43rd KMA Conference Eldoret Africa Telerad Kenya Africa Telerad Kenya Ltd is an innovative teleradiology company based in Kenya. Dr. Jocelyn Nyokabi 43rd KMA Conference Eldoret April 15, 2014 1

Challenges in Radiology Scheduling – The number of radiologists in Kenya currently at 146 The challenge of inequality in the field of radiology – radiographers and radiologists Lack of access and the high cost of the equipment Communication and collaboration is a problem Lack of enough skilled resources

Inadequate access to health facilities – 14 beds per 10,000 patients Most Africans face disease and face limited access to high quality, affordable care Inadequate access to health facilities – 14 beds per 10,000 patients Lack of proper infrastructure especially in rural and peri-urban areas Public sector facilities severely underfunded Private sector facilities can hardly finance healthcare equipment Inconsistent quality and standards - 30% misdiagnoses rate Variable quality with no accreditation Inadequate use of information technology Limited ability to pay – Only 6% insured Good quality care is unaffordable Limited insurance penetration results in unsustainable OOP payments Beds/10000 –Japan 60/10000 Few physicians and skilled medical professionals – 1 doctor per 10,000 people Large deficits in numbers of doctors being trained Available specialized care concentrated in cities

IT and administration manager Africa Telerad Structure Medical Director Medical Director IT and administration manager Finance Radiologists Beds/10000 –Japan 60/10000 IT Transcriptionist

Africa Telerad Kenya is anchored on four key strengths Technology Web based, simple Robust Radiology Information System – Compatible with PACs Afyarad – AT Image Reporting Platform - HMIS Robust Radiology Information System – Compatible with PACs Security Data is secure and the pipeline of transmission is IP protected Password Protected software Integrity of the image in not compromised High Quality reports on X-ray, Ultrasound, CT scan, MRI and Mammogram Team of radiologists provide 24--‐hour coverage for our clients. Provision of IT support round the clock. Highly specialized team of radiologists Quality Speed Fast turnaround Reporting Time 50-60K scans per year from 32 locations in Kenya and East Africa

How teleradiology works

Offering quality and timely reporting for all diagnostic procedures Ultrasound Reporting Mammogram X-RAY MRI CT scan

Impact and Benefits of teleradiology Night, weekend, and vacation coverage. Tele-consultation - contact with referring physicians Available in 32 locations in Kenya and East Africa Affecting more than 1 million patients annually Access Second opinions from experts and specialists for complicated cases Specialists in the different interventional radiology procedures Quality Pay per report ZERO cost of installation at your hospital PACS system not necessary Affordability Fast turnaround reporting time 24 hour coverage every day of the year 50-60K scans per year Flexibility to meet patients needs Speed

An example of a successful partnership An integrated diagnostic imaging company increasing access to affordable, quality healthcare across Africa. Flagship Multi-Speciality Diagnostic Centre - Greenspan Mall Wellness specialty clinics - KMA Centre Wellness Co-locations – Gilead Medical Center 16-slice CT 3D U/S Digital X-ray 3D U/S 3D U/S

An example of a successful partnership Multi specialty centre

• Afya Centre X-­‐ray Services Nairobi Africa Telerad Kenya footprint in 32 locations in Kenya and East Africa • Afya Centre X-­‐ray Services Nairobi • AIC Litein Mission Hospital • Andalus Medical Centre and Nursing Home Eastleigh • Bluestar Hospital Mogadishu • Care Hospital Eastleigh • Consolata Hospital Mathari, Nyeri • Crater Imaging Clinic Nakuru • FCS Christamarriane Mission Hospital Kisii • Finlays Hospital Naivasha • Kisii level V teaching and referral hospital • Kileleshwa Medical Centre Nairobi • Kenya Medical Research Institute -­‐ KEMRI/CDC Kisumu • Komarock Modern Patients Care Centre • Madina Hospital Eastleigh • Medscan Diagnostic Centre, Thika • Melchizedek Hospital Nairobi • Mutomo Mission Hospital • Nairobi East Hospital, Eastleigh, Nairobi • Our Lady of Lourdes Mission hospital Mwea • Reihna rosary Hospital Ruai • Ruai family hospital • Siloam Hospital Kericho • St. Francis Community Hospital Kasarani • St. Joseph Hospital Migori • St. Joseph Mukasa Mission Hospital Kasarani • St. Theresa’s Mission Hospital Kiirua, Meru • Strathmore University Medical centre • Tenwek Mission Hospital Bomet • Unilever Hospital Kericho • Wellness Group – Gilead Medical Centre, Nairobi

Call on us Website www.africatelerad.co.ke E-mail jocelyn@africatelerad.co.ke Phone: Jocelyn Nyokabi: +254 722 709 967 Mail Eaton Place Suite No. 224, 2nd Floor PO Box 63946 – 00619, Nairobi, Kenya