the goal of occupational therapy is to help patients achieve their goals and improve their ability to participate in daily living activities, regardless of their condition or

challenges.

Furthermore, as occupational therapist, we have different areas where we do our interventions. We have occupational therapy, training, and developmental milestones. For those children who have not achieved the milestones like head control, sitting, crawling, standing, and walking. Basically, what you have seen here, I would say, is facilitating those milestones through different methods.

If a child has low muscle tone, we do have activities that enhance stimulating those muscles to be able to perform. For example, you can position the child in a prone position. By so doing, the child is able to lie down and is able to raise their head. If you place a toy up, the child is able to look at it. You are going to achieve eye-hand coordination. The child will be able to reach if the child has not yet achieved that reach, grasp, and release. And by so doing, you are able to gain head control.

We do have sensory integration interventions for children with sensory processing disorders, which include autism, attention deficit hyperactivity disorder(ADHD), and learning disabilities like dyslexia. So for such cases, we normally do a sensory integration process in which we are able to reorganize the way the brain performs those functions.

How do you involve family members or caregivers in your patients’ treatment?

Involving family members or caregivers in a patient’s treatment is an important aspect of occupational therapy. This helps to ensure that patients receive consistent support and assistance with their daily activities, even outside of therapy sessions.

Education: We educate family members or caregivers on the patient’s condition, treatment plan, and home exercise program so that they can provide support and

PHOTO | EFFIE SANDE Mr. Jackson Wachenje, Occupational Therapist at Mama Margaret Uhuru Hospital

reinforcement at home.

Training: We train family members or caregivers on techniques or strategies that can be used to assist the patient with daily activities or exercises.

• Observation: We may observe family members or caregivers as they assist the patient with daily activities to provide feedback and guidance on how to improve the patient’s performance.

• Communication: We communicate regularly with family members or caregivers to update them on the patient’s progress, discuss any concerns or issues, and make adjustments to the treatment plan as needed.

• Collaboration: We work collaboratively with family members or caregivers and other members of the healthcare team to ensure that the patient is receiving comprehensive care that addresses their physical, psychological, and social needs. By involving family members or caregivers in a patient’s treatment, we create a supportive environment that maximizes the patient’s potential for success and improves their quality of life.

How do you collaborate with other healthcare professionals, such as doctors and physical therapists, to ensure comprehensive care for your patients?

Collaboration with other healthcare professionals is an essential part of occupational therapy. By working together, we can provide our patients with comprehensive care that addresses their physical, psychological, and social needs. Here are some ways that I collaborate with other healthcare professionals:

• Communication: I communicate regularly with doctors, physical therapists, and other members of the healthcare team to share information about the patient’s condition, treatment plan, and progress. This can help to ensure that everyone is on the same page and that the patient is receiving consistent care.

• Referrals: I may refer patients to other healthcare professionals, such as physical therapists or mental health specialists, when additional expertise is needed to address specific needs or challenges.

• Co-treatment: In some cases, I may work directly with other healthcare professionals to provide co-treatment to the patient. For example, I may work with a physical therapist to help a patient improve their upper-body strength and coordination.

Ultimately, by collaborating with other healthcare professionals, I can ensure that my patients receive comprehensive, coordinated care that addresses their individual needs and goals.

What would you say is the future of Occupational Therapy, in Mama Margaret Uhuru Hospital?

We have seen a significant increase from having 30 sessions a month to 200 sessions a month one year later, Occupational therapy continues to play a critical role at Mama Margaret Uhuru Hospital in helping patients recover from illness or injury, adapt to new challenges, and improve their general health and well-being.

Occupational therapists at the hospital continue to deliver highquality, patient-centered care that meets the changing demands of their patients and the healthcare industry by keeping up with the most recent trends and advancements in the field.

Some trends and developments that may shape the future of occupational therapy include: • Increased use of technology: Technology is becoming increasingly integrated into healthcare, and occupational therapy is no exception. Telehealth and digital health technologies, for example, may provide new opportunities to reach patients in remote areas and improve access

to care.

• Focus on population health: There is growing recognition of the importance of addressing social determinants of health and promoting health equity. Occupational therapy may play a role in addressing these broader health issues through community-based interventions and advocacy.

• Aging population: As the population ages, there will be a growing demand for occupational therapy services to help older adults maintain their independence and quality of life.

