Uzima University College

Kisumu, Kisumu County, Kenya

  • Education, Health

  • Kenya | Tanzania | Uganda

  • Economically disadvantaged people

  • School

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Executive Summary

Cancer is an emerging public health problem in Africa.While communicable diseases continue to burden African populations,it is becoming clear that non communicable diseases also require the attention of the world health bodies,especially cancer.In 2008,according to the International Agency for Research on Cancer {IARC} about 715,000 new cancer cases and 542,000 {76% of all the cases}cancer deaths occurred on the continent,with these numbers expected to double in the next 20 years simply because of the aging and growth of the population,with the potential to be even higher because of the adoption of lifestyles associated with economic development,such as smoking,unhealthy diet and physical inactivity.Despite this growing burden,cancer continues to receive low public health priority in Africa,largely because of limited resources and other pressing health problems,including communicable diseases such as Acquired Immune Deficiency Syndrome{AIDS},Malaria,Tuberculosis and Ebola. This is the reason we need the Cancer Center to serve East,Central and West African people.

The Problem

Cancer is the new emerging public health problem in Africa that kills 76% of it's victims annually,lack of diagnostics,late diagnosis and lack of treatment facilities. About 200 million people of East,Central and West Africa are impacted by this lack of diagnostics and treatment facilities.Although there are almost no published data on Stage at diagnosis from population based registries in Africa,clinical series attest to the finding that the greater majority of cancer patients come for treatment late in the course of disease.In Ocean Road Cancer Institute in Tanzania,91% of breast cancer patients were diagnosed in Stage III or IV,and in the major Hospitals of Harare in Zimbabwe,80% of cervical cancer cases presented with advanced disease according to the International Federation of Gynecology and Obstetrics at Stage II B or worse.Earlier diagnosis is essential to providing effective cancer control. According to the International Atomic Energy Agency {IaeA} data updated through 2010,only 24 out of 53 countries in Africa{45%} have reported the availability of radiation treatment centers.It is evident where such facilities exist,the number of centers is inadequate in relation to the size of the catchment population.More than 80 million people in Ethiopia are served by one radiotherapy center. In Kenya currently,2016,patients are getting booking for radiotherapy for 2025,despite the setting up of 3 other radiotherapy centers. The supply of radiation treatment in Africa in 2002 was only 18% of the needed,by IaeA. To actualize the circular economy,Africa has to establish cancer centers to avoid losing billions of dollars yearly to India for cancer treatment.

Proposed Solution

Our proposed solution is to build a Cancer center that will provide early comprehensive and specific diagnostics, and treatments for all types of cancer cases in East,Central and West Africa.This will improve substantially the early diagnosis of patients hence early treatment and thereby reducing drastically the deplorable 76% mortality rates.The direct beneficiaries will be about 200 million residents of East,Central and West Africans, the medical personnel who will get various trainings on oncology related courses plus diagnostics. The benefits will be sustained by training personnel on the use of the machines for diagnosis, on the use of the radiotherapy machines and on oncology,so that when the expatriates go back to the United States of America, the work at the center will go on unabated. The center's daily running and maintenance of the machines will be sustained by the insurance payments for the patients attending the hospital and the trainings done in the center for various students and personnel from all over Africa and the world. The county and national governments will also be prevailed upon to finance the center annually. This approach is best, because it provides both a treatment hospital for patients and a training center for health personnel of various types in a University of Health Sciences compound with a Medical School, a Nursing School and other related schools. Additional benefit is that the land is available already for free for the building of the center to serve the East,Central and West Africans.

