On 13/6/18 our community outreach team traveled to the market town of Gombe. We considered it to be a huge success as over 130 people stopped by to receive our free health services. In addition to our regular Community Health Workers, nurses, counselors and administrative team, we had the opportunity to accommodate Kelsey Corbin, a Certified Nurses aid from Colorado. The following pictures and captions depict the day’s events.
Matron (left most) smiles as she takes a look at the camera along with two residents of Gombe as they question about the services we offer.
We would like to kindly thank our sponsors, who without we would not have been able to have such a successful community outreach. So, a special thanks to Jheigo, Mtiba, KMET, Metronics, Odit, and Essilor. Finally we would also like to thank the Community outreach team members who continue to do an excellent job every week.
Written by Sebastian Karlson
The lack of anesthesia services is a well-described crisis in resource-constrained settings worldwide. The consequences of this gap are that millions of women are unable to access emergency cesarean section and other critical reproductive health procedures. The burden of disease and disability resulting from a lack of anesthesia services is unquestionably staggering.
Ketamine is an innovative and safe solution that allows emergency operations to proceed in cases when no anesthetist is available. The ESM-Ketamine project is rapidly growing and we anticipate this to greatly contribute towards addressing the anesthesia gap crisis during public health emergencies. This innovation is in no way meant to replace anesthetic care but offers a stop-gap measure while more permanent efforts are made to address the lack of anesthetists. In response to this immense problem SCH hosts a Ketamine Week once a month to train providers and regulate the use of Ketamine as an anesthetic.
The most recent Ketamine Week took place from May 28th to June 1st, 2018. SCH was pleased to host ten participants (4 observers and 6 Ketamine Trainees) from Turkana county for the first time. These participants were Nurses, Medical Officers, Program Officers and Clinical Officers. Six of these participants were trained as providers and we are happy to report that all of the providers were successfully certified at the end of the week.
Throughout the week sixteen surgeries were performed while Ketamine was used as an anesthetic for training purposes. Our trainees had the opportunity to be the sole Ketamine providers for surgeries on Wednesday and Thursday.
We wrapped the week up on Friday with two morning surgeries followed by lunch and the graduation ceremony. Participants were presented with certificates followed by dancing and delicious cake, baked by our very own administrative manager, Judy Odhiambo.
A special thanks to all the SCH staff members that helped out during Ketamine week. This is including but not limited to Javan Imbamba, Wenslaus Adenya, and Juma Jaqtone. Also a big thanks to Dr. Taha, Dr. Ligeyo, and Dr. Nyamogo, the surgeons here at SCH for without them we could not have had such a successful Ketamine Week. And last but not least we would like to thank Afya Timiza for supporting the training of the Participants.
On 30/5/2018 twelve CHW’s (Community Health Workers) traveled to Akala for an Outreach program. The following pictures and captions depict the days events.
Throughout the day well over 60 people stopped by to take advantage of the health services provided. We here at Sagam look forward to next week’s outreach.
This post was written by Sebastian Karlson.
Ah ha ha ha, stayin’ alive, stayin’ alive, ah ha ha ha stayin’ alive, stayin’ alive was playing throughout the meeting room on the second floor of Sagam community hospital (SCH) while the staff learned how to administer CPR.
Our amazing physician consultant Dr. Mei Ling Liu and nursing consultant Elise Perkins taught the exercise and watched closely as everyone, nurses, the cleaning staff, clinical officers, and even members of the SCH leadership practiced on improvised CPR dummies.
With the help of the repetitive funky rhythm and fitting lyrics of this seventies hit, the Sagam Hospital staff were able to achieve the target amount of chest compressions per minute needed to save a life. We sincerely thank both Elise Perkins and Dr. Mei Ling Liu for leading this presentation in the hope of saving many lives during emergency situations in the future.
Written by Sebastian Karlson.
Do you know that we now have 2 NCD outpatient clinic days? If you are experiencing any issues like hypertension and diabetes, please visit our clinic on Wednesday and Thursday from 8.30 am to 4.00 pm. Karibu!
