Annual Report - PCEA Chogoria Hospitalpceachogoriahospital.org/images/pdfs/ChogoriaAnnualReport2019.pdf · hospital adjacent to the old hospital. The old hospital buildings were taken

1Annual Report 2017-2018


Table of Contents

Acronyms 2

Corporate Identity 3

Message from Chairman 7

Executive Summary 9

Meeting Our Strategic Objectives 12

Chaplaincy Annual Report for The Year 2018 14

Clinical Services Department 15

Nursing Department 27

Financial Highlights 30

HR & Administration Report for The Period 2017/2018 FY 31

Clive Irvine College of Nursing 37

Partnerships 40

2 PCEAChogoria Hospital

AcronymsAIDS Acquired Immunodeficiency Syndrome

ANC/FP Antenatal Clinic and Family Planning

ART Anti Retroviral Therapy

CCC Comprehensive Care Centre

CEO Chief Executive Officer

CHAK Christian Health Association of Kenya

CHD Community Health Department

CHW Community Health Worker

CIC Clive Irvine College

CO Clinical Officers

CWC Child Wellness Clinic

HAT Hospital Administration Board

HIV Human Immunodeficiency Virus

HTN Hypertension

ICU Intensive Care Unit

MCH Maternal Child Health

MO Medical Officers

MOPC Medical Outpatient Clinic

NHIF National Hospital Insurance Fund

OPD Out Patient Department

PCEA Presbyterian Church of east Africa

CMO Chief Medical Officer

SOPC Surgical Outpatient Clinic

VCT Voluntary Counseling and Testing

KOHI Kenya Oral Health Initiative

PAACS Pan African Academy of Christian Surgeons

CSSD Central Standards Sterilizing Department

OPG Orthopantomogram

COHO Community Oral Health Hygienist Officer

WGM World Gospel Mission


Corporate IdentityPCEA Chogoria Mission Hospital was founded in 1922 by Scottish Missionaries. The ownership of the hospital was transferred from the Church of Scotland to the Presbyterian Church of East Africa in 1956. From 1969-1975 the hospital had major redevelopment leading to a new hospital adjacent to the old hospital. The old hospital buildings were taken over by the Clive Irvine College of Nursing which was started in 1951 and named in honour of the hospital founder Dr. Clive Irvine.

PCEA Chogoria Hospital is a not-for-profit faith based organization that provides quality health care services and training. It is registered under the Kenya Medical Practitioners and Dentist Board Act Cap 253 rule 4 (3) and adheres to the statutory regulations of the health sector regulatory bodies in discharging its mandate.

The hospital has a capacity of 295 beds and offers curative, preventive and promotive health care services. It is the main referral hospital for Eastern region with a catchment covering Embu, Tharaka Nithi, Meru, Isiolo and Marsabit counties.

Core Functions• Provision of holistic health care (preventive and curative)• Training and development of Health Human Resources and• Medical


Hospital VisionTo be a regional referral Christian hospital providing quality specialized health care and training

Hospital MissionTo provide quality, affordable, comprehensive health care and training of health professionals to the glory of God

Core Values and Guiding Principles• God Fearing• Customer Focus• Quality Holistic Service• Professionalism and Integrity• Stewardship• Team Work


Quality Policy StatementPCEA Chogoria Hospital is dedicated to consistently strive for excellence in Health Care Service provision that will meet and exceed requirements and expectations of our customers. PCEA Chogoria Hospital will uphold a high standard of Health Care Service provisions with professionalism and compassion, using specialized skills and ethical practice towards our valued customers.

Management is committed to:

o Comply with relevant regulatory requirements to discharge our mandateo Ensure internal and external Customer satisfactiono Determine quality goals and objectives, and collect data to improve Health Care Service

provisions and Patient Satisfaction within the Hospitalo Provide proactive, predictive and preventive Occupational Health and Safety, Risk

Management, Infection Prevention Control and Waste Management for all customerso Partnering with various stakeholders to ensure provision of quality Health Care Serviceso Provide adequate resources to offer quality Health Care Services and ultimately improve

performance of the hospital

Quality is employee’s responsibility and this policy is communicated to all staff who are aware of their distinct activities yet integral part of the overall organizations quality system. They are also made aware of how their activities relate and depend on each other to achieve the quality objective of the hospital.

Hospital Board Members And Members Of Management


HOSPITAL ADMINISTRATIVE TEAM

Mrs Catherine MuneneChief Executive Officer

Dr Frankline IkundaChief Medical Officer

Mrs Emily KinyuaFinance Manager

Mrs Joan RimaNursing Services Manager

Rev Roy KamauChaplain

Ms Maryanne GitongaHR & Admin Manager

Mr Jimson KithinjiPrincipal Tutor


Message from ChairmanAs the new Board Chairman of PCEA Chogoria Hospital from October 2018, I stepped into the shoes of a diligent and wise leader, my fore-runner Rev. Edward Micheni whose tenure came to an end in September 2018. He had served for a term of three (3) years as Chairman. I have had the privilege to serve with him in the board for three (3) year and during his watch PCEA Chogoria Hospital made enormous strides in the area of governance and leadership, improvements in service delivery through several efforts of infrastructure development that include installation of new generator for sustained power supply, modernization of the private wing through renovations to meet customers’ demands for quality and comfort. There was also reorganization and renovation of the Accident & Emergency department and pharmacy.

During the period, PCEA Chogoria Hospital expanded its geographical reach to open a new branch at Chuka Municipality in an effort to improve its services to the community in Tharaka Nithi County. Within the period, Chogoria Hospital Board, Hospital Administrative Team and the Management in general embarked on review of the strategic plan for the hospital. This has given the hospital strategic direction that informs next steps as we seek to better position PCEA Chogoria Hospital in order to accomplish our vision and Mission.

The hospital has continued with its training programs for Human Resources for Health by training nurses at the Clive Irvine College of Nursing, Residency programs in Family Medicine and COSECSA Surgery programme which was accredited in 2018.

The whole idea is to reposition PCEA Chogoria hospital into “A regional referral Hospital providing quality specialized health care and training” We clearly see a very competitive future for hospitals in Kenya, given the dynamics of development in the Country whose developmental agenda focuses on the “Big Four Agenda” i.e. Healthcare, Industrialization, Food security and Affordable housing.

Development in Kenya and Africa in general will be centered on communities if they are to be successful. PCEA Chogoria Hospital focus continues to be on communities that we work for and with in healthcare, and our internal transformation to improve. Many of the achievements at PCEA Chogoria Hospital have been through valuable partnerships, donors, government of Kenya and the communities in the East of Mt. Kenya.

However, while we are encouraged by our various accomplishments so far, we are alive to the fact that a lot more can be done through further enhancements of our relationships and partnerships


As a faith based hospital with its roots and activities based in Eastern Kenya Region, PCEA Chogoria Hospital now calls on County Governments, the National Government and the Communities around the hospital and Partners to embrace us as their home grown solution to healthcare challenges in these turbulent times of emerging and reemerging diseases.

