Doctors’ dilemma in weak public health systems
In July 1995, Suba district was created out of the Homabay District. As a young medical officer who had stuck to the public service after the devastating 1994 doctor’s strike, I suddenly found myself having to make a very hard decision.
By Kizito Lubano 7 years ago
Doctors’ dilemma in weak public health systems
How public health workers in Kenya cope with low pay
There is consensus that low government wages in developing countries result in a decline of public sector efficiency and productivity and create industrial unrest as well as incentives and opportunities for corruption and misuse of public resources.
By Kizito Lubano 7 years ago
How public health workers in Kenya cope with low pay
Kenyans now asking questions about the health sector
This week I had four encounters in my office of healthy Kenyans who paid me a visit so I could explain to them what was going on in the health sector. I had another similar conversation with acquaintances at a public sector function.
By Kizito Lubano 7 years ago
Kenyans now asking questions about the health sector
HIV research breakthroughs in 2016
Human Immunodeficiency Virus (HIV), is a sexually transmitted virus that has infected millions around the globe.
By Kizito Lubano 7 years ago
HIV research breakthroughs in 2016
Good news: Ebola vaccine is finally here
The year 2017 has started with great news following the recent publication of scientific breakthroughs in the fight against ebola.
By Kizito Lubano 7 years ago
Good news: Ebola vaccine is finally here
The disease of corruption hits Kenya’s health sector hardest
A recent headline designating Kenya’s health sector as the most corrupt, reminded me this is a global cancer — after all, corruption has been described as a disease.
By Kizito Lubano 7 years ago
The disease of corruption hits Kenya’s health sector hardest
Cancer misdiagnosis is a common medical error
Very frequently we are told that most cancer patents present late when the disease is too advanced to be cured.
By Kizito Lubano 8 years ago
Cancer misdiagnosis is a common medical error
Parents, talking to boys about sex shouldn’t be hard
Last week, I wrote about talking openly about sexuality to our daughters. Many readers raised concern that we had left the boys out.
By Kizito Lubano 8 years ago
Parents, talking to boys about sex shouldn’t be hard
Time to openly talk to our daughters about sex
Like many mums of teen girls, Grace is struggling with whether or not to put her 15-year-old daughter on birth control pills.
By Kizito Lubano 8 years ago
Time to openly talk to our daughters about sex
Let us address long waiting periods in Kenya's hospitals
Long waiting time before patients see a specialist, receive consultation and access the associated procedures are now endemic in our hospitals.
By Kizito Lubano 8 years ago
Let us address long waiting periods in Kenya's hospitals
Air pollution: The invisible silent killer in Africa
WHO officials compared the effects of indoor air pollution to the global burden caused by tobacco and unsafe sex.
By Kizito Lubano 8 years ago
Air pollution: The invisible silent killer in Africa
Similarity between America’s elections to the Kenya’s elections
In the next few weeks the citizens of the United States of America will go to the polls to select their preferred candidate
By John Karanja 8 years ago
Similarity between America’s elections to the Kenya’s elections
Changing face of 'ward rounds' for doctors
There is no single agreed definition of the term ‘medical ward round’.
By Kizito Lubano 8 years ago
Changing face of 'ward rounds' for doctors
Research that moves from knowledge to application
The past two weeks my tour of duty has taken me back to the bedrock of human health research in Kenya.
By Kizito Lubano 8 years ago
Research that moves from knowledge to application
Lead poisoning, the silent killer of children's dreams
I recently had a very chilling unusual conversation with a colleague who we were neighbours as young doctors living in the doctors flats.
By Kizito Lubano 8 years ago
Lead poisoning, the silent killer of children's dreams
Why we must make cancer prevention, control a priority
Of nearly 20,000 plus new cases of cancers detected annually that are responsive to surgery, financial barriers and long waiting lists have been the greatest barriers to timely life-saving interventions.
By Kizito Lubano 8 years ago
Why we must make cancer prevention, control a priority
Do facility-based births improve maternal healthcare?
For the past two weeks, I have been thinking about the kind of interventions needed when it comes to maternal and child health.
By Kizito Lubano 8 years ago
Do facility-based births improve maternal healthcare?
Health disparities for rural women should be addressed
Top of these health problems is malaria, which is not exclusively reserved for rural women, but it is they that are most exposed to mosquito bites which abound in different parts of or country.
By Kizito Lubano 8 years ago
Health disparities for rural women should be addressed
Is women’s growing fear of natural childbirth justified?
Rather than help women view birth as the normal life event that it is, to my horror, “reality” shows have made birth appear more medical than ever, and essentially end up marketing fear of natural childbirth.
By Kizito Lubano 8 years ago
Is women’s growing fear of natural childbirth justified?
We need guidelines on use of cell phones in hospitals
However, policies to make sure the gizmos don't spread infection or distract them from their work are slow in coming.
By Kizito Lubano 8 years ago
We need guidelines on use of cell phones in hospitals
More mothers losing their uterus after delivery
This is usually a very depressing moment for obstetricians, for even though the procedure saves the mother’s life, it takes away her future fertility.