• Inter-professional collaboration: Collaborative practice between different healthcare professionals may become increasingly important as the healthcare industry moves toward more team-based care models.

PHOTO |EFFIE SANDE Mr. Jackson with a 4 year old patient with attention defecit Hyperactivity Disorder (ADHD)

PHOTO |EFFIE SANDE Mr. Jackson with 10 month old patient with Down Syndrome

Our story in pictures

PHOTO | LINNETE LEYI

The Infectious Prevention and Control Unit, embarked on sensitizing members of public and patients on various techniques on hand hygiene in commemoration of the World Hand Hygiene Day marked on 5th May, 2023

PHOTO | STEVE ARWA

Dr. Caroline Mwende, (R) Paediatric Surgeon with a colleague inside theatre 12 where the Annual Hernia and Undescended Testis Surgical Project took place

PHOTO | STEVE ARWA AND JOE MUITA CEO KNH Dr. Evanson N. Kamuri EBS, launched community clean-up day phase one at the Administration Block Grounds on 28th April 2024. The exercise involved clearing of drainage, grass cutting, sweeping and picking up of litter as well as weeding and pruning of trees and flowers at the Registrar’s Flats, Rahimtulla Wing and Sister’s Flats.

Uwanjani

Ya mgambo imelia

Na Luke Kung’u

Hayawi hayawi huwa na mbiu ya mgambo ikilia kuna jambo. Kivumbi kilitifuka tifu tifu, kukawa na kidubwedubwe, mshikemshike na kumenyana kwa hali ya juu kati ya KNHFC na timu nyingine uwanjani. Mchezo umenoga na mabao yamefungwa katika kinyang’anyiro cha mpira wa miguu kwenye ligi ya Nairobi Mashariki, Daraja la Pili B 2022/2023 ambayo iliingia mkondo

By Luke Kung’u

Timothy Nyamu

wa mwisho tarehe mosi mwezi wa tano mwaka huu pale KNHFC iliwaalika Vision FC kwenye mechi iliyochezewa uwanjani Strathmore Complex.

KNHFC ilifunga mabao tatu ilhali timu ya Vision FC iliambulia patupu. Bao la kwanza lilifungwa na Collins Ochieng mnamo dakika ya sita likifuatiwa na la Charles Mbaga dakika ya arobaini na sita, la mwisho likatiwa kimyani na James Muimi dakika ya sabini na moja.

KNHFC imejinyakulia pointi ishirini kwa mujibu wa chama cha mpira wa miguu nchini Football Kenya Federation, ikiwa ni raundi ya kumi na tano na ya mwisho kabla ya kuenda likizo.

Kutoka kwa wachapishaji wa nakala ya ‘Newsline’ tunawapa kongole wachezaji wa KNHFC na kuwatakia kila la heri.

Tegea papa hapa tukujulishe watakaporudi uwanjani.

Positive mentions from KNH socials 27th April 2023

GK Musumba

Kenyatta National Hospital I feel so good when I see clients happy for the services rendered by this giant hospital in East and Central Africa.

Friends of Love Kibera Slums-FOLKS

Thank you for the good job you do. We love and cherish you so much. Whenever you are doing corporate social responsibilities please welcome to our center.

Okello Sam

Great job @KNH_hospital. Malaria

shouldn’t be a menace under your watch. #WorldMalariaDay

Always a happy joyous customer. Keep up the good job.

Mary Kariuki

Keep up the good work and God will reward you.

Joel Justjoel

KNH ICU is one of a kind, God bless.

Mercy Nduku

We love KNH.

Mulwa Danson

Keep on with the good work that you guys are doing KNH.

Moishyleez Kevin KNH sterns as the people’s choice hospital.

