More international partnerships for Arrow Web Hospital

Dundee medical students

In the last blog we told you about the three Dundee University medical students who were planning to spend six weeks with us for their medical elective. Well, now they are halfway through their time with us. They have become very involved in the hospital routine, admitting new patients to the hospital and treating them under the supervision of our doctors. They have been assisting at out patient clinics and one of the highlights for them has been seeing newborn babies and healthy mothers after safe deliveries at Arrow Web Hospital. They have also been out with the Community Outreach Team.

Having such enthusiastic and competent volunteers for six weeks has been a great support to our busy staff team.

It hasn't all been work for Sarah, Christine and Catriona as they have managed to do some sightseeing. Their visits have included Nairobi City and a few days in Mombasa.

Sarah, Christine, Catriona and Bram taking a well earned break

Proposal for a grant to fund a new hospital

We have been very busy over the last few weeks writing a proposal for funds to build a new 21 bedded hospital on land allocated to us by Nairobi City Council. Having successfully submitted an application to the Japanese Embassy in Nairobi in April, we were asked to draw up a very detailed proposal in July. Before a final decision is made the Embassy staff may ask to undertake another "site visit" this month.

A new building will not only provide a much better environment for patients to be treated in and for staff to work in, it will also help us develop our hospital and community based services. It will help us in our application for a higher level of National Health Insurance Fund accreditation. As you may know our main income is from the Ministry of Health for every registered patient we treat. A higher level of accreditation will increase this income helping us to sustain our services. We will also be able to take referrals from other health facilities in the area. (Poorer patients pay a small registration fee and then they can receive free treatment).

NHS Grampian

NHS Grampian is a health board (or health authority) in the north east of Scotland. A few months ago we approached a senior doctor and nurse from NHS Grampian to see if the organisation would like to develop a partnership with us. NHS Grampian provides services in hospitals and the community and has close links with the local medical school and medical research institutions.( http://www.nhsgrampian.org/ )

When they heard about the work that we do and the challenges we face, Dr Jamie Hogg and Liz Tait were really keen to work with us. Jamie is deputy medical director and a general practitioner (community doctor) and Liz is a nurse and clinical governance co-ordinator. Jamie worked in Nepal from 2006-8. This included working as a doctor in a small hospital. He is also a trustee of a charity Asha Nepal which re-integrates and supports HIV positive trafficked women and children (http://www.asha-nepal.org/) . For the past five years Liz has also been a team leader for various deployments to disaster zones on behalf of the UK Foreign Office.

With the support of the NHS Grampian medical director and Arrow Kenya Board we now have a formal partnership. I am so excited as we have also been successful in getting funding for a "start up" grant from the International Health Links Funding Scheme, to enable Jamie, Liz and me to visit Arrow Web Hospital at the end of September. The purpose of the visit is to agree how the two organisations can work together for mutual benefit. Further funding will need to be applied for, to enable professional links to be developed next year.( http://www.britishcouncil.org/learning-healthlinks.htm)

Dr Gray's Hospital in Elgin - one of NHS Grampian's hospitals

Jacaranda Health

Did you know that in the Nairobi slums 1 in 142 women die in childbirth, this compares to 1 in 178 for the rest of Kenya and 1 in 7300 in countries with well developed maternity services ?

Last week we were very privileged to receive a visit from six representatives from Jacaranda Health, from the UK, USA, Korea and Zambia. This is a new venture which aims "to provide affordable, high quality maternity care to low income women in urban Kenya". Using vans for mobile ante natal care and outreach, they also hope to set up special clinics to offer "women centred" maternity services. Initially they hope to start this service in the Nairobi slums. With common aims and shared values we had so much to discuss. We are very pleased to announce that Jacaranda Health has chosen to work with us in a special community healthcare partnership.

Bram says that currently about 70% of babies born in the communities around Arrow Web Hospital are delivered at home, with no midwife or medical assistance nearby to help the women if there are any complications.

A very warm welcome to Jacaranda Health from Arrow Web Hospital

Discussing how we can work together

A link to Jacaranda on You Tube with a video about women in the Nairobi Slums:

http://www.youtube.com/watch?v=A6qVqREcXb8

Our website

We have also been working on updating the website so that there is more information about the work we do and to acknowledge the generous support we receive from partners, friends, volunteers and donors both locally and nationally.

