First in East & Central Africa

Kenyatta University Teaching, Referral and Research Hospital Quarterly Newsletter, Volume 2, 3nd Edition, May 2021 FIRST IN EAST & CENTRAL AFRICA

A machine that produces radioisotopes that are injected into the human body to trace cancer cells, facilitating early cancer diagnosis.

cyclotron The radioisotopes are also used to monitor the remission or progression of cancer in the patient.

That Persistent Dash Kenya Airways Specialized Nursing Covid 19 vaccination INSIDE: To The Bathroom At Night Accreditation Institute Leadership Digest Message from the Chairperson, Board of Directors his past quarter we witnessed be providing the isotopes from the all your commitment in realizing the the delivery and rigging of the cyclotron. This will ensure that Kenyans vision of the hospital to be a premier TCyclotron machine, the first in don’t have to travel to KUTRRH but National Referral Hospital renowned Eastern and Central Africa. This is can access the same treatment from for clinical excellence, medical training the machine that produces the radio- their home counties. and research that enhances quality isotopes that are used as a tracer for We have set up a team that is working of lives for Kenyans and the regional cancer in patients. The radioisotopes on the logistics to transport the citizens. are also used to monitor the remission consumables (isotopes) from KUTRRH or progression of cancer on the to other facilities in the country. We see patient. The cyclotron comes with this as a huge opportunity to increase Radio-pharmacy equipment (hot access to quality cancer care by labs) that are used to synthesis the addressing existing gaps and potential radioisotopes to make them ready future growth through innovative, care for patient administration in terms of delivery models. dosage and safety. In addition, a 256 Slice CT Scanner Further, we have received two PET and 3T MRI has been delivered, CT and SPECT CT machines and they installed and user training undertaken. are ready for installation. A PET CT is It is currently in use at the Imaging used for PET-scan which is an imaging Department. test that helps reveal how your tissues and organs are functioning while a I would wish to thank H.E, Uhuru SPECT CT is a specialized imaging Kenyatta, The President of the modality used for assessing muscles Republic of Kenya for the immense and bones after administration of support towards the realization of radioisotopes. We have encouraged this project. The Hospital Board and the county governments to acquire management as well as the staff for these two machines and KUTRRH will Prof. Olive Mugenda, Ph.D., EBS, CBS Message from Chief Executive Officer

The Government of Kenya has continued aware, in the previous weeks especially communication, information security and to implement stringent measures in March and beginning of April, the appropriate use of resources at all levels to contain the spread of Covid-19 Country was hit by the 3rd wave of this of hospital operations. The Management Pandemic. These efforts have borne virus, pushing the positivity rate beyond is keen to ensure the hospital becomes fruits with a drop in positivity rate in 15%. Hospitals became overcrowded, 100% paperless in all its operations and the Country. Nonetheless, as we are all intensive care units were at full capacity hence I encourage all staff to positively and the country was faced the challenge and speedily embrace use of HMIS of insufficient oxygen. KUTRRH was not platform. spared as our ICU Wards remained full. Central to KUTTRH operations is an Despite the situation being compounded effort to offer customer-centric care by having different variants of the to our patients. Towards this goal, the virus in the Country, our frontline staff Management through the Directorate bravely fought and went an extra mile to of ICT has established the Hospital combat the disease and provide quality Contact Centre. The Centre which is now healthcare to patients. I would therefore operational ensures a 24 hours interaction like to commend our frontline staff for with our clients at minimal cost. Clients their selfless commitment to caring for across the Country and beyond can now our patients. make enquiries and bookings through toll In a bid to improve healthcare delivery free line by dialing 1558 or 0800 721 038, and patient experience, the Hospital has or sending an email via customercare@ fully integrated the Health Management kutrrh.go.ke address. Information System (HMIS). This The highlighted achievements and many integration meant that the Hospital had others that we continue to register across automated its systems and was able to go all sections of the Hospital cannot be paperless by 1st May, 2021 especially in realized without the concerted efforts of clinical and nursing processes. HMIS is an all stakeholders. I would therefore like to important evidence-based policy-making, appreciate the Chairperson of the Board, planning, implementing and evaluation Prof. Olive Mugenda, the entire Board tool of the Hospital programmes. Besides, of Directors, the Hospital Management this integration is envisaged to enhance Team, all members of staff as well as our Partners for the efforts and support to Dr. Victor Njom maintain KUTRRH as a world-class facility. Ag. Chief Executive Officer 1 KUTRRH Receives Its Cyclotron Machine Friday, March 26, 2020

The Kenyatta University Teaching, Referral & Research Hospital’s Cyclotron machine was officially delivered to the Integrated Molecular has been delivered, installed and user supporting PET/CT establishments in Imaging Center (IMIC). training undertaken. It is currently in counties and other hospitals (SPOKES) The cyclotron is the machine that use at the Imaging Department,” Said through the provision of Radio- produces the radio-isotopes that are CS Kagwe. Isotopes and Capacity building. used as a tracer for cancer in patients. The construction progress is well •Radioisotopes will be produced at The radioisotopes are also used to on course. As of today, the IMIC KUTRRH IMIC, packaged safely and monitor the remission or progression project is 71.79% complete with the dispatched to other hospitals locally of cancer in the patient. The cyclotron superstructure works on the ground and in the region comes with Radio-pharmacy equipment floor, first floor and upper floor 100% (hot labs) that are used to synthesis •Production and packaging will be complete. the radioisotopes to make them ready done in strict adherence to the Good for patient administration in terms of The IMIC has the following unique Manufacturing Practices deployed dosage and safety features: following regulatory requirements. The delivery and rigging of this •The cyclotron which we are launching •The construction of the centre has machine was witnessed by the today can produce radioisotopes for been approved by Kenya Nuclear Cabinet Secretary, Ministry of Health, PET/CTs in other hospitals in addition Regulatory Authority, and Pharmacy Sen. Mutahi Kagwe, Chairperson of and Poisons Board. Licence for KUTRRH Board of Directors, Prof. Olive operations will also be issued by the Mugenda, Chief Executive Officer The centre will two bodies. for General Electric (East Africa), Ms. therefore have the •The IMIC at KUTRRH has a training Brenda Mbathi, KUTRRH Ag CEO, Dr. centre that will provide training and Victor Njom, Members of the Hospital capacity to supply capacity building for staff running the Management and staff. PET/CTs at the Hospitals in Counties While speaking during the event, the other hospitals in the and the entire region. CS Kagwe lauded the hospital for the The Chairperson of the Hospital Board bold moves it is taking to bridge the country and the region on her part noted that beyond IMIC, cancer gap in the country. KUTRRH with the required the hospital is also constructing the sees this as a huge opportunity to hospitality center for the patients and increase access to quality cancer radio-isotopes their relatives. This is informed by care by addressing existing gaps the need for accommodation when and potential future growth through patients and relatives from far need innovative, care delivery models. to the 2 at the facility accommodation services as patients receive treatment. The accommodation “Let me take this earliest opportunity •The centre will therefore have the center has a capacity of 100 standard to thank the Board of Directors and capacity to supply other hospitals in rooms. Management for taking this bold step. the country and the region with the This Cyclotron will be the largest in required radio-isotopes Eastern and Central Africa and has the capacity to produce consumables for •The centre will be run on a HUB AND Francis Wachira - Corporate domestic use in the region. Besides, SPOKE model with IMIC at KUTRRH Communications a 256 Slice CT Scanner and 3T MRI as the anchor establishment (HUB) 2 The History of World Oral Health Theme for 2021? Day? World Oral Health Day was first declared The theme for the next three years sends in 2007 and was originally celebrated on out a simple but powerful message: Be 12th September - the birthdate of FDI Proud of Your Mouth. In other words, founder Dr Charles Godon. However, value and take care of it. the campaign was not fully activated The 1st World Oral Celebrations at until 2013, after the date was changed KUTRRH to 20th March to avoid conflict with the Fédération dentaire internationale (FDI) The hospital was able to mark this day World Dental Congress taking place in by inviting the community for a day of September. free dental awareness and consultation. In collaboration with Colgate and The new date was chosen to reflect that: through the hospital, all 266 community •Seniors must have a total of 20 natural members that attended received also teeth at the end of their life to be free oral health educational materials, considered healthy toothbrush and dentrifices. It was a •Children should possess 20 baby teeth successful day that promoted oral health 9. Limit sugary and acidic foods awareness, proper oral hygiene practices •Healthy adults must have a total of 32 and material to people of all ages and 10. See your dentist at least twice a year teeth and 0 dental cavities gender in the community. We were also •Expressed on a numerical basis this can able to refer patients to the Dental Clinic In conclusion, I would like to acknowledge be translated as 3/20 hence March 20 for follow up treatment to those that all Hospital stakeholders, Colgate and What is the purpose of World Oral needed it. the Dental Team for making the day a Health Day? 10 tips for those that success. World Oral Health Day aims to empower missed out? people with the knowledge, tools, and confidence to secure good oral health. 1. Don’t go to bed without brushing your teeth Dr. Omanga Adrian - Dental Why is World Oral Health Day so 2. Brush properly important? 3. Don’t neglect your tongue 4. Use a fluoride toothpaste Oral diseases are a major health concern for many countries and negatively impact 5. Treat flossing as important as brushing people throughout their lives. Oral 6. Consider mouthwash diseases lead to pain and discomfort, social isolation and loss of self- 7. Drink more water confidence, and they can often be linked 8. Eat crunchy fruits and vegetables to other serious health issues. 3 Celebrating 2021 World Kidney Day

