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Meet an Agile Global Health partner: Columbia Asia Hospital
Welcome to the latest post in our blog series highlighting select Agile Global Health hospital partners! Today’s installment introduces Columbia Asia, an international healthcare group operating a chain of modern hospitals. Its first hospital in India commenced operations in 2005 in Hebbal, Bengaluru; today, Columbia Asia operates 11 facilities around the country. The group has a presence in Ahmedabad, Bengaluru, Mysore, Kolkata, Gurgaon, Ghaziabad, Patiala, and Pune.
“We have a passion for making people better,” asserts the hospital’s motto. Its patient volumes reflect this: Columbia Asia serves more than one million patients every year. To handle such numbers, a comprehensive electronic medical records system forms the core of the hospital’s information technology infrastructure.
Columbia Asia’s centers of excellence include:
- Aerospace Medicine
- Cardiology
- Gastroenterology
- Liver Transplant & Hepatic Surgery
- Neurosurgery & Neurology
- Medical Oncology
- Pulmonology & Sleep Medicine
- Prenatal & Postnatal Care
- Reproductive Medicine
- Rheumatology
- Urology
Agile patients choosing Columbia Asia for care enjoy multiple guesthouse options within six minutes’ walking or driving distance of the hospital, with complimentary or very low-cost taxi service to and from. They can also select room packages that include full (all meals) or partial (breakfast only) board, according to their preferences. As always, Agile’s Operations Officers support our Columbia Asia patients with Indian SIM cards upon their arrival in country; facilitate currency exchange, translator assistance, and/or visa extension, if needed; and monitor our patient helpline 24/7 to respond to any unexpected need as it arises.
Agile patients who have completed treatment at Columbia Asia describe their experiences this way:
“I would like to thank Dr. Depashish and the entire team at Columbia Asia Hospital. My gratitude also goes to the coordinator from Agile Global Health, Mr. Ivon, [my] translator Mohamed, and the entire Agile team present in Iraq and India.” – Raed Jameel from Kurdistan, Iraq
“Pleased with the attention Agile Global Health India gave us.” – Elizabeth from Kigali, Rwanda
“I highly recommend Agile Global Health. They went and got visas for us, they helped with passports, they oversaw the whole thing…even payment! We were so comfortable because anything that we needed, we just told Agile.” – John Mwangi from Nairobi, Kenya
If you think Columbia Asia might be a match for the care you’ve been seeking, find out today! Contact Agile Global Health to learn more.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Agile arranges life-saving cardiac care for six-week-old infant
Here on the Agile Global Health blog, it’s our privilege to frequently share testimonials from our patients about the healing our care management brings them and their families. But Agile’s impact doesn’t end with treatment or initial health restoration. It endures for years: in a personal sense, through rediscovered abilities and fresh new potential, as well as on a socioeconomic level, in the form of healthier, more engaged and productive communities and countries.
For a glimpse into the personal and societal effects of our care management over time, we follow up with patients who are one or more years beyond their Agile experience. We ask them “where are you now?” – in family life, in work, in their communities. And they share with us how they’re doing in their present-day lives, describing in their own words what’s possible for them today that would not have been without our care.
In our sixth post of the miniseries Agile’s Living Legacy, we meet 20-month-old Hera, today a healthy toddler. But Baby Hera became a world traveler with Agile at only six weeks of age: born with a heart condition that was untreatable locally, her Kenyan doctors advised her parents to move quickly in seeking treatment internationally in order to save her life. Through their insurer, the National Hospital Insurance Fund (NHIF), Hera’s parents were referred to Agile Global Health for complete care management.
Baby Hera’s parents recall the vital role that Agile played – as care manager and support system alike – during that difficult time. “Hera’s condition required complicated treatment, and urgently,” said her father, Dennis Mwenda. “When my wife and infant daughter got to India, they were received by your team. And while Hera was admitted at Max Super Specialty Hospital Saket, Agile’s India staff members went to check up on Eudia [Hera’s mother] at the hotel where she was staying from time to time,” a welcome source of support for the family because Hera’s mother had very limited access to her daughter at the hospital, given her ongoing treatment.
Mr. Mwenda joined his wife and daughter in India two weeks later. He especially remembers the assistance they received from Agile’s Winnie Musyoka, Care Consultant; Moses Kibazo, Operations Officer; and Melody Mumbe, Logistics Officer. Mr. and Mrs. Mwenda both emphasized the importance of having a support system that journeyed with them between Kenya and India during Hera’s diagnosis, treatment, and recovery.
“My daughter’s treatment process taught us a lot as a family,” Mr. Mwenda continued. “It has been one miraculous journey. You guys [Agile Global Health] made the process seamless for us, and we are very grateful.”
For our part, we at Agile are humbled to have been a part of Baby Hera’s healing. Even as an infant, we’ve seen her fighting spirit. Now we look forward to watching her grow into a strong and special young woman!
In the photograph above: Proud parents of Agile’s young patient Baby Hera (right), Dennis Mwenda (left) and Eudia Christine (center), at their home in Rongai-Kajiado North County in Kenya.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Meet an Agile Global Health leader: Joyce in Nairobi, Kenya
Welcome back to our blog series spotlighting Agile Global Health team members and their work around the globe! These posts take you inside our organization to get to know our employees as individuals. Whether they’re on the front lines of patient service or immersed in the data analytics that help us drive healthcare improvement on a nationwide scale, we think you’ll agree – they’re pretty amazing people.
Today’s virtual voyage lands us in Nairobi, Kenya with Joyce Wambugu, our Care Director in Agile’s very active office there.
Share a little bit about what do you do in your job. I work to ensure that my colleagues and I understand the specific needs of the clients we meet every day, whether corporate or individual. By determining exactly what each client is looking for, we learn exactly what to deliver. I work to make each client feel valued and appreciated while carefully managing the clinical, financial, logistical, and customer service aspects of their Agile experience. These four parameters are considered whether dealing with intrabound, outbound, or inbound clients. My colleagues and I actively follow up before, during, and after treatment and/or travel to keep clients on track with their prescribed post-treatment care, which is very important to their long-term health.
What made you decide you wanted to start working with Agile? In autumn 2011, I saw a job advertised online and I applied. I was called for the interview, and that’s when I understood what the company was really about. I fell in love with the idea of being in a position to assist people in need and helping them take charge of their health requirements. I must add it’s a decision I have not regretted to date.
How does what you do affect our patients, partners and the industry? What I do ensures that we deliver on our promise to clients, partners, and other players in the healthcare industry, providing seamless service delivery and handling any crisis or challenge that arises in good time. I often try to put myself in the client’s shoes. I believe in delivery of good service and treating clients right.
What is the best thing about working with Agile and your role at the company? The fact that every day presents new opportunities and challenges, which in turn leads to growth. It’s great to know that the Agile family comes together to guarantee that challenges met by one team are solved together by all teams, which is the best way to tackle such situations.
How do you see our company growing in the future? I see Agile managing health problems in many countries, being tasked with the duty of carrying out relevant research and offering solutions, as well helping relevant governing bodies manage healthcare problems at hand.
What has so far been your proudest accomplishment at Agile? The time that we facilitated treatment to our very first client! A 73-year-old lady, having been bedridden for close to three years, heard about our company on a radio talk show. She was carried out of bed and asked her driver to look for our offices. After explaining to her what we did, she agreed to trust us to help her walk again. This confirmed to me that there were so many people who required health treatment but just needed someone to talk to about their fears, and someone to be their advocate in the process. I will also not forget about the cardiac program, which left me so fulfilled, seeing the many desperate lives that were touched and changed.
Can you tell us about a time that you felt supported or valued by Agile, not just as an employee, but as part of a global family? Anytime we solve or discuss an issue with the global team and my inputs or suggestions are considered. The fact that I have been tasked with the opportunity and responsibility of being a leader in the organization, thus growing my management skills, also makes me feel a special part of this corporate family.
Share a little about your interests and family. I am married and have three children. I love cooking, trying out new recipes, traveling, listening to good music, and DANCING! I can dance nonstop for hours (to good music, of course).
Anything else you’d like to share about your work experiences? Over time I have learned to appreciate good health, as so many people would give anything to be healthy. I always encourage those in good health to do everything possible to maintain or improve their health.
In the photograph above: Agile Global Health’s Joyce Wambugu serves as Agile’s Care Director in Nairobi, Kenya.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Meet an Agile Global Health partner: Cytecare Cancer Hospital
Welcome to the latest post in our blog series highlighting select Agile Global Health hospital partners! Today, we introduce Cytecare Cancer Hospital in Bengaluru, India.
Cytecare is part of a network of specialty cancer hospitals that provide personalized oncology care with a unique, organ site-focused approach. Highly specialized and modern diagnostic services, treatment, and care await you at Cytecare’s 150-bed facility in Bengaluru, which is situated around 19 kilometers – approximately 28 minutes’ driving time – from the international airport.
Cytecare’s automated processes improve safety and reduce costs, making treatment more affordable and stress- and hassle-free, and keeping with the hospital its motto of “fighting cancer the right way.” From its cross-functional tumor board to review, monitor, and deliver outcomes to its advanced Central Sterilization Supply Department (CSSD), which assures high-efficiency infection control in accordance with NABH standards, Cytecare Cancer Hospital maintains gold-standard diagnostic and therapeutic services.
Cytecare’s Centers of Excellence include:
- Brain Cancer
- Head & Neck Cancer
- Breast Cancer
- Gastrointestinal Cancer
- Gynecological Cancer
- Medical Oncology
- Hemato Oncology
- Radiation Oncology
- Pain & Palliative Care
- Comprehensive Oncology
Outside of the Cytecare hospital stay, what is the Agile experience like in Bengaluru? We’re happy to share. Whether you’re a patient or an attendant, these are some of our clients’ favorite conveniences about staying with Agile for treatment at Cytecare.
Our guesthouses…
- include options within 11-13 kilometers (16-25 minutes’ drive) of Cytecare;
- provide low-cost taxi service to / from the hospital;
- are situated within 100 meters (2 minutes’ walk) of a local market and general grocery store;
- and offer single- or double-occupancy rooms, including access to shared kitchens for personal meal preparation.
Our Operations Officers…
- provide Indian SIM cards to clients upon arrival;
- assist with SIM replacement as required;
- facilitate currency exchange, translator assistance, and/or visa extension, if needed;
- and monitor the Agile patient helpline 24/7 to respond to any unexpected need as it arises.
But don’t take our word for it. Read what real Cytecare patients are saying about their treatment!
“I am happy with Cytecare and I will always recommend people come here, because you will get first-class attention.” – Judith
“I am grateful to [my] wonderful doctor and the entire Cytecare Hospital. I found family in them and I’m very happy.” – Ameena
“I was told it would not be easy, but my doctor was so friendly with me and he made it easy. The Cytecare oncology team was great. The doctor has helped me a lot.” – Ashish
Want to learn more about how Cytecare Cancer Hospital could meet your oncology care needs? Contact your local Agile Global Health office today.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Post hip surgery, patient’s voicemail records gratitude for Agile
One of Agile’s recent patients is a 42-year old Jordanian national who works in United Arab Emirates (UAE). He’d previously undergone surgery for a fractured hip: unfortunately, this healed improperly, resulting in osteoarthritis in his hip.
In good times, this gentleman – who prefers to remain anonymous – enjoys working and living abroad. But when his osteoarthritis became serious enough to consider corrective surgery, he knew he’d need the support of his family during recovery. How would he plan, coordinate, and pay for this procedure back home in Jordan, where his family resides?
He found answers in Agile Global Health. Through our medical management, he traveled home to Jordan’s capital to undergo a total hip replacement at Amman’s Specialty Hospital. His travel and treatment were sponsored by his insurer, Union Insurance; Agile carefully sequenced his clinical preparations and promptly scheduled his procedure.
Within a single day, our patient underwent successful surgery and was discharged to recover surrounded by family and the comforts of home. His gratitude for our support was so great that he immediately phoned his Agile consultant in the UAE, Sridhar Venkatakrishnan, to share his thanks.
“Good evening Mr. Sridhar, how are you? Insha’Allah (God-willing), good,” his message begins. “I just want to inform you that I did the surgery today, this morning, and I’m now in my home…everything is okay. I want to thank you very much for your cooperation and for asking me how I’m doing…insha’Allah I will continue to inform you step by step. Thank you for asking the hospital to take care of me, thank you very much – I appreciate you and Mr. Abdul Wasay! Hamdulilah (thanks be to God), everything is okay, the operation was 100% good. Thank you very much, Mr. Sridhar.”
Commented Sridhar, Agile’s Business and Channel Development Manager for the Middle East and Africa, “This client is quite unique and has been a pleasure to serve. He is very humble, even during his difficult times. He has great respect for strong communication: as you can hear in his voicemail, even though he is the one recovering from surgery, he goes the extra mile to be in constant touch with his care team!
“When planning his treatment, he was eager to get back to his job in the UAE as quickly as possible,” Sridhar adds. “This made Agile’s rapid, responsive facilitation the ideal choice for him: we are known for connecting patients with top-quality care and minimizing their recovery time, helping them get back to their jobs, families, and regular lives in the shortest amount of time.”
Supporting this gentleman through his procedure preparation, travel, treatment, and recovery has been a special pleasure for all of us at Agile. We look forward to assisting many more individuals like him whose work takes them abroad, but who seek a return to their home countries when the time comes for a major medical event. Does this describe you or a loved one? Contact us today to learn how we can help.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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15 months post-heart surgery, Matatu conductor can choose to walk
Here on the Agile Global Health blog, it’s our privilege to frequently share testimonials from our patients about the healing our care management brings them and their families. But Agile’s impact doesn’t end with treatment or initial health restoration. It endures for years: in a personal sense, through rediscovered abilities and fresh new potential, as well as on a socioeconomic level, in the form of healthier, more engaged and productive communities and countries.
For a glimpse into the personal and societal effects of our care management over time, we follow up with patients who are one or more years beyond their Agile experience. We ask them “where are you now?” – in family life, in work, in their communities. And they share with us how they’re doing in their present-day lives, describing in their own words what’s possible for them today that would not have been without our care.
Our fifth post in the miniseries Agile’s Living Legacy introduces 33-year-old Solomon Maingi of Makeuni County, Kenya. He works as a Matatu minibus conductor in Nairobi on route 118. Solomon benefitted from the NHIF @50 Cardiac Program in March 2017, and came to Agile’s Nairobi office to say “thank you” for what he termed a miracle: 15 months ago, he underwent successful open-heart surgery for rheumatic disorders of both the mitral and tricuspid valves at Nairobi’s The Karen Hospital.
“I was sick for two and a half years with what I thought were ulcers. I could not walk…every time I tried, I would just collapse. After a series of consultations, I was diagnosed with heart disease; later on, I was scheduled for surgery – to take place in March 2016 – at the Kenyatta National Hospital,” Solomon recounted. “For the surgery to take place, I had to have Ksh.200000, which I did not have, so I was passed by due to lack of funds.”
“It was very difficult for me to continue my work during this time, because my job requires me to be up and always on the move…but due to my heart condition, I was frequently down and immobile,” Solomon said. He waited, in hope of some kind of intervention, until in December 2016 Agile reached out to him about the NHIF @50 Cardiac Program.
Today, just 15 months after his surgery, Solomon is healthy and well. He is back to work, able to walk and even run long distances – in fact, he walked about two kilometers to reach Agile’s office! “He was very excited about it,” shared Eva Gulavi, Agile’s Public Relations and Communications Officer, “saying that instead of boarding a Matatu and staying in traffic, he preferred to walk – because it would take him less time.”
What physical ability, sense of independence, or feeling of wellness could caring and integrated healthcare management help return to your own life? Ask Agile today about your concerns and tell us about your dreams. We do more than manage treatment…we restore lives.
In the photograph above: Stephen Masinde, Agile’s Kenya National Director (left) with Solomon Maingi, a beneficiary of the NHIF @50 Cardiac Program (right) at Agile Global Health’s Nairobi office.
In the photograph below: During his visit to our offices, Mr. Maingi sat down with Mr. Masinde to share how his life has changed in the fourteen months since Agile managed his NHIF-sponsored cardiac surgery.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Meet an Agile Global Health leader: Sarala in Bengaluru
Welcome back to our blog series spotlighting Agile Global Health team members and their work around the globe! These posts take you inside our organization to get to know our employees as individuals. Whether they’re on the front lines of patient service or immersed in the data analytics that help us drive healthcare improvement on a nationwide scale, we think you’ll agree – they’re pretty amazing people.
Our spotlight today takes us to Bengaluru, India, to meet Saraladevi Gangadhara, Director of Agile’s India Treatment Management Center (TMC).
You’ve been with Agile since early in our history. What was it like to be one of the first team members? It was very challenging when I started with Agile (then A&K) Global Health in 2013, since I had to set up our Bengaluru office from scratch – everything from sourcing office space to building the various functional teams, as per business requirements. It was one of the greatest learning curves in my career, which will help me in the long run. I would like to thank my team and colleagues who were, and still are today, so supportive and cooperative with each new responsibility I undertake as a leader.
What made you decide you wanted to start working with Agile, and what has kept you with the company all these years? I was very much impressed with the conviction of our leaders about their vision – creating value for both funder and patients in the delivery of healthcare. Five years later, it’s touching the lives of people and being part of their healing process that keeps me with Agile. And every day is a new challenge, which motivates us for better performance and ensures continual learning that expands my professional capabilities.
Share a little bit about what do you do in your job. As TMC Director, I monitor the delivery of Agile’s high-quality customer experience, elevating customer satisfaction while adhering to our service-level agreements and work processes. I interface in the creation, growth, and management of a team that serves as an information exchange center for Agile offices in various countries.
What is the best thing about working with Agile and your role at the company? Agile has provided me the opportunity to touch the lives of needy people and become a partner with them in finding a solution to their health problems. The TMC is often an unseen support team for our patients, since we don’t directly liaise with them as other parts of Agile do, but we share in the sense of accomplishment that comes from seeing transformation in people’s lives.
What areas of improvement do you hope to touch through your role? Better inferences through analytical models and quality assurance. I would like to see targeted insights from analytics improve decision-making, using various analytical tools to drill into data and find trends and meaningful correlations.
What has so far been your proudest accomplishment at Agile? My proudest accomplishment to date has been setting up the full-fledged office in Bengaluru, which was one of the biggest challenges of my career. It gave me the opportunity to understand my strengths as a leader.
Share a little about your interests and family. My interest is always in challenging myself to learn something new which will help me in my professional life. Apart from that I like to travel, listen to and watch classical Indian music and dance, and practice yoga. My family consists of my parents, who are my strength, and my sister Vidya and brother Harsha, who have been my support system.
In the photograph above: Agile Global Health’s Saraladevi Gangadhara serves as Agile’s Treatment Management Center (TMC) Director in Bengaluru, India.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Indicators for bone marrow transplant (BMT)
Welcome back to Your Health 101. Inspired by our Cardiac Care 101 series of educational posts about heart disease, diagnosis, treatment, and prevention, this series expands our clinical scope to address all kinds of medical conditions. Our current focus is on bone marrow transplant (BMT), a specialized treatment which Agile has deep experience managing for our patients. Our last instalment covered different types of BMT. Today we’ll address some common indicators of BMT; that is, conditions which may require BMT as treatment.
As we’ve previously learned together, BMT involves the infusion of autologous or allogeneic stem cells to re-establish normal blood cell formation in patients whose bone marrow or immune system is damaged or defective.
There are many malignant and non-malignant conditions which may require BMT. Patients with certain types of cancer can sometimes benefit from a BMT to treat or even cure their particular cancer. The utility of BMT as a cancer treatment depends on various factors, including:
- Patient age
- Specific disease type and severity
- Response to prior treatment, such as chemotherapy/radiation therapy
- Disease status: remission (when the disease has completely or partially disappeared in response to treatment) versus relapse (when the signs and symptoms of a disease return following a period of remission)
- Availability of a suitable/matched donor when allogenic BMT is the treatment of choice
- Time of referral
- Time to transplant
Examples of malignant conditions which may require BMT include:
- Acute Myelogenous Leukemia (AML) – Adult/Pediatric
- Acute Lymphoblastic Leukemia (ALL) – Adult /Pediatric
- Myelodysplastic Syndromes (MDS)
- Chronic Myelogenous Leukemia (CML)
- Chronic Lymphocytic Leukemia (CLL)
- Hodgkin Lymphomas
- Non-Hodgkin Lymphoma
- Multiple Myeloma
- Neuroblastoma
Some non-malignant conditions can also be treated with BMT. Examples of these include:
- Thalassemia
- Severe Aplastic Anemia
- Sickle Cell Disease
- Pure Red Cell Aplasia
- Fanconi Anemia
Other conditions for which BMT may be advised as treatment include:
- Immune deficiency disorders
- Inborn errors of metabolism
- Multiple Sclerosis
Do you know someone who suffers from any of the above conditions? Encourage them to speak with their doctor about whether BMT may be an effective treatment. And if BMT is advised, know that Agile Global Health is here to help manage the process.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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An “Agile” response to changing treatment circumstances
Sometimes in life, even the best-laid plans go awry. And when these plans relate to your health, it’s crucial to have a care manager in your corner whose approach is adaptive. With Agile Global Health, the ability to respond rapidly and flexibly with expertise is so central to who we are that it’s in our name. How does this all work, you ask? Our patient John’s experience provides a recent example.
John Muli, 55, of Nairobi, Kenya suffered from chronic kidney disease. In February, John used a combination of his National Hospital Insurance Fund (NHIF) benefits and personal funds to support his Agile-managed journey to Artemis Health Institute in Gurgaon, India for kidney transplant.
“Mr. Muli arrived in India on February 24,” said Yashvi Mudgal, Agile’s Patient Services Manager. “On February 28, he slipped in his hotel bathroom; he was taken to the emergency room and diagnosed with a fracture in his left hip bone.” Fortunately, John was able to take advantage of his proximity to Artemis’s first-rate orthopedic services and underwent hip surgery on March 3. Unfortunately, his kidney transplant had to be postponed at least four to six weeks, as the fractured bone had to heal before the transplant could be rescheduled.
Given this unexpected extension to his treatment, John contacted his airline to reschedule his party’s return flight – but the agent was unable to leave flexible the return itinerary, citing the necessity of a fixed travel date for any amendment to the reservation. With an uncertain recovery timeline from an unplanned surgery still separating him from his intended procedure, John couldn’t begin to guess when he might be medically fit to undergo his transplant, much less cleared to fly afterward.
Agile to the rescue! “We took the initiative to check this situation with Air Arabia’s Delhi office, and they informed us that it was indeed possible to adjust the flight bookings for John’s traveling party,” explains Ms. Mudgal. “We guided John through the booking change process with the airline on March 21.” Our intervention freed John to refocus on healing his hip and preparing for his eventual transplant.
On April 20, John underwent a successful kidney transplant. Thanks to Agile’s coordination to ensure John’s travel plans contained the flexibility for him to make a full recovery, John spent four additional weeks in outpatient care under the watchful eye of his Artemis surgeon, Dr. Manju Agarwal. He returned to Kenya on May 21, where he is doing well today. “John, his donor and his attendant were very happy with the hospitals and Agile services, both in India and Kenya,” shared their Nairobi-based Agile Care Consultant, Winfred Musyoka. “They informed me that they were served very well while in India, particularly by Mr. Nitin and Mr. Musheer” – two of the Operations Officers who continually supported John throughout his extended stay and changing medical needs.
Don’t waste another moment worrying over your treatment plan. Let Agile be your care advocate: with us, you’re ready for whatever comes your way.
In the photograph above: From left, Agile’s Musheer Ahmad, John’s traveling companion Cosmas Ndambuki, and our patient John Muli on May 18, three days before his return to Kenya after undergoing both successful hip surgery and kidney transplant at Artemis Health Institute in Gurgaon, India.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Agile partner in Kenya cardiac program earns JCI accreditation
At Agile, we celebrate our patients’ and partners’ successes as our own. Today we announce that one of our partner hospitals through Kenya’s National Hospital Insurance Fund (NHIF) cardiac program, Gertrude’s Children’s Hospital of Nairobi, has obtained quality accreditation of its hospitals and clinics from the Joint Commission International (JCI).
“We at Gertrude’s Children’s Hospital are pleased to receive accreditation from JCI, USA, the premier healthcare quality improvement and accrediting body in the world,” posted the hospital on social media. “The Joint Commission International Gold Seal of Approval® is a symbol of quality that reflects our commitment to providing safe and effective patient care and compliance with the highest international hospital standards.” Added Gertrude’s CEO, Dr. Robert Nyarango, “We are excited and grateful to our dedicated staff to receive JCI accreditation. Thanks too to all our partners.”
Dr. Thomas Ngwiri, Gertude’s Head of Clinical Services, provided background on his institution’s work with the cardiac program and later JCI accreditation. “Approximately 10,000 children are born in Kenya each year with a heart deformity – congenital heart disease (CHD) – that requires heart surgery. Prior to 2016, only about 150 children with CHD were operated on annually in Kenya. Most surgeries were funded by charitable donations as over 90% of Kenyan families could not afford them. This model of delivering surgery was challenging and clearly unreliable: the average waiting time for any cardiac surgery, pediatric or adult, was over a year long, and many patients died while waiting.
“Following a review by NHIF on enhanced medical benefits for its members, it became clear that there was a need to relook care for cardiac patients. Decongesting waiting lists at
Kenyatta National Hospital and other facilities was identified as a priority. Agile Global Health managed a structured redistribution of clients to hospitals with capacity for cardiac surgery. In celebration of fifty years of the fund’s existence, the NHIF board approved funding for this exercise. The general objective of the program was to improve the timeliness and accessibility to safe and ethical cardiac intervention for Kenyan patients currently on waiting lists, while also creating a structure that incentivizes excellence and economies of scale in healthcare delivery. Gertrude’s Children’s Hospital is proud to have played its part in providing cardiac surgery to children on this waiting list with excellent results. We believe we have given them a new lease of life.”
“Dr. Ngwiri was very active with the program, working to ensure a seamless process for patients from the beginning,” acknowledged Eva Gulavi, Agile’s Public Relations & Communications Officer. Heightened professionalism in patient management coupled with successful surgery outcomes were touchstones of Gertrude’s cardiac program performance that also supported its candidacy for JCI accreditation.
“This is great news for our partner,” said Stephen Masinde, Agile’s Kenya National Director, of the JCI achievement. “With this announcement, Gertrude’s becomes the second hospital in Kenya and the wider region to attain JCI accreditation. We congratulate them.”
In the photograph below: In this image shared on its social media, the staff of Gertrude’s Children’s Hospital proudly poses with a certificate acknowledging their recently-obtained accreditation by the Joint Commission International (JCI).
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Meet an Agile team member: Jack in Kisumu, Kenya
Welcome back to our blog series spotlighting Agile Global Health team members and their work around the globe! These posts take you inside our organization to get to know our employees as individuals. Whether they’re on the front lines of patient service or immersed in the data analytics that help us drive healthcare improvement on a nationwide scale, we think you’ll agree – they’re pretty amazing people.
Today we chat with Jack Owuor, Agile’s Care Consultant in Kisumu, Kenya.
“My work entails managing our patients’ process to access affordable, quality healthcare services,” says Jack. “This commences at diagnosis, where upon patients’ consent, I collect their relevant medical reports to share with local and foreign treatment teams for medical opinions from at least three centers of excellence. I then discuss the medical opinions received with the client and his/her family, helping them make an informed choice of which hospital best suits their needs.”
Clearly, Jack has learned Agile care management inside and out in his two-plus years with our organization. “I was privileged to join Agile (then A&K) Global Health on March 29, 2016,” he remembers. “I initially found out about the company through one of my mentors, a senior Kenyan physician/nephrologist consultant.” It was after reflection, and an inner calling to provide hope to local patients of having access to the best of healthcare services, that Jack decided to join the Agile team. “I was eager to touch the lives of the very many individuals and families for whom Agile was facilitating treatment.”
In his job, Jack has the opportunity to do that every single day. “What I do affects our patients in a tremendous way,” he explains. “This is because when someone is diagnosed with a rare disease or found to be at the end stage of his/her disease course, it’s not the disease that may worsen the prognosis, but the psychological stress/trauma that comes with the news. Without exception, these patients are advised for urgent, specialized treatment abroad. And at this pivotal moment, they have no information on how or where to start. That is where I come in: to provide our clients with a seamlessly simple process for acquiring outstanding healthcare services, tailored to their individual needs. I build these relationships in a way that our clients feel part of the Agile family.”
For Jack, the best thing about working with Agile is the spirit of teamwork. “It goes without saying that our leaders are supremely committed to achieving the highest quality of healthcare and logistical standards for all our clients in an accurate and speedy manner,” he says. “This commitment is fervently upheld through the teamwork of all Agile employees, regardless of position, language, religion, race, or culture.”
When asked to name his proudest accomplishment at Agile, Jack has several. “I was very proud when our office in Kisumu, Kenya was the first office to be branded with the new Agile Global Health logo, and moved to the ground floor where it’s more strategically placed,” Jack recalls. “Early this year, I was also humbled by a thanksgiving letter from one of our patients who could not afford treatment abroad, for whom we sourced one of the best local orthopedic surgeons. His procedure had previously failed three times; the fourth time, when Agile took up his case, it was a great success. Our patient is currently able to walk after several years of being bedridden due to sustained severe injuries from a road accident.” And last but not least, Jack says, “I was truly amazed to learn I was elected a runner-up employee of the year in 2017. My sincere gratitude goes out to all on Agile’s Kenya staff who had confidence in me.”
What inspires Jack about his future with Agile? “I’m excited about continuing to work for Agile because I believe there is a double blessing in giving…it blesses the person who gives as well as the one who receives. With Agile, I am presented daily with the occasion to give better health through the services we offer.”
Jack gratefully acknowledges another part of his life that is pure blessing. “My wife, Maureen Eva, and my baby boy, Pethuel, are the best gifts I have ever had,” he says.
In the photograph above: Agile Global Health’s Jack Owuor serves as a Care Consultant in Kisumu, Kenya.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Cardiac surgery beneficiary now serves as community health worker
Here on the Agile Global Health blog, it’s our privilege to frequently share testimonials from our patients about the healing our care management brings them and their families. But Agile’s impact doesn’t end with treatment or initial health restoration. It endures for years: in a personal sense, through rediscovered abilities and fresh new potential, as well as on a socioeconomic level, in the form of healthier, more engaged and productive communities and countries.
For a glimpse into the personal and societal effects of our care management over time, we follow up with patients who are one or more years beyond their Agile experience. We ask them “where are you now?” – in family life, in work, in their communities. And they share with us how they’re doing in their present-day lives, describing in their own words what’s possible for them today that would not have been without our care.
Our fourth post in the miniseries Agile’s Living Legacy visits Caroline Mackenzie of Gikambura- Kiambu County, Kenya. Caroline is among the 500+ Kenyans who benefitted from the cardiac program of the National Hospital Insurance Fund; it’s been over a year now since she underwent successful open-heart surgery for rheumatic disorders of both the mitral and aortic valves at Nairobi’s The Karen Hospital.
Caroline’s heart condition began in September 2016 with swelling in her limbs. “I play drums in church during praise and worship, and at some point, I could no longer do it because I felt so tired,” said Caroline. “It got worse with time…eventually I couldn’t cook for my family, or even walk.
“I went to a clinic in Tigoni, where I was referred to St. Mary’s and The Karen Hospital,” Caroline recalled. But due to a lack of personal funds to support her treatment, Carline was directed to the NHIF @50 Cardiac Program, which at this point was well underway. Through the NHIF, Caroline learned about program manager and implementer Agile Global Health; she visited our office seeking help.
“When I got to Agile’s Nairobi office, I was given such a warm welcome – as though they’d just been waiting for me! I met this tiny girl Phylis Njeri…” Caroline smiled as she remembered Agile’s petite but energetic Cardiac Care Consultant and Coordinator. From her meeting with Phylis, Caroline was scheduled for surgery and managed closely by the Agile team throughout her pre- and post-operative phases.
Fifteen months later, Caroline’s back to her upbeat, active self – but she’s not the same person she was before her surgery. Now, Caroline actively gives back to her community’s healthcare resources. Apart from resuming home farming and drumming in her church’s band, she serves as a community health worker and volunteers in a community-based program that reaches out to HIV-positive kids.
Are you ready to pursue a happy ending to your own healthcare challenge? Do you want to give back to the community that’s supported your wellness? Either way, Agile can help. Contact your local office today.
In the photograph above: Agile’s former patient Caroline Mackenzie on the property of the beautiful farmhouse in Gikambura-Kiambu County where she, her husband, and her son happily and healthfully make their home.
In the photograph below: Former patient Caroline Mackenzie (left) and Agile’s Public Relations & Communications Officer Eva Gulavi (right) shared a joyful reunion and visit at Caroline’s farmhouse in Gikambura-Kiambu County, Kenya.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Financial management: the what, why, and how of Agile’s approach
This is the second post in a new blog miniseries on Agile Global Health’s philosophy across four of our company’s key performance areas: clinical, financial, logistical, and experiential/customer service management. What does it mean to us to monitor and manage each of these aspects of our clients’ healthcare experience? Why do we do it? How do our actions make a difference?
Today, we address the second of these, the financial. Agile’s financial system is comprised of three different parts: our Treatment Management Center (TMC), Revenue Cycle Management (RCM), and Finance. This assembled team brings a broad background of educational achievements, including university and advanced degrees and professional certificates, as well as considerable experience in certified private and public accounting, business analytics, and management experience in commercial enterprises, hospitals, and private healthcare clinics. We’ll begin by introducing these elements to understand how they each contribute.
- The TMC role is to seek out and obtain pricing from our hospital network based on patient medical records and diagnoses, ensuring our patients receive the best care from the best providers at the best price. TMC support continues during the implementation of the selected hospital’s treatment plan, as the patient or funder may have questions or the patient’s evolving condition may require changes to the previously approved plan. The TMC team, made up of two physicians and three patient care consultants, is based in Bengaluru, India.
- The RCM role is to gather and assemble all costs for medical and logistics services associated with each patient’s implemented care plan; next, its members perform an accuracy audit and then reconcile the patient’s account, resulting in either a claim for an additional payment or a refund. RCM associates conduct each of these functions in accordance with Agile’s established policies, procedures, and timely service commitments. RCM’s members are distributed globally. “In order for us to be successful as a team, we built a decentralized and well-coordinated system,” says David Spisak, RCM Director.
- Finally, there’s the Finance team. Its role is to manage Agile’s ever-growing accounting needs and balance reporting, compliance, dynamic market developments, and tax requirements in the many countries where we operate across Asia, the Middle East, Africa, Europe, and the U.S. The Finance team’s members are similarly spread worldwide.
So, what is the guiding philosophy that unites these disparate parts of Agile’s financial mechanism? It’s straightforward: reliable cost estimates, strong controls, and dedicated historical analysis repeatedly refine our financial data cycle. Together, these steps deliver the highest quality care for the greatest number of patients at the most efficient cost, as well as ensure the smooth operating of Agile’s business processes that enable access to and oversight of that care.
This philosophy plays out on two levels. First, there’s the financial management of each individual patient we serve. At this microcosmic level, our financial management helps funding organizations or self-paying individuals plan appropriately for treatment costs. Because our financial management is inherently infused with our clinical management insights, we’re able to assist hospitals and healthcare providers maximize the volume of patients they can treat. When treatment is complete, each individual’s financial data becomes part of a secure historical database that enables Agile to better predict treatment costs and trends over time, allowing us to best serve institutions and governments for which we manage healthcare for large populations. Says Senior Global Accountant Marcus Cleveland, “We track critical milestones in a patient’s care cycle to continuously improve data quality and financial accountability.”
And what about this philosophy at the macrocosmic level of Agile’s overall financial management as an organization? “Very simply put, by our Finance team members doing well on the business side to sustain operations, we enable the responsible funders, the physicians, and healthcare systems with which we work to do good for our patients,” says Guy Zahn, Agile’s Chief Operations Officer. Close monitoring and management of ongoing costs and delays or changes in treatment, and comparing these to historical costs and the original clinical estimate, result in operational efficiencies and cost savings. “In this sense, our financial philosophy is all about managing the broad financial outcomes,” reflects Morgan Darwin, Agile’s Chief Executive Officer. “It’s about creating predictability, accountability, and transparency while utilizing financial resources to their maximum potential, especially the limited resources of public institutions or corporate resources of private institutions.”
Agile’s financial management is unique, reflecting our commitment to improving healthcare access and quality while incentivizing the development of economically sustainable health systems. But our financial approach isn’t the only distinctive aspect of our overall management. Stay tuned to this blog to learn about our logistical and experiential management, too!
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Agile is sought-after exhibitor at Kenya Medical Association conference
It’s an exciting season for healthcare in Kenya – private citizens and medical professionals alike are abuzz about the country’s shift toward universal health coverage. The Kenya Medical Association (KMA), a national association of doctors and dentists, is no exception. Its annual conference, held in late April at the Nyali Sun Africa Beach Resort in Mombasa, focused its attention on the greatest hurdle to coverage implementation with the theme of Healthcare Financing Towards Universal Coverage. Agile was pleased to join healthcare professionals from across Kenya and the world to contribute to this vital conversation.
The KMA’s mandate is to promote the quality practice of medicine in Kenya. It holds a strategic position in shaping health sector policy through its membership on national decision-making boards for the practice of medicine and the protection of patients in Kenya. “KMA also possesses unique national importance as the only health sector player where medical professionals can bring their input for personnel matters,” explained Bernard Ademba, Agile’s Mombasa Operations Officer.
Agile has been a regular exhibitor at the KMA conference in recent years, and this year awareness of our work in Kenyan healthcare was plainly evident. “Doctors who visited our stand knew Agile and had sought us out, as compared with past years, where they visited to get to know us and understand our work,” said Reuben Kangogo, Agile’s Kenya Operations Director. “These physicians acknowledged Agile for our achievements in managing Kenyans’ healthcare experiences within and outside the country, and especially for enhancing the capacity of local hospitals through the cardiac program.”
“One attendee’s visit to our stand was particularly special,” shared Mr. Ademba. “Dr. Jacqueline of Kisii County Hospital stopped by to thank Agile for touching the life of Mr. Fredrick Orina, a beneficiary of the NHIF @50 cardiac program, who had been sick for 18 years before we took up his case and helped him find healing from cardiac disease.”
Agile is excited to continue the kind of dialogue engaged by the KMA conference, both in working with Kenyan medical stakeholders toward universal health coverage, and in sharing the incredible stories of the cardiac program’s impact to individuals and the Kenyan health system around the globe. Follow our blog for upcoming posts on how and where we’re doing both. And if you haven’t already, subscribe to our emails and social media channels (Facebook, LinkedIn) to be sure you’re notified of all the latest!
In the photograph above: Dr. Jacqueline of Kisii County Hospital visited Agile’s stand to specifically thank our team for touching the life of Mr. Fredrick Orina, who had been sick for 18 years before we took up his case together with the NHIF and helped him find healing from cardiac disease.
In the photograph below: The conference hall at Nyali Sun Africa Beach Resort in Mombasa was filled with medical professionals in late April for the 2018 Kenya Medical Association conference, themed Healthcare Financing Towards Universal Coverage.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Meet an Agile Global Health leader: Kate in Alexandria, VA, USA
Welcome back to our blog series spotlighting Agile Global Health team members and their work around the globe! These posts take you inside our organization to get to know our employees as individuals. Whether they’re on the front lines of patient service or immersed in the data analytics that help us drive healthcare improvement on a nationwide scale, we think you’ll agree – they’re pretty amazing people.
Today we sit down for a virtual visit with Kate Urban, Agile’s General Counsel. Kate is based in Alexandria, Virginia, near the U.S. capitol of Washington, D.C.
Share a little bit about what do you do in your job. I am responsible for oversight of all the company’s legal matters at the strategic and tactical levels, and for advising senior executives on all such matters. I draft, negotiate, and manage contracts with governments, medical service providers, and insurance companies nationally and internationally. I draft license agreements for use in multiple countries. I help ensure compliance with all applicable U.S. and foreign laws. I am responsible for managing the company’s compliance program, including ensuring all business transactions comply with the Foreign Corrupt Practices Act. I handle employment law and immigration issues in the U.S. and abroad and coordinate with outside counsel as necessary. I draft the company’s policies, including those addressing patient privacy, anti-bribery and anti-corruption, ethical standards, and due diligence. I also draft required corporate documents, including board resolutions, and file required documentation with appropriate government agencies.
What made you decide you wanted to start working with Agile? I met with CEO Morgan Darwin a few times to discuss the company and his vision for its direction. I wanted a position where I would feel like I was making a real difference in people’s lives and where I was consistently exposed to interesting legal issues. This seemed like a great job for me because I could really make a difference in the lives of many people around the world…at the same time, because the company was young and trying to do something no one had done before, I knew there would be lots of interesting legal issues along the way. I joined Agile in June 2014.
How does what you do affect our patients, partners and the industry? I try to ensure our company complies, as an organization and as individual members, with all applicable laws and regulations so we can continue to serve patients. I also spend a lot of time working on new agreements so we can move forward in our business relationships and growth.
What kind of effect does your role have on the present and the future of the company? Today, to accomplish our mission of helping patients get the right care at the right time and the right cost, every aspect of our business must comply with all applicable laws and regulations. I work to ensure that happens. It may sound straightforward, but it is a complex thing to do when your organization touches dozens of distinct legal systems! For the future, I make sure I understand Morgan’s vision; then I strategize to ensure we execute that vision in the most legally efficient and responsible way possible.
What is the best thing about working with Agile and your role at the company? The fact that I feel good about the work we are doing every single day. I’m proud of being part of a team that has made such a difference in so many people’s lives. I feel valued whenever I am able to help solidify a relationship that enables us to accomplish our mission, including helping to finalize a prospective employee’s employment, finalizing an agreement with a hospital, or finalizing an agreement with a new licensee.
How do you see our company growing in the future? I see us entering many new markets and using technology to effectively and efficiently serve those markets.
What do you see as the biggest challenge in our future? Ensuring compliance with all applicable U.S. laws in environments where business is done in ways that make that compliance challenging.
What makes you excited about continuing to work for Agile? The possibility of exponentially expanding what we are already doing for so many patients.
Share a little about your interests and family. I am married and have a two-year-old daughter, a 21-year-old stepson, and an 18-year-old stepdaughter. I am very interested in physical activities, and most of my spare time is spent running or biking (with my family whenever possible). We also like to travel and go camping. In addition, community service is very important to me; I take every possible opportunity to engage in community service projects.
In the photograph above: Agile Global Health’s Kate Urban serves as Agile’s General Counsel from Alexandria, Virginia, USA.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Agile abstract selected for presentation at health quality summit
Agile Global Health is proud to announce that its innovative management of local cardiac surgeries and interventions for Kenya’s National Hospital Insurance Fund (NHIF) has earned it a spot as a presenter at the International Society for Quality in Healthcare (ISQua) annual conference.
ISQua’s mission is “to inspire and drive improvement in the quality and safety of healthcare worldwide through education and knowledge sharing, external evaluation, supporting health systems and connecting people through global networks.” The group’s 35th global conference, themed Heads, Hearts & Hands: Weaving the Fabric of Quality and Safety, will take place in Kuala Lumpur, Malaysia from September 23-26, 2018.
Agile’s abstract, Increasing Access to Cardiac Care in Eastern Africa: Lessons from Kenya, was selected from among over 1,100 submissions from 60 countries for oral presentation at this year’s event.
Our work with the cardiac program was received by ISQua’s reviewers with enthusiasm, whose comments included:
“The abstract is well written and very relevant, as it introduces an innovative concept that had a great impact on saving lives. The methodology is clear and the results are well demonstrated.”
“This abstract describes an approach to redesign of services to promote access to cardiac subspecialty care…This is important and innovative.”
“A very important study outlining an important whole-system intervention. Deserves an oral presentation.”
Co-authors of Agile’s abstract are Dr. Rainer Hilgenfeld and Dr. Nihad Niloufer of Agile’s Medical Office in Bengaluru, India; Mr. Stephen Masinde of Agile’s Nairobi, Kenya office; and Mr. Morgan Darwin of Agile’s Durham, North Carolina, U.S. headquarters. Dr. Hilgenfeld and Mr. Masinde will attend the September conference to present Agile’s work and interface with attendees.
Read the full story of Agile’s cardiac management and the program’s mission, execution, and accomplishments through our Initiatives in Healthcare page. To learn more about the opportunity to attend ISQua’s 2018 conference and hear from a plethora of inspiring healthcare leaders like Agile, visit the event website.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Different types of bone marrow transplant (BMT)
Welcome back to Your Health 101. Inspired by our Cardiac Care 101 series of educational posts about heart disease, diagnosis, treatment, and prevention, this series expands our clinical scope to address all kinds of medical conditions. Our current focus is on bone marrow transplant (BMT), a specialized treatment which Agile has deep experience managing for our patients. Last time, we discussed how healthy bone marrow is donated; today, we’ll talk about different ways of performing BMT.
There are two types of bone marrow transplant. They are differentiated by who is donating the bone marrow, or stem cells, to be transplanted. Let’s look at them each in turn.
Autologous transplant
In this type of BMT, healthy stem cells from the patient’s own body are used, and a donor is not required. The stem cells used in the transplant are removed from the patient and stored in a freezer. The patient then receives high-dose chemotherapy in order to kill the maximum number of cancer cells prior to transplant. Some normal cells may also be partially or completely killed during this intense chemotherapy. The harvested stem cells are then reintroduced back into the bloodstream, where they replace the destroyed tissues and help resume normal blood cell production. Following an autologous BMT, there is a lower risk of infection, a faster recovery of immunity, and reduced or no rejection of transplanted cells.
Image credit: Angeles Health International
Allogeneic transplant
In this type of BMT, the bone marrow is donated by a healthy, human leukocyte antigen (HLA)-matched donor. A completely HLA-matched donor is usually a sibling, and the first choice of a donor. However, for patients without a sibling able to donate, it is possible to locate an HLA-matched but unrelated donor through international donor registries. This is not the preferred method, though, as the search for an unrelated matched donor may take four to six months, and successful matches are even more challenging to find for patients of minority races and ethnicities.
Another option is to work with a partially-matched donor, which is commonly a parent. This kind of BMT is also known as haploidentical transplant. Finally, cord blood from a cord blood registry is a newer option for patients who cannot find a completely matched donor.
Image credit: Angeles Health Institute
Ready to learn more? You’re in the right place. Stay with us here on the Agile Global Health blog to catch the next Your Health 101, when we’ll look at the phases of the BMT process.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Young farmer credits Agile for vitality 2 years after transplant
Here on the Agile Global Health blog, it’s our privilege to frequently share testimonials from our patients about the healing our care management brings them and their families. But Agile’s impact doesn’t end with treatment or initial health restoration. It endures for years: in a personal sense, through rediscovered abilities and fresh new potential, as well as on a socioeconomic level, in the form of healthier, more engaged and productive communities and countries.
For a glimpse into the personal and societal effects of our care management over time, we follow up with patients who are one or more years beyond their Agile experience. We ask them “where are you now?” – in family life, in work, in their communities. And they share with us how they’re doing in their present-day lives, describing in their own words what’s possible for them today that would not have been without our care.
Our third post in the miniseries Agile’s Living Legacy features Isaac Kipchirchir of Eldoret, Kenya. Isaac was only in his 20s when his life and livelihood were threatened by a diagnosis of chronic kidney disease. But in March 2016, with sponsorship from Kenya’s National Hospital Insurance Fund (NHIF), Agile helped Isaac to and through a successful kidney transplant at BLK Super Specialty Hospital in Delhi, India. Just over two years later, Isaac invited us to visit him and see firsthand how his life has changed.
The life Isaac described before his Agile treatment and his life today are almost unrecognizably different. “Before his kidney transplant, Isaac had lost weight, could not walk for long, and was very weak generally,” said Cornelius Rop, Agile’s Eldoret Operations Officer. “Being a farmer, this meant he couldn’t work anymore.” Beyond the physical malaise, the inability to practice his trade or support his family were crushing burdens to bear. But his Agile treatment changed all that: “After his transplant, Isaac was able to resume farming. This has not only earned him money to support his family, but also enabled him to pay for post-transplant medicines which keep him functioning well with his new kidney.”
