AKUH Combats Doctor Migration with Competitive Pay and State-of-the-Art Facilities – Khalani

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A Legacy of Excellence and Innovation

Rashid Khalani, the Chief Executive Officer of Aga Khan University Hospital in Nairobi, Kenya, has been at the forefront of shaping a world-class medical institution. During a recent media tour, he shared insights into the hospital’s remarkable journey, highlighting its history, state-of-the-art facilities, and commitment to training healthcare professionals.

Aga Khan University Hospital was established in 1958 as a primary care facility. Over the years, it has evolved into a premier teaching hospital, driven by the vision of His Highness the Aga Khan. In 2004, the hospital made a pivotal decision to transition into a teaching institution, aiming to address the critical issue of brain drain in Africa. By creating a local training ground for doctors and nurses, the hospital ensures that skilled professionals remain on the continent to provide essential healthcare services.

The hospital has also expanded its reach through various initiatives. It pioneered the establishment of a Heart and Cancer Centre 15 years ago, addressing the rising burden of non-communicable diseases in the region. This initiative included advanced diagnostic tools such as linear accelerators for radiation therapy. In 2013, the hospital became the first in sub-Saharan Africa to achieve Joint Commission International Accreditation, setting a high standard for quality care.

Strengths and Capabilities

With 300 beds and 54 outreach centers, Aga Khan University Hospital serves a vast number of patients annually. The hospital conducts over 2.5 million lab tests, 110 radiology diagnostics, and handles approximately 10,000 radiation sessions per year. It delivers around 3,000 babies and performs 12,000 surgeries annually. The hospital employs 3,000 staff members, including 180 full-time faculty members and 800 nurses, who are integral to both patient care and education.

One of the hospital's key strengths is its multidisciplinary approach. Doctors work collaboratively across specialties, ensuring comprehensive care for patients. This model fosters a culture of excellence and innovation, supported by rigorous certifications and accreditations.

State-of-the-Art Equipment

Aga Khan University Hospital is renowned for its cutting-edge medical equipment. It introduced the first Positron Emission Tomography (PET) scan and cyclotron in sub-Saharan Africa, revolutionizing cancer diagnostics. The hospital also boasts the first Linear Accelerator (Linac) in the region, used for radiation therapy. Other advanced technologies include a three-Tesla MRI, a 256-slide CT scan, and an AI-enabled mammogram machine.

The hospital’s fully automated laboratory processes samples efficiently, providing rapid results. The MALDI-TOF Mass Spectrometer, which delivers bacterial infection results in just 18 minutes, is another example of the hospital’s commitment to innovation. These technologies enhance diagnostic accuracy and reduce the misuse of antibiotics, aligning with global health goals.

Retaining Talent and Ensuring Access

To combat brain drain, the hospital invests in competitive salaries and provides top-tier medical tools. While not a cheap hospital, it offers affordable services through its 54 outreach centers, which charge 30% less than the main hospital. Additionally, the hospital supports financially disadvantaged patients through its patient welfare program, allocating millions annually to cover their care.

The hospital’s outreach initiatives include medical camps, where patients are assessed and referred for treatment. A committee evaluates cases to determine the level of support, ensuring ethical and equitable care.

Expansion and Partnerships

Aga Khan University Hospital is expanding its footprint beyond Kenya, with projects in Tanzania and Uganda. It also partners with international institutions like the University of Michigan and Johns Hopkins to offer clinical fellowship programs. These programs enable Kenyan doctors to specialize locally, reducing the likelihood of them leaving the country for further training.

Education and Affordability

The medical school follows a merit-based admission policy, with a means-blind approach to ensure access for all students. Financial assistance covers 70% of tuition fees, with the hospital underwriting the remaining costs. International students apply through the university’s website, with no preferential fees.

Embracing Technology

Artificial Intelligence plays a significant role in the hospital’s operations. The mHealth app digitizes patient records, streamlining care and research. AI tools enhance efficiency and accuracy, supporting both clinical practice and academic research.

Aga Khan University Hospital continues to set benchmarks in healthcare, combining innovation, education, and community service to transform lives across Africa.