Research and Development

AIHT has key technical experience in conducting research studies in the region and in counties covered under the proposed project. Currently, AIHT has several other additional innovations and research studies in its expanding portfolio (not limited to but including the following):

Every Second Matters for Mothers and Babies - Ketamine (ESM-Ketamine) ™ Anaesthesia Training Program:

The training program for this life-saving, award-winning safe anaesthesia solution in areas of Kenya with limited access to anaesthesia services – which won the prestigious Saving Lives at Birth global competition in 2014 – is housed at AIHT. The ESM-Ketamine Program has accomplished several milestones, including hosting a successful regional stakeholders meeting in December 2015 and receiving full endorsement from the Kenyan Obstetrics and Gynaecological Society (‘KOGS’) in February 2016. The training programme has sites in Siaya, Kisumu, Mandera, Garissa and Homa Bay counties which have provided over 600 cases committed safely under Ketamine.

Every Second Matters for Mothers and Babies Uterine Balloon Tamponade (ESM-UBT)™’:

This initiative is a best-evidence package of targeted trainings, checklists and commodities that educates health workers in resource-limited settings on best-evidence postpartum haemorrhage care, including how to use a life-saving, innovative inexpensive device to stop uncontrolled and life-threatening uterine bleeding after childbirth; postpartum haemorrhage- the leading pregnancy-related killer worldwide. This initiative has already trained more than 1,000 health workers in Africa, and over 200 women’s lives have been saved to date.7 ESM-UBT also received a full endorsement from KOGS in February 2016.

Every Second Matters for Mothers and Babies Fistula (ESM-Fistula)™:

This initiative arose from the discovery that a significant proportion of women suffering from symptoms consistent with obstetric fistula have unrepaired third- and fourth-degree tears from birth trauma. Therefore, is on-going work in Kenya, Sierra Leone, Ghana, Senegal, Tanzania, and Nepal, with plans to expand. Midwives and physicians at the community level are now being trained to properly diagnose and repair acute third- and fourth-degree obstetric tears, while referring more complex cases. The assessment was conducted in several health facilities in Siaya County.

Non communicable Diseases (“NCD”)/Palliative Care Study:

A study to assess the capabilities of healthcare facilities to manage diabetes, hypertension and heart failure in Western Kenya. Twenty-one (21) facilities in Siaya County have been surveyed including all district and sub district facilities as well as a sampling of other dispensaries and health centres.

Emergency Department Registry Study:

This is a study to review the Emergency Department (ED) registry of all the patients that have been managed in order to gain a better understanding of the epidemiological trends of emergent and non-emergent conditions in Western Kenya, evaluate and expose barriers, analyze overall management from initial triage to discharge, as well as extrapolate characteristics that define rural emergency care.

HARK Trial:

This clinical trial, funded by the Project High Hopes Foundation, tests whether a novel enzyme (hyaluronidase) can accelerate rehydration among patients who are moderately-to-severely dehydrated, in low- and middle-income countries. This is currently being implemented in several health facilities in Siaya County.

E-Learning Tablet Program for Kenyan Medical Students

A low-cost Android tablet called connecTAB, which is preloaded with video lessons on cardiovascular and abdominal clinical examinations. The tablets are designed as training tools for medical students who live in low-internet bandwidth areas. This tablet is being tested among Maseno University medical students to determine whether the device improves clinical knowledge over time.

Post Abortion Care (PAC):

A randomized control trial to study the safety, efficacy and effectiveness of medical treatment of incomplete abortion provided to women by physicians or midwives in Kenya. As well as study the outcome of post abortion contraceptive counselling provided by midwives; providers’ perspective on PAC and contraception and to explore women’s experiences of post abortion contraceptive use and the treatment for induced incomplete abortion.

Huduma Poa Social Franchise:

A network of 80 clinics run on a fractional social franchise model to deliver high quality health services. The network strategy eliminates missed opportunities in HIV testing and cervical cancer screening; assures provision of high quality family planning services; promotes child health by adoption of the recommended IMCI protocols; and provides linkages for tertiary care.