Our next steps in the coming months will be to reach out to our stakeholders in order to improve our services because working together is a great thing. We realize that we are approaching 100 years of existence and this calls for us to re-examine ourselves and ask the hard questions and plan what our next steps will be in order to satisfy and exceed our customers’ expectations. We look forward to better days in the future of PCEA Chogoria Hospital as we endeavour to work with all our stakeholders.

Enjoy this edition of our annual report and thank you for your support.

GOD BLESS YOU.

Prof. Jotham Micheni Njue, EBS, FCS (ECSA) Board Chairman

Jotham Micheni


Executive Summary“We look forward to achieving a specialized role in Eastern region and beyond.”

Warm Christian greetings from PCEA Chogoria Hospital and welcome to our 2017/2018 annual report.

In 2017/2018, the Hospital continued with its endeavor of putting client/customer satisfaction first, with its goal of building strong partnerships based on trust, reliability and efficiency.

As the hospital continues implementing its 6 strategic objectives it is evident that PCEA Chogoria Hospital strategic focus is establishing highest standards of clinical services through development of clinical specialties.

To this regard, the Hospital has invested heavily on specialized medical equipment and human resources for health as it look s forward to achieving a specialized role in Eastern region and beyond. The hospital has assumed our role as a teaching level 5 hospital leading in residency programs in general Surgery and family medicine.

More and more of our clients have been able to access affordable specialized services that they would otherwise sought for in Nairobi. The hospital continue to embrace fruitful partnerships and our appreciation goes to all those who partnered with us in the year. As PCEA Chogoria hospital positions itself as a regional referral Christian Hospital providing quality specialized health care and training, the hospital looks forward to embracing great strategic partnerships that will see this great hospital to its next level.

We recognizes the almighty God in all our achievements and for upholding this hospital and that He is taking us very far. We continue to recognize spiritual ministry as an integral part of our holistic care as we discharge our duties. This far it is His doing!

Strategic plan 2016-2020The strategic plan is geared towards stepping up services at PCEA Chogoria Hospital. The achievement of this plan will see the hospital take a more specialized role in its operations. The hospital undertook a Midterm review of the strategic plan during the year under review. The hospital reports notable achievements of its strategic objectives. The strategic priorities and objectives continue to provide very clear direction the hospital is taking.


The Purpose of the evaluation was

o To evaluate the midterm impact of the strategic plan .o To inform the development of the next 2 ½ year of the strategic plan based the shift in

trends over the period under review.o To contribute to knowledge about the role of institutional plans in contributing to the Big

4 (UHC).o Evaluate the progress of performance to achieve a new level of institutional autonomy and

sustainability

The following are the strategic focus areas or strategic priorities as per the reviewed strategic plan;

o Establish high standards of clinical services through development of clinical specialist services

o Resource mobilization for growth and sustainabilityo Training programmes and medical educationo Institutional capacity developmento Strategic partnershipso Strengthen spiritual ministry as an integral part of the holistic care

The successful implementation of the strategic plan will go along way in improving the health status of the community.

Quality ImprovementPCEA Chogoria Hospital continued to develop and improve the outdoor and indoor signage providing directions and identifications as part of making care accessible. The internal directional signage has eased patient movement by easily finding their way reducing the turnaround time of patients. Similarly, it also installed a branded pylon charter at the main gate. The hospital has developed a system for morbidity and mortality audits with an aim of monitoring the quality of care to our patients. During the period, Finance and Chaplaincy with the support of the Quality team developed Standard Operating Procedures for the departments.

The hospital was registered as a workplace and received licensing under the Occupational Health and Safety department of the Ministry of Labor. During the Year under review the hospital hosted the Annual Quality Officers Forum under CHAK; a platform of knowledge sharing . The team conducted an audit and forwarded recommendations that the hospital management has acted upon. Through the QIT the hospital continued to evaluate patients feedback through surveys, social media accounts and suggestion boxes and have continued to implement improvement suggestions to better our services.

FinancialsRevenue during the year under review was ksh 478,418,735, increasing by 6% over last year. Expenses increased by ksh 67,198,820 . Net surplus was ksh 12,298,388. The hospitals projected revenue , expenses and surplus are ksh 491,264,000; Ksh 393,033,000 and ksh 98,231,000 respectively in the coming FY year.


Trainings and Capacity BuildingDuring the year, the hospital ensured that the staff continue to build their capacity. Individual unit training needs identified during appraisals were addressed inline with the strategic plan. The Impact Change Limited trained the middle level managers on supervisory skills.

Strategic Partnerships for Greater ImpactOur achievements over the past one year and during the midterm evaluation of our strategic plan as highlighted in this Annual Report demonstrate that hospital has indeed come of age, and is readily embracing new methods of conducting its operations in order to increase its impact to the community it serves. The friends of the hospital, its partners and associates have walked with us in expanding impact beyond immediate community through strategic partnerships. The hospital now receives clients from not only neighboring counties but from beyond. The donations and support realized from these partnerships have ensured the hospital is better equipped, and new technology employed in our care. These partnerships have supported the community medical camps organized by the hospital. E.g Dental Medical Camp.

In conclusion, it is important to indicate that the hospital continue to transform it self from a county referral hospital to a regional referral hospital in conformity to our vision and mission guided by our beliefs. Detailed in the following pages are reports from the departments.

Reach out to us on how the hospital can partner with your organization on achieving the aspirations of the strategic plan.

Mrs Catherine Munene Chief Executive Officer


Meeting our Strategic ObjectivesA Snapshot of the Midterm review on implementation of the strategic plan

Keeping focus on our mission, PCEA Chogoria Hospital continues to implement its five year strategic plan by achieving a series of reforms, renovations and up grading of patient services.

2 resident surgeons were engaged, among them 1 PAACS surgeon. Also 3 visiting surgeons in various sub specialties and 2 anesthetists were engaged in 2016 and 2018. The main theatre was equipped with a modern anesthetic machine in 2016, an operating table, a C-arm machine and a laparoscopy machine in 2017. A 6 bed ICU was established in 2018 with 2 beds fully equipped.1 nurse was fully trained in critical care at Nairobi hospital in 2017 and 6 nurses underwent on job training in critical care in 2017/2018. Family medicine program commenced the first class in 2016 and the first 2 students will graduate next in 2019. 6 visiting consultants in various specialties have been engaged since 2016. Casualty has been expanded from 3 to 6 bed capacity equipped with modern beds and monitors. Also the minor theatre and the pharmacy has been modernized. A dialysis services unit with 4 dialysis machines was established in 2017. Moreover the hospital has established a modern urban satellite clinic at Chuka.

In the period under review the chaplaincy achieved the following; engagement of additional staff to the department, benchmarking and trainings, introduction of new services e.g. bed to bed ministry, conducting devotions in all departments, conducting spiritual counseling, providing mortuary ministry, conducting grief and bereavement counseling. Out of this, many clients have benefited spiritually and also physically.