Smiling at Isaac’s side during Mr. Rop’s visit was Isaac’s wife, Rose Jepyego. Rose is a former Agile patient in a sense, too; she was Isaac’s kidney donor. “Like Isaac, Rose is also very healthy today, even after donating one of her kidneys to her husband,” Mr. Rop affirmed.
Isaac commended Agile for our work on his behalf: “Thanks to [Agile] Global Health, you are doing a nice job. Thanks [especially] to Mr. Rop and Ms. Linah, who helped us through this. You saved my life; God bless you so much.”
In the photograph above: Agile’s former patient Isaac Kipchirchir and his wife, Rose Jepyego, of Eldoret, Kenya. Two years ago, Agile managed Isaac through a successful kidney transplant, for which Rose was the donor.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Agile Global Health wins 2018 Corporate Impact Award from Triangle Global Health Consortium
North Carolina, USA – May 10, 2018: Last week, Agile Global Health received an honor both local and global, as the Triangle Global Health Consortium (TGHC) of Durham, North Carolina declared the healthcare management innovator its Corporate Impact Awardee of 2018.
According to its website, the TGHC is a non-profit member organization representing institutions and individuals from the pharmaceutical and biotechnology industry, the international health development NGO community, and academia. Founded in 2009 as a partnership between Duke University, North Carolina State University, The University of North Carolina at Chapel Hill, IntraHealth International, RTI International, FHI360, and the North Carolina Biotechnology Center, the Consortium seeks to facilitate greater cooperation among individuals and institutions, thus increasing their collective capacity to address and improve the health of underserved populations through collaborative research and the implementation of innovative solutions.
The TGHC’s annual corporate accolade “recognizes the passion and expertise our local leaders bring to improving the lives of people around the world.” With startup roots in Durham’s own Research Triangle Park, and trailblazing healthcare management work in over 23 countries across five continents, Agile Global Health’s impact is emblematic of the values the Consortium seeks to recognize.
TGHC’s 2018 Award Celebration was held on Wednesday, May 2, 2018 at Top of the Hill in Chapel Hill, NC, with approximately 100 leaders in public, private, and charitable healthcare organizations present. CEO Morgan Darwin and Director of Revenue Cycle Management (RCM) David Spisak attended to accept the honor on Agile’s behalf.
“Upon receiving the TGHC Corporate Impact Award, with special acknowledgement of Agile’s work with Kenya’s National Hospital Insurance Fund (NHIF) Cardiac Program, Mr. Darwin spoke about the difference this initiative made in the lives of the more than 500 patients and their families, as well as the positive contributions of Kenya’s healthcare system in making the program successful,” said Mr. Spisak. “Mr. Darwin then introduced Agile Global Health to the audience, speaking of the six-year path we have followed to arrive at what we believe will be a transformative 2018, and the abundance of need and opportunity that exists today in the developing world. In closing, he expressed an interest in becoming an active member of the Triangle region’s global health community, including an openness to consider collaborative opportunities. The audience – comprised of representatives of such organizations as Duke University, FHI360, RTI International, and the North Carolina Biotechnology Center – responded very warmly to his remarks.”
“Thank you for joining us for the 2018 Triangle Global Health Award Celebration!” stated TGHC’s Program Manager, Emily Kiser, by email following the event. “It was our honor to celebrate the commitment, innovation, collaboration, and leadership demonstrated by individuals and companies throughout the state of North Carolina to advancing the cause of global health.”
In the photograph above: Agile’s David Spisak (left), Director of Revenue Cycle Management, and Morgan Darwin (right), CEO, received the Triangle Global Health Consortium’s Corporate Impact Award on behalf of Agile Global Health last week in Chapel Hill, North Carolina.
In the photograph below: Agile’s Corporate Impact Award, center, is flanked by awards recognizing individual contributors to global health – one an established professional, the other an emerging leader – also given annually by the TGHC.
Image credit: Kelley Bennett Photography
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Meet an Agile Global Health partner: Aster CMI Hospital
Welcome to the latest post in our blog series highlighting select Agile Global Health hospital partners! Today, we visit Aster CMI Hospital in Bengaluru, India.
Aster CMI Bengaluru is an initiative of Aster DM Healthcare, a global healthcare conglomerate that has been providing quality service to millions around the world for over 28 years. Headquartered in Dubai, United Arab Emirates, Aster comprises 320 global facilities and is active in nine countries, including India.
Aster’s Bengaluru hospital is a state-of-the-art, 500-bed quaternary care facility. Its advanced neurosurgery unit is able to treat motor neuron diseases, and the hospital is one of few offering Parkinson’s treatment. Aster CMI is also known for its successful use of robotics in both kidney transplant and mitral valve replacement surgery.
Aster CMI’s Centers of Excellence include:
- Cardiac Sciences
- Neurosciences
- Medical Gastroenterology
- Surgery & Allied Specialties
- Integrated Liver Care
- Organ Transplant
- Urology and Nephrology
- Orthopedics
- Women’s Health
- Child & Adolescent Health
- Robotic Surgery
For patients under Agile Global Health management, the Aster CMI motto – “we’ll treat you well” – extends beyond the hospital stay to their full treatment experience. Agile patients choosing Aster CMI for care enjoy guesthouse options within 5 kilometers (14 minutes’ drive) of the hospital, and low-cost taxi service to and from. They can choose between single- and double-occupancy rooms, all with access to a shared kitchen for meal preparation. As always, Agile’s Operations Officers support our Aster CMI patients with Indian SIM cards upon their arrival in country; facilitate currency exchange, translator assistance, and/or visa extension, if needed; and monitor our patient helpline 24/7 to respond to any unexpected need as it arises.
Aster CMI patients describe their experiences this way:
“I am thankful to the doctors and the hospital team. They treated me well. I recommend people come to Aster, it is a very good hospital…doctors are ready for treatment and are always smiling.” – Ansa from Baghdad, Iraq
“I recommend highly! Just the feeling that you are being taken care of is amazing. My wife received treatment here. Her doctor was a pleasant man who was very patient.” – Idris from Nairobi, Kenya
Could Aster CMI be a good treatment option for you or a loved one? Don’t delay. Contact Agile Global Health today to find out.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Meet an Agile team member: Narasimha in Bengaluru, India
Welcome back to our blog series spotlighting Agile Global Health team members and their work around the globe! These posts take you inside our organization to get to know our employees as individuals. Whether they’re on the front lines of patient service or immersed in the data analytics that help us drive healthcare improvement on a nationwide scale, we think you’ll agree – they’re pretty amazing people.
Today we introduce Narasimha Swamy, Agile’s Senior Revenue Cycle Management (RCM) Analyst in Bengaluru, India.
Share a little bit about what you do in your job. I take care of complete revenue and claim activities; I’m responsible for calculating all expenses during our patients’ medical journeys, from day one to the end. My process includes data verification, reconciliation, analysis, coordination, and presentation. I conduct my work in such a way as to maintain Agile’s high standards, submitting claims on time, identifying any discrepancies in medical and logistics invoices, and coordinating with the respective institutions and vendors for resolution. Our process stands for quality and control in claims submission activities, so we make sure we deliver the maximum savings to our funders and partners while achieving timely, beneficial outcomes for our patients.
How did you find out about Agile initially? Having worked with accounting and finance departments throughout the medical industry, I had heard about Agile (then A&K) Global Health through my professional network. The business model and the vision of the organization inspired me to take up a role, and I joined the company in August 2016.
What is the best thing about working with Agile and your role at the company? The work culture is the best thing. In spite of working with colleagues in multiple geographies, the culture and the team spirit stands out for being at once unique from other organizations, and uniform across the globe.
I also consider myself blessed to work with my colleagues, starting with David Spisak, Director of RCM. He is the one of the best professionals I have met in my entire career. He gives a lot of energy to the team, which helps us generate the best outcome for the company. Under David’s leadership, we as an RCM team have brought about tremendous advances in our claims processes. But it wouldn’t have been possible without the support of my Junior Financial Analyst, Suresh Nagaraj; the Destination Management Center (DMC) Team, including Yashvi Mudgal, Paras Dutt, and Shweta Pandey; and Melody Mumbe and others from Team Kenya. It is a privilege to work with each of these individuals and many more to change lives on a daily basis.
What has so far been your proudest accomplishment at Agile? Receiving an appreciation email from the CEO, Morgan Darwin, within just a month of my joining. It was a huge boost to me to continue giving my best, and has made me proud every day since to be part of the Agile family.
How do you envision our company’s future? Agile has exponential growth ahead. Our new healthcare procurement model and expansion into new markets are unleashing many opportunities!
What makes you excited about continuing to work for Agile? The spirit of customer service and millions of smiles of healthy, satisfied clients drive me and keep me excited to perform my duties and responsibilities. The continuous learning aspect is also a motivation factor to work with Agile.
Share a little about your interests and family. My better half, Vardhini, is a homemaker and supports me in my personal and professional life by taking care of our two sons. My elder son, Karthik, is studying in 2nd Standard/Grade, and the younger one, Tanmay, has recently joined kindergarten. I spend my weekends exploring new places and visiting historical Indian temples with the family.
In the photograph above: Agile Global Health’s Narasimha Swamy serves as Senior RCM Analyst in Bengaluru, India.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Agile’s care restores Kurdish singer from laryngeal tumor to song
Raed Jameel, 42, is a singer from Kurdistan, Iraq. “Two years back, I sensed a change in my voice, a concern which forced me to visit a physician,” Raed remembers. “I was informed about a tumor…The shock of this news led me to get a second opinion. I went to Lebanon to visit a specialist. Investigations revealed the same diagnosis…the doctors suspected cancer.”
The threat of laryngeal cancer felt like a death sentence for the professional singer; Raed had to act. “I decided to travel to India with the help of my country’s [health] officials, who coordinated with [Agile] Global Health,” he recalls. With Agile healthcare management and sponsorship from the Cancer Patient Support Fund (CPSF) of Kurdistan, Raed traveled from Erbil, Iraq to Columbia Asia Hospital in Bengaluru, India.
“I had to go through some more specific investigations at Columbia Asia Hospital,” Raed explains. “To my relief, the team confirmed it was not a cancerous tumor. The tumor in my vocal chords could be surgically removed…a matter of one-day hospital admission! Two days after surgery I sensed drastic improvement, with no discomfort whatsoever. I was thoroughly impressed with the way the team managed it all and highly satisfied with their services. I went back for my review, and the operation was [deemed] successful; the tumor was out of my system.”
“Mr. Raed…had come all the way from Iraq with a problem in his throat. Being a singer, he was quite perturbed [about] whether he would be able to sing at all in the future,” says Dr. Debashish Datta Majumder, Raed’s ENT/Otorhinolaryngologist at Columbia Asia.
“We did a complete workup of the patient. We did a laryngeal endoscopy and showed him the lesion on his left vocal chord. Clinically, it did not look like a malignant lesion, so [we expected that] once surgery was done he would get back his voice and be able to sing. Accordingly, we [performed] surgery, [which] went on uneventfully…he was discharged the next day. He was absolutely hale and hearty, he was feeling well.
“Two weeks later, we did a follow-up laryngeal endoscopy, and showed him that the particular lesion in his left vocal chord had completely vanished. The vocal chords were vibrating absolutely normally and his voice was perfect.”
Says Raed, “I would like to thank Dr. Depashish and the entire team at Columbia Asia Hospital. My gratitude [also goes] to the coordinator from [Agile] Global Health Mr. Ivon, [my] translator Mohamed, and the entire [Agile] team present in Iraq and India.“
Just as the resolution of Kenyan preschool teacher Ebby’s heart condition gave her back her career and passions and restored her as a fully-participating member of her community, assisting Raed through proper diagnosis and treatment for his laryngeal tumor had an impact broader than his individual health. We at Agile are privileged to have returned his livelihood and restored the opportunity for him to continue touching lives through his music.
Hear Raed share his Agile experience in this short video:
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Agile leads conversation at Kenya’s 2018 Healthcare Conference
On April 4th & 5th, 2018, all roads led to Makueni County for health system stakeholders across Kenya, who arrived in large numbers to attend this year’s Kenya Universal Healthcare Conference. The two-day event, held at the Kasyombuguo Hotel in Makueni, Kenya, also marked the celebration of world health week. The 2018 conference was themed Meeting Kenya’s Universal Health Challenge: Health System Strengthening, Experience Sharing.
Makueni County is the flag bearer for universal healthcare in Kenya in terms of access as well as affordability. The county has reached out to approximately 72,000 residents with a contribution of Ksh.500 from the country’s National Hospital Insurance Fund (NHIF), which covers a family’s access to basic health services for one year.
Stephen Masinde, Agile’s Kenya National Director, and Winfred Musyoka, Agile’s Nairobi Care Consultant, represented Agile at the event. “A critical issue discussed was developing strategies for the full achievement and sustainability of universal health coverage throughout the country,” reported Eva Gulavi, Agile’s Public Relations & Communications Officer. “Mr. Masinde was a key contributor to this conversation as he spoke about Agile’s firsthand experience extending quality local cardiac care to Kenyan citizens through the NHIF @50 Cardiac Program, a domestic initiative managed and implemented for Kenyans nationwide by Agile Global Health.”
The conference was hosted by the governor of Makueni County, the Honorable Kivutha Kibwana. The government of Makueni partnered with various sponsors to conduct the event, including Amref Health Africa and Kenya Vision 2030.
“Agile’s participation in this conference is just one more example of our activity and engagement in each of the communities where we work,” said Aleksandra Golota, Agile Senior Relations Manager. “We are always ready to share what we’ve learned through our deep experience managing healthcare for different clinical and geographical populations around the world – particularly in a way that contributes to continuous improvement of the healthcare systems we touch at the local and national levels.”
In the photograph above: Stephen Masinde, Agile’s Kenya National Director, addresses healthcare stakeholders from around the country at the 2018 Universal Healthcare Conference in Makueni County.
In the photograph below: Agile’s Care Consultant Winfred Musyoka visits event sponsor Amref Health Africa’s stand during the conference.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Clinical management: the what, why, and how of Agile’s approach
This post launches a new blog miniseries on Agile Global Health’s philosophy across four of our company’s key performance areas: clinical, financial, logistical, and experiential/customer service management. What does it mean to us to monitor and manage each of these aspects of our clients’ healthcare experience? Why do we do it? How do our actions make a difference?
Today, we address the first of these four, the clinical. Responsibility for our patients’ clinical management rests primarily with our Treatment Management Center (TMC) in India, with support from our Destination Management Centers (DMC) throughout the world.
Agile’s philosophy on clinical management is simple. “We believe that high-quality, cost-effective treatment options ensure that our patients obtain the right care at the right time and the best value, as defined by their unique circumstances,” says Saraladevi Gangadhara, Agile’s India TMC Director. In action, this means we identify our clients’ medical requirements, source the best possible array of treatment plans from specialized doctors, and present these to our patients with full transparency.
What does it mean to us to monitor and manage the clinical aspect of healthcare service and delivery? “We view continuous clinical monitoring as a means to respond with timely, customized medical management solutions,” explains Yashvi Mudgal, Patient Services Manager in Agile’s India DMC. “We as a DMC team monitor every case closely throughout treatment. Client documents, medical updates, and any changes to treatment plan are updated constantly in our secure, cloud-based patient management system, the Orsalus Exchange (OEX). This platform allows real-time patient developments to be shared across the Agile support mechanism, so that our monitoring effectively drives ever-responsive patient management.”
As you might imagine, there are many data points to monitor in the clinical realm. Our process begins with collecting complete medical records, including diagnostic test results, prescription information, discharge summaries from previous treating facilities, legal documentation in transplant cases, and proof of fitness to fly, if the patient is traveling abroad for care. “The TMC manages the front-end gathering of these materials,” says Amrita Ramesh, Agile’s Head of Service Delivery for India. “We at the DMC then support operations and services during the patient’s treatment.”
“The DMC records stage changes, like hospital admission, discharge, shifts between the ICU and the operating theater or ward, etc.,” explains Ankur Gupta, Agile’s National Director and Manager for India. “We note the number of days in each stage, the criticality of the patient as informed by their treating doctor to either our Operations Officer or the patient’s attendant, any tests the patient undergoes, the number of treatment sessions prescribed for their particular care regimen (chemotherapy, radiation, physiotherapy, etc.) and when each takes place, and the doctor’s opinion of patient progress throughout. At treatment conclusion, we also track the full discharge summary and any specific requirements for equipment or medications to support mobility during the journey home, and/or continued treatment there.”
Why do we do it? Moving from the tactical to the strategic, our team gives their answers. “We monitor these data to ensure that patients have a smooth medical experience with Agile when they reach their treatment destination,” says Ms. Gangadhara. “Agile’s monitoring enables the TMC to track treatment progression and therefore to validate, as necessary, further care recommendations and expenses to their funder,” Mr. Gupta adds. Further, says Ms. Mudgal, “The detailed information we maintain on each patient produces a comprehensive treatment record, which helps our clients’ home physicians continue an appropriate course of care upon the client’s return. It also aids in obtaining accurate and insightful medical opinions for future care.” Ultimately, the robust data assembled by Agile’s astute clinical monitoring over time also supports our unique ability to provide clinical analysis that guides governments, research and development institutions, and other healthcare organizations on the life cycle of disease. Agile’s dedication to capturing and evaluating clinical metrics generates better care outcomes, realizes funding efficiencies, and enhances quality of life for our patients and partners.
Our CEO, Morgan Darwin, sums up Agile’s clinical management philosophy like this. “We work with our partner medical authorities to define the correct clinical path as quickly as possible. Then we monitor and manage the clinical path to assure its most timely execution. This means making certain it is closely followed and that any deviations are fully justified and promptly approved or denied, all in order to reduce clinical risk, care costs, and patient suffering. Finally, Agile is well-known for our consistent follow-up after treatment conclusion, and our dedication to measuring outcomes so that – over time – our data and analysis drive systemic clinical improvements. A real-life example of this is how Agile’s clinical metrics collection throughout our management of the Kenya cardiac program spurred professionalism within Kenya’s national healthcare system.”
Ms. Gangadhara reiterates Mr. Darwin’s sentiments: “Agile’s unique business model collects and responds to clinical insights from the beginning to the end of our patients’ treatment experiences. Our clinical management brings professionalism to a disorganized industry in a way that has a direct and positive impact on people’s health and livelihoods.”
We’re proud that our clinical management distinguishes Agile in the crowded, chaotic healthcare marketplace. And we’re excited to share with our readers how our innovative management approaches also apply to the financial, logistical, and experiential aspects of our work! Find future installments in this miniseries on our blog.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Meet an Agile Global Health leader: Moataz in Erbil, Kurdistan
Welcome back to our blog series spotlighting Agile Global Health team members and their work around the globe! These posts take you inside our organization to get to know our employees as individuals. Whether they’re on the front lines of patient service or immersed in the data analytics that help us drive healthcare improvement on a nationwide scale, we think you’ll agree – they’re pretty amazing people.
Today, we speak with Moataz Jaleel, Agile’s Regional Manager for Kurdistan, Iraq.
How did you find out about Agile Global Health initially? A friend who was working with the company told me about it. That was five and a half years ago. I joined Agile (then A&K) Global Health in October 2012, and I haven’t looked back since!
What made you decide you wanted to work with Agile? I was drawn to the idea of helping people, while at the same time driving forward changes in the local and national healthcare systems.
Share a little bit about what do you do in your job. I work to understand our clients’ requirements in order to meet their needs as well as their desires in the process of managing their healthcare. We have two types of clients: institutional, like the Kurdistan Regional Government (KRG), which sponsors large groups of individuals with whom Agile then works; and self-paying, which are individuals who employ our management services directly. With management from Agile Global Health, most of our Kurdish patients travel abroad for some portion of their treatment. However, we also manage our patients’ preparatory and post-travel care here at home by working with local physicians and hospitals. Additionally, my team works to educate our community about diseases we see frequently in our region and how they are treated.
What is the best thing about working with Agile and your role at the company? I love helping people discover that quality, affordable treatment for their condition is indeed possible, and watching how their lives are transformed through our care and assistance.
How do you see our company growing in the future? With each patient we serve, we change a life, and touch the lives of hundreds more through what that healed individual can now contribute to their family, their profession, and their community. This is Agile’s personal impact, and its “ripple effect” is tremendously powerful! I also believe that, on a global scale, our company has and will continue to hold a big role in improving healthcare management throughout the world.
What has so far been your proudest accomplishment at Agile? I’m proud of my determination and persistence in continuing our work in a difficult environment. In spite of all the challenges brought by economic crises and political issues in our region, we in Kurdistan have continued to press forward to meet local healthcare needs at a time when care support is most critical.
What makes you excited about continuing to work for Agile Global Health? I am energized by the prospect of continuing to face our challenges and accomplish our mission of serving people through healthcare management. I am lucky to be part of this great family…the support and sense of personal value I receive from Agile is unbelievable, which makes me emboldened and confident to face all the challenges. I truly appreciate that.
In the photograph above: Agile Global Health’s Moataz Jaleel serves as Agile’s Regional Manager for Kurdistan in Erbil, Kurdistan, Iraq.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Agile sweetens Easter 2018 for international patients in India
In every culture, holidays are a special time to be with family and friends, enjoy traditional treats, and savor the sweetness of life. Holidays also offer an important opportunity to relax and recharge – a pause made all the more important when one is undergoing medical treatment.
Agile Global Health makes sure to honor our traveling patients’ home country holidays while they are abroad for treatment. Our latest chance to do so came on Easter, which our Delhi-based team enthusiastically celebrated with our international patients in Gurgaon, India earlier this month.
Agile staff members carried Easter cakes and greetings to our patients across Gurgaon. This included stops at Artemis Health Institute, Fortis Memorial Research Institute, and Medanta The Medicity.
“Agile visited not just to present holiday treats to our patients, but also to offer our time and support on Easter, sweetening the occasion for them despite the distance separating them from their homes and communities on this holiday,” said Nitin Ahuja, Agile’s Assistant Operations Manager in Delhi. “All the patients and their family members thanked us for the surprise arrangement and our genuine care.”
At Agile Global Health, we’re proud to be known for getting the big things right: things like procuring the right healthcare at the right time and at the best value for our clients, managing a seamless and transparent claims process for our partners, and comprehensively monitoring patient care over the months and years that may be required to ensure complete and durable healing. But we’re also proud that we never overlook the “little” things, either. From holidays to birthdays, from custom care innovations to real-time support, you can be confident you’re in good hands with Agile.
Read for yourself what our patients have to say about their care experiences, then reach out to your local Agile Global Health office today. Our care consultants are ready to help you find the treatment and support you need to lead your most fulfilling life.
In the photograph above: Agile Global Health’s Operations Officer Musheer Ahmad (far left) and Assistant Operations Manager Nitin Ahuja (far right) joined Mary Mwelu and her attendant at Artemis Hospital in Gurgaon, Delhi to help them celebrate on Easter day.
In the photograph below: Mr. Ahmad and Mr. Nitin made Easter deliveries to multiple hospitals in the Gurgaon area. Here at Fortis Memorial Research Institute, Agile Global Health patient Rashid Mwakirembo and his attendant, both of Mombasa, Kenya, happily received their Easter cakes.
Agile Global HealthAgile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Two years post-kidney transplant, patient lives the Agile dream
Here on the Agile Global Health blog, it’s our privilege to frequently share testimonials from our patients about the healing our care management brings them and their families. But Agile’s impact doesn’t end with treatment or initial health restoration. It endures for years: in a personal sense, through rediscovered abilities and fresh new potential, as well as on a socioeconomic level, in the form of healthier, more engaged and productive communities and countries.
For a glimpse into the personal and societal effects of our care management over time, we follow up with patients who are one or more years beyond their Agile experience. We ask them “where are you now?” – in family life, in work, in their communities. And they share with us how they’re doing in their present-day lives, describing in their own words what’s possible for them today that would not have been without our care.
Our second post in this miniseries, Agile’s Living Legacy, takes us to John Mwangi in Limuru, Kenya, for whom Agile Global Health managed a 2016 kidney transplant. Today John leads a normal life, working in the Kiambu County government’s finance department and farming in Thika, where he lives with his family. Our Nairobi-based team recently visited John, who reflected on his Agile experiences two years after receiving his new kidney.
“When Mr. Mwangi thought back to life before he met Agile Global Health in 2015, he spoke about the physical strain caused by chronic kidney disease, but also about how mentally disturbed he was by this illness,” said Eva Gulavi, Agile Global Health’s Public Relations and Communications Officer. “Going for dialysis twice a week was a struggle. He lacked motivation to continue his treatment…despite having National Health Insurance Fund (NHIF) coverage, which offset the cost of dialysis, he felt crippled by the psychological burden of his disease.”
That’s where Agile (then A&K) Global Health came in. With our management, John and his kidney donor – his brother – traveled to Columbia Asia Hospital in Bengaluru, India, where a successful transplant was performed in May 2016.
John’s memories are positive from the outset. “From the moment we arrived at the airport in Bengaluru, we were received like VIPs by Agile’s India team. They came for us in two vehicles and we had people carrying our bags. They took us to a very good guest house, where we had everything in the rooms and could even cook for ourselves! It is not easy getting by in a foreign country…the impact of Agile Global Health and their India team was greatly felt and well appreciated.
“I returned to India with Agile’s support for review in February 2017,” said John. “From that review, I was cleared to continue the rest of my treatment locally in Kenya, as Agile keeps my care teams in both countries well-coordinated.”
How might your life look different a year or two from now if you received comprehensive, compassionate care management for your medical concerns? Reach out today to learn how Agile can help.
In the photograph above: In May 2016, Agile Global Health facilitated John Mwangi’s kidney transplant in Bengaluru, India. Today John leads a normal life, working in the Kiambu County government’s finance department and farming in Thika, where he lives with his family.
In the photograph below: Mr. Mwangi smiles as he welcomes Agile Global Health Operations Officer Nicholas Kasyoki. Our Nairobi-based team recently visited John, who reflected on his Agile experiences two years after receiving his new kidney.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Meet an Agile Global Health partner: Vikram Hospital
Welcome to the latest post in our blog series highlighting select Agile Global Health hospital partners! Today, we visit Vikram Hospital in Bengaluru, India.
Vikram Hospital is a leading quaternary healthcare provider with 225 beds, including 60 ICU beds, located in the heart of Bengaluru. Its facilities include nine Medical Intensive Care Units (MICU), nine Surgical Intensive Care Units (SICU), nine Intensive Cardiac Care Units, 12 dialysis beds, and 10 world-class operation theatres with two of the most advanced catheterization labs. Vikram Hospital is situated 15.5 kilometers (approximately 46 minutes’ driving time) from the airport.
Vikram boasts 38 specialties available in a single hospital location, and is specially known for its epilepsy treatment offerings. With the motto “we are healers first,” Vikram Hospital is also home to the largest number of ICU beds in central Bengaluru.
Vikram’s Centers of Excellence include:
- Neurosurgery
- Epileptology
- Cardiology/Cardiac Surgery, including Pediatrics
- Nephrology
- Urology
- Bariatric (Metabolic) Surgery
- Orthopedics
- Oncology
- Organ Transplant – Kidney & Liver
Agile offers multiple guesthouse options for patients at Vikram Hospital, all located within 5-6.5 kilometers (11-20 minutes’ drive) of the facility and with low-cost taxi service to and from Vikram Hospital provided. Our guesthouses feature a variety of single and double-occupancy rooms, including access to shared kitchens for personal meal preparation – a perfect complement to the local market and general grocery store that are just 100 meters away, or a two-minute walk.
What do Vikram patients themselves have to say about their treatment experiences, you ask? Read on!
“The doctors are so nice. I will tell people about this hospital, it is good. People who are having a hard time, come here. I thank them so much.” – Janet from Tanzania
“My daughter had a cardiac issue we were following. Our daughter had holes in the heart. The doctors in India were qualified. The level of service is very high.” – Marwa from Sudan
“I can walk! Thank you Vikram Hospital.” – Suliman from Nigeria
Explore the treatment options available at Vikram Hospital for yourself. Your local Agile Global Health office is ready to help; contact us today!
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Meet an Agile Global Health team member: Yashvi in Delhi
Welcome back to our blog series spotlighting Agile Global Health team members and their work around the globe! These posts take you inside our organization so you can get to know our employees as individuals. Whether they’re on the front lines of patient service or immersed in the data analytics that help us drive healthcare improvement on a nationwide scale, we think you’ll agree – they’re pretty amazing people.
Today we introduce Yashvi Mudgal, Agile Global Health’s Patient Services Manager based in Delhi, India.
Share a little bit about what do you do in your job. From the time a patient is preparing to travel to India until their return home, my team and I are responsible for making all their medical and logistical arrangements. I sit in the Delhi office, but I am responsible for Agile’s patient services throughout all of India.
What made you decide you wanted to start working with Agile? I was working in the international marketing department for a large hospital, where I handled many medical travel facilitators. I saw a lot of opportunity in Agile Global Health because its patient management was unique from other facilitators…the Agile model rose above others.
How does what you do affect our patients, partners and the industry? I contribute to our mission by ensuring that patients from all over the world have a smooth treatment experience in India. My team and I make all arrangements for patients before arrival and coordinate with our operations team, which handles patients face to face while they are in country. We ensure that our clients are able to focus exclusively on their treatment by taking care of all their logistics requirements, and we ensure that our partners are well-informed and organized regarding each patients’ particular needs.
What makes you excited about continuing to work for Agile? Our company isn’t just working for profits – we are building global healthcare access. By delivering the best services medically and logistically, I help create satisfied clients who then promote Agile, in turn allowing more people to benefit from our excellent medical management services.
What has so far been your proudest accomplishment at Agile? Our first stretcher case from India to Kenya was a big challenge for me! The client had a midnight arrival in Mumbai and then a five-hour wait for their connecting flight to depart early the following morning. That whole night, I was unable to sleep, thinking about this patient’s complicated itinerary on a stretcher and hoping I had done everything needed for their smooth passage. Finally, they called me and reported that they’d safely reached home without a single problem! That was a really big achievement for me, that this patient’s complex journey via stretcher was completely worry-free because of my work to make it that way for them.
Can you tell us about a time that you felt supported or valued by Agile Global Health, not just as an employee, but as part of a global family? When Ankur and Agile’s higher management chose me from among the whole Destination Management Center (DMC) team to visit Kenya last year! I was there for six days and spent time with each team member in Kenya, learning how they work and what types of challenges they face locally. I visited many hospitals, saw the available facilities, and met with doctors to learn the challenges from their perspectives. I also visited the National Hospital Insurance Fund (NHIF) and met its staff. I even learned a few words of the local language, Swahili! I enjoyed sampling many Kenyan foods and shopping at the market where cultural clothes, hand-carved wooden sculptures, baskets, tribal masks, and other goods were sold. It was an impressionable trip!
Share a little about your interests and family. I love dancing and traveling to different places. My work is always my priority and I try to close all tasks at the earliest opportunity. My motto is “achieve the pinnacle of success!”
In the photograph above: Agile Global Health’s Yashvi Mudgal serves as Patient Services Manager in Delhi, India.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Kenyan mom praises Agile experience in India for her daughter
Having your child diagnosed with a serious disease is a frightening experience. Traveling overseas for their treatment could add additional strain – but with Agile Global Health, it need not.
Aswila Abdulrazak is the proud mother of one of Agile’s young patients, seven-year-old Khadija, who suffers from osteomyelitis – a rare but serious bone inflammation. With Agile Global Health’s care management and sponsorship from Kenya’s National Hospital Insurance Fund (NHIF), Khadija and her mom traveled to Aster CMI Hospital in Bengaluru, India for treatment.
Just two weeks after their safe return to Kenya, Ms. Abdulrazak emailed our Mombasa team to commend Agile on the full range of support we provided to her and her daughter throughout their treatment journey.
“I would like to acknowledge the services of Agile Global Health, starting from the Mombasa office, namely Biye, Bernard, and Lela. These three worked tirelessly to make sure the dream of my daughter seeking correct treatment could be realized. I would also like to appreciate NHIF for funding her care.
“I was handed over to Somashekara Madhukar in Bengaluru, India. Just like his Agile colleagues in Kenya, he was diligent in ensuring that we got proper transport from the airport to the apartment, where we were welcomed with a smile of hospitality.
“We next interacted with Ivon Valmiki, Agile’s Operations Officer assigned to assist our case. Upon our very first day of meeting him, he was renamed ‘Superman’ by my daughter. A child does not lie; he was a true superman! This became more and more real throughout our time in India. Mr. Valmiki never left us to wonder what we had to do next for Khadija’s treatment. He was always there to see how things were progressing. Khadija and I never felt alone in this foreign country, as Superman was taking good care of her health.
“The hospital, Aster CMI, was a second home as well. All the staff were friendly and showed dedication towards their work, from admissions to international desk staff relations – especially Hemalata and her group – bravo!
“To the qualified doctors: thank you for your good job. To the physiotherapy department for their good work: well done. Special thanks to Tapojyoti who had a smile to welcome Khadija during and after therapy. Thank you and God bless you all. I truly found a family in Bengaluru.”
“Ms. Abdulrazak’s testimony beautifully captures the scope of Agile’s support our patients – our Operations Officers really do serve as supermen and superwomen to every individual Agile assists,” said Aleksandra Golota, Senior Relations Manager. “Ms. Abdulrazak’s praise for our dedicated partner Aster CMI also points to how Agile’s careful curation of a network of trustworthy treatment facilities adds assurance for our patients that, with Agile, they will get the best-value care for their condition.”
Could this kind of support be healing for you or a loved one? Contact Agile today to learn how we can help.
In the photograph above: With Agile’s care management and NHIF sponsorship, Aswila Abdulrazak and her daughter Khadija traveled from Mombasa, Kenya to Bengaluru, India for Khadija’s treatment at Aster CMI Hospital.
In the photograph below: Khadija was happy to return home, but sad to leave the health hero she nicknamed “Superman” during her treatment stay in Bengaluru, Agile’s Operations Officer Ivon Valmiki.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Bone marrow donation for bone marrow transplant (BMT)
Welcome back to Your Health 101. Inspired by our Cardiac Care 101 series of educational posts about heart disease, diagnosis, treatment, and prevention, this series expands our clinical scope to address all kinds of medical conditions. We’re beginning with several posts about bone marrow transplant (BMT), a specialized treatment which Agile Global Health has deep experience managing for our patients. Last month, we introduced readers to the treatment broadly; today, we’ll delve into how bone marrow can be donated to patients needing BMT.
How is bone marrow donation performed?
The most common method is peripheral blood stem cell (PBSC) donation. Here, the donor receives an injection of a drug called G-CSF for four days; this is to increase the number of blood stem cells in the donor’s bloodstream. On the fifth day, the donor’s blood is removed through a needle in one arm. The blood is then processed through a special machine which separates the stem cells from other blood – a process called apheresis. The rest of the blood is returned to the donor through a needle in the other arm. In 90% of cases, this type of donation is completed in one session taking up to eight hours. In the remaining 10%, two sessions lasting four to six hours each may be required.
The second way to donate bone marrow is to remove it from the donor’s hip bone using a special syringe while the donor is under anesthesia.
Are there any side effects of bone marrow donation?
The drug that donors receive prior to donation, G-CSF, has side effects like headaches and bone and muscle pain. These may last for a few days before the donation and disappear gradually afterwards. Some patients may also experience nausea, insomnia, and fatigue. More serious side effects are very rare, seen in just 0.6% of donors.
During the PBSC donation procedure, the donor may experience side effects like mild muscle cramps and tingling around the mouth, fingers, and toes. However, these symptoms can be treated with calcium replacement or by slowing down the procedure. Other common side effects may include bruising at the needle site, chills, and a decrease in the blood platelet count.
Thank you, doctors of the Agile Medical Team, for these great explanations. Next time, we’ll turn to the different types of BMT. Follow the Agile Global Health blog to catch all future installments of Your Health 101!
Image credit: Fox Chase Cancer Center
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Alfred’s 54th birthday gets a special celebration in Bengaluru
At Agile Global Health, we think birthdays are special. Whether one is turning six or 86, we believe birthdays are a chance to be grateful for the time an individual has spent on this planet, and to appreciate the opportunity presented for them to begin yet another trip around the sun.
Recognizing such an occasion to celebrate this gift of life, Agile Global Health’s Bengaluru team members recently came together to honor the birthday of our patient, 54-year-old Alfred Ndegwa of Nairobi.
“Mr. Alfred extended his thanks and words of praise to our team for remembering and celebrating his birthday,” reported Raji D, Agile’s Bengaluru Operations Manager. “Alfred was diagnosed with cancer in January and is currently undergoing treatment at HealthCare Global Enterprises (HCG) here in Bengaluru, India with funding from Kenya’s National Hospital Insurance Fund (NHIF).
“Among the people who organized and joined in his little celebration were his loving wife, a few other patients from Kenya, and my Agile colleague Somashekhara Madhukar and myself,” said Ms. Raji D. “Alfred was touched and moved to see the thoughtful surprise planned for him.”
Added Mr. Madhukar, “The patient and his family members felt very happy, and thanked Agile for taking good care of them…they said they feel like they’re home, even away from home.”
That’s a common refrain among our patients – one we’ll never grow tired of hearing. Let Agile Global Health help you find your own “home away from home” as you seek medical care: contact your local office today.
In the photograph above: Our patient Alfred Ndegwa gives the birthday surprise Agile Global Health held for him a thumbs-up; his wife looks on as he prepares to blow out the candles on his birthday cake.
In the photograph below: From left to right, Agile Global Health’s Somashekhara Madhukar, our patient Alfred Ndegwa, and his wife all join together in celebrating Alfred’s 54th birthday.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Meet an Agile Global Health team member: Eucabeth in Nairobi
Welcome back to our blog series spotlighting Agile Global Health team members and their work around the globe! These posts take you inside Agile Global Health so you can get to know our employees as individuals. Whether they’re on the front lines of patient service or immersed in the data analytics that help us drive healthcare improvement on a nationwide scale, we think you’ll agree – they’re pretty amazing people.
Today we meet up with Eucabeth Nyabeta, a Care Consultant based in Agile Global Health’s Nairobi, Kenya office.
“I joined Agile in November 2012 as a Patient Advocate, with the aim of showcasing the organization and services to potential clientele in Nairobi. In early 2013, there was a Care Consultant opening – an opportunity to shift to managing patient care. I applied for the position, and with my background in biomedical sciences, I obtained it! My two years’ experience working as a pharmaceutical representative in the Nairobi region prior to joining Agile gave me experience interacting with medical personnel in hospitals, pharmacies, and health organizations, which came in handy at Agile because of the various stakeholders with whom we work.
“As a Care Consultant, my job today entails offering patients professional advice with regard to treatment options that are tailored to meet their needs, both within and outside Kenyan borders. I also assist in organizing non-medical logistics in collaboration with our amazing operations department, and continuously follow up with patients during their return voyage from treatment destination to home country.
“The most important aspect of my current job is bridging the gap in healthcare knowledge and coordination between patients in Kenya and available hospitals overseas that offer solutions catering to the patient’s need. Healthcare in general is challenging to navigate, especially for the persons affected and their loved ones, as they have to deal not only with the physical pain that comes with being ill, but also with the financial constraints and emotional struggles. The most exciting thing about working for Agile is the hope we offer patients whose treatment options are limited or unavailable locally: although I was not directly involved in the cardiac program carried out in partnership with the National Hospital Insurance Fund (NHIF), the 500-plus patients who benefited under this program are just another example of the exciting human impact we have been part of as Agile Global Health.
“The defining moment in my career so far was a case involving a 10-year-old girl, Winfred Ndirangu, who had suffered from leukemia and had been referred to India for bone marrow transplant (BMT) unavailable locally. In partnership with the NHIF and Agile Global Health, she traveled to Max Hospital in Gurgaon, India. Because she lacked a fully compatible donor, the doctor opted to carry out a high-risk haploidentical transplant in an attempt to save her life. She responded very well and tolerated the procedure with minimal challenges. Four years later, Winfred and is a vibrant 14-year-old living a normal life without any limitations!
“I am currently pursing my postgraduate studies In Public Health with a major in epidemiology, which entails analysis of the patterns of disease and injury in humans and seeks suitable solutions to alleviate or stop their adverse effects. In my free time, I love traveling and spending time with my daughter, and am also an avid baker. I am from a small town in the Rift Valley called Nakuru, where my parents still reside; I visit them once a year.”
Thank you, Eucabeth, for sharing your Agile story. To meet more of our remarkable team members worldwide, check out past profiles and follow our blog for new employee spotlights each month!
In the photograph above: Agile Global Health’s Eucabeth Nyabeta serves as a Care Consultant in Nairobi, Kenya.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Agile runs Erbil’s “Hope” 3k to help fund Kurdish cancer patients
A few weekends back, Agile got active in a whole new way in Kurdistan. Our own Senior Care Consultant Emad Salai ran the “Hope” three-kilometer race in Erbil, representing Agile Global Health and helping raise funds for and spread awareness about Kurdish cancer patients across the region.
The Erbil International Marathon Committee arranged the March 3, 2018 event, along with the local organizations Cancer Patient Support Fund (CPSF) and Nanakali Hospital for Blood Diseases and Cancer. Approximately 500 participants, men and women of all ages, competed in the race.
The Erbil Director of Health, along with Nanakali’s cancer doctors, were waiting at the hospital to welcome runners as they completed the course.
So was the regional media: during the event, Mr. Salai was interviewed by Radio Sawa. “The reporter asked me, ‘As a citizen, what pushed you to be involved, what’s the reason for your participation?’ I answered that we as Agile Global Health has been working closely with cancer patients over the past five years, especially with Nanakali and CPSF, and that I personally felt the need to do something extra to assist cancer patients.
“The reporter also asked me about the country’s current economic crisis. What did I have to say to officials in the Ministry of Health in Baghdad, and to the world?” Mr. Salai continued. “I responded with a call for the Ministry of Health to send as much as medication as they can, and for humanitarian non-governmental organizations (NGOs) involved in supporting Kurdish cancer patients to redouble their efforts in these challenging times.”
In addition to radio coverage, local television stations in the Kurdistan region broadcast evening reports about the race and its creation of positive attention to and momentum toward assistance to cancer patients, particularly as the region endures ongoing economic difficulties.
At Agile Global Health, we’re proudly dedicated to corporate social responsibility in every local community where our worldwide team works. Congratulations, Emad, on a race well run for an important cause!
In the photograph above: Young and old alike turned out in Erbil, Kurdistan, Iraq to show and raise support for Kurdish cancer patients at the March 3, 2018 “Hope” 3k race.
In the photographs below: Agile Global Health’s Senior Care Consultant Emad Salai proudly represented us at the race under bib number 0258. The first-place male and female finishers were recognized with trophies at Nanakali Hospital for Blood Diseases and Cancer, where cancer doctors on staff received and congratulated runners as they finished the course.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Agile manages Bangladeshi digital leads to care in India
Late last year, Bangladesh became the newest country supported by Agile Global Health’s care management – even though we don’t have a physical office there! We’re excited to be servicing Bangladeshi patients through remote digital management, followed by on-the-ground support at their treatment destinations in India.
Bangladeshis face multiple obstacles for travel and treatment. Obtaining a medical visa is complicated, but entering India on a tourist visa to seek medical treatment – as the majority of Bangladeshis do – invites trouble traveling home due to immigration regulations. Extending a tourist visa is also difficult, if patients find themselves on a lengthy treatment plan. Logistics present challenges too: only 15 to 20% of Bangladeshi patients travel by air, yet the train journey is almost 40 hours and crossing the border adds four hours at immigration. Perhaps most significantly, without an advocate in India committed to their well-being, isolated Bangladeshi patients risk manipulation by false agents.
“To date, we have closely managed healthcare for 17 Bangladeshi patients,” announced Raghavendra Prasad, Agile’s Business Head in Bengaluru. “Most Bangladeshis are well aware of the healthcare facilities and services in India. The problem is they’re unaware of how many false agents operate in this space, and sadly, trusting people are led astray or swindled of their treatment funds as a result.”
That is where a transparent, unbiased, and reputable healthcare manager is essential. It’s why Agile exists, and why word of our honest and professional support is rapidly growing our Bangladeshi patient population.
Take Mr. Mohammed Fazlul Haque, for example. “He arrived in India through a small-time agent with no idea where he would be treated or at what cost,” said Mr. Prasad. “Fortunately, Agile got connected with him and ensured the integrity of his treatment journey, from choosing the doctor, hospital, and accommodation to providing a reliable total cost estimate for him to make an informed decision. We assured his post-treatment stay fit his needs and budget, and compiled all invoices for payments he made.”
“For Mohammed and others like him, Agile’s most important discriminator is this: we are healthcare managers, not simply medical travel facilitators,” says Amrita Ramesh, Agile’s India Head for Service Delivery in Bengaluru. “Our years of expertise managing national and cross-border healthcare demonstrate our credibility in matching individuals to the right care for their clinical, financial, and experiential needs. We have a record of comprehensive support to patients before, during, and after treatment to protect their long-term health interests.”
And Agile’s care management is now more affordable than ever. “Our Bangladeshi patients have led the way as first to receive treatment under our new healthcare procurement model, and we’ve found their final care costs are coming in significantly below the original quote!” continued Ms. Ramesh. “They’ve helped us prove that this new approach – identifying quality treatment resources that aren’t fully used, and making this excess healthcare capacity available at significant cost savings – works. That’s the value of healthcare management at its best!”
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Meet an Agile Global Health partner: Manipal Hospital
Welcome to the latest post in our blog series highlighting select Agile Global Health hospital partners! Today, we meet Manipal Hospital of Bengaluru, India.
Manipal Hospital is part of the Manipal Education and Medical Group (MEMG), India’s third largest healthcare group and a pioneer in the field of education and healthcare delivery. MEMG’s healthcare delivery side, Manipal Health Enterprises (MHE), serves over two million patients each year through its network of 15 hospitals.
Manipal Hospital is one of these. It is a 600-bed quaternary care multi super-specialty referral center in Karnataka state and offers a total of 56 specialties under one roof. It has made first-of-its-kind achievements in cardiothoracic and vascular surgery, oncology, and spinal care, and even features an in-house stem cell harvesting center for transplant cases. Its procedural variety and reliably excellent treatment makes it a popular choice for Agile’s institutional clients, like insurance funds or employers, who elect to send their beneficiaries to Manipal through our care management services.
Manipal’s Centers of Excellence include:
- Cardiovascular Surgery
- Neurosurgery & Neurology
- Gastroenterology
- Orthopaedics
- Pediatric Surgery & Neonatology
- Oncology
- Organ Transplant – Kidney & Liver
- Bone Marrow Transplant
- Pulmonology Oral & Maxillofacial Surgery
- Urology
- Vascular Surgery Robotic Surgery
As always, Agile’s guesthouses in the Manipal area feature a variety of single and double-occupancy rooms with the option of full or partial board through the hotel restaurant, as well as kitchen and supermarket access for those preferring to make their own meals. And our Manipal guesthouses have an added bonus: they’re close enough to both the hospital and the supermarket that our patients can even walk to these destinations, if they choose! But don’t take our word for it. Read what Agile’s past clients at Manipal Hospital have shared:
“[Agile] received me the best way, showed me into the best of accommodations, close to the hospital, that I can reach at any given time. I really appreciate them.” – Mackenzie
“I am very happy for the treatment given at Manipal Hospital under Dr. Armit Rauthan, who is well organized and has high standards. Keep it up!” – Jane
“I am happy with the commitment and devotion of the hospital staff to the patients and hospital professionals. We are grateful to our [Agile] Global Health agent who helped us with our day-today stay in India, from being picked from the airport and all the processes we had to go through. Keep up the good work.” – Mary
To date, Agile patients choosing Manipal hail from Kenya (61%), Bangladesh (15%), Iraq (15%), and Rwanda (10%). Add your country to this list, or join your compatriots, by discovering if Manipal Hospital is right for your own treatment needs. Your local Agile Global Health office is ready to assist you.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Meet an Agile Global Health leader: Ankur in Delhi, India
Welcome back to our blog series spotlighting Agile Global Health team members and their work around the globe! These posts take you inside Agile Global Health to get to know our employees as individuals. Whether they’re on the front lines of patient service or immersed in the data analytics that help us drive healthcare improvement on a nationwide scale, we think you’ll agree – they’re pretty amazing people.