PICHA | NICHOLAS WAMALWA Timu ya mipira wa miguu KNHFC

1. MRS. ROSE KABITI BERNARD

2. MS. ALICE WAMBUI GITEI

3. MR. JOHN W. KIRUBI

4. MR. CHRISTOPHER MAY MAKACHIA

5. MRS. GRACE WANGECHI WANGOMBE

6. MRS. FLORENCE NKUENE INOTI

7. MR. JAMES MUIGAI WACHIRA

8. MR. MUSILU NDETO MITAMBO

9. MISS. IRENE WATHATA MWANGI

10. MISS. JOYCE WANJIKU KIHUTO

11. MR. JULIUS MATHENGE MBITHI

12. MR. DAVID OCHAKO MARANGA

13. MISS. SIBIA GESARE MAGARA

14. MISS. CHRISTINE AWUOR OWALA

15. DR. HERBERT OJIAMBO ONG’ANG’O

16. MRS. AMINA HUSSEIN WANDUGU

17. MRS. CHRISTINE MWIKALI MWATHA

18. MRS. JUDITH WAMBUI MUGAMBI

19. MR. THADDEUS NGULUKYO MALAVU

20. DR.(MRS) JANE WAIRIMU MAIGUA

21. MISS. BIBIANA NJERI WAMWARA

22. MR. JOHN ODIPO ODIWUOR

23. MISS. ELIZABETH KAMENE ILUMBA

24. MR. JULIUS D.MWIRARIA RINYIRU

25. MRS. CATHERINE WANJIKU IRERI

26. MR. BEN ONGIRI NYAKUNDI

27. MISS. CATHERINE NJERI KIARIE

28. MRS. SUSSY INZERA SIRINJI LOGEDI

29. MISS. JANE MAKUNGU MUDANYA

30. MR. PAUL OUMA ODWALLO

31. MR. SHADRACK NGOLE NGOTHO

32. MRS. SARAH NJOKI HUNGU

33. MISS. LUCY WANJIKU MUGO

34. MISS. MIRIAM WAIRIMU MOFFAT

35. MISS. LUCY WANJIRU MWANGI

36. MR. PATRICK MWICHIGI NGATA

37. MISS. MONICA AKINYI ODENY

38. MR. JULIUS KIOKO MUSYOKA

39. MISS. GRACE WAMBUI MWANGI

40. MRS. JOSEPHINE MORAA MAINYE

41. MR. DENNIS OTIENO

42. MISS. ESTHER WAITHERA NJENGA

43. MISS. IRENE WATIRI MACHARIA

44. MISS. LUCY CAROLINE WAMBURA KANYI

45. MISS. ESTHER NJAMBI MBUGUA

46. MISS. ANASTASIA WANGECI WANJAU

47. MRS. PENINA ATIENO OLIECH

48. MRS. VERONICA NJERI NJUGUNA

49. MISS. FLORENCE MUNYIVA MUTUNGA

50. MR. CHARLES MURIUNGU KUNGANIA

51. MRS. DOMTILA MKIWA MWAGODI

52. MR. ANDERSON MAINA MURIITHI

53. MR. JULIUS MWANGI NDEGWA

54. MISS. ANNIE WAITHIRA NJENGA

55. MRS. MARGARET GATITU MURIITHI

56. MR. HERBERT RIGHA MWANYASI

57. MRS. JOSEPHINE MARTHA AKOTH

58. MRS. NAOMI WARUGURU KIHIKO

59. MISS. MARGARET WAMUYU MUNENE

60. DR. PETER VICTORY MUCHIRI NGUGI

61. MISS. ELIZABETH ADHIAMBO ADOL

62. MISS. NANCY KARWITHA MANYARA

63. MISS. SARAH RIOBA MONYANGI

64. MRS. CHARITY WAGUTHI KARIUKI

65. MISS. JULIETA GATIRIA GITONGA

Marketing & Communication team

Happy birthday to the 393+ May babies! From

66. MR. JOSEPH KORIR KOSGEI

67. MISS. ALICE MUTHONI WAKABA

68. MR. STEPHEN WERU KIGUTA

69. MISS. CHRISTINE NAFULA KHAUKWA

70. MR. JOSEPH NJUGUNA KAMUNGU

71. MR. KENNETH WAITHAKA GATIMU

72. MISS. PAULINE WAITHERERO KARURI

73. MR. CYRUS MUNYI NGUU

74. MISS. ROSE WAIRIMU NJOROGE

75. MR. JOSEPH MURIUKI MARETE

76. MISS. GRACE JEPTEPKENY BIRECH

77. MISS. PAMELA KHADIEVI SHIVACHI

78. MRS. NORAH JEBICHII KIPKOECH

79. MRS. JOYCE NYAMUSI OGETO

80. DR. PETER KAMAU NJOROGE

81. MISS. BETH WAITHERA KIARIE

82. MR. JULIUS OKELLO WAMAYA 83. MR. ROWLEY ATSIAYA KADENGE

MR. JOSHUA KOSKEI

DR. CAROLINE W. WANJAU