The Hospital has experienced improved work efficiency which has resulted to improved service delivery through implementation of the following; Engaged a consultant to carry out staff rationalization process and realignment of the Hospital organization structure, Introduction; quarterly meeting for Unit Heads and HAT, quality improvement meetings, annual teambuilding for unit heads and staff , establishment of Quality Improvement office, development of SOPs (for CIC ,Chaplaincy ,Finance , Pharmacy, Security and CCC ), review of the finance and procurement policies , documentation of the quality manuals and control of documents manual.

On strategic partnerships, the hospital has achieved continued partnership with like minded organizations such as MBF (Medical Benevolence Foundation), Wilson rehabilitation foundation , Munson group, Samaritan purse ,World medical mission, Serge , Kabarak university, Bethel, University, CHAK, North Darkota University, Church of Scotland, Friends of Chogoria Scotland, MEI (Medical Education International) , Smile train , Christian health service corps, James Town University , World Gospel Mission and more.

The hospital has undertaken a number of activities that assist the community including medical camps, monthly high blood pressure screening among others. During the period under review through partnerships a dental medical camp was achieved, Spiritual Ministry was supported


and equipments donated to the hospital. The community has benefited from organized free health screening and cost shared orthopedic operations with needy patients benefiting from a needy patient fund supported by various partners and friends of the hospital.

On improvement of the cash-flow position, the Hospital has come up with elaborate measures for internal controls. The hospital has increased its range of partnerships since 2016 with insurance companies and organizations such as SAHAM Insurance, MINET Insurance, KWS, Secondary Schools through NHIF, NHIF funded scheme and many more. This has really contributed to an increase in revenue ensuring smooth operations .The hospital has renovated the private ward which has been operational since March 2018 after renovation.

In line with the strategic plan, the construction of the college tuition block that had earlier stalled was begun and the ground floor completed in year 2016. The college got a donation of a offline digital E-granary library from Widernet. The resource has over a million multidisciplinary teaching and learning resources. The college also acquired 13 computers all connected to the internet and also Wi-Fi connectivity is accessible within the college environs. The college intended to broaden the scope of the training school by introducing nephrology nursing course.

CIC Students in class


Chaplaincy Annual Report for The Year 2018The year 2017/2018 was a year in which we testify the goodness and mercies of our Lord Jesus Christ. As the chaplaincy department we have been able to offer many services to our patients, staff and students in line with the hospital strategic plan. According to the hospital mission of providing quality holistic health care, God has been so faithful that we have achieved remarkable spiritual growth in PCEA Chogoria hospital. This has led to many people coming to seek services in this hospital. We thank God for the achievement as it says in Jeremiah 33:3 “Call to me and I will answer you and tell great and unsearchable things that you do not know.”

The following are the activities Daily ward devotion Departmental prayers and preaching Daily bed to bed ministry Bereaved prayers at the morgue Monday morning devotion for the staff Monthly intercessory prayer Fortnight chaplaincy committee meeting Waiting bay prayers Counseling for the needy cases Outreach visits

Cumulative Statistics 2018 Bed to bed ministry 13474 Counseling 640 Converts 181 Morgue prayers 345 Capacity building 20 Bible distributed 711 Thursday prayers 15 Outreach 9 Saline process 1 Departmental prayers 648 Waiting bay prayers 442

Way forwardIntensify outreach and follow-up of cases that need support in the community.

Chaplaincy staff during a waiting bay service


Clinical Services DepartmentAt the core of the hospital’s existence is the quality clinical services in furtherance to Jesus ministry of healing. 2017/18 was a year of great achievements, in light of the midterm review process of the strategic plan. Looking at the strategic objective 1, the sustainability of the hospital revolves around clinical services and its specialization. The department took the responsibility of actualizing and implementing activities assigned by the strategic plan under this objective. In doing so the hospital has retained its status as a level 5 that is Faith based specialized tertiary referral hospital.

The hospital received increased patient numbers during the year attributed to the availability of doctors, consultants and introduction of specialized clinics including; dermatology, cardiology and pediatric dental clinics. Also of significance is the availability of quality drugs and majority of laboratory investigations. The increased numbers are attributed to the hospital embracing of NHIF general outpatient and civil servant schemes.

The hospital installed the Laparoscopic tower and procured diathermy machine separately having previously bought a new anesthetic machine. The hospital also received a donation of an orthopedic bed in recognition of the work it is doing. The hospital has 2 full time surgeons and one visiting orthopedic surgeon. Adding to the pool of specialist consultants are the Gynecologist, visiting maxillofacial and pediatric dental surgeons. The hospital conducted benchmarking for theatre and there is need for additional operating space that comes with need for renovation and purchase of additional equipment like the theatre operating table, theatre table lighting, anesthetic machine, resuscitation machine.

During the period the hospital conducted a maxillofacial week held at the hospital and 11 patients benefited. The hospital also conducted a cleft palate/lip week where 7 children with these deformities were treated and 2 referred. The hospital in its quest to establish an ICU has prepared a room, and sponsored several staff members to train on ICU at Kijabe and Nairobi Hospitals. In readiness, several equipments have been purchased and fittings ongoing.

The hospital started a psychiatric clinic engaging a nurse psychiatrist with plans to build a psychiatric unit. Due to increased demand for the surgical services at SOPC and demand for eye services the hospital has introduced a third SOPC day per week and a second day for the special eye clinic per month. The number of operations remained high during the year. The hospital has applied for accreditation to start training surgeons in COSESCA. The PCEA Chogoria Hospital Chuka Medical Centre continue to grow and perform exemplary well posting increased number of patients. Xray room was renovated in readiness for the installation of the Xray machine.


The departments future need is in psychiatry and also need to engage a pediatrician. We look forward to maintaining the best standards and improve where there are challenges.

Out Patient /CasualtyThe outpatient/casualty unit is committed in the provision of a number of services to our patients/clients. It operates in 24 hours including weekends and public holidays.

The unit have had several achievements during the year due to improved quality of services offered. The unit has witnessed a tremendous increase in the number of clients who sought our services as shown in our annual monthly statistics. In each month we had more than 10,000 clients who visited our outpatient / casualty.

The major development in this unit was renovation of casualty. Our casualty rooms have been renovated and installed with modern equipments to facilitate the provision of quality services to our clients. The separation of casualty rooms and minor theatre has helped reduce the congestion of patients at the place as previously witnessed.

The unit has portrayed continuous improvement in its performance and provision of its services.

Following the progressive increase in patients numbers , the unit looks forward to construction of more consultation rooms and engagement of additional staff.

Eye UnitThe Eye Clinic operates on Monday to Friday .The unit offers services such as eye examination which include visual acuity, fundoscopy, also minor surgeries like removing of styles, chalazious refraction of bifocals, short sightedness and reading glasses. The units spectacle workshop

Clinician taking care of a patient at the Out Patient


also issues photo chromatic glasses, cutting of lenses and fixing on frames, repair of lenses, frames, and fixing of nose pads.

A visiting specialist come to the unit once per month. In the year 2018 the hospital has managed to buy an auto refractor machine, this has made the work of refraction easier. The unit saw 3738 patients and the optical workshop sold 293 spectacles.

The hospital plans to acquire an operating microscope to conduct eye surgeries in the coming financial year.

