I haven't seen the documentary yet.

The problem with KNH Casualty (and the entire KNH) is legendary.

The GoK has never considered healthcare as a priority.

I believe this negligence can be curbed if the docs oversight body was strict enough to make an impact. If this is replicated in all other public facilities, then, we have walking murderes on our streets

Problem with Kenyans, is hat they do not read reports compiled by experts...

A Health systems assessment report funded by USAID in 2010 states that?:

1) Kenya's health care system is grossly underfunded at 6% GDP

2).Inadequate manpower, that is poorly trained, poorly supervised, poorly distributed and poorly remunerated.

3). Use of outdated medical technologies.

4). Decision making not based on scientific data.

5). Clashing legislations...

Maybe I'm naïve but it looks like the workers are overworked and underpaid. Looks like they don't have enough personnel that's why you come in at night and have to wait until the next day to have an xray. This is really sad coz the patients suffer and die needlessly. I'm just wondering why the doctors cant just form their own private practice, this will give them incentives to work longer and treat patients well, coz they will essentially be self employed. With private practices, competition will force the doctors to work more efficiently and hire adequate staff, coz if your services are poor, the patient can just opt to take their business elsewhere. I'm not sure if private practices are even allowed in Kenya.

The disease is in how we think. Airlifts, and people with a partiality for medicine being given priority are escalating commitment to the disease.

It's curious that Dr. Ndemo isn't talking about making use of digital technology to learn. More health practitioners would learn at lower costs. So why 'airlifts'?

Because of the disease. We are too sick! He's talking about isolation. And he doesn't know that by bowing to the disease, he affirms it and becomes the disease.

Then 'ditto!' and another one, and another one, to the 'nth term'.

'Wimbi la maneno na kelele! Kupanda kelele, na kuvuna kelele'.

OK so maybe the next solution would be to have the government subsidize medical insurance for the poor, but I know chances of this happening is low. Unfortunately the poor don't know the power they have, they constitute majority of the voters and if they joined forces, they could demand better healthcare from politicians as a condition for voting for them. Another alternative is to mandate Doctors and health professionals to work 10 hours a week at KNH to avoid labor shortage. The new graduates should have no problem with this because they need experience, the established Doctors should have their grants tied to this 10 hour volunteerism. I think its possible to solve this mess since Kenya has a lot of medical professionals

I think #1 is what NHIF is subsidized insurance for the under privileged in the society they had plans to expand it tho i dont know what happened after the Atwoli and Ny'ong'o issue. NHIF caters for private hospitals too.

On #2, i dont think KNH has such a shortfall of medical personnel. Maybe specialized doctors but not clinical officers nurses lab admins etc Most of them are busy running kiosks in the name of clinics, labs and dispensaries. What they need is a system where they can have their work hours recorded in a time-stamp.

Anyway, @Rankaz13 and Jguru know better

I'll help @jguru out

KNH is greatly underfunded and has a huge shortage of staff especially doctors. There's almost always a medicine and supplies crisis, and most of the diagnostic equipment hardly works.

There has been immense pressure over the years for University of Nairobi to build its own hospital and relocate from KNH. When this happens it will be evident that a vast majority of the doctors there actually work for THE (professors, lecturers, registrars) and this is the reason why most of them do not bother seeing KNH patients outside teaching hours.

KNH is operationally sicker than the patients it cares for. They recently recruited 25 casualty (A&E) doctors but the pay was low and often delayed. All those casualty doctors have since quit KNH.

The best way to bail out KNH is to donate it to THE, call it University of Nairobi Hospital and let them wholly manage it. I guarantee a 360 degree turnaround in patient satisfaction, medical outcomes and financial integrity.

@Bykhovets I always thought or rather assumed that KNH is where THE students have their Residency ama? What about KMTC?

From my basic understanding on how a hospital runs, a doc is not your first point of contact, s/he is available to see you once you have been tested and symptoms diagnosed isn't that the reason why there are clinical officers lab technicians who will then refer you to the doctor specialized in your ailment ama?

If indeed most of those working at KNH are THE lecturers then indeed there's a problem that needs a committee seating.

Funding should not be an excuse, Cuba has one of the best healthcare systems in the world, yet its one of the poorest countries that we have in this world. Healthcare is free in Cuba.

Here is KNH's response. Elsewhere in the world several heads would have rolled.

Here is KNH's response. Elsewhere in the world several heads would have rolled.

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I gave up on our systems and accepted that we have archaic thinking people at the helm of our institutions.
Their kids attend private hospitals,so why bother with the poor masses?
The one responsible for Maintenance will say it's lack of funds.
The guy responsible for funds will blame the patients for not paying!
How can this be called a National Referral Hospital when it runs like a village clinic?
Woi just sacrifice to take your loved ones to a private hospital cz this is one big referral morgue.