orld Kidney Day is 1.Regular screening Includes testing a serious Public Health issue both in celebrated globally every the urine for protein and testing developing and developed countries. Wyear to raise awareness the blood for serum creatinine to There are currently over 1.4 million about the importance of our kidneys estimate glomerular filtration rate to patients receiving renal replacement in our health and health problems establish decreased kidney function therapy worldwide. One way to related to kidneys. World Kidney Day reduce the economic burden of is observed on the second Thursday 2.Manage blood pressure and chronic kidney disease would be of March every year and in this year monitor blood glucose levels. early intervention. 2021, it will be celebrated on 11 Work with your health care team to March 2021. This year’s focus is on develop a plan to meet your blood To achieve this as we commemorate taking charge of your health and the pressure goals and check your blood this year’s (2021) theme, “Living Well many factors that go into managing glucose level regularly if you have with Kidney Disease.” we should be kidney disease. diabetes. able to identify individuals with an increased risk of renal disease. The kidneys’ function is to filter 3.Take medicine as prescribed blood. They remove wastes, control and avoid Non-steroidal anti- Diabetes and high blood pressure the body’s fluid balance, and keep inflammatory drugs (NSAIDs) like are the two leading causes of kidney the right levels of electrolytes. All of ibuprofen and naproxen. Your disease. They are also considered the blood in the body passes through pharmacist and doctor need to know risk factors because having either them several times a day. about all the medicines you take. condition increases the risk of getting kidney disease as described below; Blood comes into 4.Aim for a healthy weight. the kidney, Create a healthy meal 1.Diabetes waste gets plan and consider Diabetes is one of the biggest factors removed, working with that increase the risk for kidney and salt, your doctor disease and the number one cause water, to develop a of kidney failure. and weight-loss plan that Diabetes is a disease that causes works for an individual’s body to have trouble you. making or using insulin. Insulin is a 5.Reduce hormone that helps the body turn stress the sugar you eat into energy. When and make the body doesn’t use insulin the physical right way, too much sugar stays in activity the blood, which can lead to chronic part of your kidney disease over time. routine. 2.Hypertension Consider healthy High blood pressure is the second stress-reducing minerals cause of kidney disease. High blood activities and get a r e pressure means the heart is working at least 30 minutes adjusted if too hard to pump blood. When or more of physical needed. The blood flows too forcefully through activity each day. filtered blood goes the tiny blood vessels in the kidneys, this can hurt these tiny vessels. Over back into the body. Waste 6.Make time for sleep. Aim for 7 to 8 time, this can lead to chronic kidney gets turned into the urine, which hours of sleep per night. collects in the kidney’s pelvis a disease. 7.Quit smoking. If you smoke, take funnel-shaped structure that drains As we commemorate 2021 World down a tube called the ureter to the kidney day, it is also important to bladder. Chronic kidney disease mention how the Covid -19 pandemic Chronic kidney disease (CKD) is a has badly impacted kidney patients serious condition affecting a large (ckd) is a serious with many having to shield at home percentage of the population for the past year. It has also led to worldwide. Often overlooked condition affecting a more people with otherwise healthy until symptoms appear, CKD is large percentage of the kidneys developing problems – progressive and can put one at risk serious COVID-19 infections can lead for serious health complications population worldwide. to acute kidney injury. Never was including kidney failure. Adopting a Often overlooked until there a more important time to act. healthy lifestyle can help an individual to manage and slow the progression symptoms appear of CKD and its complications. Felix Karani - Public Health steps to quit. Follow these healthy lifestyle tips to take charge of your kidney health. Chronic kidney disease has become 4 arch 12th, 2020, will remain indelible Eventually, the government has Therefore, let’s embrace this olive Min the minds of Kenyans. This was succeeded in securing the vaccine. branch and get vaccinated. Those the day when the first case of COVID According to endless studies conducted who fall within the criteria or confines -19 was detected in the country. Since by numerous entities, the vaccine has mentioned hereupon are welcomed to then, life has never remained the same. proved to be a game-changer in the Kenyatta University Teaching Referral & According to the statistics propounded fight against COVID-19. Apart from the Research (KUTRRH) for a free jab. Besides, by the Ministry of Health, more than expected sides effects such as headache, KUTRRH is reputed for the state of the art 2400 people have succumbed to this muscle aches, body malaise, pain at infrastructure, highly qualified and diverse invisible enemy. Furthermore, apart the injection site etc., the vaccine, as human resources and specialist care. Since from the crumpling of businesses, an showcased by WHO, astronomically its inception, the hospital has proved to be inordinate number of individuals have reduces the severity of covid thus a model in the deliverance of quality care. been rendered redundant. Additionally, preventing one from needing specialist We offer an array of specialist care that the economy has been left in limbo. treatment. Consequently, this endeavor encompasses dental, surgical, medical, has demonstrated to significantly reduce pediatric, gynecological etc., and now To avert more damages, the Ministry the mortality attributed to the virus. cancer care which will be the biggest and of Health has since moved with haste most intricate in East and Central Africa and instituted a myriad of measures. According to endless upon the completion of IMIC (Integrated Although these directives have proved studies conducted by Molecular Imaging Centre). You are all handy, they haven’t been definitive in welcome for patient centered care. At curbing the devastating