Mental Health UnitThe unit provide mental health services as an out patient clinic from 8am – 5pm Monday to Friday daily.

There is need to establish an inpatient psychiatric ward and services to cater for psychiatric patients that need inpatient care.

Radiology UnitThe Radiology Unit is a regional referral centre offering a 24-hour outpatient and inpatient imaging services. Our radiology unit offers quality imaging services including; CT scan, Ultrasound, Electrocardiogram (ECG), X Ray . The hospital also do special radiological examinations like, Hysterosalpingography (HSG), Intravenous urography (IVU).

The unit has a modern Xray equipment and CR (Computerized Radiography) for image processing which makes our processed images of good quality and in digital form.

In line with the strategic plan, the hospital has; recruited additional radiosonographer, renovation of new ultrasound room which is spacious, renovation of Xray patient changing room and staff tea room, purchasing of CT scan gantry UPS.

Looking forward, the unit through the hospital hopes to achieve the following; renovation of CT scan room, MRI machine acquisition and installation, purchasing Chuka clinic ultrasound machine.

Sonographer attending to a patient


Nutrition UnitNutrition it’s a clinic deals with nutritional assessment, diagnosis, intervention and follow up. It comprises of 3 staffs and the clinic is open every day from Monday to Friday 8am to 5pm.

In achieving the strategic plan, the unit has introduced enteral nutraceuticals especially for ICU cases. One additional staff was recruited to the unit . The hospital has been approved as a KNDI internship centre thanks to the hospital management for supporting us towards making this partnership be a success.

Medical RecordsThe Medical Records is an essential Unit in the hospital, playing a key role in health promotion and patient care quality. The services offered by the unit include; issuance of duplicate burial permit, late registration of birth, issuance of duplicate birth notification, retrieval of patient file for treatment, retrieval and completion of insurance claims (verification of patients treated at our hospital), retrieval of old medical records and preparation of medical records, enquiries about NHIF, registration of patient, patient correspondence

Our future plan is to make records a centralized place ,all reports for the hospital to be done in records office.

Dental UnitThe dental unit is a modern, state of the art facility which is well equipped for provision of dental services. It has four consulting rooms equipped with functional dental units, a dental laboratory, CSSD, x-ray room, a pediatric room , reception and patients’ waiting bay. There has been an exponential increase in the number of patients in the year 2017/2018.

With the help of KOHI, dental unit was able to purchase a bigger and better Dental Compressor Machine . The unit received one portable dental unit, hand-pieces, dental materials and instruments from different partners. They have contributed to smooth running of the clinic and we have been able to treat many patients.

Hospital Nutritionist explaining a point to our client


Mpangua primary school dental outreach was conducted from 25/06/2018 to 29/06/2018 sponsored by KOHI (Kenya oral health initiative) in conjunction with PCEA Chogoria Hospital. During the outreach, 176 pupils were given different types of dental treatment .

In order to effectively provide preventive, restorative dental treatment, the unit hopes to; acquire a new OPG machine, expand the dental team by employing a COHO and a dental assistant., increase the client reach through organized sponsored dental outreach programs. The unit hopes in future it shall be able to do the crown and bridge work in its dental laboratory.

Pharmacy unitThe PCEA Chogoria Hospital pharmacy is a certified and approved by the Pharmacy and Poisons Board of Kenya. It is responsible for dispensing approximately 350 prescriptions per day making it one of the busiest units in the hospital. The highly skilled pharmacy staff operates an intelligent software that keeps tabs on stock levels and expiry dates of the drugs. The pharmacy operates 24hrs a day serving both inpatient and out patients and also CCC patients.

The unit has undertaken a number of activities such as; survey on the use of antibiotics and analgesics, survey of the number of errors that happen in the clinical cycle, survey on medicine use counseling, Pharmacovigilance reports. The unit has helped in identifying and reporting of 120 adverse drug reactions in the past one year.

The hospital pharmacy hopes to; expand the hospital formulary, introduce of electronic labeling of packaged drugs to patients, deploying an additional personnel to PCEA Chogoria Hospital Chuka Medical Centre pharmacy.

Palliative care unitPalliative care unit offers services to patients with life limiting illnesses through; pain management, home based care services, donation of medical supplies, offering counseling services, nutritional support. The clinic runs from Monday to Friday 8am—5pm.

The unit was able to attend 255 inpatients and 127 out patients clients and carried out 18 home visits.

Hospital Dental staff caring for a patient

Out Patient Pharmacy


The unit experiences a challenge of lack of funds for the care of the patients and follow up home visits being that these patients face problems of affordability of the services. The hospital seeks strategic partnership with like minded institutions in achieving the strategic objective on establishing a hospice.

Dialysis unitThe unit has 4 dialysis units offering Haemodialysis services to patient with kidney diseases.

The unit operate from Monday to Saturday while emergency are offered any time if need arises.

The future plans of the hospital is to increase the number of dialysis machines and staff to meet the increasing demand .

Counseling UnitCounseling unit deals with general counseling and specialized services such as addiction treatment. The unit operates on weekdays from 8:00 am to 5:00 pm. The unit offers the following services; addiction treatment, family and marriage counseling, psycho social counseling, adolescent counseling, mental assessment, suicide intervention and student counseling.

Main TheatreP.C.E.A Chogoria hospital main theatre offers both major and minor surgery services daily 24hours. Currently the department has two resident surgeons, orthopeadic and maxillofacial surgeons. The hospital engaged an additional anesthetist which has enhanced efficiency and effectiveness of theatre work. Training of theatre staff (nurses) in laparoscopy and cleft palate/lip surgeries was conducted during the year.

The unit looks forward to; expansion of theatre due to increased number of surgeries, renovation of theatre.

Laboratory UnitPCEA Chogoria Hospital laboratory endeavors to consistently meet customer needs and expectations. The Unit has the following services; Phlebotomy, Hematology, Immunology, Biochemistry, Microbiology, Parasitology, Serology and Blood Transfusion.

The laboratory is accredited to ISO 15189:2012 standard indicating the hospital’s commitment to quality results. Lab staff performing Lab tests

Students training at the dialysis unit


The laboratory has consistently met the ISO accreditation requirement for the last 3 years. This milestone achievement has been greatly contributed by the support the laboratory has continued to get from CDC through various Implementing Partners more so Clinical and Laboratory Standards Institute (CLSI) who have been at the forefront on Quality management System (QMS).

During the year under review their was an increase in number of tests conducted at unit.

The PCEA Chogoria hospital laboratory was privileged to give a presentation on “LIMS Journey in relation to QMS Implementation” during an APHL/CDC . The hospital also through the unit received a Certificate of recognition during an APHL/CDC meeting held at NPHL grounds Nairobi on 25th June 2018.

Future plans of the laboratory is to increase the scope of test in our laboratory in line with the strategic plan on the laboratory having a histopathology section.

PCEA Chogoria Hospital Chuka Medical CentrePCEA Chogoria Hospital Chuka Medical Centre is located in Chuka town .The centre attends to an average of one hundred patients per day . Currently the centre offers; clinical , laboratory , pharmacy , MCH/FP and radiology services. The medical center is operates on daily basis from Monday to Friday from 8:00 am to 5: 00 pm.

