Photo credit: Kapsowar Hospital |
At Kapsowar Hospital, The
Journey of Healing Feels Like Home
Childhood in Kapsowar
I was brought into this world at Kapsowar Hospital,
a place that holds a special piece of my heart. Home, in Sisiya, is just a
stone's throw away, a short walk across the life-giving Arror River. It's a
familiar sound and site to me even now.
The Rift Valley Landscape
Kapsowar
township is nestled on the edge of the Rift Valley, a place unlike any
other. The hospital, where I started my journey, sits in the heart of it all.
Picture this: to the west, Kipkunur Hill rises majestically, a sentinel
watching over us. It's a natural high ground. Its peak is completely cloaked by
the Amazon-like Kamotony forest, a realm of untamed beauty and mystery.
Kamotony Forest and the Arror River
The
forest itself is a hidden treasure. It is home to leopards and hyenas, Dik Dik
and hare, including wild pigs, each a crucial piece of a complex ecosystem. And,
believe me, there are snakes, including the notorious Black Mamba. Monkeys of
every size thrive in Kamotony, the tiny Cherere, the big Chemokon, the massive
Moso, and even the small, scurrying Kinkin, all the children of Kamotony forest.
Surprisingly, we live in harmony with these creatures without conflict.
To
the East, the Arror River snakes its way down from the Mosop highlands, the
source of everything and flows all the way down to the Rift Valley. The river
is our lifeblood, giving life to everything it touches, finally reaching the
bottom (Keu). The view from outside the hospital's compound, where I started,
is breathtaking. You can see the entire Rift Valley bed, a panorama of beauty,
framed by acacia and natural shrubs. The Arror joins the Embokei River, its larger tributary that meanders along the valley.
Connections to the Outside World
Photo credit: Google maps |
A Place to Belong
This
is Kapsowar, and it is here that the journey begins. And it all started with a
step into a hospital. It's here that healing happens, and it's here, that I truly feel I belong.
A Healing Hand, A Welcoming Heart
Photo credit: Kapsowar Hospital |
Kapsowar
Hospital. It may not boast grand, imposing architecture, but its size is insignificant
compared to the life it breathes into the Marakwet community. Here, healing isn't just
a hope; it's practically a promise. The whispers amongst the locals, the
knowing glances of those who have experienced its care, all confirm it: Once
you enter those doors, you're on the path to recovery.
Structure and Service
The
building itself is a symbol of strength and simplicity. Permanent stone
walls stand firm, a reassuring presence against the backdrop of the Rift
Valley. The roof, clad in iron sheets, offers solid shelter. But it is inside
where the true magic lies. The wards are immaculate, while the air itself seems infused with a sense of order and
purpose.
·
The Healing Hands and Hearts
The
staff... they are the lifeblood of this hospital. They possess a gift, a
larger-than-life approach to their patients. From the moment a patient arrives
at the casualty reception, there's an unspoken understanding, a feeling of
already being on the road to wellness. The staff, in general, embody absolute
professionalism, and the entire community knows that is the heart of it all.
Their motto guides them: "We exist
to serve our patients as Jesus would. We believe each person is made in God's
image and therefore full of dignity. This value is reflected in the way we care
for our patients in everything we do.”
·
Collaboration and Compassion
Doctors,
whether they hail from the local Marakwet community or across the ocean in the USA, collaborate with seamless grace. You'd think they were trained in
the same school. Everyone is so deeply rooted in their compassion, much as they're in their
professionalism. This is a synchronism of care.
·
A Community of Welcome
The
Marakwet people embrace the hospital. They are the very soul of this
place. A welcoming tribe, whose smiles are as bright as the sun. They are
generous, true friends of the hospital who are proudly protective of its reputation. They covet it as their own, recognizing the vital
role it plays in their lives.
·
Generosity and Respect
Their
generosity extends to visitors. They welcome the mzungu, the white
people, with profound respect, opening their homes, and hearts. They offer
guided walks through the stunning, scenic slopes on weekends, sharing their
stories and the beauty of their land. The American doctors, in particular, have
interwoven themselves into the fabric of the Marakwet community, forming a
unique, cross-cultural family.
·
Traditions and Unity
The
Marakwet are a people of remarkable intelligence, a quality nurtured through
their dedication to education coupled by a conscious move to overturn a history of
political marginalization.