Today, we interview Ankur Gupta, Agile’s Delhi-based National Director and Manager for India, who joined then-A&K Global Health in January 2014.
Share a little bit about what do you do in your job. My job includes three main areas of responsibility: customer service and satisfaction are first. I have 17 years of experience in customer service in the tourism industry, which I leverage in guiding my team to provide a seamless patient experience. We oversee service delivery and customer experience and take action to meet all client needs.
Procurement, vendor negotiation, and payments are my second focus. My team lines up logistic services (e.g., accommodation, transport, food, airline tickets, special needs) and liaisons for pharmacies and equipment as prescribed. We have built a strong network of vendors who are compassionate and committed to providing quality services and products at appropriate prices. My role is to put a system of vendors, services, and capabilities in place that my team uses to service our clients.
My third area of effort is building sustained efficiencies via processes. Agile is the first of its kind in providing truly integrated logistics and patient management services: thus, we are learning and developing processes as we go. We identify gaps, define operating procedures, and monitor and fine-tune them to improve service delivery, sustainability, and feasibility. All such processes mandate team inputs – they reflect our vision and capabilities.
What made you decide you wanted to start working with Agile? The opportunity presented me with a challenge, a bigger role and team, and the chance to learn and grow. At first I was uncertain about translating my experience and skills to the new market space Agile was entering. But I came to realize I was selected by Agile because of my in-depth systems knowledge, thought clarity, and confidence after all these years of work in logistics. The nomenclature was different, but my capabilities were just as applicable.
How does what you do affect our patients, partners and the industry? Agile (A&K) Global Health works globally. In India, we receive patients from many different nationalities; India is a foreign land for them. My team and I manage their needs, from general to specific, and offer a peaceful experience. Our Operations Officers introduce patients to the healthcare system, hospital, doctor, markets, and anyone or anyplace that would aid their comfort and healing. They stand by clients and take their concerns forward. This ensures that clients are heard and well served. It’s like having one’s own butler service in a five-star hotel!
Regarding our partners and the industry, all hotels, hospitals, pharmacies, transporters, linguists, etc. are prepared in advance by our team with the services and products we require from them. Because we ensure our partners are well planned, more efficient, and able to send happy clients back to their home countries as their brand ambassadors, they are always pleased to accept more business from Agile’s supporting and well-coordinated team. The industry observes these synergies, too: overall, standards and competition increase while cost reduces, and the patient gets fairer and more genuine service.
What is the best thing about working with Agile and your role at the company? Agile Global Health has given me opportunities to do more meaningful work. I am thankful to the company for introducing me to this world where I get to serve patients. Agile has also helped me better grasp my own professional potential and refine my interest areas.
What has so far been your proudest accomplishment at Agile? Finding a Kurdish linguist to help our initial group of Kurdish patients. I recollect this keenly because it took several days of intense pursuit. It was around midnight when I finally found the right person! Persevering to identify exactly the right service-minded individual with impeccable translation skills was critical: it established a foundation of trust between Agile and this first group of patients. The growth of Kurdish patient flows since that time is in part a testimony to this insistence on the best patient service from the very beginning.
Can you tell us about a time that you felt supported or valued by Agile, not just as an employee, but as part of a global family? Three instances come to mind. First, I was hired! That was a trust-based experience that felt like joining a family rather than just a corporation. Secondly, my wife was invited to accompany me to Agra for a meeting with Agile’s global staff. That invitation showed respect for her role in making my work possible and acknowledged her as part of the Agile global family, an honor for both of us. And thirdly, our CEO Morgan Darwin recently suggested me to be part of the corporate team in 2018. He sees me as a valuable resource for the company’s future.
What makes you excited about continuing to work for Agile? I get repeat as well as unique challenges every week. Facing them boldly, making my way with truth, sincerity, and respect, winning over hearts, learning from experiences, and seeing myself growing wiser is good.
Share a little about your interests and family. My interests are always evolving. I like creating and improving things; some activities that capture my interest are painting (I’ve won prizes), sculpturing (never done), learning new things which benefit me in work or personally, traveling to new destinations, and listening to YouTube for principles in various sciences, Indian classical music, knowledge enhancement, etc.
Anything else you’d like to share about your work experiences? Can I write a small booklet?!
In the photograph above: Agile Global Health’s Ankur Gupta serves as National Manager and Director in Delhi, India.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Creative Agile care solution betters results for funder & patient
From stretcher to business class, chronic arthritis to successful hip surgery, continuous care costs to a durable treatment solution at cost savings – for Viola and her sponsor, Kenya’s National Hospital Insurance Fund (NHIF), Agile Global Health’s management transformed each challenge faced into a success worth celebrating.
If you’ve ever wondered how our astute coordination of the clinical, financial, logistical, and experiential dimensions of healthcare improves outcomes while reducing expenses, this story is for you.
Viola Kiplimo, 38, of Eldoret, Kenya was diagnosed with rheumatoid arthritis in 1995, and underwent 15 subsequent major joint replacement surgeries in her country. When Viola’s 16th surgery – a right-side total hip replacement with acetabulum replacement and bone grafting – failed, her doctor advised that she seek care in India. She approached Agile.
“With Agile management and NHIF sponsorship, Viola traveled to Delhi, India for further treatment,” reported Zain Bashar, Agile’s Delhi Assistant Operations Manager. “Her surgeon at BLK Super Specialty Hospital, Dr. Mrinal Sharma, acknowledged that the total hip replacement revision he recommended would be very complicated due to her previous operations.” Nonetheless, through two surgeries, a period of bed rest, and a month of physiotherapy, Viola’s treatment succeeded. She was declared fit to fly home to Kenya – on a stretcher. But the expense of a stretcher journey was an impediment, and Dr. Sharma assessed that Viola would not be fit to return in business class without an additional six to eight weeks of daily physiotherapy.
Enter Agile’s Patient Services Manager Yashvi Mudgal and Coordinator Shweta Pandey. “We thought it might be less costly to extend Viola’s stay in Delhi as Dr. Sharma suggested, and then purchase a business class return, than to send her home immediately via stretcher,” said Ms. Pandey. Sure enough, this innovative care adjustment was much less expensive. And in addition to conserving NHIF resources, noted Ms. Mudgal, “We realized this arrangement added value for Viola, in terms of recovering near her treating physician and benefitting from additional physiotherapy, and for her surgeon, who could closely monitor her progress.”
Mr. Bashar presented the idea to Viola, while Ms. Pandey proposed the solution to the NHIF. Both enthusiastically accepted. “After six additional weeks of daily physiotherapy, she achieved the ability to sit for a long time and even walk short distances with a walker!” said Mr. Bashar. “This tremendous improvement was thanks to her own determination and her Indian care team’s prolonged oversight.” With medical clearance from Dr. Sharma and the airlines, Viola returned to Kenya in business class.
“Insurers, third party administrators (TPA), and corporations are interested in Agile’s ability to deliver cost-effective care that works fully the first time. That means access to treatment as fast as possible, but also close patient management so that discharge and return travel occur at the ideal moment: the earliest that also optimizes recovery and healing levels,” said Ankur Gupta, Agile’s Delhi-based National Manager and Director for India. “Agile, by providing better value to hospitals, better values to healthcare funders, and exceptionally better service and medical outcomes to patients like Viola, is radically disrupting the existing healthcare system! This case epitomizes our mantra of the right care at the right time at the right price.”
And what of Viola’s future? “She is continuing hospital physiotherapy in Eldoret, where Agile recently visited her,” said Linner Soy, Viola’s local Care Consultant. “We will continue to follow up with her to sequence additional surgeries in India, as Dr. Sharma advised that all joints affected by her arthritis could not be operated on in one trip. But Viola is a happy client and dedicated to her treatment. Agile will continue to be with her on her journey!”
In the photograph above: Agile patient Viola Jemeli is visited by her Agile’s Marketing Executive Cornelius Rop (left) and Care Consultant Linner Soy (right) in her hometown of Eldoret, Kenya, where after a hip replacement revision in India she is continuing her physiotherapy.
In the photograph below: From left to right, Agile’s Delhi Operations Officer Zain Bashar, Dr. Mrinal Sharma of BLK Superspecialty Hospital, Agile’s patient Viola Kiplimo, and her companion Charity Keino are all smiles as they celebrate Viola’s successful hip replacement revision surgery.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Agile attends inaugural of new Sri Ramakrishna diagnostics block
Agile Global Health is privileged to work with a carefully chosen network of hospitals, each of which brings only the best in care quality and value to our patients. Last month, we celebrated a new offering unveiled by our partner Sri Ramakrishna in Coimbatore City: its new diagnostic facility, featuring the most technologically advanced diagnostic equipment in South India.
On February 10, 2018, Agile’s Head of Service Delivery for India Amrita Ramesh attended a ribbon-cutting ceremony at Sri Ramakrishna, which in collaboration with medical equipment manufacturer GE presented to the public a new block dedicated to cutting-edge diagnostics.
The facility was inaugurated by India’s Union Minister of State for Healthcare and Family Welfare and attended by a number of high-profile international guests, including the ambassadors to India from Sudan and Rwanda, Sri Lanka’s Deputy High Commissioner, and Burma’s President of Industry and Commerce.
“The inauguration of this new superspecialty facility has made its mark, taking Sri Ramakrishna’s capabilities to an advanced level,” said Ms. Ramesh. “It is equipped with the latest medical technologies from GE Healthcare, including state-of-the-art equipment that is the first of its kind in South Asia. The 10-story facility includes a silent MRI scan machine that offers superior patient comfort, and a revolution CT scan machine that delivers uncompromising image quality and clinical capabilities through the convergence of coverage, spatial resolution, temporal resolution, and spectral imaging – all in one. In opening this block, Sri Ramakrishna is reinforcing its commitment to bring technology-driven, patient-focused solutions that advance its mission of delivering the best possible patient care at affordable costs.”
In addition to the collaborative unveiling of new diagnostics technology, GE has announced plans to set up a center of excellence in Coimbatore in partnership with Sri Ramakrishna’s funding organization, SNR Sons Charitable Trust. This provides further evidence of the U.S.-based equipment giant’s interests in the long-term development of South India’s healthcare capabilities.
Ms. Ramesh noted this promising future as well. “My visit to Coimbatore was insightful,” she described. “I was quite impressed with how well Sri Ramakrishna has set quality standards in the field of healthcare, from patient service to treatment plans. This not only makes the hospital a competent center, but a surprisingly affordable one as well. Sri Ramakrishna offers a reasonably priced option without compromising the quality of service.”
Said Aleksandra Golota, Agile’s Senior Relations manager, “We at Agile Global Health are proud of the excellent hospitals that make up our select network and of the strong relationships we cultivate with them. It is always our pleasure to celebrate and promote advances to our partners’ facilities, equipment, and professional staff. Our warm congratulations to Sri Ramakrishna on this exciting occasion.”
Peruse the profiles of Agile Global Health’s hospital partners on our website, and follow our blog for all the latest news and updates on our network and treatment offerings!
In the photograph above: Sri Ramakrishna Hospital leaders celebrate the opening of the hospital’s new diagnostics facility on February 10, 2018 in Coimbatore City, India; the new 10-story block boasts the most advanced technology in South India.
In the photograph below: Agile Global Health’s Amrita Ramesh (left), Head of Service Delivery for India, attended the inaugural ceremonies to celebrate this achievement with the leaderships of our partner hospital Sri Ramakrishna.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Bone marrow transplant (BMT): an introduction
With this blog, we’re launching a new original Agile miniseries: Your Health 101. Inspired by our Cardiac Care 101 series of educational posts about heart disease, diagnosis, treatment, and prevention, this series expands our clinical scope to address all kinds of medical conditions. We’ll begin with several posts about bone marrow transplant (BMT), a specialized treatment which Agile Global Health has deep experience managing for our patients.
What is bone marrow?
First things first. Before we talk about transplant, bone marrow itself is a spongy kind of tissue inside the larger bones of the body, like the hip and thigh bones. It contains stem cells which develop into red blood cells (to carry oxygen), white blood cells (to fight infection), and platelets (to control bleeding).
Image credit: Lymphoma Association
Can bone marrow get diseased?
Yes: there are many conditions in which either the bone marrow produces too many or too few cells, or the cells produced are abnormal. For example, in leukemia, lymphoma, or multiple myeloma, abnormal cells are produced in the bone marrow. In myeloproliferative disorders, an excess number of white blood cells is produced. Aplastic anemia is a disease where there is absence of red blood cell production.
How can bone marrow diseases be treated?
Treatment depends on the type and severity of the disease. Some patients may require only medication, while others may require blood transfusions initially and, later on, a bone marrow transplant.
What is a bone marrow transplant?
It is a medical procedure where a patient’s damaged bone marrow cells are replaced with healthy bone marrow cells. Depending on the type of transplant, these healthy cells may come either the patient’s own healthy bone marrow, or from the bone marrow of a donor.
Image credit: Thalassemia and Sickle Cell Society of Australia (TASCSA
Follow the Agile blog for future installments of Your Health 101, including a continuation of this conversation about BMT. We’ll address different types of BMT, the phases of the BMT process, post-BMT requirements, and more!
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Meet an Agile Global Health leader: Stephen in Nairobi, Kenya
Welcome back to our blog series spotlighting Agile Global Health team members and their work around the globe! These posts take you inside Agile Global Health so you can get to know our employees as individuals. Whether they’re on the front lines of patient service or immersed in the data analytics that help us drive healthcare improvement on a nationwide scale, we think you’ll agree – they’re pretty amazing people.
Today, we speak with Stephen Masinde, Agile’s National Director for Kenya.
Share a little bit about what you do in your job. I have several roles. First, I provide general management of our Kenya organization, including staff, finances, customer care, and coordination with partners. I am also involved in marketing and strategic planning to improve patient flow, enhance care access, and promote better service at an affordable cost. In recent years, I’ve been at the center of innovation to develop new offerings that help Agile Global Health reach patients within Kenya and East Africa, such as the National Hospital Insurance Fund (NHIF) cardiac surgery program.
How did you find out about Agile (then A&K) Global Health initially? While working at my own private health facility, I used to meet patients who needed Agile’s services. In the process of referring these patients to Agile, a senior staff member introduced me to the company’s then Chief Operating Officer (now Chief Executive Officer), Mr. Morgan Darwin. That is how I ended up joining Agile, in October 2012. The first meeting with Morgan was quite educative; I realized he needed someone who had good, relevant background knowledge and multiple skills. I was uniquely qualified given my experience at the United Nations (UN) and within the non-governmental organization (NGO) world.
What made you decide you wanted to start working with Agile? I was driven by the need to help patients access quality healthcare at an affordable cost. Patients in East African countries were suffering not just from disease, but also from lack of adequate information to address their health needs and, critically, how to access care within their own countries and abroad. Having worked within the UN and NGO world, I understood that the challenges faced by patients were the same, no matter what kind of organization was trying to assist them. Agile Global Health emerged as the best platform to serve patients, not only on humanitarian grounds, but in a profit-driven organization incentivized by adding value to the quality of life for patients, relatives, and their affected communities.
What is the best thing about working with Agile and your role at the company? The best thing about working for Agile is the uniqueness in service provision. Agile is trailblazing a new segment in the healthcare industry; hence, our market position keeps me thinking constantly on how to improve the experience of our patients and partners. It is truly remarkable how we help patients access quality healthcare at affordable cost, deliver superior logistics support, deliver partners direct cost savings, and provide doctors with the opportunity to treat patients with complex conditions. And the organizational culture is perfect: it allows staff to work diligently and be recognized for their contributions.
How does what you do affect our patients, partners and the industry? I see the positive impact of Agile on our patients and partners through their genuine testimonials and frequent in-person visits to our offices to express their gratitude. I see my input, especially through continuous market research and business development activities, improving and growing Agile’s medical management across Kenya and the world, and helping Kenya develop its own healthcare management guidelines and standards as it increasingly handles inbound and intra-bound care cases.
What areas of improvement do you hope to touch through your role? The main focus of improvement right now for Agile in Kenya is to reach more self-paying patients, rather than serving primarily patients referred to us through their employer or insurance fund. The largest number of Kenyans seeking medical management assistance for specialty care at home or abroad are self-paying; so far, they have been a difficult population for us to address in a comprehensive fashion. I am currently working on a strategy that effectively facilitates communication with and service provision to this category of patients, introducing to them Agile’s signature care solutions: the best value quotes for accessing high quality healthcare suited to individual needs.
What has so far been your proudest accomplishment at Agile? I consider my most important achievement at Agile to be solidifying our staff, developing a strong working team in Kenya that has been able to provide the best care to our clients. Through the support of this team, I managed to secure our first contract with the NHIF several years ago, which led to huge growth for the company.
What makes you excited about continuing to work for Agile? The company is always evolving, developing new ideas, and improving technology. Finally – Agile has simply the best culture!
In the photograph above: Agile Global Health’s Stephen Masinde serves as Kenya National Director in Nairobi, Kenya. Here, Mr. Masinde (second from right) is pictured visiting with a beneficiary of the NHIF cardiac program at The Karen Hospital in Nairobi.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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One year post-surgery, preschool teacher embodies Agile legacy
Here on the Agile Global Health blog, it’s our privilege to frequently share testimonials from our patients about the healing our care management brings them and their families. But Agile’s impact doesn’t end with treatment or initial health restoration. It endures for years: in a personal sense, through rediscovered abilities and fresh new potential, as well as on a socioeconomic level, in the form of healthier, more engaged and productive communities and countries.
For a glimpse into the personal and societal effects of our care management over time, we follow up with patients who are one or more years beyond their Agile experience. We ask them “where are you now?” – in family life, in work, in their communities. And they share with us how they’re doing in their present-day lives, describing in their own words what’s possible for them today that would not have been without our care.
Our first post in this new miniseries, Agile’s Living Legacy, takes us to Nairobi, Kenya, where we check in with Ebby Voregwa, the 39-year-old teacher who became a beneficiary of her country’s National Hospital Insurance Fund (NHIF) cardiac program just over one year ago. Today she’s back at work at St. Joseph of Tarbes Preschool. Agile’s Eva Gulavi paid her a visit to see just what life is like for her with her repaired heart.
It’s easy to see why the ever-jovial and smiling Ebby excels in her work. But before her cardiac surgery, Ebby was robbed of much of her charisma. She found herself caught between the need to continue working to pay for medication that would manage – but never heal – her cardiac condition, and a heart that simply wasn’t up to the requirements of engaging and educating energetic young minds.
Constant fatigue and frequent absences were a real challenge to her career. Worse still, the students and families who loved her didn’t always understand her troubles: “My pupils were traumatized by the change of teachers during my absence…some would come to my house to tell me that if I did not return to school, they were going to demonstrate until I did! They didn’t understand that I had to be away because my heart was sick.”
One year post-surgery, though, Ebby and her students are growing and learning together once again, and her classroom environment and demeanor could not be more uplifting. “The Agile Global Health team met with a totally transformed person,” said Eva Gulavi, Agile Global Health’s Public Relations and Communications Officer. “I could hardly recognize her. I was amazed at Ebby’s energy in her classes, and the love and warmth that her pupils exuded for her. Anyone could see she has a special connection with these children…When I asked why they love their teacher, a little girl about five years of age raised her hand and said, ‘Because she is my friend.’
“Ebby’s cardiac surgery at The Karen Hospital took her beyond physical healing: her livelihood and passions were restored to her. Now she can continue to impact the lives of these little children who look up to her.”
Thank you, Ebby, for offering us a window into the Agile legacy in your life. To read other personal accounts like Ebby’s and hear about all our latest healthcare management projects worldwide, follow the Agile Global Health blog.
In the photograph above: Cardiac surgery beneficiary Ebby Voregwa beams, surrounded by the energetic Nairobi preschool students who are thrilled to have their teacher back and restored to health.
In the photograph below: Agile’s Eva Gulavi joined Ebby’s class for a photo during her visit to St. Joseph of Tarbes Preschool, where she spoke with Ebby about how her life has changed thanks to her NHIF-sponsored cardiac surgery and Agile Global Health’s care management.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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“Agile” claims management merges quality, efficiency, and value
Are you or your organization responsible for managing healthcare claims for a specific beneficiary population? If so, chances are that at some point you’ve experienced frustration with segmented, incomplete, or non-auditable vendor invoicing.
It’s not easy to integrate the numerous aspects of your clients’ total care experiences into single, streamlined claims – nor is it effortless to capture and manage data that are sufficiently refined to serve as a predictive body of evidence for your funders’ future planning. But fortunately, Agile Global Health has already tackled these challenges for you. And we’re here to share what we’ve learned.
“Our claims process captures cost transparently and in real time throughout the patient treatment experience, which also frequently includes an international travel component,” said David Spisak, Agile’s Director of Revenue Cycle Management (RCM). “Our global team inputs and tracks 360-degree updates to a patient’s profile to help us manage their experience comprehensively…our single portal, for everything from a new prescription or diagnostic test results to patient praise for their guesthouse accommodations or a relative’s request for assistance with a financial transfer, enables integrated, timely relationship management.” And at the end of a client’s medical journey, it’s from this complete record of service transactions that our system generates an invoice for the funder.
“What the funder or third-party claims manager wants to know is whether our procurement costs are justified,” said Morgan Darwin, Agile Global Health Chief Executive Officer. “The complexity of capturing cost from multiple jurisdictions, multiple currencies, and presenting this information to the funder in a way that quickly assures them they’re buying value…providing clarity to understanding that complexity, that is what Agile has mastered.”
Agile Global Health hired new RCM staff to build and launch its integrated, auditable claims model throughout 2016 and 2017, and the process has already proven successful. “Our reputation for best-in-industry claims management support for services that flow through us is rapidly developing both our procurement and sales operations,” said Mr. Darwin. “The new model has already enabled us to expand client operations in the Gulf, notably in the United Arab Emirates, but also in neighboring nations in which we’ll soon have active agreements. It has also propelled us forward in India, where we’ve developed a preferred tier of partners from among our broader network in order to satisfy the major demand we’ve encountered for this kind of streamlined claims management from the provider side.”
Want to learn more? Our claims management approach may be able to help your organization serve clients more thoroughly and effectively, while also maximizing your investment in their care. Contact us today for a consultation about your needs.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Penicillin & preventing heart disease: what you need to know
Chances are you’ve heard of penicillin: it is the main antibiotic used to treat rheumatic fever (RF), and in fact was the very first antibiotic used in the history of medicine! Today we’ll explore how penicillin’s appropriate and timely use can prevent simple RF from developing into potentially fatal heart disease.
How was penicillin discovered?
It’s an interesting story! Penicillin was discovered in 1928 in London by Dr. Alexander Fleming, who had just returned from vacation and was confronted with the messy lab he’d left behind. He found that a dirty dish in the sink containing the bacteria staph aureus was open, and a blue-green mold had formed in it. Fleming performed further research on the mold, penicillium notatum, and discovered that its presence had inhibited the growth of the staph aureus bacteria. Fleming realized this mold could become one of the most powerful inventions in medical history – a drug to fight infections.
Penicillin was used widely in World War II, where the number of deaths from bacterial pneumonia consequently fell to fewer than 1% of cases, compared to 18% in World War I. Though newer antibiotics have been developed since, penicillin is still widely used for many diseases.
How is penicillin used to treat RF?
All patients with acute RF require antibiotic treatment to reduce the risk of spreading streptococcal virus.
Primary treatment is given upon confirmation of strep throat infection. A single injection of penicillin is the most effective treatment in eradicating the bacteria (streptococci); oral penicillin is then continued for 10 days.
Secondary treatment is a critical step in management of acute RF. Depending on the diagnosis, penicillin can be given as an injection once every four weeks, or as a daily oral tablet.
- If rheumatic fever is present with carditis (inflammation of the heart) and residual heart disease, penicillin is given for life.
- If rheumatic fever is present with carditis but without residual heart disease other than mild mitral regurgitation, penicillin is given for 10 years after diagnosis, or until the age of 25 years.
- If rheumatic fever is present without carditis, penicillin is given for five years after diagnosis, or until the age of 18-21 years.
Can patients develop an allergy to penicillin?
Yes. In 1% of users, allergic reactions are seen, usually in the form of hives, wheezing, and swelling, particularly of the face. Life-threatening allergy, however, is observed in only 0.03 % of cases. Any allergic reaction should be evaluated immediately by the doctor.
Are there alternatives to penicillin in case of allergy?
Yes; two examples your doctor may prescribe are oral sulfonamide or erythromycin.
Under what conditions should penicillin not be used?
Penicillin may be avoided when conditions like breastfeeding, bleeding disorders, cystic fibrosis, kidney disease, phenylketonuria, stomach ulcer, or other intestinal diseases exist. When taking penicillin, be sure to discuss with your doctor the use of drugs like oral contraceptives, other antibiotics, methotrexate, metronidazole, and tinidazole.
Can a patient drink alcohol while taking penicillin?
It is advisable that penicillin users do not drink alcohol, as it can alter the effectiveness of the drug and worsen the side effects.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you
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Meet an Agile Global Health team member: Alex in Charlottesville
Welcome to our blog series spotlighting Agile Global Health team members and their work around the globe! These posts take you inside Agile Global Health so you can get to know our employees as individuals. Whether they’re on the front lines of patient service or immersed in the data analytics that help us drive healthcare improvement on a nationwide scale, we think you’ll agree – they’re pretty amazing people.
Today, we travel virtually to Charlottesville, Virginia, USA to meet Aleksandra “Alex” Golota, Agile’s Senior Relations Manager.
Share a little bit about what do you do in your job. My job consists of finding ways and resources to communicate the story of Agile Global Health to the world. My goal is to have our patients, through those resources, find the information they need in making their treatment decision; for our partners to be credited for their contributions to our work; and to continually establish and manage the image of Agile Global Health worldwide, so that people understand who we are, how we are revolutionizing healthcare management, and how they can be involved.
When did you start working with Agile Global Health? September 2015. I came to Agile after about ten years of working for service-oriented companies that measured success based on happy employees and thankful customers, so the transition to another likeminded organization was natural. What inspired me to make the shift to Agile were its humanitarian aims and achievements. I am so grateful to be part of a company that saves lives and provides people with solutions to their pains, offering them a better life and building stronger local communities.
What is the best thing about working with Agile and your role in the company? Every day I witness team members on different continents and from different cultures working toward the same goal: to serve others and offer them a better life through our medical management. The individuals who make up Agile Global Health couldn’t be more different from one another, but we come together and continually break down communication barriers (even with English being a second language for most of us, myself included!) to support each other and our clients. I don’t know what could be better!
How does what you do affect our patients, partners and the industry? Our patients consider Agile Global Health the trusted manager of their healthcare: what I do documents and shares evidence of this in person, online, and through our partnerships. I help communicate to our partners our ultimate goal – improving lives through healthcare management – and the opportunity to be part of it by working with us. At the industry level, I work to highlight how Agile is paving the way with announcements of our accomplishments, as measured by the number of individuals served who are now living longer and fuller lives, bettering their local societies, and improving the future for themselves and their children. Ultimately, my role builds the credibility of who we are by documenting Agile Global Health’s history, telling the story of today, and shaping the story and role of Agile for the future.
What has so far been your proudest accomplishment at Agile? There are so many! For 2017, I was really proud of the blog post we shared about a five-year-old boy, Joel, who received an open-heart surgery through Kenya’s National Hospital Insurance Fund (NHIF) cardiac program. After his surgery, Joel told our local Agile team that he wanted to be a doctor when he grows up. Even if he does not become a doctor, it is that inspiration that made me pause…this little boy who is now getting better in turn wants to be someone who helps others when he is older. What a great treasure his life is, and will continue to be, to his community!
How do you see our company growing in the future? I see Agile Global Health establishing our services in new geographies, expanding our team with talent from those new locations, and continuing to offer education and treatment to local communities. In particular, as internet access expands to increasingly remote areas of the world, we will be able to reach so many more people who can benefit from our globally-connected care management.
What do you see as the biggest challenge in our future? Being the first of one’s kind is not easy. Agile’s model is completely unique: though we began corporate life as a medical travel facilitator, we no longer work exclusively in that space. What we do as a global healthcare manager is so much broader…so we face the challenge of establishing, and explaining, ourselves as the leader of a new industry without predecessors or peers.
Share a little about your interests and family. Born in Riga, Latvia, my family and I moved to the U.S. in 2001. Today my husband and I are currently building our first (and “forever!”) home on a piece of land we purchased a year and some months ago. It has always been our dream to build and live on our own farm, raising our own animals and vegetables. We chose Charlottesville, Virginia for its natural beauty…no matter where we go we can see the Blue Ridge Mountains. Random fact, three out of the first five U.S. presidents also made this area home! I’m not saying I’ll be president, but you can see that we aren’t the only ones who’ve enjoyed it here over the years. I occupy my free time by cooking meals with seasonal ingredients, chasing after my orange cat Sebastian, and spending time outdoors, hiking or foraging for mushrooms and learning everything I can about plants!
In the photograph above: Agile Global Health’s Aleksandra “Alex” Golota serves as Senior Relations Manager from Charlottesville, Virginia, USA. Photo credit: Alyce Hardee Johnson.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Meet an Agile Global Health partner: Brains Neuro Spine Centre
Agile Global Health is pleased to introduce Brains Neuro Spine Centre. Brains – an acronym standing for Bangalore Regenerating Advanced Institute of Neuro Sciences – joins previously-profiled Artemis Hospital and Sri Ramakrishna Hospital in a group of elite partners within the Agile Global Health network. Let’s get to know Brains, shall we?
Brains is a full-fledged brain and spine care hospital with advanced diagnostic, treatment, and patient management facilities. It is the first private sector super-specialty neuroscience care unit in India, and is committed to providing treatment, rehabilitation, and support to all with neuro-spine ailments.
Founded in March 2017 by globally-renowned neurosciences expert Dr. N.K. Venkataramana, who also guides Brains as its Chief Neurosurgeon, Brains Neuro Spine Centre endeavors to create comprehensive healing by complementing cutting-edge medical research and technology with the time-tested wisdom of ancient Indian knowledge of the brain and spine, and related spiritual practices.
“I started my [medical] practice in 1986, and after completing three decades [in 2016], I wanted to dedicate the rest of my life to neuroscience,” said Dr. Venkataramana at the hospital’s founding. “This pushed me to come up with Brains, a healing chain committed exclusively towards neuroscience disorders. Brains will not only cure diseases but will also create an educational platform on brain. We will train young [doctors] on chronic care and all aspects of brain, which will enable us to overcome existing myths about the magic organ in our body.”
As it prepares to mark one year in operation, Brains has already established a global reputation for treatment excellence. Here’s what some international patients are saying about their experience at Brains Neuro Spine Centre:
“It’s been three days since the surgery, and there is no trace of the headaches that hounded me for so long – after many years I feel free and liberated, happy to be alive, and looking forward to a new beginning, all thanks to the doctors at this hospital.” – Justin from Nigeria
“Our son is free of all the symptoms that plagued him virtually from his birth, thanks to Dr. Venkataramana and his team at Brains.” – Raiyann’s parent from Iraq
Could Brains Neuro Spine Centre be a good fit for your medical needs? Contact your local Agile office today, and our Care Consultants will help you find out!
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Agile patient Lucy Ruto: “Robotic surgery saved my life”
Lucy Ruto, 39, of Mombasa, Kenya has traveled to India with Agile Global Health care management and National Hospital Insurance Fund (NHIF) sponsorship on two different occasions now. On her most recent trip, she encountered a new and personally transformative medical technology: robotic surgery.
Lucy’s moving testimony was recently printed in People Daily, a Media Max Network publication.
“Lucy Ruto had a revolutionary, noninvasive procedure conducted on her after developing a thyroid condition as a result of breast cancer,” the article begins. “It took only eight hours and when she woke up she could eat without any challenges.”
Eager for her experience to reach others whom Agile Global Health might be able to serve, Lucy herself contacted us to ask that we share a link to this article on the Agile blog. Of course, we responded “yes,” with pleasure!
“Lucy is currently scheduled to travel for surgery and further care management,” said Bernard Ademba, Mombasa Operations Officer for Agile Global Health. “For the duration of her cancer treatment, and beyond it during what we hope will be permanent remission, we will be there to support her and to ensure appropriate, timely follow-up on her condition.”
Don’t miss the twist and turns of Lucy’s remarkable story, or her account of her robotic surgery experience. Check out the full article right here!
In the image above: Lucy Ruto, an Agile Global Health patient undergoing breast cancer treatment, had robotic surgery to correct a thyroid problem. Her story was featured in the January 8, 2018 issue of People Daily, published by Media Max Network. Photo credit: Charles Mathai.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Meet an Agile Global Health team member: Lencer in Kisumu
Welcome to our blog series spotlighting Agile Global Health team members and their work around the globe! These posts take you inside Agile Global Health so you can get to know our employees as individuals. Whether they’re on the front lines of patient service or immersed in the data analytics that help us drive healthcare improvement on a nationwide scale, we think you’ll agree – they’re pretty amazing people.
Today, we sit down with Lencer Misiani, Agile Global Health’s Marketing Executive in Kisumu, Kenya. Lencer was recently voted Agile Kenya’s 2017 employee of the year by her colleagues.
When and why did you begin working for Agile Global Health? I recently marked five years as a member of the Agile team, having joined the company in October 2012. I was initially hired as a Care Consultant. I liked the Agile model of patient advocacy, and the fact that I would help solve patients’ problems and assist them in identifying the right care for their medical concerns.
What do you do in your current role? Now, as a marketing executive in my region, I spread the word about all our organization is doing among the many diverse stakeholders whom our mission touches, from patients to healthcare providers, local government agencies to other partners. This includes meeting prospective clients, conducting continuing medical education (CME) events, and addressing insured populations about how their National Hospital Insurance Fund (NHIF) benefits translate into support from Agile Global Health, among other activities. I travel around my region frequently and get to connect with many different types of people and organizations in my work!
How do you see Agile Global Health today, and how do you picture the organization in the future? The company plays a very important role in the lives of individual patients; I look at Agile as a leader in healthcare management both locally and abroad. Agile Global Health is a pace-setter for many other organizations and has the capacity to continue developing its impact globally.
Can you describe an experience in your work with Agile that had a lasting impact on you? One of the many clients I still remember is our patient Florence Ambani, a nurse from Kisumu who suffered from a seemingly incurable wound for 32 years. She had nearly given up after trying different doctors and hospitals, but upon Agile’s facilitating her care at Fortis Malar Hospital under Dr. Balar Kumar, her wound healed. Florence is now leading a normal life. Since her treatment, she has become one of our health ambassadors in her region, helping other patients access life-changing care through Agile Global Health. In fact, Florence gave her testimony publicly in December at Agile’s booth at the National Nurses Association of Kenya’s 2017 annual conference in Mombasa.
Tell us a bit about yourself outside of work. I am a religious person, a born-again Christian. I like singing and reading. I am married, with two sons and a daughter.
In the photograph above: Agile Global Health’s Lencer Misiani serves as our Marketing Executive in Kisumu, Kenya.
In the photograph below: Ms. Misiani with former Agile Global Health patient, Florence Ambani, and other attendees at a 2017 medical camp in Kisumu, Kenya.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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2017 in Review: With Double the Patients, A&K Global Health Becomes “Agile” in Name and Activity
North Carolina, USA – January 23, 2018: Durham-based healthcare manager startup-cum-industry driver Agile Global Health has announced 2017 as its biggest growth year on record, with patient volumes double those in 2016, forays into new markets and local treatment initiatives, and a new procurement model that commoditizes quality healthcare to the benefit of patients as well as providers.
Previously known as A&K Global Health, the company became Agile Global Health last June – an early sign of the significance of its 2017 development and impact.
“For most of our six-year history, Agile Global Health has focused on understanding and then meeting the healthcare management needs of our clients, which range from individuals to insurers and government institutions across the East African and Middle East regions,” said Morgan Darwin, Chief Executive Officer. “The 100% growth in our patient volumes demonstrated our credibility in the market, and gave us a taste of the exponential demand and growth pace that are ahead. 2017 became a year focused on building out scalable systems, processes, and supporting technology to better meet the healthcare management needs of an even broader client base in the years to come.”
In reviewing 2017, three key achievements stood out in the minds of Agile’s leaders. First was the expansion of patient volumes as well as treatment destinations: “We doubled the number of patients we served in 2016, with 53% receiving care in India, and the remainder receiving care in locations across Africa, Asia, Europe, and North America,” said Guy Zahn, Chief Operations Officer.
Second, October 2017 marked the one-year anniversary of the National Hospital Insurance Fund (NHIF) of Kenya’s cardiac surgery program, which Agile Global Health manages and implements. Five hundred and five cardiac procedures were performed under the project in 2017, bringing the initiative’s total procedures to 554. Nearly all these beneficiaries had been on hospital waiting lists before the program began, likely destined to perish before they could receive surgery.
“There are over 500 Kenyan citizens alive today and able to support their families, or grow up to become productive members of society, because of the quality care delivered by Kenyan hospitals, Agile’s meticulous local care management, and the generous funding of the NHIF,” said Dr. Rainer Hilgenfeld, Chief Medical Officer. “Finding a solution with the government of Kenya to save these patients is an incredible humanitarian story, and coordinating their medical treatment through local healthcare providers has increased the clinical capacity of Kenya’s cardiac surgeons and cardiologists considerably…It is just the kind of story we would like to see replicated for other health conditions and in other countries in the years to come.”
The combination of Agile’s growth in both global and local healthcare management engendered its third major shift in 2017, to a new procurement model which provides better value for clients and a more structured and secure funding channel for hospitals. “Agile is shifting to procuring healthcare from our treatment facilities at high volume and optimized prices,” explained Benny Daniel, Agile’s India licensee. “While hospitals benefit from elevated patient volumes, more reliable revenue, and improved margins compared with other sales acquisition channels, patients and sponsors benefit from optimal cost and effective transitions.”
The new approach has already gained traction, with the first 15 clients enrolled under this model before the end of 2017. It’s also sparked interest among insurers and business developers across Agile’s geographical footprint: “Our leaders in the UAE and India are receiving calls from individuals as well as insurance companies. With this ability to offer value to patients and funders alike, we’ve seen a surge of interest in joining the Agile team,” said Mr. Zahn. “It’s not unrealistic to say we’ll soon have licensees in over 20 countries.”
And with expanded markets come new and even larger numbers of patients to serve. “The conservative estimate for 2018 sits somewhere around a 100-200% increase over 2017,” said Mr. Darwin, “with similar growth in 2019.”
“Every year has been a banner year for us, and this kind of growth is necessarily accompanied by challenges. But no matter what adversity we’ve faced, we’ve continued to fight for our values: transparent, ethical support and value to our clients across the healthcare ecosystem. These values remain the foundation for everything Agile Global Health does, and for the growth we welcome in 2018.”
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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NHIF cardiac program comes just in time to save Nairobi woman
Meet Leah Osore of Nairobi, Kenya. At age 51, she became one of more than 500 beneficiaries of her country’s nationwide cardiac surgery program. Like many of her fellow Kenyans served by the National Hospital Insurance Fund (NHIF) initiative, Leah’s case had been waitlisted due to lack of personal funds. With Agile Global Health providing care management and the NHIF lifting the financial burden, Leah underwent her cardiac surgery – a double valve replacement for rheumatic disorders of both mitral and aortic valves – at the Karen Hospital in Nairobi.
Leah’s heart condition began with a sore throat. “I got treated, but shortly after I fell sick again,” explains Leah. “I was diagnosed with pneumonia. I had to be released from work in order to get treatment, but I never got better. I continued coughing and was still unwell.
“I was told about a free screening at a medical camp in Safari Park. After the doctor assessed me, he asked me if I had been told that I have a heart problem, because my heart was enlarged. I was not aware. I was shocked at the news because all along I knew only that I was sick from pneumonia.”
Leah was given medication to continue treating the pneumonia; at the same time, she rallied her courage and discussed her heart condition with her family. “My niece, who works Gurnanak Hospital, organized an appointment for me to do an electrocardiogram (ECG) test. That test revealed so much abnormality with my heart that I was advised to have surgery, which I could not afford at that moment. The doctor at Gurnanak prescribed additional medication to manage my heart condition in the meantime.”
But Leah’s heart condition was worsening; for her, medication could only serve as a temporary measure, giving her a little more time to source funds for surgery. At her next ECG, doctors discovered that one of her heart valves was leaking. A subsequent hospitalization confirmed a second valve leak. Her time was running out.
“My heart became worse by the day, because in as much as I was managing the heart condition with medicine, I need treatment which I could not afford,” Leah lamented. “In January 2017, I received a call from Agile Global Health, who told me about the NHIF @50 Cardiac Program for patients with heart conditions. I was not sure about the information at first,” Leah said, noting her initial doubt. Wasn’t fast, free cardiac surgery that would save her life too good to be true? “I decided to follow up because I’d met another patient during my hospitalizations who had also received a call about the NHIF @50 cardiac program. Luckily, the program was still on, and that is how I started pursuing my treatment. Agile began working on my approval, and I was taken in by the Karen Hospital, where my cardiac treatment was fully funded by the NHIF.
“Agile Global Health followed up on me from the commencement of my treatment to the time I was discharged,” Leah recalls from her experience. “I am very grateful to God, and to NHIF and Agile for the support they have given me.”
In the photograph above: Thanks to NHIF sponsorship and Agile Global Health care management under the NHIF @50 Cardiac Program, Leah Osore of Nairobi received a critical open-heart surgery after months of being waitlisted due to lack of funds. Today, she glows with good health and happily shares her incredible experience with others.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Meet an Agile Global Health partner: Artemis Hospital
Meet Artemis Hospital! Artemis, along with already-profiled Sri Ramakrishna Hospital, is one of a select group of partners within the Agile Global Health network that share our uniquely unwavering commitment to bringing quality, affordable healthcare to all. Let’s explore why Artemis is a great fit for our patients, from the clinical experience to logistics and lifestyle.
Artemis is the flagship hospital of the Artemis Health Science Group. Established in 2007, the 380-bed, state-of-the-art multi-specialty hospital is spread across nine acres in Gurgaon, India. The hospital is equipped with the latest infrastructure for predictive, diagnostic, and therapeutic imaging, and boasts more than 20 centers of excellence and special programs/clinics across all major treatment specialties. Artemis was also the first JCI and NABH-accredited hospital in Gurgaon.
What makes Artemis special within the Agile family? “Firstly, Artemis shares Agile’s strong dedication to reaching patients in need and connecting them to quality care at the right price. Our relationship is naturally cooperative because of this common vision,” explains Benny Daniel of Agile India. “Secondly, because Artemis is a full-fledged tertiary hospital, our patients can find diagnostic and treatment support here for virtually any medical concern or condition. Clinically speaking, Artemis is a versatile choice.”
When Agile (then A&K) Global Health first visited the hospital in 2015, we focused on its capacity regarding our current needs – at that time, transplants, especially for kidney, liver, and bone marrow. As our relationship has grown over the years, our familiarity with Artemis has expanded to include its full complement of departments and specialties.
“To date, Agile and Artemis have jointly served nearly 200 patients from five different countries in East Africa and the Middle East,” reports Yashvi Mudgal, Manager of Patient Services in Agile’s Delhi office. “Through it all, the Agile client experience at Artemis has been consistently excellent.”
So, what is the lifestyle of a patient or attendant like while staying near Artemis Hospital? It includes some conveniences you may not have anticipated. “Within six minutes’ driving distance or less of Artemis Hospital, Agile has three guesthouses that capably serve our patients’ every need,” says Ms. Mudgal. “From offering partial or full board with meals made to our clients’ tastes and dietary preferences, to providing shopping per our clients’ own grocery lists for those who wish to cook for themselves, we make sure our patients are well-nourished throughout their Artemis treatment. We also provide Indian SIM cards to make communication easy. And we facilitate, as necessary for each individual’s case, currency exchange, translator assistance, visa extension, and transportation between Artemis and lodging accommodations.”
Can you picture yourself or a loved one receiving medical care in this environment? If so, contact your local Agile office today to speak with a Care Consultant. And keep an eye on our blog…over the coming months, we’ll be giving you a similar glimpse into the care experience at each of the hospitals that has joined Agile’s group of premier providers. Until next time, friends, be well!
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Meet an Agile Global Health leader: Sridhar in Dubai, UAE
Welcome back to our blog series spotlighting Agile Global Health team members and their work around the globe! These posts take you inside Agile Global Health so you can get to know our employees as individuals. Whether they’re on the front lines of patient service or immersed in the data analytics that help us drive healthcare improvement on a nationwide scale, we think you’ll agree – they’re pretty amazing people.
Today, we talk with Sridhar Venkatakrishnan, who works on Business and Channel Development for the Middle East and Africa regions from his base in the United Arab Emirates (UAE). Sridhar’s role is twofold: within his regional area of responsibility, he works both to bring on board new Agile Global Health licensees, as well as to develop new business.
How did you find out about Agile Global Health initially? I was a banker by profession before moving to the UAE in 2013. During my banking days, I traveled extensively inside African markets, including Rwanda. In early 2014, I was helping one of my contacts to develop his medical travel business in the UAE, and realized there was a huge opportunity for helping people in different countries find the right care at the right time. With this idea in mind, I approached my contacts in Rwanda, one of whom informed me about Agile (then A&K) Global Health and its healthcare management activities in East Africa. I reached out to the company through its website in December 2015, and within a few days had a Skype with Senior Relations Manager Aleksandra Golota, followed by a call with CEO Morgan Darwin. The journey started from there!
What made you decide you wanted to start working with Agile? The top three things that made me decide to join Agile were its humanitarian objective, which is touching many lives; the speed with which its management could understand the potential in the Middle East market; and the trust they had already built through their work in African markets, as well as the trust they showed in my ideas. I have been working with Agile since May 2016.
What is the best thing about working with Agile? The company has a great vision for people around the world who require a helping hand in managing their healthcare, the leaders are very approachable and ever-energetic, and the team truly works as a unit to succeed.
How does what you do affect our patients, partners and the industry? For our patients, the effect of my work is that they are able to receive the right care at the right time. For our partners, my work enhances the commercial aspect of their business while also contributing a humanitarian component. At the industry level, what I do helps call attention to the need for deliberate, intelligent management of healthcare within national markets, rather than just referring individuals to providers beyond their borders.
What effect does your role have on the present and the future of the Agile Global Health? I try to appoint the right partners in Middle East and Africa, and I also reach out to many institutional clients. This is just the foundation for a sound, sustainable, and healthy future for the organization. The dream is to take Agile to at least 25 new countries and create touchpoints with many institutions.
What has so far been your proudest accomplishment at Agile? Finding Agile’s first patient to travel to the Philippines, who traveled from the UAE.
Share a little about your interests and family. My major interest is in connecting with people, building relationships, and developing business. I like the quote by Steve Jobs that “creativity is just having enough dots to connect.” I am married with two children, and my family lives with me in the UAE.
In the photograph above: Agile Global Health’s Sridhar Venkatakrishnan serves as Business and Channel Developer for the Middle East and Africa regions from Dubai, United Arab Emirates.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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“Agile Global Health makes us feel at home away from home”
Agile Global Health has a tradition of keeping home country holidays alive for our patients when they travel for treatment to a country where the occasion is not observed. Christmas 2017 for our Kenyan patients in India was no exception!
“In Delhi, we celebrated Christmas with our Kenyan patients at BLK Super Specialty Hospital and Max Hospital by visiting them and delivering Christmas cakes and Santa Claus hats,” reported Zainul Bashar, Assistant Manager of Operations for Agile’s Delhi office.
Our staff in Bangalore were likewise busy spreading holiday cheer with Christmas cake deliveries.
“All the patients and their family members were very happy,” shared Tabrez Ahmed, Agile’s Bangalore Operations Manager. “They thanked Agile Global Health for the surprise arrangement, and for taking good care of them…they said we make them feel at home even while they’re away from home.”
One of our patients spending this Christmas in Bangalore was Margaret Wanjiru, a veteran client who has traveled with Agile Global Health multiple times over the course of her care management. She had a special greeting for the Agile Global Health family upon receiving our Christmas gift.