The month of April was a very successful one for Sagam Community Hospital’s weekly community outreaches. Despite the heavy rainy season, our community health workers and clinicians remained dedicated to providing services to surrounding villages. Here are some highlights of the recent outreaches!
One of our community health workers (CHWs) meets with a patient at an outreach in Sawagongo. The CHWs received over 120 patients at this particular outreach
Our outreaches often include services for children, including immunizations and vitamin A distribution. Our vitamin A distribution is an important part of our outreaches, as many children remain vitamin A deficient. Providing vitamin A can reduce the risk of various illnesses later in life, including anemia, blindness, and diarrheal diseases. Our outreaches this month have been able to provide over 150 children with Vitamin A.
We would also like to acknowledge the incredible strides made this month in offering women’s health services. Our outreach team was able to provide family planning services and cervical cancer screenings, resulting in many referrals to our gynecologist at Sagam Community Hospital
Our community outreaches continue to be successful because of our dedicated sponsors, including the Rotary club of Sagam, Jhpiego, Mobile ODT, Kisumu Medical and Education Trust (KMET), Christian Health Association of Kenya (CHAK), Astrazeneca, and Essilor. And of course, none of this could be possible without our passionate clinicians and community health workers. We look forward to more accomplishments in May!
This past week Sagam Community Hospital welcomed a team from the Kisumu Medical and Education Trust (KMET) to present at our clinical CME. KMET, in partnership with PATH, is beginning a new initiative called Changamsha Watoto, focusing on improving Early Childhood Development (ECD) in Siaya county. The objective of Changamsha Watoto is designed to integrate responsive care and stimulation approaches for children 0 – 3 years in the private health sector in Siaya County. We are excited to be involved this new project!
The presentation included different interventions that could be considered in Siaya country, some of which could be implemented here in Sagam.
Making Health Facilities more Child-Friendly
One unfortunate fact mentioned in the presentation was that only 61% of children under the age of five in Siaya county have access to two or more play items, which have been proven to be an important tool in stimulating children. We want to make the paediatric areas of our hospital more welcoming and stimulating for our patients.
Creating a more stimulating and fun environment does not have to be costly. Our general manager worked with the KMET team to create a set of play items made from recycled household items.
In addition to making the healthcare environment more stimulating for a child, there are also many ways that our clinicians and nurses can be involved in improving ECD in Siaya. Our paediatrician, clinical officers, and nurses can counsel on age-appropriate stimulation and evaluate developmental milestones, caregiver mental state, and caregiving practices.
We plan on having our community health workers participate in the 5-day training on ECD evaluation as part of our community intervention, which will provide an integral addition of expertise to our already strong paediatric and MCH outpatient clinics.
We look forward to working closely with KMET on this project and improving the early childhood development of our children in Siaya county!
Sagam Community Hospital’s paediatric clinic is held every Wednesday from 8:30 – 4:00 pm and our maternal and child health clinic are held every Friday from 8:30 – 4:00 pm.For more information, please contact our customer care department at 0722-510346 or firstname.lastname@example.org
For more information on the ongoing ECD and KMET initiative, visit their website at http://www.kmet.co.ke/
Sagam Community Hospital is excited to announce that we will be starting a blog mini-series on maternal health, in partnership with AIHT and our current Ob-Gyn consultant, Dr. Jennifer Makin. We will be doing a series of educational posts to help ensure that the Sagam community can take all the necessary steps towards a positive pregnancy. This week, we are discussing Nutritional Interventions.