And
they hold onto their traditions. Take, for example, the ritual of circumcision
for their boys, a rite of passage into manhood. It’s a solemn undertaking. They
milk their cows, sometimes mixing fresh, warm milk with fresh blood, drawn from
a healthy heifer. The mixture is then left to ferment, traditionally in a
calabash. The inside of the calabash is specially cleaned with charcoal from
the bark of a medicinal tree. The result? Mursik, a fermented milk
with a uniquely sour-sweet flavor. It is a drink of health and strength. Mursik is a
preserve for the initiates who, once circumcised must lodge in a makeshift structure in the
forest for close to a month until they heal. This shared experience
unites the community. It binds the Marakwet in a way I cannot express with the
same effect. The locals often invite foreign doctors, and volunteers, to these
events, sharing meals, exchanging pictures, and creating lasting memories to
carry back across the ocean. In Kapsowar, healing extends far beyond the walls
of the hospital.
A Californian's Journey to Kapsowar
Before
we delve into the incredible work being done at Kapsowar Hospital, let's walk the talk along the journey of a dedicated volunteer, Dr. Eng from
California. Her path, like that of many who come to lend a hand at this remote
but vibrant institution, is a bequest to the desire to help. The trip can be an
adventure in itself.
The Transcontinental Trek
First, the basics: a flight from California to Nairobi.
Yellow Fever Vaccination: Before travelling to Kenya, it's generally recommended that visitors from areas with a risk of yellow fever (which includes most of the Americas) get vaccinated. It is especially important if one is visiting regions with higher risks, but the requirements can vary. It's always best to confirm with a doctor or your country's health (e-Visa) through the official Kenyan government website or upon arrival at the airport. It's very important to make sure the visa matches the purpose of the travel. The cost of a visa will vary depending on the length of stay and the traveller's nationality.
- Airport Taxes: Airport taxes are usually
included in the cost of the airline ticket and are not paid separately.
Air Travel
- Airlines: Numerous airlines offer
flights from California to Nairobi. Some common options include:
- Direct Flights: While not always
available, direct flights save significant time. Look at routes from
California to Nairobi on Kenya Airways (if available).
- Connecting Flights: More often, travellers
will need to connect through Europe or the Middle East. Airlines like:
- Emirates (via Dubai)
- Qatar Airways (via Doha)
- KLM or Air France (via
Amsterdam or Paris)
- Ethiopian Airlines (via Addis
Ababa)
- Delta/KLM (connecting through
Amsterdam)
- Approximate Cost: The cost of a round-trip
flight can range from $800 to $2000+, depending on the time of year, the
airline, how far in advance the ticket is purchased, and any layovers.
- Tip: Prices are generally
higher during peak seasons (summer, holidays). Booking well in advance
and being flexible with dates can help secure lower fares.
From Nairobi to Kapsowar
Once
Dr. Eng touches down in Nairobi, the adventure begins.
- Nairobi to Eldoret: The most common way to
travel is by comfortable North Rift Nissan matatu (minibus). The trip
takes approximately 6-8 hours to Eldoret. The cost is approximately Ksh 1,300
per person. (Around $10 USD)
- Eldoret to Kapsowar: From Eldoret, the final
leg of the journey involves road transport (Nissan Matatu) to Kapsowar.
This can be done by taxi or local transport for about Ksh 500 (around $3
USD). This trip is usually 2-3 hours.
A Californian's Heart in Kapsowar: An Interview with Dr. Eng
Kapsowar Hospital’s Vision and Mission Statements
We
provide underserved communities with access to quality health services while
they experience the love of Jesus.
Our
aim is to improve the physical and spiritual health of our community while
training others to do the same.
A Conversation with Dr. Eng
We
have traced the journey that many take, and the commitment of the staff. Now,
let’s hear from Dr. Eng, a doctor from California whose dedication has led her
to Kapsowar. She provides an in-depth insight.
Alfonce
Kandie: Dr. Eng,
welcome. What inspired you to volunteer at Kapsowar Hospital in Elgeyo Marakwet
County, Kenya?
Dr.
Eng: Thank you for having me. My
journey to Kapsowar wasn’t a straight line. I wanted to use my skills to serve
in a place where they were most needed. I was drawn to the mission of Kapsowar
Hospital and the profound commitment to not only medical care but also
spiritual well-being. Hearing about the hospital’s positive impact and seeing
the chance to work alongside such a dedicated team was an easy decision.