By Kizito Lubano 8 years ago
More mothers losing their uterus after delivery
Why our hospitals need maternal critical care units
The fact is, for every maternal death, there are nine women who develop severe maternal ‘near-miss’ morbidity and many of these women will need critical care.
By Kizito Lubano 8 years ago
Why our hospitals need maternal critical care units
Concern over increased rate of caesarean sections
Caesarean section is today considered the most common major surgical procedure performed in the world.
By Kizito Lubano 8 years ago
Concern over increased rate of caesarean sections
Is it safe to carry cellphone in your bra or shirt pocket ?
Can the constant or burst of energy (one watt?) when a call comes in possibly affect the heart rhythm? What if your heart is a wee bit unhealthy in the first place?
By Kizito Lubano 8 years ago
Is it safe to carry cellphone in your bra or shirt pocket ?
Is early retirement good or bad for your health?
Last week I spent time in retirement training with my peers from different professions. I happen to have been the only declared medical doctor in the group of diverse fields, mostly trustees from different public and private retirement schemes.
By Kizito Lubano 8 years ago
Is early retirement good or bad for your health?
Emerging epidemic of prescription drug abuse in Kenya
Prescription drug abuse is fast becoming the new epidemic with 14 per cent of Kenyan adults taking at least one prescription drug, and eight per cent taking three or more prescribed medications.
By Kizito Lubano 8 years ago
Emerging epidemic of prescription drug abuse in Kenya
Prenatal ultrasound portraits: Darling or dangerous?
Angela and Michael watched with joy as their second child sucked its thumb and kicked up its toes. Their delight was however, tempered with some disappointment as they could not completely see their baby’s face.
By Kizito Lubano 8 years ago
Prenatal ultrasound portraits: Darling or dangerous?
Marked increase in male infertility cases
First-time father Paul Mwanjala (not his real name) dubs the birth of his baby girl last month "a miracle". He and his wife had waited seven years before successfully conceiving their first child via in vitro fertilisation (IVF).
By Kizito Lubano 8 years ago
Marked increase in male infertility cases
Uhuru is the devil we know
People tend to vote for the popular politician as the saying goes "Uyo alikula kitambo wakati huu hatakula sana" (He's had his share of the kickbacks this time he won't take as much)
By John Karanja 8 years ago
Uhuru is the devil we know
Preeclampsia: A unique human pregnancy condition
Preeclampsia is the most common serious medical disorder of human pregnancy. It affects both mother and her unborn baby and accounts for up to 75,000 maternal deaths worldwide each year.
By Kizito Lubano 8 years ago
Preeclampsia: A unique human pregnancy condition
Mothers, wait patiently until labour begins on its own
It should, however, be noted that induction of labor is not a straightforward predictable science. A large number fails and leads to unnecessary caesarean deliveries
By Kizito Lubano 8 years ago
Mothers, wait patiently until labour begins on its own
How to go about martial arts training during pregnancy
The benefits of martial arts training for women are many. Increased strength, fitness, confidence, but most of all is the realization that being female does not mean automatic status as victim.
By Kizito Lubano 8 years ago
How to go about martial arts training during pregnancy
Culture stops women from delivering in hospital
During my recent tour of duty, I held informal discussions with colleagues looking for research topics on maternal and neonatal health. It emerged that there are still many factors hindering women from delivering in hospitals.
By Kizito Lubano 8 years ago
Culture stops women from delivering in hospital
Revolutionising healthcare in rural counties
A new wave of mobile technology, mHealth, is having a dramatic impact on the way health care is delivered to both urban and rural communities in Kenya.
By Kizito Lubano 8 years ago
Revolutionising healthcare in rural counties
Why doctors need to engage in research
Key questions include: What research infrastructure is necessary? How should research priorities be set? What human and institutional capacities are needed?
By Kizito Lubano 8 years ago
Why doctors need to engage in research
Don’t smoke and drink when pregnant
Smoking passes nicotine and cancer-causing drugs to your baby, keeping it from getting nourishment and raises the risk of stillbirth or premature birth
By Kizito Lubano 8 years ago
Don’t smoke and drink when pregnant
Construction of Standard Gauge Railway not worth it
If your house is dirty because of a lazy house help, will you move houses or change the house help?
By John Karanja 8 years ago
Construction of Standard Gauge Railway not worth it
Abortion today may mean future infertility
In the majority of cases where abortion has impacted fertility, this is been the result of post-operative infection, usually following illegal terminations that were not done in appropriate medical environments.
By Kizito Lubano 8 years ago
Abortion today may mean future infertility
Fraud and deceit in medical research rarely reported
Recent media reports have revealed that conflicts of interest and research fraud are rarely reported.
By Kizito Lubano 8 years ago
Fraud and deceit in medical research rarely reported
Doctors in Kenya, to advertise or not?
Doctors in Kenya will, starting next month, be allowed to market their services. This comes as part of regulatory measures taken in the wake of the referral-for-cash scandal reported in the media a few weeks ago.
By Kizito Lubano 8 years ago
Doctors in Kenya, to advertise or not?
Ruto's purge on allies of former DP now extends to the Senate
Counties
By Edwin Nyarangi
1 hr ago