COMPREHENSIVE CANCER CARE - Kenyatta University ...

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COMPREHENSIVE CANCER CARE - Kenyatta University ...
Kenyatta University Teaching, Referral and Research Hospital
                 Quarterly Newsletter, Volume 1, 2nd Edition, January 2021

      COMPREHENSIVE
       CANCER CARE

                                                CS KAGWE INTERVIEW WITH
                                                CITIZEN TV ON KUTRRH
                                                COMPREHENSIVE CANCER CARE
                                                 Page 7
 Cyclotron Brachytherapy
          Comprehensive Cancer      The Green Transport   Fueling Digital Transformation
INSIDE:   Care Right here at home   System                with Service Quality
COMPREHENSIVE CANCER CARE - Kenyatta University ...
Leadership Digest
Message from the Chairperson, Board of Directors
I hereby thank our KUTRRH staff for         its services in the Comprehensive        Victor Njom, as well as the Directors
their continued efforts in ensuring         Cancer Center and has embarked           and Deputy Directors for their
efficient delivery of healthcare            on different projects, notably the       leadership and commitments in
services to all our clients. The            Integrated Molecular and Imaging         steering this Hospital to the level it
recognition KUTRRH has gained from          Center (IMIC). This center will          is now.
different quarters is a testament to        be very key to our Hospital, the
our hard work and dedication to             Country and the region as a whole        As we keep up the good work, I
offering quality services.                  in managing and treatment of cancer      affirm that the Board will continue
                                            cases. The Center will have state-of-    to support staff in the delivery of
Four months after the official launch       the-art equipment and will house the     ‘quality patient-centred care’.
of the Hospital by His Excellency           first cyclotron machine in a public
Uhuru Kenyatta, the Hospital has            hospital. This Center will ensure that
gained limelight and has continued          Kenyans do not have to seek cancer
to offer health care services to            treatment from other countries. The
different patients from across the          IMIC also has a hospitality center to
country. Our continued engagement           ensure we accommodate the patients
with the County Administrations             and their loved ones whenever
has been very instrumental in               they come to seek treatment in our
ensuring our services are known to          facility. The project is on schedule
their constituents. In particular, our      and is due to start operations in
collaboration with Gatundu Hospital         April this year. We thank the project
has played a significant role in            team for their dedication in ensuring
healthcare delivery.                        timely delivery of the project.

KUTRRH is dedicated to expanding            I want to thank the Ag. CEO, Dr.

                               Prof. Olive Mugenda, Ph.D., EBS, CBS

Message from the                            continued to entrench and increase
                                            the use of the HMIS in our service
                                                                                     partnering hospitals. The Centre is
                                                                                     about 47% complete and is expected
Chief Executive                             delivery.
                                            We are privileged to have been
                                                                                     to be complete by 30th March 2021.
                                                                                     KUTRRH      plans    to   firm   up
Officer                                     involved by the Ministry of Health       commitments from these Counties

K
                                            in sending out a team of healthcare      and partner hospitals so that by
      UTRRH continues to make
                                            workers that played a great role in      the time the IMIC is completed we
      tremendous strides on health
                                            offering health care to Seychelles.      will have patients already enrolled
      matters in line with our Vision
                                            KUTRRH got positive feedback on          for the services. Considering that
and Mission which include the
                                                                                     the IMIC, which will be part of the
establishment of facilities, additional     the performance of the mission team
                                                                                     Comprehensive Cancer Centre, will
clinical services, a lot of capacity        throughout their service period.
                                                                                     be the first publicly owned in the
building, embarking on medical              When they were being sent out, many
                                                                                     Country and the region, its use is
education       with     collaborating      of them had not had any international
                                                                                     expected to reduce travel abroad for
institutions, clinical research, and        experience. Yet, when they were
                                                                                     Kenyans and make the management
medical innovations. We have also           posted to their various stations they
                                                                                     of cancer cheaper.
                                            performed exceptionally well.
                                                                                     The hospital is also improving by
                                            Specialized Clinics have been
                                                                                     developing policies and pursuing
                                            established at the Hospital to
                                                                                     ISO Certification. We are also on
                                            ensure     comprehensive        health
                                                                                     course with the implementation of
                                            care and the services offered
                                                                                     Performance Contracting.
                                            includes ENT services, Obstetrics
                                            & Gynecology, Pediatrics’ and child      I would like to thank the Chairperson
                                            Health, Cardiology, Dental Services      and the Board, the management
                                            and Ophthalmology. The hospital          and staff for all the efforts in making
                                            continues to upscale these services      KUTRRH a world-class hospital.
                                            due to the relative reduction of covid
                                            numbers
                                                                                     God bless you!
                                            Besides,   as   the   construction
                                            and equipping of the Integrated
                                            Molecular Imaging Centre (IMIC)
                                            progresses, we have embarked on a
                                            marketing campaign to Counties and

                                          Dr. Victor Njom
                                          Ag. Chief Executive Officer
COMPREHENSIVE CANCER CARE - Kenyatta University ...
Comprehensive Cancer
Care Right here at home
                                                                           CS Mutahi Kagwe inspecting the newly installed
                                                                           MRI machine, accompanied by Prof. Olive Mugenda
                                                                           and HOD Imaging, Dr. Sarah Osiemo

 O
        ne of the Hospital’s           Radiotherapy is key to cancer
        key flagship projects is       treatment, with over 60% of
        Comprehensive        Cancer    the cancer patients requiring
 Care aimed at filling the cancer
 care gap in the country. The World
 Health Organization (WHO) has         With this, the Hospital
 reported that the prevalence of
 cancer is increasing worldwide.       is poised to become
 32.6 million people are living with
 cancer and 8.2 million deaths are     the only public
 reported globally. In Kenya, we
 have approximately 47,000 new
                                       facility in the East
 cases annually with huge amounts      and Central African
 of financial resources spent on                                            Cyclotron
 seeking treatment oversees.           region to offer the
 To fill this gap, KUTRRH has          comprehensive                       commonly used as an effective
                                                                           treatment for cervical, prostate
 established a new comprehensive       continuum of cancer                 and breast cancer.
 cancer care centre that is fully
 equipped with the latest state of     care.                               The upcoming IMIC is part of
 the art equipment and the soon to                                         KUTRRH Comprehensive Cancer
 be launched Integrated Molecular                                          Centre and will be the first in
 Imaging Cancer (IMIC) for cancer      it. To cater for this need, the
                                       department has a modern             a public facility in the country
 diagnosis and treatment. To                                               and the region. The Integrated
 improve survivorship, KUTRRH          Linear      Accelerator;     an
                                       advanced machine for precision      Molecular Imaging Centre with
 has heavily invested in screening,                                        a Hospitality Centre is a unique
 diagnosis and treatment. With         radiotherapy which includes 3D
                                       radiation. The LINAC machine        facility for the early diagnosis and
 this, the Hospital is poised to                                           monitoring treatment of cancer
 become the only public facility       at KUTRRH (CLINAC iX) is one
                                       of the latest Radiotherapy          and will be critical in addressing
 in the East and Central African                                           the gap in screening and diagnosis
 region to offer the comprehensive     treatment equipment with a 3D
                                                                           hence improving treatment and
 continuum of cancer care.             treatment and Intensity.            ultimately      survivorship.    This
 There are also plans to expand        Another form of radiotherapy        will reduce overseas travel for
 the oncology centre from the          is Brachytherapy otherwise also     treatment.
 current 40 beds to 150 beds           known as internal radiotherapy
 with the planned construction of      whereby a radiation source is       By George Owana - Marketing
 the Chandaria Comprehensive           placed inside or next to the
 Cancer Care Centre (5’Cs).            area requiring treatment. This is

