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Premium member Presentation Transcript Launching Family Medicine Education in Kenya: Launching Family Medicine Education in Kenya Ron Pust, MD Professor, Family and Community Medicine & Public Health University of Arizona Tucson, Arizona, USA Global Health Education Consortium Toronto April 2006Slide2: KENYASlide3: Mzee Jomo Kenyatta statue in Nairobi: Kenya’s first President, and leader of the Mau Mau movement in 1950sSlide4: Jomo Kenyatta International Conference Centre, NairobiSlide5: …is Kenya’s motto: “Let’s all pull together”Kenya: Independent since 1963 : Kenya: Independent since 1963 Kenyatta and Mau Mau rebellion 1952-56 Makerere U. medical school in Uganda Internship in Kenya: “M-P-O-S” 4 x 3 mo. U. Nairobi and Moi U. have medical schools now 4600 doctors for 31 million Kenyans 1:7000 Family (USA)& General (UK) Practice specialties founded in the 1970s—after Kenya independent Family Practice in Africa: Where? When? Why?Slide8: KENYA’S THREE PRESIDENTS Mwai Kibaki 2003- (NARC) Daniel arap Moi 1978-2002 (KANU) Jomo “Mzee” Kenyatta 1963-78 (KANU)Slide9: Nairobi HQ of Christian Health Association of Kenya--CHAKSlide10: Nairobi (pop. 4 million) skyline, overlooking Uhuru ParkSlide13: Diversity…Slide14: Site of Al-Queda 1998 bombing of US Embassy, now a park in downtown Nairobi…Slide15: …where this couple relaxes at lunch time.Slide16: Nearly all of the 200-plus who died were Kenyans…Family Practice at the interface…: Family Practice at the interface… Government of Kenya Ministry of Health Moi University Faculty of Health Sciences and Asante Consortium: Indiana, Brown, Utah et al Churches of Kenya and other NGOsSlide20: Providing doctors for the 72 District Hospitals in Kenya is a major goal of the Moi U. Family Health Division and its Master of Medicine 3 year residency programSlide21: Kenya Ministry of Health: Afya House, NairobiSlide22: Kenya’s President and citizens in AIDS awarenessSlide23: The Ministries of Health in eastern Africa rely strongly on their cadre of Clinical Officers, trained at their larger provincial hospitals.Slide24: Moi University in Eldoret: Graduation and installation of Vice-Chancellor, 2003Slide25: An academic interloperSlide26: Village son graduates from Moi UniversitySlide27: Farming at 8200 feet – above Kenya’s Rift ValleySlide28: Moi Teaching & Referral Hospital and Faculty of Health SciencesSlide29: Moi medical school class; small group problem- based learning also is emphasized.Slide30: Moi U. Teaching & Referral Hospital, Eldoret, KenyaSlide31: The “Indiana House” compound in Eldoret, KenyaSlide33: The Pentagon Pub, D. Rumsfeld, proprietor Slide35: The “door to the division” : Family Health at Moi University Eldoret, Kenya 2005Slide36: Bruce DahlmanMD of Infamed; Dean Barasa Otsyula of MUFHSSlide37: Faculty, staff and first 3 registrars, Moi U. Family Health M. Med,2005Slide39: Dean B. Khwa-Otsyula with FamilyHealth Grad Studies Comm, Nov04Slide40: Bruce Dahlman MD of Kijabe Hospital “sealing the deal” with Moi U.Slide41: FH Grad S Comm meeting with 8 registrars, November 2004, in EldoretSlide42: Visit of WONCA/GHETS team to Drs. Ayuo, Nshaho, Otsyula, MiningSlide44: Drs. J. Thigiti, P. Chege, P. Mwaka and P. Manschot (Netherlands)Slide45: Can EBM work in all nations…?Slide46: CD-ROM is best “intermediate technology” for Kenya curriculumSlide47: First A.L.S.O. Course in AfricaSlide48: WHO – oriented obstetrical resources in M.Med (FH)Slide49: Footling breech, Apgar 3 at 1 minute … feeling fine at 1 hour at Lugulu Friends’ HospitalSlide50: Post C-section… …the question of HIV and ART (anti- retroviral therapy) is always in the back- groundSlide52: Surgical