“My warmest thoughts and best wishes to all for a wonderful Christmas and a happy new year,” Margaret told Mr. Ahmed. “May peace, love, and prosperity follow you always.”
What a perfect way to begin the new year. To Margaret, and to our patients and partners around the globe, we send our best wishes for a happy and healthy 2018!
In the photograph above: Agile’s veteran patient Margaret Wanjiru (center) and her attendant Rose (right) happily present the Christmas cake delivered to them by Agile’s Tabrez Ahmed (left) during their stay at BGS Global Hospital in Bangalore, India.
In the photographs below: At BLK Super Specialty Hospital in Delhi, our patient Janeth Chebet displayed her gifts with Agile’s Zainul Bashar, while our Kurdish Operations Officer Arjan Saleh posed with our patient Viola Kiplimo as he presented her holiday gifts.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Kenyan nurses credit Agile Global Health with life-saving care
Agile Global Health knows that sometimes even caregivers fall ill and need help. We also know how important it is to get medical professionals, who themselves care for other people day in and day out, back up and running when they’ve had a health challenge!
Our success in supporting nurses was front and center as we attended the Annual Scientific Conference of the National Nurses Association of Kenya (NNAK) at Sai Rock Hotel in Mombasa from December 6-8, 2017.
The NNAK is a professional association representing all cadres of nurses in Kenya, drawn from all practice settings as well as from educational and research institutions. Established in 1968 with branches in all 47 counties across the country, the association exists to promote excellence in nursing and midwifery practice.
NNAK invited Agile Global Health to partner during this year’s event, the association’s 59th annual meeting. “A total 1,500 nurses from across the country attended the conference,” said Bernard Ademba, Mombasa Operations Officer with Agile Global Health. “Many of them had the opportunity to visit the Agile exhibition booth, to understand what we do and how our services in managing healthcare benefit individuals, insurers, and Kenya on the whole, as a healthcare system and as a nation.”
Some nurses approached the Agile booth with this awareness already firmly in place, as a matter of nothing less than first-hand experience. “One of our former patients, Mrs. Florence Ambani – a nurse in Kisii – visited our stand and gave a testimony on how meeting Agile Global Health saved and changed her life for the better. She also talked enthusiastically about how she is now one of our health ambassadors in her region, helping other patients access healthcare through Agile Global Health,” reported Mr. Ademba. “We also met Mr. Seif Salim, a nurse at Portreitz Hospital in Mombasa. We facilitated treatment for his spouse at Fortis Memorial Research Institute in Gurgaon, India in 2015; he was there to share his whole family’s appreciation.”
“Nowhere could it have been plainer to see that Agile keeps Kenya healthy by serving the individuals who make up our society,” said Reuben Kangogo, Kenya Operations Director. “In this case, the outsized impact of each patient’s return to wellness was particularly powerful, as our work to help nurses heal in their own right has in turn enabled these professionals to continue their care and service to their fellow citizens.”
In the photograph above: The conference hall is packed with attendees at the recent annual meeting of the National Nurses Association of Kenya (NNAK), to which Agile Global Health was invited as a partner.
In the photograph below: Bernard Ademba (left), Mombasa-based Agile Global Health Operations Officer, is pleased to receive a visit from Florence Ambani (right), a nurse in Kisii and a former Agile patient, who now encourages others to pursue healthcare management with Agile after her healing experience.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Screening for Rheumatic Heart Disease
Rheumatic heart disease (RHD) is a chronic heart condition caused by rheumatic fever. Undiagnosed or untreated, RHD can cause debilitating and even fatal damage to the heart. But with early detection, RHD can be effectively managed. Today we’ll talk about how to do that: through RHD screening.
Why is screening for RHD important?
At its most basic, screening for RHD is important because undetected, untreated RHD can be deadly. Screening at the appropriate time is key to minimizing the damage to the heart that results from RHD: if RHD is discovered early, by screening patients with a history of strep infection and rheumatic fever, diagnosed individuals can be started on antibiotics that prevent further damage to the heart. If patients with RHD are not screened on time, they may present to the physician only when their disease has reached an advanced stage, at which point cardiac surgery is the only treatment option.
Because RHD causes high-risk pregnancy and delivery, its early detection is particularly important in women.
In sum, screening for RHD creates an opportunity to stop the disease from advancing, avoiding additional complications and preserving a better quality of life.
Who should be screened?
- Children from 8–18 years of age
- Pregnant women with a history of rheumatic fever, strep throat, or heart disease
How is screening performed?
A portable echo machine, as pictured below, is used to examine the heart valves and detect signs of RHD. A trained medical professional looks at the heart valves in the so-called “four chamber-view.” The test may take up to one minute. If any abnormality is detected, the patient is advised for further follow-up.
Patients whose echo reveals clinical RHD may be advised to begin secondary prophylaxis, usually consisting of a monthly penicillin dose. Patients with subclinical RHD may be advised to report sore throat, fever, or joint pain – all potential indicators of disease advancement – to their physician or hospital.
Where can I go to be screened?
We’re glad you asked! Agile Global Health regularly partners with healthcare providers to deliver medical camps and other screening opportunities. Follow us on social media to be in the know about these and other events!
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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“What I’ve learned from Agile Global Health”
As an interpreter, Razhan Mirwaysi of Kurdistan, Iraq knows the nature of his work is to help others, primarily by easing communication with his multilingual skillset. But appreciating the importance of his work still did not prepare him for the life-changing encounters he recently experienced while supporting Agile Global Health’s Kurdish patients as they underwent medical treatment in India.
In an email to Agile Global Health after his return home to Kurdistan, Razhan conveyed one of his most memorable experiences working with us, as well as a set of values that his work with Agile impressed upon him.
“Razhan’s dedication while bringing home to Kurdistan a donor – a female child – from India was truly touching,” said Ankur Gupta, Agile’s India National Manager in New Delhi. “Issues with airlines forced them to spend three days in the Basra and Baghdad airports.” Razhan remembers the challenging situation well: after the already-demanding experience of traveling abroad to serve as a bone marrow donor for a family member’s cancer treatment, the little girl had only the interpreter to escort her home – and their journey quickly became fraught with political, logistical, and weather complications. “What was hardest of all about having this child with me was being afraid about something happening to her, after her family entrusted her to me…All in all, she was with me for three days. I took care of her every need, from sleeping to eating, coming and going, everything, just like a father. Although I faced difficulty at checkpoints given that I’m not her relative, I was able to reach Kurdistan with her safely and personally deliver her to her family.”
In his email, Razhan also specified key lessons he’d taken away from his time working with Agile Global Health.
“What I have learned here:
- Have patience.
- Work as if you work for yourself, not for someone else.
- Be truthful.
- Do your best in every situation.
- Think wisely.
- Be positive.
- Help, even if it is out of your duty.
- Be loyal to our patients.”
We at Agile Global Health couldn’t ask for a better summary of the values each one of our global team members upholds every day. “Razhan’s story sheds light on the great lengths to which all Agile team members go to support our clients in their hour of need,” said Morgan Darwin, Agile CEO.
Said Razhan, “I extend my gratitude to Agile Global Health’s India and Kurdistan offices for granting me a chance to visit India as an interpreter and serve humanity.”
Agile’s Mr. Gupta concluded: “Thank you to Razhan for sharing these touching experiences. Your selfless and thoughtful support to our patients and their attendants will not soon be forgotten.”
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Why facilitation is not enough: Agile Global Health leads workshop at Temos International Conference
North Carolina, USA – December 21, 2017: From December 3rd-5th, Agile Global Health was privileged to participate in and guide discussion at the 8th annual Temos International Conference, “Healthcare Abroad and Medical Tourism,” in Düsseldorf, Germany.
At last year’s summit, Agile Global Health leadership attended as a Temos-certified partner and featured panelist; during the event, the company was also awarded Diplomatic Council recognition. This year, Agile was invited to facilitate a workshop as a prominent thought leader in healthcare management.
Along with fellow Temos-certified medical travel facilitator France Surgery, Agile Global Health led a workshop on the theme of quantifying the role of facilitator. The focus was on the management functions and expertise inherent to successful pre-operative, peri-operative, and post-operative outcomes.
“Agile Global Health and France Surgery share the vision that sending medical travelers to a certain healthcare provider should be based on robust data about past performance of the provider, as well as on previous vetting,” said Dr. Rainer Hilgenfeld, Agile’s Chief Medical Officer and one of the organization’s leaders who facilitated the Temos workshop. “The workshop showed that even two very different facilitators – different because France Surgery receives patients in France and distributes them to its network of hospitals, while Agile sends patients to the most suitable provider among our network of hundreds of hospitals worldwide based on the affordability and availability of appropriate healthcare solutions as close to the patient’s home as possible – agree that medical travel should be more than just repeatedly sending patients to the same hospital where the facilitator has a contact, as is often the case in the business today.”
Said Morgan Darwin, Agile Global Health’s CEO, “We strongly believe there need to be reliable, respected standards of accountability and transparency. The role of management is critical to patients…even if they travel to a good hospital, it’s still expert management that gets them the best care at the best value, as quickly as possible, and returns and reintegrates them skillfully into their home healthcare system. That’s one reason we love participating in this kind of event: it’s a chance to really drive home for others in the healthcare sector the message that facilitation is not enough, and that real, meaningful healthcare management is a much more complex offering needed globally.”
“Many thanks to our speakers, chairs, workshop moderators, exhibitors, participants, and colleagues from all over the world for their great contributions and a successful conference 2017,” posted Temos on its Facebook page following the event’s conclusion. “Congratulations to the Diplomatic Council-awarded hospitals, clinics, and medical travel coordinators!”
In the photograph below: Morgan Darwin, CEO of Agile Global Health, guides a workshop at the recent Temos International Conference in Düsseldorf, Germany.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Meet an Agile Global Health partner: Fortis Hospitals
Welcome to the Agile Global Health blog! We’re glad you’re here.
Today’s profile highlights a special part of the Agile Global Health hospital network: Fortis Healthcare of India. While Agile works with individual hospitals in all regions of India, the Fortis group itself has a nationwide presence through its family of hospitals which bear the Fortis name.
“The brand Fortis was established in 1996 by our Founder/Chairman, the late Dr. Parvinder Singh, who instituted it with the vision ‘to create a world-class integrated healthcare delivery system in India, entailing the finest medical skills combined with compassionate patient care,’” the group’s website explains. “We have grown from the first hospital at Mohali (Chandigarh), which opened in 2001, to over 55 facilities today. From North to South, East to West, Fortis truly has India covered – the frontier city of Amritsar, Ludhiana, Mohali, the National Capital region, Mumbai, Bangalore, Mysore, Chennai, Kolkata, and many more destinations are all home to Fortis facilities.”
Agile is no stranger to the Fortis group’s wide reach, geographically as well as in terms of the specialty care breadth. Since 2014, we have worked with nine different Fortis locations to serve the treatment needs of over 300 clients from Djibouti, Ethiopia, Iraq, Kenya, Rwanda, and South Sudan. Oncology, neurology, cardiology, orthopedics, and liver and kidney transplants have been the most common treatments pursued by our Fortis patients, though the multispecialty hospital group offers care for the full complement of health conditions as well.
Agile is most active with the Fortis Memorial Research Institute (FMRI) in Gurgaon, the hospital group’s flagship location. According to the Fortis website, FMRI was ranked second in a global study of the 30 most technologically advanced hospitals worldwide. And in addition to receiving our patients from abroad, Fortis Healthcare has sent its specialists to offer medical camps outside India in partnership with Agile Global Health.
What values characterize Fortis Healthcare’s relationship with Agile Global Health? Put simply, “Fortis’s management is cooperative,” said Yashvi Mudgal, Patient Services Manager for Agile Global Health in New Delhi, India. “They always support us and interact with us as a partner.”
A teamwork-oriented, collaborative relationship, based on a shared dedication to saving and enhancing lives – that’s the Agile and Fortis partnership. Here’s to three fruitful years with over 300 lives touched, and many more to come!
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Agile invited as live witness at NHIF-sponsored cardiac surgery
As implementer of Kenya’s National Hospital Insurance Fund (NHIF) cardiac surgery program, Agile Global Health is intimately involved in every aspect of the program’s administration, including clinical management. It was therefore a special honor when one of the program’s treating hospitals invited us to witness an open-heart surgery live, based on our keen interest in understanding the holistic process of our patients’ treatment journeys.
The client, a 51-year-old woman from Nairobi, had been diagnosed with rheumatic disorders of both the mitral and aortic valves. With sponsorship from the NHIF @50 Cardiac Program, she underwent a double valve replacement surgery at The Karen Hospital on November 2, 2017. Agile Global Health’s Public Relations and Communications Officer Eva Gulavi attended and witnessed the entire five-hour open-heart surgery in person.
“I told our patient that I was going to be there through the whole process and record it through photos and video,” shared Ms. Gulavi. “It was so amazing when she woke up in the ICU after her surgery that she was asking the people around her if her surgery was already done…she had been at such peace and without any pain that she could hardly believe it was already over!”
“The surgery was quite something,” continued Ms. Gulavi. “I saw the damaged heart valves as they were removed and replaced with the plastic ones. This surgery came in good time, too, because our client had a few big clots of blood which were also removed. It could have been very bad for her if she had been forced to wait on a waitlist to undergo this procedure. Once again, the cardiac program really came through.”
Less than two weeks after this client’s surgery, Agile Care Consultant Phylis Wanjiru paid her a visit at The Karen Hospital. “She was in high spirits, as she was being discharged home that day,” reported Ms. Wanjiru. “She was progressing well in her recovery, and was very happy with the services offered by Agile Global Health, the NHIF, and The Karen Hospital. She even invited us to follow up on her next appointment or to visit her home.”
Stephen Masinde, Agile’s Kenya National Director, acknowledged the honor represented by our invitation to be present during a surgery. “The Karen Hospital’s invitation, and our client’s consent, is a testimony to their confidence in our support and their desire for Agile to be fully involved with every step of the cardiac surgery experience,” said Mr. Masinde. “We are pleased and humbled to have been able to journey with a client in this special way.”
In the photograph above: The Karen Hospital’s cardiac surgery team performs a double valve replacement, sponsored by the NHIF @50 Cardiac Program. This image was captured by Agile Global Health’s own Eva Gulavi, who was invited to be a live witness during the five-hour open-heart surgery.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Strep throat and your heart: Part II
Previously on this blog, we’ve discussed what streptococcal sore throat is, how it’s related to cardiac health, and its causes and symptoms. Today, we’ll focus on strep throat’s diagnosis, treatment, and prevention.
What diagnostic methods are used?
A complete physical examination is a common way to identify strep symptoms. Two tests help to confirm the diagnosis:
- The rapid antigen detection test (RADT) involves taking a swab of the throat and tonsils. RADT can provide results within minutes but it is not as precise as a throat culture.
- A throat culture is the definitive test for a strep throat infection. The results usually take 24-48 hours to come back.
If the RADT is negative but a patient displays symptoms, a throat culture will be used to confirm the diagnosis. If the RADT is positive, however, a throat culture is generally not performed, and the patient is started on treatment immediately.
What is the treatment?
Medical Management: In order to avoid potentially serious complications, strep throat should be treated with antibiotics as promptly as possible. Antibiotics used to treat strep throat include:
- Penicillin V and Amoxicillin – given as tablets for 10 days
- Benzathine Penicillin G – given as a single dose of injection
- Erythromycin – given as tablets as an alternative for people who are allergic to penicillin
Other treatment aids include:
- Salt water gargle (half teaspoon of salt to a cup of warm water) and throat lozenges, to provide relief from throat pain
- Analgesics (painkillers) prescribed by the doctor to relieve pain and reduce fever
The specific antibiotic required and the dosage depends on the condition of the patient, and is decided by the treating physician on a case-by-case basis. With oral antibiotic treatment, the full 10-day course must be completed. Even if symptoms resolve after two to three days, to ensure that the infection does not return and to minimize the risk of developing rheumatic fever and kidney disease, it is mandatory to complete the course of treatment.
Surgical Management: A tonsillectomy, or surgical removal of the tonsils, may be recommended for people who experience recurrent strep throat infections.
What are the preventive measures?
Simple steps to help prevent the spread of strep throat include:
- Covering the mouth and nose with a tissue when sneezing or coughing
- Frequent and thorough washing and drying of hands
- Avoiding close physical contact with an infected individual
- Once strep throat diagnosis is confirmed, staying home for 24 hours after starting antibiotic therapy.
Image credit: A.D.A.M. Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Agile’s outreach on healthcare coverage welcomed in western Kenya
Agile Global Health has a worldwide reputation for expert healthcare management, repeatedly delivering clinical excellence and uncommonly high patient satisfaction through our transparent, customer-oriented solutions. And we don’t just do this work – we also get the word out about our work to individuals who may be unaware that their health insurance covers our services.
Our knack for public advocacy as well as effectively directing all care needs we encounter to the right treatment for each individual case has earned us a new moniker – that of “benevolent master aggregator” of healthcare options, within and across national borders.
A recent illustration of this took place in western Kenya’s Kisumu County, where many public servants are newly insured by the country’s National Hospital Insurance Fund (NHIF), yet are unaware of the benefits of their coverage. Importantly, their health insurance now includes Agile’s management of medical treatment needs both in Kenya and, as appropriate, overseas.
On November 15, our Kisumu Marketing Executive Lencer Misiani addressed a large audience at Kodiaga Prison on this very subject.
“The disciplined services are now covered by the NHIF, whereas last year they were covered by another insurer,” said Ms. Misiani. “Many of the personnel were not fully aware of Agile’s role in facilitating their new NHIF benefits. I did a presentation to help them understand who we are and how we serve their healthcare needs through the NHIF.”
The staff at Kodiaga Prison is not alone. “In this region, almost all departments are affected,” explained Ms. Misiani, “including health departments and the county government. This is due to the changes in command at the county level and the subsequent strike of nurses, CEOs, and doctors.”
So great is the need for information about Agile’s healthcare benefits, now available under the NHIF’s comprehensive cover, that our national director Stephen Masinde visited the regional office in Kisumu last month to discuss an outreach strategy.
“In light of these changes and the realization of widespread demand for current, detailed information about Agile’s role in providing healthcare options through the NHIF, we will be reaching out to other counties as well to ensure this information is available to all who need it,” said Mr. Masinde.
Added Morgan Darwin, Agile Global Health’s CEO: “We’re being recognized as the benevolent master aggregator that commoditizes healthcare within and across borders, to the benefit of hospitals and patients alike. We help the quality hospitals that make up our network, both in Kenya and abroad, run at their highest occupancy possible by ensuring all covered patients are aware of their benefits and how to access them. With this knowledge, these beneficiaries consume healthcare more regularly. Greater patient volumes reinforce clinical excellence, drive down prices, and build a healthier population. In this way, Agile delivers a best-value treatment experience for individuals, as well as for insurers like the NHIF which sponsor care.”
In the photograph above: Lencer Misiani, Agile Global Health’s Kisumu, Kenya-based Marketing Executive, addresses the officers of Kodiaga Prison regarding their healthcare coverage under the NHIF comprehensive cover, including sponsorship for local and international treatment and medical management through Agile Global Health.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Meet an Agile Global Health team member: Gratien in Kigali
Welcome to our blog series spotlighting Agile Global Health team members and their work around the globe! These posts take you inside Agile Global Health so you can get to know our employees as individuals. Whether they’re on the front lines of patient service or immersed in the data analytics that help us drive healthcare improvement on a nationwide scale, we think you’ll agree – they’re pretty amazing people.
Today, we chat with Gratien Twizeyimana, our Kigali, Rwanda-based Representative and Regional Manager for Rwanda, Burundi, and the Democratic Republic of the Congo (DRC).
How did you find out Agile (A&K) Global Health initially? I found out about then A&K Global Health through a friend in Nairobi, Kenya, who was doing a postgraduate medical training at Kenyatta University.
What made you want to work for us? I decided to work with Agile in order to help provide access to healthcare that was/is otherwise unattainable in the East Africa region. I have been working for Agile Global Health since 2013.
What is the best thing about working with Agile in your role? It’s a fantastic journey and continual learning experience! The opportunity to collaborate with each member of Agile’s global family, and the good work we’ve completed together to save many lives and improve many others, has also been a great personal experience for me. I’ve gained friends in our Sales Management Center, Treatment Management Center, and Destination Management Center, all in India, as well as in our U.S.-based corporate headquarters.
What makes you excited about continuing to work for Agile? Apart from continuing to assist the people of this region in accessing healthcare and helping save clients’ lives, I am excited about remaining with Agile “family” because of the support I receive from everyone in the company. In many ways, the influence of Agile Global Health has enabled and shaped the building of my own life. Because of the many medical professionals and leaders I’ve met in my work, I decided to go to medical school. I wanted to have more knowledge about medical conditions and the problems of public health in order to seek solutions related to healthcare. I am in the Doctorate III with two years remaining to be graduated as a medical doctor.
Wow! When you aren’t working or studying, what do you enjoy doing? Watching movies, reading the Bible, and spending time with family and friends during the weekends are some of my hobbies.
In the photograph above: Agile Global Health’s Gratien Twizeyimana serves as Representative and Regional Manager for Rwanda, Burundi, and the DRC from Kigali, Rwanda.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Meet an Agile Global Health partner: The Karen Hospital
Welcome to the second blog in our series presenting the Kenyan hospital partners who are boldly implementing Kenya’s National Hospital Insurance Fund (NHIF) cardiac surgery program. Today we visit The Karen Hospital, a multi-specialty facility in Kenya’s capital, Nairobi.
More than three decades ago, founders Dr. Dan Gikonyo and Dr. Betty Gikonyo – both renowned cardiologists of world-class repute – had a vision of setting up one of the first indigenously-owned, ultramodern healthcare facilities in eastern and central Africa. On January 3, 2006, their vision was realized and The Karen Hospital opened its doors to the public.
As a private healthcare provider, the hospital complements the government’s efforts in providing much-needed services, including emergency and critical care, acute medical and surgical services, diagnostics, rehabilitation, mental health, and palliative care, as well as undertaking research and educating the next generation of healthcare professionals.
Karen’s cardiac program is a flagship of the hospital. It is one of the most active in Kenya, with frequent diagnosis, treatment, and rehabilitation of persons with cardiac and vascular diseases. The hospital offers a full range of cardiac services, from emergency treatment of heart attack and heart failure to management of heart diseases, surgery, and rehabilitation. Cardiac procedures are carried out in Karen’s outpatient specialist cardiac clinic as well as in its state-of-the-art catheterization suite with the aid of 2D digital equipment.
In 2016, The Karen Hospital joined the NHIF and Agile Global Health as a facility partner of the “NHIF @50” cardiac program. The program was established to reduce the backlog of heart patients in public hospitals awaiting surgeries: at its outset in October 2016, there were more than 1000 Kenyan citizens on such waiting lists nationwide.
The cardiac surgery program, funded by the NHIF and implemented and managed by Agile Global Health, has so far provided more than 600 cardiac patients with care management and intervention, including over 350 open-heart surgeries. More than 140 of the program’s cardiac cases have been treated and managed at The Karen Hospital.
“The Karen Hospital has been an outstanding partner throughout the NHIF @50 cardiac program, performing hundreds of life-saving interventions as part of this effort,” said Stephen Masinde, Agile’s Kenya National Director. “Beyond the cardiac program, the hospital also shares numerous core values with Agile Global Health. These include a dedication to local clinical capacity building and continuing medical education (CME), specifically through The Karen Hospital Medical Training College (TKHMTC); corporate social responsibility, through the Heart to Heart Foundation, the hospital’s charity wing; and continuous improvement of care quality, facilitated by regular training and exchanges with medical experts from around the world.”
We’re pleased to partner with The Karen Hospital, and look forward to working together to deliver quality cardiac and other care right here in Nairobi for years to come.
In the photograph below: The Karen Hospital’s cardiac team conducts an open-heart surgery as part of the NHIF @50 cardiac program.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Strep throat and your heart: Part I
What is strep throat?
Strep is short for streptococcus, a type of bacteria. Streptococcal sore throat is a bacterial infection that causes inflammation and pain in the throat.
How is strep throat related to my heart’s health?
Strep is a common infection, but a progressed case can cause serious damage to vital organs, including the heart and kidneys. Undiagnosed or untreated strep can cause acute rheumatic fever, which may develop into rheumatic heart disease. Screening for strep infections and treating them promptly is therefore a powerful preventive step to protect you and your family against cardiac disease.
Who is affected, and how?
Strep most commonly affects children and adolescents ages 5-15, and is rare in children under three years old. Parents of school-aged children and adults who are often in contact with children have a higher risk of developing strep throat than adults who are infrequently exposed to children.
Strep throat spreads from person to person, usually by close contact through the saliva or nasal secretions from an infected individual, mostly while coughing, sneezing, etc. It is frequently spread where individuals are in close proximity to each other, as in schools, college campuses, military barracks, day care centers, and family households.
Food-borne outbreaks, pets, or household items like toys are a very uncommon mode of transmission.
When should I see my doctor?
As soon as any of the below symptoms are observed, you should see a doctor to be tested for the strep bacteria.
- Sore throat and swollen lymph nodes in the front of the neck
- Painful swallowing or difficulty breathing
- Fever and joint pains, especially lasting longer than 48 hours
- Tiny red spots (petechiae) on the roof of the mouth
- Headache, stomach pain, nausea, or vomiting – especially in children
I’ve seen the doctor, tested positive for strep, and received antibiotics. Now what?
To prevent the spread of strep infection, it’s important to understand how long strep patients remain contagious – even after receiving treatment.
- Patients with strep throat continue to be infectious until they have been on antibiotics for at least 24 hours.
- Patients infected with the bacteria who do not take antibiotics will continue to carry and spread the bacteria for up to three weeks, even in the absence of symptoms.
- It is possible to test positive for strep bacteria without having any symptoms. This makes someone a “carrier.” Though treatment is not typically necessary for carriers, it is important to identify them, as they could be repeatedly spreading active infections to family members.
Remember, strep throat is a mild infection, but early detection and treatment can mean the difference between a short course of antibiotics and irreversible health damage, especially to the heart. Know the symptoms and be proactive in getting tested and treated!
Image credit: A.D.A.M.Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Woman’s gratitude is emblematic of Agile’s individual impact
Everything global begins locally. At the heart of an organization of any size are people, and it’s the effort of these individuals – many, many individuals, all working together toward something bigger than their isolated roles – that creates widespread impact.
We at Agile Global Health know this well. “Global” is in our name, and it’s an apt descriptor of our worldwide patient reach, care network, and logistical dexterity. But the building blocks of our international impact are the millions of daily person-to-person exchanges that constitute our team’s work. Just ask Linah.
Since 2000, Linah Anzazi of Mombasa, Kenya had experienced severe lower abdominal pains. Numerous test, surgeries, and therapies pursued with her local doctors over the 17 intervening years proved unsuccessful in resolving her ailments. Finally, in June, Linah met with Agile Global Health to seek another opinion.
Linah chose to put her trust in our Care Consultants in Mombasa. With sponsorship from Kenya’s National Hospital Insurance Fund (NHIF), Agile began managing her case, and arranged for her to travel to BLK Super Specialty Hospital in New Delhi, India.
After so many years of inconclusive tests and treatments, the swiftness of Linah’s healing in India was almost unbelievable. The day after she was received in New Delhi by Agile’s Operations Officers, she consulted both neurosurgeon Dr. Puneet Girdhar and gynecologist Dr. Poonam Khera, who together diagnosed her spinal stenosis and developed a treatment plan. Linah underwent two successful surgeries, was prescribed take-home medications, and advised to return for follow-up in six months.
Just three and a half weeks after her departure, she was home in Mombasa once again. And three weeks after her return, she was back in Agile Global Health’s office – this time, to celebrate.
“Our patient Linah visited our office to appreciate our wonderful service in person,” said Bernard Ademba, Mombasa Operations Officer. “She presented our team with a cake and a heartfelt thank-you card.”
“Everyone in our company is a critical team member in providing healthcare as fast as possible to our patients, maximally reducing suffering. It’s the individual who makes the difference in everything we do,” said Morgan Darwin, Agile’s CEO. “Linah’s gesture of gratitude points to how Agile’s untiring, personalized support to our clients enables someone like her to leave behind decades of pain and uncertainty and put faith in the ability of the Agile team members she met to help her find healing. We are all individuals supporting other individuals: it’s the sum of all our very localized efforts that collectively generate our global success.”
In the photograph above: Agile Global Health’s Mombasa team members are presented with a cake by our patient, Linah Anzazi, in a show of her gratitude.
In the photograph below: Linah’s thank-you card to Agile Global Health.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Meet an Agile Global Health leader: Rainer in Düsseldorf
Welcome back to our blog series spotlighting Agile Global Health team members and their work around the globe! These posts take you inside Agile Global Health so you can get to know our employees as individuals. Whether they’re on the front lines of patient service or immersed in the data analytics that help us drive healthcare improvement on a nationwide scale, we think you’ll agree – they’re pretty amazing people.
Today, we sit down with Rainer Hilgenfeld, Chief Medical Officer, in Düsseldorf, Germany. Dr. Hilgenfeld is a physician by training and board-certified for internal medicine in Germany. After working for 10 years in the German healthcare system, he obtained a Master of Public Health from Johns Hopkins University in Baltimore, Maryland, USA, and has since focused on quality improvement in healthcare in various settings and functions. He joined Agile Global Health in 2013.
What made you decide to come to work for Agile? I felt that with this company I could really make a difference in the lives of the many people who don’t have access to state-of-the-art healthcare, be it for geographical or financial reasons. I hope to impact the lives of as many of our patients as possible in a positive manner, whether I have met them in person or not.
Share a little about what do you do in your job. As leader of the medical team, it is my duty to defend patients’ interests and protect their health, as much as this is possible remotely. We physicians in the company monitor all medical aspects of our operations, be it choosing the appropriate healthcare provider for the patient, vetting potential partner hospitals and physicians, or making sure the patient reaches the hospital unharmed and only travels when this does not endanger health. For Kenya’s cardiac surgery program, which Agile Global Health implements for that country’s National Hospital Insurance Fund (NHIF), this monitoring also includes measuring patient clinical outcomes as well as the performance of the hospitals and physicians treating them.
What has so far been your proudest accomplishment at Agile? I feel that the NHIF’s cardiac surgery program, initiated a year ago in Kenya and managed by us, was a revolutionary step for that country and the whole region, increasing local capacity for doing cardiac surgeries and interventions while at the same time showing maximum transparency and accountability through the collection of clinical performance data. It is my understanding that this is the first time this sort of collaboration between a private company and a national health insurance fund has taken place with the explicit goal of ensuring good medical care in a developing country at acceptable cost, while at the same time evaluating medical outcomes. The next logical step for Agile is to initiate screening for rheumatic heart disease and other cardiac defects in children in East Africa. If this next project is as successful as the cardiac surgery program, it will change the fate of thousands of young Africans who will finally have a chance to grow into productive members of society because somebody took care of their health needs in a comprehensive, competent manner.
What is the best thing about working with Agile and your role at the company? I tremendously enjoy working with so many dedicated people from various countries, cultures, and religious backgrounds, all giving their best every day for the goals and ideals that we share. I am especially grateful for the dedication that my fellow medical officers in our medical hub in Bangalore, India, show for their work in guiding our patients safely through the process of receiving care. They make my job very easy.
Share a little about your interests. I like traveling, so this is my kind of job! In addition, I like to see and understand how medicine is practiced in other cultures and countries, and feel that we can always learn something from each other. Many challenges are identical across health systems, regardless of country or region of the world.
In the photograph above: Agile Global Health’s Dr. Rainer Hilgenfeld serves as Chief Medical Officer from Düsseldorf, Germany.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Agile Global Health teams with VB Health Solutions to form Agile India
North Carolina, USA – November 15, 2017: In a strategic move to expand its presence, partnerships, and competitive healthcare offerings in India, U.S.-based international healthcare manager Agile Global Health has teamed with the Indian firm VB Health Solutions to create Agile India.
Chief Executive Officers Morgan Darwin of Agile Global Health and Benny Daniel of VB Health Solutions signed the formal agreement establishing this collaboration on September 25, 2017 in Durham, NC, USA.
Agile, which began life in 2011 as medical travel firm A&K Global Health, has grown into a healthcare management company with deep expertise in cross-border treatment. India has been the top destination for Agile clients in East Africa and the Middle East since its founding. In 2017, Agile experienced 100% growth to the number patients it manages through the Indian healthcare sector; the company is on track to more than double this growth rate in 2018. The partnership with VB Health Solutions will help Agile build procurement and sales operations commensurate with the needs of its ever-expanding volume of India-bound clients.
“I am very pleased to announce that my longtime friend and colleague, Benny Daniel, has joined Agile Global Health,” said Morgan Darwin, Agile CEO. “Benny will initially lead the growing opportunities in India related to procurement and sales operations, eventually guiding the consolidation of procurement, sales, and patient operations into a unified effort of excellence. Benny has a great vision for this, one that aligns with our goal to create value for the patient and funder while also benefiting our hospital partners.”
“VB Health is partnering with Agile Global to optimize cost for people seeking healthcare in India, while still sustaining care quality and managing disease outcomes,” said Mr. Daniel. “Under this partnership, VB will add value in managing the procurement of healthcare from Indian hospitals at high volume and optimized prices. While hospitals will benefit from elevated patient volumes, more reliable revenue, and improved margins compared with other sales acquisition channels, patients and sponsors will benefit from optimal cost and effective transitions.”
Agile India envisions working with hospital medical travel programs in all stages of development. From hospitals not currently receiving international patients, but which have the capabilities and vision to enter the medical travel space, to those already established in international business but looking for scalable and enhanced margins, Agile India will create opportunities for client acquisition and expansion. Technology plays an important role as well: through its use of the Orsalus Exchange (OEX) platform, Agile India enables seamless patient servicing, clinical outcome and disease cycle management, and claims generation and tracking.
“Our timely and well-reconciled claims system, residing within the OEX platform, enables us to pay service providers with a much shorter turnaround time,” Mr. Daniel explains. “We have structured a standardized, scalable claim settlement model that delivers hospitals greater ease in receiving payments.” This tool also serves as a data repository for future prospective patients to evaluate the market-wide care and cost outcomes of India as a treatment destination.
Through Agile India, Agile Global Health additionally aspires to continue its industry leadership, in this case by enabling small-time players in medical travel with the right guidance, technology, and financial support to ensure they have scalable and sustained margins for their business. “Supporting such entrepreneurs to create financially rewarding business models will contribute to the emergence of a robust, standardized business ecosystem for medical tourism in India – an ecosystem essential to the sustainability of India’s medical travel market,” explained Mr. Daniel.
In the photograph above: From left to right, Agile Global Health corporate leaders Guy Zahn, Gautham Venkat, David Spisak, and Morgan Darwin with Benny Daniel of VB Health Solutions following the signing of a business partnership agreement between the two companies in Durham, NC, USA.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Cardiac Care 101: Intro to Screening & Preventive Care
The past 12 months of managing Kenya’s National Hospital Insurance Fund (NHIF) cardiac surgery program have been a breathtaking whirlwind of delivering life-saving cardiac interventions to Kenyans in incredible need. This bold program, designed to relieve the backlog of cardiac patients on hospital waitlists in need of surgery, has saved and improved many hundreds of lives and positively impacted Kenya’s healthcare system nationwide.
Throughout Agile Global Health’s administration of the program’s first year, we have augmented our work on the ground by publishing dozens of articles on topics related to treating cardiac disease. Today, we’re making a shift in our “Cardiac Care 101” series to reflect a critical lesson we’ve taken from the cardiac surgery program’s first year: curative saves, but preventive eradicates.
“Agile Global Health is proud to be part of the NHIF’s answer to existing cardiac disease in Kenya, which is to provide necessary treatment, including surgery,” said Morgan Darwin, Agile’s CEO. “But treatment of any disease is an inherently reactionary approach. While treatment can address the problem effectively, prevention can solve the problem entirely. The ideal answer to the at least 30,000 Kenyans in need of cardiac surgery is to eliminate those needs. We do this through preventive care and screening for early warning signs.”
Why is screening the key to prevention? Because through screening, the debilitating or fatal effects of advanced heart disease have the potential to be eradicated from a population. According to a recent editorial in the New England Journal of Medicine, “As with polio, the goal should be global eradication of [rheumatic heart disease]…and widespread screening for early valvular disease should be [a cornerstone] of eradication efforts.”1 Screening gets out in front of the problem, saving years of human effort and financial investment that must be made to treat or be treated for disease once it develops. “Among available approaches to most healthcare problems, and specifically to rheumatic heart disease, screening is certainly the most effective in protecting and preserving health, and in guaranteeing that the affected have a chance to live normal lives,” said Dr. Rainer Hilgenfeld, Agile’s Chief Medical Officer.
So with the NHIF cardiac surgery program’s full first year in the books, we’re shifting the focus of our health education blogs from cardiac treatment toward preventive cardiac care and screening.
What does this mean? You’ll still see Cardiac Care 101 posts, but they’ll increasingly focus on topics related to rheumatic fever/rheumatic heart disease screening and prevention. We’ll talk about minor, manageable health conditions that precede heart disease, and how you can treat and prevent these conditions in order to avoid the risk of developing serious heart troubles. And ultimately, we’ll expand this attention to prevention to address other medical management concerns, like maternal health and HIV.
First up: strep throat! This common infection is not one to take lightly, as it can cause rheumatic fever and rheumatic heart disease if left untreated. Fortunately, though, it’s easily diagnosed and treated if you know the signs and symptoms. Watch for this post, coming soon to the Agile blog!
1 Marijon, Eloi, Celermajer, David. S., and Jouven, Xavier. “Rheumatic Heart Disease – An Iceberg in Tropical Waters.” New England Journal of Medicine 377.8 (2017): 780-781.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Why medical travel is more than facilitation, and what Agile adds
Skillful, service-minded facilitation is an essential element of a quality medical travel experience. And in our six years of experience, Agile Global Health has risen to the top of this field, earning international acclaim for our exceptional facilitation.
But experience has also taught us that facilitation alone isn’t enough. Managing travel logistics and coordinating clinical details are important, but they can’t fundamentally change healthcare accessibility, affordability, or quality. However, Agile’s innovative tripartite management value – tangible value realized by patients, providers, and funders alike, because of our experience-driven custom solutions – can effect systemic change that benefits every stakeholder in the health ecosystem.
Let’s look at an example. One of our current patients is a 51-year-old Kenyan gentleman. Diagnosed with acute myeloblastic leukemia (AML), he is being treated by bone marrow transplant at the Fortis Memorial Research Institute in Gurgaon, India. His treatment requires that he visit the hospital daily for blood tests.
“This patient used to come in at 8:00 a.m., would do blood tests in the outpatient laboratory, and then late in the afternoon would get reports from his doctor, based on the bloodwork, that advised the need for injections,” explained Jasmeet Singh, Agile’s North India Operations Manager. “Then we would have to get the patient admitted for a brief period of treatment, one hour tops, but he would have to go through the full discharge procedure as if he’d been in inpatient care! …four to five hours to discharge after admission of an hour or so.” Furthermore, the cost of the injections – usually INR 600 – skyrocketed to INR 6000 due to the administrative processes associated with the hospital admission and discharge required to receive them.
“That’s where we got the idea, why not order everything from outside? – medicines, pharmacy equipment, etc. – and provide the injections in an outpatient setting?” said Jasmeet. “Our Operations Team visited the doctor and arranged for the patient’s injections to be given in the BMT room, without any hospital admission. We ordered all necessary medical supplies – syringes, IV fluids, injections, a cannula – from our vendors, and handed them over to the nursing staff. This has astronomically reduced wasted cost and time, as well as of course our patient’s inconvenience.”
“This is one example of many such solutions we’ve developed to enhance client experience, while at the same time saving sponsor funds,” said Ankur Gupta, National Manager for Agile’s India Destination Management Center. “Our management keeps happy patients and funders alike and helps hospitals run most efficiently, reducing costs and opening the opportunity for care to more people.”
“This kind of strategically innovative thinking has become increasingly crucial as our patient flows have grown,” added Agile CEO Morgan Darwin. “In 2017, we’ve experienced 100% growth, and we are on track to far exceed that in 2018.”
Want to learn more about why facilitation isn’t enough, and how Agile Global Health offers something different? Follow our blog as we present on this very topic at the 8th International Temos Conference in Düsseldorf, Germany next month!
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Agile Kurdistan heroically manages patient care throughout unrest
Kurdistan’s September 25 independence referendum, and the political uncertainty following it, has filled international headlines for weeks now. But disease is blind to political conditions: throughout this difficult time, Agile Global Health has been on the front lines in Kurdistan, ensuring that our patients could forge ahead with their treatment.
The main challenge has been logistics, as both airports through which our Kurdish patients typically depart for international medical treatment have remained closed due to heightened security measures. So Agile’s team members in Erbil and Sulaymaniyah engineered a solution to help our patients reach the care upon which their health depends.
“Our standard procedure for handling thyroid cancer patients is to first receive their most recent medical reports and obtain approval from the treating hospital, Acibadem Altunizade in Istanbul, that they are medically fit to proceed with radioactive iodine (RAI) therapy. Then we prepare the patient’s visa and airline ticket, using Erbil International Airport to reach Turkey,” explained Emad Salai, Agile Global Health’s Erbil-based Senior Care Consultant. But two patients had to travel to Turkey to continue their RAI treatment during the month of October, and couldn’t be managed per this convention. One was a 25-year-old woman, the other a 41-year-old man. Both were sponsored by Kurdistan’s Cancer Patient Support Fund.
“We as Agile Global Health were determined to enable these individuals to continue their treatment uninterrupted,” said Mr. Salai. “For the young woman, after obtaining the okay from the Turkish hospital, we assisted her in arranging ground travel across the Turkish border to the nearest Turkish airport, from which she then took a domestic flight to reach Istanbul. And for the gentleman, we arranged a domestic Iraqi flight from Erbil to Baghdad, followed by an international flight from Baghdad to Istanbul. Our female patient has already completed her treatment and is safely back home in Kurdistan. Our male patient remains in Istanbul, where his treatment continues.”
The unrest didn’t only affect our patients inside Kurdistan; it also touched those who were abroad receiving treatment at the time of the referendum and its repercussions. To support their return home, Agile again had to create new travel plans. “With help from our Agile counterparts in India, our patients who were being treated there have been able to fly home via Baghdad International Airport,” said Mr. Salai.
Comprehensive cross-border healthcare management is complex even under normal conditions; when uncommon security restrictions complicate mobility, it becomes an even greater challenge. Agile’s effective support to our Kurdish patients throughout recent events proves that we are up to the challenge. “The difficulties we face as citizens, as family members, as employees – these are all shared with our patients,” said Mr. Salai. “We understand their experience because we are living it, too. But our commitment to managing our patients’ health does not change with changing political circumstances. Working together with our Agile colleagues in Kurdistan and overseas, we have indeed maintained the support our patients depend on, despite the challenges.”
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Agile Global Health Bangalore welcomes visiting NHIF leaders
When your organization needs help managing transnational medical care for your employees or beneficiaries, Agile Global Health is the answer. Our local office in your country provides all interface with our team on the ground in the treatment destination country, handling every detail of foreign medical travel and all complexities of cross-border business while giving your organization a single, local point of contact.
Our partners love the accessibility, accountability, and complete process management that Agile’s local presence affords them. But when the opportunity arises, we enjoy introducing our institutional clients to the “other side” of Agile – the team that supports their beneficiaries’ overseas treatment journeys day and night. We recently took one of our closest institutional partners, Kenya’s National Hospital Insurance Fund (NHIF), behind the scenes to meet our staff in Bangalore, India.
“NHIF delegates Mr. Robert Otom and Mr. David Dawe Gambo, both from the NHIF claims department, visited Agile’s Bangalore office on October 13, accompanied by the directors of our Kenya operations,” reported Tabrez Ahmed, Agile’s Bangalore Operations Manager. “We provided our Kenyan guests with presentations about our Treatment Management Center (TMC) and Destination Management Center (DMC) here in Bangalore, as well as our revenue cycle management (RCM) operations. Members of all three of these business segments individually introduced themselves to the NHIF delegates, and offered insight into how their unique roles and responsibilities support the NHIF’s clients and organizational mandate each and every day.”
The NHIF delegates had primarily traveled to Bangalore to attend the Advantage India Healthcare Expo, sponsored by the Federation of Indian Chambers of Commerce and Industry (FICCI). But recognizing the opportunity for an in-person introduction to our South India operations, Agile’s Bangalore team arranged to host the delegates during their free time.
“The conference was quite educating, and well-focused on currently important issues to the Indian healthcare sector,” said Stephen Masinde, Kenya National Director for Agile Global Health. “A real highlight of the trip, though, was the chance for our NHIF partners to meet the Agile family in Bangalore.”
Sarala Gangadhara, Director of Agile’s Bangalore TMC, agreed. “We are grateful to our Kenyan colleagues for making time around conference activities to bring the NHIF delegates to our office,” she said. “The small introduction to all that we do in India for NHIF clients and the opportunity to interact with all Agile’s team members here was an invaluable chance to further refine the delegates’ understanding of how each part of Agile’s organization provides value to the NHIF and quality service to its beneficiaries.”
In the photograph above: Agile Global Health’s Bangalore team recently hosted several delegates of Kenya’s National Hospital Insurance Fund (NHIF), along with accompanying Agile staff from our Nairobi office. From left to right are Robert Otom, NHIF Manager for Benefits and Claims; Sarala Gangadhara, Agile’s Bangalore Treatment Management Center Director; Stephen Masinde, Agile’s Kenya National Director; Reuben Kangogo, Agile’s Kenya Operations Director; and David Dawe Gambo, NHIF Quality and Benefits Officer.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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NHIF @50 cardiac program celebrates one-year anniversary and tremendous impact
North Carolina, USA – October 30, 2017: October 4, 2017 marked a momentous occasion for Agile Global Health and its partner, Kenya’s National Hospital Insurance Fund (NHIF), as the revolutionary “NHIF @50” cardiac surgery program celebrated one year in operation.
For the past 12 months, the program – sponsored by the NHIF and implemented by Agile Global Health – has provided fully funded, locally-performed cardiac interventions to Kenyans whose treatment had been chronically delayed by congested hospital waitlists, as well as to some with new and urgent cardiac care requirements. To date, more than 600 patients have benefitted from Agile’s medical management through the program, including more than 350 who have received open-heart surgeries.
Patients have repeatedly described their experience with the program as a miracle, an answer to prayer, and the only reason they are alive today. “Most of these patients had been on the hospital waitlist for years because they could not afford treatment, and had almost given up as they waited for their turn,” said Eva Gulavi, Agile Public Relations and Communications Officer. “From the moment Agile Global Health started reaching out to patients on the waitlists, hope was revived in the lives of these individuals and their families.”
The hope rekindled by the cardiac program has been far broader than a wish for physical healing. “As cardiac disease takes its toll on the physical body, it is matched by social costs,” explained Ms. Gulavi. “Some patients could not perform their professional duties or lost career opportunities due to heart illness; children were not able to grow normally, play with other kids or even go to school, as their hearts were so strained; families were split because of the burden of treatment cost. Through this program, I have seen jobs restored with honor, I have seen children returning to school with long, healthy, productive lives ahead of them, and family and friends brought back together where the physical, emotional and financial strains of cardiac disease had previously divided them.”
The program’s impact extends beyond individuals, touching hospitals and clinical professionals nationwide, and indeed shaping the culture of the Kenyan healthcare system. “We have seen a definite increase in the capacity of Kenyan cardiologists and cardiac surgeons to perform life-saving procedures in the country,” stated Dr. Rainer Hilgenfeld, Agile Global Health’s Chief Medical Officer. “The guaranteed payment of procedures by NHIF and the excellent management by Agile also had a profound effect on providers of cardiac care in the Kenyan healthcare sector: hospitals started investing in state-of-the-art facilities and additional staff and cardiologists, and cardiac surgeons teamed up with each other and with foreign teams to provide excellent care.”