                                                                                                         2
COMPREHENSIVE CANCER CARE - Kenyatta University ...
Early Cancer Diagnosis Will Soon Be A
reality in Kenya
WHO in 2018 did a study that
noted Kenya has about 47,000
new cancer cases each year.
Further, about 10 billion Kenya
Shillings is spent annually on
seeking cancer treatment in
South Africa, India, and other
foreign countries.
The diagnosis of cancer is a family
experience that negatively affects
the lives of all members, causing
stress to the family due to loss
of income, treatment costs and
travel costs. These effects are
not only felt by the patient but
also the caregivers. According to
NHIF, 68% of families with cancer
patients experience financial
hardships with 53% of patients’
recovery affected by lack of funds    The Integrated Molecular Imaging Centre (IMIC)
and 6% of families selling assets
to finance cancer care.               first in a public facility in the
                                      country and the region. WHO           IMIC is part of KUTRRH’s
Recognising this need, H.E. Hon       definition of Comprehensive
Uhuru Kenyatta, The President         Cancer Care includes Prevention,      Comprehensive Cancer
of the Republic of Kenya and          Screening, Diagnosis, Treatment,
Kenyatta University Teaching,         Survivorship,   and     Palliative/   Centre and it will be the
Research and Referral Hospital        Supportive.                           first in a public facility
(KUTRRH) embarked on a new
project to build an Integrated        Molecular Imaging are non-            in the country and the
Molecular Imaging Centre in           invasive, safe and painless
tandem with a Hospitality Centre      procedures used to manage             region
with the foundation stones being      the treatment of cancer. These
laid on 10th September 2020. The      procedures in the IMIC will include
IMIC and the Hospitality Centre       the use of ground-breaking            the patient and act as tracers
at KUTRRH have the potential to       equipments, such as Cyclotron,        for cancer in patients as well as
make Kenya a medical tourism          PET/CT’s, SPECT/CT’s and more.        monitor remission or progression
hub within East Africa.                                                     of cancer in the body. Once the
                                      The Cyclotron will produce            isotopes are injected into the
An Integrated Molecular Imaging       isotopes, otherwise   known           body, the presence of cancer in
Centre is a unique facility for the   as Fluorodeoxyglucose (18F)           patients will be detected through
early diagnosis and monitoring        FDG, which are injected into          a PET/CT scanner or SPECT/CT
treatment of cancer. IMIC is part                                           scanner that will produce images
of KUTRRH’s Comprehensive                                                   for the precise location of the
Cancer Centre and it will be the                                            cancer cells in the body.

                                                                            Derek Mwathi - Marketing

     3
COMPREHENSIVE CANCER CARE - Kenyatta University ...
PATIENT
CARE
More Than Just Physiotherapy

Quality patient care is paramount,     and told her to be calm. She         the patient and continuing
whether you are a few hours, days      nodded and stayed put for some       counting your 20seconds hold. I
or 50 years old. It doesn’t matter     time, though after some minutes      had to encourage this patient. I
the length of time you have            she was restless and wanted to       resulted to being a preacher for
served. It all boils down to how       change the position. I told myself   some few minutes. “ You can talk
best you handle the patients that      that I had made a change to her      to God, even in this state, He will
pass through your hands. Being a       for the few minutes and that         hear you. He will answer you.
few days old at the hospital and       really counts for me. Appreciating   Just talk to Him and know that
being able to bring a smile and        every small thing. Small as it may   He loves you very much.”
instill hope to my patients is a       appear to you, it might be big to
great motivation for me.               someone.                             “God, I want to say......” “I’m I
                                                                            really talking to God right now?”
As a physiotherapist, I have
to    create   a  “non-typical”                                             “No ma’am, you are talking to
physiotherapy profession of the        As a healthcare                      me but go ahead and talk to
notion that one must experience        provider, I implore                  God, He will hear you.”
severe pain or must be overly
exhausted or there cannot be           you and I to have our                I left my patient talking to God.
fun or laughter at a treatment                                              I believe I made a difference to
session.                               patients at heart.                   her even for that time.
Being in the critical care unit
                                       Let us go beyond the                 As a healthcare provider, I
makes one appreciate the very          treatment and get to                 implore you and I to have our
small things in life. Being able                                            patients at heart. Let us go
to breath by yourself, feed            empathize with the                   beyond the treatment and get
and turn yourself in bed. How
do I extend the “more than
                                       patients                             to empathize with the patients.
                                                                            Not many want to go the extra
just physiotherapy” approach                                                mile. Not many of us would want
to my patients? I pray for my                                               to care but you can be amongst
patients. Even in my procedures.       It is for the benefit of the patient them who care. I will leave you
I remember telling God as I was        that we ought to go that “extra with this: “There is no traffic
suctioning a patient; “Lord, I         mile”. For me, the more than beyond the extra mile”
am physically removing these           just doing my physiotherapy
secretions but you can direct me       treatment comes from the fact
as I perform this procedure, You       that the patient is God’s creation.
can bring healing to this patient.”    God’s child. How I’m I handling Jescar Karimi - Physiotherapy
                                       what belongs to God? If I can
More than just physiotherapy.          help, then I will go ahead and take
When my patient is restless and        that bedpan to the patient, I will
anxious, I have developed what         not say that it is a nurse’s work.
I call a “touch of reassurance”.       I will let you send me syringes
Just to let them feel that it is       and cannulas and everything you
well. I care. I am not just there to   want, as long as I am in a position
tell them to do one, two, three        to help you.
then leave them. A certain lady
was crying because of being in         What do you do if you have
a position she had to be in, yet       a patient that has unresolved
she was uncomfortable in it. She       psychological    issues    that
was becoming restless and was          glaringly crop up during a
crying. I just gave her a touch        treatment session? Do you hush

