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Dr. Soren Otieno
        MBChB., Mmed Ortho
      Medical Superintendent
National Spinal injury Hospital
Background
HISTORY
Spinal Injury Hospital founded in 1944
As Rehabilitation Center for World war II victims of
 Spinal Injury by a Charity group
Government took over in 1963
Now under MOMS
Mandate of NSIH
Provision of Specialized health care to persons with
  Spinal injury
These include;
1.Rehabilitative: physiotherapy, occupational,
  psychological, social therapies
2. Medical, nursing, surgical
3. preventive: health education to the public
Sources
Allocation 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
Challenges
Resources allocated by government are scanty
Cost 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 Gaps
1. Public private partnerships PPP
2. Provision of Other services using available staff and
   equipment to generate funds
3. Mobilizing spinal patients and community to
   register for NHIF
Some of Achievements
1.   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)
cont
6. Training partnership with India spinal Hospital
7.Surgical training and equipment exchange
  partnership with Nuvasive spine foundation USA
LABORATORY
BEFORE       AFTER
2,4 Dr. Soren Otieno LMGConference Resource Mobilization for Hospitals & Health Facilities 30Jan13
PHYSIOTHERAPY DEPARTMENT
BEFORE      AFTER
2,4 Dr. Soren Otieno LMGConference Resource Mobilization for Hospitals & Health Facilities 30Jan13
WARDS
BEFORE   AFTER
WARDS
BEFORE   AFTER
2,4 Dr. Soren Otieno LMGConference Resource Mobilization for Hospitals & Health Facilities 30Jan13
INSIDE THE WARD
KITCHEN
BEFORE    AFTER
Going forward
Continue 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

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2,4 Dr. Soren Otieno LMGConference Resource Mobilization for Hospitals & Health Facilities 30Jan13

  • 1. Dr. Soren Otieno MBChB., Mmed Ortho Medical Superintendent National Spinal injury Hospital
  • 2. Background HISTORY Spinal Injury Hospital founded in 1944 As Rehabilitation Center for World war II victims of Spinal Injury by a Charity group Government took over in 1963 Now under MOMS
  • 3. Mandate of NSIH Provision of Specialized health care to persons with Spinal injury These include; 1.Rehabilitative: physiotherapy, occupational, psychological, social therapies 2. Medical, nursing, surgical 3. preventive: health education to the public
  • 4. Sources Allocation 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
  • 5. Challenges Resources allocated by government are scanty Cost 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.
  • 6. Initiatives to Bridge Gaps 1. Public private partnerships PPP 2. Provision of Other services using available staff and equipment to generate funds 3. Mobilizing spinal patients and community to register for NHIF
  • 7. Some of Achievements 1. 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)
  • 8. cont 6. Training partnership with India spinal Hospital 7.Surgical training and equipment exchange partnership with Nuvasive spine foundation USA
  • 13. WARDS BEFORE AFTER
  • 14. WARDS BEFORE AFTER
  • 17. KITCHEN BEFORE AFTER
  • 18. Going forward Continue 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.