History of AIC Kijabe Hospital
The hospital was established in 1915 as a small outpatient clinic within the grounds of Rift Valley Academy, originally named Theodora Hospital and later renamed AIC Kijabe Hospital. AIC Kijabe Hospital celebrated its hundred (100) years in May 2015 and currently has a bed capacity of 363. AIC Kijabe Hospital is a faith-based hospital sponsored by the Africa Inland Church (AIC) Kenya. It is situated in rural Kenya, about an hour’s drive from Nairobi towards Nakuru. The hospital has continued to experience tremendous growth and change over the years. It is the largest of the five hospitals sponsored by the Africa Inland Church. Together with forty-five dispensaries located throughout Kenya, they form a network that glorifies God through medical ministry. The hospital’s mission is to “Glorify God through compassionate health care provision, training and spiritual ministry in Christ Jesus.” It has nine operating theater rooms, modern ICU, Dental, and Laboratory/ Pathology units. The AIDS Relief unit provides free outpatient HIV/AIDS care and two satellite clinics (i.e. AIC Kijabe Naivsha Medical Centre and the AIC Marira Clinic) for qualified patients. A partnership with Bethany Relief Rehabilitation International (BRRI) provides pediatric surgical and neurosurgical care through the Bethany Kids of Kijabe Hospital (BKKH) division.
The desire to train nurses resulted in another building project in 1968, helping to meet government requirements for a school for Enrolled Community Nurses. The Kijabe School of Nursing was registered with the Nursing Council of Kenya in 1980 and officially commenced the training of Kenya Enrolled Community Health Nurses program (KECHN) Laboratory training was also started in 1970. In 2000 the school commenced an upgrading training for KECHN and in 2004 started the basic training for KRCHN. Subsequent programs were started in 2006 (KRNA) Kenya Registered Nurse Anaesthetists, Clinical Medicine in 2014, Peri-operative 2015 and last but not least Scrub Tech training in 2015/2016 intake.
An in-depth history of AIC Kijabe Hospital can be found on: dropbox or in book form at thebookpatch.
Major source of funding
The hospital’s major source of funding is patient revenue. For capital projects, the hospital sources resources through local and international fundraising.
AIC Kijabe employs nearly 800 staff. 30 consultant-level doctors are 50% Kenyan staff and 50% missionaries, whose donated services have enabled the hospital patient patient’s fees to be affordable.
Hospital’s Catchment Area:
AIC Kijabe Hospital is a level 5 tertiary referral center according to the government design of health care services. Because of its unique services and commitment to serve God through serving man, patients come from all over Kenya and neighboring countries. However, Kijabe’s catchment area is considered as a radius of 30 kilometers from all sides off the hospital. A survey done in 2010 revealed that 37% of patients travel ≤ 40km and mainly come for primary health care.
AIC Kijabe was featured in a Harvard Cases in Global Health Delivery Study which outlines healthcare in Kenya, the history of Kijabe Hospital, Hospital Services, Structure, Education and Training Programs, Financing, and Growth Projections.
Healthcare in Kenya
Overview of regional context
Life expectancy in Kenya fell from a peak of 60 years in 1989 to 55 years in 2009, largely due to increased AIDS-related adult mortality. In 2008, leading causes of mortality per 100,000 adults aged 15-59 (pop. 20,616,000), were HIV/AIDS (327), injuries (106), cancer (52), and cardiovascular disease (42). In the pediatric population (<15 years; pop. 16,576,000) mortality per 100,000 persons was largely infectious (395), mostly relating to diarrheal illness (148), respiratory infections (122), and HIV/AIDS (109). Perinatal conditions also accounted for a significant number of pediatric deaths (220). The major causes of outpatient morbidity per 10,000 people in 2008 among all Kenyans were malaria (11.9), diseases of the respiratory system (9.7), skin diseases and wounds (2.5), diarrheal diseases (1.7), and accidents (0.8). Health System and Epidemiologic Indicators INDICATOR YEAR Average life expectancy at birth (total/female/male) 63/62/65 2013 Maternal mortality ratio (per 100,000 live births) 360 2010 Infant mortality rate, (per 1,000 live births) 48 2011 Under-five mortality (per 1,000 live births) 73 2011 Vaccination rate (% of DTP3 coverage) 88 2011 Undernourished (%) 30 2012 Adult (15-49 years) HIV prevalence (per 100,000) 6200 2011 HIV antiretroviral therapy coverage (%) 72 2011 Tuberculosis prevalence (per 100,000) 288 2011 DOTS coverage (%) 100% 2012 Malaria cases (per 1000) 303 2008 Government expenditure on health as % of total government expenditure 7.7% 2010 Government expenditure on health per capita (current USD) 36 2010 Total health expenditure per capita (current USD) $37 2010 Physician density (per 10,000) 1.7 2008 Nursing and midwifery density (per 10,000) 1.9 2008 Number of hospital beds (per 10,000) 14 2012 Maternal morbidity and mortality in Kenya remained high, yet below average for sub-Saharan Africa, at 488 per 100,000 live births. Well over half of maternal deaths stemmed from surgically preventable or treatable conditions including severe bleeding, obstructed labor, infection, complications of aborted pregnancy and hypertensive emergencies Data sources include: World Bank, UNICEF, WHO, Government of Kenya.
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