                                                                                                      4
COMPREHENSIVE CANCER CARE - Kenyatta University ...
THE GREEN
TRANSPORT
SYSTEM
K
     enyatta University Teaching,
     Referral & Research Hospital
     (KUTRRH) in line with the
Global trend in sustaining the
human       civilization     through
quality health care provision
has introduced green transport
mode for its patients. This unique
transport service has been              is not only good for intensive use     vehicles.
introduced to facilitate quick and      of road resources, the ease of
                                        traffic congestion, the decrease       The Transport Department in
safe transfers of patients especially                                          the hospital also embarked
the aged and children within the        of energy consumption and the
                                        improvement of air quality but         on a structured framework of
hospital.                                                                      continuously going green by
                                        also, as a return to healthy and
The KUTRRH golf cart transport          leisure lifestyles, good for the       embracing the use of high fuel-
system for patients has embodied        improvement of citizen health.         efficient vehicles and programmed
its corporate image as the only                                                maintenance to sustain low-
service offered in all Kenyan           Green      vehicles,     with   new    level carbon emission to the
National Hospitals. The public          alternative energy as their key        environment. As a department,
response towards the service            feature, are intended to be more       our mission is not only to actualize
is equally marveling as it has          environmental       friendly   than    the KUTRRH VISION of enhancing
surpassed the expectations of           conventional internal combustion       the quality of lives for Kenyans
ferrying over 500 elderly patients      engine vehicles running on             and the regional citizens but also
monthly.                                gasoline or diesel. Electrical cars,   to raise the Institution status to
                                        hybrid vehicles, compressed air/       global recognition by being ISO
Green transportation is a low-          natural gas transport cables,          compliant.
carbon     and     environmental        biofuel, solar power cars have
travelling mode. The active             been used as the embodied              Edward Buya - Transport
promotion of green transportation       energy for different types of green

  SPECIALISED NURSES
  TRAINING
Working at Kenyatta University          among others. Going forward, the       encouraged caregivers         when
Teaching Research and Referral          Hospital will be training nurses in    patients get well.
Hospital is an exciting opportunity     these specialities in the hospital
and experience of its kind as a                                                Specialized nurses training is the
nurse.                                                                         way to go in the future of medicine.
                                        The vision being                       Patients come to hospitals with
The vision being rolled out                                                    different health conditions and
gradually is a medical solution to      rolled out gradually                   this calls for special care. Quality
the region and the international
community. The facility had
                                        is a medical solution                  care at that point can only be
                                                                               offered by health care workers
employed a high gear towards            to the region and                      training further.
the realization of a quality patient-
centred health care.                    the international                      KUTRRH has enlisted in its
                                                                               objectives the need to train nurses
The major investment in this care       community.                             in specialized courses. This places
is the specialized nurses training                                             the institution in the best level of
which forms a great foundation in                                              its own as the best hospital in the
nursing care.                           training college (TRI complex).        region.
The facility has been engaging          Specialized nurses have boosted        Morris Mutua - Nursing
specialized nurses like in Critical     the facility’s capacity and ability
Care, Nephrology, Perioperative         in offering individualized services
nursing, Oncology, Accident and         to different patients and families.
Emergency, Comprehensive care           Such type of care has improved
                                        lives and given hope to families;

     5
COMPREHENSIVE CANCER CARE - Kenyatta University ...
Abnormal Blood Clots
                                                                                            According to Dr. Kerama, this sped up
                                                                                            the recovery process as the clots were
                                                                                            identified early and treatment initiated.
   and Covid 19: A Patient                                                                  Kerama was quick to note that not all
                                                                                            health facilities have the equipment in
   Perspective                                                                              place, therefore, lengthening the time
                                                                                            the patient would take to recover.

W
           hen he learnt about contracting    Blood Clots and Covid 19                      Evident Risk Factors for Abnormal
           Covid 19, Paul thought that                                                      Blood Clotting
           it was only a matter of self-      Continued research indicates that
quarantine and all will be well. However,     abnormal blood clots arising from COVID       The risk factors are the same as those
his scenario played out differently.          19 infections are the cause of the death      that have already been noted for severe
                                              of some patients. While scientists link the   COVID-19. Those factors include being
“I started developing some pains around       main cause of the clots to a high protein        older, being male, having obesity or
my lungs. I tried to go to the hospital       spike in individuals with moderate                   having diabetes. Studies have
and then the doctor said it might be an       to severe covid 19, young people                       found that being female reduces
inflammation,” said Paul.                     are also exhibiting the symptoms                        the risk by about 20 percent.
                                              against the opinion that this
The condition worsened the following                                                                   Dr. Laurence further argues
                                              affects older people exclusively.
day. After examination, it was noted that                                                            that there is an 8- to 9-day
he could have been having a clot in the       According to Dr. Jeffrey Laurence, a                  interval between the appearance
lungs, also known as pulmonary emboli.        professor of medicine, many COVID-19            of the first symptoms consistent with
Pulmonary embolism is a blockage of one       patients in the ICU are developing blood      mild or moderate COVID-19 and then a
of the pulmonary arteries in the                  clots, including clots in small vessels   sudden worsening that brings the patient
lungs commonly caused by blood                        and deep vein thromboses. This        to the emergency room. In such cases,
clots travelling to the lungs from                      clotting often does not respond     the patient’s natural immune defenses
deep veins in the legs or, rarely.                       well to standard prevention        and control mechanisms that regulate the
                                                         methods such as being put on       complement and coagulation responses
According to Dr. Onyimbo
                                                        blood thinners.                     may be working effectively during those
Kerama, from Kenyatta University
Teaching, Referral & Research hospital                    In the case of Paul, a            8 to 9 days, then are overwhelmed so
(KUTRRH), the movement of the clot can                    Computerized Tomography           that the patient requires hospital care.
be from veins in other parts of the body                  (CT) scan revealed that he
to the lungs. This is what is known as deep   had a pulmonary embolism. Another test
vein thrombosis (DVT). Some symptoms          revealed that he was infected with COVID      By Francis Wachira - Corporate
may include shortness of breath, cough        19. He was lucky to be in a hospital that     Communications
and chest pain.                               had a CT scan and radiology present.