For Agile Global Health, the cardiac program’s success has been a testimony to the company’s ability to drive local and national healthcare improvements, beyond assisting patients with accessing treatment abroad. “For several years we have been hoping to reverse the trend of patients having to travel abroad to access treatment,” said Reuben Kangogo, Agile’s Kenya Operations Director. “This program made clear that with proper planning and organization, we are able to manage cardiac, and a host of other conditions, locally.”
And the program’s impact on Kenyans’ health and healthcare system is far from finished. “Our success with the surgery program has inspired Agile to initiate cardiac screening programs throughout Kenya in the near future,” Mr. Kangogo added. “As they say: prevention is the best cure!”
In the photograph above: Geoffrey Mwangi (center), CEO of Kenya’s National Hospital Insurance Fund (NHIF), stands with five beneficiaries of his organization’s cardiac surgery program. The program, which marked its one-year anniversary this month, has so far assisted more than 600 Kenyans with locally-provided cardiac interventions.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Entering Burkina Faso, Agile Global Health arrives in West Africa
Agile Global Health is bringing our unique, world-class healthcare management to a new region! With more than half a decade of experience working at locations throughout East Africa and the Middle East, we are pleased to announce the opening of our first West African office in Ouagadougou, Burkina Faso.
Max Achille Kabore of Burkina Faso learned about Agile’s work online. Convinced that our transparent, affordable, and comprehensive healthcare management was something he wanted to introduce in his home country, he contacted us through our website. After an in-person meeting in early May with our CEO in North Carolina, USA, Mr. Kabore signed an agreement to represent Agile Global Health in Burkina Faso.
The months since Mr. Kabore joined Agile have been busy, as well as productive. “We are now fully registered with the national administration, which gives us the right to assist clients from Burkina Faso who are seeking healthcare options abroad,” explained Mr. Kabore. “Our office in Ouagadougou, the capital city, is currently operational, and we encourage individual clients to visit us! We have also begun conversations with the Ministry of Health and the national social security service, with the intention of being able to support large numbers of Burkina Faso’s citizens by working in partnership with these government departments.”
Agile’s Burkina Faso team is already preparing for growth, learning from the model set forth by its Kenyan counterpart within the company. Mr. Kabore will soon travel to Nairobi to meet our veteran staff members and national leaders there, and to study in depth their experience managing both international medical treatment as well as improving healthcare options and access at the local and national levels.
“We warmly welcome Max and his team to the Agile Global Health family,” said Morgan Darwin, Agile’s CEO. “It was really good to meet in person, to hear about the opportunity in Burkina Faso, and to learn of his vision to support the Ministry of Health and the good people there. We as Agile Global Health are excited to join forces with Mr. Kabore, for the benefit of the people of Burkina Faso and with a vision of successful business.”
In the photograph above: Two members of Agile Global Health’s new Burkina Faso staff prepare our client screening area.
In the photograph below: Another staff member smiles widely, ready to welcome clients to Agile’s Ouagadougou, Burkina Faso office space.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Meet an Agile Global Health team member: Hozan in Kurdistan, Iraq
Welcome to the third post in our blog series spotlighting Agile Global Health team members and their work around the globe! These posts take you inside Agile Global Health so you can get to know our employees as individuals. Whether they’re on the front lines of patient service or immersed in the data analytics that help us drive healthcare improvement on a nationwide scale, we think you’ll agree – they’re pretty amazing people.
Today, we sit down with Hozan Faraidoon, Office Manager of Agile’s Sales Management Center (SMC) in Sulaymaniyah, Kurdistan, Iraq.
Share a little bit about what you do in your job. I first joined then A&K Global Health in February 2013 as a care consultant, providing information about our services to clients, collecting all medical details to match clients with high-quality, affordable overseas treatment, tracking their treatment process with our Destination Management Center (DMC) team in India, and following up after their travel back to Kurdistan. In 2014, I became manager of our Sulaymaniyah office.
What did you do before joining Agile Global Health, and what inspired you to join our team? I was a social worker in the Jiyan Foundation for Human Rights, an experience that is very helpful to me today in providing psycho-social support to our clients, along with finding medical treatment options that fit their unique needs. My past and present work with many different nongovernmental organizations, and strong relationships with some societies that share Agile’s aims, helps patients reach us and benefit from our services.
What made me want to join Agile was realizing that this company’s work is more humanitarian than business…trying to assist those who are seeking medical treatment for themselves or their dears one, while also working to improve the healthcare system in Kurdistan in different ways, together made me decide to join this organization. Agile Global Health can be imagined as an angel bringing hope and happiness to those who need them.
What’s your favorite thing about Agile and your role at the company? Feeling that I’m doing something helpful for my people, particularly by helping them find solutions for their health problems. Seeing happiness in their eyes makes me the luckiest one ever…for clients, the feeling is that because of Agile, you will always find support from each person involved in this organization. It makes you feel that you are a member of a wonderful family.
What makes you excited about continuing to work for Agile? Overcoming the many challenges we face on a daily basis here in Kurdistan, with effort and support from headquarters and the Treatment Management Center (TMC) and DMC teams. I’m also motivated by all the experiences I’ve gained from meeting clients, managing their travel and treatment process closely, and seeing how the highly personalized support from our DMC team assures them at each step that they are receiving the best care for their needs.
How do you see the company growing in the future? This company will grow more and more, accessing other countries to provide services to their people and also improving their own national healthcare systems. I believe that in the future people from other countries will come to Iraq and Kurdistan to receive treatment, and Agile Global Health will have a great role in this process.
Share a little about your family and interests. My hobby is traveling to ancient countries and exploring different cultures. I’m married and have two daughters. My family is the best support team for me.
In the photograph above: Agile Global Health’s Hozan Faraidoon serves as Agile Global Health’s Office Manager in Sulaymaniyah, Kurdistan, Iraq.
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Former patient becomes Agile Global Health’s Djibouti licensee
Agile Global Health is fortunate to count among our representatives all over the world dozens of dedicated, compassionate professionals whose daily hard work brings ease to our clients’ healthcare experiences.
But our representative in Djibouti City, Djibouti has a special appreciation for just how much Agile’s unique brand of expert, personal care management means to individuals in need. That’s because he’s been our patient himself.
Ismail Sanalasse Said, 49, first met Agile Global Health (then A&K Global Health) in 2015. He was seeking urgent medical intervention for a septic left leg, a complication of his diabetes. Agile facilitated Ismail’s travel to Fortis Memorial Research Institute in Gurgaon, India, where he underwent a lifesaving below-knee amputation.
Today, along with his brother Ayoub, Ismail serves as Agile Global Health’s Djibouti/Ethiopia Afar Region Co-representative.
“My experience with Agile Global Health was tremendous,” Ismail says. “I was very satisfied with the treatment facility and the management support I received from Agile Global Health – consistently fast, truly welcoming, and highly professional. I was surprised to see the great importance with which Agile treats each patient…you get all support you need, from moral to medical. I am still grateful for how Agile Global Health cared for me in my time of need, and I want to share this experience with residents of the Djiboutian and Ethiopia Afar region. I am determined to help others access the same quality services as I received in India on my arrival.”
In addition to creating healthcare opportunities through medical travel, Ismail aims to improve locally-available healthcare in Djibouti, as Agile Global Health has done on a large scale in Kenya through that country’s National Hospital Insurance Fund (NHIF) cardiac surgery program.
“Agile maximizes quality healthcare access within the borders of each country where we work,” explains Morgan Darwin, Agile Global Health CEO. “We believe in healthcare delivery with speed and accuracy, and recognize that facilitation is not enough: our experience-driven, outcome-based management is the only solution that dramatically enhances value to every stakeholder across health ecosystem, from patient to provider to funder alike. Ismail and his family know from their own experience that this model saves lives. I am excited that they have chosen to partner with us to extend the same opportunity for quality healthcare management to the people of their region.”
Agile Global Health’s doors in Djibouti are open! If you or a loved one in Djibouti or Ethiopia are facing a medical concern, you don’t have to do it alone – reach out to us today. As Ismail’s story demonstrates, your Agile Global Health family is ready to support you.
In the photograph above: Ismail Sanalasse Said (right), a former patient who now serves as Agile Global Health’s Regional Manager for Djibouti, Somaliland, and Ethiopia, shakes hands with a client in Agile’s Djibouti office.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Formerly bedridden client leaves Agile’s care on her own two feet
Millicent Wanjiku Maina, 47, was bedridden when she first met Agile Global Health. After 20 years of rheumatoid arthritis, Millicent’s disease severely restricted her abilities and caused her continual pain. Her local doctors in Nairobi, Kenya had been unable to alleviate her suffering.
“Agile Global Health gave us the whole idea of how we can come to India,” says Millicent. “Eucabeth in Nairobi gave us some very productive information on how to do it – and especially that it did seem doable.”
With National Hospital Insurance Fund (NHIF) sponsorship, Millicent traveled to the Fortis Memorial Research Institute in Gurgaon, India, where she underwent a successful knee replacement surgery. But her care managers at Agile Global Health knew this was only the beginning of her journey to wellness. The root cause of Millicent’s many pains was her rheumatoid arthritis; without targeted treatment and consistent follow-up care for that condition, periodic health crises – like the need for joint replacements – would continue to arise.
Agile advised Millicent accordingly, and using her NHIF benefits, she returned to India six months later for review by her orthopedic surgeon and rheumatologist.
“I’m Dr. Divya Aggarwal, Consultant Rheumatologist at Fortis Memorial Research Institute Gurgaon,” Millicent’s rheumatologist introduces herself. “When Mrs. Millicent came to us, she underwent surgery, but along with that we also put her on medication for rheumatoid arthritis, and after taking medicine she felt much better. She has come back to us after six months, we have reviewed her case, and we’ve found that investigations are much better. Her disability has improved and her disease activity has become tremendously better. Her tender joints, her swollen joints, her early morning stiffness have all improved. When she came to us she was bedridden…today she walked to the OPD, she walked to the ward to talk to us…I have examined her joints and her disease activity has almost gone down to minimal disease.”
“I can say the bedridden person who arrived in India, but who is now discharged on crutches, goes on with improvement, goes on with treatment,” Millicent affirms, with dedication in her voice. “I want to thank Agile Global Health for their care and their link with NHIF, not forgetting the personnel who were there and are there even now for my recovery.
“And now, to my fellow Kenyans: I want to tell them that they should taste what I have tasted. People in need, patients and clients in need particularly, they should taste what I have tasted. I have seen, and they should come see with me, the depth, the width, the breadth of what NHIF is capable of doing. It is an organization that can take us far, especially in alleviating pain and rehabilitating health. Thank you!”
Hear Millicent describe her extraordinary healing experience in her own words in this short video:
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Agile Global Health Kenya wins top Air Arabia partnership awards
Our strong partnerships with likeminded businesses help us ensure that Agile Global Health’s values in service delivery – speed with accuracy, quality, and personalization – are upheld for every single client. These partnerships are why our business runs smoothly, and why our patients get well. So it came as no surprise when Agile Global Health recently became a repeat honoree of our business partner Air Arabia.
On August 29, 2017, Agile Global Health took second place among all of Air Arabia’s Kenyan corporate partnerships at an award dinner hosted by the airline in Nairobi.
In addition to Agile’s second place overall recognition, Air Arabia Sales Manager Mr. Faiyaz Sayed noted that Agile was also selected as the top winner within the specific designation of medical travel facilitation.
“Since the beginning of our partnership with Air Arabia in 2014, there has been a very good working relationship with regard to our patients’ travel,” said Melody Mumbe, Agile’s Nairobi Logistics Officer. “Air Arabia is reliable and does not have a problem going the extra mile to ensure that our clients get quality service…they have even made exceptions for us, time and again, to accommodate shifting medical requirements and other unforeseen circumstances. We look forward to the continuation of this relationship to the benefit of all Kenyans’ health.”
Agile Global Health has more exciting partnership news on the horizon. Don’t miss a thing – follow our blog to be the first in the know!
In the photograph above: Agile Global Health’s Kenya National Director Stephen Masinde (left) and Chief Executive Officer Morgan Darwin (center) receive accolades from Air Arabia’s Head of Sales Shalini Rajan (right) at the company’s August 2017 corporate awards dinner in Nairobi.
In the photograph below: Agile Global Health and Air Arabia leaders are joined onstage by staff members of their respective organizations to honor their fruitful business partnership.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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“Speed with accuracy” emerges as Agile Global Health’s mantra
Speed with accuracy produces value. And when we’re talking about healthcare delivery, speed with accuracy produces life-saving value. That’s why Agile Global Health Kenya has been out spreading the word about how our management matches real-time, world-class care to the medical needs of our clients and the institutions who insure them – reducing costs, reducing suffering, and maximizing healthy human potential.
On May 31, we presented to 60 doctors and nurses at Mosoriot Sub County Hospital. “We shared how the National Hospital Insurance Fund (NHIF) programs Agile manages, including the civil servant scheme and the nationwide cardiac program, cover specialty care for employees and dependents in Kenya and abroad,” said Care Consultant Linner Soy. Her presentation led several new patients into Agile’s care through the cardiac program and others into our support for ortho-spine and oncology concerns.
On June 29, Agile addressed the Mombasa County Health Department, a new member of the NHIF enhanced benefit scheme. “We’ve already facilitated four county employees for specialized treatment in India,” said Operations Officer Bernard Ademba. “Mombasa County’s Chief Health Officer, Dr. Khadija Shikeli, commended our services and was enthusiastic that the county’s expanded employee cover permits more people to engage Agile’s support.”
From June 28—July 1, as implementer of the NHIF cardiac program, we exhibited at the Kenya Cardiac Society’s Annual General Meeting. “Sixty-five participants, mainly doctors, visited our stand to laud the partnership between Agile and the NHIF…not only for its success in saving Kenyans with heart conditions, but also as a game-changer in Kenya’s medical sector,” said Kenya Operations Director Reuben Kangogo.
On July 12, Agile’s message traveled to Taita-Taveta County’s Health Department, another new member of the NHIF enhanced benefit scheme. “Our briefing was important to the department, as in the past a number of its employees had fundraised for treatment abroad due to lack of information about their benefits, including Agile’s services,” said Mr. Ademba. Continuing on to nearby Taveta Sub County Hospital, our team presented to 58 hospital staff. “They were touched that we had travelled all the way [from Mombasa] to ensure they had this valuable, health-impacting information,” Mr. Ademba reported. “And when two beneficiaries not present at the meeting were identified as needing our care facilitation, we went with a hospital doctor to their homes to initiate their medical management with Agile Global Health.”
On July 31, we visited Kenya Plant Health Inspectorate Service (KEPHIS), a new corporate member of the NHIF comprehensive scheme in Kitale, Trans Nzoia County. The 41 attendees learned how Agile’s outreach helps detect health conditions early and promptly connects patients to the right care, accelerating the healthcare process. “Our clients get healed faster, their suffering is shortened, and the cost of treating their condition is minimized, since treatment costs grow exponentially the longer disease progresses unnoticed,” explained Operations Officer Cornelius Rop. “We are truly disrupting the way things have been in the past!”
On August 23, our seasonal outreach concluded at the Huduma Center in Eldoret. “Beyond creating awareness on the benefits NHIF comprehensive cover accrues to staff and family members of this government services access center, we shared the success stories of patients who’ve traveled to India through Agile for a second opinion,” said Mr. Rop. “Our presentation directly resulted in multiple attendees visiting our office and enrolling for care management.”
Speed with accuracy defines how Agile Global Health manages healthcare. It’s why our patients are healing, our institutional clients are effective and thriving, and our leadership is guiding the industry. Want us to speak to your organization? Contact us!
In the photograph above: Agile Global Health’s Phylis Wanjiru, Care Consultant, and Karen Hospital’s Mr. Anderson, Care Manager, speak at the Agile Global Health stand at the Kenya Cardiac Society’s 2017 Annual General Meeting in Mombasa.
In the photograph below: Cornelius Rop, Agile Operations Officer, is excited to share about Agile’s healthcare management with employees at the Huduma Center in Eldoret.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Meet an Agile Global Health leader: David in Durham, NC, USA
Welcome to the second post in our new series spotlighting Agile Global Health team members and their work around the globe! These posts take you inside Agile Global Health so you can get to know our employees as individuals. Whether they’re on the front lines of patient service or immersed in the data analytics that help us drive healthcare improvement on a nationwide scale, we think you’ll agree – they’re pretty amazing people.
Today, we meet David Spisak, Director of Revenue Cycle Management (RCM) at our corporate headquarters in Durham, North Carolina, USA.
“I joined Agile Global Health in May of 2016. After 20 years of extensive U.S. healthcare leadership experience, I arrived at a point professionally where I desired a different care model in which I could contribute more broadly.
“I knew the healthcare needs across Africa, Asia, and the Middle East were tremendous. I also knew that while many good people and institutions had worked for years to improve conditions, gains had been costly and sporadic, and there was little sustainability without the financial and material support of nonprofits and nongovernmental organizations (NGOs). Through Agile’s CEO, Morgan Darwin, I learned that Agile’s founders and leadership included industry outsiders who looked at the challenges of healthcare in these regions through a different lens. I came to understand that Agile Global Health focuses on delivering necessary treatment with the highest possible clinical and customer service quality, while using a for-profit model to drive efficiencies and reduce costs. It was then that I began to see the Agile healthcare model as a humanitarian service organization, made sustainable through cutting-edge technology and free-market capitalism. With that understanding, I knew I wanted to join the effort.
“My job consists of three equally important parts:
- The first is to continue to build our RCM team with individuals who possess a humanitarian spirit, the necessary professional skills, and a desire to improve healthcare for the residents of the countries where we operate.
- Next is to encourage the necessary structure, discipline, and commitment amongst my team members each day…pursuing charge capture, audit, claim generation, accounts receivable (AR) management procedures, and analytics that provide excellent service for our clients and patients, and decision-making support for management throughout our organization. Our daily successful execution of RCM processes ensures that we can fund ongoing and expanding operations.
- Finally, we are an active part of Agile Global Health’s software development efforts. Our RCM processes serve as a rich test environment for new system development: once successfully proven through application and testing within RCM, Agile software engineers and corporate leadership can codify these improvements, readying them for system-wide implementation.
“For me, the greatest reward of working with Agile is developing relationships with my coworkers and friends in Kenya, India, Iraq, Europe, and the U.S. as we bring our unique talents, experiences, and points of view together in pursuit of a common mission. Together we save lives by bringing healthcare to thousands who would otherwise have none.
“When I pause to consider the future, I look forward to being a part of the Agile Global Health team that overcomes the challenges we face in refining and implementing our model in additional countries. I believe there is no better battle to fight than boldly creating a new model for the delivery of healthcare globally. And I am eager to get after it!”
Thanks, David, for your reflections and insights. And readers, stay tuned for our third employee spotlight. Following features on India and the U.S., we’re headed next to Iraq…don’t miss the chance to meet one of our amazing team members there! Follow the Agile Global Health blog today.
In the photograph above: From left to right, Agile Global Health’s Paul Gachuhi, Accountant; Joyce Wambugu, Care Director; and David Spisak, Director of Revenue Cycle Management, working “shoulder to shoulder” in Agile’s Nairobi, Kenya office in February 2017.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Erbil forum brings top follow-up care to Kurdish cancer patients
Agile Global Health connects patients everywhere with the care their unique conditions require, including advanced medical technologies and treatments. Right now in Kurdistan, Iraq, one way we’re doing this is by helping cancer patients access certain critical nuclear medicine therapies available in nearby Turkey.
Our Turkish hospital partner in this undertaking, Acibadem Altunizade Hospital of Üsküdar/Istanbul, Turkey, recently paid a visit to Erbil, highlighting the importance of Agile Global Health’s high-quality care management across international borders.
On August 17, 2017, Acibadem Altunizade’s local office in Erbil organized a lunch presentation featuring the hospital’s resident expert Erkan Vardareli, Professor of Nuclear Medicine. Professor Vardareli addressed The Role of Nuclear Medicine in Oncological Disease, including radioactive iodine (RAI) and PET/CT scans – the very treatments Agile helps our Kurdish patients access at Professor Vardareli’s hospital.
“We as Agile Global Health were officially invited for this event, given our major involvement in helping Kurdish thyroid cancer patients seek advanced treatment with these methodologies,” said Emad Salai, Agile Global Health’s Kirkuk Representative. Mr. Salai was joined in representing Agile Global Health by our Regional Manager Moataz Jaleel and Care Consultant Srusht Fouad Mohamed.
Following a luncheon presentation to attendees at Erbil’s Dedeman Hotel, Professer Vardareli met with 18 Kurdish thyroid cancer patients for whom Agile Global Health has managed RAI treatment at Acibadem Altunizade Hospital.
Acibadem Altunizade is a relatively new member of the Acibadem Hospital Group in Turkey, and boasts the country’s most advanced oncology center. Thanks to Agile Global Health’s transnational healthcare management expertise, our Kurdish cancer patients have been among the first to access the advanced nuclear medicine options available at Acibadem Altunizade. And upon our patients’ return home to the Kurdistan region, we continue to coordinate their ongoing care – with local doctors, as well as follow-up opportunities like this one with foreign experts.
“Merely facilitating [medical travel] is not enough,” said Morgan Darwin, Agile Global Health CEO. “Our work is so much more than booking an airline ticket. Agile is internationally recognized for how our comprehensive care management drives superior outcomes across the board, from clinical to financial to patient experience. And what we’re increasingly doing is moving the healthcare industry globally toward swifter, more accurate care delivery, reducing the time from diagnosis to treatment, reducing the cost of care, and reducing the suffering of individuals. We are truly disrupting this market, to the benefit of patients and their families.”
Mr. Salai echoed Mr. Darwin’s comments. “The families of our RAI patients were very thankful for this opportunity to meet with Professor Vardareli,” he said. “This kind of specialized, in-person follow-up with the doctor in charge of these patients’ treatment abroad demonstrates outstanding coordination between Agile Global Health and Acibadem…coordination that benefits patients greatly.”
In the photograph above: Global healthcare manager Agile Global Health, nuclear medicine experts from Acibadem Altunizade Hospital in Turkey, and local doctors, patients, and their families gathered at the Dedeman Hotel in Erbil, Kurdistan, Iraq last month for a forum on The Role of Nuclear Medicine in Oncological Disease.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Hundreds seek specialty consults at Agile medical camp in Rwanda
Greetings from Kigali, Rwanda, where Agile Global Health is proud to announce the completion of a successful two-part medical camp this summer!
In July, Agile Global Health’s Rwanda team collaborated with Wockhardt Hospitals of Mumbai, India to present medical camps for three specialty care areas. Cardiology consultations were offered from July 17-19, with ortho-spine and neurology consultations offered the following week, July 24-26. Baho International Hospital in Kigali hosted both weeks’ events.
“The camp was quite successful in terms of patient reach,” said Gratien Twizeyimana, Agile’s Representative and Regional Manager for Rwanda, Burundi and East Congo/DRC. “In all, we saw 340 patients over the six days of appointments: 91 cardiac, 101 ortho-spine, and 148 neurology.”
Across all three specialties, approximately fifty patients’ cases were a good fit for near-term medical travel. These individuals were able to leave our medical camp with quotes in hand for their treatment options in India, and Agile Global Health is preparing many of them now for travel and transnational medical management.
Satisfaction with the medical camp, however, was not limited to the people most likely to travel in the coming months. “All patients were very happy with the doctors, and showed interest in traveling to Mumbai for the further evaluations and treatments,” said Mr. Twizeyimana.
Visit the Agile Global Health blog regularly for the latest on events like these, and for our most current local, regional, and international healthcare management services. Whether you’re a healthcare organization facing treatment delivery challenges, an employer seeking medical travel options for your workforce, or an individual with a specialized treatment need, we are here to help!
In the photograph above: Agile Global Health’s Gratien Twizeyimana (left) with Baho International Hospital staff (center) as well as visiting specialists from Wockhardt Hospitals of Mumbai, India (right) during the Agile-coordinated medical camps in Kigali, Rwanda in July.
In the photograph below: During the medical camp, Wockhardt Hospitals’ specialists offered consultations on cardiology, ortho-spine, and neurology concerns to Kigali-area residents.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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NHIF-sponsored cardiac surgery repairs young athlete’s heart
Charles Muteti is a young man whose vibrant personality simply can’t be suppressed. “When we visited him just after his heart surgery, he was cracking jokes that had everyone around laughing to tears…it’s just who he is,” says Eva Gulavi, Agile Global Health’s Public Relations and Communications Officer.
Charles, a beneficiary of the National Hospital Insurance Fund (NHIF) cardiac program, underwent open-heart surgery for rheumatic mitral stenosis at the Karen Hospital in Nairobi in January 2017. But his path to that procedure was long and uncertain.
A rugby player, always very active in sports, Charles’s life changed forever in his final year of high school. “One day I was rushing somewhere, suddenly started feeling dizzy, and fainted,” Charles recalls. From then on, he was no longer able to run, and he tired quickly. By the time he joined college in 2013, he was fainting regularly. “I could no longer walk fast…I had to be a loner because I could not keep up with other people,” Charles said.
After coughing up blood at the gym, Charles sought medical guidance. An X-ray at a local government hospital revealed that his heart was abnormally large, and he was referred to a specialist. “The specialist confirmed indeed that I had a sick heart and to get treatment. I needed to have at least Ksh. 250,000.” Without these funds, Charles and his family could only pray and cope.
Charles learned to live with his condition, going about his duties slowly to avoid disturbing his delicate heart. He finished college and got a job in Nakuru. But when an opportunity arose in Dubai, Charles jumped at it. “I had my passport ready. I was applying for a visa. I also had to do a few medical tests, which were to be sent to my anticipated employer,” Charles recounts. “My heart condition came out in the report. An additional test was done to investigate, and again confirmed that my heart was in bad shape…and that was the end of the job in Dubai for me.
“By now, my family was convinced that other than prayers, I seriously needed medical attention. We were very desperate at this time: there was no money for treatment or medicine because I had already quit my previous job, hoping to get the one in Dubai.
“I was referred to Kenyatta National Hospital (KNH) in 2015, and told I’d have to wait until 2018 for my turn because there was a long waiting list of other patients who went there before me. They took my contact information and told me they would call.”
All Charles could do was hope that his struggling heart could out-wait the long waitlist for cardiac surgery. Then, in December 2016, he got a call from Agile Global Health, telling him about the NHIF @50 Cardiac Program and offering to refer his case to one of the hospitals performing surgeries for waitlisted patients.
“Of course I did not believe it, so I decided not to share this information with anyone,” Charles remembers. “I didn’t want to disappoint anyone in case this was a hoax.”
Agile Global Health transferred Charles Muteti’s case to the Karen Hospital in Nairobi where he was called the very next month – January 2017 – for treatment.
“When I was called by the Karen Hospital, I still thought it was a hoax, but I decided to go and just see. The moment I was released from my pre-assessment and scheduled for surgery, I called my mother and told her ‘Mum, now God has surely answered your prayers!’
“I went for surgery. My friends were supportive and they showed up in large numbers to donate blood for me. My bill of Ksh. 1.3 million was fully settled by NHIF. This was a miracle to my family which no one believed could ever happen. I still feel like it’s a dream,” says Charles. And, always ready with a joke, he adds, “It gives me so much hope that, if such dreams come true, one day I’ll also own a private jet – just like that!”
Charles Muteti was so grateful that he baked a cake for the Karen Hospital team to share his thanks. He still calls just to say thank you to Agile Global Health and NHIF for the miracle of his surgery: “My cardiac treatment is a testimony for me and my whole community.”
In the photograph above: Charles (left) with his doctor (center), the Karen Hospital’s resident cardiovascular surgeon, Dr. Premanad Ponoth.
In the photograph below: The cake Charles baked for the Karen Hospital staff. The message decorated in icing reads “Thanks for saving my life.”
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Manipal & Agile team up to succeed in tough hip replacement case
Feel like you’re in a perpetual struggle with medical challenges from an old injury? Think again.
“I had an accident in 2011, and I had done some procedures in Kenya,” explains Nereah Aoko Ogot of Eldoret. “Then around mid-last year, I met [Agile Global Health]. They explained to me how I could come to India and get treatment, because my leg had been infected.”
With sponsorship from Nereah’s insurer, the National Hospital Insurance Fund (NHIF), Agile Global Health facilitated her travel from her hometown in western Kenya to Manipal Hospital in Bangalore, India. There, Nereah was found to be fit for a total hip replacement.
“I first saw Ms. Nereah, a 47-year-old female from Kenya, in my outpatient clinic,” recounts Dr. Sunil G. Kini, Consultant Joint Replacement/ Arthroscopy Surgeon at Manipal Hospital. “She came to me with increasing left hip pain [over] the past six months, and also with a discharging wound over the hip. We did investigations to find that she indeed had an infected left hip replacement…also, the prosthesis was loose.
“I explained to her that she would need a two-stage procedure. In the first stage, we would take the implant out, wash it out, and put an antibiotic spacer in the wound. So that’s what we did subsequently: six weeks of antibiotics treatment was carried out, post which we ascertained there was no hip infection. Following six weeks of the first procedure, we did the second procedure, which was the implantation of the definitive metal components.”
Both stages of Nereah’s treatment were successful. “Post-surgery, she’s doing very well!” Dr. Sunil proudly reports. “She’s already one month down the line, and she’s putting weight on the left side with no pain at all.” As he speaks, Nereah ambulates comfortably about the hospital corridors with the assistance of her new walker.
“These kinds of infected joint replacements are a tough challenge…they require a multidisciplinary team and great surgical expertise,” Dr. Sunil notes. “We at Manipal Hospitals are well-equipped to carry out these kinds of revision joint replacement procedures.”
Nereah is one of many Agile Global Health patients whose mobility today proves the truth of Dr. Sunil’s words. “When I came [to India] I could not walk, but after this surgery, now I’m able to walk slowly and I’m getting better every day,” she declares.
“I thank Dr. Sunil and his team, the orthopedic team, the radiotherapists and all the investigators who facilitated my stay here,” Nereah says. “I also thank [Agile] Global Health, for opening ways [for me to] communicate and get treatment.”
Check out Nereah’s experience for yourself in this short video:
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Agile Global Health’s clinical metrics guide NHIF cardiac program effectiveness, efficiency, and growth
North Carolina, USA – August 23, 2017: At the end of the National Hospital Insurance Fund (NHIF) cardiac program’s ninth month in operation, program implementer Agile Global Health delivered the initiative’s first comprehensive report on key clinical performance indicators.
The two most critical indicators being measured among cardiac program patients at each participating hospital are mortality and unscheduled readmissions (patients who are treated and discharged, but within 30 days of discharge must be readmitted due to some kind of complication). Earlier this month, Agile Global Health reported aggregated, anonymous data on these two metrics to the NHIF, allowing the program funder to see how the pool of hospitals participating in the project is performing, but without identifying individual hospital or physician performance. At the same time, Agile provided each hospital with a report showing its own performance compared with the pooled data for all participating facilities.
“The clinical metrics that Agile is now providing are being applied directly in support of Kenya’s healthcare vision,” said Morgan Darwin, Agile’s CEO. “The country is working to increase medical self-sufficiency, so that in the future Kenyans are able to receive any kind of procedure or treatment they require without crossing national borders. The cardiac program’s clinical metrics bring reflected rigor to hospital improvement, with data driving forward the changes that enhance care quality and delivery, save lives, and create a sustainable health system.”
The NHIF cardiac program’s existence, as well as its application of clinical metrics, are both visionary endeavors. “I don’t think anything like this has happened before in Africa, certainly not in East Africa,” said Dr. Rainer Hilgenfeld, Agile’s Chief Medical Officer. “Even among western hospitals, there are many that don’t leverage the insights of clinical performance analysis to improve processes and outcomes. NHIF’s adoption of clinical metrics to guide the cardiac surgery program is simply revolutionary.”
While the importance of metrics for process improvement is well-established in the realms of finance and administration, their use in clinical settings is only decades old. “Whoever is paying for care has the right to know what is happening with their money,” explained Dr. Hilgenfeld. Regular clinical metrics measurement and reporting adds accountability for hospitals to be the most effective stewards possible of the resources invested in them. But simply calculating a mortality or unscheduled readmission rate at one institution doesn’t show the hospital, or the payer, whether that rate is good or bad; to critically evaluate performance, comparable metrics must be available. And in the highly competitive healthcare market, many hospitals would prefer not to measure their performance at all for fear those data could be leaked and become punitive. “That’s the problem this program really solves: Agile Global Health is a neutral third party, trusted by hospitals and the NHIF (funder) alike to collect, analyze, and interpret clinical metrics at the individual hospital and program-wide levels. Because data confidentiality is protected within our company and our Orsalus technology platform, hospitals can now compare themselves, anonymously, against the whole group of participating facilities without fear of leaking. And the NHIF can identify areas of success and opportunity within the program, but without labeling any hospital ‘best’ or ‘worst.’”
Agile Global Health has meticulously tracked unscheduled readmissions and mortality data, among other clinical metrics, at each hospital over the cardiac program’s first nine months. Now that the program has sufficient historical longevity, the company will report quarterly on these metrics, giving the NHIF and participating hospitals a regular performance snapshot that enables timely, actionable adjustments to program processes.
Even with the advent of clinical metrics reporting as part of the cardiac program, Agile Global Health insists that the maturing initiative remains in its early stages. “What we are doing now is finding patients who already have cardiac damage – patients who for example have rheumatic heart disease (RHD) and whose increasingly damaged heart valves will usually cause death in their twenties or thirties if no intervention takes place. We are helping hospitals and the government identify these patients. Then we take them under management, meaning we triage them, direct them to hospitals, and assign an appropriate priority for surgery or other intervention based on the urgency of the case. In a structured way, we lead them to life-saving surgery,” said Dr. Hilgenfeld. “But a problem is that the artificial heart valves that these patients have implanted require blood thinning, and this means that female patients who undergo such procedures are no longer able to deliver children naturally. We save these people who would otherwise die young, and they can become productive members of society, but we can’t help women overcome this consequence of cardiac surgery.
“So ‘secondary prevention’ is the next stage. This is where we want to identify RHD sufferers through screening early enough that it is still possible to treat the disease with a simple monthly penicillin shot and thus move affected women beyond child-bearing age before they eventually need surgery.” The potential impact is staggering: the 3% incidence of RHD among Kenya’s more than one million annual births means that secondary prevention could restore to Kenyan society and economy over 30,000 healthy, productive individuals each year, lives which are currently being limited or cut short due to late detection of cardiac disease. And the ultimate goal? “To eradicate RHD from the country, as has been done in the west,” Dr. Hilgenfeld asserted. “This is primary prevention, and achieving it will be a long-term project involving nationwide education programs and other actions. But with the vision and support of the Kenyan government and NHIF, and the professional program management and data collection and analysis brought by Agile Global Health, there is no reason Kenya can’t be next to erase RHD from its population.”
Plans are already underway to shift cardiac care focus toward secondary prevention by rolling out a comprehensive national screening program, with Agile Global Health managing patients who enter the program this way as appropriate. The company will also track how, over time, early screening reduces need among Kenyans for more invasive cardiac treatment.
“This is an ambitious, achievable expansion of Kenya’s commitment to cardiac care,” said Mr. Darwin. “As the NHIF’s surgery program nears its one-year anniversary, we at Agile are proud to be supporting a data-driven approach to the program’s future, as well as laying the groundwork to assist preventative efforts.”
For more information on the NHIF cardiac program, and on all Agile Global Health’s applied clinical data measurement and management services, Agile invites you to visit its website.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Have you heard about Tetralogy of Fallot (ToF)? – Part II
Last month, we introduced you to Tetralogy of Fallot (ToF), a complex heart defect. Now that you know the condition’s basic anatomy, symptoms, and how to handle “tet spells” in affected infants, we’ll share some information that can help you manage this disease in your own baby or a loved one’s.
How is ToF diagnosed?
Sometimes it’s as simple as noting ToF’s signature symptom, the bluish discoloration of a newborn baby’s skin. Diagnostic tests such as the following may also be used:
- Chest X-ray
- Echocardiogram
- Heart MRI
- Cardiac catheterization
What are the treatment options for ToF?
- Temporary surgery – In a child born prematurely or a child with underdeveloped pulmonary arteries, a shunt or bypass is created to increase the blood flow to lungs (Blalock-Taussig shunt/ Modified Blalock-Taussig shunt). The shunt is removed at a later date when the child is ready for corrective repair.
- Corrective surgery – Intracardiac repair under cardiopulmonary bypass. This is generally done during the first year after birth.
What complications are common post-surgery?
- Leaky valves – The patient can develop leaky heart valves (regurgitation) post-surgery. The pulmonary valve is most commonly affected.
- Irregular heartbeat (arrhythmias) – These can also lead to sudden cardiac death.
- Residual ventricular septal defects (VSD) – Sometimes, VSDs still leak even after they’ve been repaired. VSDs are then repaired again.
Other complications include coronary artery disease, abnormal dilatation of the right ventricle (aneurysms), and narrowing of the pulmonary artery branch.
After surgery, how is a child’s life impacted?
- Regular check-ups with a cardiologist – Make these as directed by child’s doctor.
- Restriction of activities – Patients should limit activity and consult their cardiologist to decide on the activity level appropriate for their unique case.
- Prevention of Infective Endocarditis (IE) – Patients with cardiac conditions are more prone to endocarditis. Maintaining good oral hygiene plays an important role in preventing IE; nonetheless, prior to any dental procedure, prophylactic antibiotics will be required.
Have questions? Have a disease, treatment, or medical topic you’d like to learn about? Comment on our social media pages to let us know.
Image credit: A.D.A.M.Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Karen Hospital staff & patients showcase cardiac program progress
The ripple effect of our June conference in partnership with Kenya’s National Hospital Insurance Fund (NHIF), which gathered all key stakeholders in their nationwide cardiac surgery program, has been on full display these past few months.
For starters, we’ve seen a surge of new patients. “Since the June summit, we’ve been adding more than 25 new patients each week on average,” said Agile Chief Medical Officer Dr. Rainer Hilgenfeld. “The program is really taking off!”
But it’s not just the patient population that is on the rise. Participating hospitals are jumping at chances to share their institutional, staff, and patient experiences – and the media are taking note.
On July 11th, The Karen Hospital of Nairobi hosted a special forum on its work with the NHIF cardiac program. Agile Global Health’s Kenya National Director, Stephen Masinde, was invited to give remarks alongside Karen’s CEO, Dr. Betty Gikonyo.
The morning forum highlighted program progress, honed in on challenges, and offered attendees an inside look at The Karen Hospital’s involvement through a tour of its cardiac facilities. This included conversation with doctors working for and patients benefitting from the program, as well as a live operation observation.
During the tour, Karen Hospital keenly emphasized its state-of-the-art facility; its resident cardiovascular surgeon, Dr. Premanad Ponoth, focused on the hospital’s capacity to handle complex cardiac procedures. CEO Dr. Betty Gikonyo stressed the importance and impact of the tripartite relationship among NHIF, Agile Global Health, and healthcare providers in this project. And cardiologist Dr. Dan Gikonyo put the national program into global context: it has made Kenya the first country in the world where the economically disadvantaged are accessing quality, covered cardiac treatment in first-rate hospitals.
“The highlight of the morning was the wards visit,” said Eva Gulavi, Agile’s Public Relations and Communications Officer. “We saw three of our patients, two of whom were ready to be discharged. One lady refused to let go of Mr. Masinde’s hand when she heard he was from Agile Global Health. She was so very grateful!”
Mr. Masinde confirmed that this woman’s thankfulness is shared across the program’s beneficiaries: “Other than physically touching people’s hearts, this program is touching souls.”
These moving moments were captured by several national media outlets present, and within days, both The Star and The Daily Nation published articles about the cardiac program’s latest activities and impact.
As the cardiac program continues to grow, our blog will remain your one-stop shop for news coverage and program information. Follow Agile Global Health on social media so you’ll never miss an update!
In the photograph above: From left to right, Agile’s Public Relations and Communications Officer Eva Gulavi, Agile’s Kenya Operations Director Reuben Kangogo, Karen’s CEO Dr. Betty Gikonyo, Agile’s Kenya National Director Stephen Masinde, and Karen’s resident cardiovascular surgeon Dr. Premanad Ponoth.
In the photograph below: Dr. Ponoth (center) joins patient Musa Shauri (left) as he shakes hands with Mr. Masinde (right), whose organization Agile Global Health successfully managed Mr. Shauri’s cardiac surgery and recovery at The Karen Hospital in Nairobi.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Meet an Agile Global Health team member: Dominique in Bangalore
Welcome to the first post in our new series spotlighting Agile Global Health team members and their work around the globe! These posts take you inside Agile Global Health so you can get to know our employees as individuals. Whether they’re on the front lines of patient service or immersed in the data analytics that help us drive healthcare improvement on a nationwide scale, we think you’ll agree – they’re pretty amazing people.
Today, we sit down with Dominique Yonzon, Assistant Manager of Agile’s Treatment Management Center (TMC) in Bangalore, India.
What made you want to work with Agile Global Health? The foundation on which this organization is built – that is, to serve as a healthcare management company to help people from all over the world who are willing to cross borders to receive better and cost-effective medical treatment – inclined me to join this organization.
Share a little bit about what you do in your job. I am blessed to be part of a team that is honest, efficient and hardworking. The TMC works alongside the Medical Team and together, we serve as an information exchange center for the Care Consultants who support our patients in their home countries, and the Operations Officers who support our patients at their treatment destination. We are responsible for providing, and sometimes assisting patients in selecting, the best medical treatment options and pricing for their unique situation from among an international network of healthcare professionals. Besides this, we carry out patient satisfaction surveys that help Agile identify opportunities for improvement in customer service and other areas, including medical care and logistics.
What’s your favorite thing about Agile and your role at the company? The best thing is that we have a great team working together with the best leadership. There is a balance of professionalism and friendliness among our team members that makes the work environment vibrant. As we come from diverse backgrounds, knowledge sharing regarding work and other areas of life is fun! I have found stability in my career here and enjoy what I do every day. Yes, there are challenges at times, but we work through them and see them as opportunities for improvement. It has been a great journey so far.
What makes you excited about continuing to work for Agile? When I joined the organization at the end of 2013, it was in the initial stages of growth. Since then, we have seen the organization weather various changes and through it all, the vision and purpose have remained steady. I am excited for current projects, like the cardiac surgery program in Kenya, and looking forward to managing patients from the Gulf Cooperation Council (GCC) countries and from many more locations where we will soon have Agile representation.
How do you see the company growing in the future? More projects like the Kenya’s cardiac surgery program could be carried out in other developing countries, using their existing healthcare systems to implement sustainable, cost-effective models that incentivize excellence in healthcare delivered locally within a community. I look forward to strengthening existing processes in Agile’s system and incorporating new ones that will further help us create a substantive framework for making quality healthcare accessible to all, ensuring good quality of life, curing disease when possible, and extending life expectancy.
Share a little about your family and interests. I belong to the small and beautiful state of Sikkim, located in northeast India. My family live back home, whom I visit once or twice a year…and I have loving friends in the city who make it homely for me here. When I am not at work, I enjoy writing, music, movies, and spending time learning and doing simple arts and crafts.
In the photograph above: Agile Global Health’s Dominique Yonzon serves as Assistant Manager of our Treatment Management Center in Bangalore, India.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Open-heart surgery beneficiary encourages other cardiac patients
Meet Jane Wanjiku Kamau, one of the latest beneficiaries of the National Hospital Insurance Fund (NHIF) cardiac program. Jane underwent mitral valve replacement at the Mater Hospital in Nairobi on April 5th, 2017.
“After her surgery, Jane came to Agile Global Health’s Nairobi office to express her gratitude, and to chat one-on-one with me about her journey to treatment,” said Eva Gulavi, our Public Relations & Communications Officer. “Jane was very excited to share this information with us because she understands the dynamics and challenges cardiac patients experience, and she is passionate about reaching out to others – especially moms – to show them they can make it out alive, and there’s really nothing to fear.”
Though her story ends joyously, Jane’s path to healing has been long and marked with heartache. “I found out about my heart condition during my second pregnancy in 2006,” she shared. “One fateful day, I woke up and started vomiting, then fainted and was rushed to the hospital. My symptoms led to a heart check-up, and I was diagnosed with rheumatic mitral stenosis. My pregnancy had to be terminated because of my heart condition.
“At this time, I did not have money for treatment. I ended up in Kenyatta National Hospital because it was somehow affordable, but was waitlisted for surgery for two years while taking warfarin medication just to manage my condition. My disease affected all aspects of my life…even my marriage was not spared, as my husband left when my heart condition became more demanding.
“In 2010 with medical cover through my employer, I was able to have my first heart procedure (ballooning) at the Mater Hospital. But early this year, the previous symptoms recurred severely. I was reviewed by Professor Jowi: she recommended a valve replacement due to the severity of my condition. She also told me about the cardiac program, which provides NHIF funding and Agile Global Health management for such procedures.”
When our team visited Jane at the Mater Hospital just before her surgery, she was upbeat and looking forward to the procedure. Now, Jane encourages other patients on their cardiac treatment journey whenever she goes for her review check-ups. She is not afraid of showing her scar as proof that she underwent an open-heart surgery and is well.
“My recovery was miraculous,” Jane said. “I was encouraged a lot by the people around me, including the visit from Agile Global Health.” Her attitude and strong support team had a real clinical impact, too: Jane’s doctor was so amazed at how fast she recovered from the ICU that he created a video of her progress to be used for medical training.
“Being a single mom kept me going because I want to be there for my daughter in the day of celebration,” Jane said. “I do not want to be represented: I want to be present.”
In her gratitude, Jane also mentioned the peace of mind she had when going into surgery that the NHIF would settle her bills, and finances would not be her headache. “She said many patients are made even sicker thinking about demanding treatment costs,” said Ms. Gulavi. “After our interview, Jane went straight to our National Director’s office to thank the NHIF, through Agile Global Health, for touching her heart.”
Jane is one of more than 600 patients for whom we have managed, or are managing, cardiac care through the NHIF program. Join her: if you or a loved one needs cardiac treatment, contact Agile Global Health today to learn how we can help.
In the photograph above: Agile Global Health’s Kenya National Director, Stephen Masinde, welcomes our former patient Jane Wanjiku Kamau to our Nairobi offices. Three months after her successful open-heart surgery through the NHIF-funded, Agile-managed cardiac program, Jane paid a visit to the Agile Global Health team to express her gratitude and share her story.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Agile Global Health attends Kenya Cardiac Society annual meeting
From June 28 to July 1, 2017, the Kenya Cardiac Society (KCS) held its Annual Scientific Conference at Whitesands Hotel Mombasa. As the manager of the National Hospital Insurance Fund’s “NHIF @50” cardiac program, Agile Global Health joined the event as an exhibitor, represented by both our National Director Stephen Masinde and our Operations Director Reuben Kangogo.
The KCS describes itself on its website as “the preferred meeting place for physicians and other health professionals with a keen interest in cardiovascular care.” Its annual meeting, which draws cardiac stakeholders from around the country and the region, is just one way the organization fulfills its mission to “promote and maintain the highest standards of cardiovascular care through the prevention of cardiovascular disease and the education of the public and professionals.”
This year’s conference theme was “impact through collaboration,” a motif perfectly aligned with the successful public-private partnership (PPP) that our management of the NHIF cardiac program represents. As Operations Officer Bernard Ademba reported, “A total of 65 participants, mainly doctors, visited Agile Global Health at the conference, lauding the partnership between us and the NHIF as a ‘game changer’ in Kenya’s medical sector.”
But these medical professionals did not stop at commending the impact the cardiac surgery program has made to date; rather, they sought to further it by developing new avenues for collaboration with the effort, through program manager Agile Global Health. “Officials from Aga Khan Hospital Mombasa, led by Dr. Mohamed Sulin, visited our stand and requested to work with us to help patients within the Kenyan Coast region benefit from the program,” Mr. Ademba shared. “They also invited the Agile Global Health team to visit their facility and inspect their recently-launched catheterization lab, which will assist Mombasa-area patients who previously had to travel to Nairobi to access cath lab treatment.”
Added Mr. Kangogo, “This was really one of the most exciting doctors’ conferences that Agile Global Health has attended. It was incredible to see the clinical community recognizing and appreciating our role in saving Kenyans with heart conditions, and wanting to get more and more involved.”
