The Moi Teaching and Referral University Hospital project is a collaborative effort between Kenneth Chelule of the ISB and Dr. Kibor Lelei, a specialist orthopaedic surgeon at the hospital in Eldoret, Kenya. Their objectives were to set up a gait lab, consisting of a second-hand Motion Analysis Corporation camera system donated by Kenneth Chelule, for clinical and research initiatives to address local issues. Marco Vaz (ISB Executive Council member) helped guide the process of transporting the camera system from the UK to Kenya, before the system was successfully installed by a Motion Analysis Corporation (MAC) representative in January 2010. After receiving specialist training in the equipment by the MAC representative, staffs at Moi University Hospital are now looking forward to collaborating in using the new facility in enhancing patient management and research.
MOI UNIVERSITY HOSPITAL
P.O. BOX 3705-30100
Who’s Who at the MOI TEACHING & REFERRAL HOSPITAL?
Dr. Lectary K. Lelei
Chief of Orthopaedics; Specialist Orthopaedic Surgeon; Contact Person at Moi University
Project Initiator; Donator [Leeds University]; ISB MOI University Project Champion
Affiliated Societies & Developing Countries Officer; assisted with project initiation
Motion Analysis Corporation
Vice President of Sales: Europe, Middle East and Africa; Partnership established for system check up and installation; donor of new Software
For a complete list of contact information, please contact Kenneth Chelule (ISB-MOI Project Champion), Marco Vaz (Affiliated Societies & Developing Countries Officer), or Julie Steele (ISB President).
The Moi University Project History
In August 28th 2009 Dr. Kenneth Chelule sent an email to Prof. Kit Vaughan, former ISB President, informing that he “received an old MAC (Motion Analysis Corp) Falcon System for gait analysis given by Leeds University”, which he intended to donate to East Africa. In August 29th 2009, Prof. Vaughan forwarded Dr. Kenneth’s email to Profs. Julie Steele (ISB President) and Darren Stefanyshyn (ISB Newsletter) “to find a worthy home for this equipment”. In August 30th Prof. Julie Steele answered Prof. Chelule’s email and forwarded to Prof. Marco Vaz (ISB Affiliated Societies & Developing Countries Officer) his email to study the possibilities of finding the best place in Africa to create a new gait lab. This is how the Moi Project started.
Since then, Dr. Chelule has become the Moi Project mentor and has taken several actions towards making the new Moi Gait Lab reality. He personally contacted Lucy Keighley, Vice President of Sales (Europe, Middle East and Africa) from Motion Analysis Corporation to check the conditions of the equipment, giving the first push to the project. Dr. Chelule also decided on the Moi Teaching and Referral Hospital (MTRH) to be the recipient to receive the new equipment.
The Moi Teaching and Referral Hospital is located in a rural setting of Western region of Kenya in Eldoret town, Uasin Gishu district, North of Rift Valley province. It is about 320km North West of Nairobi. The hospital is located along the Nandi Road, East of Eldoret town. There are signposts in strategic positions along main roads in the town to guide visitors, clients and patients to the hospital
The Moi Teaching and Referral Hospital was founded in 1988 has second medical school in Kenya. The school started as a Faculty of Health Sciences with 40 students.
Today the School of Medicine has a student population of 800 students with the School of Public Health having about 160 students. Teaching staffs is 107 and the non teaching workforce is 150.
The School has 17 departments and runs 6 postgraduate programs in medicine, child health, Family Medicine, Medical Education, Immunology and Nursing.
The opening of the Faculty of Health Sciences at Moi University was a landmark event that would later have a direct impact on the development of the hospital leading to elevation of the hospital from a provincial to a national teaching and referral hospital (only the second after Kenyatta National Hospital) to serve Western Kenya with its functions being to provide training, educational facilities and participate in National Health Planning.
The college is also a World Health Organisation (WHO) collaborating centre for problem based or problem solving approaches to education and practice in health. The school of medicine uses Moi Teaching and Referral Hospital as its base for research and teaching.
Initial ISB Visit to Moi University
On arrival Ken was met by Dr Lelei, the project team leader at Moi University. Dr Lelei was organised for the visit, which included a range of meetings with management, school staff and a tour of the laboratory.