Nutritional interventions cover dietary recommendations, lifestyle choices, and necessary supplements. For dietary interventions, the WHO recommends all mothers-to-be receive counseling on their diet as soon as they find out they are pregnant. It is important to discuss your diet with your clinician so they can get a good understanding of the nutrients you and your baby are getting. Maternal weight should be monitored throughout pregnancy. If you are within a normal weight range, Kenya Guidelines recommends gaining 12-15 kg in pregnancy. If you are underweight then an increased weight to 18 kg is recommended, and if you are overweight 7 kg is recommended. Our clinicians at our OB clinic, held every Tuesday, are a great resource for learning more about what nutrients you and your baby need in order to keep you both as healthy as possible.
Sometimes, based on your current diet, your clinician may suggest that you increase your protein or energy intake. Increases of these in your diet can benefit your baby in preventing a low birth weight and even the risk of stillborn death. Your clinician can provide you with suggestions of high-protein foods to add to your diet and can work with your available resources to make sure you and your baby have access to the correct nutrients.
|Recommended List of Locally available snacks (300 kCal) for Pregnant Women|
|Chapati with oil (1)||Orange (1 medium size)|
|Mandazi (2)||Guava (2 medium sizes)|
|Sweet potato (1)||Mango (1 small)|
|Scone/bun (2)||Papayas (⅕ medium size)|
|Ugali (1 cup)||Banana (3 small)|
|Potatoes (3 pieces)||Watermelon 2 small slices|
|Porridge thick (2 cups)||Berries 1 cup|
|Arrow Root (2) medium size|
|Roasted Groundnuts 1 packet|
Dietary recommendations are often based on how active your lifestyle is. Most women in the Sagam community are very active, and there is no need to stop that when you are pregnant. In fact, maintaining an active lifestyle can prevent excessive weight gain during pregnancy and lead to better health outcomes for both the mother and baby after birth.
In addition to your diet and lifestyle, the WHO also recommends certain supplements that can assist in the development of your baby. Two of the most widely recommended are Iron and Folic Acid. These two supplements provide many health benefits. They can also prevent maternal anemia, puerperal sepsis, and premature birth. Be sure to ask your clinician about supplement recommendations and the right dosage for you. Some of the other supplements your clinician might recommend are listed below.
|Micronutrient Supplementation for Pregnant and Lactating Mothers|
|Micronutrient||Target Group||Dosage||Frequency||Timing and Schedule|
|Vitamin A||Lactating||200,000 IU||Single Dose||At delivery (within 4 weeks of delivery)|
|Folic Acid||Pregnant lactating||0.4 mg||Daily in pregnancy||From 2 months before pregnancy until 6 months postpartum|
|Iron||Pregnant||60 mg||Daily throughout pregnancy||During 1st-month pregnancy or 1st contact|
|Iodine||pregnant||Iodinized salt in daily meals|
|Calcium||pregnant||Milk, yogurt, cheese with daily meals|
Food to Avoid
In addition to supplementing with essential micronutrients, there are some environmental toxins that should be avoided. Recent African studies have shown high levels of mercury in fish from Lake Victoria. Mercury poisoning can injure the brain of an unborn fetus. It is recommended that pregnant women limit 2-3 servings of tilapia per week. Omena is a better choice than tilapia.
At our weekly outreaches, Sagam Community Hospital helps provide a variety of these services, including family planning consultations and vitamin A distribution. We also have a weekly outpatient OB clinic that can provide you with more information.
Our family planning team at a recent community outreach
Our weekly OB clinic is held on Tuesdays from 8:30 am – 4:00 pm
For more information on our upcoming community outreach services, please visit our Facebook Page. https://www.facebook.com/sagamhealth.org/
Sagam Community Hospital was excited to complete the first community outreach of 2018! Last Wednesday, 17th of January, staff members, clinicians, and volunteers of SCH had the opportunity to visit the community of Mguge and provide health services.
This is our first community outreach working in affiliation with the Sagam chapter of Rotary Club International. We look forward to working closely with them and our other sponsor organizations, including Jhpiego, Mobile ODT, Kisumu Medical and Education Trust (KMET), Christian Health Association of Kenya (CHAK), Astrazeneca, and Essilor.