The medical centre hopes to expand the scope of laboratory tests, introduce ultra sound services, begin operating 24 hour and acquiring an ambulance.

Comprehensive Care Centre (CCC)The PCEA Chogoria Hospital Comprehensive care centre (CCC) was started in 4th July 2004 with funds from PEP-FAR through Catholic Mission Medical Board (CMMB). The CCC provides holistic care to people infected and affected with HIV/AIDS and Tuberculosis. It has a team of workers that lead to the success of the services at the centre.

The main services offered in the CCC include; voluntary and provider initiated HIV counseling and testing, HIV prevention services (Pre and Post exposure prophylaxis), Gender Based Violence services, HIV treatment services, Prevention of mother To Child Transmission of HIV services, Prevention and treatment of opportunistic infections, nutritional support, Psychosocial support, patient education, Tb treatment and community follow-up of patients.

Pharmacy staff serving clients at the Chuka Clinic


Conference attendedCHAK Annual Health conference and Annual General Meeting – CQI Project presentation on ISONIAZID PREVENTIVE THERAPY UPTAKE AMONG PEOPLE LIVING WITH HIV IN PCEA CHOGORIA HOSPITAL

2018 HIV Prevention, care and Treatment Scientific Conference – Abstract presentation

Subtheme: Health Systems Strengthening for HIV Epidemic Control.

Title: Use of Routine Quality Improvement Cycles to Achieve Increased Isoniazid Preventive Therapy among PLHIV in PCEA Chogoria Hospital

In regards to the unit performance during the year, there is a lot of improvement based on the 94% score during the CDC SMS assessment and the 100% score during the NASCOP national data Quality assessment.

The unit hopes to collaborate with other TB/HIV stakeholders in adolescents and Young People advocacy Programs.

Rehabilitation UnitThe rehabilitation unit consists of the physical therapy, occupational therapy and the orthopedic Technology sections. The unit sections work together to help patients gain and/or regain function post injury and /or disability of any nature. The hospital prides its selves in the provision of the best rehabilitation services in the region.

The unit was able to carry out a bench marking exercise at PCEA kikuyu hospital on orthotic and prosthetic making. A proposal was developed to this effect and are looking for partners to assist in setting up of the workshop. The unit is also looking into the possibility of having an orthopedic technologist to come often to take measurements in 2019 as the unit await the availability of funds for setting up of the workshop.

CCC team group photo at planning & review meeting


Surgical Team

Operational Statistics

DELIVERIES

OCT NOV DEC JAN FEB MAR APR MAY JUNE JULY AUG SEPTNORMAL 187 89 86 110 77 100 78 77 92 73 70 73C/S 70 53 43 31 43 42 59 63 30 39 55 24TOTALS 257 142 129 141 120 142 137 140 122 112 125 97

DEATHS

OCT NOV DEC JAN FEB MAR APR MAY JUNE JULY AUG SEPTINPATIENT 42 48 42 34 32 32 27 37 35 41 37 28

THEATRE

OCT NOV DEC JAN FEB MAR APR MAY JUNE JULY AUG SEPTMAJOR 46 60 30 86 86 95 109 91 47 70 53 46MINOR 38 47 50 38 44 40 35 31 41 24 40 24TOTAL 84 107 80 124 130 135 144 122 88 94 93 70

Hospital Statistics For 2017/2018

OCT NOV DEC JAN FEB MAR APR MAY JUNE JULY AUG SEPT

OUTPATIENTNEW 2268 1851 1938 2415 2146 1968 1798 2197 1729 2230 1806 2116REVISIT 9439 8708 8787 10482 9559 9786 9367 10973 10286 11105 10751 10224TOTALS 11707 10559 10725 12897 11705 11754 11165 13170 12015 13335 12557 12340


OCT NOV DEC JAN FEB MAR APR MAY JUNE JULY AUG SEPT

OUTPATIENT ATTENDANCE FOR CHUKA CLINICNEW 1435 1603 1728 1754 1633 1959 1655 1851 1704 1838 1952 1692REVISIT 425 190 189 487 503 554 533 623 626 840 563 830TOTALS 1860 1793 1917 2241 2136 2513 2188 2474 2330 2678 2515 2522

SPECIAL CLINICSSOPC 656 634 535 732 676 598 569 737 712 781 736 671TB 372 364 368 241 287 213 203 200 239 219 292 192MOPC 566 521 459 602 501 521 489 556 546 603 581 522ENT 198 123 50 63 71 16 7 20 29 2 0 0EYE 368 267 270 392 378 376 301 382 452 315 315 434PHYSIO 128 143 105 97 118 158 130 129 166 182 184 168POPC 32 50 33 55 84 93 61 62 64 58 58 36GOPC 408 457 365 480 415 463 435 494 478 482 533 443DENTAL 313 430 399 396 404 342 400 473 525 447 573 529CCC 1637 1667 1603 1723 1461 1549 1412 1634 1643 1757 1825 1385DERMA 43 36 58 0 51 0 49 56 67 38 29 36NUTRIT 52 62 39 46 61 91 63 60 69 60 75 50CARDIO 54 0 50 0 57 0 46 0 49 0 46 0PSYCHI-ATRIC

0 0 0 0 0 0 0 0 9 20 27 17

COUN-SEL

63 1 17 32 24 21 71 72 83 72 24 7

DIABETIC 324 332 285 355 340 303 317 339 329 360 347 288DIALYSIS 98 62 64 72 62 67 72 85 61 114 93 95TOTALS 5312 5149 4700 5286 4990 4811 4561 5244 5466 5475 5736 4913

MCHCWC 801 676 748 872 988 680 754 671 587 765 618 662ANC 452 432 457 487 439 434 428 448 447 449 449 398PNC 31 17 30 30 26 19 11 20 16 15 19 32FP 137 164 133 148 125 136 103 121 127 114 109 140TOTALS 1421 1289 1368 1537 1578 1269 1296 1260 1177 1343 1195 1232

ADMISSIONSMAT 130 120 111 101 85 120 109 96 96 104 101 108MEDICAL 182 143 173 169 164 172 210 189 157 218 198 163SURGI-CAL

168 166 177 202 131 137 133 180 136 163 160 138

PAEDS 54 51 42 60 50 72 80 76 50 66 47 55NEW-BORN

23 17 22 15 19 26 33 23 16 17 21 24

AMEN-ITY

0 0 0 0 0 11 16 17 12 14 12 14

TOTALS 557 497 525 547 449 538 581 581 467 582 539 502


Dental Unit Patient numbers by procedure

TotalX-ray periapicals 521Tooth extractions 2551Dental fillings 861Root canal treatments 452Gross scaling and fine scaling 202Pulpotomies/ pulpectomies 142Fixed orthodontic treatment 35Dentures 213Minor oral surgical procedures 286Major maxillofacial surgeries 39 Clinical team during a ward round


Mental clinic report

Months New Revisit Total Patient AdmissionJune 41 9 50 8July 14 9 23 6August 24 14 38 3September 16 9 25 5October 10 9 19 1November 8 13 21 4Dec 15 8 23 3Total 128 71 199 30

Drug consumptions

Quantities PRESCRIPTIONSAntibiotics 14832Analgesics 2340Antihypertensives 28849Diabetic drugs 34301Others 2340

In Patient Counseling Statistics

MONTH OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEPNO.OF PATIENTS

- - 11 36 22 36 19 35 16 22 14 12

Number of patients at MCH /FPFamily planning – 1657.