effects of this numerous entities, the KUTRRH, WECARE. monster (COVID-19). This phenomenon vaccine has proved to be a is depicted by the skyrocketing number game-changer in the fight Evans Nyabuto - Nursing of deaths and hospitalizations secondary to covid 19. against covid-19 needs of the funeral home, led by Dr documentation, payments and any KENYA AIRWAYS Kimondo and Funeral Home manager, other logistics required as a consignee ACCREDITS Joyce Matolo, was the need to offer of human remains from outside the repatriation services. The funeral home country. A team of six staff attached - Kenyatta Memorial approached the marketing and corporate to the funeral home, led by Mr Ben Funeral Home communications to engage Kenya Airways Masayi from the Funeral Home finance to arrange for the inspection. department, visited KQ on 12/1/2021. Other staff included two customer care th Kenyatta Memorial Funeral Home is On November 24 2020, representatives representatives, one health care records guided by its mission statement which is, of Kenya Airways, Mr. Valentine Muruli, officer and two morticians. ‘To provide an unparalleled funeral service the Ag. Regional Cargo Sales Coordinator in our modern, elegantly appointed, state- West, Central Africa and Indian Ocean At KQ, the team was taken through of-the-art facility to families and friends at Islands and Nancy Adembo, Quality the import and export processes that their time of need,’ as well as its vision Assurance Manager, came for an were clearly explained to them by Mr. that states it wants, ‘To be a leading client- inspection visit. Valentine Muruli. The items covered centred funeral and repatriation services included the documentation required The representatives were taken around by provider through the use of state-of-the- including the embalming certificate, the Director Clinical Services, Dr Anthony art technology.’ burial permit, doctor’s certificate Kamau, the Head of Pathology Dr. among others; the packaging/ handling Kenyatta Memorial Funeral Home offers Mutambuki Kimondo, and HOD Marketing and transportation of human remains excellent services including, 3 spacious and Corporate Communications, Mr according to the airline requirements chapels with public address equipment, Derek Mwathi, where they were received such as aluminium lining, clear labelling executive waiting lounges, caring and by the Funeral Home team and shown etc.; security checks where the casket compassionate staff, ample around the Home by the carrying the remains is passed through parking, manager, Joyce Matolo. a scanner to identify the contents inside an outdoor Upon inspection, the funeral the casket, and payments. shaded home met all the requirements on the checklist. Mr. Muruli noted that Kenya Airways handle 20,000 repatriated bodies We are proud to say that Kenyatta in a year. This means that with the Memorial Funeral Home is now fully waiting accreditation Kenyatta Memorial Funeral accredited by Kenya Airways and area, Home has received, it can expect to International Air Transport Association. coffee handle a big chunk of this business as clients prefer it to its cleanliness and shop as well After signing of the service agreement as a fully equipped excellent service from the staff at the between the Funeral Home and Kenya home. conference room. Airways, a visit was later organized for the Funeral Home staff to go to As part of its strategic plan, one of the By Ben Masayi & Derek Mwathi KQ to learn about the procedures, 5 H.E Govenor James Nyoro inspects the progress of Gatundu Hospital. He is accompanied by the GATUNDU HOSPITAL Chairperson of the Board, Prof. Olive Mugenda and Dr. Ruth Ndungu, Deputy Director Gatundu Collaboration. INSPECTION OF Mr. Samuel Mwaura; Deputy A new and larger kitchen is also being REFURBISHMENT Director Gatundu Hospital, Dr. Ruth constructed. All these works have Irumbi; the Medical Superintendent given the clients seeking services WORKS Dr. Keziah Nginya and the Hospital at Gatundu Hospital a pleasant Administrator, Mr. John Kariuki. experience. ver since Kenyatta University Teaching, Referral and Research One of the projects that One of the CSR projects that EHospital (KUTRRH) was officially were inspected is the solar water KUTRRH has undertaken is to build launched in October 2019, it has heating system that had been in a boda boda shed on the outside of formed partnerships and collaborations operational for more than five years. the Main Gate for the motorbikes that with various international and local Thanks to repairs, patients are now the patients, and the community at hospitals. One such collaboration able to access hot water, something large, use to get to and from Gatundu is with Kiambu County that has the Hospital is very excited about. Hospital. seen Gatundu Hospital, a 300 bed capacity hospital refurbished in The main building of Gatundu Hospital, After a boardroom meeting to order to model premier healthcare otherwise known as Tower One, discuss the progress of the projects delivery at a level 5 facility. KUTRRH and the Main Gate have undergone undertaken by KUTRRH and the ones has thus been undertaking a number a facelift, greatly improving the to be undertaken by Kiambu County, of refurbishment works Gatundu aesthetic appeal of the Hospital. the Governor of Kiambu, Hon. James Hospital which are meant to improve Other ongoing refurbishment works Nyoro, and the Chair of the Board, service delivery. include cabro works around the Prof. Olive Mugenda, addressed an hospital, re-carpeting of roads and eagerly awaiting media on their vision On Monday, 22nd March 2021, repairing of the storm drainages. for Gatundu Hospital especially in the Governor of Kiambu, the Hon. The OPD, which was dilapidated has serving the healthcare needs of the James Nyoro accompanied the been transformed. It is undergoing a community. Chair of the Board KUTRRH, Prof. lot of repairs including roof repairs, Olive Mugenda in an inspection tour renovation of toilets, construction KUTRRH is glad to have entered of the ongoing projects. The two of additional toilets, replacement of into this impactful collaboration with leaders were joined by Ag. CEO floor tiles, paintwork, putting up of an Kiambu County. acoustic ceiling, electrical works and KUTRRH, Dr. Victor Njom; Director Dr Ruth Irumbi - Gatundu Annex Finance, Strategy and Development, installation of CCTVs and telephones.