Members of the Mguge had the chance to utilize many of our free services, including family planning, cervical cancer screenings (using our MobileODT device), eye exams, and blood pressure screenings. Sixty patients total were treated during this community outreach, with 35 being seen directly by our clinician on site, Javan. For services, there were 48 blood pressure screens, with 20 referrals following, 8 family planning consultations, 9 distributions of Vitamin A, 3 distributions of ORS, 10 cervical cancer screenings, and 34 HIV screenings. In addition, our Community Health Workers, who serve as Essilor Vision Ambassadors, had eye glasses on sale for KES 650.
Thank you to our Sagam Community Hospital team, Rotary Club of Sagam (including Sammy for providing drinks to the SCH team), our partners , and the people of Mguge for having us!
If you wish to participate or collaborate with us on future outreaches, please contact SCH at 0718646933 or email@example.com
This past Friday, we said goodbye to two of our consultants, Dr. Revathi Ravi and Dr. Oluwakemi Adegoke. Both are Global Health Innovation and Leadership fellows within Massachusetts General Hospital’s Division of Global Health and Human Rights. Additionally, both are currently MPH candidates at the Harvard T.H Chan School of Public Health. We were so fortunate to have them work alongside our Sagam staff for the past two years, and they have both accomplished a tremendous amount throughout their time here.
Dr. Oluwakemi Adegoke (“Dr. Kemi”) is an attending in Obstetrics and Gynecology at Providence St. Peter’s Hospital in Olympia, Washington. Here at Sagam Community Hospital, she served as our Obstetrics and Gynecology specialist. Dr. Kemi brought her passion for educating patients on reproductive health and family planning to improve the lives of those here in western Kenya. She ran our weekly OB-GYN outpatient clinic and served as a clinician at Kisumu Medical and Education Trust (KMET), a non-governmental organization closely affiliated with Sagam Community Hospital.
In addition to her impressive clinical work here at Sagam, Dr. Kemi also focused on research in Postpartum Hemorrhage (PPH), and specifically the use of the Uterine Balloon Tamponade (UBT). Her commitment to serving patients in low-resource areas resulted in the improvement of the UBT program. Additionally, she is working on determining the facilitators and barriers that are involved in the larger uptake of the UBT device in other countries such as Tanzania. As a consultant, Dr. Kemi proved to be an excellent instructor for our staff, especially our interns and residents. We are a stronger team because of Dr. Kemi’s knowledge and commitment to improving Sagam Community Hospital. Now that she has completed her time as a consultant with us, Dr. Kemi will be heading to Boston, Massachusetts, to continue to pursue her MPH in Quantitative Methods at Harvard University.
Our other departing consultant, Dr. Revathi Ravi, served as our medicine and pediatrics specialist at SCH. Dr. Ravi is passionate about strengthening global health systems, and that was clearly represented in her commitment to teaching our Clinical Officers, Interns, Residents, and Nurses. Dr. Ravi focused on improving our neonatal care by hosting multiple trainings on Helping Babies Breathe with our clinical staff, enabling them to be better prepared to prevent infant mortality.
One of Dr. Ravi’s most impactful accomplishments was serving as the founder of the ESM-NRB Bubble CPAP program in Kenya. ESM-NRB is one of AIHT and Sagam’s hallmark programs. Today the program exists in four facilities across Siaya county, and we look forward to continuing to work with Dr. Ravi to expand the impact of this life-saving device and improve the health outcomes of newborns in Kenya. Dr. Ravi will now return to Boston, Massachusetts, to pursue her Masters of Public Health and resume her role as an attending physician in the Department of Medicine at Massachusetts General Hospital.
Our two departing consultants have left an immeasurable impact during their time here. We are proud to have worked with such incredible physicians and look forward to seeing all that they accomplish in the field of global health. Asante Sana and safe travels to you both!
To learn more about our partnership with MGH GHHR and their fellows visit: http://www.massgeneral.org/emergencymedicineglobalhealth/education/Global_Health_Leadership_Fellows.aspx