MEDICAL OXYGEN
PRODUCTION
Studies show that most developing
countries do not have access to
adequate supplies of medical oxygen.
The surge in demand for medical
oxygen to treat COVID-19 aggravates           Four (4) Medical Oxygen Plants
preexisting gaps in medical oxygen
supply, leading to substantial supply
shortages among many hospitals and
home-based care. KUTRRH recognize
that oxygen therapy plays an integral
role in healthcare and homecare.
KUTRRH has responded to the challenge
by installing four (4) sophisticated
oxygen plants that produce medical
oxygen for clinical use. Each plant has                                                     Oxygen Cylinders Manifold
a capability of producing 613Litres per
hour (L/H) of pure oxygen totalling to                                                      Vacuum, Carbon Dioxide and Nitrous
2,452Litres in one hour. in 24hours, the      Three (3) Medical Air Plants                  Oxide.
plants produces 58,000Litres, which
can sustain KUTRRH 650bed capacity,           KUTRRH and also supply to Gatundu             KUTRRH has a mission to advance
all neighboring hospitals and across          Hospital. The cylinders are fixed on          the health of all people through
the neighboring counties.                     a manifold system for an automatic            exceptional clinical services which
                                              changeover in the event production            supports the training, research and
The produced oxygen is piped and                                                            innovation programs of the hospital.
                                              Plants breakdown.
distributed to the entire hospital
clinical areas. By use of a refiling pump,    Besides, KUTRRH has installed other
the oxygen is also stored in close to         plants and systems for more medical           Ann Gathaiya - Biomedical Engineering
a hundred cylinders for backup to             gases that are; Medical Air, Medical

                                                                                                                          6
COMPREHENSIVE CANCER CARE - Kenyatta University ...
CS Kagwe Interview
with Citizen
TV on KUTRRH
Comprehensive
Cancer Care
Victoria Rubadiri from Citizen TV               CT 256 slice unit, 2 LINAC machines, a         government will take healthcare to homes.
interviewed CS Health Hon Mutahi Kagwe          cyclotron, radio-pharmacy, brachytherapy       What we have learned from the COVID-19
on comprehensive cancer care at Kenyatta        equipment and a CyberKnife.                    pandemic is that family healthcare or
University Teaching, Referral and Research                                                     rather home-based care is possible. For
                                                The KUTRRH IMIC will support other cancer
Hospital on Friday 11th December 2020.                                                         instance, COVID-19 hygiene preventative
                                                centres that invest in PET/CTs through the
The CS also toured the Hospital, the ongoing                                                   measures have brought about a significant
                                                provision of consumables (FDGs), general
IMIC and hospitality construction projects.                                                    decrease in hospital visits related to both
                                                support, and personnel training.
                                                                                               communicable and non-communicable
                                                The government is also working backwards       diseases. Early screening, hygiene and
Rubadiri: Regarding the cancer                  to know the kinds of cancers we have and       emphasis on nutritional foods are the silver
situation in our country, are we in a           then going a step further to build capacity    bullet for securing public health.
crisis?                                         in terms of training medics to combat them.
CS Kagwe: Kenyans have been facing              For the first time in the Kenyan History,
                                                                                               Erick Gichuru - Web and Media
various challenges with managing the cancer     private hospitals will be referring patients
disease. Besides physical and emotional         to public hospitals, thanks to the state
pain, the cost of treatment of cancer to the    of the art medical facilities and expertise
economy is also overwhelming. Kenyans           being invested in public hospitals.
spend over Ksh 10 billion annually seeking
                                                Rubadiri: How do we increase the
cancer treatment in India, South Africa and
                                                appetite for treatment in public
other foreign countries.
                                                facilities.

Rubadiri: How will Wanjiku benefit              CS Kagwe: Besides affordable care, the
from cancer care at KUTRRH.                     government is shifting to prevention in
CS Kagwe: Early cancer diagnosis has been       healthcare delivery. To achieve this, the
an open secret in increasing cancer survival
rates because most cancers are treatable
when detected early enough. With this in
mind, the government is investing in a full
range of cancer care with diagnostics or
rather prevention being the main agenda.
Early diagnosis will not only increase the
chances of successful treatment but will
also cut treatment costs.

Rubadiri: What is the endgame of the
government’s current approach to
cancer care.
CS Kagwe: The goal is to deliver Universal
Health Care to Kenyans and beyond; in
this case being comprehensive cancer care
here at home. KUTRRH is set to have the
first of its kind public Integrated Molecular
Imaging Centre (though more are coming)
that will have sophisticated equipment
for treatment such as 2 PET/CT Scanners,
SPECT/CT Scanner, 2 MRI 3Tesla units,           The HOD Radiology, Mr. Isaac Kamau, explains the working of the LINAC Machine.

      7
COMPREHENSIVE CANCER CARE - Kenyatta University ...
World AIDS Day Commemoration

S
      tarted in 1988, World AIDS            technicians, public health officers and         An estimated 40 million people
      Day was the first-ever global         occupational therapists. It offers the          worldwide have died of AIDS since
      health day. World AIDS Day,           following services:                             1981, and an estimated 37 million are
observed each year on December 1, is        Comprehensive care-this is a holistic           living with HIV, making it one of the
an opportunity for people worldwide         approach to managing persons                    most important Global Public Health
to unite in the fight against HIV, show     infected with HIV and those affected.           issues in recorded history. Despite
their support for people with HIV,          The approach used is majorly clinical           recent improvements in treatment, the
and remember those who have died            care and psychological and socio-               AIDS epidemic still claims an estimated
from an HIV-related illness. The day        economical support.                             two million lives each year, of which
is dedicated to spreading awareness         Care and support provided to people             more than 250,000 are children.
of the AIDS pandemic and to mourn           living with HIV/AIDS. This includes;            Public health challenges globally have
those who have died of the disease.         socioeconomic support and VCT                   a bearing on the health situation
Kenyatta University Teaching, Research      services.
and Referral Hospital commemorated          Palliative care and end of life of care. This
the day whose theme was “Global             is an approach used by comprehensive            KUTRRH provided the
Solidarity;   Shared     Responsibility”    care centre which improves the quality          comprehensive care services
which calls for all individuals of          of life of the patient and their families       and health education at
society to participate and                  overcome        life-threatening      illness
celebrate the contribution                  through prevention, assessment and              our grounds and involved
of communities to the HIV                    treatment of the patient, and other            the community since this
response.                                     physical, psychological, and spiritual        is a global effort and thus
As we celebrated the                           problems.                                    participation and advocacy
day,     KUTRRH       provided
the      comprehensive       care                            World     AIDS    Day          of communities will ensure
services and health education                                 2020 was not like             that the spotlight remains on
at our grounds and involved the                              any other because              the fight towards HIV/AIDs
community since this is a global                             of    the   COVID-19
effort and thus participation and                           pandemic. COVID-19
advocacy of communities will                    is threatening the progress that            in any country. New and emerging
ensure that the spotlight remains               the world has made in health and            communicable diseases, especially
on the fight towards HIV/AIDs and              development over the past 20                 Ebola, SARS (severe acute respiratory
that this response is people-centred.         years, including the gains we have            syndrome), avian flu and COVID-19,
Similarly, we speak out against HIV         made against HIV. Even if we fight              along with HIV/AIDS, do not respect
stigma and call for an increased            Coronavirus, we need to renew our               border crossings. The goal of the
response to move toward Ending the          fight to end HIV; Use innovative HIV            public health department in KUTRRH
HIV Epidemic. Besides, we created           services to ensure continued HIV                is to improve lives through a focus on
awareness on the Road Safety.               care; engage and protect our nurses,            the prevention of disease, protection
At KUTRRH we support people                 midwives and community health                   of the public, staff and visitors against
living with HIV by providing the            workers; and prioritize the vulnerable          environmental hazards and health
Comprehensive Care Centre where we          – youth and key populations. We need            education and promotion. The team
provide holistic care and management.       also to recognize that community health         is made of public health officers and
The hospital has a team of workers          workers and civil society organizations         assistants who are committed to
that lead to the success of the             play a singular role in combatting              ensuring that all preventable diseases
services in the centre. This team           stigma and discrimination, as well as           that affect our people are reduced.
includes; doctors, nurses, nutritionists,   in expanding access to testing and
pharmacist, physiotherapist, laboratory     treatment of HIV worldwide.                     Felix Karani - Public Health