Alfonce
Kandie: Can you
share your experience working in healthcare in California and how it compares
to your time here?
Dr.
Eng: In California, I was immersed
in a fast-paced environment with advanced technology and readily available
resources. The contrast is significant. Here, in Kapsowar, we work with fewer
resources, but the need is so great. It forces us to be more resourceful,
creative, and patient. The community is also far more involved in their care. I
have learned a great deal about the importance of communication and empathy.
Alfonce
Kandie: What
motivated you to pursue a career in healthcare, and what has been the most
rewarding aspect of your journey so far?
Dr.
Eng: I always knew I wanted to help
people directly. Healthcare offered a unique opportunity. I wanted to
make a difference. The ability to ease suffering and make a positive difference
in people’s lives. It is a privilege to be a part of someone’s journey back to
health. This is what I am honored to be a part of.
Alfonce
Kandie: How did
you learn about the volunteer program at Kapsowar Hospital, and what drew you
to participate?
Dr.
Eng: I was looking for a chance to
work abroad, something more personal. I connected with a physician who had
volunteered here before. Learning about the values and the excellent reputation,
I knew it would be a good fit.
Alfonce
Kandie: What
challenges have you encountered while working in a different cultural and
healthcare setting, and how have you overcome them?
Dr.
Eng: The biggest challenge is,
undoubtedly, the differences in resources. I was used to having tools and
technology at my fingertips. We also need to learn the basic Marakwet language, so that
we can speak to patients. Patience is key. The most rewarding aspect is seeing
the community come together to support one another.
Alfonce
Kandie: Could you
describe a memorable moment or patient interaction during your time at Kapsowar
Hospital?
Dr.
Eng: There are so many! But one
moment stands out. We had a young mother (name withheld) come in with a serious infection. We
were able to treat her with the resources we had. The look of relief and
gratitude on her face, when she realised that she would be able to return to
her family. That is something I won’t forget.
Alfonce
Kandie: How do
you think your work here has impacted the local community, and what lessons
have you learned from them?
Dr.
Eng: We contribute to healthcare
and the community. We also provide training and education. It is more than just
medical care. It’s about building trust and relationships. I’ve learned about the importance of community and the power of faith.
Alfonce
Kandie: What
advice would you give to other healthcare professionals considering
volunteering abroad?
Dr.
Eng: Be open-minded. Be flexible.
Learn from those around you. It will be one of the most challenging yet most
rewarding experiences. Embrace the culture and remember that your skills are
valuable.
Alfonce
Kandie: Are there
any specific healthcare practices or innovations from Kapsowar Hospital that
you plan to take back to your work in California?
Dr.
Eng: Absolutely. The emphasis on
holistic care, the patient-centred approach, and the creativity. We can do so
much even with limited resources. I intend to incorporate those lessons. I will take back the spirit of innovation.
Alfonce
Kandie: What are
your hopes for the future of healthcare in underserved communities like Elgeyo
Marakwet County?
Dr.
Eng: I hope that access to quality
healthcare becomes a reality for all. We empower local healthcare workers.
And that the community continues to thrive with its sense of hope. I believe in
the power of teamwork, faith, and community.
Alfonce Kandie: Thank you very much for your time.
The Rewards of the Journey
Dr.
Eng's journey, however long, was not just a simple logistical exercise. When Dr.
Eng arrived in Kapsowar, she found a warm welcome and a collaborative environment. She was happy her contribution made a
real difference.
A Team of Dedicated Hands of Kapsowar
A Chorus of Expertise
Now
that we've followed the path to Kapsowar, let's turn our attention to
the heart of the hospital: the dedicated team of medical professionals who make
healing a reality. It is a true privilege to work alongside this group of
professionals.
A Commitment to Surgical Excellence
Take,
for example, Dr. Adrian, a skilled surgeon whose journey to Kapsowar began with
a medical degree from St. George's University and a surgical residency at the
Marshfield Clinic. Her experience in Oklahoma honed her skills across a broad spectrum
of surgical areas that include complex abdominal procedures to laparoscopic surgery,
breast surgery, and wound care. Dr. Adrian came to Kapsowar in 2022 through the Christian Health Service Corps. Her dedication goes beyond the operating room.
She dedicates her time to showing God’s love through her commitment to her
patients' well-being.