131. MISS. MARGARET EDNA AKINYI OGONGA

132. DR. ALEX WAHOME NDUNGU

133. MISS. JANE ADHIAMBO AYIEKO

134. MR. ABDI ABDULLAHI ALI

135. MISS. ANNE WANGUI MWANGI

136. MR. DAN KIAMA GICHOHI

137. MISS. SARAH WAIGUMO GIKONYO

138. MR. KIPKEMOI RUTO JOSEPH

139. MR. MUNYAO KINGOTO

140. MR. RICHARD J. KORIR CHERUIYOT

141. MR. JOHN GATU MWICIGI

142. MISS. LUCY WANJIRU KINUTHIA

143. MRS. MARY NJERI WANJEMA

144. MISS. SUSAN GATWIRI NKONGE

145. MRS. BATHSHEBA KEMUMA MOMANYI

146. MISS. NAOMI CHELAGAT CHEBII

147. DR. JOHNBOSCO HAMAD ILKUL

148. MISS.NANCY NGAYAH OLUOCH

149. MISS. PRISCAH MWENDE MAINGI

150. MRS. EDITH NJOKI GITHINJI

151. MISS. MARLINE AVILIA MAKANGULA

152. MISS. RUTH JEPKOGEI CHEPSAIGUT

153. MR. ABDINASIR MOHAMED HAJI

154. MRS. PHANICE AYIETA TEKA

155. MISS. IRENE NJOKI KAMAU

156. MR. PETER MUREITHI KARURIA

157. MISS. MARYLYNE KASEI MARGAI

158. MISS. NANCY JEBICHI TANDUI

159. MR. THOMAS NGURURI NJOGU

160. MR. MORRIS MUKELASIA WEPHUKULU

161. MR. FRANCIS OUYA NYABUTO

162. MR. KENNETH THURANIRA MEME

163. MISS. CAROLINE WAIRIMU NGATIA

164. MISS. JANE GACHERI MEME

165. MISS. ZIPPORAH NYABONYI NYAMAO

166. MR. JOSIAH MAINA MWANGI

167. MR. FREDRICK OKAL ORWA

168. MISS. IRENE MWENDE NZYOKA

169. MR. DAVID WASONGA ODUOR

170. DR. SILVANUS DAVID WABWIRE

171. MISS. SALOME MWIKALI MUSYOKA

172. MR. TITUS MUTHURI THIRARI M’IMUNYA

173. MISS. EVERLYN MUKHABI OIGARA

174. MISS. FLORENCE KINATORE MWITHIGA

175. MR. TITUS WANJALA SIRENGO

176. MR. MIKE MWACHI KIDALI

177. MISS. STELLA KARIMI GITONGA

178. MRS. KHALTUMA TISHO ATHMAN

179. MR. EDWIN MUTUNGA NZUKI

180. MISS. MERCY NYAWIRA GICHUKI

181. MISS. EVELYN KHAKASA WAKWABUBI

182. MISS. MARION NJOKI GAKUNA

183. MISS. CAROLINE MORAA AZUMA

184. MISS. FLORENCE AWUOR OLUOCH

185. MISS. IRENE NTHEMBA MUTUKU

186. MISS. JANE WAMBUI NAMU

187. MISS. ALICE NTHANZE MUNENE

188. MISS. DAMARIS KOKI KILILIKU

189. MISS. EUNICE MUMBUA KIIYA

190. MR. GODFREY NYANDIEKA NYANGAU

191. DR. BENJAMIN MARANGA WAMBUGU

192. MISS. ESTHER AKINYI ONGURU

193. MISS. ROSE ANN ANGUCHE

129. MISS. EMMAH WAMUNYU MAINA

130. MR. ROBERT MBOGO MUTHUI

194. MISS. ANNE MUTHEU MUTUKU

195. MR. RICHARD KIPKORIR TAA

Happy birthday to the 393+ May babies! From Marketing & Communication team

MRS. IRENE ANDESO OLUKALIE

MR. CYRUS GITHUI WACHIURI

198. MR. JACOB OLIMA TUMBO WANYAMA

199. DR. ERIC WANYUTU HUNGU

200. MISS. DORCAS WANJIRU MUGO

201. MISS. GLADYS NKIROTE SAMUEL

202. MISS. JUDITH NYABOKE KEBATI

203. MISS. GLADYS NJAMBI KARANJA

204. MISS. LOIS MUTHEU MAINGI

205. MR. SAMUEL NJOROGE NJANE

206. MR. ENOCK OMENDA

207. MISS.MILDRED PATRICIA MWANZA

208. MR. TITUS KINYANGI ASENA

209. MRS.HARRIET KANYUA GATU

210. MISS. AGNES CHEPKEMOI CHEPKWONY

211. MR. SETH SHIKUTWA MUYESHI

212. MISS. LUCY WAMBUGHA MWAKIO

213. MR. ALPHONCE MUEMA MUSYOKA