                                                                                                                           8
COMPREHENSIVE CANCER CARE - Kenyatta University ...
TAKING HEALTHCARE TO OUR COMMUNITY

The community liaison office in              Tree Planting: Pentecostal Evangelical         School and Kiwanja, next to PEFA
KUTRRH serves as a communication             Fellowship      of     Africa     (P.E.F.A.)   church.
link between the Hospital and                Church, Kiwanja, in partnership with
the Community; connects special              Compassion       International       Kenya     Proposed Improvement Upgrading of
populations with the required services       through     the      KE0451       outreach     Healthcare Waste Management Plant:
e.g. the disabled, patients with long-       program, led by Rev. Peter Muchai and          Community          leaders         and
term care, special population with           his team donated and planted 10 Thika          representatives were invited to attend
government service and community             Palm trees and 50 Glaviera trees in            a public meeting on Environmental and
support projects; and facilitates conflict         KUTRRH. The Acting C.E.O., Dr.           Social Impact Assessment (ESIA) that
resolution with community                                 Victor Njom and members           was held at the project site (KUTRRH)
member by addressing                                          of staff from various         on Friday the 23/10/2020 at 10 a.m. It
issues that could occur                                           departments each          was spearheaded by the contractors,
between members                                                     planted a tree          DEVLINK in collaboration with officials
and     the    other                                                  to grace this         from the Public Health and the
entity.                                                                occasion.            Community Liaison offices of KUTRRH.
T h o m a s                                                             P. E . F. A .
Bognanno,                                                                C h u r c h ,      Donations to the needy: Covid-19
president                                                                 Kiwanja was       pandemic affected people’s economic,
and C.E.O. of                                                             first known       social and health status. The Board of
Community                                                                 to KUTRRH         Directors appointed a committee to
Health Charities                                                         in October         oversee and implement, with the help
asserts that it                                                          2019      when     of the community leaders, the idea
is difficult to be                                                      Rev.     Muchai     of identifying needy members of the
healthy personally                                                     welcomed             community who required assistance.
if your community                                                    members          of    The Board of Directors and staff
is    unhealthy,     “A                                            KUTRRH staff and         donated towards foodstuffs for this
good community is the                                           the community to            cause. The Chairperson of the Board,
ecosystem or environment                                    use the church facilities       Prof. O. Mugenda, graced the occasion
in which people live.”                                and any other services they           on 22nd December 2020 and shared
At KUTRRH, we endeavor to attain             required for the success of the medical        foodstuffs donated by staff and the
acceptable health standards by               camps they held at Kiwanja sports              Board, an initiative meant to assist
reaching out to the community which          field while creating awareness of the          families facing financial gaps caused by
contributes greatly to the welfare of        existence and services of the Hospital.        Covid-19 pandemic during the festive
an individual, his/her family, friends       He expressed his desire to work                season.
and the nation. Below are some of the        closely with KUTTRH for the better of
activities that KUTRRH has conducted         the children and the community.                The community liaison officials take this
and involved the community:                                                                 opportunity to thank the Management
The World Kidney Day is a global             Medical Camps: It was necessary                and staff of KUTRRH for their continued
health awareness campaign celebrated         to create awareness to the public              support this far and look forward
every second Thursday of March each          and members of the community of                to building healthy local community
year. The goal of the campaign is to         the existence and services offered             relationships and participation in future
raise awareness of the importance of         in KUTRRH. In this regard, the                 events and activities.
healthy kidneys, educate the public on       management worked in collaboration
the risk factors and provide screening       with the Kahawa Development Forum
for those that may be at risk. It aims       Leaders and the Community Health               Rose Nteere - Community Liaison
at educating the communities on              workers to create awareness about the
ways of lowering the risk factors to         services of the hospital as well as offer
the minimum. In 2020, this day was           free medical services during the camp.
celebrated on 12th March 2020 at             The camps were held at Market Place
Uhuru Park grounds.                          of Kahawa West, Githurai Primary

      9
demonstrated astute leadership as well
 Fueling Digital                         as a sound and agile executive. The           Reliability,
                                         staff, customers and citizens appreciate      responsiveness,
 Transformation                          the vision and are consuming the
                                                                                       rapport, tangibles and
                                         product of the vision in the name of
 with Service                             a quality patient-centred care by            digital innovation are
                                                      KUTRRH. This vision of the
 Quality                                               board and the executive         the yardsticks of the
                                                       requires an effective           ICT department
Digital transformation is the use                       digital     environment.
of digital technologies to create                       Evaluation of the efficacy     and accurately. The second is
or modify an existing business                           of the ICT unit of the        responsiveness or the willingness to
model,      business    processes                                                      help users and to provide prompt
or customer experience to                                                              service. The third is rapport or the
respond more effectively to                                                             ability to convey caring and courteous
changing customer expectations                                                          support. The final is tangibles or the
as well as business and market                                                          ability to provide physical facilities,
requirements. It is the use of                                                         equipment and decent appearance
digital technologies to make the                                                       of personnel. Digital innovation,
organization more responsive to                               organization        in   imagining new tools for digital
the realities of the digital age.                              translating      the    transformation, would be the author’s
                                                                vision    of    the    modification to Tarvid’s model. What
While digital transformation is                                 board and the          would you add or modify?
both necessary and essential in the                              dexterity of the      Reliability, responsiveness, rapport,
digital age, it has to be unbundled                              executive     into    tangibles and digital innovation are
and practical. The responsibility                                 tangible digital     the yardsticks of the ICT department
to bring it to reality to the internal                            age      realities   that is responsible to the executive
customer, staff, and transform the                                for the citizenry    and the board to spearhead the digital
experience of the external consumer                          becomes important.        transformation agenda for KUTRRH to
of the business products/services, the        How do we evaluate the efficacy          meet or exceed citizen expectations in
customer, lies with a robust ICT unit    of the ICT unit? There are four main          the digital age health care environment.
buttressed by effective leadership and   parameters derived from Tarvid’s
governance, the executive and the        model for digital readiness assessment        Dr. Mwirigi Kiula - ICT & Innovation
board of the organization.               in higher education. The first parameter
                                         is reliability or the ability to perform
KUTRRH has a visionary board that has    promised        services      dependably

