On behalf of the Board of Management, I am pleased to present to you the Annual Report of the Kenya Hospital Association (KHA) for the year ended 31 December 2003.
Inflationary pressures affected costs. The 12-month inflation rose from 1.9% in 2002 to 9.8% in 2003. Wages and salary increases reflected adjustments to ensure that the Hospital was able to compensate staff competitively. Nursing staff salaries were adjusted upwards to stem the loss of our experienced nurses to other countries, especially the UK. Telephone and postage costs increased following tariff increases by the service providers. We continued to spend more money on repairs and maintenance to retain the equipment in good working order. Insurance costs also increased as a result of capital acquisition and utility costs were higher than the previous year due to price increases during the year. Management continues to explore various ways of containing the costs.
Provisions for bad debts increased as a result increased difficulties in collecting the outstanding debts and the collapse of one Health Management Organisation.
Equipment and Facilities
In continuation of our emphasis on improving customer care, I am proud to report that a number of important and significant projects were completed last year as follows:
|Installation of a second dialysis water treatment plant to enhance the capability of the dialysis unit. This plant has provided the unit with the added value it needs to meet customer satisfaction. The plant’s capacity has now grown and is able to supply water from the previous 8-dialysis machines to 16 – dialysis machines at any one time.
|Completion of an ultra modern public wash room, which is situated at the back of the coffee shop.
|In addition to the completed projects we undertook the following projects which were completed by April 2004:
|Facelift to the main entrance and front reception
|Paving of part of the front car park and rear car park
|Alongside these developments, the Board approved the construction of a Doctor’s lounge to be used by our ever-committed member of the admitting staff. The Doctor’s Lounge will be fully equipped and furnished to provide a comfortable environment from which our admitting staff, especially those without offices at the Hospital, can work while waiting to visit their patients. We are presently undertaking a detailed evaluation of the work which would be necessary to refurbish and equip Nairobi Hospital into a modern and well resourced centre of excellence for the provision of medical services in Kenya and the region.
We have gone through the evaluation process to upgrade the Hospitals computer systems. The process of identifying a new Enterprise Resource Planning solution, which will replace the existing system, provide more useful management information and enhance our efficiency in serving patients and clients, is at an advanced stage.
The Cicely McDonell School of Nursing continued to play its role of facilitating both basic and post Basic education. During the year, we developed and reviewed various curricula for continuing education including Registered Paedriatic Nursing Course which was approved by the Nursing Council, Critical Care Nursing and Pain Control Management. We conducted various post basic courses to enhance the competency levels of practising nurses and professional development. We initiated communication with other institutions in an effort to establish partnerships which we expect will enhance the level of co operation within the industry in Kenya. In February 2004, 59 nurses graduated in a colourful ceremony, which was presided over by the Deputy Director of Medical Services.
KHA Secretariat/League of Friends
Board of Management and Advisors
Management and Staff
Golden Jubilee Celebrations
To mark this occasion, the Board of Management agreed to give a facelift to the Front Reception, part of the front and rear car park, and the relocation of the washrooms. The completion of these projects will give the hospital a “New-Look”.
Various other activities have been carried out to mark the 50th anniversary which included medical camps; a Scientific Conference whose theme is ‘Building on 50 years of Experience’, outreach activity at our Eldoret Laboratory Annex and a dinner dance.
As we celebrate, I would like to pay tribute to the admitting staff, who have so ably steered the quality of clinical practice in this hospital. I would also like to acknowledge the staff for their contribution over the years.
Finally, it is our intention to improve our clinical services by purchasing modern equipment for our laboratory services, diagnostic radiology services, the cancer centre, and generally improve the infrastructure of the hospital. We shall also explore available options to provide more offices for our consultants, so that as many of them as possible can be near their patients. As the backbone of our care, we shall continue to develop nursing specialists for the various medical specialities, so that the quality of their work can continuously improve and to keep up with modern trends for the benefit of the hospital and patients.
Dr. Chris Obura