The iSA ProjectInternational Support Action

Web-based Diagnostic & Therapeutic Support

UNIVERSITY OF NAIROBI COLLEGE OF HEALTH SCIENCES

Nairobi, KenyaMwanda W.O.

Head of Haematology and Blood Transfusion Unit - Pediatric Oncology

Geographic Location• The institution is

located in Nairobi, Kenya

• The population of country is 38 million

• The population of city/region is 3.5 million

• Kenya is a diverse country with a rich culture

History & Culture• The organization was founded in 1967 by the

Kenyan Government. • Became an East African concept in 1949 aimed at

providing higher technical education for all the territories of East Africa.

• 1951 Royal Charter – Royal Technical education for all territories of East Africa.

• April 1954 Royal Technical College of East Africa – first students April 1956 25th June 1961.

• The royal Technical College of East African in Royal College of Nairobi. 20th May, 1964 this is Royal College of Nairobi.

• In 1967 faculty of medicine inaugurated. • The University East Africa was dissolved with effect

from 1st July 1970 and the three country set up their national university.

• By an act of parliament UON formally inaugurated. • In 1974 Pharmacy, Biochemistry and Dentistry

were established. • Now these are six colleges including College of

Health Sciences.

History & Culture

Medical Services

• Kenyatta National HospitalThe population covered by the hospital is large. Main teaching,

referral hospital in Kenya• Bed capacity is 2400 • Annual inpatient attendance 72,868• Annual out patient attendance 506,563• Mortality 65,760• The technological resources available Internet connection,

CT/MRI scanners, Radiography, microscopes, Echography.

Infectious Diseases & Oncology Statistics

• TB load in HIV Cases at Kenyatta National Hospital (2007 Central med records)– HIV with TB Cases: 1,884– HIV without TB Cases: 3,853– Total Cases 5,737– % TB Load (HIV with TB/HIV without TB100) 33.

Cancer Cases in Kenyatta National Hospital (2007)

• Malignant neoplasm of Esophagus 227• Malignant neoplasm of cervix & uteri 198• Malignant neoplasm of breast 172• Leukemia 136• Lymphomas 135• Kaposis sarcoma 109• Malignant neoplasm nasopharynx 117• Neoplasm of stomach 104• Malignant neoplasm of liver & intrahepatic bile ducts 98• Malignant neoplasm of other and ill defined sites

Paediatrics Cancer

• Total paediatrics cancer admissions: 787. Distribution as follows;– Lymphomas 51% (Burkitt´s 96%), – leukaemia,17% – nephroblastoma 16%,– Soft tissue sarcomas, retinoblastomas, Hodgkin´s

lymphomas

Our iSA Project Team

• Project General Manager: Joseph Waigwi• Infectious Diseases Manager: Prof Anzala Omu• Pediatrics Oncology Manager: Prof. W.O. Mwanda• Adults Oncology Manager: Dr. Kiarie• Medical Assistants: Wangeci Gacibi• IT Manager: Hadda Aketch• Administration Manager: Alfreda Marenya

Internal Cooperation Links

• Main Referral and Teaching Hospital• There are no transport difficulties to take

patients from/to and to/from cooperative hospital

• It is easy to set up Internet teleconsultations with the cooperative hospital/center

iSA Training

• The iSA project will be useful for training in Anatomic pathology, Immunohistochemistry, molecular diagnostic and specialized technicians.

Cooperation with Academic Institutions

• The iSA project will enable the exchange of learning materials, consultation within universities, colleges, schools.

General needs in our hospital

• Space• Chemotherapy• Radiologist• Molecular diagnostic• Communication within the hospital

departments still not modernized for quick release of results

Conclusions• Improve networking among doctors and

scientists in the area of cancer.• Share medical information, improve

consultative and consultative practice.• Improve confidence in those providing

services.• Enable availability of some specialized

medical services in areas outside main cities in Kenya.