·
Dr. Niles J. Batdorf: Embodies a similar dedication. A
Plastic, Reconstructive, Hand, and Microsurgery specialist, Dr. Batdorf's
journey took him from the University of Minnesota Medical School and the Mayo
Clinic to a fellowship in hand and upper extremity surgery. His passion for
serving in Jesus' name led him to medical service in Cameroon and Nepal before
moving to Kenya with his wife and six children in 2022, through SIM. His skill,
the result of years of training, is matched by his deep compassion and reverence
for the human body.
·
General surgeon Dr. Patricia Chesang: A graduate of the University of
Nairobi, completed her residency at Tenwek Hospital under the Pan-African
Academy of Christian Surgeons. Now, she is a Fellow of the College of Surgeons of
East, Central and Southern Africa (COSECSA). She has a passion for offering quality
and compassionate care to all patients while striving to be Christ-like.
·
Dr. Bill Rhodes: A seasoned general and plastic/reconstructive
surgeon with over 25 years of experience. He’s a specialist veteran. Bill and
his wife, Laura, a dedicated traveller with a similar heart, offer their
surgical skills to facilities in sub-Saharan Africa. His dedication to Kapsowar
and to the wider region is an inspiration.
·
Dr. Zeke Rhodes: A general surgeon with a Master's in
Public Health and a focus on trauma, vascular disease, and laparoscopic
surgery, is another example of dedication. He serves at Kapsowar through
the Post Residency program with World Medical Mission.
Family Medicine and Compassionate Care
Dr. Tadeo Katuramu
His Journey began at Kampala International
University (KIU) in Uganda. He then joined Kabarak University. He came to
Kapsowar for his residency placement in 2020. He prioritizes God, his family
and work in all he does. He embodies integrity, truth, compassion, love, and
faithfulness.
Dr. Wilfred Kimosop
A graduate of Moi University Medical School,
has been a cornerstone of Kapsowar Hospital since 2009. With training in
various areas, including diabetes and hypertension management and neonatal
care, he is a dedicated member of the Elgeyo Marakwet sexual-based gender and
violence response team.
Dr. Gerhard Schumacher
The Medical Director has a long-standing
relationship with the hospital, dating back to 2000. With Family Medicine
training from the University of Calgary, his work has helped strengthen the
quality and infrastructure of medical care.
Dr. Jack Strutner
An Internal Medicine and Pediatrics
specialist, trained at the University of California San Diego and arrived at
Kapsowar in 2023 with Serge. He strives to deliver holistic and compassionate
care.
Leadership and Nursing Excellence
At
the helm of the hospital, Stanley K. Mutwol, the Hospital Director, brings a
deep understanding of healthcare systems, developed through his nursing
education at Moi University and his Master of Science in Health System
Management. With a vision to transform healthcare delivery, he integrates
spiritual care into medical ministry.
Gladys Omollo
The
Nursing Director leads a team of dedicated nurses. She is passionate about
service and is a certified operating room nurse. Her leadership and commitment
to quality improvement create a strong foundation for patient care.
Specialized Care for Women and Children
Dr. Kimberly Walhof, an OB/GYN physician with training
from Michigan State University and the University of Utah, provides specialized
care to women, including high-risk pregnancies and gynecologic surgery. She
returned to Kapsowar in 2022.
This
is but a glimpse of the talent, compassion, and dedication found at Kapsowar
Mission Hospital.
The Art of Healing the Body and Nurturing the Soul with Care
A Spectrum of Services
Kapsowar
Hospital is a vital hub, a place where the entire community can come. It
offers care for all. The hospital strives to meet every medical need.
Surgical Excellence: A Lifeline in Crisis
Surgical
Services is a vital service at the hospital. Skilled hands perform complex
surgeries. Many surgeons are North American trained. Others are graduates of
the Pan African Academy of Christian Surgeons (PAACS). They perform about 1,700
operations annually inside three modern rooms.
Surgeons are always on call, ready for emergencies, 24/7. General surgery is a specialty. They treat thyroid conditions, fix cleft lips and palates while reconstructive surgeries are common. Orthopedic interventions are done. Fractures are repaired. Patients receive hip and knee replacements.
Medical Services With Comprehensive Care
Outpatient
care is robust. The department sees about 45,000 patients each year. Clinical
and medical officers work hard. A four-bed casualty department offers immediate
care.
Inpatients get daily attention. The team includes doctors from North America and East Africa. Medical officers also serve. Qualified nurses provide excellent care for everyone while Lab tests are crucial. The lab and imaging department where studies are done is key.
