Leadership, Management and Sustainability Project in Kenya: Our Impact

 {Photo credit: Ruth Omondi/MSH.}Two women beneficiares of the integrated HIV and MNCH program at the Mbeere District Hospital.Photo credit: Ruth Omondi/MSH.

Mbeere District Hospital, following USAID-funded LMS/Kenya support, increases the number of HIV-positive mothers delivering healthy babies According to the Ministry of Health, 13,000 babies in Kenya are born HIV-positive each year, despite availability of proven methods to prevent mother-to-child transmission of the virus. One of these is integrating HIV care and treatment into maternal and child health services. In 2013, Mbeere District Hospital in Embu County decided to take this approach to reduce the number of children born with HIV in their facility. 

{Photo credit: William Vasquez}Photo credit: William Vasquez

Management Sciences for Health (MSH), under its PEPFAR, USAID-funded Leadership, Management and Sustainability/Kenya project, has been appointed as a Continuous Professional Development provider by the Kenya Medical Practitioners and Dentists Board (KMPDB). Participants in Kenya taking the LMS/Kenya leadership and management related courses—Health Systems Management (HSM) and the Leadership Development Program (LDP)—will now earn credit points for these courses.

 {Photo credit: MSH}A patient receives treatment in a new chemotherapy seat.Photo credit: MSH

The Kenyatta National Hospital Cancer Treatment Center (CTC) is the only health facility in Kenya where the poor can obtain advanced comprehensive treatment for cancer. But given the high demand for services, these patients often experience delays of up to five weeks to see a doctor, resulting in complications and, in some cases, death. This situation is exacerbated by insufficient medical personnel as well as inadequate and in some cases dilapidated equipment.

 {Photo credit: MSH}Gertrude Kinyua shares her vision at the LDP results workshop in Nairobi in September.Photo credit: MSH

"I had always wanted to start a community gender based violence outreach program as a link between Kenyatta National Hospital and the community," says Ms. Gertrude Kinyua, a Senior Nursing Officer/Sexual Forensic Nurse at Kenyatta National Hospital (KNH). That was Gertrude’s unrealized dream for a long time, until she participated in a Leadership Development Program (LDP) offered by the US Agency for International Development (USAID)-funded Leadership Management and Sustainability (LMS) Project in Kenya.

Mugo Kibati, Vision 2030 Secretariat, presents on day one of the conference. {Photo credit: MSH}Photo credit: MSH

Earlier this month, Kenya presidential candidate Ole Kiyapi was asked, during the country’s first ever televised presidential debate, what his plans were for the health sector. The former permanent secretary for the Ministry of Health replied without hesitating that he would emphasize strengthening leadership and management capacity in health workers.

At public referral hospitals in Kenya, the development of operating plans typically involves just three people: the hospital medical superintendent, the hospital administrative officer, and the health records officer. Together this small team sets the upcoming quarter’s spending priorities for the entire hospital based on revenues and fees collected in the prior quarter. Scrambling to address the most urgent needs of the immediate future with limited and quickly evaporating funds hampers the realization of a coherent, long-term vision for the hospital.