6 My Seychelles Nursing Experience

On May 4th 2020, Kenyatta University Teaching, Research and Referral Hospital sent out 45 nurses through the Ministry of Health and the Government of Kenya to aid the management of the pandemic in Seychelles. The nurses were to help in the management of COVID19 in Seychelles. The pandemic had brought a lot of fear, anxiety and stigma to almost all the countries in the world , Seychelles not exempted. It all started with a warm send-off by the CS health and the Chairperson Board of Directors and other key stakeholders. It rejuvenated our spirit to go and rock the world and to raise the Kenyan flag much higher and to Market our hospital, has a nurse and public health officer to the full support of the two governments Kenyatta University Teaching Referral & address the health challenges. Every in a foreign country is a rare opportunity. Referral Hospital. The 4 hours flight with school has a clinic room for first aid and We are forever thankful to Kenyatta strict adherence to Covid19 protocol was it’s well equipped with vital instruments university Teaching and Referral hospital amazing. and an observation bed. From time and the ministry of health for such an to time we rotated in schools giving opportunity. The island of Seychelles is full of nature health education on handwashing, social that anyone can boast of; beautiful distance, cough hygiene and proper use Moving forward, we encourage the beaches, a tropical rain forest and diverse of face mask. It was amazing. government and Kenyatta University cultures. An archipelago of 115 Islands Teaching and Referral hospital to with the largest three being Mahe, Praslin We conducted, enjoyed and participated embrace more exchange programs of and La digue with a population of 98,000. in several training facilitated by WHO. that nature to its health workers to attain This boosted our knowledge to manage global experience in health matters. The six months’ experience was the pandemic to its peak. We managed We look forward to delivering our best best in my career life. In Seychelles, most of its peripheral facilities and through quality patient centered care. nurses are so friendly and responsible. main hospital. We were so industrious We worked in harmony, unity and love, that the entire population nicknamed teamwork being our strength. The us as “Kenyan Covid Nurses". Our Seychelles government has invested management of covid spoke volumes to Michael Omondi Aluoch - Nursing much in universal healthcare with strong the population. We also manned port of functional primary healthcare. In this entry into Seychelles to include airport mission, the Kenyan health care team and seaport as these are the only routes and the WHO in Seychelles and other landing into Seychelles. NGOs supporting health in Seychelles worked together to mitigate the spread Tourists were our focal point. We of COVID-19. It’s out of this team that I managed them through quarantine and enjoyed my profession to its fullest. whoever turned positive was isolated and treated. This vast experience in The school health program is one of the dealing with the multi sectors and with best practices in Seychelles. Each school 7 appropriate use of radiopharmaceutical the area of early cancer diagnosis. Meet The First Female drugs. The goal is to improve patient care by ensuring quality and safety in preparing Armed with this knowledge, Dr. Itotia Radiopharmaceutical and dispensing radiopharmaceuticals for approached the administration, with a therapy and diagnosis. proposal to pursue the Master’s degree in nuclear pharmacy at Sefako Makgatho Scientist in Kenya She has a few more accolades on her Health Sciences University in South shoulders. She is the valedictorian of the Africa. After careful deliberation, the hen you come across Dr. University of Nairobi class of 2017 and Hospital Board approved her proposal. Elizabeth Wangari Itotia, currently works as a pharmacist in the Wdon’t let her down to earth Kenyatta University Teaching, Referral She could not get used to Pretoria’s demeanour fool you. She is the first and Research Hospital (KUTRRH). hot climate. Being far away from home female radiopharmacist in the country. was another challenge that plagued her Dr. Itotia was ecstatic when she received during her stay in South Africa. However, Radio Pharmacy also referred to as Nuclear a call from KUTRRH that detailed she the challenges didn’t deter her from Pharmacy is a pharmacy profession had been hired for the pharmacist pursuing her education goals. Moreover, speciality focused on the position. Little did she know that a few she was witnessing first-hand the positive days later, she would get an offer for a impact of a public comprehensive cancer fully sponsored masters scholarship care on patient outcomes in South Africa. from International Atomic Energy Agency. Having completed her classwork, Dr. Itotia has resumed working in KUTRRH. She is Torn between a great eager to apply the sea of knowledge and fulfilling job, and an skills she’s learned working and studying opportunity to advance at the Nuclear Medicine Centre. Her her education, Dr. Itotia skills will come in handy in the running opted to take the job in of the upcoming Integrated Molecular a premier healthcare Imaging Centre (IMIC) to promote quality facility in KUTRRH. patience centred cancer care, particularly in regards to early diagnosis. Her dream to pursue the Masters in Dr. Itotia is deeply thankful to the nuclear pharmacy Chairperson of the Board, Prof. was however Olive Mugenda, the Hospital Board, rekindled during Management, and the Directorate of induction at KUTRRH. Training & Capacity Building for the The management opportunity to serve at KUTRRH and to emphasized The train as a pioneer radio pharmacist in the Hospital’s mission country. for clinical excellence, medical training and Erick Gichuru – Web & Media research, particularly in