Postnatal clinic – 253.

Antenatal clinic – 5180.

Child welfare clinic – 8109.

Sick babies – 1586.

Pap smear/viavilli – 1364.


Nursing DepartmentThe year has been good with the grace of God being sufficient for us as a department. We were able to introduce a new shift that would reduce burn out of Nurses especially in Units that work 24 hours that are friendly to nurses. One nurse managed to complete the training on Intensive Care Nursing. This enabled the Hospital to be able to start the intensive Care Unit which has assisted many patients who required the intensive Care. The hospital has managed to send a nurse to train on PeriOperative Nursing and is currently in school.

We hope to train more nurses on specialized care such as Oncology Nursing and Paediatric Nursing.

The Nurses Turnover has slightly reduced and this in turn improves quality of Care. The nurses have been able to learn updates through Continuous Nurses Education. We hope to continue with these trainings to empower nurses during their practice. The Chaplaincy department has been of great support to Nurses especially during bereavement and Counseling of Patients with different problems.

During the year the department continued to provide improved hospitality services; improved meals, engaged a cleaning supervisor to oversee cleaning services, and have established a linen management system. The nursing services have been strengthened with the support from the other cadres working as a team for the betterment of the patient care.


Main kitchen unitMain kitchen unit was established to provide and offer patients with nourishing meals. The unit’s goal is to improve patient’s satisfaction by providing balanced diet. In 2017/18 the hospital expanded the bakery capacity where unit now produce bread for both patients and staff after minor repairs of the oven and also purchase of machines like the dough mixer.

Medical wardMedical ward is responsible for all admissions of medical cases. It has got a bed capacity of 76 beds. The medical ward offers nursing services, nutrition and feeding services, medical services, rehabilitation services, counseling, laboratory chaplaincy services among others. During the year the wards had an average of 170 patients per month. The top five most common cases in the each section of the ward include; Male section; C.C.F, Asthma, Diabetes, Hypertension, Ca Prostate while Female section; Asthma, Gastritis, C.C.F, COPD, Hypertension, Diabetes

There is need for ward renovations to improve patient comfort.

Surgical wardSurgical ward offers a number of services including; Care of infected wound, Care of the orthopedic patient with traction and pop and also who have undergone orif, Care of the patient with head injury, Care of the who have undergone major operations.

The unit continues to see some cases of Domestic violence, Road Traffic Accidents, Circumcision Injuries and Alcohol Abuse.

Maternity wardThe unit comprises of three sections namely Labor ward, post natal and the nursery.

The unit offers a range of services including, deliveries (either normal way or C-section), treatment and management of diseases in pregnancy, care after delivery till discharge and management of any sickness till recovery, counseling and testing for HIV(PMTCT), health education family planning nutrition hygiene and child health care.

Pediatric wardPediatric ward offers services in 24 hours.

Services offered include; Emergencies, Wound care, Prepost-operative care, Monitoring of child progress , Drugs administrative, Health education & Counseling (nutrition, hygiene) etc. Procedures, Surgical care: follow up

The unit’s future plan is to engage full time locally trained pediatrician.


Maternal Child HealthThe unit provide service to all client i.e. who include women of reproductive age, children ad male partners. The unit operates on week days on 8:00 am to 5:00 pm.The unit offers the following services; provision of antenatal care, family planning to both male and female, growth monitoring, immunization post natal services, health education, curative services, breast and cervical cancer screening, Counseling and testing of HIV/AIDS. .

The unit aims to train more staffs on reproductive health, cancer screening and to have outreach clinic so as to health educate clients and do screening

Pediatric ward


Financial HighlightsThe Hospital management remained firmly committed to achieving the strategic objectives of the hospital as guided by the strategic plan. The shared responsibility of the administrative team made it possible to improve the performance of the hospital as defined in our Key Performance indicators. The department was responsible for the budgeting, financial management, budget controls and reporting.

The finance department coordinated a budget production for the entire hospital.

See Income Statement in Appendix for details on operational and SG&A expenses.

2018 2017Gross Income 478,418,735 450,380,882Expenditure 466,120,347 398,921,527NET SURPLUS / (DEFICIT) BEFORE PROVISIONS 32,921,015 75,088,849Net surplus/(deficit) 12,298,388 51,459,355

Revenue during the year was KES 478, 418,735 increasing 6.2% over that of last year. Expenses increased by 16.8 % due to administration cost, staff cost and capital equipment investments as well as renovations. Net surplus was KES 32,921,015 attributed to increased demand for PCEA Chogoria Hospital services as well as synergy of all stake holders.

Projected revenues, expenses and surplus for 2018-2019 are KES 606,755,300; KES 515,798,800; and KES 90,956,500 respectively as per the budget. The achievement of these projected estimates is highly dependent our commitment and aspiration to be ‘The Hospital of the Future’ that enables us to provide the most modern cutting edge treatments which go beyond primary care. However there has been a challenge of patients not able to clear their bills leaving huge debts with hospital which later turn out to be bad debts. This is as a result of poor patients who come during the government health facilities strikes with no money to pay for the accrued bills. The hospital recognizes the efforts made by organizations’ like MBF and Wilson rehabilitation in chipping in poor patient bills.

Lenana RestaurantLenana restaurant is a unit in PCEA Chogoria Hospital. It offers catering services within and outside the hospital. Our mission is to give quality foods and drinks to our clients . During this period Oct-Sept 2017/2018 ,we were able to install a client server system.


HR & Administration Report for The Period 2017/2018 FYThe HR & Administration department has two departments namely

1. Human Resources Department2. Administration Department

ThefunctionsofHumanResourcesDepartmentInclude;o Recruitment and Selectiono Labor Relationso Orientationo Employee Relationso Training & Developmento Compensation and Benefitso Employee Welfareo Legal Compliance & Responsibilitieso Workplace Safety and Healtho Personnel records retentiono Policy Administration

The ability of an organization to meet its goals and strategic objectives largely depends on the knowledge, skills, motivation and deployment of human capital. PCEA Chogoria Hospital understands that the greatest resource at its disposal is its Human resources.

In its strategic direction, the Hospital strives to acquire, capacity build and retain the staff working in the hospital. Being a critical component of achieving this direction the HR department has invested in hiring the right personnel and working on programs like training to build on their capacity.

