2,4 Dr. Soren Otieno LMGConference Resource Mobilization for Hospitals & Health Facilities 30Jan13
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 KSh500,000Being the only spinal injury hospital in Kenya, NSIH has a long waiting time for admission. Bed capacity 30Patients 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 PPP2. Provision of Other services using available staff and equipment to generate funds3. Mobilizing spinal patients and community to register for NHIF
Some of Achievements1. Building and equipping of laboratory, laundry and workshop (Safaricom and GOK)2. Building and equipping Physiotherapy unit (Merali group and GOK)3. Refurbishment of patients wards, kitchen and nursing offices (Rotary and local banks)4. Building power house (Power technics)5. Building of operation theatre (Vohra Sarova)
cont6. Training partnership with India spinal Hospital7.Surgical training and equipment exchange partnership with Nuvasive spine foundation USA
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.