This document summarizes the experience of providing oncology care at a peripheral hospital in Kenya. It finds that while late stage presentations and financial constraints present challenges, chemotherapy can be successfully administered in peripheral facilities with a multidisciplinary team approach. Over a period of time, 31 patients received chemotherapy for various cancers like Kaposi's sarcoma, lymphomas, and multiple myeloma. While average diagnosis time was 43 days, collaboration between nurses, pharmacists, and offsite hematologist-oncologists helped reduce time to chemotherapy initiation to 20 days. Compliance was improved through counseling and 25% of patients experienced mortality mainly due to treatment failure or sepsis. The conclusion is that a collaborative model can help expand access to simple chemotherapy regim