The department has been guided by the Hospital’s strategic objective for the period between 2016 – 2020 under Objective 2: To achieve an efficient and effective workforce by 2020


Hospital Staffing

o The implementation of the KIM’s recommendations were on going during the period under review.

o Staff numbers remained at a minimal with the number of unskilled staff going down.o Staff annual salary increment continued being implemented to meet the ever growing

competition for skilled sets which led a drastic reduction in turn over and improvement of staff morale towards work. It has also helped greatly in attracting and retaining more skills sets.

o The Hospital register with the Occupational Safety & Health Act (OSHA) and now is compliant with the Act.

o The department developed a number of Standard Operating Procedures including Security, Chaplaincy, Finance, Mortuary amongst others

o A reviewed HR Policy document was developed and is awaiting the approval of the Hospital Board.

o The Hospital continued to enjoy the services of outsourced security with assured provision of a safe and secure environment to its clients and patients as well as its employees.

o With 14 employees retiring within the period, the Hospital appreciates the value addition they had given to their respective departments some having served for a period of 30 years plus. Each retiree was also gifted and certified for their long service to the Hospital by the former long serving Hospital Administrator who long retired Mr. Festus Nkonge together with the HAT.

o The hospital continues to support the CMEs and CPDs for all staff.o All Unit Heads were taken through an in-house training on Performance Measuring and

Hospital Administrative Team - 7General Surgeons - 2Physician - 1Emergency Physician - 1Family Physicians - 2Medical Officers - 2Dentist - 1Registered Clinical Officers - 29Dental technologist - 1Dental Assistant - 2Physiotherapy Technologists - 3Occupational Therapist - 1Health Records Information Officers - 3Health Records Information Clerk - 1Nutritional Technologist - 3Orthopedic Technologist - 1Orthopedic Assistant - 1

Plaster Assistant - 1Optical Technician - 1Medical Laboratory Technologists - 16Laboratory Data Clerk - 1Pharmacy Technologists - 9Dialysis Technician - 2Radiographers - 2X Ray Assistants - 2Psycho-social counselors - 1Nurses - 141Nurse Tutors - 10Finance (Accountants, Clerks, Cashiers, Supply

Chain Staff) - 17Administration Staff (Secretaries,

Maintenance Staff, Drivers, ICT)- 42Support Staff - 92Chaplaincy Staff - 3


Appraisal facilitated by the QIO, HR and Finance Manager.o All Unit heads were trained on Essential management and supervisory skillso All staff were trained on retirement planning in collaboration with the RBA

Unit Specific trainingLaboratory Lab Bio safety Bio security by UMB

Understanding ISO 15189:2012 and Internal Audit by CLSIM- Lab Dissemination Training by CHAKQC and method validation by CLSI

Theatre Basic Life Support, laparoscopy trainingNursing Nursing process, Infection control ,

Post- operative nursing course training – on goingRCO Optimizing diabetic treatment

management of mass accidentsOPD/ Casualty Management of diabetes mellitus

Training of infection prevention and controlTraining on gender based violenceTraining on advanced cardiovascular life supportTraining on management of Tuberculosis in the Era of HIV

Health Records Customer Care training for Health Records Personnel by the Medical Records Institute

Administrative Secretaries

Exceptional Office Administrator / Executive Skills’ Program

IPC Committee Infection Prevention and ControlHR Department Training on Employee compensation taxation by Sycamore

SolutionsQuality Improvement Internal Quality Audit Course by KEBS

Retired members of staff during the year IPC Committee undergoing a training


Pharmacy Healthcare commodity managementNational HIV Integrated Training

Nutrition Parenteral Nutrition.Nutrition in DiabetesRenal Nutrition

CCC Continuous quality improvement,Gender based violence training,laboratory biosafety training,Treatment adherence support Trainer Of Trainers training, HIV/Syphilis Duo

test kit training,DTG roll out sensitization,M-Lab and T4A dissemination training,Commodity management training,ART sensitization training, DHIS2 sensitization,Enhanced Adherence Support Training,Partner Notification Services training,Medicinal Use Counseling training,New MOH tools sensitization,PMTCT sensitization,Pre-exposure Prophylaxis trainingTB Active Case Finding sensitization,TB reporting tools sensitization,TB in Era of HIV,National HIV Integrated training,Palliative Care training,ART new guideline training,Pediatric TB management training,TB Infection Prevention Control training.

Staff on Hospital Sponsored TrainingThe Hospital Policy encourages skills upgrading for all its employees. Due to the increasing need to offer excellent services that has brought about the expansion of services, the Hospital has sponsored the following employees on specialized training as explained here below:-

Name Designation Course and Duration Training Institution1 Purity Nkirote KRCHN Registered Anesthesia

Nursing - 1 ½ YrsKijabe College of

Health Sciences2 Leonard Gitonga KRCHN Higher Diploma Peri-

Operative Nursing - 1½ YrsKenyatta Hospital

-1yr3 Janet Atieno Ochieng

(Tuition sponsored by Surge)

RCO Emergency And Critical Care - 1 ½ Yrs

Kijabe College Of Health Sciences

4 Joseph Ndungu Mwangi (Tuition is sponsored by Surge)

RCO Emergency And Critical Care - 1 ½ Yrs

Kijabe College Of Health Sciences

5 Eric Mugendi Njeru RCO Higher Diploma In Clinical Medicine And Surgery (Anesthesia) - 1 ½ Yrs

KMTC


Administration DepartmentThe Administrative Department provides efficient and effective administrative support and management services to the Hospital to meet its goals and objectives.

Scope & FunctionThe department is mandated to supervise all administrative support services including;

o Transporto Securityo Bio Medical Engineeringo Public Healtho Mortuaryo Maintenanceo Customer Relations

Legal ConcernsThe Maintenance unit consists of Plumbing & Sewerage services, Masonry, Repairs, Carpentry & joinery, infrastructure and equipment, Grounds & Pathways, Flowers and Fence maintenance.

TheHospital’sLegalUnitisaunitthathandlesmattersrangingfrom:o Professional Negligenceo Industrial Disputeso Labor Law and Relations

Debt Collection etcCurrently the Hospital forwards it legal concerns to the Legal Department at the PCEA Head Office and the Hospital has a Professional Indemnity cover provided by UAP

The following were the major improvements the Hospital had within the period:- Replacement of the asbestos as per the NEMA requirements Renovations in areas around the Hospital continues Purchase of major equipment e.g ICU equipment, Laparoscopy Tower

Some challenges the Hospital faces in this department are:- Use of obsolete machinery & equipment although replacement of some equipment has

already commenced. Ageing buildings, staff houses etc, which are expensive to maintain. Limited finances to upgrade the mortuary into a modern funeral home

Impact of government regulations on the ban of use of plastic bags, use of firewood and replacement of all asbestos roofing.

Morgue UnitThe Mortuary Unit is under the Administration Department. Whose main role is preservation of bodies. The unit has plans to acquire a acquired a hearse, and establish to establish a funeral home.


Security unitThe units main role is to offer security services within the hospital including protection of life and property to the staff and hospital properties. During the year additional 14 CCTV cameras were installed as part of the security surveillance. More lighting systems have been put in place all over the hospital.

Maintenance UnitThis is the unit of the hospital responsible for grounds services, carpentry, plumbing and Masonry. The unit participated in a number of renovation exercises and routine maintenance work during the year.