214. DR. IDRIS NZAO CHIKOPHE MWANZA

215. DR. SARAH SITATI MAKASI

216. MISS. MARY NYAMBURA KAMAU

217. MISS. JANE WANJIKU NJOROGE

218. DR. ELAINE AGONO YUKO

219. DR. ANDREW OTIENO OWUOR

220. MR. JOHN KARIUKI KIRANGI

221. MR.JULIUS GITONGA ITA

222. MR. CALEB OUMA ONGUDI

223. MISS. HYLINE BINYANYA NYAMACHE

224. MISS. SARAH NELIMA WABOMBA

225. MISS. ANGELA GATHONI WARUI

226. MRS.JANE WAMBUI GITAU

227. MR. SOSPETER KINUTHIA KORI

228. MRS.HELLEN ATIENO ODERO

229. MR. SOLOMON KUURA KIAO

230. MR. GODFREY EKISA OSANG’IR

231. MR. STEPHEN ONYANCHA KAMANDA

232. MISS. EDNA AWINO AWUOCHE

233. MR. COLLINS TITUS OMONDI WEULLOW

234. MR. DOMINIC MOGAKA ACHOKI

235. DR. RODAH KALONDU KYALO

236. MISS. PHILISTER NAMUKURU WAMUKOYA

237. MISS. LINET ATIENO AKUNGU

238. MR. CHARLES OPILI OPAALA

239. MR. ERICK GITONGA MIRITI

240. DR. LINDA JUDY SABAYA

241. DR. JEREMIAH KAMWETU KAULA

242. MISS. ANNE WANGUI MBURU

243. MR. DANIEL MUTUA MUITHYA

244. MR. ALEX GAKIO KODO

245. MR. JAMES ONYANGORE ONYARI

246. MISS. LYDIA MORAA OCHWANGI

247. REV.JECINTA WANJIKU KIUGI

248. MRS.SPINICAH GAUDENSIA ASATI

249. MISS. EVERLYNE NASUBO OSENO

250. MR. ALFRED MWENDA MURUNGI

251. MR. VICTOR OMONDI WERE

252. MR. ANDREW MAWIRAH MBAE

253. MISS. MILDRED NANDWERE WESONGA

254. MRS.SUSAN WANGUI GICHINI

255. MISS. NORRINE MUTHEU NYABUTI

256. MR.JAMES KAMAU MUGO

257. MR. CAVIN ODOYO ODHIAMBO

258. MR. SIMON SASIA MANYASI

259. MR. JOEL MUTAVANYA KIMWELE

260. MISS.HYRINE AKOTH NYAGAYA

261. MR.JAMES MWANGI KAMAU

262. MRS. OLPER KERUBO ONDIEKI

263. MRS.MARY TERESA OBONYO

264. MR. SIMON NJAU NDUNGU

265. MR.ERICK MUTWIRI MARANGU

266. MRS.HADIJA DAIJE UTA

267. MISS. LYNDAH MAKENA MUTHONI

268. MR. RICHARD WAITA MATHEKA

269. MR. BENSON OMETE MOGIRI

270. MR. JOHN MBURU MWANGI

271. MR. EVANS SAWE

272. MR. VINCENT MITSANZE SHARIF

273. MRS.MERCY WAMBUI MAINA

274. MR. FRANCIS MUTISYA PAUL

275. MR. BENJAMIN MUALUKO MUTHIANI

276. MR. JOHN MWIRIGI MWANIKI

277. MR. FRED WILSON KANANI

278. MISS. GORDILLA NAFULA MUTALI

279. MISS.JOAN ADHIAMBO ADERO

280. MISS.ANNE WANJIRU NJENGA

281. MISS.DOREEN WANJA MIRITI

282. MR.LEWIS NYAGA NJERU

283. MR. JOHN PETER MWENDA

284. MISS.CHARITY NYAMBURA GATHINJI

285. MISS. BECKY CHEPKORIR BURETI

286. MISS. CAROLYNE GURANYA SERENGE

287. MR.JAMES KABIRU MAINA

288. MR. EVANS OKONGO ONDIEKI

289. MISS.MERCY CHERONO

290. MISS. NANCY MONG’INA MOKERA

291. MRS.ESTHER NJERI NJOROGE

292. MRS.JANICE MUKAMI KARIUKI

293. MISS. JEAN CYNTHIA AMIRA

294. MISS.LAURA KERUBO MAKORI

295. MRS.CHRISTINE OSALE OBILO

296. MISS.BEATRICE KANANU MBURUKI

297. MR. SETH MURAGIRI MURUGA

298. MRS. ALICE WAITHIRA THUO

299. MISS. CAROLYNE WAIRIMU NJOROGE

300. MR. MARK MUNENE MUCHERU 301. MR.DAVID NDUNGU WAWERU 302. MR.NICHOLAS MACHARIA KAGUONGO 303. MISS.MERCY MASAKHWE SHEUNDA 304. MISS. ANN WAITHIGENI MUNYEKI