In the photograph above: Key delegates to the Kenya Cardiac Society’s 2017 annual scientific conference. Agile Global Health joined the Mombasa event earlier this month to represent the NHIF’s cardiac program to these and other experts in attendance.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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NHIF cardiac program offers first CME through Agile Global Health
Agile Global Health is well-known for our twin commitments to spreading health access and awareness among the public, and to fostering continuing medical education (CME) opportunities for medical practitioners. We’re thrilled to share that we recently offered our very first cardiac CME in conjunction with the National Hospital Insurance Fund (NHIF) cardiac surgery program!
On April 26, we gathered doctors and nurses from the cardiac unit at Moi Teaching and Referral Hospital (MTRH) in Eldoret, Kenya. “We shared with them the status of the ongoing NHIF cardiac surgery program, and explained how they can refer patients they are unable to treat themselves through our Eldoret office, to be redistributed for cardiac care to our network of hospitals in Nairobi and Bomet,” said Cornelius Rop, Eldoret Operations Officer. This referral process is of special importance for MTRH’s clinicians, as the facility is partnered with Agile Global Health to support the NHIF cardiac program and is receiving patient inquiries for care, but is not yet conducting its own procedures onsite.
During the morning meeting, Agile Global Health’s Kenya National Director, Stephen Masinde, presented on the successes achieved so far by the NHIF flagship program, including the number of cardiac surgeries performed since the program’s October 2016 launch. “Doctors were impressed by the speedy and quality service Agile Global Health is delivering for cardiac patients,” commented Mr. Masinde.
Four senior MTRH cardiologists – Dr. Myra, Dr. Akwanalo, Dr. Njoroge, and Dr. Barasa – were in attendance. “The meeting presented an opportunity for these specialists to collaborate with Agile Global Health’s program managers regarding ten NHIF cardiac clients in the Eldoret area needing treatment,” said Mr. Rop. Four of these cases required pacemaker insertions, an intervention the MTRH cardiologists were well-prepared to perform, but which MTRH as a facility could not yet host. “We as Agile Global Health provided the coordination and management to shift these four cases to Eldoret Hospital, which could accommodate Dr. Akwanalo and Dr. Barasa to perform these procedures the very next week,” Mr. Rop reported. “And since then, our activity in the Eldoret region has continued to grow! We have now served over 100 cardiac clients through our Eldoret office, and Dr. Akwanalo has performed 17 successful pacemaker insertions at Eldoret Hospital.”
This CME was the first for the cardiac program, but it won’t be the last. Whether you’re a medical provider, facility administrator, or potential patient, follow Agile Global Health on social media to stay in-the-know about upcoming cardiac and healthcare events in your area!
In the photograph above: Stephen Masinde, Agile Global Health’s Kenya National Director, presents about the NHIF cardiac surgery program to cardiac unit doctors and nurses who attended our first cardiac program CME at Moi Teaching and Referral Hospital.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Patients honor their physician on India’s National Doctor’s Day
Did you know that India rang in the month of July with a special holiday? Our Kenyan patients currently in India to receive medical care certainly did! And on July 1st, National Doctor’s Day, several of our patients chose to honor their Indian oncologist for the occasion.
“We celebrated National Doctor’s Day at Manipal Hospital,” reported Tabrez Ahmed, Agile Global Health Bangalore Operations Manager. “Our Kenyan clients Violet Kerubo, Anne Murungi, and Jane Kariuki honored their Consultant Oncologist Dr. Amit Rauthan and his assistant with a greeting card and two single red roses.”
India is one of several countries that celebrates a designated National Doctor’s Day in recognition the impact of medical professionals on individuals and societies. Though the date of the holiday varies from country to country, presenting physicians with a card and a red flower is a common observance custom.
All three women are being treated by Dr. Rauthan for breast cancer under the sponsorship of Kenya’s National Hospital Insurance Fund (NHIF), whose beneficiaries enjoy Agile Global Health’s management services at home as well as abroad for certain specialties. Beyond the gratitude our patients expressed for the high-quality treatment and thoughtful care they are receiving from Dr. Rauthan, their use of traditional symbols of the holiday – which is not currently observed in Kenya – displayed to a special degree their respect and appreciation for the Indian culture which has welcomed them on their medical journeys.
As always, we at Agile Global Health are privileged to witness the beautiful human impact of healthcare management done right: whether at the local or international level, connecting patients with the care and providers that are just right for them means life-changing outcomes, and life-long bonds with the people who help to achieve them.
In the photograph above: From left to right, Dr. Ashutosh (assistant to Dr. Rauthan) and Dr. Rauthan of Manipal Hospital with Agile Global Health patients Violet Kerubo, Anne Murungi, and Jane Kariuki. For the occasion of National Doctor’s Day in India, the patients presented their doctors with single red roses and a greeting card.
In the photograph below: Like their live flower presentation, the greeting card offered by the patients portrayed red blooms typical of the holiday.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Have you heard about Tetralogy of Fallot (ToF)? – Part I
Tetralogy of Fallot (ToF) is a complex heart defect that involves four different problems in the heart. To fully explain this complicated condition, we’ll address it in two separate posts. Today we’ll cover ToF, Part I!
What are the four problems that comprise ToF?
- Ventricular septal defect (VSD) – a hole in the wall that separates the heart’s two lower chambers (ventricles)
- Pulmonary stenosis (PS) – narrowing of the valve between heart and lungs
- Right ventricular hypertrophy (RVH) – thickening of the right ventricle wall
- Overriding aorta – misplaced or moved major blood vessel (aorta) of heart
Together, these problems lead to a mixing up of blood entering and blood leaving the heart. Blood that is low in oxygen (“blue”) mixes with blood that is oxygen-rich (“red”). Babies born with ToF sometimes are called “blue babies” because their lack of oxygenated blood can make them look blue (cyanotic).
What are the symptoms?
The symptoms of ToF may be present at birth or shortly afterward, and include:
- Blueish discoloration of skin – “blue baby”
- Clubbed fingers
- Problems with eating
- Failure to gain weight
- Developmental delays
- Episodes of passing out
What are “tet spells?”
Some babies with ToF experience “spells,” in which a sudden drop in blood oxygen level causes the baby to become very blue. During a tet spell the baby may also:
- have difficulty breathing;
- initially become very irritable, later very tired and unresponsive; and/or
- have fits/seizure attacks.
The exact cause of these episodes is not known. Tet spells can be triggered when a child is upset, has a low red blood cell count (anemia), or is dehydrated. Reducing a baby’s anxiety by anticipating what he/she needs to stop crying can help prevent tet spells.
What should an adult do during a baby’s tet spell?
- Bring the baby’s knees up tight against the baby’s chest (the knee-chest position).
- Attempt to calm the baby.
- Call your doctor and/or take the baby to the hospital if there’s no improvement.
Even if the child improves, a consultation with the treating doctor following a tet spell is mandatory.
That does it for our introduction to ToF. But for the rest of the story, including diagnosis, treatment, and post-treatment life, be sure to watch this blog for our upcoming “Have you Heard about Tetralogy of Fallot? – Part II” post!
Image credit: A.D.A.M.Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Hospitality partners uphold our “agile” pledge to patients
You’ve met Agile Global Health’s patients, staff members, and leaders. You’ve been introduced to some of the hospitals and physicians with whom we partner. Today, we bring you another important branch of the Agile family: our hospitality partners, who work every day to put our traveling patients at ease.
When we help clients travel to India from other countries, we know it’s important they be comfortable, as well as close to their treatment hospital. So Agile Global Health works with a plethora of hotels and guesthouses near our partner medical facilities to provide a diverse range of quality accommodation options to patients.
We take the same care in selecting lodging affiliates as we do in choosing clinical cohorts. And our discrimination does not go unnoticed! For example, we recently received this email from our patient, 59-year-old Mr. Mohamed Sheikh Ali of Nairobi, Kenya, who was treated at Artemis Health Institute for diseases of the nervous system. He took a moment upon his departure to appreciate the hotel services arranged by Agile’s Destination Management Center (DMC) in Delhi:
“This message is to inform you of the hospitality accorded by our guesthouse. As Kenyan visitors facilitated by A&K [Global Health], we were very excited with the services of our residence – all was taken care of very well.”
“This is another piece of evidence that each institution involved in what we do strives to make the customer experience better and help patients to a speedy recovery,” said Senior Relations Officer Aleksandra Golota.
We are always welcoming better and better hospitality partners into our network. Sometimes, this means a patient who has traveled with us previously is accommodated in a different facility from their last treatment trip. Uncertainty about a new residence can be unsettling – but as always, our team handles patient concerns with the utmost respect, professionalism, and support.
Take 44-year-old Mrs. Lilian Nyabuto. Agile Global Health manages her cancer treatment at Medanta The Medicity in Gurgaon, India, where she has traveled several times. On her most recent trip, we booked her into a new partner guesthouse near her hospital. Joyce Wambugu, her Kenya Care Consultant, admitted “We had a rough time trying to convince her husband back in Kenya that she and her attendant would not be returning to their previous hotel. I reassured him that the new residence is a nice place and showed him photos…A day later, he called me, sounding so elated that the new accommodation is such a nice option and a lovely facility. He wanted to apologize for doubting us and to thank us for the new solution!”
These relationships with lodging facilities don’t build themselves: rather, they are the product of our DMC team’s persistence and dedication. “Just yesterday, we had a meeting with an exceptional hotelier,” Ankur Gupta, our Delhi-based National Manager, recently explained. “They clearly heard our patients’ concerns, and in response added a refrigerator and dining table to all Agile Global Health rooms – above and beyond the standard amenities they already have. We continuously patronize and develop such partners, who are sincere about customer care and agile to accommodate client needs, while remaining cost-competitive for our institutional clients like the National Hospital Insurance Fund (NHIF) who sponsor patient accommodations.”
Just like us, our exceptional hospitality partners are always working to better serve our patients as individuals and support their healing. Watch this blog for an upcoming testimonial from one of our patients regarding her outstanding Indian lodging while in treatment, including her thanks to her sponsor, the NHIF!
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Agile Global Health joins Kenya conference on sustainable health
From April 19th-23rd, 2017, healthcare professionals from across Kenya gathered in Nanyuki for the 45th Annual Conference and General Meeting of the Kenya Medical Association (KMA). Agile Global Health’s Nairobi team proudly joined this group of practitioners, policymakers, and thought leaders to share how our current initiatives in Kenya are supporting individuals in obtaining healthcare while also building capacity in the Kenyan healthcare system.
Founded in 1968, the KMA is a voluntary membership organization open to all medical and dental practitioners registered in the Republic of Kenya. Agile Global Health is pleased to partner with the KMA on occasional events given its important role in informing Kenyan healthcare policy. Per its website, the association – today around 3000 members strong – is charged with:
- promoting the practice of medicine in Kenya;
- upholding high standards of medical ethics and conduct;
- advising the Government, other medical bodies, and the general public on matters related to health;
- promoting the welfare of doctors;
- maintaining the honor and interest of the medical profession;
- supporting continuing professional development (CPD) through periodic publications, seminars, and scientific conferences; and
- liaising with medical associations around the world.
This year’s conference theme was Health Indicators for Sustainable Development. Agile Global Health participated as an exhibitor, represented by System Analyst/Cardiac Data Officer Faith Simiyu and Public Relations and Communications Officer Eva Gulavi; our Kenya National Director, Stephen Masinde, also participated as a delegate. Attendees ranging from doctors and government leaders to sponsors and other exhibitors visited our booth, where we shared with them our work in healthcare management both locally and internationally.
Presentations delivered throughout the three-day conference covered a wide variety of topics. Given this year’s theme, safe and sustainable strategies for nutrition, drinking water and sanitation, energy, and medical sector jobs – the “brain drain” of clinical professionals is a continuing concern for Kenya’s long-term healthcare system development – dominated discussions. Talks also addressed disaster risk management, pre-hospital care, infectious disease (including HIV and TB), and non-communicable disease, a focus of Kenya’s Vision 2030 strategy as well as of the NHIF @50 Cardiac Surgery Program that Agile Global Health implements. Additionally, the KMA educated conference attendees on its role in the national and county-level legislative and policymaking processes.
“Agile Global Health was especially pleased to attend this year’s conference because of the way this meeting’s theme touched upon what we do,” said Mr. Masinde. “We also look forward to being part of this event in future years, as Agile Global Health continues to support the advancement of healthcare for every Kenyan, and of health system management for the Kenyan nation.”
In the photograph above: Agile Global Health’s Eva Gulavi (left), Public Relations and Communications Officer, and Faith Simiyu (right), System Analyst/Cardiac Data Officer, are joined for a photo during the Kenya Medical Association’s 45th Annual Conference by Dr. Henry Wanga (center), Vice Chairman of the Kenya Medical Board National Executive Council.
In the photograph below: Ms. Gulavi and Ms. Simiyu represented Agile Global Health to medical professionals, sponsors, and other exhibitors at the April 2017 conference in Nanyuki, Kenya.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Meet an Agile Global Health partner: Sri Ramakrishna Hospital
Every single care provider and facility partner we welcome into the Agile Global Health network is selected for its clinical capacity and quality, procedure diversity, equipment and medical technology, and overall value, to name but a few parameters we carefully assess. But something additional makes one of our newest hospital relationships unique: a commitment to many of the same core values that guide Agile Global Health.
Sri Ramakrishna Multispecialty Hospital is located in Coimbatore City, the traditional textile capital of South India, which offers a calmer urban environment compared to the popular treatment destinations of Delhi and Bangalore. It is run by the SNR Sons Charitable Trust, a non-profit trust committed to bettering society through healthcare and education. “Driven by our founding motive of providing accessible healthcare to society,” the hospital’s website states, “patients receive the very best of care at virtually nominal costs…We are the rare exception to the rule – a private hospital driven by motives of empathy, service to society and excellence.”
With 29+ specialty areas of practice and the affirmed core values of reliability, responsibility, respect, and cost reasonableness, Sri Ramakrishna was an obvious partner for Agile Global Health. Our collaboration was jumpstarted by the hospital’s participation in the December 2016 tour of Indian partner hospitals that we arranged for a delegation from Kenya’s National Hospital Insurance Fund (NHIF). Sri Ramakrishna’s CEO and the NHIF’s visiting leadership quickly connected over their shared commitment to corporate social responsibility: Sri Ramakrishna described its program providing free treatment to Tamil Nadu state pediatric cancer patients, while NHIF presented its new initiative sponsoring a surge of cardiac interventions throughout Kenya, including a recent surgical mission focused specifically on complex pediatric procedures.
Just weeks after the NHIF’s visit to Sri Ramakrishna, Agile Global Health managed our first Kenyan client to the hospital. And over the past six months, Sri Ramakrishna’s broad clinical capability has been on full display, as its staff has treated Agile Global Health clients for conditions ranging from rheumatic heart disease, spondylosis, and epilepsy and recurring seizures to encephalitis and diseases of the circulatory system.
“Our growing relationship with Sri Ramakrishna hospital is important because of the strategic alignment of their values with ours, particularly their dedication to cost-effective treatment without compromising quality,” said Sarala Gangadhara, Director of Agile Global Health’s Treatment Management Center. “We look forward to the continued expansion of this partnership with Sri Ramakrishna, as we serve patients within India’s national health system as well as individuals traveling here from more and more countries around the globe.”
Does your organization also share our healthcare philosophy? Is your hospital ready to join the premier international network for patient-centered, health system capacity-building care? Don’t delay. Agile Global Health is waiting to hear from you!
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Community gathers to give thanks for NHIF cardiac program
At Agile Global Health, we’re known for personalizing your healthcare experience even as we manage it professionally. And our close, continuous support to clients during their medical journeys forges special bonds between our staff and our patients, who often describe us as their “Agile Global Health family.”
Recently, our Public Relations and Communications Officer Eva Gulavi was honored with an invitation indicative of one family’s trust and gratitude for our support: a thanksgiving ceremony for a patient in the National Hospital Insurance Fund (NHIF) Cardiac Surgery Program. Less than six weeks after her successful cardiac surgery, Felistus Chege gathered her extended family, her church parish, and her village community in Githunguri, Kiambu County, to celebrate her recovery. Ms. Gulavi was invited to receive thanks on behalf of Agile Global Health.
“They were very grateful to Agile Global Health for the amazing management job, and to NHIF for offloading their family the burden of the costly cardiac treatment,” said Ms. Gulavi. “I was given a chance to talk about the NHIF-funded program, and what Agile does as program implementer.”
Felistus’s husband said it had been a six-year journey for his family after numerous hospital visits. “We had many tests done on my wife before we learned that we had a cardiac case, because most doctors gave asthma treatment,” said Mr. Chege. When 42-year-old Felistus was finally diagnosed with rheumatic mitral stenosis, finances became the Cheges’ biggest challenge, and Felistus ended up on the waiting list for cardiac treatment. “When the time for Felistus’s treatment came according to the waiting list, we went to the hospital, only to be told that her dates were pushed back even further,” Mr. Chege recounted.
Thus, the Cheges were financially stranded until Agile Global Health called them in December 2016 to inform them about the NHIF Cardiac Surgery Program. “Our Cardiac Program Care Consultant forwarded Felistus’s name to The Karen Hospital, where the process for her treatment began with pre-assessment,” explained Ms. Gulavi. “Felistus was then admitted to The Karen Hospital in Nairobi on March 17th, underwent mitral valve repair on March 18th, and was discharged on March 24th.” Felistus’s care before, during, and after her surgery were fully funded by the NHIF and carefully managed by Agile Global Health.
“It’s been over a month now,” said Mr. Chege at the thanksgiving ceremony, “and we are now here thanking God for what he has done for me and my family through Agile Global Health and the NHIF. You are great people! We really appreciate you – through you, we have been able to get to where we are. Only God can reward you for what you have done for me and my family.”
In the photograph above: Eva Gulavi (left), Agile’s Public Relations & Communications Officer, joined our former cardiac patient Felistus Chege (right) six weeks after her successful surgery to celebrate her return to good health through the NHIF @50 Cardiac Surgery Program.
In the photograph below: Felistus’s family, friends, and community held a special thanksgiving ceremony in gratitude for the NHIF-funded, Agile-managed cardiac surgery that saved Felistus’s life.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Kenya Cardiac Conference Rallies Key Stakeholders to Celebrate Lives Saved, Augmented Clinical Capacity
North Carolina, USA – June 23, 2017: On June 8th, Agile Global Health’s Kenya team gathered key stakeholders in Kenya’s National Hospital Insurance Fund (NHIF) Cardiac Surgery Program from around Kenya, and the globe, for a half-day cardiac summit at Sarova Panafric Hotel in Nairobi.
The meeting, which drew more than 150 attendees, brought together cardiothoracic surgeons, cardiologists, NHIF leadership and board members, the Ministry of Health, the Kenya Medical Association (KMA), the Kenya Cardiac Society (KCS), a World Bank representative for Africa, participating hospital clinical and administrative staff, and surgery beneficiaries with executives, staff, and the original founder – a guest of honor for this special occasion – of program implementer Agile Global Health. Through presentations, patient testimonies, a moderated panel, and a press briefing, the conference conveyed the program’s progress over its first eight months of activity, and fostered open exchange among all participants on aspirations and strategies for its future.
Since October 2016, over 300 Kenyans have received NHIF-covered cardiac interventions or open-heart surgeries as part of the “NHIF @50” Cardiac Surgery Program. As acknowledged during the conference – as well as by NHIF CEO Geoffrey Mwangi in an interview on NTV’s AM Live show leading up to it – a key enabler of NHIF success has been Agile Global Health’s disciplined management focus on data capture, analysis, and continual monitoring, which has allowed the program to continuously adapt to emerging opportunities and challenges. “This conference was a critical turning point in ensuring that all stakeholders clearly understood why NHIF chose us to implement this program, and how we are making all its disparate parts function collectively, to the benefit of patients and the capacity of Kenya’s health system,” said Joyce Wambugu, Agile’s Nairobi-based Care Director. “I believe the question ‘why Agile Global Health?’ was answered that day.”
Ms. Wambugu’s conviction has been borne out by the numbers. In the weeks since the cardiac conference, we have witnessed two marked shifts: first, with growing knowledge of the program’s work and accomplishments, more Kenyan hospitals are now earnestly seeking out Agile Global Health to join this crucial initiative. And second, the program’s elevated profile since the conference has heightened public awareness, leading to a surge of new patients. “Since the publicity boon of the conference, we’ve seen our open-heart surgery volumes trending up,” said Dr. Rainer Hilgenfeld, Chief Medical Officer, “and we’re also realizing major growth among interventional and diagnostic cardiac procedures. This means that increased awareness is rapidly driving the program in the direction of more patients using it to access preventative and early-intervention care, which saves lives as well as funds.”
“We as Agile Global Health are thankful for the hard work of many that made this event possible,” said Stephen Masinde, Agile’s Kenya National Director. “We acknowledge first the NHIF and our hosting venue Sarova Panafric Hotel, as well as The Mater Hospital, The Karen Hospital, Tenwek Hospital, Gertrude’s Children’s Hospital, Nairobi Hospital, Coast Provincial General Hospital, M.P. Shah Hospital, Dr. Harun Otieno for his presentation on heart attacks in Kenya, and our moderator, Mr. Eric Latiff.”
Connect with the latest NHIF @50 Cardiac Surgery Program news, and all Agile Global Health initiatives, on our blog.
In the photograph above: Agile (operating as A&K) Global Health’s CEO Morgan Darwin, founder Wes Edens, and Chief Medical Officer Rainer Hilgenfeld (center back row) proudly stand with members of our Kenya team following the successful stakeholder summit for the NHIF @50 Cardiac Surgery Program.
In the photograph below: From left to right, Mr. Darwin, NHIF CEO Geoffrey Mwangi, and Mr. Edens joined representatives of numerous government ministries, medical societies, healthcare institutions, and patients themselves in Nairobi to celebrate the accomplishments of the cardiac program.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Agile Global Health’s SMS services are a 24/7 patient helpline
Agile Global Health is dedicated to comprehensively managing your healthcare experience with speed, accuracy, and personalization. We’ve already introduced you to the mobile SMS program we use to keep in constant touch with our clients traveling to India for treatment, continually measuring and assuring their satisfaction. Today, we’ll explain how our SMS surveys go beyond providing internal feedback to function as a patient helpline.
In addition to the six sequenced questions that internationally-traveling patients are sent during their stay in India, we send a welcome message immediately upon arrival: “Agile Global Health welcomes you to India. Thank you for choosing our services for your medical needs. We wish you a safe & pleasant stay in India. For any assistance, please contact your Operations Officers.”
“It’s a personal gesture, but also an invitation for the patient to communicate proactively with us for any reason at any time,” explains Dominique Yonzon, Assistant Manager of Agile’s Treatment Management Center (TMC) in Bangalore, India.
Some patients are so positive they express gratitude for the welcome message – for instance, “Thanks. Already in India and so far, no complaints. We are okay,” which we received from a Kenyan patient whose travel and care we managed at BLK Super Specialty Hospital. Some patients also go beyond supplying a numerical response to the survey questions, like a Kenyan patient for whom Agile coordinated treatment at Artemis Hospital, who shared “I am happy about the reception received all the way from airport up to hospital. Keep up the spirit.”
And when our patients have negative feedback, our SMS services become their helpline. Take an Iraqi patient being treated in Delhi, who responded to our survey question about accommodations with a 4 (“very dissatisfied”). We immediately reached out to him and listened to his complaints. “When we learned that he had issues with food variety and cleanliness, his Agile Operations Officer arranged an urgent meeting directly with the owner of the hotel, making certain the patient was specifically served non-vegetarian meals, per his cultural preference, and that the kitchen staff wore gloves while preparing food.” The outcome? “Because our patient was happy, he did not change hotels, which also pleased the owner as our partner!”
This story illustrates our SMS service as a multifaceted helpline, covering our patients’ logistical, medical, financial, and perhaps most complicated of all, cultural concerns. “Our staff go above and beyond to handle complaints that may not be about health crises, or crucial legal or financial problems, but which are difficult for them because they challenge cultural norms and expectations,” says Saraladevi Gangadhara, Agile’s Bangalore TMC Director. “We strive to put our patients at ease – whatever that means for them.”
Providing expertly nuanced services that honor cultural differences is complex, but at Agile Global Health, it’s our specialty. Our SMS communications – currently available in English, Kurdish, and Arabic – will continue to expand as we enter new markets, serving an increasingly global representation of patients from all over the world.
Photo by Susanna Marsiglia on Unsplash
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries) is an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Agile Global Health spreads care & information throughout Kenya
You’ve heard the exciting news: A&K Global Health is now Agile Global Health! And our pace and activity across Kenya during the first five months of 2017 certainly live up to our new name.
On January 24, our Mombasa team traveled with National Hospital Insurance Fund (NHIF) officers to Kenya’s northern coast to jointly present our partnership to 85 Lamu County Government employees. “Agile Global Health had already facilitated a number of Lamu County staff members’ treatment in India,” said Operations Officer Bernard Ademba. “This opportunity allowed us to present step-by-step how our management can now help patients receive affordable, quality healthcare locally as well as internationally.”
On January 26, our Eldoret staff addressed 80 Longisa County Referral Hospital personnel in Bomet County, educating doctors and nurses on the NHIF benefits available to them and their dependents, explaining how their patients can access specialized treatment through Agile’s international hospital network for conditions not manageable in Kenya, and making them aware of our work with the NHIF’s ongoing, growing national cardiac program. Thanks to this event, seven new patients entered our screening pipeline for cardiac interventions!
March 16 took our Eldoret team to Nakuru’s Evans Sunrise Hospital with the same presentation. We’re currently assisting patients from among the 40 attendees with care needs ranging from liver transplant to brain tumor treatment.
Weeks later, Agile Global Health joined forces with India’s BLK Super Specialty Hospital to offer medical camps in central Kenya for the first time in four years! From March 3 to April 1, Kilifi County’s Malindi Sub County Hospital and Star Hospital Milindi hosted 188 patient consultations and a local physicians’ roundtable with BLK specialists, as well as a continuing medical education session by Agile Global Health for over 100 healthcare professionals. “Information on the NHIF cardiac program excited the participants, which lead to our Care Consultant and one of the doctors visiting a local 11-year-old cardiac patient who required urgent evaluation,” said Mr. Ademba. The camp continued at Kimkan Hospital in Muranga County from April 3-4, with 152 patients seen.
On April 8, our Marketing Executive Lencer Misiani represented Agile Global Health at a large Ministry of Health-organized medical camp in Masogo. 354 patients and 70 nurses from different facilities within Kisumu County attended! “We introduced the NHIF cardiac program,” said Ms. Misiani. “The nurses were glad to learn of it, and eager to refer cardiac clients.”
On May 2 at Burnt Forest County Hospital, 45 staff listened keenly as we presented their NHIF insurance benefits, how these benefits apply to Agile’s local and global medical management services, and shared about the NHIF cardiac program. Two patients with oncology concerns and four seeking cardiac treatment were able to connect with us for care.
From May 19-20, Mombasa’s Mewa Hospital hosted visiting doctors from Mumbai, India’s SevenHills Hospital, who offered professional advice to 218 patients seeking specialty care. Less than a week later, we had already scheduled two cardiac clients for travel and treatment.
Our name is new, but some things are unchanging – like our dedication to empowering patients and doctors alike with expanded health knowledge and capability. Keep up with us on the Agile Global Health blog as we continue to grow this important work!
In the photograph above: A nurse takes a patient’s blood pressure at the recent Masogo medical camp organized by the Kenyan Ministry of Health.
In the photograph below: Agile Global Health’s Lencer Misiani, far left, with several of the 70 enthusiastic nurses who traveled from facilities throughout Kisumu County to Masogo Sub County Hospital, where together they saw 354 patients in a stunning one-day effort.
Agile Global Health
Agile Global Health (operating as A&K Global Health in select countries), an Agile Health Systems company and a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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What is Atrial Septal Defect (ASD)?
What is atrial septal defect?
Atrial septal defect (ASD) is a congenital heart disease where there is hole (septum) in the wall between the two upper chambers of the heart (the left and right atriums). As a result, the oxygen-rich blood in the left atrium flows into the right atrium, where it mixes with the oxygen-poor blood and thereby increases the volume of blood flow to the lungs.
What are the signs and symptoms?
Symptoms of the disease depend on the location of the hole in the septum and the size of the hole. Children with small-sized holes may not have any symptoms. However, if the hole is medium to large, the following symptoms may be observed:
- Shortness of breath
- Poor growth
- Lack of appetite
- Easily tired
- Lung infections like pneumonia
In cases where a medium to large ASD has not been repaired, complications like heart rhythm disorders, heart failure, stroke, and pulmonary hypertension can occur. These complications are generally seen around age 30 or later.
How is ASD diagnosed?
The presence of abnormal heart sounds (murmurs) during a physical examination is usually the first indicator of an underlying problem. The patient may then undergo a chest X-ray, electrocardiogram (ECG), echocardiogram (echo), cardiac catheterization, etc.
How is ASD treated?
Treatment options vary, depending on the child’s age as well as on the size, location, and severity of the defect.
- Very small ASDs may close on their own, and until then require only regular follow-up with a physician or cardiologist.
- Larger ASDs may be closed by direct surgical closure with cardiopulmonary bypass or percutaneous transcatheter closure, or via endoscopic minimally invasive surgery.
What medications are used in ASD treatment?
Drugs may be required in cases of heart rhythm disorders and/or fluid overload. Antibiotics are used during the post-operative period before any routine dental work or any surgical procedures are performed, in order to prevent infections of the inner lining of the heart.
What is the follow-up protocol after surgery?
Regular follow-up should be maintained with the cardiologist. A physical exam and echo may also be required, depending on the specifics of the case.
A doctor should be seen immediately if the child has any of the following signs or symptoms:
- Difficulty breathing
- Poor appetite or difficulty feeding
- Prolonged or unexplained fever
- Increased pain, redness, or pus from the incision site
- Bluish skin around the mouth, lips, and/or tongue
- No weight gain, or weight loss
- Tiredness and decreased playing
- Increasing pain, tenderness, or pus oozing from the incision
Have questions? Have a disease, treatment, or medical topic you’d like to learn about? Comment on this post to let us know.
Image credit: National Heart, Lung, and Blood Institute, National Institutes of Health, U.S. Department of Health and Human Services -
Signifying vision and expansion, A&K Global Health becomes Agile Global Health
The international healthcare manager A&K Global Health today announces it will begin doing business as Agile Global Health, an Agile Health Systems company.
The new name is inspired by the core capability that has earned this young company its worldwide reputation: delivering swift, effective movement and comprehensive management for each patient through the healthcare experience best suited to their needs, whether found in the patient’s home region, home country, or abroad.
This marks a transition from the company’s founding focus on medical travel – namely, moving patients from one national health system into another for treatment, and supervising their seamless transition back into their home health system for follow-up care – and acknowledges the much broader work that Agile Global Health conducts today, as a system manager within the healthcare field operating internationally as well as at the national level in more than a dozen advancing economies.
Retiring the “A&K” inherited from its former sister company, luxury global tour operator Abercrombie & Kent, also signifies the company’s maturation into its own distinctive identity and market space.
“I am very proud of the heritage of our namesake, Abercrombie & Kent. Our big sister has built a global reputation for excellence in tourism, and in our youth, it was great to have her example to help us get started,” said Morgan Darwin, Agile Global Health’s Chief Executive Officer. “But today we are standing on our own. The new opportunities we are advancing in healthcare management make now the time for us to build a unique brand around a name that articulates the impact we strive to have: creating an agile health system that rapidly adapts to the needs of each patient.”
The new opportunities that Mr. Darwin references include four signature service lines: 1) management of logistics, claims and medical care for institutional patients; 2) hospital services, in the form of performance metrics and patient management (local/resident as well as nonresident/international inbound); 3) collaboration with national and local healthcare authorities to address management issues that hinder effective care delivery; and 4) working in support of national and local healthcare objectives to increase accessibility, improve clinical outcomes, and lower costs, in rural and urban settings.
Specific initiatives in each of these areas are already underway. In management of tertiary care abroad, Agile Global Health has exceeded 2,500 cases to date, with more than 500 of these in the first five months of 2017 alone. As the implementer of the National Hospital Insurance Fund (NHIF) cardiac surgery program in Kenya, the company has managed the local performance of nearly 300 open- and closed-heart cardiac interventions over the past eight months. In the next six months, also in East Africa, Agile Global Health will launch both a pilot maternity mortality reduction project as well as a rheumatic heart disease (RHD) screening, treatment, and eradication scheme. And it is currently forming its first official partnerships with several high-profile global nonprofits and international organizations, with details to be announced in a series of upcoming press releases.
2017 has started with amazing activity that could surpass 2016, even before the middle of this year,” said Mr. Darwin. “2017 is unfolding as a year of powerful change.”
Agile Global Health attributes its tremendous growth to how it serves clients and patients as much as to whatservices it provides. “Our management goes beyond clinical excellence,” explains Aleksandra Golota, Senior Relations Manager. “We strive not just for the clinical outcomes, but also for the financial and customer experience outcomes, to be right every time for every individual. And we do this through our relationships with healthcare funders and providers, our on-the-ground presence, and our technology.” These focal pillars will continue to undergird the company’s growth as it expands into Agile Global Health.
Mr. Darwin will make the first formal introduction of the company as Agile Global Health on Thursday at the NHIF-sponsored cardiac surgery symposium in Nairobi, which is being covered live on Kenyan national television. Guest of honor Wes Edens, the original founder of A&K Global Health, will also attend this important occasion.
Agile Global Health will detail the cardiac summit in a forthcoming press release. For that story and for all current news and achievements, patient testimonies, and partnership opportunities, visit the Agile Global Health website.
Agile Global Health
Agile Global Health, an Agile Health Systems company, is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex healthcare delivery challenges. We listen to local and national healthcare leaders in every country where we work, and then support their vision to improve their national health system’s accessibility, quality, and clinical outcomes. For patients, we connect you with the right care for your needs, from facilitating quality local and regional treatment to coordinating international medical travel; for healthcare funders and providers, we optimize your organizational impact by introducing transparency, control and customization to the medical, financial and experiential aspects of your clients’ medical journey. Contact us today to learn how we can support you.
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Cardiac patient’s sister sings thanks to NHIF, A&K Global Health
Every day, A&K Global Health encounters astonishing stories from patients benefiting under Kenya’s National Hospital Insurance Fund (NHIF) cardiac surgery program. Fredrick Orina’s experience is one example.
Sponsored by the NHIF, 46-year-old Fredrick underwent aortic valve replacement surgery at Mater Hospital in Nairobi, Kenya on January 17. He was discharged from the hospital on February 16.
“This man’s story has just amazed everyone…his case is particularly touching because he’d been sick for 18 years, and nearly everyone had given up hope for him, knowing he was going to die,” said Eva Gulavi, Public Relations and Communications Officer. “Mr. Orina was so thankful for the second chance his surgery provided that he walked right into the Mater Hospital CEO’s office, in his hospital gown, to express his gratitude!”
When the A&K Global Health team visited Fredrick after his surgery, his sister was similarly overcome with joy and broke into a song of thanksgiving. At his discharge from the hospital, a nurse told our team that Fredrick was sharply dressed in a suit, adding “no one could have imagined that this man was the same sick person who went in for treatment.”
Hear Fredrick’s sister singing her gratitude, and see the healthy glow on Fredrick’s face, in this short video:
A&K Global Health
A&K Global Health, an Agile Health Systems company, is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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Meet an NHIF cardiac surgery program partner: Tenwek Hospital
In the past, we’ve introduced you to some of our hospital partners in India. Today, we’re thrilled to offer you the first in a series of posts presenting our Kenyan hospital partners, who are boldly implementing Kenya’s National Hospital Insurance Fund (NHIF) cardiac surgery program – and not just in Nairobi County, but truly nationwide!
Meet Tenwek Hospital, a 300-bed teaching hospital in western Kenya’s Bomet County. The name “Tenwek,” derived from “ten weeks,” refers to the length of journey the founding missionaries undertook to reach the area from Mombasa in 1937, when the hospital was established.
A team from A&K Global Health’s Nairobi office recently traveled to Tenwek – thankfully, now only a few hours by car! – to meet with their cardiac program clinical and support staff. “The main objective for our visit was to strengthen the relationship that exists between us,” said Phylis Wanjiru, Cardiac Program Care Consultant. “We thanked the Tenwek team for their excellent work with the cardiac program thus far, and assured them of our continued support.”
Tenwek has one of the highest procedure volumes among participating hospitals: with over 30 cardiac interventions conducted since the program began, it is the busiest program facility outside Nairobi. Tenwek also boasts a track record of successful high-risk cardiac procedures. Dr. Russ White, Tenwek Hospital’s Chief of Surgery, told our team about one such surgery that lasted for 12 hours. “None of the surgeons attending to this patient thought it was likely she would make it through, but they were absolutely determined to complete this complex procedure despite the odds,” said Eva Gulavi, Public Relations and Communications Officer. “Dr. White categorically stated that the only other hospital he knew to be capable of handling this kind of procedure was in Houston, Texas. It’s a tremendously proud achievement for Tenwek Hospital to have saved this woman’s life by successfully performing this surgery.”
A&K Global Health’s team toured hospital, visiting Tenwek’s operating theatre, Intensive Care Unit (ICU) and High Dependency Unit (HDU). Two of our patients who had recently undergone successful cardiac surgeries, including a four-month-old infant, were recovering well in the ICU. Another of our patients, a seven-year-old girl, was admitted in the general ward awaiting surgery; our team spoke to her and encouraged her as she waited.
Despite their distance from Nairobi, the Tenwek staff expressed how much they look forward to attending the upcoming cardiac symposium that A&K Global Health is coordinating for NHIF leadership, Ministry of Health and Kenya Cardiac Society representatives, local cardiac surgeons and cardiologists, and administrators from participating hospitals. “This event will gather all cardiac program stakeholders to address crucial questions and requirements for further developing the program’s capacity,” said Ms. Wanjiru.
We hope you’ve enjoyed your virtual visit to Tenwek Hospital as much as we enjoyed our live one. Stay with us here on the A&K Global Health blog to meet more of our amazing Kenyan hospital partners, who are administering life-saving cardiac procedures every day!
In the photograph above: A&K Global Health cardiac program officers joined Tenwek Hospital staff at their facility in Bomet County, Kenya to collaborate on their cooperation under the NHIF’s cardiac surgery program.
A&K Global Health
A&K Global Health, an Agile Health Systems company, is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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NHIF support “does Kenyans proud” during medical treatment abroad
The life-changing, positive effects of the healthcare management experience we ensure for our patients don’t stop with them. These benefits also profoundly impact their community of family and friends.
Take it from George Aran. His wife Margaret, 55, of Kisumu, Kenya needed treatment for osteoarthritis of the knee; the severity of her condition required her to seek care outside Kenya. With financial sponsorship from the National Hospital Insurance Fund (NHIF) and A&K Global Health’s expert medical management throughout their journey, the Arans traveled to BGS Global Hospital in Bangalore, India, where Mrs. Aran underwent a successful knee replacement.
So moved was Mr. Aran by the professional, personalized support he and his wife experienced that he recently wrote directly to the NHIF CEO to share their story.
“On behalf of my family, I wish to express our utmost gratitude for making it possible for my wife to travel to India for medical treatment. The NHIF Comprehensive Medical Insurance Scheme came as a godsend in response to our distress. Indeed, the NHIF cover in general did Kenyans proud at BGS Global Hospital in Bangalore, where we were…Kenyans were highly respected by doctors, hospital staff, the local community and other foreigners because of the relative ease with which they settled their medical bills, accommodation and related expenses. I shared substantially with a member of parliament of an African country who was at the same hospital, and she was all praise for the NHIF scheme, which she felt should be adopted by other African countries.
“But the NHIF spirit went beyond easing the financial burden…It fostered unity among Kenyans in Bangalore. The NHIF topic featured in virtually every discussion among Kenyans. It promoted a sense of belongingness, a sense of ‘Kenyanness’ which clearly won the admiration of other foreigners and the local community. Kenyans were identifiable by their sense of comradeship: we provided a social climate in which new arrivals felt as comfortable as possible, and a supportive atmosphere for those in hospital wards and guesthouses alike. To me, this was a lifetime experience which will remain etched in my memory.
“I wish to take this opportunity to most sincerely commend the NHIF Kisumu office for their concerted effort to enhance the quality of services to top-notch levels. The way they go about their duties enthusiastically is a demonstration of their will and determination to succeed. Similarly, the excellent facilitative skills of the A&K Global Health Kisumu office must be commended. Indeed, the combined efforts of the two offices provide a sense of hope and a sense of wellness to patients and relatives long before medical intervention. Yours is a noble duty, service to humanity; the change you make in the life of a single person leaves a lasting impression on that beneficiary, and on many others.”
In the photograph above: George and Margaret Aran of Kisumu, Kenya shared their joyful smiles and deep gratitude with the NHIF and A&K Global Health following Margaret’s successful knee replacement at BGS Global Hospital in Bangalore, India.
A&K Global Health
A&K Global Health, an Agile Health Systems company, is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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What is Patent Ductus Arteriosus?
Before we discuss patent ductus arteriosus (PDA), let’s quickly review how the normal heart functions: the heart is a pumping machine with two sides. The right side pumps blood to the lungs to collect oxygen. The oxygen-rich blood then returns from the lungs to the left side of the heart, which pumps it to the whole body.
Now, what is PDA?
A baby in the womb receives oxygen from the mother’s lungs; therefore, there is no need for the baby’s heart to pump blood to its own lungs. The ductus arteriosus (DA) is a blood vessel, present in all babies in the womb, which allows blood to bypass the lungs. After birth, the baby needs its own lungs for oxygen supply and the DA normally closes within 2-3 weeks. If the DA remains open after three months of life in preterm infants, or after one year of life in full-term infants, the medical condition is known as patent (meaning open) ductus arteriosus, or PDA.
What are the effects of PDA?
- A PDA allows extra blood to flow into the lungs, straining the heart. The larger the PDA, the greater the amount of extra blood that passes through the lungs.
- Increased blood flow through the lungs can also mean reduced blood flow to the rest of the body, causing damage, especially to the intestines and kidneys.
- A PDA can also slightly increase the risk of infective endocarditis (inflammation of the inner tissues of the heart).
What symptoms should I look for, and when?
- Look for faster and heavier breathing, difficulty in feeding, and/or lagging growth.
- If the PDA is large, symptoms may appear after several weeks of birth.
How is PDA diagnosed?
The patient may undergo a few tests, which could include an echo, chest x-ray, magnetic resonance angiogram (MRA), and/or cardiac computed tomography (CT).
What are the treatment options for PDA?
- A small PDA usually closes by itself within a few months of birth, but regular check-ups with a cardiologist are required to monitor the condition.
- Medications are needed to prevent bacterial infections and heart failure.
- A PDA may be surgically closed, either through video-assisted thoracoscopic surgery (VATS), ligation, or posterolateral thoracotomy.
- Non-surgical interventions to close a PDA include cardiac catheterization with a closure device, or transcatheter occlusion.
What can the child do after undergoing surgery for PDA?
- Regularly brush and floss teeth to prevent infections, and attend regular dental check- Dental infections are a common way that an infection that spreads is initially introduced to the body, so dental prophylaxis is essential post-surgery.
- Play and exercise as per the doctor’s advice.
Have questions? Have a disease, treatment, or medical topic you’d like to learn about? Comment on this post to let us know.
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A&K Global Health celebrates Rose’s birthday, 2nd year in a row
A&K Global Health loves finding ways to make our patients’ special occasions, from birthdays to holidays to health milestones, a little more festive. We recently had an extra “sweet” opportunity to share some cake and celebrate with our patient Rose.
With the support of the National Hospital Insurance Fund (NHIF), Rose Macharia of Kisumu, Kenya has been undergoing breast cancer treatment over the past year and a half. A&K Global Health has been managing her care continuously during this time, including coordinating periodic trips from her local oncologist in Kisumu to Manipal Hospital in Bangalore, India. We’ve also had the pleasure of celebrating her birthday with her in India, two years in a row!
“This year, we celebrated Rose’s birthday at her guesthouse,” reported Operations Officer Tabrez Ahmed. “Many other patients and their family members also joined us to wish her well. She thanked A&K Global Health for remembering her birthday, for celebrating it with her when she is away from her family, and for showing concern and care for her always.”
That’s the A&K Global Health commitment in action: whether you’re a new client or a returning one, receiving treatment in your home country or traveling with us abroad, you can count on our outstanding support and personal care to be constants throughout your journey. Here’s to wishing Rose, and all our patients, many happy and healthy birthdays ahead!
In the photograph above: Rose Macharia (second from left) cuts into her birthday cake from A&K Global Health. Joining her to celebrate are Operations Officer Tabrez Ahmed (second from right), the attendant of another A&K Global Health patient (left), and a new friend from her guesthouse (right).
In the photograph below: Just like A&K Global Health’s team, Rose’s daughter (left) and the attendant of another A&K Global Health patient (right) are happy to surround Rose with love and joyful wishes on her birthday!
A&K Global Health
A&K Global Health, an Agile Health Systems company, is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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After cardiac surgery, 5-yr-old says he’ll grow up to be a doctor
Five-year-old Joel Wesonga had a difficult infancy. “He cried a lot, and we didn’t know what the problem was,” said his father, Peter Wesonga. “When I took him to the referral hospital in Busia County, I was sent to a hospital in Kisumu which had facilities to test what the doctors were speculating. That’s how we found out that Joel had a hole in his heart,” Mr. Wesonga recalled, referencing a congenital heart condition known as a ventricular septal defect (VSD).
Joel was put on medication in hopes that his VSD would close over time, but instead his health deteriorated. While his peers were bursting at the seams with energy, Joel became weak and tired very quickly, and could no longer go to school or play with friends.
Joel’s father consulted a heart specialist at Kenyatta National Hospital, and was ultimately referred to Mater Hospital in September 2016. While Mr. Wesonga was trying to raise funds for the very costly surgery the doctors recommended for Joel, the National Hospital Insurance Fund (NHIF) in conjunction with A&K Global Health launched the cardiac surgery program, sponsoring patients who had been waitlisted for treatment. Mr. Wesonga described the cardiac program’s benefits, and its timing, as “a miracle” for his family: Joel would receive surgery at Mater Hospital, and it would be covered by the NHIF.
A&K Global Health closely managed Joel’s preoperative, perioperative and postoperative care. Our team’s final visit to Mater Hospital before Joel’s discharge was particularly special. “When we entered his cube, one could feel the excitement and energy of this little boy!” said Eva Gulavi, Public Relations and Communications Officer. “The whole room was filled with laughter as Joel told us stories of how he wants to become a doctor when he grows up, so that he can fix people’s hearts too. Joel had already made friends in the ward, and one came to visit him while we were there. They were all over the place with their toy trucks, just like five-year-olds should be! And when Joel heard the sound of an airplane, he announced that he was going to leave us with his truck so that he could fly with the plane back to his home in Busia County. This could only mean that, with a healthy heart and newfound liveliness, this little boy was looking forward to going back home to live a normal life…the kind he could not have previously because of his heart condition.”
“It’s hard to overstate the profoundly positive medical, social, economic, and interpersonal impacts of this program,” said Stephen Masinde, Kenya National Director. “The NHIF’s cardiac surgery program is saving lives, using Kenyan doctors and hospitals to do it while augmenting their capacity at the same time, and inspiring the next generation of Kenyan citizens.”
We can’t wait to see where Joel’s future takes him. Whether he pursues medicine or not, we are simply grateful that this little boy now has his whole life ahead of him to dream big.
In the photograph above: Joel and his father, Peter Wesonga, joyfully await Joel’s discharge from Mater Hospital and a healthy, happy return to their home in Busia County.
A&K Global Health
A&K Global Health, an Agile Health Systems company, is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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“Awesome” response to Fortis, A&K Global Health medical camps
A&K Global Health is proud to announce the success of recent medical camps in Kisumu and Kisii, Kenya, held in conjunction with our partner Fortis Hospitals of India. Through our relationships with local medical facilities, Fortis’s visiting oncology and orthopedic specialists spent four days in February providing free consultations to a huge patient turnout.