Thank you Jennifer and very best wishes

Bram and Jennifer have asked me to provide the regular updates for the blog from now on. Jennifer has been extremely busy since January this year, using her very special skills and experience to support the humanitarian response to the devastation of the Haitian earthquake.

I have always looked forward to Jennifer’s updates and found the information she has provided over the last two years really helpful for me in getting to know about all the great work being done by Bram, the staff, the Board and volunteers.

I live near Aberdeen in Scotland and started working with Bram as a UN online volunteer in January. I have been helping him write and co-ordinate funding proposals.

Thank you Jennifer and very best wishes - you will be a very hard act to follow.

Progress towards a new purpose built hospital

As many of you know, in spite of the service developments at Arrow Web Hospital and with the Community Outreach Team over recent years, we have not been able to meet the huge demand for our services. We need a new purpose built hospital to continually improve the quality and scope of services we provide to the people of Kayole - Soweto and to other areas within the Nairobi slums.
Unfortunately it is particularly difficult to raise funds for buildings from many of the large grant providers.

You may remember that staff from the Japanese Embassy Ambassador’s office honoured us with a visit last year and were very interested in our work. We followed this up with a call to the Grants for Grassroots Projects department at the Embassy and were advised to submit a formal application. Bram hand-delivered the Board’s application to the Embassy in April. We are really pleased to let you know that our application has moved on to the final “screening” stage.

The Embassy has asked us to provide more information about how we can ensure the long term sustainability of a new hospital. The Embassy has advised us that more detailed plans need to be submitted for the next stage by September, as the decisions about awarding grants are made in December. Bram and the Arrow Kenya Board are working on this.

The community have given us a plot of land nearby for a new hospital. Bram has now registered the plot with the Ministry of Lands for a lease period of 99 years. This makes our position much more secure.

Kat photographs two boys on the land allocated for the new hospital.

COCO Visits Arrow Web Hospital

We felt really privileged when Lucy Philipson and her colleague Kat found time to visit Arrow Web last month while they were in Kenya. Lucy is operations and projects manager for COCO ( http://www.coco.org.uk/ ) a registered UK charity which supports grass roots education and healthcare projects in many countries, including Kenya. It works with projects which “encourage community involvement and capacity building and projects that represent an investment in and a commitment to brighter futures for children”. They provide long term support rather than “one off” grants, to carefully selected projects.

Kat has taken many wonderful photos and is also editing a film of their visit which we will post on the website. Lucy will be able to show these to her Board of Directors and COCO’s supporters to help them decide if they are able to work with us in the future.

I visited Lucy in the COCO office in Newcastle in the UK recently. I was able to give Lucy more information about the work being done at Arrow Web Hospital and by the Community Outreach Team. Lucy was very interested to hear about our plans for a new hospital and was very impressed with the work already being done. She told me that Arrow Web Hospital is the kind of grass roots project which COCO likes to support. We will let you know if there are any developments.

The children are fascinated by Kat's camera equipment- many thanks for all the photos Kat

A fruit stall near the hospital

A busy immunisation clinic helping to protect the next generation

Another safe delivery thanks to the staff at Arrow Web Hospital

Waiting to eat his banana

Deep in thought

A little boy receives life saving treatment for malaria at Arrow Web Hospital

Lucy heads up country to another COCO project

Dundee medical students – Catriona and Christine

Catriona and Christine, two medical students from Dundee University Medical School in Scotland have chosen to work at Arrow Web Hospital. They leave for Kenya on July 15th for their six week medical elective.

I live near Dundee so I was able to meet them recently. They are really excited about their visit. They very much look forward to learning from hospital and community staff about providing healthcare in a very different environment. As they are fourth year medical students they will be able to bring a very broad range of skills and experience with them.

Catriona and Christine, we really look forward to hearing all about your experiences and I hope you are ready with your camera Bram!

2009 in Review

As the year draws to a close, we wanted to take some time to reflect back on all that has happened and express our extreme gratitude to all those involved.  Each year since its inception, our hospital has continued to grow and develop.  2009 was no exception.  Without question, your ongoing support and encouragement has helped us get where we are today.  While our hospital still has many needs, we are grateful for what we have, and we are incredibly blessed that we have been able to impact our community in a positive way each and every day.

