Dr. Soren Otieno MBChB., Mmed Ortho

Medical SuperintendentNational Spinal injury Hospital

BackgroundHISTORYSpinal Injury Hospital founded in 1944As Rehabilitation Center for World war II

victims of Spinal Injury by a Charity groupGovernment took over in 1963Now under MOMS

Mandate of NSIHProvision of Specialized health care to persons

with Spinal injuryThese include;1.Rehabilitative: physiotherapy, occupational,

psychological, social therapies2. Medical, nursing, surgical3. preventive: health education to the public

SourcesAllocation from Central government cares for

up to 20% (some equipments and salaries)The FIF funds collected caters for

consumables and utilities which is 30% The shortfall is mobilized through public

private partnerships

ChallengesResources allocated by government are

scantyCost of treating a Spinal Injured patient are

huge: initial care KSh.300,000 to KSh500,000 Being the only spinal injury hospital in Kenya,

NSIH has a long waiting time for admission. Bed capacity 30

Patients admitted late with complications have increased cost of care.

Need to improve infrastructure, equipment and training to improve efficiency.

Initiatives to Bridge Gaps1. Public private partnerships PPP Local and international companies and

organizations; individuals and religious groups

2. Provision of Other services using available staff and equipment to generate funds: increased collection from 70,000 a month to 500,000 a month

3. Mobilizing spinal patients and community to register for NHIF

Some of Achievements1. Building and equipping of laboratory,

laundry and workshop (Safaricom and GOK) 15M

2. Building and equipping Physiotherapy unit (Merali group and GOK): 25M

3. Refurbishment of patients wards, kitchen and nursing offices (Rotary, individuals, and local banks and companies) 15M

4. Building power house (Power technics) 5M5. Building of operation theatre (Vohra Sarova)

10M

cont

6. Training partnership with India spinal Hospital

7.Surgical training and equipment exchange partnership with Nuvasive spine foundation USA

LABORATORYBEFORE AFTER

PHYSIOTHERAPY DEPARTMENTBEFORE AFTER

WARDSBEFORE AFTER

WARDSBEFORE AFTER

INSIDE THE WARD

KITCHENBEFORE AFTER

Going forwardContinue to mobilize resources to build 3

New spinal hospitals out of Nairobi.To start Patient follow up outreach compaign

to improve on their survival and integration in society.

To sensitize insurance companies and motorist to allocate a percentage of premium for patient care in case accident occurs.

THANK YOU