Kijabe Hospital

The town of Kijabe is situated a one-hour drive northwest of the capital city of Nairobi, in Kenya, eastern Africa. The famed Rift Valley escarpment passes through Kijabe with its 300-meter drop off, making for a spectacular vista. In addition to Kijabe Hospital, Kijabe is also home to the Rift Valley Academy, Kenya College of Nursing, and Moffatt Bible School.

Though it is located on the equator, the elevation of Kijabe at about 2000 meters makes for a moderate climate. The seasons are reversed from North America. The hot season is from December to February, with daytime temperatures 70s-80s degrees Fahrenheit and nighttime temperatures in the 70s. The cool season lasts from June to August, with temperatures in the 60s-70s during the day and 50s at night.

Become familiar with Kenya’s culture, history and economy by reviewing the Wikipedia Kenya Profile. Rich resources for Kenya health information include the Institute for Health Metrics and Evaluation IHME Kenya Country Profile and the World Health Organization Global Health Observatory Kenya Data.

Kenyan people are generally very friendly and have an incredibly positive attitude, even in the face of severe illness and poverty. Most of the people in Kijabe are ethnically Kikuyu people. They make a living by farming and via small businesses. They are known to be industrious, and the British sought them out as employees during the colonial years.

Patients seeking care at Kijabe frequently suffer from respiratory infections, dehydration, arthritis, hypertension, and diabetes. All forms of tuberculosis, HIV, burns, and trauma from falls and motor vehicle accidents are frequent, as is sepsis and malignancies. Malaria and brucellosis are less frequently encountered. Since it is a referral center, patients coming to Kijabe tend to be very sick.

Swahili and English are the two official, and most widely spoken, languages of Kenya. English is used throughout Kenyan healthcare education and spoken among hospital professionals. Staff can interpret for Kenyan nationals who may not speak English. Most nationals speak Kikuyu (sometimes written Gikuyu), as their first language. The trade language in this region is Swahili – the common language used between the tribes. Even knowing a few words of Swahili may be helpful. Duolingo offers Swahili language learning.

Kijabe Hospital is relatively modern compared to most clinics and dispensaries in Kenya and has a very good reputation among the Kenyan people. Inpatient services for this 208-bed facility include general surgery and medicine (adult and pediatric), obstetrics, gynecology, neonatology, and palliative care. Over 5000 surgical cases are performed each year, including neurosurgical and urological cases. The obstetrics & gynecology department is comprised of a maternity ward, neonatal nursery, maternal child health clinic and serves as a referral centre for high-risk obstetric and complicated gynecologic cases.

Outpatient services include general acute illnesses and specialty clinics in diabetes, orthopedics, ophthalmology, tuberculosis, gynecology, HIV/AIDS, oncology, palliative care, and a new dialysis unit. Clinical support services include X-ray, ultrasound, pharmacy, physiotherapy and clinical laboratory. The Marira Clinic of AIC Kijabe Hospital is located 15 kilometers from the hospital in the Uplands area. This outpatient facility serves general outpatient department, maternal-child health, and HIV/AIDS patients who do not need to travel to the hospital.

Kijabe Hospital is operated by the African Inland Church. Expenses are covered by income from fees for service, and fees are kept low in order to serve the poor. Overseas donor agencies provide funding for major capital works. Kijabe Hospital also works in association with the Bethany Crippled Children’s Center of Kenya, an independent facility located adjacent to Kijabe Hospital.

The core medical staff includes 6 surgeons (3 general surgeons, 1 orthopedic surgeon, 2 obstetricians-gynecologists, 1 pediatric surgeon, 1 pediatric rehabilitation surgeon), four family physicians, an internist and a pathologist. Most of the staff physicians are American trained. This group is supported by a number of visiting surgeons representing neurosurgery, ENT, plastics, urology and orthopedics.

Kijabe Hospital is part of the American government-funded President’s Emergency Plan for AIDS Relief (PEPFAR) through Catholic and Protestant Agencies. Through the years since the 2004 inception of Kijabe Hospital’s Project AIDS Relief, thousands of patients have been served and lives protected. The project also has trained well over 500 community health workers (CHWs), who are the backbone of the community HIV prevention and care program.

Kijabe Hospital and its outlying health centers provide appropriate artiretroviral therapy, with the benefit of full laboratory support. Management of severe HIV complications is provided by the inpatient service. Education in HIV management is a high priority. Kijabe Hospital hosts a formal AIDSRelief Mentorship Program, as well as superb clinical instruction. INMED’s president himself participated in this program.

A dedicated team of Kenyan nationals leads the comprehensive pharmaceutical care provided by Kijabe Hospital. They oversee all pharmacy logistics, including medication acquisition, inventory, distribution, and even process their own intravenous fluids. Kijabe Hospital pharmacists are heavily invested in supporting HIV care and medical care at satellite clinics. They enjoy an exemplary collaborative relationship with hospital staff, nurses, physicians, and community health workers.

Education is a highlight of the Kijabe Hospital Pharmacy, which serves as a regular clinical rotation site for pharmacy students from the University of Nairobe School of Pharmacy. As such, students follow a thoughtfully prepared curriculum while participating in all aspect of pharmaceutical care, including roles in education of both Kijabe Hospital patients and staff.

Community health is an integral part of Kijabe Hospital’s comprehensive health care plan and an important balance to the curative care and educational missions of the hospital. A “Neonatal Community Health Programme” exemplifies one current community health intervention that addresses problems related to preventable morbidity & mortality. Kijabe Hospital’s on going “AIDS Relief Programme” provides another current intervention in comprehensive HIV education, counseling, testing and referral.

The newest community health intervention is taking place in nearby Old Kijabe Town, where a continuous comprehensive health assessment is taking place, together with intervention planning in cooperation with city leaders. High priorities include motor vehicle and burn injury prevention. Students are welcome to participate in the full range of community health services, including survey, planning, implementation and research.

INMED invites all participants to consider raising extra funds to donate to support this facility. While such efforts are not required, they will provide opportunities INMED personnel to become involved in this important aspect of international healthcare.

The library at Kijabe Hospital has Internet access, though the communication speed is slow. There are limited wifi modems and limited Kenyan phones available, therefore purchase a modem/internationalphone or SIM prior to coming or when you arrive in Nairobi.

Kijabe Hospital

Kijabe Hospital Protocols