Our medical team has touched the lives of many people this year.  We welcomed 3 new students into our patient care assistance program.  We took part in Keeping Kenya Polio Free and 1500 children under the age of 5 benefited from vaccinations given by our doctors.  We were able to offer eye exams to 523 people.  Most recently, this month we were able to add a dentist to our medical team and so far 50 people have benefited from his care.

Critical improvements have also been made to our hospital.  Most importantly, due in large part to our accreditation status improving our financial situation, we have been able to maintain required medications in our pharmacy.  Thanks to a generous grant from Kitchen Table Charities Trust, we were able to purchase equipment for our medical laboratory.  We hired a carpenter who helped build shelving to hold the new equipment.  He also built a beautiful reception desk to welcome patients to our facility.  Through the support of the Safaricom Foundation, we were able to purchase some of the equipment required to begin limited dental services at the hospital as well.

In 2009, we have learned that incredible things can happen through networking.  When people around the world join hands fantastic things happen.  This was truly what brought us 11 boxes of donated medical supplies from Motorsport Medical Services in the UK.  Without the assistance of AVIF Volunteers, Kenya Airways and much persistence these supplies may have never gotten to us.  The Tour d’Afrique Foundation donated bicycles to our community outreach team which has helped tremendously with transportation out into the local community, and Baby DM made a generous donation which has benefited many new mothers and helped us welcome the newly born members of our community in style.

This year, our hospital has made many new friends and welcomed multiple visitors to our facility.  We had the pleasure of providing a tour for an official from the Embassy of Japan in Kenya.  Monica, from Friends of Kenya, paid us a visit as well.  Two years ago, our hospital dreamed of one day being able to welcome international medical volunteers to work alongside our doctors.  In 2009, this became a reality.  Dr. John Gilbert from the UK was our very first international medical volunteer. We then welcomed Amanda Brookes from the UK, Tom Liber from Sweden and Dr. Sharmini Ragunathan also from the UK.  Wes Downer, a documentary filmmaker from the United States also traveled to Kenya and spent a few weeks with us learning about the work we do in order to help us bring our hospital to the next stage of its development.

We expect many more great things to come in 2010.  We are expecting another visit from the Embassy of Japan in Kenya and are hopeful they will work with us to build our own facility so that we can stop paying rent and use that money instead to help our patients.  We are also expecting a group of Japanese medical students early next year. We look forward to forging relationships with partners around the world to keep the residents of Kayole-Soweto healthy. We are keenly aware that as a result of good health they will lead happy and more productive lives. 

We cannot do any of these things without the ongoing support and encouragement and our volunteers.  The hospital still has many needs.  Medical equipment, donations to help support the cost of transporting refurbished equipment to the hospital, and monetary donations to help support the day to day expenses are all very welcome.  We are looking forward to 2010 with great anticipation and hope to continue building positive relationships with all of you.  On behalf of the staff of Arrow Web Hospital, we wish you each a very Merry Christmas and all of the very best for the New Year ahead!

Japanese Embassy Official Tours Arrow Web Hospital

Meeting with the Japanese Embassy Official

On Monday, 3/16/09, we started off the week with an official visit from a representative from the Embassy of Japan in Kenya. We were very happy to show the progress that has been made at our hospital and to provide the history of how our hospital began. The official reported to us that she was very impressed with how organized we are and said in comparison to other projects she had visited in the community, ours really stood out. We were invited to submit a letter of intent to the Embassy of Japan in Kenya about how we are seeking funding to construct our own building. The hospital has been renting since it's inception and we would really like to have the opportunity to reinvest the money spent on rent each month into improving our facility. Land has been donated for us to build on, but unfortunately if we do not begin using it this year, we risk the land being taken away and designated for something else.

If anyone reading our blog is interested in supporting our hospital building project, we would welcome the opportunity to talk with you. We are very hopeful that the kind people at the Embassy of Japan in Kenya believe in what we are doing and the benefit we bring our community and will help us achieve our goal. We have learned through the years that progress comes when everyone joins hands together in support. We are confident that others will continue to recognize and help us realize our vision for a healthy community.