Kyeni Consolata Hospital Project - Kenya
Kyeni Consolata Hospital: located near Embu, it comprises as well 15 dispensaries in remote areas, Fidenza Nursing School (aprox 100 students) & a mortuary. It has been transformed from a hospital in a very bad condition, with an average of 47 patients to the reference hospital in the Region, self sustainable, with more than 80% of patients insured by NHIF, and an average of 160 patients/day plus the outpatients. They have started to build a new outpatient block & a new theatre to increase capacity and services offered. • Accounting & Administration: set up a network of computers in the Hospital, created cost accounting & reporting system with Quickbooks, payroll in Access, Budget templates, Banks & petty cash control, Stock control and inventories. • Procedures: Patient´s Records and Registry, Cleaning & Maintenance, Guidelines & Procedure for Kitchen, Statistics filling procedure, Payroll procedure, Budget process, Bad Debt Control, Pharmacy, negotiation of new conditions with banks, Garbage & Disposal of Clinic Waste procedure, specific Nursing Care procedures. • NHIF: qualified for maximum rebate. Kyeni is the hospital of Eastern Province that reports more NHIF insured patients. • Staff: 40 job descriptions done, defined Mission and objectives, many meetings to improve communication & engagement, implemented Performance Appraisal Procedure and a new Bonus Scheme, appointed Supervisors per function and different committees: Marketing, Kitchen, Maintenance, Nursing Care, continuous training program. • Management: we have built a very strong & committed team, all major decisions are shared, truly leaders of the hospital, continuous improvement focus. • Dr. Maina, the hospital´s MOC came to Spain to network with Doctors and get to know at first hand how Spanish hospitals are managed. • Enhancements in the Hospital´s facilities: built new toilets in every ward, tiled all floors and painted all walls, finished mortuary, drying area for clothes, new entrance gate, cover shelter and widen paths to connect the wards, built swings for children, got generator & different donations of material and equipment, new pits and incinerator, water pump, laboratory & physiotherapy equipment, sound system to connect patients with nurses, and wards with chapel, TV on every room. • Several fundraising initiatives, networking with donors that granted the hospital with medical equipment & supplies. • Communications: internet connection. • Solar panels & put gutters and built water tanks to harvest & storage rain. • Agriculture & livestock project: self sufficient in several crops, make own compost, seeds & nursery plants, start drip irrigation, green housing. • Quality Program: Quality checklists in place, Time Service Charter, Maintenance checklist. • Actions for the community: organized several outreach activities, medical camps, trainings and talks on health issues, solar cooking seminars and workshops.
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Kyeni Consolata Hospital Project - Kenya
- 1. Kyeni Consolata Hospital, Embu - Kenya Beatriz Meijide, June 2013
- 2. CONSOLATA KYENI HOSPITAL • Embu is the capital of the Eastern Province of Kenya and one of the poorest in this country. Around this area there is a population close to 500,000 people, engaged in subsistence agriculture and livestock. Mbeere is a very remote area characterized by its extreme poverty, lack of hygiene, food insecure and underdevelopment. • Kyeni Hospital serves the population of its catchment area and another 100,000 people through a network of dispensaries in remote areas • Built by Italian Consolata order in 1956, in the form of mission. • In 1970 came under the Diocese of Embu.
- 3. Kyeni Consolata Hospital – Embu, Kenya Consoler Of the sick
- 4. Rt. Rev. BISHOP PAUL KARIUKI EMBU DIOCESE
- 5. Rt. Rev. BISHOP Anthony Muheria KITUI DIOCESE
- 6. BISHOPS
- 8. KYENI CONSOLATA HOSPITAL HOSPITAL DATA & FACTS
- 9. # Patient´s progression 2005 - 2012 615 7,106 7,721 6,491 15,757 22,248 - 5,000 10,000 15,000 20,000 25,000 INPATIENTS OUTPATIENTS TOTAL 2005 2012 +955% +122% +188%
- 10. Ranking of Diseases 2005 Malaria Pneumonia Upper Respiratory tract Diseases Diarrhoea Diseases Gastro-Enthritis HIV Childs Malaria Upper Respiratory tract Diseases Skin diseases Trauma Pneumonia Urinary tract infections HIV Adults
- 11. Ranking of Diseases 2012 # ADULTS CHILDREN 1 SVD Malaria 2 Malaria Pneumonia 3 Pneumonia Diarrhoea Diseases 4 G/E Upper Respiratory tract 5 Upper Respiratory tract Diseases Anaemia 6 Hypertension Burns 7 HIV Convulsive Disorder 8 Malignancies Trauma 9 Trauma Poisoning 10 Gynacological diseases Malnutrition
- 12. Hospital’s Departments • Outpatient • Accounts • Dental • Physiotherapy • Mother Child Healthcare • Maternity • Female • Male • Pediatric • Theatre • X-ray • Pharmacy • Fidenza school of nursing • Kitchen • Cleaning and Maintenance • Comprehensive Care Clinic • Nutritionist • Mortuary
- 13. Capacity The hospital currently has 166 beds. Needs urgently to increase their capacity, as there are days in which patients have to share a bed. Patients choose Kyeni as their preferred hospital for the personalized attention and services it provides. It is the hospital in Eastern Province to get more rebates of NHIF (quality measure & reliability). They just started to build a new building ...
- 14. Kyeni’s Big Proyect: THE NEW BUILDING New Facilities • Consultation rooms • Pharmacy • Laboratory • ENT clinic • Dental clinic • CCC clinic (HIV) • New inpatient ward • Some private rooms Equipment needed • Beds • Mattresses • Linen-bed sheets, theatre uniforms, patient’s uniforms. • Monitors, blood pressure machines • Physiotherapy equipment • Equipment for- general surgery • Operating table • Examination couches • Dental chairs • Incubators • Autoclave and laundry machine
- 15. Kyeni Hospital Entrance 2005 •.
- 16. Kyeni Hospital Entrance 2012 •.
- 17. Kyeni Hospital Entrance 2005 •.
- 19. Kyeni Hospital Entrance 2012 •.
- 20. Hallways 2005 •.
- 21. Hallways 2012 •.
- 22. Hallways 2012
- 23. Hallways 2012
- 24. Toilettes 2005
- 29. STAFF Clinicians
- 33. STAFF Nurses
- 34. STAFF Nurses
- 36. Dr. Moses Maina, Bishop Kariuki
- 37. Dr. Moses Maina
- 38. Dr. Moses Maina, Stephen Njuguna
- 39. Dr. Moses Maina – visit to Spain
- 40. Laundry Room
- 41. Workshop & Linnen room
- 42. PHARMACY
- 44. Paediatric Ward
- 45. Paediatric Ward
- 46. Wards 2005
- 48. “INCUBATOR”
- 49. View from the Garden
- 50. PATIENTS
- 51. Some enhancements … Solar Panels: not quite worked!
- 52. Some enhancements … Water tank to harvest rain
- 53. Some enhancements … Ground breaking
- 54. Some enhancements … … Swings for the children
- 60. Market in dry season…
- 61. KENYA
- 63. KENYA
- 64. KENYA KENYA