Evidence of Effectiveness

An example of a Cancer center in a University that has a research department that we want to emulate to reproduce its results is the University Hospital Seidman Cancer Center located on the main campus of the University Hospitals Case Medical Center in Cleveland, Ohio, United States of America,UH Seidman Cancer Center opened in 2011.Designated as a comprehensive Cancer Center at Case Western Reserve University School of Medicine and one of an elite group of 12 free standing Cancer centers designated by the National Cancer Institute as a comprehensive Cancer Centers nationwide.With some of the most advanced technology available, dedicated and skilled clinicians,and participation in hundreds of clinical trials,UH Seidman Cancer Center is a leading resource in the United States in the fight against cancer, and consistently ranks in the top 20 cancer centers in the country out of more than 5,000 hospitals, according to US News and World report. It has a multidisciplinary approach to care with innovative technology.UH Seidman Cancer Center is home to the latest treatment protocols and the most advanced diagnostic,therapeutic and information technologies.It is also a leading Cancer research center in the United States. The above biphasic approach of UH Seidman Cancer Center of being both a Cancer Hospital and a Cancer research center has made it emerge as the US News and World report Best Hospital for 2015 2016,after topping in other previous rankings too and generally being one of the top 20 cancer hospitals in the United States as ranked by patients and their relatives.

Previous Performance

The lead, Prof.Richard Muga is a Professor of Pediatrics with vast experience in practice,administration and management.He was a former Director of Medical Services of Kenya and implemented several policy changes in the country for malaria,HIV,Cancer and other diseases.This gives him the upper hand with a national experience to lead the establishment of such a national and international Cancer center.Arthur Ajwang is a 4th year medical student and founding chairman of the Uzima University Medical Science Club,he organizes awareness campaigns for several non communicable and communicable diseases plus Cancer in the county.He also organizes for free Cancer screenings in collaboration with respective organizations,including for Cancer of the cervix,Breast Cancer,Penile Cancer and Prostate Cancer.Dr.Joan Cain,an American Oncologist,resident Oncologist at Agakhan Hospital Kisumu and volunteeer visiting Oncologist at Jaramogi Oginga Odinga Teaching and Referral Hospital{JOOTRH},her international expertise and experience will help in forming the architecture and organization of the center to serve the international patients.Dr.Solomon Sava,Chief pathologist at the JOOTRH and lecturer at the University,his experience with diagnosis of Cancer will help with the establishment of Oncology diagnostic laboratories.Dr. James Ouma,public health expert, with experience in environmental health impact assesment, will be handy in helping with the environmental impact assesments.Dr.Andrew Otieno,also a public health expert and the head of the Clinical Medicine and Surgery department with a vast experience in medical research with public health impact,will be in charge of the public health docket.Dr.Pavan Derodra, Pharmacist in charge at Agakhan Hospital Kisumu and lecturer at the University,will be in cahrge of the chemotherapy department of the center.

The Team

Team Purpose

We are a University College with a Medical School,a Nursing School,a Community Health School,a Clinical Medicine and Surgery School,a Health Records department,a Microbiology department and a Pharmacology department.Our primary Vision is to envisage a center of excellence in Medical Education and Research for continuous improvement of the health of the people of the Great Lakes Region {East,Central and West Africa} and beyond.This vision aligns with the 76% mortality of the cancer cases diagnosed in Africa and our proposed solution to build a cancer center that will give treatment to the people of East,Central and West Africa,and probably beyond,is also in line with our primary purpose as a University of Health Science. Kisumu city where the University is situated, is the gate of East,Central and West Africa is uniquely and appropraitely situated for the establishment of the Cancer center that will serve all the African populations effectively with transportation ease.

Team Structure

My team will be led by Prof. Richard Muga, who is a Professor of Pediatrics and the deputy principal academics at Uzima University. The other members will be Arthur Ajwang, a 4th year medical student at Uzima University Medical School. Dr.Joan Cain, an American Oncologist,resident at Agakhan Hospital in kisumu Kenya and a volunteer visiting Oncologist at teh Jaramogi oginga Odinga Teaching and Referral Hospital in Kisumu Kenya. Dr.Solomon Sava, Pathologist and Pathology lecturer and head of department at Uzima University Medical School,also the Chief Pathologist at the Jaramogi Oginga Odinga Teaching and Referral Hospital. Dr.Pavan Derodra, Pharmacist,lecturer of Pharmacology at Uzima University and the Pharmacist in charge at the Agakhan Hospital in Kisumu Kenya.Dr.Jmaes Ouma,Public Health expert and lecturer at Kabianga University.Dr.Andrew Otieno, the director of the Clinical Medicine School at Uzima University College. Those are the members and all are working under the Uzima University College team.