Gordon Otieno Odundo

Chief Executive

Gertrude’s Children’s Hospital

Background of Gertrude’s Children's HospitalOutline the context of Child Health in Kenya

Overview of our activities Governance and ownership CSR – Un Global Compact

Information TechnologyStaff and Capacity Development

Patient Safety and quality

Presentation Content

The country has a young population, with 73% of residents aged below 30 years because of rapid population growth from 2.9 million to 44 million inhabitants over the last century. 1.5 million children are born each year

Causes of Child Mortality - Kenya

April 13, 2023

Source: World Health Statistics 2011, WHO

16%

20%

9%

11%1%10%

10%

8%3%

19%3%

Pneumonia Diarrhoeal Causes HIV/AIDS Malaria Measles Prematurity Birth Asphyxia Neonatal Sepsis Congential Anomalies Other diseases Injuries

Cause DeathsTotal Deaths 188,928

Diarrhoea 38,802

Pneumonia 30,406

Malaria 20,666

Diarrhoea

Malaria

Neonatal causes = 31% of under 5 mortality

North Eastern

80

Eastern52

Rift Valley

59

Nyanza149

Western121

Central51

Nairobi64

Coast87

Deaths per 1,000 live births for the 10-year period

before the survey

Kenya National Bureau of Statistics & ICF Macro

Kenya 74

Under-five Mortality by

Province

Child Health Situation- Kenya Progress in Infant and Under-five Mortality Rates, Kenya 1990/2009 (KDHS)

Hospital Entrance

Centres of Excellence

0

50000

100000

150000

200000

250000

300000

2000 2001 2002 2003 2004 2005 2006 2007 20082009 2010 2011 2012 2013

5106654953544836020464570

93981111927

153512178050

206487224605

247898243954263564

Total Out Patient Attendances.

Year

Total

Years.

Tota

l no

of p

atien

ts.

Peripheral clinics provide primary care including immunization with specialist services provided at the campus in Muthaiga

Governance

Registered Trust with tax exempt status

Board members serve on a voluntary basis

All surpluses reinvested in the hospital

Eight member board of TrusteesWith a shared belief that hospitals can serve their primary function of saving lives while being ran and managed along accepted business principles

Patient Safety & Quality

Pursuing JCIA

Patients judge their experience by the way they are treated as a

person not by the way they are treated for

their disease.”

ISOO Certified

“Patients reserve their good word of mouth

and loyalty for hospitals where they feel their needs were

anticipated and met by a courteous caring

staff.”

AAP in a 2008 survey found that • There were too few local child/adolescent psychiatrist s to

meet referral needs • 87% cited a shortage of developmental-behavioral

pediatricians• 82% reported insufficient pediatric dermatologists. • More than half of those surveyed reported shortages of

pediatric medical subspecialists in rheumatology, neurology, adolescent health, endocrinology, and gastroenterology

Critical Skills Needed

Connectivity

Received awards for E-tendering and our IT deploymentOne outpatient Record ensures continuity of care

HMS Navision Kranium Information Systems MS OutlookQpulse Social Media Presence

The American Academy of Paediatrics (AAP) states that a variety of factors are associated with potential for increased demand for paediatrician services

Associated trend • Increased insurance coverage and improved access

for children when health care reform provisions are implemented

• A growing shift in the number of pediatrician office visits for children previously cared for by family

physicians (who may have increasing numbers of adult patients in their practices for the same reason)

• Changes in the type of and demand for pediatric services deriving from advances in genetics and other

technologies• Increasing numbers of medically complex and/or

fragile pediatric patients

• Increasing need for pediatricians to address developmental, educational, and mental health

issues with their patients

• Increasing prevalence of chronic diseases in children

Our observation 70 % of our clients have insurance cover

We attend to children only

It will be while for this to impact us in kenya

Evidenced by high referral to ICU

Offer one stop services

Greatest growth has been in chronic attendance clinics

With the medical skills shortage in Africa there is room to develop patient referral mechanisms to established

medical hubs To do this we need to figure out

Who Pays for the healthcare provided Be innovative in skills retention

Make saving lives a priority so that we can ensure a good quality of life for our children and their families

Conclusion

ASANTENI SANA