contraceptionSlide54: An AMPATH course on HIV/AIDS in Eldoret, September, 2003Slide57: The Mosoriot Ministry of Health Rural Health Teaching Centre Slide59: Mosoriot HART farm, visited by Joe Mamlin, MD of Indiana/AMPATHSlide60: Family Medicine training hospitals in Kenya, 2005 Chogoria, Kijabe, Tenwek, Webuye/LuguluSlide62: In contrast to TB, Leprosy is declining markedly in Africa. A patient with old complications at Chogoria PCEA Hospital.Slide63: Chogoria’s community health outreach program HQSlide64: MCH messages at Chogoria’s women’s clinicSlide65: C D C East at ChogoriaSlide66: William Ringera, MBBS in teaching session with Clinical Officers Slide67: Kijabe Hospital (Africa Inland Church), 30 miles NW of NairobiSlide68: Rift Valley Academy (RVA) at Kijabe, KenyaSlide69: One of the oldest “mission dispensaries in Kenya, c. 1897Slide70: …serving the MasaiSlide71: …who, like most Nilotic Kenyans, are pastoralists.Slide72: Masai cattle between Kijabe and Tenwek hospitalsSlide73: A place to stay as you travel to Tenwek HospitalSlide74: …not that far from TenwekSlide76: Typical house of the Kipsigis, a Kalenjin sub-group near TenwekSlide77: The better road to Tenwek Hospital, located on the hill at 6000 ft. Slide78: Tenwek Hospital surgeonsSlide80: Three causes of childhood oedema: Tenwek Hospital children’s wardSlide81: Anasarca and murmursSlide82: Chest film of previous patient, with Class IV CHF due to rheumatic heart diseaseSlide83: Oedema and “peeling paint” skin in underweight child with marasmic kwashiorkor Tenwek Hospital, Oct 2003Slide84: Burkitt’s LymphomaSlide87: Tenwek Hospital School of NursingSlide89: Tenwek Community Health Programme: Sand filters for water, made by household members.Slide90: KEPI Immunizing against 9 childhood diseases from 0-9 months old Slide91: …and Webuye District Hospital, Kenya Ministry of HealthSlide92: Webuye, site of PanPaper mill, East Africa’s largestSlide93: Western Province, between Eldoret and UgandaSlide101: Dr. D. Lugaria, surgeon/director of Lugulu HospitalSlide110: Kenya’s TB diagnostic flow-chartSlide111: Sr. Ruth and a cured TB patient, Webuye HospitalSlide112: Kenya/WHO TB treatment card carried by patient (front side)Slide113: “Chest clinic” – devoted to the TB/HIV epidemicSlide115: The view box…Slide116: TB? Not TB? HIV positive? HIV negative?Slide117: Luyia man,34: HIV&TB, pneumothorax, lung abscess Slide118: TB/AIDS at all ages…Slide119: Is this lingular infiltrate pneumonia? …or TB in a patient with a low CD4 cell count? How to determine??Slide121: Still, there are celebrations…Slide122: Dr. Dan Keseje, director of TICH in Kisumu, KenyaSlide123: Luo homestead near Saiya, paternal hometown of US Senator Barack Obama (D-Illinois)Slide124: Jack Bryant, MD, former Columbia SoPH DeanSlide125: Hellen Owala, ITDG researcher in Kisumu on household smoke abatement, the leading cause of chronic lung disease in many nations.Slide126: Research thesis is a requirement in the Master of Medicine ( M.Med) “residencies” at Moi UniversityMore info on Family Med educationin Kenya: More info on Family Med education in Kenya Infamed: www.chak.or.ke/infamed.asp or firstname.lastname@example.org Moi U Dept of Family Health: email@example.com Ron Pust MD: firstname.lastname@example.org Family Medicine (STFM journal): in press Slide130: Did the elder (mzee) learn anything…?Slide132: The last lesson: Don’t open your big mouth too wideSlide133: Look around you… not just straight ahead. You might learn something…Slide134: Progress is slow, but steady…Slide136: Safari near the Masai MaraSlide140: Flamingos at Lake NakuruSlide141: African sunset on the Masai Mara You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.