                                                                                                                      10
scope of the changing medical envi-         Reading Space and Library
 A Peek into                                 ronment. The library provides mate-
                                             rials that will stimulate our clientele
                                                                                         Sections
                                                                                         The Library has adequate reading

 Our Library
                                             on factual knowledge thus our motto         space that is well furnished with com-
                                             “Today a reader tomorrow a leader.”         fortable reading tables and chairs. We
                                             The library is on the second floor of the   have a Circulation desk where all que-
 Welcome to Kenyatta University Teach-       main hospital building.                     ries are presented and checking-in and
 ing, Referral and Research Hospital Li-     Library Services                            checking-out of books are done. We
 brary.                                      •    Our current services include;          also have an e-Learning section that
 The essence of Kenyatta University          •    Lending services (checking-in and      is well equipped with computers that
 Teaching, Referral and Research Hos-             checking-out)                          have fast internet connectivity.
 pital Library is to disseminate updated     •    Current awareness services
 and significant information in the con-     •    Online database searches               Electronic resources
 cerned field and also to give pinpoint-     •    Reference services                     The library has open access to e-jour-
 ed information promptly. We also as-                                                    nals that can be accessed from the
 pire to provide and support personal        Our Clientele                               library computers or if the user has a
 training and development within the         The Library is meant to serve KUTRRH        laptop e.g. Hinari. We are also in the
                                             Professors, medical doctors, and nurs-      process of subscribing to more e-jour-
                                             es, departmental members of staff,          nals and e-books that will be satisfac-
                                             medical students, and researchers.          tory to our user needs. We also have
                                                                                         implemented a REDCap web-based
                                                 Library collection                      application that will be used in captur-
                                               The library collection is in form of      ing data for clinical research and create
                                               print and non-print. This includes        databases and projects.
                                               books and e-resources. To build our
                                             collection, we are in the process of        Loan limits and operational
                                             seeking donations in form of print and      hours
                                                 non-print. This may include books,      Our members of staff are allowed to
                                                   journals, articles, newsletters,      borrow a maximum of two books for a
                                                   and any medical-related informa-      week. All checking-in and checking-out
                                                    tion materials. We are therefore     of books are done through the circula-
                                                    requesting our clientele who         tion desk. We have reference materials
                                                    would like to make donations         that are only used in the library and
                                                   to drop them off at the library       cannot be checked out. The Library is
                                                  during working hours.                  open Monday-Friday, 8:00 am to 5:00
                                                                                         pm.

                                                                                         Anne Njoroge – Library.

The Honour of Receiving a Commendation
from The President – Alice Mwaura
  Having practiced as a nurse for over       KUTRRH. This is a call that changed my      the eighth person only to be called
  14 years, never had I thought that I       life as she informed me that the Board      being the fourth one. My heart was
  would be standing right in front of the    had nominated me to receive the OGW         pounding as I navigated my way to the
  President to receive an award. The         presidential award.                         podium, as the crowd cheered and the
      most magnificent moment of it all      The weight of the matter had not hit me     flashing cameras threatened to render
       when receiving the Order of the       until I found myself being whisked into     me blind.
       Grand Warrior (OGW) award was         a car minutes later being rushed rush       Finally, I was awarded, the OGW, for
       when H.E. The President, Hon.         to Harambee House. It was a surreal         selfless and dedicated service in the
      Uhuru Kenyatta, applauded me           experience made even stranger when,         fight against COVID-19. What a journey
           and said, ‘Congratulations        I received a call from Mr Joseph Kinyua,    it has been from when the first 14
            Njeri!’                          the Head of the Public Service, who was     patients arrived at the hospital on 18th
              It was an accumulation         worried that I might not make it in time    March 2020.
               of Fourteen years of          due to the traffic jam at Pangani.          I cannot attribute this award to purely
                 hard work to my             I had to step out of the car and hop on     personal effort given that I work with a
                  current position as        a bodaboda to avoid missing the only        uniquely diverse team, whom I consider
                   the Nurse in Charge       ticket to Nyayo National Stadium where      warriors in the face of a pandemic. I
                  of the Isolation Ward      rehearsals were going down.                 consider the award as God’s favour.
              at Kenyatta University         On Jamhuri Day, 12th December 2020,         Special thanks to my mom for educating
             Teaching, Referral and          I was dropped off by a friend at the        me and raising me and to the KUTRRH
              Research Hospital.             venue donned in my official nurse           Board for not only nominating me for
               On the morning of             uniform. The familiar face of the Chair     the award but also for giving me an
                December 11th 2020, I        of the Board, Prof. Mugenda at the Dais     opportunity to serve.
                received a call from Prof.   gave me an uncanny sense of relief and
                Olive Mugenda, the           pride.                                      Derek Mwathi – Marketing
                Chair of the Board at        I was meant to receive the award being

     11
Tackling Oesophageal Cancer:
A Collaboration

T      he care of patients with
       cancer is an increasing
       burden      on
health resources in Kenya.
                          strained

Cancer of the breast, cervix
                                        The       Christie    Foundation
                                        manages The Christie Hospital in
                                        Manchester while The University
                                        of Manchester is a public research
                                        university in the UK.
                                                                              •