The programme began with a meeting with the director Moi Teaching and Referral Hospital and his deputy, who formally and gracefully thanked all the parties concerned for the donation and for the support in setting up of the gait laboratory.
A guided tour by Mr. D. M. Alliagana (the chief technician), of the new laboratory then followed. The laboratory is housed within the new physiology building. The laboratory is fully set-up but the university has felt necessary that new hardware (laptop) need to be installed before any project is commissioned. The laptop had been purchased and was waiting to be installed.
After the tour, Ken met with the dean of school of medicine Dr. Ayuo. His office has been instrumental in facilitating clearance and in providing necessary resources to set up the new laboratory. He pointed out that the department would provide the project with any support it requires.
The surprise of the day was left to a meeting with the head of physiology department Dr. E. Anjila. At time of the visit, Dr. Anjila was hosting visiting NHK Japanese TV station crew who were at the university to document the new gait lab in town and in the country. This being part of ICEARS (International Centre for East African Running Studies) documentary on Kenyan runner story.
ICEARS was launched by the University of Glasgow in 2004 with the aim of studying the physiological, genetic, psycho-social and economic determinants of the phenomenal success of east African distance runners in international athletics. The project is hosted by Moi University and is currently directed by Dr. Anjila.
Dr. Anjila further informed the meeting that a number of initiatives have been planned for the coming months. These programmes would have the gait machine as partly central in reaching their primary goals. These include
- Total joint surgery planned for mid-May 2010. The patient will be pre and post assessed using the gait machine.
- Workshop on Biomechanics on the 14th July 2010 by Prof Yannis Pitsiladis of University of Glasgow and Prof Daniel Lieberman of Harvard University. Prof Pitsiladis and Prof Lieberman are key members of ICEARS.
Dr. Anjila revealed that the school was planning to introduce a sport science course. There is also an ongoing discussion with a local shoe and textile manufacturer to explore areas of possible research interest.
The last event was demonstration of the gait machine in operation. Demonstration was performed by Mr. D. M. Alliagana. Mr Meshack Sang, a local athlete kindly accepted to volunteer for this exercise. Ken reckoned that this was an excellent performance by both Mr Alliagana and Mr Sang. Ken was impressed by how quick they had gained command and understanding of the gait machine operation. The attendees or audience included the NHK TV members who used the opportunity to record the proceedings.
ISB Installation of Equipment in Moi University
Gait machine calibration:
Gait machine in operation:
Challenges facing the project
- Equipment is yet to be used for routine screening.
- Computer programme upgrades may prove a burden in the future
- Lack of qualified staff. Both short term and long solutions are required
- Responsibility over custody for purposes of facilitating appropriate maintenance needs to be identified. Temporary custody may be given to ICEARS team (sign tripartite MOU between ICEARS, Moi University and ISB) as they have long experience in using this technology.
Moi University Actions and Projects
Key performance indicators used to measure project impact are listed below:
|Key Performance Indicator||Data Collection Method|
|1||Number of teaching programs||Workshop scheduled for 14th July 2010|
|Number of students|
|2||Number of research projects||Discussion ongoing by department|
|3||Number of patients assessed||None for now|
|4||Patient outcomes||None for now|
- The Moi University team seems to have gone off to a good start and Ken was pleasantly surprised by this.
- There is potential for significant research to come out of this initiative.
- There is a need to create synergy with other initiative such as ICEARS, which have interest in using the gait laboratory.
Opportunities for Students: Further Education
Opportunities are being explored to sponsor a PhD student as part of Staff Development programme.
Opportunities for Clinicians/Researchers:
Discussions are ongoing between the department and a local textile and shoe manufacturer to explore possible common areas of research interest.
Donations & Support
Donations and support for this project were received from the organizations listed below. ISB greatly appreciates this generous support:
Motion Analysis Corporation: www.motionanalysis.com
- OrthoTrak Software donation
- Equipment upgrade and installation
- Technical Support and Training
Musculoskeletal Diseases, University of Leeds
- The establishment of the laboratory was supported in part by a donation of Second-hand 6-camera MAC (Motion Analysis Corp) Falcon System from the Section of Musculoskeletal Disease at the University of Leeds.
- Shipping of equipment
- Installation of equipment
- Staff Training
Moi University: www.mtrh.or.ke
- Transportation for ISB representatives’ visits
- Providing Home for Gait laboratory