September 14th, 2018 - September 21st, 2018

SCH Physicians: Dr. Nyamogo (OB-GYN), Dr. Alwar (Paediatrics), Dr. Ligeyo (Orthopaedic Surgery), Dr. Taha Yusufali (Surgery)

Family and Emergency Medicine Residents: Dr. Charles Ochola, Dr. Richard Luate

Interns: Leju Modi

Visiting Resident: Dr. Richa Kalra

Program Coordinator: Leslie Ojeaburu

Assistant Program Coordinator: Sebastian Karlson

Fellow: None

Nursing Consultant: None

Visiting Consultant: None

HOSPITAL NEWS

This week was a busy and fulfilling week for Sagam and AIHT. Siaya County held its first Annual Scientific Conference that was held between September 18th - 20th, 2018 at Jaramogi Oginga Odinga University of Science and Technology in Bondo Town, Siaya. Before the team took off for the conference, they were joined by the Prof. Pankaj Jani, the President of the College of Surgeons for Central, Eastern and Southern Africa (COSECSA), Dr. Jaymie Henry and Dr. Prem Yohannan, who joined us from Mozambique. After a tour of Sagam, the team embarked together to the conference, where Dr. Rogo, Prof. Jani and AIHT were set to speak and present. They joined Dr. Rogo in meetings that morning with Hon. Dorothy Owino, the County Executive Committee Member for Health (Minister for Health) in Siaya County in regard to supporting the training of surgeons in Siaya County.

The conference featured abstracts from organizations like Centre for Health Solutions, Kenya Medical Research Institute, CDC, KMET, Jaramogi Odinga Oginga University of Science and Technology, and AIHT. During the first day, Dr. Khama Rogo was the keynote speaker, addressing the crowd of over 400 attendees from all throughout Siaya. In his speech, he challenged the members of Siaya to invest more in the intellectual resources at their disposal. He highlighted the rich scholarly history of members of Siaya and encouraged the county leadership to build on these individuals to promote investment in Siaya’s health infrastructure. The Deputy Governor of Siaya, Hon Wilson Ouma Onyango, also addressed the crowd ensuring participants that though this may be the first conference of its kind in Siaya, it certainly would not be the last. At the end of the opening ceremony all participants dispersed, some to abstract discussions and others to symposium presentations. The KMET and Sagam staff set up their booth in preparation for the next two days of the conference.

The second day of the conference was light, with members of AIHT displaying the research that all of AIHT’s partners (e.g., Medtronic labs, Pharmacess, Sagam Hospital, MGH, KMET) have been working on. Visitors seemed primarily interested in the Ketamine training program and the Family and Emergency Medicine (FEM) residency program. This conferences provided ample opportunity to identify individuals interested in participating in AIHT’s programs or in Sagam’s outreaches. Throughout the day, Sagam and KMET staff also spent time preparing the presentations for the symposium the next day.

The third and final day of the conference featured presentations from AIHT. It began with two sessions, one on “Using Innovative Mobile-based Technology to Bridge the Gaps in Chronic Disease Management” by Medtronic and another by Pharmaccess called “The Innovative Health Exchange Platform M-Tiba Can Help Leapfrog Access to Better Care in Western Kenya”. This was followed by an AIHT-hosted symposium on “Innovating for Universal Health Coverage”. This meeting was moderated by Debora Rogo (SCH) with presentations from Dr. Nyamogo, FEM Resident Dr. Luate Richard, FEM Resident Dr. Charles Ochola, Ms. Brenda Achieng (KMET), Washington Dinga (Medtronic Labs), Debora Rogo and Mr. Javan Imbamba (SCH).

Members of the audience were impressed by the volume of work produced through AIHT’s partner organizations but sought to understand the public partnerships that AIHT has formed to guide its emergency care center and rapid resuscitation team.

Wednesday morning started out with our visiting Resident, Dr. Richa Kalra, giving a fantastic presentation on how to identify and treat psychiatric patients. She was able to engage everyone who attended the CME for the whole of the presentation.

After the completion of the CME the outreach team set out early to head to Ulumbi, a small town in the Yala area. This outreach was very special to one of our SCH staff members, Dorothy, who organized the outreach at her home town. We set up the trailer between a church and a primary school at around 9:00 AM and were seeing patients.

On Wednesday, we welcomed the Medtronic Labs team to help launch the Maisha Mapya pilot programme at Sagam. There they trained teams of Community Health Volunteers to use the new app for patient blood pressure monitoring.

Friday morning we had our second ED scavenger hunt of the month. The turn out for this one was better than the first. We managed to increase the participants from 6 to 11 respectively. The hunt consisted of 4 teams searching for eight different items around the Emergency Department. The winner was determined by the fastest and most accurate team. This hunt was won by our Nurse Titus and Christine who finished in 5 minutes and 36 seconds and got a near perfect score (only lost half a mark on one question). 

On Friday evening, part of the AIHT team launched the online Continuous Professional Development (CPD) online platform for medical doctors at the offices of the Kenya Medical Practitioners and Dentists Board (KMPDB). This online platform is hosted on AIHT’s website and was set up in collaboration with McMaster University’s Machealth platform and Witwatersrand University to offer intensive courses written by clinicians for clinicians. Overall the event was very successful with the CEO of KMPDB (Kenya Medical Practitioners and Dentist Board) Dr. Daniel Yumbya and and the Chair of Kenya Medical Association, Dr. Jackie Kitulu in attendance.

EDUCATION

Teaching Rounds: Dr. Taha is on planned leave until September 21st, 2018. . Teaching rounds will continue upon his return.

Residency and Internship Program Update

We continue to receive a high request of inquiries from medical officer interns applying to our internship programme and will update the team once the Kenya Medical Practitioners and Dentists Board (KMPDB) and the Ministry of Health (MOH) confirm placement of additional interns. A recent medical school graduate from Uganda, Leju Modi, has joined SCH and we expect addition interns and pre-interns to arrive in the coming weeks.

Hospital Education

The hospital-wide CME last week was lead by visiting psychiatry resident Richa who lead a discussion on identifying and treating patients. Clinical CMEs have been modified to be interactive sessions on specific diseases. Each day of the week our clinicians have been going through an image/clinical finding of the day lead by Dr. Taha and in the next few weeks our clinicians will attend ATLS sessions to increase comfort with trauma management.