Protection Regulations given the Hospital’s collaboration with SECURING INFORMATION European entities. ASSETS FOR QUALITY The management at all levels, PATIENT-CENTERED CARE information security champions and implementors and all staff have trained in February and March 2021. Information assets ecuring the privacy and global standards. The Hospital have been identified while risk confidentiality of patientis implementing Information assessment is in progress. The Sdata is at the heart of the Security Management System Hospital looks forward to the healthcare sector. In the advent (ISMS) based on ISO 27001. At completion of the project by June of digitally mediated healthcare the heart of the ISMS project is 2021 with continual improvement environments, this has come into the assurance of confidentiality, as the digital transformation sharper focus given the intrigues maintenance of integrity and agenda progresses. of information security. Kenyatta controlled availability for all data With the privacy and University Teaching Referral and information. The Hospital has confidentiality of data, the & Research Hospital seeks to stretched this further with the assurance of integrity and assure patients, caregivers and inclusion of auditability given the controlled access to authorized partners the ultimate privacy and sensitivity of patient data and the parties as well as effective confidentiality as well as fulfill the requirements for accountability in storage, retrieval, analysis/audit, requirements of local and global public service. and insight, KUTRRH continues data protection requirements. The achievement of the ISMS in its visionary journey of quality To fulfill this aspiration and will also align the KUTRRH with patient-centred care. exceed the expectations of the requirements of the Data the citizens, the Hospital has Protection Act 2019 as well as the benchmarked with renowned European Union’s General Data Dr. Mwirigi Kiula - ICT & Innovation 8 tear breaks bank and streams down her waiting time, boost Cancer Care efforts cheek. of the Government, significantly reduce cancer related mortality; attract medical For Gau, the next steps were to visit tourism from East, West & Central Africa; the big city and possibly fundraisers THAT PERSISTENT conserve foreign exchange used by to cover the bill for the medical trip to Kenyans going for treatment; and while India. In Kenya today, patients are being at it carve out a Centre of Excellence in diagnosed with stage 3 and 4 cancers BATHROOM DASH Oncology research and capacity building. due to lack of diagnostic capacity for early detection. Gau’s cancer should So, how would KUTRRH get to Gau Gau wakes up to use the bathroom for have been diagnosed earlier. This is and others like her? It needed to bring what seems like the umpteenth time unlike developed countries where cancer other people on board. People like that night and many others over the is diagnosed early and therefore survival those in the County Hospital that she past year. It is the planting season and rates are high (80% and above compared visited. If only they knew of an IMIC she surely needs the energy after a good to less than 30% in Kenya and Africa. within reach, perhaps Gau’s story would night’s rest but her bladder would rather have been less tragic. This led to the Cancer is a treatable disease with be an alarm clock. The deed isn’t quite creation of a Counties’ Cancer Advisory early detection and administration of relieving either, oh no! What with all the Team at KUTRRH to look into ways to appropriate treatment burning and she can’t quite get it all out. get this much needed saving grace to early. WHO breaks Getting out of bed in a huff, she reaches the Mashinani. The implementation of down comprehensive for her mulika- mwizi the IMIC would call for joint efforts with cancer care into a five- and in a half walk- the Counties. From installing PET-CTs to fold process that involves half bounce streamlining the referral process. prevention, screening, swagger, diagnosis, treatment, from the First things first, how are the counties’ survivorship pain in her managing cancer at the moment? The and back, she Advisory Team came up with a schedule races to the for visitations to the County. On January latrine. 11th 2021, all selected champions set out for the important task for phase “Dama, today 1 - to market the Integrated Molecular you will have to Imaging Centre to the counties and proceed with the assess their preparedness for PET CT. seedbed without me, As you can imagine, most Counties I think I need to see a had pretty basic Oncology Units doctor,” and no PET-CTs. A helping hand Gau calls in improving the situation i n meant renewed hope for those treating Gau and those like her was a welcome respite. Their people could be able to sick. Peering receive care right there. The County at her from Governors and Healthcare officials his small all expressed excitement from their eyes behind the myriad of questions about the set-up big glasses, Dr and running of the IMIC project. Kingaru offers the diagnosis, KUTRRH lines have been buzzing on “Looks to me end from that first interaction with the like yet another Counties. The partnership process is urinary tract on course as KUTRRH engages and infection (UTI). But, palliative care. In signs MOUs with the Counties to begin I’ll send you to the County Hospital for Africa, the gap is largely at the the enactment of the respective areas a second opinion.” A few weeks later, screening and diagnosis since only South of collaboration. The plan is to assist Cecilia darkens the doors of their County Africa and Egypt have the Counties in setting up of PET-CTs, Hospital and she’s handed the small public Molecular capacity building and acquisition of the container that’ll carry her urine Imaging Centre. consumables for the PET-CT. for the urinalysis; she knows It is in a bid to the drill. This is indeed a new age for Cancer bridge this gap Management in the Country and region. She sits there on the cold that Kenyatta No more outbound medical tourism cement, distraught as University – Gau and those like her will receive people walk past her Teaching, comprehensive cancer care right at soundless, blurry and Referral and home! like shadows in the Research night. What will she do Hospital Melissa Mwangi - Partnerships, Linkages now? The doctor said (KUTRRH) and Resource Mobilization it, the big C word, the proposed scary one, yes that one. to build an Something to the tune Integrated of bladder cancer that has Molecular spread to nearby lymph nodes Imaging Centre – stage 3. Surely, all of two years (IMIC). The of ‘UTI’? She is angry, angry at the Centre anticipates to doctors and their antibiotics, at herself tackle early diagnosis and for believing them and at the world for assessment of response to treatment, existing; she is scared too, for Mama accuracy in diagnosis and treatment of Mbula at home, Dama and all the plans cancer, recurrent or metastasis of cancer, to send her to school – cancer at 21?! A improved survivorship, reduction in 9 KUTRRH Research Culture – Why Engage in Clinical Trials Clinical trials entail the use of human volunteers to conduct research that will inform science intended to add to medical knowledge, primarily by improving human health and quality of lives through identifying and filling unmet medical gaps. They are considered as evidence-based practice for producing high-level scientific evidence to guide clinical practice. Clinical trials conducted globally have Image courtesy of https://acromegalysupport.com/phases-of-clinical-trials/ proven to strengthen health systems, expand health programs and have study participants who meet the Advanced techniques and case provided evidence for future health inclusion criteria but present with management. crisis response. additional characteristics that could To access these two very informative All clinical trials are guided by interfere with the success of the study or increase their risk for an publications, use the links provided protocols that are approved below: and regulated by an accredited unfavorable outcome such as specific health conditions or medications that Institutional Review Board (IRB) that 1. Access to Isocitrate could interfere with the treatment ensures the clinical trial is ethical, dehydrogenase (IDH) mutation being tested. These criteria help to and the rights and safety of study characterization and prognostication reduce bias and variation in the study participants are protected. The in a Kenyan hospital – A first to get accurate data. protocols must also adhere to Good case. https://www.sciencedirect. Clinical Practice (GCP) which is a In summary, clinical trials are carefully com/science/article/pii/ standard for the design, conduct, designed, reviewed, and evaluated S2214751921000888 and reporting of clinical trials. This to ensure the efficacy and safety of 2. Chronic Subdural Hematoma, assures that the data is accurate, new treatment as to the standard a Cause of Persistent Post-Dural reproducible, and credible and that treatment. the study participants’ rights and Puncture Headache in the confidentiality are protected even International Clinical Trials Day will Postpartum Period- https://www. after the clinical trial is complete. be celebrated on 20th May 2021, scirp.org/journal/paperinformation. The study participants must give an to raise clinical trial awareness and aspx?paperid=107798 informed consent voluntarily and are honor clinical research professionals free to exit or withdraw from the trial across the globe. This day celebrates at any given time without facing any the anniversary of the first clinical consequences. trial by James Lind in 1747 into the For enquiries about clinical research causes of scurvy on board the HMS at KUTRRH, please get in touch In Kenya, clinical trials that involve Salisbury. In honor of this day, we with the Research and Clinical Trials drugs intervention or medical devices are recognizing research scientists Department via deputydirector- must be approved and regulated by contributing to public health, medical [email protected] and research. the Pharmacy and Poisons Board advancement, and improved health [email protected] (PPB). The National Commission for outcomes. Science, Technology and Innovation (NACOSTI) regulates and assures quality in science, technology and By Research and Clinical Trials Team innovation, the institution accredits At KUTRRH, the Research and research institutes and approves all Clinical Trials Department works scientific research in Kenya. towards building research capacity and encouraging a research culture Who Can Participate in in the Hospital. One of our own, Dr. Clinical Trials? Daniel Kanyatta – MBcHB MMeD (Neurosurgery), has published a All clinical trials have guidelines, paper with the Open Journal of known as eligibility criteria; Obstetrics and Gynecology and a typically, the inclusion criteria different one with Interdisciplinary include demographic, clinical, Neurology: Advanced Techniques and geographic characteristics. and Case Management. He is also In contrast, exclusion criteria are a reviewer of the American Journal defined as features of the potential Interdisciplinary Neurosurgery- 10 ICAP Trains KUTRRH Staff to Better Respond to Emerging Public Health Threats