                                                                              •
                                                                                  the cancer
                                                                                  Patient/public engagement
                                                                                  and involvement
                                                                                  Capacity
                                                                                  Training
                                                                                              Building  and

and prostate have represented
                                        It is from this shared interest to   The      program      framework
as the more common forms of
                                        save lives that KUTRRH and The       is structured to a hub and
malignant diseases afflicting the
                                        Christie Foundation brought          spokes model which arranges
East African Region. The new
                                        on board other partners like         service delivery assets into a
culprit in town is oesophageal
                                        the Media Campaign Resource          network consisting of an anchor
cancer that has, in recent years,
                                        Centre, National Cancer Institute,   establishment     (hub)   which
increased in incidence as the
                                        Jomo Kenyatta University of          offers a full array of services,
3rd leading cancer in men and
                                        Agriculture and Technology,          complemented by secondary
women in Kenya. On account of
                                        Kenya Medical Research Institute     establishments (spokes). In this
late presentation and diagnosis,
                                        and Kenyatta University to           case, KUTRRH is the hub and all
learning that you have this cancer
                                                                             other stakeholders being the
purportedly translates to a
                                                                             spokes.
death sentence as it is recording       We acknowledge that
an equal rate in incidence and          working together                     The Partnerships, Linkages and
mortality.                                                                   Resource Mobilisation directorate
                                        is more effective                    at KUTRRH looks forward to
Kenyatta University Teaching,
Referral and Research Hospital          than working in                      undertaking more projects to
                                                                             provide quality patient-centred
(KUTRRH) envisions being able           isolation. It is for this            and evidence-based care for
to enhance the quality of lives         reason that KUTRRH                   the benefit of all Kenyans and
for all Kenyans and regional
citizens by being a centre of           created a Directorate                regional citizens.
renowned clinical excellence,           of Partnerships,
medical training and research.          Linkages and Resource                Melissa Mwangi - Partnerships &
To achieve this, we acknowledge
                                        Mobilisation.                        Collaboration
the fact that working together is
more effective than working in
isolation. It is for this reason that   establish a clinical pathway
KUTRRH created a Directorate            from screening to an outcome
of Partnerships, Linkages and           for oesophageal cancer. The
Resource Mobilisation.                  program is ongoing and has set
The Directorate facilitated a           out to achieve four aims:
partnership venture with The              •   To develop a structured
University of Manchester and                  clinical pathway to improve
The Christie NHS Foundation                   early detection and outcome
Trust (UK) in the field of health.        •   Research on the genomic of

                                                                                                     12
Gallery

Inspection of the ultra-modern and the first-ever PUBLIC Integrated           The PS Ministry of Health, Susan Mochache, Officially Launched the
Molecular Imaging Centre (IMIC) not only in Kenya but also in the region      Centre for Specialized Clinics on 5th November 2020. One of the major
by Hon. CS MOH, Hon Mutahi Kagwe. The goal is to increase the capacity        goals for KUTRRH is to provide specialised medical care, medical
of the Hospital to offer a fully comprehensive continuum of cancer care.      training and research in one facility within Kenya and beyond.

Hon. Joe Mucheru CS ICT Innovation and youth Affairs operationalizes the    The KUTRRH Health Mission team on returning from Seychelles present a
Medical Innovation and Accelerator Hub (MIAH).Kutrrh has innovation at      gift to the CS Ministry Health, Hon Mutahi Kagwe. The mission team had
heart.                                                                      travelled to support Seychelles deal with Covid-19 pandemic.

The KUTRRH Mission team from Seychelles pose for a photo with the CS Ministry of Health, Hon Mutahi Kagwe. The team performed
exceptionally well in a foreign country and raised the flag of Kenya high. Accompanying the CS is the representative of KUTRRH Board of
Directors, Mr. Kithinji Kiragu, the Ag. CEO, Dr. Victor Njom and the Hospital Senior Management Team

    13
Gallery

The KUTRRH Ag. CEO, Dr. Victor Njom (fourth from right) after a          The Director Training & Capacity Building, Prof. Wangari Mwai and
collaborative session with the Coast Provincial General Hospital.        Director, Human Resources Development, Dr. Tabby Mungai after a
                                                                         mission of Nakuru County Hospital visit.

Mr. Ahmed Dagane (Director Collaboration) and Mr. Isaac Kamau             KUTRRH new staff orientation in November 2020. The Ag. CEO,
(right) with H.E. Prof Anyang Nyong’o. The team engaged on best           Dr. Victor Njom, giving his remarks. The HR Directorate organizes
practices and collaborations on cancer management and the up-             bimonthly staff orientation sessions
coming Cancer and Integrated Molecular Imaging Centre.

The Pentecostal Evangelical Fellowship of Africa (P.E.F.A.) Church,   Dr. Gladys Mwakio from the KUTRRHs Comprehensive Care Clinic sharing
Kiwanja, in partnership with Compassion International Kenya           on the the recent invention of self-test, available to the public on request.
donated and planted 10 Thika Palm trees and 50 Glaviera trees in      The self-test tool has been developed to allow people to know their HIV
KUTRRH                                                                Status at their discretion.

                                                                                                                                   14
Research and Clinical Trials

B         eing a research hospital, research
          is one of the core mandates
          of KUTRRH. The Research and
Clinical Trials Department spearheads
and coordinates the Hospital research
                                               routine medical care. The patients’
                                               medical treatment is not altered in
                                               any way. Patients may be asked to fill
                                               out a questionnaire and give blood for
                                               use to help researchers gain a better
                                                                                                   time.
                                                                                             Clinical trials, unlike observational studies,
                                                                                             contain an intervention and determines
                                                                                             the safety, efficacy and dosing of a medical,
                                                                                             surgical, or behavioral intervention.
agendas including promoting, facilitating      understanding of the progression of the       Clinical trials may be randomized in which
and coordinating research programs;            disease.                                      groups of participants are randomly
building capacity of staff to carry out        We currently have several types under         selected to either receive the standard of
research; spearheading conduct of              observational studies. Among them;            care (best approved treatment to date) or
clinical audits to identify gaps and areas                                                   the drug under study
of improvement, effective dissemination        • Cross-sectional study which analyzes
of research findings, and developing                                                         Through the Hospital Clinical Research and
innovative services.                                                                                                 Support Committee,
                                                   This is aimed at informing                                           30         research
This is aimed at informing treatment of                                                                                   proposals
emerging diseases both infectious and              treatment of emerging                                                    have      been
non-communicable diseases in line with             diseases both infectious                                                  received for
the Hospital mission to provide ‘patient-                                                                                    evaluation.
centered and evidence based health care,           and non-communicable                                                       Of these, 13
training, and innovation’ to enhance the           diseases in line with                                                     have been
quality of lives of Kenyans and regional                                                                                     approved,
citizens.                                          the Hospital mission to
                                                                                                                            most of the
Why is research important in KUTRRH?               provide ‘patient-centered                                              approved
KUTRRH does research to gain valuable              and evidence based health                                            studies are at
information for the medical community.                                                                               various     regulatory
Research at the Hospital will help the             care                                                     approvals (IRBs PPB &
medical community to;                                                                        NACOSTI) and funds sourcing, 2 are
                                                     data collected from one specific        pending approval and 15 have been
• Learn about the cause of a disease                 point in time.                          rejected. Those rejected were rejected on
      and its effects on the patient
                                               •     Prospective cohort study which          the basis of overlapping objectives, having
• Find effective treatments to improve               follow participants over a period of    titles which are not clear and/or lack of
      quality of life for those affected             time to evaluate disease progression    a PI/Co-investigator from KUTRRH. 2 of
• Determine if a medicine used for                   and outcomes.                           the approved studies have commenced
      one condition could benefit another      •     Case-control study which compares       implementation. These studies are in
      condition                                      participants diagnosed with a disease   areas of Cancer, Covid-19 and Renal.
Types of research and research studies               to those who do not have the disease    To carry out any research at KUTRRH,
supported in the Hospital through the                in order to discover or analyze risk    please get in touch with the Research
Department                                           factors. These studies are either       and Clinical Trials Department via
Current research studies at the Hospital             retrospective which means they look     ddresearch-clinicaltrials@kutrrh.go.ke
fall into observational studies and clinical         back in time at the progression of      and researchmanager@kutrrh.go.ke for
trials.                                              the disease or prospective in which     assistance.
                                                     participants record information
In observational studies, patients are               regarding exposure to risk factors of
observed and monitored while receiving                                                       Kinya Idah - Research & Clinical Trials
                                                     the disease as they move forward in