Medications
are dispensed from a pharmacy within the facility. The
hospital uses MEDS for medication and only offer high-quality medications.
Electronic medical records are maintained. Discharge summaries are always
provided. Two ambulances are always ready to transport those in need.
Obstetrics: Welcoming New Life
The
maternity department is busy. About 1,600 babies are born annually. The
hospital is the regional referral centre. They serve for obstetric
complications.
Comprehensive maternal care plus prenatal and postpartum services are offered. Ultrasound is used. Lab check-ups are standard. Specialized care is available. They handle high-risk pregnancies including assisting with multiple births. Doctors and midwives are available and at their disposal are well-equipped rooms. Caesarean sections are performed around the clock. Linda Mama, NHIF, and other insurance cover deliveries while safe deliveries are free. They have a higher-level newborn unit with advanced incubator care.
Newborn Care: Nurturing the Smallest Patients
The
hospital has the county's best newborn unit with eleven incubators with piped-in oxygen. As a the time of publishing this post, a North American-trained doctor cares for premature
babies.
They
offer pediatrician specialist care while daily check-ups are routine. Maternal
Child Health Care (MCHC) is provided. Immunizations are crucial. The hospital correct
congenital abnormalities and fix Cleft lips and palates. Club feet are treated.
Essentially, they care for every life.
Lab and Imaging: Diagnostic Power
Approximately 60,000 lab
tests are performed annually, along with 4,000 imaging studies. Qualified
technicians, who are essential to the lab’s operations, ensure it runs 24/7.
The lab also stores blood and provides transfusions as needed. In 2022, the lab
underwent an expansion with the addition of a new analyzer. It now performs a
wide range of tests, including hematology and chemistry tests, as well as tests
for infectious diseases. Blood and stool analyses are also conducted.
Additionally, X-rays and ultrasounds, including portable ultrasounds, are
readily available. For more advanced imaging needs, patients are referred to
Moi Teaching and Referral Hospital in Eldoret City for CT and MRI scans.
Dental Care: Smiles Restored
Kapsowar Hospital has the
only dental clinic in the county, which opened in late 2020. The clinic is
equipped with modern dental chairs and an X-ray system, that uses
computerized records for efficient management. A full-time dentist, who is
North American-trained, works there. The clinic offers oral surgery,
extractions, fillings, dentures, and bridges while prioritizing conservative
approaches to avoid unnecessary extractions. Moreover, preventative care is
considered essential, and emergency care is available. Additionally, they
partner with insurance companies to ensure comprehensive care for their
patients.
Pastoral Care: Comfort for the Soul
The hospital is dedicated to
caring for the whole person, modelling the compassion of Jesus in their
approach. Chaplains and social workers work together to provide support by
addressing both spiritual and emotional needs. Social workers also assist with
family needs by connecting with village chiefs and church leaders to promote
community partnerships. Chaplains are readily available to reach out to all
patients, offering prayer and counselling to families, alongside doctors who
join in prayer when needed. Additionally, chaplains lead worship services to
uplift spirits and provide continued support to those in need.
A Vision for Tomorrow: Growth, Service, and Hope
Kapsowar Hospital has a rich history and an even brighter future. Exciting
changes are on the horizon. The team is actively working to enhance the
hospital hospital services. They're focused on growth, expanding, and improving the
lives of the community.
Expanding the Foundation
The hospital anticipates developing its physical spaces, expanding and improving the existing infrastructure.
They intend to build more housing for staff while creating more spacious ward areas.
Furthermore, the expansion includes other key clinical areas to ensure the
hospital meets the growing needs and provides the best possible environment.
Training the Future of Healthcare
One
of the greatest strengths is their dedication to training. They are launching
new healthcare training programs whose goal is to equip others. There is a
surgical team development initiative that will increase surgical expertise. With
this expansion, they anticipate to fill a critical need. By continuing their mission, they hope to empower the next
generation.
Conclusion: Continuing the Mission
Kapsowar Hospital remains
resolute in its mission to deliver compassionate, Christ-centered healthcare
while profoundly serving the community. With dedication to
cultivating the next generation of healthcare professionals, the onsite Medical
Training College stands as an indispensable pillar of its vision. The
hospital is devoted to continuous growth and steadfast in its commitment to
service. It continues to illuminate the lives of those it serves further to offering hope
and healing within the community it holds dear.