n direct support of national efforts Through peer networks and hospital (CDC), and the University of Washington to build Kenya’s capacity to prevent, communication channels, ICAP’s Global Health eLearning Program, Idetect, and respond to infections training experts crafted a series of provide a comprehensive overview of disease threats, International Centre clinician touchpoints at each site IPC skills and knowledge needed to for Aids Care and Treatment Program to nudge clinicians toward module help reduce the spread of health care- (ICAP) spearheaded efforts at Kenyatta completion. Additionally, ICAP also associated infections (HAI). Modules University Teaching, Referral & Research publicly celebrated all graduates in cover a range of topics important to Hospital (KUTRRH)– to increase small ceremonies where each clinician effective IPC, including hand hygiene, knowledge in infection prevention and who completed the course received a waste management, transmission-based control (IPC) through an e-learning certificate of completion. Thanks to the precautions, and HAI surveillance. campaign for clinicians. ICAP-led campaign, 62 clinical staff at KUTRRH have completed the training “It is important that all health care “ICAP’s work to increase completion as of April 12, 2021. Efforts at MP Shah workers, both clinical and non-clinical, of virtual IPC trainings among our staff Hospital have just started and are on receive training and supportive resources here at KUTRRH is an important step in track for completion in 2021. so that IPC can be implemented at ensuring that our health workers have every point of the health care system,” the expertise that they need to create “Health workers who are trained to said Caroline Mwangi, IPC focal a safer health care environment for prevent and control infections are able person at KUTRRH. “We are grateful patients and providers alike,” said Prof. to protect themselves and to respond to for the ongoing IPC trainings and the Wangari Mwai, training director at emerging threats to public health in the partnership with ICAP, which ensures KUTRRH. communities they serve,” said Prof. Olive that our frontline health care workers Mugenda, chairperson of KUTRHH’s are equipped with skills and knowledge Dr. Victor Njom, CEO of KUTRHH, board. “By promoting these critical to care for patients in the COVID-19 reiterated the importance of the training trainings in IPC practices, KUTRRH and context safely.” not only amid the current COVID-19 ICAP are continuing our longstanding pandemic, but also as Kenya looks to partnership to prevent, detect, and C/o International Centre For Aids the future: “We at KUTRRH are proud respond to infections disease threats in Care And Treatment Program (ICAP), of our efforts, together with ICAP, to Kenya.” Columbia empower frontline health workers with the information that they need in order The online trainings, which were to more quickly respond to and control co-developed by the World Health emerging threats to public health in Organization (WHO), the U.S. Centers Kenya.” for Disease Control and Prevention Gallery

CS Mutahi Kagwe witnessing the the delivery and rigging of the Cyclotron. He is accompanied by the Chair of the Board of Directors, Prof. Olive Mugenda, Ag. CEO KUTRRH Dr. Victor Njom and the CEO, General Electric Ms. Brenda Mbathi.

From Left; Dr. Victor Njom (KUTRRH CEO), H.E. Gov. James Nyoro (Kiambu KUTRRH held successful deliberations with NHIF KENYA CEO, Gorvenor), Prof. Olive Mugenda (Board Chairperson) and Dr. Keziah Nginyo Dr. Peter Kamunyo. The hospital will continue working closely (Medical Supretendent- Kiambu) during Gatundu Collaboration meeting. with NHIF to streamline health insurance in the hospital.

Bata Kenya Coutry Manager, Ms. Jeddidah Thotho presents a Variant Medical Systems Limited team equipment that will enhance the donation to KUTRRH Board Chair and CEO. Also present is Mr. Linear Accelerator (LINAC Machine). The Varian team was headed by the Ngoru, Bata Kenya Chief Human Resource Officer Regional Manager for East Africa, Mr. Edward Maina. 12 Gallery

KUTRRH was honoured to host the First Lady for County Government of Kisumu Her Excellency Dorothy Nyong’o. The First Lady was on a collaborative visit to our Cancer Care Center. In attendance was the Mandera CEC (Health) Dr Mahamud Adan Mohamed.

The team that led the KQ accreditation of Kenyatta Memorial KUTRRH’s Dental Technologist, Mr. John Chege, examines a patient Funeral Home. during the World Oral Health Day.

Medical team from the Jaramogi Oginga Odinga Teaching and Referral Hospital visited KUTRRH on a benchmarking tour. The team was welcomed by Dr. Victor Njom, Ms. Frida Nyamu, Dr. Sarah Muma (HOD Onclogy). 13 Transforming Communication through Microsoft 365

By early April, the ICT department MICROSOFT 365 regularly hold video calls. It has a had completed the implementation host of other capabilities such as of Microsoft 365 - popularly known M365 is an extensive cloud- document sharing, chat and tasks as M365. This is a product developed based package that includes scheduling. by Microsoft Corporation – the Windows 10 upgrades, Office largest software company in the Apps (Word, Excel, Publisher, KUTRRH, being a leading world. M365 brings along Microsoft PowerPoint) and other research Hospital is set to Windows 10 Operating productivity tools. Most of benefit from the education System, Office 365 and a suite us, having gone through the package offered by Microsoft. of productivity tools necessary Computer Packages Course, are This means that once the for the current digital office. aware of these apps. M365 enables Specialized Nursing Institute enrols The completion of this project the development and editing of students, tutors and students will be marks the beginning of a documents using the desktop app able to communicate seamlessly by digital journey for online services and as well as the browser. What’s more sharing assignments, notes, emails communication in the hospital. – you can invite a colleague to edit exams and other material. the document with you online. M365 prevents data loss by continuously A BRIEF HISTORY saving your documents to the cloud, HOW TO GET STARTED as such, you never lose data in case If you are yet to jump on the Even though computers existed of power outage. way before, Microsoft Windows bandwagon, you are advised to visit was released in 1985 in an attempt Members of staff are now able ICT Offices in the Administration to provide an operating system to get fast and reliable corporate building first floor for account acceptable to both researchers and emails accessible via Outlook. . This creation. After this, login to your average users. This OS, dubbed is the primary login username for account by visiting the link: www. Windows 1, was spearheaded by every Microsoft Account. office.com Bill Gates and Paul Allen, the two One account can be logged founders of Microsoft. Over the in to up to 5 devices, years the company released several providing access to all the By Kelvin Mwangi - ICT Web versions of Windows including 95, above applications and Development 98, XP, Vista, Windows 7, 8 and 10. synchronizing all their data to This has seen improvements in both your cloud account. This means you design and usability. can log in to your office computer, personal laptop, phone, tablet and Microsoft Office was introduced can access the data anywhere at any in the 90s too. It is a suite of time. With this, you no longer need applications including Word, Excel to purchase legacy Microsoft Office and PowerPoint. They were meant to software for your laptop. These tools assist in document production in the will help staff work remotely office environment. M365 gives every user 1TB of cloud Historically, both Windows and storage. This is an incentive enough Office were packaged independently to attract users from Google Drive and had little or no cloud integration. which only offers 15GB. You can use Loss of a computer meant loss this storage to back up your office of data, which is unbearable, documents. especially for office and research work. In this digital We are also encouraging users era, there is a demand for to make use of Microsoft cloud-backup services, Teams for video meetings. email communication and Teams has an edge over other collaboration. This brought about conferencing apps in that it the introduction of M365. is designed for corporate staff who 14 DIRECTORATE OF TRAINING AND CAPACITY BUILDING | SECTION