On February 24th and 25th, the Fortis doctors received 205 patients at St. Luke Medical Center in Kisumu, where they also conducted a continuing medical education (CME) event for local physicians. And after a day of travel to relocate to Ram Hospital in Kisii, they consulted with 464 additional patients there on February 27th and 28th.
“The camp was awesome!” Reuben Kangogo, A&K Global Health Kenya Operations Director, enthusiastically reported. “This was one of the highest attendance rates we’ve ever seen over four days of consultations…the visiting team averaged nearly 170 patients per day. Incredible!”
As usual, since the camp’s end, A&K Global Health’s staff has been hard at work following up with attendees who were assessed to be candidates for local or international treatment. We’ve also been busy planning and executing other similar events that connect Kenyans with affordable and high-quality local, regional, and global healthcare options to meet their individual needs. From a cardiac screening camp to identify candidates for the National Hospital Insurance Fund (NHIF) heart surgery program, to the first-ever medical camp in central Kenya featuring foreign specialists, A&K Global Health’s activities and partnerships are continually maximizing care access, quality, and affordability for our clients, in Kenya and around the globe. Reports on these and other events are coming soon…check our blog regularly and follow us on social media so you don’t miss a single detail!
In the photograph above: A&K Global Health staff members assist patients at St. Luke Medical Center in Kisumu, Kenya, which recently hosted oncology and orthopedic specialists from India’s Fortis Hospital for a very highly attended two-day medical camp. Fortis’s doctors also offered a camp in Kisii, consulting with more than 650 patients between the two events, both of which were organized and coordinated by A&K Global Health.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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Have you heard about Ventricular Septal Defect (VSD)?
What is a Ventricular Septal Defect (VSD)?
A VSD is a hole in the wall that separates the two lower chambers, called ventricles, of the heart. A VSD is one of the most common congenital (that is, seen from birth) cardiac defects, and can occur either by itself or in combination with other congenital defects.
What causes VSD?
The exact cause of VSD is not known. Early in pregnancy, a baby’s heart ventricles are not separated; it is as the baby grows in the mother’s womb that a septum (or wall) is formed to divide the ventricles. When the formation of this septum is incomplete, VSD results.
In most children, VSD is associated with a genetic disorder like Down’s syndrome. VSD is rare in adults, but if present it is serious, and may occur after a heart attack.
What are the symptoms?
Children with small defects may not have any symptoms. However, if the defect is large, the following symptoms may be observed:
- Difficulty breathing
- Increased heartbeat
- Poor feeding
- Failure to gain weight
- Increased tiredness, easy fatigability
- Recurrent respiratory infection
What medical tests help diagnose VSD?
- Complete physical examination, listening for abnormal heart sounds (murmurs)
- Electrocardiogram (ECG)
- Echocardiogram (Echo)
- Cardiac catheterization
What is the treatment?
- Small VSDs often close on their own; nonetheless, once any size of VSD is diagnosed, regular follow-up with the physician/cardiologist is required.
- If the VSD is large, the patient may undergo either open heart surgery (intra-cardiac repair) for ventricular septal defect closure, or a transcatheter ventricular septal defect closure.
When should I consult my doctor?
- If your child gets tired easily while playing or eating
- If you feel your child breathes rapidly and/or has breathing difficulty
- If your child is not gaining weight
- If your child develops recurrent attacks of cough, cold and fever (respiratory infection)
Have questions? Have a disease, treatment, or medical topic you’d like to learn about? Comment on this post to let us know.
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Artemis Hospital recognizes A&K Global Health with exemplary service award
Have you ever had a “good problem,” a challenge whose very existence was a measure of success? A&K Global Health’s team in New Delhi, India was recently presented with one such happy predicament.
Artemis Hospital, one of our partner facilities, had organized an event to present selected honorees with certificates of appreciation for exemplary service to its hospital and patients; A&K Global Health was among those to be honored. Fortunately and unfortunately, our exponential growth has been keeping our New Delhi staff busy around the clock caring for our many new clients – so we were unable to send a representative to the Artemis Hospital presentation.
Artemis Hospital correctly recognized our absence as one more sign of A&K Global Health’s tireless dedication to our patients: they always come first, no matter what the issue or what time of day or night. So Artemis decided the best chance to pin us down to present this award was to catch us in the act of the great service for which they were commending us! They did just that early last month.
“During one of my regular visits to check in with our clients at Artemis Hospital, the administration awarded A&K Global Health with their institution’s certificate of appreciation, in recognition of our dedicated service,” said Jasmeet Singh, Delhi Operations Manager for A&K Global Health. Mr. Diveya Shah, Artemis Hospital’s Deputy General Manager for International Marketing, presented the award to Mr. Singh.
“On behalf of the A&K Global Health family, I received the award and thanked the entire Artemis Hospital team,” said Mr. Singh. “It is great to be appreciated by our partners, and it’s exciting to know that this year we will be able to share the same quality services for which Artemis Hospital awarded us with even more patients than ever before.”
In the photograph above: Jasmeet Singh, Delhi Operations Manager (left), receives an exemplary service award on behalf of A&K Global Health from Mr. Diveya Shah, Artemis Hospital’s Deputy General Manager for International Marketing.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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NHIF cardiac program gets preschool teacher life-saving surgery
Ebby Voregwa is a preschool teacher in Nairobi, Kenya. In May 2016, after several attempts at treating what she thought was pneumonia, Ebby was diagnosed with rheumatic heart disease, with severe mitral stenosis and moderate aortic valve leak.
When her doctors discovered that she had a heart disease, Ebby was immediately hospitalized for 10 days – but the hospital bill was too costly for her, and she could not afford to pay for the complex and expensive cardiac surgery her doctors advised as treatment. She was added to the long waiting list of heart surgery candidates, and began to search for way to fund an operation. But saving money for surgery proved difficult, because as she awaited treatment, Ebby was put on a medication that cost her approximately KSh 5,000 per month – a handsome portion of her pay. To make matters worse, Ebby’s heart condition was impacting her ability to perform her duties at work: she found herself having to teach her students sitting down because her overworked heart became so quickly became exhausted whenever she was on her feet. Though constantly fatigued, Ebby pleaded to retain her teaching job, as continuing to work was the only way she could afford her medication or hope one day to be able to pay for surgery.
“When I received a call from A&K Global Health last December, informing me about the National Hospital Insurance Fund (NHIF) cardiac surgery program and reaching out to cardiac patients on the waiting list, I was not sure whether it was real,” Ebby remembered. She says she only truly believed this good news when “…I was called for pre-assessment at the Karen Hospital, where I eventually had my cardiac surgery done.”
“My family and I will forever be grateful because we had no heads or tails of where or how I was going to get this treatment,” said Ebby. “We were already under financial strain after losing my father…and then came the discovery of this sickness I never imagined I could have.”
“It is all about saving lives,” said Faith Simiyu, A&K Global Health Software Analyst and Cardiac Data Officer, “and we as the A&K Global Health team implementing the NHIF’s cardiac program are reminded of that reality every day by testimonies like Ebby’s.”
In the photograph above: NHIF cardiac program beneficiary Ebby Voregwa, far right, with her family shortly before her discharge from Karen Hospital in Nairobi, Kenya.
In the photograph below: Ebby receives a visit from the A&K Global Health team during her inpatient stay at Karen Hospital. Pictured here with Ebby is Joyce Wambugu, our Nairobi Care Director.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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Hip replacement success leads patient back to A&K Global Health
Margaret Wanjiru, 52, of Nairobi, Kenya was born with a dislocated hip joint. She had undergone numerous procedures throughout her life to correct it, but to no avail: a failed hip replacement surgery in 1998 was followed a decade later by an accident that compounded her troubles. Nonetheless, she remained determined to find the right corrective surgery.
“In 2013, I started developing pain on the same hip, so I decided to seek further treatment,” says Margaret. “I visited NHIF, and they advised me that I can come to India through A&K [Global Health].”
With National Hospital Insurance Fund (NHIF) sponsorship, A&K Global Health’s Nairobi and Bangalore teams facilitated Margaret’s journey to BGS Global Hospital, where she finally underwent a fully successful hip replacement in 2014.
“I chose BGS because my doctor back at home advised me that I could come here and meet Dr. Basavaraj and the entire ortho team, who could do a good job on me,” Margaret explains, referencing Dr. Basavaraj C.M., Orthopedics & Joint Replacement Consultant at BGS Global Hospital, who ultimately led the team of surgeons who performed her hip replacement. “The [local] A&K team [did] a good job also because they kept in constant touch with me…they facilitated everything. And there was a big difference between [when I left Kenya and when I returned home], because after the surgery I was in no more pain! I was able to do most of the things I could not do initially.”
Although Margaret’s case was challenging, Dr. Basavaraj and his colleagues prevailed: “She had a failed total hip replacement which…was complicated with a fracture around the hip, so in her case, most of the bone which is here” – Dr. Basavaraj uses a model of the hip to illustrate – “was missing. It was a challenge to reconstruct that bone. We used trabecular metal, made up of tantalum, to reconstruct the bony defects that she had, and we also took bone allographs to reconstruct the inner defect that she had on the cup side.”
“I would like to thank the entire ortho team at BGS Global Hospital, because they did a good job on me and other patients…I thank them for all the quality services they are providing to their patients, both international and local. I would also like to thank A&K Global Health for the good work they [did] – they visited us all the time at the hospital and the guesthouse, they [kept] calling to know how we [were] doing. I would also like to thank NHIF back in [Kenya] because they [funded] my coming here.”
So satisfied was Margaret with her 2014 A&K Global Health experience that in autumn 2016, she returned to BGS Global Hospital for a review of her hip replacement and other medical appointments. Hear Margaret describe her health journeys herself in this short video:
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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How do you diagnose heart disease?
Here at the “Cardiac Care 101” corner of the A&K Global Health blog, we’ve recently been sharing about how the heart works and how to recognize and treat the most common heart diseases. These posts often reference the two most common cardiac diagnostic tools: ECGs and echoes. Today, we explain what these terms mean, what information these tests provide to doctors, and what the test experience involves for patients.
What is an ECG (electrocardiogram)?
An ECG detects heart abnormalities. It records the electrical activity of the heart, and can detect any abnormal rhythm (arrhythmia), infarct (heart attack), or hypertrophy (enlargement) of the heart. Although it may look scary with all the metal electrodes stuck to the arms, legs, and chest, the test is both painless and harmless. Wires from these electrodes are connected to the ECG machine, which detects the electrical activity that occurs at each heartbeat. This activity is then recorded onto a paper, allowing doctors to make a diagnosis.
- A Treadmill Test (TMT) is a specialized kind of ECG, conducted while the patient is exercising on the treadmill. Blood pressure is also recorded regularly during this test. A TMT is done to detect the severity of heart disease, when there are minimal or no symptoms, but abnormality is suspected based on the results of the standard ECG.
- Patients who complain of a pounding heartbeat that comes and goes may benefit from a Holter Monitor test. In this ECG variant, the patient wears a monitor for 24-48 hours that continuously records cardiac activity as they go about their usual routine.
What is an echo (echocardiogram)?
An echo takes a picture of the heart using high-frequency sound waves. This picture shows the shape and size of the valves and the heart chambers, the functioning of the heart, and the blood flow. Like the ECG, this is also a painless test where some gel is placed on the patient’s chest, and a probe (transducer) is moved over the chest to view the heart from different directions.
- A transesophageal echo, or TEE, is a special kind of echo in which a tube (endoscope) is used to guide the transducer down the esophagus. The TEE provides doctors with more detailed information about the heart than a standard echo. This test may be done in cases of aneurysm, other heart or blood vessel diseases, or to guide cardiac catheterization.
- A fetal echo is performed in order to examine an unborn baby’s heart during the second trimester of pregnancy. This test is used to detect congenital heart diseases.
Have questions? Have a disease, treatment, or medical topic you’d like to learn about? Comment on this post to let us know.
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NHIF visit to A&K Global Health’s India network sparks big plans
You know A&K Global Health maximizes healthcare access, affordability, and quality everywhere we work. But how exactly do we do it, you ask? Though implementation is challenging and complex, our approach is simple: serving as healthcare management thought leader and “connector” of relevant parties, we facilitate positive exchange between national health systems for the benefit of all stakeholders.
Take December 2016, for example. To cap a year during which we oversaw unprecedented collaboration between East African and Indian health sectors, increasing both national and international patient care, we managed a visit by Kenya’s National Hospital Insurance Fund (NHIF) leadership to a collection of our Indian partner hospitals that treat NHIF beneficiaries.
From 7-10 December 2016, our Delhi and Bangalore staffs welcomed four top NHIF officials. The delegation received briefings from A&K Global Health leaders and visited BLK Hospital, Fortis Memorial Research Institute (FMRI), and Artemis Hospital in Delhi; Columbia Asia, Fortis, and BGS Global Hospitals in Bangalore; Sri Ramakrishna Multispecialty Hospital in Coimbatore; and Fortis and Global Hospitals in Chennai.
“A&K Global Health regularly hosts NHIF delegations to India,” said Aleksandra Golota, Senior Relations Manager. “While these trips are partly prophylactic checks, ensuring all hospitals are fully meeting expectations, they deliver much more than quality assurance. They facilitate direct relationship building between our partner institutions, and create fresh opportunities for collaboration.”
For instance:
- Numerous BLK medical departments briefed, and toured the delegation around, their respective sections. BLK’s cardiac department asserted their willingness to partner with Kenyan hospitals participating in the NHIF cardiac surgery program.
- FMRI discussed its desire for a special relationship with the NHIF, including designing packages specifically for NHIF beneficiaries, and proudly introduced the delegates to two NHIF members currently in its care.
- Artemis announced its plans to increase capacity by adding a new tower with 150 patient beds, raising its total capacity from 450 to 600 beds.
- Columbia Asia briefed the delegation on its recent soft launch of a clinic in Kenya. Specializing in family and internal medicine, it offers health checks as well as telemedicine, so patients can consult remotely with specialists.
- Fortis Bangalore shared plans to open a dedicated oncology block by April 2017, addressing a major treatment demand among NHIF beneficiaries.
- BGS Bangalore and NHIF discussed cooperating with Kenyan hospitals to help treat patients who cannot afford, whether clinically or financially, to travel for care.
- Sri Ramakrishna’s CEO and NHIF’s delegates connected over a commitment to corporate social responsibility: Ramakrishna described its program providing free treatment to Tamil Nadu state pediatric cancer patients, while NHIF presented its new initiative sponsoring a surge of cardiac interventions throughout Kenya, including a recent surgical mission focused specifically on complex pediatric procedures.
- With Fortis Chennai, which has completed 60 heart transplants since 2010 and the most pediatric heart transplants in India, NHIF traded success stories from its own cardiac surgery program. Fortis invited NHIF to send Kenyan doctors to Chennai for additional training.
- Global Hospital Chennai highlighted its advanced surgical capabilities through a presentation by a surgeon who has performed more than 900 pediatric liver transplants, including one 5-year-old – a Guinness World Record! The highlight of this visit was the delegation’s meeting with an NHIF-sponsored patient undergoing a lung transplant at Global Hospital.
“It was a pleasure welcoming NHIF around India,” said Saraladevi Gangadhara, Director of A&K Global Health’s Treatment Management Center in Bangalore. “We look forward to continuing our close collaboration with NHIF, and liaising with our Indian hospital partners, to serve NHIF’s patients and domestic healthcare providers in 2017 and beyond.”
In the photograph above: A representative of Global Hospitals in Chennai, India (left) warmly welcomes A&K Global Health Kenya National Director Stephen Masinde (right) and the accompanying NHIF delegation to his facility.
In the photograph below: NHIF delegation members, A&K Global Health leaders, and BLK Hospital clinicians and staff join together for a photo during the NHIF’s December visit to Delhi, India.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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A&K Global Health Nairobi celebrates two star employees of 2016
Every year, A&K Global Health offices in different countries commend the exemplary service of one team member with an employee of the year award. For 2016, our Nairobi staff decided to add a twist: looking back on A&K Global Health’s biggest and best year to date, our Kenya leadership thought, why not let the staff bestow the honors?
“We allowed the staff to vote for the colleague they thought had been a team player, timely, proactive, and representative of the A&K Global Health spirit,” said Reuben Kangogo, Kenya Operations Director. “We excluded the senior management in this exercise.”
The competition was friendly, but fierce! “We are blessed at A&K Global Health with a very close-knit team,” explained Joyce Wambugu, Nairobi Care Director. “Every day, I see my coworkers support each other, encourage each other, and continually commit to bettering themselves. In truth, there wasn’t a single staff member whose performance in 2016 didn’t warrant recognition!”
The voting reflected this: “Two of our Nairobi staff members, Melody Mumbe and Simon Njenga, tied in the vote and emerged as winners together,” declared Mr. Kangogo. “They both received nice portraits featuring their newly-earned title, as well as certificates of recognition.”
Melody, who serves as a Logistics Officer, says of her work with A&K Global Health, “I love the fact that I get the opportunity to change our clients’ lives for the better. I appreciate life more in service to my fellow citizens and humanity at large.” Simon, an IT Officer, says “Working for A&K Global Health is a heartfelt privilege. Being part of a team that’s touching and transforming the lives of so many people around the world, easing their burden and the red tape so they can quickly access affordable medical care, is an honor.”
It may only be March, but it’s already clear that the contest for 2017 Nairobi employee of the year will be fueled by plenty of work. In the first eight weeks of this year alone, A&K Global Health has already managed care for more than three times the number of patients as we did during the same period in 2016. “At this rate, we are on track to experience more than 100% growth in 2017,” announced Chief Executive Officer Morgan Darwin.
Don’t get left in our dust. Keep up with A&K Global Health’s every patient testimony, partner spotlight, inspiring initiative, and healthcare innovation right here on our blog!
In the photograph above: A&K Global Health’s Nairobi office team is joined by Chief Executive Officer Morgan Darwin and Chief Medical Officer Rainer Hilgenfeld in celebrating 2016’s employees of the year.
In the photograph below: Melody Mumbe, one of two peer-voted employees of 2016 for A&K Global Health’s Nairobi office, is presented with a commemorative portrait by CEO Morgan Darwin.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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NHIF, Karen Hospital perform high-risk heart surgery on 17-yr-old
17-year old Purity Chelimo from Kitale, Kenya, had been sick for fully half of her young life. Since age nine, she had suffered from tuberculosis as well as from rheumatic heart disease (RHD). So last autumn when Kenya’s National Hospital Insurance Fund (NHIF) launched its nationwide cardiac surgery program, implemented by A&K Global Health, Purity’s family – with current NHIF membership and good financial standing – was quick to have Purity screened for medical eligibility for the surgical initiative.
The good news? Purity qualified as a surgery candidate. The bad news? Her case was direr than her family had realized. Eight years of struggle with RHD had taken its toll: at the time of Purity’s childhood diagnosis, only one heart valve was affected by her disease. Now her cardiologist confirmed that three valves were impacted. Purity needed two valve replacements and one valve repair, a complex cardiac surgery…and she needed it quickly.
She was pushed to the top of the surgery waitlist, and just in time. In December 2016, Purity was rushed to Nairobi’s Karen Hospital in heart failure. She was admitted directly to the ICU for stabilization before she could be scheduled for surgery. Her case would now be considered high risk, due to the complication of heart failure as she waited for treatment.
Even her ominous health circumstances failed to distract this tenacious young woman from her goals. “When we [the A&K Global Health team] spoke to Purity in the ICU, she looked frail, but was very optimistic about her oncoming surgery,” said Eva Gulavi, A&K Global Health Public Relations and Communications Officer. “She said ‘I want this to be over as soon as possible so I can go back home and go back to school, because I will be a candidate for my final secondary examination in 2017.’”
Purity’s father, Joel Talam, admitted that he was very worried as he waited for what felt like an eternity for his daughter to wake up following surgery. But with her procedure successfully completed, he announced, “I am very happy that my daughter is recovering well. This was truly a miracle, and I’m grateful to A&K Global Health and NHIF for supporting my daughter through her cardiac treatment.”
About six weeks after Purity’s surgery, Mr. Talam visited his local A&K Global Health branch office in El Doret to relay his continued gratitude and appreciation. “Mr. Talam was very happy and thankful for the great work A&K Global Health is doing to help patients like his daughter access life-saving treatment,” said Cornelius Rop, El Doret Operations Officer.
“I have been searching for funds [for Purity’s surgery] for the past three years, but in vain,” Mr. Talam continued. “Today I can afford a smile, because through NHIF and the facilitation of A&K Global Health, my daughter underwent a successful surgery right here in Kenya at Karen.”
In the photograph above: Purity and her father, Joel Talam, during her recovery at The Karen Hospital in Nairobi, Kenya.
In the photograph below: Purity Chelimo in the ICU before her surgery at The Karen Hospital in Nairobi, Kenya.
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Heart Disease During Pregnancy
Do you know a mom-to-be who has a heart disease, and is worried about how that will affect her child? Read on to learn about heart disease in pregnancy.
What happens in an expecting mother with heart disease?
The heart is a blood-pumping machine, and blood carries oxygen. In pregnancy, the demand on the heart increases. If the pump is not working well, the baby may not get the oxygen it requires and may not grow well, or may be born prematurely.
The symptoms of pregnancy complications due to heart disease can be similar to general pregnancy side effects – so what are the specific symptoms to look for?
- Feeling very short of breath, especially when lying flat
- Repeated episodes of feeling dizzy
- Chest pain
- Cough with wheezing
- Increased tiredness and inability to do routine work – difficulty walking at usual pace or climbing a flight of stairs
- Sense of increased heart rate, or sensation of pounding heartbeat
- Gradually increasing swelling in hands and feet, which may not reduce with rest
What can be done to avoid heart disease-related complications in pregnancy?
- Immediately visit your physician upon confirmation of pregnancy. Visit every 2-4 weeks until 20 weeks, every 2 weeks until 24 weeks, and weekly thereafter.
- If experiencing any of the above symptoms, see your physician as soon as possible and get a routine examination. If possible, complete tests like an electrocardiogram (ECG) and echocardiogram (echo) at the physician visit.
- Immediately visit your physician if you experience a sudden change in weight, chest pain, or any shortness of breath.
- Ask your doctor about getting an influenza vaccination.
- Follow a healthy diet: avoid smoking and excessive weight gain.
- Avoid excessive physical activity. Talk to your doctor about the activities you should and should not do.
While it is not entirely possible to prevent heart defects in babies, it is possible to have a healthy pregnancy by seeking care at the right time and following the lifestyle guidelines described above.
Have questions? Have a disease, treatment, or medical topic you’d like to learn about? Comment on this post to let us know.
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Cardiac mission saves 13 children’s lives with complex surgeries
All over the globe, A&K Global Health excels in matching people who need healthcare with the right organizations to fund it and the right doctors and hospitals to provide it. A recent international surgical mission at Mater Hospital in Nairobi, Kenya delivered a powerful example of our life-saving coordination and management in action.
For two weeks last November, a team of cardiac surgeons from Kardiocentrum University Hospital in Motol, Czech Republic and Kramala Hospital in Bratislava, Slovakia, embedded with Mater’s resident surgical and support staff. In conjunction with the National Hospital Insurance Fund’s (NHIF) cardiac surgery program, the mission aimed to address the most urgent pediatric cardiac cases on the hospital’s waiting list. It conducted 13 complex surgeries in just 13 days, including one Rastelli procedure – the first to be performed at Mater Hospital. All 13 surgeries were successful, and all 13 children have since returned home to their families from the hospital.
One of these children’s remarkable stories was featured in Kenya’s The Standard shortly after the mission concluded. “Godious Kiptoo Chumba is a two-year-old patient who has benefitted from the NHIF cardiac program…at Mater Hospital,” read the testimonial. “His father…could not hide his joy and relief after his son was successfully operated on. ‘We are very happy that our son’s surgery was successful. It was a very long process before we got to where we are but we are indeed very grateful. What wonderful work NHIF has done to reach out to Kenyans!’”
Because 10 of the 13 children who received surgeries were sponsored by the NHIF and managed by A&K Global Health, Mater Hospital and the visiting surgeons organized an event at the mission’s end to acknowledge and appreciate everyone’s role. It was an emotional evening for the local and foreign doctors alike: in their presentation to our CEO, Morgan Darwin, the surgeons stressed that these patients would have died without A&K Global Health’s involvement. Several medical professionals were moved to tears as they expressed their gratitude.
“There are so many beautiful stories to be told about this mission,” said Mr. Darwin. “There are the 13 children who now have the chance to live long and healthy lives. There’s also the dedication, determination, and professionalism of the Kenyan and foreign surgeons – their courage, cooperation, and teamwork, across different countries and cultures, directly enabled these life-saving procedures to be successful. It was our great privilege, as the implementer and manager of the NHIF cardiac program, to witness this surgical mission’s impact at Mater.”
A&K Global Health has more collaborative surgical initiatives on the horizon. At Mater as at every hospital involved in the NHIF’s cardiac surgery program, we are using our experience and expert knowledge to put together surgical alliances that benefit every participant, from patients and families to Kenyan as well as international surgeons and medical professionals. And we’ll continue to showcase here on the A&K Global Health blog the incredible positive returns that occur when we bring people together, united toward the common goal of expanding healthcare.
In the photograph above: Mater Hospital’s cardiac surgeons and a member of the Czech/Slovak medical delegation together begin a procedure on a patient.
In the photograph below: At the end of the mission, Mater Hospital and the visiting surgeons organized an event at which A&K Global Health was recognized for our implementation and management of the NHIF’s cardiac surgery program.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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What is rheumatic fever? Part II
A few weeks ago, we shared about rheumatic fever’s causes, risk factors, and symptoms. Today, we turn to the treatment and prevention of rheumatic fever (RF).
What is the short-term treatment for RF?
- It includes bed rest, antibiotics, painkillers, and other supportive treatment.
- Penicillin is the antibiotic of choice: patients are given either a single-dose penicillin injection, or a 10-day course of alternative oral antibiotics, if allergic to penicillin.
- The exact treatment regimen and medication are decided by the treating physician.
What is the long-term treatment for RF?
- Patients with definite RF but without heart damage should receive treatment for five years or until age 21, whichever is longer.
- Patients with heart damage, but unaffected heart valves, should receive treatment for 10 years or until age 21, whichever is longer.
- Patients with heart damage and affected valves should receive treatment for 10 years or until age 40, whichever is longer; lifelong treatment may be required.
- All patients should visit their treating doctor at least once a year while on a treatment regimen.
How can RF be prevented?
- Environmental improvements: reducing overcrowding and maintaining good sanitation help reduce the threat of RF.
- Early diagnosis and treatment: consult a doctor immediately if your child develops a fever. The prescribed treatment regimen and drugs should not be stopped when the patient begins feeling better. Review with the doctor following full completion of the treatment regimen is essential.
- Regular treatment once a diagnosis is confirmed: once diagnosed, taking regular treatment helps avoid recurrent RF as well as complications of the disease. Penicillin injections are given every four weeks once in standard patients; for high-risk patients, these are administered every three weeks.
- Good follow-up throughout treatment duration: the duration of treatment is decided on case-by-case basis, but can require regular follow-up with doctors for anywhere from five years after the first attack up to lifelong treatment and care coordination.
Have questions? Have a disease, treatment, or medical topic you’d like to learn about? Comment on this post to let us know.
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A&K Global Health brings Christmas cheer to hospitalized patients
A&K Global Health has done it again: surprised our patients traveling abroad for medical care by remembering one of their home country’s most important holidays!
In Kenya, Christmas is a major annual affair. Businesses and government offices close for weeks in December and January: the national focus during this season is on spending time with one’s family. Being in the hospital is never easy, but the strong emphasis on the company of family during the Christmas season makes December an especially difficult time of year for Kenyans to be separated from their loved ones for medical treatment.
Thanks to A&K Global Health, however, every single one of our Kenyan patients across India had a smile of Christmas cheer on his or her face this past December 25.
“Ataur and I celebrated Christmas with all our patients in Gurgaon,” reported Nitin Ahuja, Delhi Assistant Operations Manager, speaking of his Operations Officer colleague Ataur Rahman. “On behalf of A&K Global Health, we provided Christmas cakes to them. All the patients and their family members felt very happy, and thanked A&K Global Health for the surprise arrangement!”
Gurgaon wasn’t the only Indian city where A&K Global Health’s Christmas surprise operation was unfolding, though. In the south, Operations Officer Somashekara Madhukar and Operations Manager Tabrez Ahmed were also busy making the rounds to our patients throughout Bangalore. “Our patients thanked us for taking such good care of them,” Mr. Ahmed said. “Because of our care, they said they felt like they were ‘home away from home.’”
From holidays to birthdays, from the day of a patient’s first post-procedure steps to the day of their flight home, we at A&K Global Health remember and honor the important occasions and personal triumphs that punctuate our patients’ health journeys. And our signature combination of continuous professional support with genuine personal care makes a real difference. But don’t take our word for it – check out these Christmas 2016 photos for yourself. A very happy holiday, indeed!
In the photograph above: Our patient Grace Naftal, right, of Nairobi, Kenya, and her attendant Lillian Anyota, left, showing off the Christmas cake they received from A&K Global Health. Grace spent Christmas 2016 at HealthCare Global Enterprises in Bangalore, India, where A&K Global Health is managing her treatment for pancreatic cancer.
In the photograph below: Our patient Marina Mututo, seated left, of Nairobi, Kenya, and Caroline Muriuki, seated right, the attendant of our patient Bernard Irumbi, not pictured, cheerfully sport the Christmas hats and cakes they received from A&K Global Health’s Gurgaon team. Standing behind them are Gurgaon Operations Officer Ataur Rahman, left, and Delhi Assistant Operations Officer Nitin Ahuja, right, who are helping to manage and support Marina’s treatment for uterine cancer at the Fortis Memorial Research Institute in Gurgaon, India.
In the photograph below: Bangalore Operations Officer Somashekara Madhukar presents a Christmas cake to our patient Susan Wanjiru, right, and her attendant Lucy Kinuthia, left. Susan calls Nairobi, Kenya home, but celebrated Christmas with A&K Global Health in Bangalore, India while undergoing treatment for uterine cancer at Manipal Hospital.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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2016 in Review: New Partnerships, Pioneering Projects Mark Game-Changing Year for A&K Global Health
North Carolina, USA – January 27, 2017: A&K Global Health is proud to record 2016 as its most dramatic year of growth and progress to date.
The company entered last year strong, on the heels of one that solidified its vision and backed it up with solid growth, but rapidly surpassed 2015’s achievements in quantity as well as scope.
“2016 has truly been a landmark year for global healthcare management, and I’m proud to share that A&K Global Health has been both the thought leader and the implementer driving much of last year’s progress forward in the field,” said Chief Executive Officer Morgan Darwin.
Three major categories characterize the organization’s 2016 accomplishments. “First, there’s the growth of our geographic footprint and our human impact,” said Aleksandra Golota, Senior Relations Manager. “This year alone, we assisted over 600 patients in major medical events, like travel abroad or local surgery. We managed healthcare delivery in India, Turkey, Kenya, Germany, the United States, Thailand, and Mexico. And we expanded into the regional market of the Arabian Gulf by adding a licensee in the United Arab Emirates.”
Second, Ms. Golota points to A&K Global Health’s enhancements to, and recognition received for, its quality standards. In April, the company’s rigorous internal quality criteria earned it distinction as the first U.S.-based medical facilitator certified for quality by the venerated international medical accreditor Temos. “We also reinforced the quality of our care management by updating our hospital portfolio to include some new facilities with advanced accreditation and cutting-edge capabilities,” Ms. Golota noted. For the National Hospital Insurance Fund (NHIF) of Kenya, one of A&K Global Health’s largest institutional clients, the company facilitated a delegation’s visit to its Indian hospital network. “The NHIF’s trip to India is an example of how we help government agencies meet their health mandates, ensuring they are continually satisfied with our partner facilities and the care our providers are delivering to their patients,” Ms. Golota explained.
Third, A&K Global Health in 2016 determinedly pursued the creation of opportunities for increasingly local treatment management. Its signature achievement in this area launched in October: a pioneering new program, in partnership with Kenya’s NHIF, to conduct cardiac surgeries domestically, strengthening national healthcare capacity and saving hundreds of lives across a country that had previously outsourced many such procedures. “The cardiac surgery project is a particularly exciting development in this area of identifying and fostering local care resources,” Mr. Darwin said, “but its overall impact is identical to what our ongoing medical camps, continuing medical education, and healthcare advocacy events do every day – help governments optimize healthcare availability and distribution within their national borders.” Worldwide, A&K Global Health supported more than 1,000 patients and over 100 physicians and caregivers through such outreach and training events in 2016.
Mr. Darwin summed up his reflections on 2016 this way. “A&K Global Health’s success is measured by the success of those organizations we work for…we excel by using our expert management to make our institutional clients effective. And looking at the tremendous strides we have enabled organizations like the NHIF and others to achieve in 2016, we can definitively declare this our best year yet.”
In the photograph above: A&K Global Health’s Kenya staff celebrated the close of this tremendous year with a team building event at Amare Tiwi Resort on Kenya’s south coast. As we continue braving the uncharted waters of global healthcare management in 2017, you can see that our team is not afraid to explore the depths and make a splash!
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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What is rheumatic fever? Part I
What is rheumatic fever (RF)?
It’s a fever that results as a complication of inadequately treated strep throat or scarlet fever, infections caused by the bacteria streptococci A. RF mainly affects the heart, joints, skin, and brain.
Why does RF affect body organs?
When the bacteria enter the body, the immune system reacts and produces antibodies to fight the bacteria. But because some protein in the bacteria is similar to body tissue, the antibodies end up attacking the bacteria as well as the body’s own organs. These attacks often damage the heart valves, joints, brain and skin; recurrent attacks lead to long-term damage of the body’s organs. In the heart, they can result in rheumatic heart disease (RHD).
Who is commonly affected?
Children between 5-15 years are most commonly affected, although adults and older children can also get RF.
What are the risk factors?
- Family history: a person with a family history of RF has a greater chance of developing the fever.
- Type of streptococcus bacteria: certain types of bacteria are more likely to cause RF than others.
- Environment: overcrowding, poor sanitation, lack of clean water, and the absence of a good healthcare management system increase the risk of RF.
What are the symptoms?
The symptoms usually appear 1-6 weeks after the infection. A patient may not necessarily have all of the symptoms below.
- High fever/sore throat/throat pain
- Nosebleed
- Joint pains, which usually spread from one joint to another
- Small bumps, called nodules, seen under the skin
- Raised red rashes on the back, stomach and chest
- Increased tiredness and difficulty breathing
- Outbursts of crying or laughter during attacks of fever
- Uncontrollable movements of the face, hands and feet during attacks of fever
- Loss of appetite/weight loss
- Vomiting/stomach pain
I have some of these symptoms. What tests and appointments should I make with my doctor?
- Detailed physical examination
- Blood tests
- Chest X-ray, electrocardiogram (ECG), and echocardiogram (echo)
What is the treatment?
Penicillin injection remains the treatment of choice for RF.
Have questions? Have a disease, treatment, or medical topic you’d like to learn about? Comment on this post to let us know. And stay tuned to our blog for a second post about rheumatic fever, coming soon!
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How does your heart work?
Here at A&K Global Health’s Cardiac Care 101, our medical team breaks down complex topics related to your heart. Today we cover the basic workings of this powerful organ. Understanding the heart helps us appreciate how to keep it healthy, and what has gone wrong in the case of disease.
What are the different parts of the heart?
The heart has four chambers. The right and left atriums are the two upper chambers that collect blood as it flows into the heart. The right and left ventricles are the two lower chambers that pump blood out of the heart, to the lungs or other parts of the body.
The heart also has four valves – tricuspid, pulmonary, mitral, and aortic – that control the flow of blood. Think of the valves like doors that open and close: they open to allow blood to flow to the next chamber or artery, and close to keep blood from flowing backward.
How does the heart function?
The heart is a pumping machine with two sides. The right side pumps blood to the lungs to collect oxygen. The oxygen-rich blood then returns from the lungs to the left side of the heart, which pumps it to the whole body.
What are some common heart diseases?
There are two kinds of heart diseases: congenital (conditions present since birth) and acquired (conditions developed after birth). Some conditions, like aortic stenosis, can occur as either congenital or acquired.
Common congenital heart diseases include:
- Septal defects – ventricular septal defect (VSD), atrial septal defect (ASD), atrioventricular septal defect (AVSD)
- Patent ductus arteriosus (PDA)
- Tetralogy of fallot (TOF)
- Transposition of great arteries
- Double outlet right ventricle (DORV)
- Coarctation of the aorta
- Tricuspid atresia
- Pulmonary stenosis
- Aortic stenosis
Common acquired heart diseases include:
- Rheumatic – mitral stenosis, aortic stenosis, mitral regurgitation, aortic regurgitation
- Coronary artery disease/ischemic heart disease – myocardial infarction (heart attack), unstable angina
- Heart failure
- Cardiomyopathy
- Pericardial disease
- Infectious myocarditis
- Arrhythmias – atrial fibrillation (AFib), paroxysmal supraventricular tachycardia (PSVT), premature ventricular contractions (PVCs), atrial flutter, ventricular tachycardia (V-tach), ventricular fibrillation (VFib), heart block
Have questions? Have a disease, treatment, or medical topic you’d like to learn about? Comment on this post to let us know!
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A&K Global Health family “stands” with our patients
At A&K Global Health, our team members have the privilege of witnessing amazing medical achievements each day – but our patients’ milestones feel personal to us every single time.
While managing care for Margaret Aran of Kisumu, Kenya, during her recent stay at BGS Global Hospital in Bangalore, our Senior Operations Officer Prashant Lakkannavar had one such exciting experience.
“This picture was taken the very next day after our patient Margaret underwent knee replacement surgery,” recalls Prashant. “I was amazed to see her walk with ease! Four days post-surgery, she could walk without a walker’s assistance, and was discharged from the hospital. Seriously a wonderful sight to see…she is very happy to see herself walk in a proper manner and without the incredible pain she had before.”
This joyful photo was only the beginning of positive outcomes for Margaret. With her swift and complete recovery from knee replacement, she was able to undergo a needed spinal surgery just two and a half weeks later. A week after that procedure, Margaret was discharged to the quiet guesthouse where she and her husband were staying between hospital visits. Her Operations Officer reported that “she is now able to walk very long distances…she is happy that she can now accompany her husband for evening walks.” And three weeks after spinal surgery, Margaret’s doctor cleared her to fly home to Kisumu.
We know that our Operations Officers’ diligent care helps enable the speediest and most successful recoveries possible for our patients. But observing our patients reap the results of their own tenacity and effort brings genuine pleasure to our staff, too: it is a continual honor to celebrate our patients overcoming obstacles they never dreamed possible.
Know someone who could benefit from this kind of support in facing their own health challenges? Reach out today to meet your A&K Global Health family. We are here to help.
In the photograph above: Prashant Lakkannavar, left, A&K Global Health Senior Operations Officer, grins as widely as our patient Margaret Aran herself upon witnessing her walking for the first time after a successful knee replacement at BGS Global Hospital in Bangalore, India.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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Man finds “silver lining” of wife’s cancer in A&K Global Health
“Every cloud has a silver lining,” reads the title of a moving testimonial letter we recently received from the husband of one of our patients.
“As the saying goes, there is something valuable in every situation,” begins Reverend Gilbert Gathura’s letter. “I wish to register my overwhelming joy in the midst of copying with the challenges of my ailing spouse.” A&K Global Health has been managing breast cancer treatment for Rev. Gilbert’s wife, Maina Wambui, for the past year.
“I am greatly humbled by the Kenyan and Indian governments for their concerted effort in facilitating cancer patients traveling to India for specialized treatment. As a beneficiary, [I was accorded] world-class healthcare and hospitality at Bangalore City’s Manipal Hospital. I am at a loss for words to appreciate the massive support my wife and I received.
“I am indebted to the Chief Executive Officer of A&K Global Health and his team, [who] facilitated our travel bookings and made payments to the hospital. Their excellent general care while in Nairobi, Mumbai, and Bangalore has and will continue to linger in our minds.
“It is worth mentioning the tremendous contribution of the National Hospital Insurance Fund (NHIF). This government initiative has not only brought hope to many sick Kenyans but also subsidized treatments of chronic illnesses.
“I must commend the Indian Premier [for his] pledges to assist and partner with Kenya in improving medical infrastructure and personnel. This engagement is yet another milestone Kenya is marking in its efforts [against] chronic disease. Economic development is only realized when citizens are healthy. Kenyans are waiting with bated breath to find their loved ones treated in Kenya.”
Rev. Gilbert’s list of silver linings has grown. Just days after delivering this letter to our Nairobi office, his wife made her third trip to Manipal with A&K Global Health, where she learned that her cancer is not progressing and she has no further need for chemotherapy. And even as Maina returned home to Kenya, where we’ll continue to support her, the NHIF and A&K Global Health kicked off a new program to provide cardiac surgeries locally in Kenya – an initiative that goes right to the heart of Rev. Gilbert’s call for further collaboration between the Indian and Kenyan healthcare systems, in a way that both improves health outcomes and builds national healthcare capacity.
Today more than ever before, A&K Global Health is dedicated to expanding healthcare access, affordability, and quality within national borders, in Kenya and in every country where we work. Learn how our support could be the silver lining to your medical challenge: contact us today.
In the photograph above: A&K Global Health patient Maina Wambui, left, and her attendant Wangombe Waithira, right, depart Manipal Hospital in Bangalore, India with joyful hearts after learning that Maina’s breast cancer is stable and not spreading. Maina’s husband, Reverend Gilbert Gathura, had written a touching testimonial letter to A&K Global Health about his family’s experience being in our care just shortly before they received this wonderful news.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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Kidney transplant gets Kenyan civil servant back to normal life
John Gachie Mwangi, 57, is an auditor serving the Kenyan Ministry of Education. His life was upended in March 2015 when he was diagnosed with chronic kidney disease.
“Back in 2014, I started having some sweating on the feet, so I went to the hospital, they did some tests…I was diagnosed with end-stage kidney failure,” John recounts. He was discharged after two weeks, but required dialysis three times weekly to survive in his current state. His nephrologist recommended a kidney transplant in India.
“My insurer, the National Hospital Insurance Fund (NHIF), told me that they insure such treatment through A&K Global Health,” says John. “[At] A&K’s office in Nairobi, I met a very, very helpful lady called Eucabeth, who started the process of coming over to Columbia Asia [Hospital].”
“At Bangalore we were met by staff members of A&K…I would like to mention especially Mr. Ahmed Tabrez, who went out of his way to ensure that we were comfortable. Because I was on dialysis, the same day, he brought me to Columbia Asia,” John remembers, where the doctors immediately provided that necessary treatment.
“Following that we started the evaluation…but the surgeons said I could not go for transplant because I was overweight. They advised me to reduce at least 15 kilograms.” Serious about his recovery, John adhered strictly to his prescribed diet and exercise program, dropping 20 kilograms in less than half the time his doctors had predicted it would take.
“Mr. John came from Nairobi, [where] he was on dialysis for about a year,” says Dr. Sankaran Sundar, Chief Nephrologist at Columbia Asia Hospital. “When he came to us, his weight was a little bit high for [kidney] transplant, so we suggested he go on a rigorous diet…he being a good patient, he followed our diet, followed all our instructions, and in a couple months’ time he lost 20 kilograms and we could do the transplant.”
John’s brother was the live kidney donor; both surgeries went smoothly, and John came off dialysis promptly. “For kidney failure, the ideal treatment is transplantation,” Dr. Sundar explains, “because with transplantation, you can get back to near normal life.”
And back to normal life John is. “Special mention about NHIF, because they funded the trip. For traveling, I highly recommend A&K [Global Health]. They went and got visas for us, they helped with passports, they took over the whole thing…even payment! We were so comfortable, because anything that we needed, we just told A&K.”
John’s accolades were sincere: upon returning to Kenya, he promptly wrote a letter of appreciation to the head of the NHIF, commending their financial support and A&K Global Health’s exceptional care management.
Hear John’s experience in his own words:
In the photograph above: John Mwangi (left), and his brother and kidney donor Gideon Mwangi (right), listen intently during a meeting with John’s nephrologist at Columbia Asia Hospital in Bangalore, India. John’s A&K Global Health-facilitated kidney transplant was a complete success, and he is now back to normal life in his home country of Kenya.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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What is mitral stenosis?
Mitral valve stenosis, more commonly known as mitral stenosis (MS), is a heart condition where there is a narrowing of one of the heart’s valves (the mitral valve). This blocks blood flow into the main pumping chamber of the heart. If the condition is not treated, it can cause serious complications.
How does one get mitral valve stenosis? The most common cause is rheumatic fever, brought on by strep throat infection.
What are the symptoms?
- Shortness of breath – initially only while active, but later on, even at rest
- Feeling extremely tired with mild physical activity
- Awareness of pounding heartbeat
- Swelling in feet
- Fainting episodes
- Chest pain
- Coughing episodes with blood in sputum
- Headache
How can I find out if I have MS? A detailed clinical examination by a physician can reveal certain signs, like heart murmurs, that are indicative of MS. Later on, the doctor may ask for chest X-ray, ECG, and echo to confirm these findings.
What treatment options are available? Treatment depends on the severity of the disease.
- If mild: regular checkups and medications to prevent complications
- If more progressed:
- Balloon valvuloplasty (a procedure that widens the narrowed valve using a balloon catheter)
- Mitral valve repair/replacement surgery (the most definitive treatment option)
Have questions? Have a disease, treatment, or medical topic you’d like to learn about? Comment on this post to let us know!
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Kenyan patient’s A&K Global Health experience makes Indian press
Fifty-two-year-old Margaret Wanjiru of Nairobi, Kenya didn’t travel to India to become a media sensation: she went for the chance of walking freely again, after more than four failed surgeries on a hip that had been dislocated since her birth. But the stellar results of the complex hip replacement she received made headlines anyway!
Margaret’s hip replacement was facilitated by A&K Global Health and took place two years ago at BGS Global Hospital in Bangalore, India. Given the overwhelming success of her first experience with us, Margaret recently engaged A&K Global Health a second time, returning to BGS Global for additional medical consultations in other specialty areas. It was during this autumn 2016 trip that her powerful testimony caught the attention of regional media at a press conference hosted by the hospital.
Margaret’s story was quickly picked up by the South Indian daily newspaper The Deccan Chronicle, which published an article about her experience the very next day. BGS Global made their own press release about her story, and posted about it on their Facebook page. “[Margaret] is now back on her feet. This is a testament to her sheer willpower, and our small contribution in giving her the joy of movement,” the hospital said in a statement.
“Our patients’ life-changing experiences are increasingly garnering press attention,” said Saraladevi Gangadhara, Director of A&K Global Health’s Treatment Management Center in Bangalore. “This kind of publicity points not only to the high quality of the medical procedures our patients receive, but also to the importance of A&K Global Health’s comprehensive management of our patients’ entire treatment processes. It’s because we are with them all the way, sometimes over many months or years and multiple interventions, that our patients achieve lasting positive results.”
We’re always honored to share our former patients’ stories about how they are thriving in their new, post-treatment lives: it’s an extra thrill to see press outlets where we work increasingly drawn to do the same. Stay with us on our blog to find out how A&K Global Health will make news next!
In the photograph above: Following her successful hip replacement surgery, A&K Global Health patient Margaret Wanjiru of Kenya and her surgeon, Dr. Basavaraj C. M. of BGS Global Hospital, addressed a press conference in Bengaluru, India. (Photo credit: Deccan Chronicle)
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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What is rheumatic heart disease?
Rheumatic heart disease (RHD) is a chronic heart condition. It occurs as a result of rheumatic fever (RF). The valves of the heart that are most commonly affected by RHD are, in order, mitral, aortic, tricuspid, and pulmonary. In most cases, the mitral valve is involved with one or more of the other three valves.
One example of the life-threatening conditions that can develop for individuals with RHD is aortic valve stenosis/regurgitation. The aortic valve allows the blood flow from the left ventricle to the aorta: when this valve does not open or close properly (stenosis), or leaks blood backwards (regurgitation), there is increased pressure in the heart, which leads to heart damage.
What causes aortic stenosis/regurgitation?
- Rheumatic fever / rheumatic heart disease
- Calcium deposits on heart valves (age related)
- Congenital disorders
What are the symptoms?
