1. Dr. Soren Otieno MBChB., Mmed Ortho Medical Superintendent National Spinal injury Hospital

2. Background HISTORY Spinal Injury Hospital founded in 1944 As Rehabilitation Center for World war II victims of Spinal Injury by a Charity group Government took over in 1963 Now under MOMS

3. Mandate of NSIH Provision of Specialized health care to persons with Spinal injury These include; 1.Rehabilitative: physiotherapy, occupational, psychological, social therapies 2. Medical, nursing, surgical 3. preventive: health education to the public

4. Sources Allocation from Central government cares for up to 20% (some equipments and salaries) The FIF funds collected caters for consumables and utilities which is 30% The shortfall is mobilized through public private partnerships

5. Challenges Resources allocated by government are scanty Cost of treating a Spinal Injured patient are huge: initial care KSh.300,000 to KSh500,000 Being the only spinal injury hospital in Kenya, NSIH has a long waiting time for admission. Bed capacity 30 Patients admitted late with complications have increased cost of care. Need to improve infrastructure, equipment and training to improve efficiency.

6. Initiatives to Bridge Gaps 1. Public private partnerships PPP Local and international companies and organizations; individuals and religious groups 2. Provision of Other services using available staff and equipment to generate funds: increased collection from 70,000 a month to 500,000 a month 3. Mobilizing spinal patients and community to register for NHIF

7. Some of Achievements 1. Building and equipping of laboratory, laundry and workshop (Safaricom and GOK) 15M 2. Building and equipping Physiotherapy unit (Merali group and GOK): 25M 3. Refurbishment of patients wards, kitchen and nursing offices (Rotary, individuals, and local banks and companies) 15M 4. Building power house (Power technics) 5M 5. Building of operation theatre (Vohra Sarova) 10M

8. cont 6. Training partnership with India spinal Hospital 7.Surgical training and equipment exchange partnership with Nuvasive spine foundation USA

9. LABORATORY BEFORE AFTER

10. DONATED LAB EQUIPMENT

11. PHYSIOTHERAPY DEPARTMENT BEFORE AFTER

12. INSIDE THE PHYSIOTHERAPY

13. WARDS BEFORE AFTER

14. WARDS BEFORE AFTER

16. INSIDE THE WARD

17. KITCHEN BEFORE AFTER

18. Going forward Continue to mobilize resources to build 3 New spinal hospitals out of Nairobi. To start Patient follow up outreach compaign to improve on their survival and integration in society. To sensitize insurance companies and motorist to allocate a percentage of premium for patient care in case accident occurs.

19. THANK YOU