for Oncology personnel, especially individuals from all ages and cultures nurses where the need is a minimum along a continuum of care and across SPECIALIZED of 500 nurses, yet there are only a service delivery systems. Oncology few qualified nurses in the country. nursing occurs at primary, secondary NURSING Oncology, the study of cancer, and tertiary care levels and includes is particularly relevant in Kenya. hospices and homes. The role of the According to the Journal of Cancer Oncology Nurse is underpinned by INSTITUTE Policy, cancer is the third leading holism and encompasses direct care One of the key mandates of the cause of mortality in the country, to patients and families/caregivers Training and Capacity Building accounting for 7 per cent of annual in cancer care settings as part of Directorate is to establish the deaths. A 2015 Nation Newsplex the multidisciplinary team. The Institute of Specialized Nursing. The review of health data showed that the role is expanded to include cancer process of launching this Institute rate of death from cancer in Kenya prevention and health promotion in is well underway in that we have: is outpacing population growth and communities, and caring for patients may double by 2026. for whom cure is no longer possible DEVELOPED TWO (2) CURRICULA and their families/caregivers for It is with the foregoing in mind that improved quality care. • Started partnerships with the Kenyatta University Teaching Referral relevant institutions specifically & Research Institute of Nursing has Following closely to Oncology is our the Nursing Council of Kenya decided to launch a Specialized second course, namely, Critical Care and those offering palliative care Nursing Institute (SNI) with Oncology Nursing. This course considers the for exposure of our potential Nursing as its flagship course. With pathophysiology of complex patient students the aid of experts in oncology, the conditions requiring Intensive care, Directorate of Training and Capacity as well as assessment, monitoring • Identified rooms for theBuilding developed a curriculum and advanced therapeutics. Content required training spaces such within the framework of the Nursing at KUTRRH will focus on the care as; classrooms, Skill’s Labs, and Council of Kenya guidelines. Its of the patient with neurological, office spaces as guided by the content reflects the future of renal, gastrointestinal, endocrine, Nursing Council of Kenya Oncology nursing education, haematological and multisystem changing trends in the healthcare disorders. The promotion of • Advertised for most crucial system and the expectations of evidence-based practice will be positions that ought to be filled stakeholders. Using a blended integral to course delivery and prior to the assessment learning approach, this programme clinical case review. The focus will be allows students to explore a range on the collaborative multidisciplinary of clinical and theoretical issues. It management of the complex THE CURRICULA also fosters the skills necessary to intensive care patient and the critical The flagship area of the vision of function as team players and clinical care nurse's role within the team. KUTRRH, with the state-of-the- resources to peers. Leadership skills will be developed art equipment and highly qualified through workshops to prepare Oncology Nursing is a speciality, students to take on advanced personnel, is Oncology. This choice whereby nurses care for people who is mainly because Cancer is a major practice roles in the intensive care are at risk for developing cancer, unit. public health issue and represents a patients diagnosed with cancer, significant burden of disease globally patients receiving treatment for and in Kenya in particular. In the cancer, patients in need of supportive past few years, Cancer prevalence in and palliative care, serious illness, Prof. Wanagari Mwai – Training and Kenya has continued to rise, posing a cancer survivors and their families/ Capacity Building widespread staffing problem. Kenya caregivers. Oncology nursing occurs has continued to face rising demand throughout the lifespan and includes 15 DIRECTORATE OF TRAINING AND CAPACITY BUILDING | SECTION

STUDENT PLACEMENT

Kenya is faced with the challenge of a high experience. be granted internship opportunities rate of unemployment, particularly amongst to enhance their professional the youth. The challenge is exacerbated by The attachment and Internship development for registration with the lack of practical work experience that engagements at the Kenyatta University respective bodies. is demanded by the job market. The high Teaching Referral & Research Hospital unemployment level has led to increased aim to bridge the gap between academic Applications from students have been dependency levels, slow economic growth, knowledge and the world of work. The overwhelming. The selection process increasing poverty levels and rising national Hospital being the premier level 6 hospital has been thorough and the identified security challenges that negatively impact aims to provide opportunities for learners students mainly from institutions the realization of the dream for our global in a wide array of areas within the hospital with whom we have signed MoUs Sustainable Development Goals (SDGs) and as a mechanism of contributing to building have been engaged both in Clinical our Nation’s leadership. Human Capital in the health sector. and Non-clinical areas. As we await accreditation as an internship centre To achieve economic, social and political Student placement at KUTRRH is guided by the Kenya Medical and Practitioners development and secure the country’s by an Internship and attachment policy. Council, we celebrate recognition by prosperity, the government has prioritized Kenyatta University Teaching Referral & the Pharmacy and Poison’s board. job creation and increased youth Research Hospital is committed to providing employment by promoting Student opportunities to the youth who are in their courses or have completed their courses to attachment and internship. The Student Prof. Wanagari Mwai & Dr. John placement programmes aim at enabling acquire workplace experience to enhance their employability. Further, graduates with Nyambega – Training and Capacity those graduating from colleges and Building universities to acquire practical workplace professional qualifications will continue to staff supportive and well-managed courses mainly on the job user institution. KUTRRH is therefore training. The key to meeting STAFF TRAINING committed to enhancing the skills and the desired goals has been our competencies of staff members as a internally generated courses. Our The Nation’s development blueprint, means to meet the changing needs of key area of focus has been Quality The Kenya Vision 2030, aims at having the organization and have a workforce patient experience. Towards a well-trained, developed and globally that is competent to carry out their achieving this, the following competitive workforce, to provide roles. courses were offered in April: quality services to all. The Ministry of Health also recognizes that the Human Training at KUTRRH is therefore a Self-Discovery, the Kaizen Resources for Health (HRH) are a critical continuous and mandatory exercise. It Approach and Team Leadership ingredient in health sector planning, is carried out following a Training Needs for Heads of units and service delivery and, ultimately, Assessment aimed at addressing national health outcomes whereas the identified performance gaps to keep Patient Assessment, Medication Public Service Commission is cognizant knowledge and skills current and to administration, Documentation of the fact that well-trained employees meet professional requirements that and Customer Care for Nurses. are critical in enhanced service delivery will enhance effectiveness, efficiency which contributes to the overall and improve the quality of service in development of our country. KUTRRH. Prof. Wanagari Mwai & Fred Kariuki – Training and Capacity Building In line with this, KUTRRH is aware Guided by the staff training policy, So that the most valuable resource is far, training of staff at KUTRRH has our employees and that effective been ongoing through the Continuous staff development is not only vital to Medical Education (CMEs) and the meeting the vision of the Hospital but Continuous Nursing Education (CNEs). also makes an essential contribution Further, staff have undertaken short to the development of a responsive, 16 COVID 19 VACCINE: THE JOURNEY and Development Blueprint was Kenya’s first phase is meant to run activated to accelerate diagnostics, until the end of June 2021. The vaccines and therapeutics for the initial plan was to vaccinate high novel coronavirus. priority groups including frontline healthcare workers, teachers and The R&D Blueprint which is a global security personnel. A few weeks strategy and preparedness plan that into the rollout, the target group allows the rapid activation of research was expanded to include all Kenyans and development activities during older than 58 years. This expanded epidemics aims at fast-tracking the the original target from 1.25 million availability of effective tests, vaccines people to about 3.2 million in the and medicines that can be used to same period. save lives and avert large scale crisis. The scope of the Blueprint extends to A list of locations where one can severe emerging diseases for which go for their Covid-19 vaccination is there are insufficient or no presently available on the Ministry of Health existing medical countermeasures or website. KUTRRH is one of the pipelines to produce them. approved COVID-19 vaccination centers. Vaccination in KUTRRH COVID‑19 vaccine is intended to commenced on 12th March 2021 provide acquired immunity against A vaccine is a biological preparation with high priority groups receiving severe acute respiratory syndrome that provides active acquired the vaccine. Vaccination is ongoing coronavirus 2 (SARS‑CoV‑2), the immunity to a particular infectious subject availability of vaccine in virus causing coronavirus disease disease. A vaccine typically contains the facility. The COVID-19 vaccine 2019 (COVID‑19. When an individual an agent that resembles a disease- is not mandatory. The vaccine is receives the vaccine, it will trigger causing microorganism and is often administered in two doses, eight an immune response. If the person made from weakened or killed weeks apart. However, considering is infected by the virus, later on, the forms of the microbe, its toxins, the benefits of vaccination against immune system recognizes the virus or one of its surface proteins. The severe disease and death, it is and, because it is already prepared to agent stimulates the body’s immune strongly recommended that all attack the virus, protects the person system to recognize the agent as eligible persons be vaccinated. from COVID-19. a threat, destroy it, and to further Vaccines are a critical new tool in the recognize and destroy any of the Developing immunity through battle against COVID-19: but for the microorganisms associated with that vaccination means there is a reduced foreseeable future, we must continue agent that it may encounter in the risk of developing the illness and its to adhere to public health measures future. consequences. Getting vaccinated put in place to reduce the spread of may also protect people around us Vaccines are effective in preventing COVID-19. Being vaccinated does because if an individual is protected disease and mortality and are the not mean that we can throw caution from a disease, he or she is less likely to premier achievement of public health to the wind and put ourselves and infect someone else. It is particularly programs worldwide. Vaccines others at risk, particularly because important to protect people at greatly reduce the risk of infection. it is still not clear the degree to increased risk for severe illness from They work by training and preparing which the vaccines can protect not COVID-19, such as the elderly and the body’s natural defenses – the only against disease but also against people with comorbidities. immune system – to recognize and infection and transmission. fight off targeted pathogens. After Kenya has started the first phase of its vaccination, if the body is later COVID-19 vaccination strategy. This exposed to those disease-causing was made possible by the delivery of Jane Kanyi - Public Health microbes, the body is immediately AstraZeneca vaccines that arrived in ready to destroy them, preventing the country on Wednesday, March 3, illness. 2021, as part of the COVAX facility. On 30th January 2020 following the recommendations of the Emergency Committee, the World Health Organization Director General declared that the novel coronavirus (COVID-19) outbreak constitutes a Public Health Emergency of International Concern (PHEIC). Given the urgency of the outbreak, the international community started mobilising to find ways to significantly accelerate the development of interventions. As part of WHO’s response, the Research 17 THE NEW KUTRRH CONTACT CENTER: STRENGTHENING COMMUNICATION AND COLLABORATION WITH CITIZENS

