General Information

Missionaries of the Church of Scotland founded PCEA Kikuyu Hospital in 1908. Since 1956 the Presbyterian Church of East Africa has run the hospital. The hospital is a half hour drive to the north west of Nairobi, at Thogoto,approximately 2 kms from Kikuyu town.

The general hospital has four main wards: male, female, pediatric, and maternity. In-patient numbers are usually around 100. Services also include: outpatients, maternal and child health, casualty (emergency room), a busy operating theatre, dental unit and an ART programme (dealing with HIV AIDS). The hospital also has an Eye Unit, which provides highly specialized ophthalmic care throughout East Africa. Also on site is an orthopaedic rehabilitation unit with an active surgical programme.

There is no free health care in Kenya. Government hospitals, supported by taxes, provide 50% of the country’s health services at a nominal fee. Between them the church hospitals provide 40% of health care, and have the reputation of providing good quality health care at affordable prices. The remaining 10% is private for profit. Church hospitals are able to raise around a fifth of costs from donations, but otherwise patient fees account for the majority of income. As such Kikuyu relies heavily on both donors and volunteers in order to keep fees to a minimum.
The hospital medical staff on the general side is comprised of 5 medical officers (SHO or resident equivalent), a physician (internist), a general surgeon, a gynaecologist and Gastro-Enterologist (the latter part-time). The large majority of hospital staff of all cadres are Kenyan. Medical students are expected to join medical staff for all teaching and business meetings, and for daily ward rounds. In addition students are invited to morning prayers, to outpatient clinics, to casualty (ER), and to assist in the operating theatre (OR) etc. Students are strongly encouraged to assist with some weekend duties, when opportunities to be involved with patient care are greater as staffing levels are reduced.

Common conditions include: pneumonia, malaria, tuberculosis, HIV/AIDS, and diarhoea diseases. In addition complications of diabetes, hypertension, and rheumatic fever are seen. Surgical cases include caesarian section, D&C, hysterectomy, large bowel surgery, prostatectomy etc. Orthopaedic and ophthalmic procedures are, of course, routine in the other units.

EXPECTATIONS OF MEDICAL STUDENTS
Students are expected to respect the Christian tradition and local cultural standards. Smoking or alcohol is not allowed in the hospital. 
Dressing code standards in Kenya are conservative. White coats must be worn when attending patients. The hospital is at an altitude of almost 6000 feet. This reduces the risk of malaria, but means the weather can be cold. Nighttime temperatures can fall below 10 centigrade (50 Fahrenheit), even this near to the equator!
Other items to bring include: a torch/flashlight, lightweight medical reference books (e.g. Oxford Handbook, Lecture Notes in Tropical Medicine, BNF or other drug prescription guide), books, games, radio or other evening entertainments. Students are advised to leave valuables at home, and to insure items such as cameras.
Minimum elective attachment is for a period of 6 weeks. Students are required to plan holiday travel and safaris outside this time. Tourist visas are usually valid for 3 months, and extension is normally straightforward within Kenya.

ACCOMMODATION AND COSTS

A fee of 350 US dollars is required from all students.  You confirm your booking by paying this amount. This fee will cover costs of accommodation only for six weeks (exclusive of meals). Students should pay for their meals separately.  Breakfast is 2dollars while lunch and dinner are 3dollars each. Students making their own accommodation arrangements will be refunded 300 dollars of the same. (50 US dollars is Administrative Costs. Note that these charges are bound to change due to currency fluctuations). 
Students can make use of hospital transport for collection from the airport, or other trips. Such journeys are charged at 35 Kshs per kilometer (0.5dollars).
Students will also be expected to meet all other personal costs such as telephone calls. Internet facilities are also available in the IT department at the hospital.  It is usually not possible to make any reverse charges or collect calls.

HEALTH

The greatest health risk to expatriates is actually due to road traffic accidents. Visitors are advised to travel by daylight whenever possible, particularly if using public transport.
Students are recommended to seek the advice of a travel health physician prior to travel. Recommended vaccinations include: typhoid, hepatitis A and B, and yellow fever. Tetanus and diphtheria boosters should be given if required.  Those planning extensive travel should also receive meningitis and rabies immunizations. Note that contact with open TB in the wards is likely. Students should have a previous BCG or be prepared for the risk of becoming Mantoux (PPD) positive (particularly students from USA).
Malaria prophylaxis should be commenced prior to travel and continued four weeks after return home. Recommended regimes include: weekly mefloquine, daily proguanil plus weekly chloroquine, or daily doxycycline.
Risk of HIV infection is small unless travelers engage in sexual intercourse outside marriage. Some students still choose to carry post-exposure prophylaxis. Note that these drugs are not available locally.
Otherwise, students should carry adequate supplies of any regular medications in their hand luggage to avoid inconvenience. Standby treatment for travelers’ diarrhea (e.g. ciprofloxacin) may be useful too.

APPLICATION FORM
Please indicate the specific date, month and year you wish to have your elective so that reservations can be made on time.  Payment need to be sent to PCEA Kikuyu Hospital account as detailed in this document.  Remember to either send or come with an evaluation form from your University to be completed by Kikuyu Hospital when you are through with your elective term.

Click here for the Student Application Form