     15
Gatundu Hospital
Renovations
 Gatundu       Hospital     renovations
 projects were officially launched on
 21st September 2020 by Prof. Olive
 Mugenda, the Chairperson, Board
 of Directors. Since then a lot has
 happened marking improvement in
 service delivery.
 Treatment of patients has been
 impacted by posting of 7 Medical
 Officers, 5 Clinical Officers, 10 nurses
 and 1 lab technician. These postings
 have seen an increased number
 of patients at Gatundu Hospital,
 especially due to the industrial action
 by Clinical Officers and nurses in
 Kiambu County. KUTRRH has also
 continued to support Gatundu
 Hospital with non-pharmaceuticals
 and pharmaceutical to ensure quality
 service delivery.
 Renovation works are ongoing with
 the Phase I projects expected to
 be completed by end of February
 2021. Gatundu Hospital is also slowly
 changing into a very beautiful facility.                                                  Repaired solar water heating
 The first things that strikes anyone who           New OPD ablution block                 system
 was familiar with the old-look Tower
 One are the beautiful colors seen
 here below. Painting of walls inside
 the buildings has also transformed
 the working spaces.
 Patients are now enjoying hot showers
 after the refurbishment of the solar
 water heating system that had been
 non-operational from 2016.
 The OPD and the walkways have new
 roofs. There is no more dreading of
 rains since consultations now go on
 uninterrupted and patients can walk               New kitchen- ongoing
                                                   construction                                     Cabro-paved Road
 along the walkways with no need for
 umbrellas.                                 The muddy road leading to Tower       New gates will be put in place too.
                                            One has been cabro-paved. The road
  Roads within the Hospital have been                                             Dr Ruth Irumbi - Gatundu Annex
                                            from Gate B to the new kitchen has
 surfaced. The road from Gate A is now
                                            cabro-paving. Alongside each of the
 two-way and it is being tarmacked.
                                            roads are cabro-paved foot paths.

                                                                                                             16
New Digital Products
for Improved Citizen
Experience                                                                        the go including leave and stores
KUTRRH has rolled out new digital        services on the go, “mobile phone”       requests among others.
products driven by the four-point        and make use of a personal Artificial    The Hospital has also rolled out a
digital transformation agenda which      Intelligence assistant to recommend      self-service kiosk where patients and
include: focus on citizen experience;    best care.                               their close circle of care can print
buttressed by stable systems and         To     better   equip     Heads   of     the patient prescriptions including
operations; visibility of data and       Departments for improved patient         visit summary and receive laboratory
information     for    evidence-based    care, there is the MIS App which         results as well as follow up self-
healthcare/decision-making; fueled       will include patients registered,        registration.
by disruptive digital innovation.        treated, admitted or discharged          KUTRRH will also facilitate referring
The        Hospital      Management      per defined period, as well as stock     facilities such as County and private
Information System (HMIS) has gone       movement, laboratory, pharmacy           hospitals with a Referral App to
a notch higher with the rollout of       and departmental revenue reports.        smoothen the referral process and
Mobile Apps hosted on Google Play        The MIS App will also help heads         improve the quality of care for
and Apple App Store and self-service     of departments make approvals on         citizens. The referring facility will
kiosks.                                                                           capture vital details for the patient
The Patient App, dubbed KUTRRH                                                    being referred so that preparatory
Connect, is the first one to be rolled                                            planning can be done by the time
                                         The Hospital Management                  the patient arrives at KUTRRH. This
out. Through this, a patient can self-
register, book doctor’s appointments,    Information System                       has significant benefits to the patient
obtain      e-prescriptions,      view                                            and thus contributory to health
prescribed       medications       and   (HMIS) has gone a notch                  and wellbeing in the nation and the
                                                                                  region.
schedules, check for pending orders,     higher with the rollout                  The disruptive digital innovation
make bill payments, be notified of
upcoming clinical follow-ups and         of Mobile Apps hosted on                 continues and more digital tools will
                                                                                  be unveiled for a quality patient-
view their health records.               Google Play and Apple                    centered care.
The second is the Doctor’s App, Dr.
KUTRRH, where clinicians can get         App Store and self-service
timely updates on their patient’s                                                 Dr. Mwirigi Kiula - ICT & Innovation
vital information, manage clinical
                                         kiosks.

   Editorial Team
   Prof. Wangari Mwai, Chair                Dr. Ruth Ndungu, Member              Steve Mwangi, Graphics Designer
   Dr. Mwirigi Kiula, Creative Director     Erick Gichuru, Member                Erick Kinungi, Graphics Designer
   Francis Wachira, Editor                  Daniel Kimondo, Member
   Andrew Kiiru, Secretary                  Derek Mwathi, Member
   Melissa Mwangi, Co-Secretary             George Owana, Member

                                                                                                              17
Fun Spot

         Do you know these surprising
         Health Facts?

More than half your bones are
located in your hands and feet
                                                                                     Sudoku
              KNOW YOUR HOSPITAL
                                                                                             2 5
 1.Where is KUTRRH located?
 a)Kahawa Tungu       b)Kahawa Sukari           c) Kahawa West           5                       1   9   6
 2. Can I walk in for treatment whatever time ?
                                                                             6                       7   8
 Yes....      No.....    Answer: KUTRRH is purely a referral hospital.
                                                                                         5   4
 3. Can I see my friend at the wards at anytime?
  Yes..........  No..........      Answer 4:30 p.m. to 5:30 p.m                  1   7   2   9 3
4. Can a patient access the hospital online?                                         3   1
Yes..........  No..........  Answer Yes, Mobile App KUTRRHConnect
                                                                         1   2                       5
 5. Can a doctor serve a patient online?
   Yes..........  No.......... Answer Yes, Mobile App DrKutrrh           6   5   4                       9
                                                                                 3   1

       18
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