305. MR. PIUS KIMANI KAKUTI PHILIP 306. MRS.GLADYS CHEPKURUI

307. DR. DENNIS FUNDI MUTHIANI

308. MISS. LINET RABELLA MUGUNA 309. MISS.EVERLINE KERUBO MOSE

310. MISS. FAITH MWENDE NZWILI 311. MRS.VIOLET WASIKE 312. MR.FRED CHEGE WANJIRU 313. MRS.MERCY NJERI RUTERE

MISS. JUDY MWENDE MULANDI 315. MR.FRANCIS NGALA OMWANDA

316. MR.MAXWELL MAGOKA NYANGARESI

317. MRS. FARDONSA ALIOW ADAN

318. MR.BILL MUSINGI KASINA

319. DR. SABINA WANJUGU MUTHIGANI

320. MR. NEWTON MUTEGI MBAE

321. DR. SADDAM MASINDE RAJAB

322. MR.SAMUEL NDUGO NJURU

323. MISS. LEAH NYAMBURA KAMAU

324. MRS.FAITH MUSEBE NASILWA

325. MISS.EUNICE NYAGUTHII WANGECHI

326. MISS. JACQUELINE WANJIKU NGURE

327. MRS.MONICA WANJIKU NJUE

328. MR. ANTONY NDEMA MUTHUI

329. MISS. EMILY AKOTH OSEWE

330. MR.PATRICK GICHERU MWANGI

331. MR. CHRIS OUMO OKEMWA

332. MRS.RUTH ACHIENG ABBAS

333. MISS. ELIZABETH NDILA NGILA

334. MISS. TERESIA WATIRI WANDU

335. DR.PATTERSON NJENGA MACHARIA

336. MISS.MARY KALEKYE MULU

337. MR.KELVIN MURIMI KARIUKI

338. DR.JOSEPH MWANZIA MAKAU

339. MR. SAMUEL OTIENO ODONGO

340. MR.ALFRED OCHIENG OWELLE

341. MRS.MIRIAM JEPKURUI BETT

342. DR.ABDULLAHI MOHAMED KAAR

343. DR.ABDULLAHI YUSSUF MOALIM

344. MRS. ANNE MORAA OBIRI

345. MISS. RUTH MUTHONI SANG

346. MISS.MERCY NYAMBURA MWANGI

347. MR. GEOFFREY MANDELA KENGERE

348. MISS.VIVIAN ATIENO MWANGI

349. MR.MARTIN NGANGA NJAGWI

350. MRS.SERAH ATSE MUMBA

351. MR.KENNEDY GITHAE KAHARA

352. MR. EVANS MUTETI NZANGI

353. MISS.LILIAN WANGUI KARIUKI

354. MR.PETER MAINA THIGE

355. MRS. JOY NANJALA NYONGESA

356. MR. KEVIN MUKOYANI BARASA

357. MR.BRIAN NYAGA MWENDA

358. MR.HENRY AWASI APIYO

359. MR.ANTHONY MWANGI NJOROGE

360. MISS.CECILIA WANJIRU KIMENJU

361. MISS.MERCY LUNANI SHIKUKU

362. MISS.ZAINAB MWATHA ALI

363. MR.AINSWORTH MOMANYI OMBATI

364. MISS.MARY WAMBURA NJERI

365. MRS.LILIAN WAMBUI NDEGWA

366. MR. MARTIN NDONGA MAINA

367. MISS. DIANA CHEPCHIRCHIR KIMAIYO

368. MISS.MARGARET WANJIKU KABAIKU

369. MRS.MAUREEN NANJALA MUSUNDI

370. MR.ZAPHANIAH MACHOKA OTISO

371. MR.KENNEDY MUTHUI MAINA

372. MR.JAMES MANANI NYABORO

373. MR. GEORGE OCHIENG OTIENO

374. MRS.MERCY CHEPKORIR

375. MISS. VALENTINE JEROBON

376. MISS.NELLY NAITORE KAIMENYI

377. MISS. JANET TATU NGUMBAO

378. MR.ERICK BOGONKO AYARA

379. MR.STEPHEN KIOKO MUNYAO

380. MR. EVANS KIPLANG’AT KIGEN

381. MR.BRIAN LENGURE LEWIS

382. MR.JAPHETH KIPROTICH YEGON

383. MR.LUCAS MUMU MESIGHANA