he efficacy of communication The toll-free line ensures that the With this solution, the Hospital and collaboration between an burden of communication is released just ensured the patient and their Torganization and the citizens, from the patient, caregiver, or the relations, the staff, the referring community or clients can make or referring hospital while the shortcode doctors, and the referring hospitals break its success or relevance. This ensures ease of remembrance. The have easier and more effective fact is even clearer in the digital age. Contact Center also provides access communication and collaboration through email, customercare@kutrrh. with KUTRRH towards quality patient- No patient needs to travel from go.ke; Short Message Service (SMS), centered care and the transformation Rusinga or Habaswein to the Hospital 1558; WhatsApp, 0748 656297; of healthcare in Kenya and beyond. only to discover that the date and Twitter, @kutrrh; and Facebook, @ time of the clinic appointment is kureferral. not booked. An effective referral hospital is buttressed by an effective The citizen experience solution communication system to ensure incorporates customized dashboards Dr. Mwirigi Kiula & Pauline Ashioya - accessibility to the patients and for issue and service monitoring ICT & Innovation citizens. The physician in Rusinga or and resolution. This ensures that no Habaswein could have easily called call is made to KUTRRH and goes the Hospital, provided the necessary unanswered or not followed up. medical records, booked the clinic definitively and instructed the patient For the internal service management, accordingly. the system integrates two important components: one, a self-service Kenyatta University Teaching, Referral module that links with internal & Research Hospital has closed the service desks such as ICT Helpdesk communication and collaboration and, two, integration with the gap by rolling out a state-of-the- internal telephony directory and art citizen experience solution. The personal mobile phones. These two Contact Center operates on a 24/7 features ensure that internal citizen basis and provides a toll-free line, can facilitate the caregiving process 0800721038, with a short code, 1558. more effectively.

Editorial Team

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

17 18 Fun Spot

KNOW YOUR HOSPITAL

1.How many Integrated Molecular Imaging Centres are in the Eastern and Central African region? a) 1 b)2 c) 54

2. What is the function of the Integrated Molecular Imaging Centre (IMIC)? a)Treating cancer B. Early detection of cancer C. Monitoring treatment of cancer

3.Washing hands with only water will help prevent COVID-19? Glow Up/ Immune True…. False…. False Boosting Juice Recipe 4. If I have already had COVID-19, I do not need a vaccine. True…. False…. False Usistragooo, make this juice to boost your immunity na uglow up 5.Will a COVID-19 vaccine alter my DNA? in the process. True…. False…. False 1-2 Pineapples (depends on size)

DID YOU KNOW? 2 Lemons How Far Do Nurses Walk on Average Per Day? 6-8 Carrots A 2006 study published in MEDSURG Nursing, found that 50g Ginger (or to preference) the 146 nurses studied walked an average of 6 KMs during a 12-hour shift. For comparison’s sake, most people walk just 3-4 Method: Blend or use a juicer and KMs during the course of an 18-hour day. enjoy!

Melissa Mwangi & Jesicah Gichimu Source: Terri-Ann’s Kitchen

Wake up to morning routine starting with a glass Find a purpose: of water -What is your why? The plan in the grand Plan: Manage your time well for you to leave scheme of things? your work at work. -Make that a daily reminder to avoid getting stuck in a meaningless rut

Find a few passions: 9-5 turning you Take a sabbatical at point: - Find something that lights you up - Increase your knowledge - Get a hobby or other interests into Quasimodo? - Knowledge is power

Take care of your mental health: Rest: - Curve out some quiet time - Get enough sleep - Meditate - Take that leave day to recharge (it is all about - Exercise and eat well (your physical quality not quantity) health will appreciate the TLC too)