The Aga Khan University Hospital in Nairobi (AKUH-N) has become an important referral centre for the East African region, with world-class specialists, diagnostics services and high quality care and state-of-the-art equipment. AKUH-N is the most comprehensive private hospital in East and Central Africa with over 60 services, and a Heart and Cancer Centre, which provides specialist cancer care and interventional cardiac and open heart surgical care.
AKDN also operates more than 45 outreach health centres that are closely linked to the three hospitals in a hub and spokes model. This continuum of healthcare activities from primary to tertiary care forms the basis of an integrated health system that ensures timely, high-quality services in the right setting. It is anchored in the community through community health workers who in turn are connected and referred to the nearest first level healthcare facility (dispensary), health centres, sub-county and county hospitals, and finally to the secondary and tertiary hospitals in Mombasa, Kisumu and Nairobi. They are connected, as appropriate, by referrals, e-Health and telemedicine.
Since 1983, the Network’s Community Health Department, based at the Aga Khan Hospital in Mombasa has pioneered the establishment of primary healthcare practice in the country. It works in partnership with community-based health and social organisations, NGOs and the Ministry of Health to provide training and technical support from the dispensary level to the national level.
The Community Health Department has also established community units and promotes safe motherhood by improving maternal and child health services in 14 selected government health facilities, thus facilitating service access to a population of over 150,000 in several sub-counties of Coast Province. Lessons learnt on best practices are disseminated nationally for replication in other areas.
The Aga Khan Foundation has trained nearly 600 community health workers to deliver preventive and curative interventions around maternal and child health initiatives at the community and pre-primary school level. Focus is placed on promoting cost-effective childcare models through strengthening the capacity of home-based and child-care centres for children under the age of three.