384. MR.ABRAHAM MACHARIA PETER

385. MR.VICTOR NYABERI NYONGA

386. MISS.IRENE NADZUWA

387. MISS.ESTHER WAMBUI NYAWIRA

388. MR. CHRIS ALLAN KENYENGA

389. MISS.AGNES CHEBET RONOH

390. MISS.JACKLINE NYAWIRA KIBUCHI

391. MISS.BEATRICE WANJIRU KARIUKI

392. MISS.ALICE WANJIRU NGARI

393. MISS.MAXMILLA NYAKERU MBUGUA

By Edel Q. Mwende

Comic Zone

Laughter, the best medicine!!

Tasty dollars

A doctor put up a sign saying - “100$ to you if I can’t find the cure to your disease, 20$ if I’m able to do so.”

A man walking by so this as easy money. He went in.

He said: “Doctor it seems like I have lost my sense of taste.”

The doctor called a nurse and asked to bring him Bottle 23. The nurse brings Bottle 23 and the doctor asks the man to drink it.

He says: “This tastes like gasoline.”

The doctor says: “You’re right, you got your sense of taste back!” Now give me the 20$.”

Heard from the doc?

My doctor told me that I was going deaf 3 years ago…

I haven’t heard from him since.

Big belly answer

My doctor told me that only exercise will get rid of my big belly.

I asked him if I should join a gym. He said, “No, that’s not necessary. Here’s the exercise you need: Move your head back and forth from left to right anytime someone asks you if you’d like something to eat.”

OUR VISION

A world class patient-centered specialized care hospital

OUR MISSION

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

OUR MOTTO We Listen, We Care

Inspirational Quotes

1. “Courage is like a muscle. We strengthen it by use.” -Ruth Gordo

2. “You can never leave footprints that last if you are always walking on tiptoe.”-Leymah Gbowee

3. “When you get to the end of your rope, tie a knot and hang on. And swing!”-Leo Buscaglia

4. “The real voyage of discovery consists not in seeking new lands, but in seeing with new eyes.” -Marcel Proust

5. “Action is the antidote to despair.” -Joan Baez

6. “A surplus of effort could overcome a deficit of confidence.” -Sonia Sotomayor

7. “You can be the ripest, juiciest peach in the world, and there’s still going to be somebody who hates peaches.” -Dita Von Teese

8. “Keep a little fire burning; however small, however hidden.”- Cormac McCarthy

9. “The best way out is always through.” -Robert Frost

10. “The battles that count aren’t the ones for gold medals. The struggles within yourself-the invisible, inevitable battles inside all of us-that’s where it’s at.” -Jesse Owens