The hospital continues to be faced with aging asbestos roofing, piping, painting and drainage hence posing a challenge in maintenance . The hospital looks forward to partnerships in doing a facelift of the hospital infrastructure.

Transport UnitThe unit offers both external and internal transport services to staff members and other clients. The hospital offers bus hire and ambulance hire services. During the period the unit was ranked no 3 in quality service delivery. The hospital is projecting to purchase a new ambulance since the current one is aging.

Administration SecretariesThe services the administration secretaries receive the hospital guests, manage the filing system, documentation and communication as advised by heads of department. Administration Reception office received a facelift during the year since it was modernized to make work efficient. The unit looks forward to a purchase and installation of a multipurpose scanner and copier as the current one is aged.

Engineering unitThe unit has achieved a number of its objectives as planned including; Maintenance and service of equipments as scheduled, Installation of dialysis water plant, Participation in the HDU installations and Training of 28 students on attachments. As per the strategic plan, the unit has contributed in the installation of the equipments that were purchased by the hospital in line with the plan. There were few challenges during that period including lack of spare parts especially for donated equipments.

Supply chain UnitProcurement/supply chain unit is a unit under administration department established with the objective of ensuring efficiency and effectiveness in supply chain activities while adhering to the hospital procurement policy and government procurement and disposal act 2016.


Clive Irvine College of Nursing

Historical Highlights of CollegeThe college is a department of PCEA Chogoria hospital mandated with training of health care professionals. The institution was started as a Nurse Training school in 1951 offering Nurse Assistant training then Kenya Enrolled Assistant Nursing which later upgraded to Kenya enrolled nursing.

In 1995 a diploma in Kenya Registered Community Health Nursing (KRCHN) was introduced and the name “Nurse Training school’’ changed to “Clive Irvine College ’’ in honor of the late Dr. Clive Irvine, a Scottish missionary doctor and the founder of PCEA Chogoria Hospital.

Since the inception of the diploma training the college has trained and qualified 1190 nurses working locally and globally

Vision of the collegeTo develop and qualify responsive, competent, spiritually and morally upright professional Nurses

Mission of the collegeTo witness to the Lord Jesus Christ, through provision of efficient, affordable and high

Quality Nurse Training in the 21st Century.

Core values Professionalism Integrity and honesty Hard work and innovation Holistic Christian Education Evidence based Nursing Practice

School profileThe college is accredited by Technical and Vocational Training Authority as a middle level college to offer diploma courses and below.


Currently the college offers a diploma in Kenya Registered Community Health Nursing, a 3 ½ years training programme. The course is accredited by the Nursing Council of Kenya and we conform to all the set guidelines and standard.

Academic qualifications for KRCHN:KCSE Mean Grade: C plain or above

Mandatory Subjects: C (plain) or above in English language or Kiswahili language, C (plain) or above in Biology or Biological Sciences.

Additional subjects: C- (Minus) in any one of the following: Mathematics, Physics or Physical Science, Chemistry

Teaching and learning resources Ultra-modern clinical skills lab- the lab is equipped with simulation models for

demonstrations and practice. This helps our students achieve a certain level of competency before they encounter a real patient.

Modern library- it’s equipped with around 4000 multi-disciplinary health allied hard texts. In addition we have a offline digital E Granary library with a wide variety of learning and teaching resources.

Modern lecture Halls equipped with teaching visual aids such LCD projectors High speed Internet connectivity via WIFI Computers accessible by students

Clinical teaching hospitalsBesidesclassroomteachingandskillslabsimulationsourstudentsundergoclinicalrotationsforpracticalcompetency.

PCEA Chogoria Hospital, a multi-specialty Regional Teaching and Referral Hospital Meru Teaching and Referral Hospital

Students studying at the college library


Chuka County Referral Hospital Muthambi Sub-County Hospital

PartnershipsHigher Eduacation Loans Board (Afya Elimu Fund), a significant number of students usually benefit from the fund for the purpose of financing their education

Medical Benevolent Foundation, provides financial assistance to needy students

University of Jamestown, students and instructors from the university visits the college on annual basis. This is for purpose exchanging information and sharing experiences

Future plansBroaden the scope of training our college to meet the diverse training needs of health care. Plans are to introduce Nephrology nursing and other health allied courses

Construction of modern hostels to provide a serene and conducive environment for our resident students, preliminary works are underway

Completion of construction stalled modern tuition block, however financial challenge is the greatest hindrance

Students at Computer Lab


PartnershipsP.C.E.A Chogoria Hospital embraces strategic partnerships in order to achieve its strategic objectives. Some of the strategic partnership that the hospital has embraced is with MBF (Medical Benevolence Foundation), Wilson Rehabilitation Foundation, Munson group, Samaritan purse, World Medical Mission, Serge, Kabarak University, Bethel University, CHAK, North Darkota University, Church of Scotland, Friends of Chogoria Scotland, MEI (Medical Education International) , Smile Train , Christian health service corps, James Town University and World Gospel Mission.

The partnerships has seen the hospital improve in various sectors especially in patient care improvement, infrastructure improvement and health promotion. PCEA Chogoria Hospital is indebted to these partners for their partnership in the year and most generous support. The hospitals cordial relationship with Tharaka Nithi county government is appreciated and we thank them for the seconded staff. Strategic partnerships with the regulators including the Kenya Medical and dentists Board, Nursing Council, The Radiation Board of Kenya, The Laboratory board, The Pharmacy and Poisons Board, The Clinical Officers Council , Kenya Nutritionist and Dietitians Institute among others as well as the national government has enabled us make significant impact in the lives of the patients and the communities around us.

We have enjoyed great partnerships with CHAK in Health systems strengthening, Health service delivery especially CHAK HIV/ AIDS Program (CHAP), Non communicable diseases and reproductive health and family planning. We are grateful for the support of missionary doctors by Serge, WGM, Christian health service corps, Samaritan Purse, Bethel among others that have contributed towards our commitment to holistic and affordable health care.

Through the MBF the hospital has been able to touch lives of needy students and patients as well as in infrastructure and equipment support. MBF and Samaritan purse continued to support our Spiritual Ministry during the year .Our partnership with MEI has contributed towards better continuous professional development of the clinical staff and hospital equipment. The patients that have bore the stigma of cleft palate have something to smile about courtesy of the support from Smile Train. We thank the Wilson rehabilitation foundation , through their support we have been able to strengthen our rehabilitation services and orthopedic surgery services to needy patients who need the services. Kabarak University continues to partner with us in providing Family Medicine residency.

The Hospital is grateful to all partners who have supported our course. We extends its invitation to other partners to join us in this important ministry of healing.


PCEA CHOGORIA HOSPITAL

P.O. Box 35– 60401 Chogoria, KenyaCell: 0713 656 186. 0734 192 208.

Email. [email protected]

Documents

Annual Report - PCEA Chogoria Hospitalpceachogoriahospital.org/images/pdfs/ChogoriaAnnualReport2019.pdf · hospital adjacent to the old hospital. The old hospital buildings were taken