- Breathlessness
- Chest pain
- Fainting attacks
- Noticeable heartbeats
- Feeling extremely tired during routine activities
- Initially, it’s possible to have no symptoms at all
What about children, any special symptoms?
- Failure to gain weight
- Poor feeding
- Breathing problems
- Decreased crying/playing
I have some of these symptoms. What tests and appointments should I make with my doctor?
- Detailed clinical examination
- Chest X-ray, ECG, echo and cardiac catheterization
How is aortic stenosis/regurgitation treated?
- For no symptoms or mild symptoms: through regular monitoring
- For more progressed cases:
- Balloon aortic valvuloplasty (a procedure that widens the narrowed valve using a balloon catheter)
- Aortic valve repair/replacement surgery
Have questions? Have a disease, treatment, or medical topic you’d like to learn about? Comment on this post to let us know!
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After 34 years, from pain to peace with A&K Global Health
As 2016 comes to a close, we at A&K Global Health are grateful to be able to look back at the patients whose lives our work touched this year. One of those patients recently paid a visit to our Nairobi office to express just how much our care helped change her life.
Since 1982, Sophia Momanyi had suffered extreme pain from a chronic wound, unable to even sleep. “I had been sick for over 30 years and on treatment in Kenya until I was connected to A&K through the National Hospital Insurance Fund (NHIF) in 2013,” Sophia said. With NHIF sponsorship, A&K Global Health arranged for Sophia to travel from Nairobi, Kenya to Fortis Malar Hospital in Chennai, India for further treatment for her condition.
“After my treatment in 2013, A&K Global Health’s Nairobi staff visited me at my house – it was a very special experience,” Sophia said, recalling how much our continuing care meant to her upon her return home. So in May 2016, when she fell sick again and needed to return to India, she knew she could rely on her A&K Global Health family for support.
“I’m very grateful to A&K Global Health for journeying with me throughout my treatment process, from my first trip back to home, and then to India again,” Sophia said. “Each time I visited India, the A&K Global Health team there received me at the airport, helped us with the immigration and clearance process, and facilitated transport and communication for my attendant and me. They visited me in hospital and checked on me during my treatment process.”
Most importantly, we stayed with Sophia to comprehensively manage the course of her care over time, ensuring that she found a complete solution to her illness. Through A&K Global Health, Sophia found a path to healing that had eluded her for 34 years: she is now full of life and sleeping through the night.
“Sophia’s testimony reminds all of us at A&K Global Health that we play a critical role in delivering healthcare to those in need…our work is important,” said Morgan Darwin, A&K Global Health CEO.
We’re privileged every day to help people like Sophia find the peace that a healthy life brings. Do you or a loved one suffer from an unresolved condition or untreated illness? There is hope. Reach out to us today for support.
In the photograph above: Our healthy former patient, Sophia Momanyi, recently stopped by A&K Global Health’s Nairobi offices to personally share her gratitude with our leadership. From left to right are Stephen Masinde, A&K Global Health Kenya National Director; Ms. Momanyi; and Morgan Darwin, A&K Global Health CEO.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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A&K Global Health events encourage local care usage & development
Welcome to A&K Global Health’s final 2016 update on our regular continuing medical education (CME), healthcare access and medical policy awareness events throughout Kenya! This year saw tremendous growth in our nationwide outreach and impact, and we’re proud to announce that we’re now facilitating local as well as international care for Kenyans – expanding healthcare utilization at the local and national levels while also augmenting the quality of domestically-available medical services. Here’s a full fall recap before we head into the new year!
On September 30, our Eldoret staff addressed 82 officers at Kapsabet Prison on how to use their National Hospital Insurance Fund (NHIF) medical insurance to receive covered specialty care from A&K Global Health’s local and international network. Our former patient Samuel Kitum joined us to share his story: “A&K Global Health gave me a second chance in life, because through them I was able to receive world-class cancer treatment. Today I am cancer-free!” Samuel’s testimony alone encouraged two oncology patients to pursue treatment with us; both have selected hospitals and are now preparing to travel.
From October 21-22, A&K Global Health made media waves with our medical camp at Alfarooq Hospital in Mombasa! K24 Television’s footage, aired on the evening news, captured the hospital’s hallways bursting with patients eager to be seen and included interviews with BLK Hospital’s International Marketing Manager Abhishek Joseph, A&K Global Health’s Operations Officer Bernard Ademba, and Mombasa patient Wako Dida.
“I came here from BLK Hospital in New Delhi to organize free medical camps here in Mombasa as well as in Eldoret, in collaboration with A&K Global [Health],” said Mr. Joseph. “Our prime objective is to start [establishing specialty] facilities here, [to] treat patients here, to create inspiration for what can be accomplished locally.”
“October being cancer awareness month, our camp – which provided free oncology and cardiology consultations to 138 patients – showcased A&K Global Health’s dedication to the community’s well-being and our efforts to ensure that patients get first-rate medical advice and management, here in Kenya and abroad,” said Mr. Ademba.
From October 24-25, BLK’s medical camp continued at the Family Medical Care Centre in Eldoret. Over 100 patients were seen, including 13 orthopedic cases that were able to be referred locally for medication and physiotherapy, and 24 healthcare professionals benefitted from a CME presentation.
In early November, A&K Global Health’s Lencer Misiani visited Siaya County Referral Hospital and Kakamega Provincial General Hospital to coach their staffs on using our care management and the NHIF’s medical coverage resources. Ms. Misiani also called on the NHIF’s local branch manager to congratulate him on Kakamega County’s recent joining of the NHIF’s insurance program, and to plan future outreach events to ensure that all county employees understand and draw on their new health benefits. And from November 16-18, Ms. Misiani addressed similar forums with Busia and Kisumu Counties at the Kenya Medical Research Institute (KEMRI), while A&K Global Health’s Jack Owuor presented to the Kenya National Nurses Association annual meeting in Kisumu.
Thanks for filling this autumn with enthusiasm for learning about and leveraging your healthcare, Kenya. Keep reading our blog to be the first to know about A&K Global Health’s exciting plans for 2017!
In the photograph above: The reclaimed health and happiness of former A&K Global Health cancer patient Samuel Kitum (front bottom right) are on full display as he poses with officers from Kapsabet Prison in Eldoret, Kenya, in October, where Mr. Kitum gave his testimonial and urged others to seek our expert, life-changing management for any challenging health issue.
In the photograph below: A&K Global Health Kenya Operations Director Reuben Kangogo (left) and Marketing Executive Lencer Misiani (right) meet with local NHIF branch manager Mr. Kennedy Ontiti in Kakamega in November, where A&K Global Health’s community outreach and health education events are helping ensure that residents of the county – a new member of the NHIF’s insurance program – are aware of and able to utilize their NHIF medical resources and benefits.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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A&K Global Health headlines as presenter and awardee at international healthcare conference
North Carolina, USA – December 7, 2016: From November 13th-15th, healthcare experts and advocates from around the world gathered in Berlin, Germany for the 7th Annual Temos Conference. A&K Global Health had the honor of delivering a presentation as well as receiving a certificate at this important international gathering.
Temos, which stands for trust, effective medicine, and optimized services, is a global certification agency that evaluates and certifies hospitals catering to medical travelers. Temos also offers a rigorous quality assessment and endorsement program for medical travel facilitators; in April 2016, A&K Global Health became the first U.S.-based company to earn this coveted certification.
The topic of this year’s three-day meeting was Healthcare Abroad and Medical Tourism. Morgan Darwin, A&K Global Health’s CEO, addressed a session entitled “What makes a great facilitator?”
“Our role at this conference marks two key successes for A&K Global Health,” said Mr. Darwin. “First, recognition by this forum demonstrates the global profile our high quality, cross-border medical travel management has achieved. And second, the invitation to speak about our experience optimizing healthcare resources within national borders shows the widespread interest in and growing demand for our unique approach to comprehensive healthcare management – the differentiator that makes A&K Global Health an unmatched value to patients, governments, medical funding organizations, and care providers alike.”
A&K Global Health’s presentation, delivered by Mr. Darwin and Dr. Rainer Hilgenfeld, Chief Medical Officer, introduced conference attendees to our collaborative Cardiac Care Indicator Project (CCIP) with Kenya’s National Hospital Insurance Fund (NHIF), highlighting the initiative as a case study for how oversight and measurement of clinical performance can positively impact national and international care management. “We addressed the role of generic clinical indicators within a specific effort,” said Dr. Hilgenfeld, “and then challenged the community to consider the critical role of metrics in healthcare more broadly – as it may apply to their particular business segments within the field of global health.”
In addition to presenting, A&K Global Health received a “Preferred Medical Travel Facilitator” certificate from the global think tank The Diplomatic Council. As its website explains, “The Diplomatic Council (DC) medical program is designed for patients striving for more security and quality and for hospitals seeking more international patients. ‘DC Preferred Partner [Hospital/Facilitator]’ is the highest qualification standard and is only awarded based on experts’ evaluation.”
The certificate was presented by Dr. Bettina Horster, Chairwoman of the DC’s Global Healthcare Forum, which manages the think tank’s medical sector activities. “Receiving this certificate was a special privilege for A&K Global Health because of the DC’s history of respected work in diplomatic circles, including medical travel,” said Dr. Hilgenfeld. “Further, the DC, Temos, and A&K Global Health share a common appreciation: that the future of international healthcare will be driven by mutually beneficial exchange between national health systems,” said Dr. Hilgenfeld, “and by connections that build capacity, strengthen good processes, and improve outcomes for all stakeholders.”
For more on how A&K Global Health is realizing these goals through the CCIP in Kenya and similar projects in 14 countries worldwide, follow the company on the A&K Global Health blog and on social media.
In the photograph above: A&K Global Health CEO Morgan Darwin (center) and Chief Medical Officer Dr. Rainer Hilgenfeld (right) receive the Diplomatic Council (DC) distinction of “Preferred Medical Travel Facilitator” from Dr. Bettina Horster (left), Chairwoman of the DC’s Global Healthcare Forum, at the 7th Annual Temos Conference in Berlin, Germany.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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Kenya medical camps connect, inform & empower patients
Think medical camps with foreign doctors are only about medical travel? Think again.
A&K Global Health’s medical camps optimize two things: healthcare access and affordability. We bring the clinical knowledge of international specialists to our patients in their own home countries, and through personal consultations, our patients receive expert guidance on the most appropriate place for them to pursue treatment – whether that’s locally, nationally, or globally.
Our September medical camps in Kenya with Fortis Hospitals of India are perfect examples of our healthcare management in action. From September 16-17, Indian specialists from Fortis offered professional medical advice to the public during a medical camp at Pandya Memorial Hospital in Mombasa County. The 132 patients seen included 33 cardiac, 21 nephrology, and 78 orthopedic cases. “The patients appreciated A&K Global Health for facilitating the free medical camp, giving them an opportunity for personal consultations and second opinions,” said Bernard Ademba, Mombasa Operations Officer. “Through this camp, we also shared with patients the partnership between A&K Global Health and the National Hospital Insurance Fund (NHIF), especially the kidney transplant benefits, which are available to all NHIF members.”
From Mombasa, the Fortis doctors traveled to meet A&K Global Health’s team in Eldoret, where from September 19-20 we jointly conducted another medical camp at Reale Hospital. “The teamwork between A&K Global Health and Reale Hospital staff allowed this camp to be well coordinated and successful,” said Cornelius Rop, Eldoret Operations Officer. Another large crowd turned out, with 36 cardiac, 26 nephrology, and 71 orthopedic consultations totaling 133 patients seen. A highlight for AKGH was being able to advise economically disadvantaged Kenyans who need expensive surgeries that they can now enroll as NHIF members for health insurance, an opportunity formerly available only to civil servants. Another highlight was seeing patients like Samuel Cherutich, who previously traveled with A&K Global Health for treatment in India, return to receive continuing care and monitoring of his health condition. “Our follow-up ensured that Samuel’s case was appropriate reviewed,” said Mr. Rop.
Empowering individuals with professional, personalized medical counsel, connecting new patients with advanced specialty care, checking in with former patients to assure their sustained progress – A&K Global Health’s medical camps do it all! Follow us on social media to learn when we’re bringing a medical camp to your neighborhood, and visit our blog for regular updates on our health management successes around the world.
In the photograph above: A clinician from India’s Fortis Hospitals takes a patient’s blood pressure at the A&K Global Health-facilitated medical camp hosted by Pandya Hospital in Mombasa, Kenya.
In the photograph below: A&K Global Health staff pose with the Fortis team during the Eldoret medical camp, hosted by Reale Hospital. From left to right are Reuben Kangogo, A&K Global Health Kenya Operations Director; Dr. Manoj Kumar, Fortis Orthospine Surgeon; Dr. Satish Javait, Fortis Cardiac Surgeon; Dr. Vishal Saxena, Fortis Nephrologist; Cornelius Rop, A&K Global Health Operations Officer; and Linner Soy, A&K Global Health Care Consultant.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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First heart surgery in NHIF / A&K Global Health program succeeds
Sally Chesang never thought she’d see her young son undergo open heart surgery. She especially didn’t expect him to receive this specialized procedure in their home country of Kenya.
But on October 24 at Gertrude’s Children Hospital in Nairobi, four-year-old Kevin Kimutai became the first patient to receive cardiac surgery in Kenya under A&K Global Health’s implementation of the National Hospital Insurance Fund (NHIF) Cardiac Care Indicator Project.
Kevin was born weighing just 1.5 kilograms, or 3.3 pounds. His growth was abnormal; he was much smaller than other children his age. His parents later learned that Kevin suffered from congenital heart disease, a condition requiring surgical intervention and complex care management.
“When my son was brought back to the general ward from the ICU, people flooded into his room in disbelief,” Sally said, recalling the sense of pride during Kevin’s recovery as the clinical team and program managers realized what they had achieved. “This was a successful open heart surgery, conducted by Kenyan doctors at a Kenyan hospital, for a Kenyan patient whose life depended on the procedure. It’s an important turning point for the individuals involved as well as for the country,” affirmed Stephen Masinde, A&K Global Health’s Kenya National Director.
“More and more people need to know about this NHIF cardiac program because there is great need out there,” Sally added. “In Nandi where we come from, people still don’t believe that my son has received treatment that is fully paid by NHIF, considering the long waiting lists in hospitals for such conditions. Many people on the cardiac waiting list die before they get to their names for treatment.”
The cardiac program is designed to begin preventing such tragedies by infusing funding, improving the triage process for local or international treatment decisions, and supporting local healthcare professionals in expanding their clinical capabilities. The ambitious initiative is the result of years of effort by the NHIF towards addressing both financial and clinical hurdles to Kenyan citizens’ consumption of healthcare services.
And as Kevin’s experience indicates, the project is off to a strong start. “I’m very grateful to Gertrude’s Children’s Hospital and their first class customer service. Their staff relations are top notch – I could hardly tell the difference between a guard and a nurse because of how each individual treated us with such care and concern,” said his mother.
“I am also grateful to A&K Global Health for the good work you are doing. Keep it up! Please come and visit us in Nandi so that more people can hear and know about you.”
It’s been our pleasure supporting your family and managing Kevin’s progress, Sally. We look forward to continuing to spread the word throughout Kenya about this critical project. And we can’t wait to share more stories of beneficiaries just like Kevin!
In the photograph above: Four-year-old Kevin Kimutai glows with good health just weeks after he became the first patient to undergo open heart surgery in Kenya under the new NHIF Cardiac Care Indicator Project. His surgery, managed by A&K Global Health, was conducted at Gertrude’s Children’s Hospital in Nairobi.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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Beating MS with A&K Global Health: “No wheelchair from now on!”
2016 marked an unwelcome anniversary for 48-year-old Getu Abebe Degfie of Addis Ababa, Ethiopia: it had been one decade since her diagnosis with multiple sclerosis (MS), yet she still hadn’t obtained lasting treatment.
“I had been diagnosed 10 years ago in the USA. They treated me with Solu-Medrol, medicine to make me regenerate [muscle] and [be] able to walk,” Getu remembers, referencing a drug popular for short-term management of severe MS attacks. After finishing the five-day course of Solu-Medrol, she was indeed able to walk – but the drug’s effects are not permanent. Solu-Medrol temporarily alleviates symptoms of MS attacks without fundamentally slowing the disease’s progression. “They [weren’t] able to give me disease-modifying medicine, like Avonex, because [this required] a passport or being a citizen.” Reluctantly, Getu returned home to Ethiopia.
“Whenever the attacks came, I used the same medicine…many times I had attacks.” Dissatisfied that Solu-Medrol was not slowing her MS overall, Getu traveled to Norway in hopes of obtaining disease-modifying medication. “The same thing happened: they said that I should have [citizenship] or a passport. So I came back home.”
Then, in Ethiopia, Getu met a man who had undergone brain surgery in India. “[He] told us that Indian [clinicians] are good at [treating] all diseases, not just MS…heart surgery, bone marrow transplant…unbelievable! He explained everything, [saying] ‘just go there, you will get treatment…they are excellent!’”
His urging convinced Getu to seek treatment in India, and her exploration led her to A&K Global Health. We guided her into the exceptional neurology care of Narayana Hospital in Bangalore, India, facilitating all travel and legal arrangements. Just weeks after meeting our Addis Ababa staff, Getu and her husband were in Bangalore.
“Right after my arrival, I was admitted to the hospital, and I saw Dr. Krishna,” Getu says of her first meeting with Dr. Gopal Krishna Dash, Narayana Consultant Neurologist and Epileptologist. “He explained everything to me and I started the [five-day course of] Solu-Medrol. On the [sixth] day, he said that ‘you should be on the disease-modifying medicine Avonex,’” – the life-changing drug Getu had pursued for 10 years. She was thrilled with Dr. Krishna’s confirmation that Avonex was right for her treatment. “He asked the pharmacy people to come and explain every detail, whatever question I [had]…they explained to me the side effects, how to inject, each thing they explained to me before I [took] the medicine.” And the same day, Getu gave herself her first, long-awaited injection of Avonex.
After years of seeking treatment that could slow her MS, the country where A&K Global Health helped her find it holds a special place in Getu’s heart. With a twinkle in her eye, she declares her intention to return: “Next time, I know that I am going to be able to walk – no wheelchair from now on – so I will come and visit all of India!”
Your A&K Global Health family looks forward to welcoming you back standing tall, Getu.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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Indian magazine names A&K Global Health “game changer”
A&K Global Health is excited to share that we were recently profiled by Healthcare Radius, a leading monthly magazine for Indian medical professionals covering healthcare trends and developments across the country.
In the publication’s 4th anniversary special edition, Healthcare Radius announced its picks for the best healthcare facilitators working in India – and A&K Global Health was at the top of the list.
“This profile highlights the strength of A&K Global Health’s relationships with our Indian partner hospitals,” said Saraladevi Gangadhara, Director of A&K Global Health’s Treatment Management Center in Bangalore. “First, we were recommended to Healthcare Radius as a top facilitator by Mr. Benny Daniel of Manipal Hospital, based on his institution’s experience working with us. And second, what really distinguishes A&K Global Health from other quality medical facilitators is that bringing patients to India isn’t the only thing we do. We also leverage our relationships with Indian hospitals to build partnerships with the existing health systems, care facilities, and clinicians in the countries where our patients come from.”
The profile, based on an interview with A&K Global Health CEO Morgan Darwin, introduced readers to our background in medical travel facilitation to India. Mr. Darwin also explained how our broader experience in healthcare management and health system development is allowing Indian hospitals and doctors to have a profoundly positive impact in the other countries where we work.
“From medical camps and continuing medical education events to short-term immersive training programs and cooperative surgical initiatives, we connect our Indian and international hospital partners in a way that encourages developing health systems to advance. At the same time, our financial model for these engagements ensures that our Indian hospitals partners garner the revenues their businesses require, making their involvement sustainable,” Mr. Darwin said.
Game-changing, indeed. Stay current on how our work is transforming healthcare for patients, providers and organizations all around the world – follow us on the A&K Global Health blog.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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Record med camp turnout, new local training initiatives in Kigali
This fall, Rwandans demonstrated unprecedented demand for two of A&K Global Health’s signature activities: our expert international medical facilitation and care management, and our continuing medical education (CME) and clinical trainings to strengthen their national healthcare capacity.
From September 13-14, 2016, A&K Global Health conducted a medical camp and CME event in conjunction with visiting cardiology and orthopedics/spine specialists from BLK Super Specialty Hospital in New Delhi, India. Baho International Hospital in Kigali, Rwanda hosted the two-day program.
“We had a huge number of clients – each doctor saw 60 patients a day,” said Gratien Twizeyimana, A&K Global Health’s Representative and Regional Manager for Rwanda, Burundi, East Congo, and the Democratic Republic of Congo. In addition to the two busy doctors, BLK’s International Marketing Manager also attended. “He thanked A&K Global Health on behalf of the BLK team for our good partnership and especially for arranging this very successful camp,” Mr. Twizeyimana noted.
But A&K Global Health’s coordination didn’t just provide a record number of patients with personal medical consultations. We also facilitated new partnerships between BLK and Rwandan doctors and hospitals with a goal to improve local healthcare.
“During the visit, I arranged for the Indian doctors to meet Dr. Muneza Severien, Rwanda’s national neurosurgeon,” Mr. Twizeyimana said. “Drs. Srivastava and Girdhar shared with Dr. Severien a BLK computer-based training on the microscopy machine used for modern neuro and spine surgeries, explaining how surgical outcomes are improved by this new method.” This CME session built camaraderie among the surgeons – and got them thinking. What if they could collaborate to provide these advanced orthopedic surgeries in Rwanda, where many need them and not all are able to travel abroad?
Two exciting initiatives emerged. First, BLK has invited Baho International Hospital to send a surgical team for a short practical training program at BLK, building their capacity to conduct some surgeries in Rwanda upon their return. Second, BLK intends to send a group of medical consultants to Rwanda for several weeks to conduct orthopedic procedures locally. “These programs will expand the range of locally-available orthopedic surgeries, while also improving the quality of Rwanda’s existing orthopedic offerings,” Mr. Twizeyimana said.
Morgan Darwin, A&K Global Health CEO, agreed. “This was a tremendously successful event on all sides: good for the patients, the physicians, and the country!” For more on how A&K Global Health is expanding healthcare quality and access in 14 countries through events just like this one, follow us on Facebook, LinkedIn, and our blog!
In the photograph above: Key members of A&K Global Health’s successful Kigali medical camp pose for a group photo. From left to right are Dr. Sushant Srivastava, BLK Super Specialty Hospital Cardiothoracic Surgeon; Dr. Puneet Girdhar, BLK Orthopedic/Spine Surgeon; Mr. Diganta Bhattacharya, BLK International Marketing Manager; Dr. Ardent Joseph Nibarere, Baho International Hospital Medical Director; Mr. Gratien Twizeyimana, A&K Global Health Representative and Regional Manager for Rwanda, Burundi, East Congo, and the Democratic Republic of Congo; and Mrs. Umuhire Liliane, Baho International Hospital Marketing Manager.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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A&K Global Health leverages technology as health management tool
From our founding forward, technology has played a major role in how A&K Global Health manages the complex clinical, financial, logistical, experiential and other aspects of our patients’ medical journeys. But as our work expanded beyond the established industry of medical travel and concierge services into the uncharted territory of comprehensive healthcare management, we realized this new, unique field we were pioneering would require tailored technology to support our management process.
A&K Global Health originally conceived and developed the Patient Advocate Support System (PASS), a cloud-based mobile application, to support the specific data collection and distribution requirements associated with our work moving patients and managing their care. At the beginning of 2016, however, we made the exciting transition to the Orsalus Exchange (OEX), a new platform focused on all-inclusive and dynamic activity management instead of strictly static patient management.
“Orsalus developed its software to help institutions better manage complex human activities across widely distributed systems and involving multiple participants and stakeholders,” said Jeanine Ayers, Orsalus Chief Technology Officer and Interim Chief Executive Officer. “With the OEX platform, A&K Global Health can capture metrics, assess outcomes, and apply this data to help governments and other health policy organizations advance clinical quality and optimize care distribution locally, regionally and internationally.”
OEX provides a centralized, secure database in the cloud that is accessible to A&K Global Health employees and licensees from anywhere in the world via desktop, tablet and mobile devices. The platform provides permission-based storage of our patients’ complete electronic medical records, as well as extensive information about our hospital partners and their treatment capabilities. It allows live updates on patient clinical or logistical status and tracks the feedback our patients provide us via the Short Message Service (SMS) surveys we use to ensure their satisfaction throughout the phases of their medical journey. The system also features advanced financial management and invoicing capabilities. “With all these data stored in the single OEX platform, A&K Global Health can generate reports on patient diagnoses, emerging health indicators, movement, costs, and outcomes,” said Aleksandra Golota, A&K Global Health Senior Relations Manager. “The information captured from the 7,800 clinical activities we’ve managed through this system to date provides invaluable analysis to the health policymakers, funding organizations, and clinical communities that together make up regional and national health systems.”
Take, for instance, the Cardiac Care Indicator Project we are currently leading with the National Hospital Insurance Fund (NHIF) in Kenya. This program is beginning to treat locally – rather than sending abroad – cardiac disease cases that can safely be performed by Kenyan cardiothoracic surgeons. “Our focus is on collecting pre-surgery qualifiers of patient health and disease stage, and then monitoring outcomes through the entire treatment process,” said Dr. Rainer Hilgenfeld, A&K Global Health Chief Medical Officer. “The OEX platform allows us to track these indicators over time, across a large population and distributed geographies, to analyze them, and ultimately generate a body of historical data against which we can make assessments of the health system’s development. We are then able to accurately inform the NHIF of the risk associated with local treatment, to improve the triage process for local or international treatment decisions, and to assist local providers in improving their services.” By increasing the capacity for cardiac surgeries and other advanced procedures to be conducted within Kenya, A&K Global Health’s use of OEX makes better and more affordable care available to Kenyans, and contributes to establishing Kenya as a regional medical treatment hub.
The cardiac program in Kenya is just one example of how A&K Global Health’s use of technology is helping governments and health funding institutions better manage patients within national borders and when international treatment is required. We’re also working in partnership with existing healthcare systems in 13 other countries to build sustainable economic models that incentivize excellence in care delivery. For all the latest on all our patients, partners, and projects, follow us on the A&K Global Health blog!
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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A&K Global Health to Manage Nationwide Cardiac Surgery Program in Kenya
North Carolina, USA – October 19, 2016: Kenya’s National Hospital Insurance Fund (NHIF) has announced a bold new program to provide cardiac surgeries locally, addressing a tremendous need among Kenyan citizens while driving major advancements in Kenyan health system capacity.
The nationwide, multi-year Cardiac Care Indicator Project will be funded by the NHIF, and implemented and managed by A&K Global Health.
“Our goal is to support national and local healthcare objectives, providing transparent management of required international care while working with health leaders to safely and ethically build national capacity,” said Morgan Darwin, A&K Global Health CEO.
The program will begin treating locally – rather than sending abroad – cardiac disease cases that require low-risk open heart surgery. A&K Global Health will manage all patient care, with a focus on collecting pre-surgery qualifiers of patient health and disease stage and then monitoring outcomes through the entire treatment process. The company will also coordinate with the NHIF, local hospitals, and a group of select care providers and cardio-thoracic surgical teams to provide these services, including facilitating clinical reachback and surge support through its global partners.
The initiative’s purpose is to accurately inform the NHIF of risk associated with local treatment, to improve the triage process for local or international treatment decisions, and to assist local providers in improving their clinical services. These goals are directly aligned with A&K Global Health’s work in partnership with existing healthcare systems in 14 countries to build sustainable economic models that incentivize excellence in care delivery.
“Our role supporting the NHIF’s cardiac program is a clear example of our determination to expand healthcare, and serve as an expert manager of healthcare deliverables and processes, within the national borders of each country where we have a presence,” said Mr. Darwin. “This initiative is in alignment with Kenya’s strategy for increased national capacity, saving the lives of thousands of Kenyans while increasing domestic healthcare self-sufficiency.”
Mr. Darwin was among the approximately 50 people – including NHIF leaders, Kenyan hospital representatives, and A&K Global Health corporate and Kenyan staff – who attended the program’s kickoff meeting in Nairobi on October 3. Interventions are scheduled to begin this month, with the program’s official launch taking place in November.
“We are eager to get started,” said Stephen Makoka, A&K Global Health Kenya National Director. “Our approach is to provide real value to the government and the people. It’s taken four years for us to solidify what that looks like with regard to cardiac care…Kenya has a limited number of surgeons experienced in these procedures, and more than 500 patients urgently requiring open heart surgery. With the support of NHIF funding in combination with A&K Global Health’s international clinical network, we can finally begin addressing these critical needs.”
An update on this program’s initial progress will come in just a few weeks, when A&K Global Health presents the initiative as a case study at the annual Temos conference in Berlin. And because of the importance of custom technology to the program’s rollout, A&K Global Health will soon publish an article explaining how the processes and platforms developed for this initiative correlate to its trans-national healthcare management activities broadly.
That piece will join many others on the A&K Global Health blog, where the company tells the story of its continuing work around the world to serve patients, develop partnerships, and promote solutions that expand and enhance healthcare.
In the photograph above: Stephen Masinde, A&K Global Health Kenya National Director, addresses an audience of NHIF leaders, Kenyan hospital representatives, and A&K Global Health corporate and Kenyan staff who gathered on October 3 in Nairobi for a kickoff meeting of the NHIF’s new Cardiac Care Indicator Project.
In the photograph below: Dr. Elly Nyaim Opot of the NHIF Board of Directors presents his organization’s Cardiac Care Indicator Project to kickoff meeting attendees. The program – funded by the NHIF and implemented by A&K Global Health – will begin providing cardiac surgeries locally rather than overseas, addressing a tremendous need among Kenyan citizens while driving major advancements in Kenyan health system capacity.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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Hundreds across Kenya attend healthcare access & awareness events
It’s that time again! – time for an update on A&K Global Health’s ongoing health advocacy events in Kenya. Our single-minded focus on managing healthcare deliverables within the borders of each country where we work has generated great progress in Kenya since our last update this summer.
At each of these events, our goal is the same: helping you obtain the highest quality, most affordable healthcare for your needs and benefit fully from your medical insurance coverage. We do this by sharing about our collaboration with the National Hospital Insurance Fund (NHIF) to offer specialized treatment, both locally and overseas. Our staff in Mombasa, Kisumu, and Eldoret have recently encountered some remarkable stories as they spread this empowering message:
On July 22, A&K Global Health addressed 160 disciplined service members at Shimo La Tewa/Shanzu Prison. “The officers were grateful – most were unaware of what their NHIF benefits entitle them to,” said Bernard Ademba, A&K Global Health Mombasa Operations Officer. “Right now, we are facilitating care in India for our fifth patient from this prison’s staff so far in 2016. And our sixth patient is preparing to travel later this month.”
On August 1, 102 officers from Kabarnet Prison welcomed A&K Global Health’s Eldoret presenters – and a live testimony from one of their colleagues, our former patient Samuel Kitum! Last year Samuel traveled with A&K Global Health to India for thyroid cancer treatment. He’s now healthy, happily back at work, and eager to share his A&K Global Health healing experience.
On August 10, our Kisumu staff worked with two audiences: one of health professionals for a continuing medical education event, and the other of county government officials whom we addressed at a Kisumu County Heads of Departments meeting. The crowded rooms at each event demonstrated the high interest in our outreach!
On August 12 and 16, A&K Global Health continued with additional presentations at Kisumu County meetings, reaching over 80 staff members. “We had a particularly interactive meeting on 16th, as our former client Florah Ambani spoke on her experience with A&K Global Health,” said Lencer Misiani, our Kisumu Marketing Executive/Care Consultant. “Her testimony was an added advantage for other attendees…many people wanted to hear more about her journey with us. We have similar events scheduled for this quarter, too.”
On September 13, our Eldoret team gave a lunch presentation to 102 Iten Police Officers. “Epilepsy, cardiology, kidney transplantation, and orthospine are all specialty treatment areas with which we’re now assisting patients reached through this event,” said Cornelius Rop, A&K Global Health Eldoret Operations Officer.
As these events demonstrate, A&K Global Health is determined to expand healthcare and awareness nationwide in Kenya – and everywhere we work. Follow us on social media to find out more, and to be the first to know about a potential upcoming live stream of one of our presentations!
In the photograph above: Samuel Kitum (squatting), a former A&K Global Health patient healed from thyroid cancer, joyfully shared his testimony with an audience of his colleagues at Kabarnet Prison in August.
In the photograph below: Lencer Misiani, A&K Global Health’s Marketing Executive/Care Consultant, addressed a large assembly of Kisumu County government officials about their NHIF benefits. Our successful meetings in August have led to the establishment of a series of presentations for Kisumu County employees on how A&K Global Health can help them access their medical coverage for care at home or abroad.
A&K Global HealthA&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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Iraqi doctor brings passion to patient care & health policy alike
Dr. Dara Rashid Mahmood of Erbil, Iraqi Kurdistan, is in many ways an ordinary man. He is 40 years old, the proud father of three children. But Dr. Dara is also extraordinary, and his work is changing the landscape of healthcare management in Iraqi Kurdistan and nationwide.
A radiologist by training, Dr. Dara serves as General Director for Medical Issues in the Kurdistan Regional Government’s (KRG) Ministry of Health (MOH). He is also Head of the Cancer Patient Support Fund.
A&K Global Health was introduced to Dr. Dara in early 2013. Later that year, we partnered with the KRG MOH to manage the travel and treatment of all patients requiring care outside Iraq for thalassemia and malignant blood disorders. We soon began managing overseas liver transplants as well. To date, we have facilitated KRG-sponsored care – including treatments, consultations, and second opinions – within Iraq and abroad for more than 3,620 individuals.
Over nearly three years of working with the KRG MOH, we have witnessed how Dr. Dara’s dedication to improving Kurdish healthcare management impacts his community. He is passionate about serving his patients, always striving to provide the best care solutions despite the challenges faced by Kurdistan and Iraq. And he holds himself to the same high standard for exceptional care and service that A&K Global Health practices with each one of our clients.
But Dr. Dara has not stopped at aiding his fellow Iraqis through conventional means. His drive to realize comprehensive healthcare management throughout Iraq has also compelled him to help institute quality control for medications available on the Iraqi market; to support Peshmerga fighters combatting the Islamic State by providing health supplements and assisting the wounded; and to open clinics and laboratories in rural areas of Iraqi Kurdistan.
In addition, Dr. Dara initiated the bone marrow transplant (BMT) program in Kurdistan for both thalassemia and malignant blood disease. This program currently sends abroad patients with these complex conditions for care, as well as for other specialized procedures, including PET scans, liver transplantation, and various oncology treatments.
Dr. Dara shares another priority with A&K Global Health, too: even as he assists patients urgently needing care overseas, he also seeks opportunities to invest in training and professional development for Iraqi physicians with the goal to eventually establish domestic diagnostic and treatment facilities for these acute conditions and specialty areas. Already, Dr. Dara has presided over the opening of the first autologous BMT center in Sulaymaniyah, Kurdistan.
We are pleased to spread the word about the work that Dr. Dara and individuals like him are doing to bring vital medical care and health system development to their home countries. A&K Global Health is also proud to note that after several years of serving Iraqi Kurdistan, our medical travel and care management expertise is now available throughout Iraq.
A&K Global Health is dedicated to expanding quality healthcare to all corners of each country where we work. Contact us for a personal consultation about your medical needs.
In the photograph above: Dr. Dara Rashid Mahmood, a dynamic healthcare changemaker in Iraqi Kurdistan, serves as the KRG MOH General Director for Medical Issues and as Head of the Cancer Patient Support Fund.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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A&K Global Health hip replacement gives 30-yr-old back his youth
We often think of osteoarthritis as an affliction of the elderly. For 30-year-old mechanical technician Mackenzie Okinyi Owiti of Nairobi, Kenya, it’s been a painful reality his whole life.
“[My condition] started back when I was young, but it wasn’t managed well, so at around age 19 it became a problem. During college I started having pain,” Mackenzie remembers. “It was realized I had osteoarthritis.” Five years later, his pain became serious. And then he had an accident – a fall in December 2015 that produced a fracture. Unable to work, Mackenzie knew it was time to seek further help.
Through the National Hospital Insurance Fund (NHIF), Mackenzie got in touch with A&K Global Health. And with NHIF sponsorship, A&K Global Health facilitated Mackenzie’s travel to Manipal Hospital in Bangalore, India, where we referred his case into the capable care of Consultant Orthopaedic Surgeon Dr. Sunil G. Kini.
“After his accident, Mackenzie found it difficult to [walk] even a few steps without pain. That’s when he decided to come to our hospital,” Dr. Sunil reported. “I did a few x-rays which indeed showed he had a fused hip…he did not have any movement at the hip. We decided to go ahead with a hip replacement surgery.”
Mackenzie is completely satisfied with his treatment, and optimistic about how this surgery impacts his life. “I believe I got the best doctor. Dr. Sunil really is hands-on, giving you the best of care, the information that you need…from the [day after] surgery, I got [out of] bed with a walker, started [bending] my legs…but now I [can really] move! I do believe Dr. Sunil gave me a good joint and a pain-free future.”
Mackenzie’s recovery was hard-earned by his doctors. “There were quite a few challenges from a surgical point of view,” Dr. Sunil recalls. “The first was…to create a new [hip] socket from [nothing]. And the second challenge was to get the [femoral] head back into the socket, because it had migrated.” Despite these, Mackenzie progressed quickly. “Immediately, the day after surgery, he started to stand and move with the help of a walker. About two weeks down the line, he’s much [more mobile] and absolutely pain-free,” Dr. Sunil announces proudly.
“A&K Global Health is a healthcare management company that assists patients,” Mackenzie describes, “toward the hospitality arrangements, toward travel to the treatment destination and the care…it’s a link for the patient to the hospital. In my case I got into the country, a new person – it’s very easy to get lost. A&K received me the best way, showed me into the best of accommodations, close to the hospital, that I can reach at any given time. I really appreciate them.”
You can hear Mackenzie’s whole story in this short video:
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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After care, A&K Global Health patient has “nothing but gratitude”
What characterizes “life after A&K Global Health” for our patients? Joy. Wellness. Incredible gratitude – and, for some, a desire to speak up and spread the word of just how helpful A&K Global Health can be.
Lydia Simiyu is a senior nursing officer at Mariakani Sub County Hospital in Kilifi County, Kenya. From late 2014 to early 2016, A&K Global Health comprehensively managed her treatment for breast cancer. With sponsorship from the National Hospital Insurance Fund (NHIF), A&K Global Health facilitated Lydia’s three trips to Max Super Specialty Hospital in New Delhi, India for chemotherapy treatments. We also monitored her condition, coordinated her medications with her Indian and Kenyan physicians, and ensured care continuity during the months she spent at home between her trips to India for treatment.
Her treatment experience changed her life, giving her a sense of eternal gratitude and inspiring an unwavering belief in A&K Global Health’s work. So when A&K Global Health was invited on July 23rd, 2016 to make a presentation at the hospital where Lydia works, she made certain she was in the audience to help spread our message of wellness and hope among her colleagues.
At the event, Lydia presented A&K Global Health staff members with an appreciation card. Her handwritten note on it read “To the [A&K] Global Health and NHIF: May God bless you as you extend that hand of help to needy ones like me. Never get tired. Thank you so much…I have nothing to give but my gratitude.”
Lydia’s presence and vitality were a powerful testimony to the 80 hospital staff members who had gathered to learn about their NHIF medical insurance plan, including medical travel coverage, and how AKGH can help them access these benefits. “It’s always wonderful to see our former patients back at work and thriving in their daily lives,” said Reuben Kangogo, A&K Global Health Kenya Operations Director. “It’s especially gratifying to meet those who feel so strongly about their experience that they want to give back in a way, to share their story so that others will realize there is hope for them, too.”
Every day, A&K Global Health has the privilege of helping people like Lydia find their own happy health ending. What could your “life after A&K Global Health” look like? Get in touch with us, and together, we’ll find out.
In the photograph above: A&K Global Health staff members gathered around our radiant former patient for a photo! From left to right are Bernard Ademba, Mombasa Operations Officer; Lydia Simiyu, our healthy former patient; Biye Maalim, Mombasa Care Consultant; and Reuben Kangogo, Kenya Operations Director.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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A&K Global Health Expands Nationwide in Iraq
North Carolina, USA – September 7, 2016: A&K Global Health is pleased to announce the expansion of our Iraqi presence.
Click here to read this in Arabic.
On Saturday, August 27th, 2016, A&K Global Health CEO Morgan Darwin and Albasso Company General Manager Hakar Rajab formalized our collaboration to connect individuals throughout Iraq with quality medical treatment, whether at home or overseas. Also in attendance were Albasso Company Administration Manager Mohammed Saber, A&K Global Health Iraq Country Manager Moataz Jaleel, and A&K Global Health Senior Medical Advisor Dr. Kameran Qader. This ceremony made official our partnership, which has in fact been ongoing since August 1st.
Our newest licensee is a local business based in Erbil, Iraqi Kurdistan. Albasso Company was founded in 2009 and is involved in multiple industries and activities, including travel and tourism, advertising, IT solutions, real estate, and engineering consulting. They have additional established branches in Sulaymaniyah, Iraqi Kurdistan, and have office locations “coming soon” to Baghdad, Basra, and other central and southern Iraqi cities.
Albasso Company’s vision has long been aligned with that of A&K Global Health. “Their plan was to have medical travel activities to care for and send patients abroad,” said Mr. Jaleel. “Through one of our satisfied clients, A&K Global Health got connected with the company and shared our own current activities in this area, as well as our broader vision for managing healthcare systems and serving patients.”
“Albasso Company was excited about the opportunity to become our official licensee throughout broader Iraq, and we as A&K Global Health were eager to reach more Iraqi patients in urgent need of care who reside outside of Kurdistan,” Dr. Qader added. “It was a natural next step to form a partnership.”
If you or someone you know resides in Iraq and is seeking medical advice or specialized care, A&K Global Health can help. Just get in touch with us – whatever your circumstances, we are here to support you and your unique treatment needs.
In the photograph above: Morgan Darwin, A&K Global Health CEO (left), and Hakar Rajab, Albasso Company General Manager (right) solidified Saturday’s signing ceremony with a handshake. This new partnership enables A&K Global Health to provide our life-changing and life-saving health management services beyond Iraqi Kurdistan and throughout broader Iraq.
In the photograph below: Present for the agreement signing were, from left to right, A&K Global Health Senior Medical Officer Dr. Kameran Qader; A&K Global Health CEO Morgan Darwin; Albasso Company General Manager Hakar Rajab; A&K Global Health Iraq Country Manager Moataz Jaleel; and Albasso Company Administration Manager Mohammed Saber.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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“I’ve had an invaluable learning experience at A&K Global Health”
When Eva Bibiana Gulavi arrived at A&K Global Health Nairobi on May 23rd to begin a mid-year internship, she was a bit nervous. “I thought it was going to be very difficult for me because of the lack of medical background in my studies,” admitted the International Relations student at United States International University – Africa.
But Eva quickly discovered that the field of international healthcare management – in which A&K Global Health is a worldwide pioneer – encompasses far more than clinical care delivery. “Helping our patients obtain first-rate medical treatment suitable for their unique circumstances is a key part of our work,” says Stephen Masinde, A&K Global Health Kenya National Director. “But healthcare management is so much more. It’s personal client care and customer service, it’s contract negotiation, it’s cross-cultural relations, it’s travel and legal logistics, it’s public health and policy advocacy. And to succeed in the ultimate goal of saving and improving patients’ lives requires close, continual coordination between people with expertise in these many different areas.”
As Eva became an integrated member of our Nairobi team, she observed this diversity of specialties in action, as well as the shared values that sustain and synchronize these efforts: “I appreciate A&K Global Health for modeling the importance of great teamwork in an organization…there is absolutely no isolation in the duties performed by anyone, and this plays a key role in fostering staff relations. There is a lot of solidarity among staff members…whenever there’s a situation, everyone comes through to be there for their colleague. I have also seen great professionalism at A&K Global Health. There is a lot of respect for work, and an open door policy that encourages everyone to work with transparency, honesty, integrity, accountability, and confidentiality.”
On August 16th, the final day of her internship, A&K Global Health’s Nairobi office celebrated Eva’s contributions with an appreciation ceremony and a cake. A&K Global Health CEO, Mr. Darwin, shared his thanks and remarks. “As both a thought leader and a practical trailblazer in healthcare management,” he said, “it’s our great privilege to introduce Eva, and the next generation of leaders like her, to our work.”
In the photograph above: A&K Global Health CEO, Morgan Darwin (left), and intern, Eva Bibiana Gulavi (center), listen as former A&K Global Health client, Sophia Momanyi (right) shares how our services helped her find healing. Eva’s encounter with Ms. Momanyi is just one example of how her internship with A&K Global Health exposed her to the spectrum of professional activities involved in global healthcare management.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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“I felt as if my life was over…then a friend told me about A&K Global Health”
For three years, Peris Muhache Jembe of Mombasa, Kenya suffered from severe back pain that traveled down her legs, making her unable to stand or walk at times. Only 47 years old, Peris’s condition made her feel aged and often incapable of doing her job as a lab technologist. “They could not operate on me [here in Kenya], so I felt as if my life was over. I was always on my bed, crying, not able to go to work – I was very discouraged. Then a friend told me about A&K Global Health.”
Peris’s friend had undergone surgery managed by A&K Global Health, and was so happy with her recovery that she encouraged Peris to ask for our help, too. “Biye told me all about it,” Peris said of her introduction to A&K Global Health Care Consultant Biye Maalim. “I gave her my MRI and my x-rays. Within no time she processed everything, she helped me choose the best hospital [for me]…from there, my journey started.”
Peris’s journey moved quickly: within two weeks, Biye had prepared all Peris’s travel documents and medical appointments with Manipal Hospital in Bangalore, India. Biye also coordinated all financial aspects of Peris’s case with the National Hospital Insurance Fund (NHIF), which paid for her travel and treatment. “By the time we got to the airport,” Peris remembers, “the A&K Global Health people were already there…the reception was fantastic!” Our Bangalore Operations Officers whisked Peris to the hospital to meet Dr. Thomas J. Kishen of Manipal’s Spine Care Centre. “He requested other tests, which were done immediately! We didn’t [waste] time.”
Peris promptly underwent decompression surgery to alleviate the pain caused by pinched nerves. “She was out of bed and walking on day two or three, out of hospital by around five to six days, and now two weeks down the line, she’s comfortably walking around…and she’s going to continue to improve the next few months,” Dr. Kishen proudly reported.
“Everything went smoothly, I recovered fully,” Peris said. “The A&K team was always there for me, they were always coming to check my condition…they were so good to me.” Peris credits her speedy healing to A&K Global Health’s professional healthcare management and continuous personal caring. Her doctor noticed our impact, too. “In fact, every time Dr. Thomas used to see me he used to be happy,” Peris recalls, “because of the improvement, and because of the way I was happy.”
Now free of the pain she thought she’d never live without, Peris also encourages others to reach out to the NHIF and A&K Global Health with their health challenges. “I would advise everybody who has a similar problem to go to them, because they’re very ready to help us come for further treatment to specialized doctors in India.”
Peris is right: we are ready to help, whatever your medical concern. Hear Peris’s full story in this short video, and contact us today to learn how we can support your unique health needs.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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Patient home visits showcase A&K Global Health’s care continuity
At A&K Global Health, we support you through every step of your medical journey – including after your treatment. Jack Owuor and Lencer Misiani, Care Consultants in Kisumu, Kenya, recently visited two of our patients at home to follow up with them.
First, we visited 3½ year old Igdalia Were. Igdalia has a rare, cancerous brain tumor; when first operated on in Kenya, she lost her eyesight and mobility. Since A&K Global Health took over her care, we have ensured that Igdalia receives radiotherapy – a nonsurgical alternative that’s safer and more effective at her age – at Medanta, the Medicity in Gurgaon, India. Today, Igdalia can see with both eyes and walk with support.
“The family was delighted with our visit. We came just a few weeks before Igdalia traveled back to Medanta for review,” Mr. Owuor said. “Her parents were very grateful for the work A&K Global Health is doing to ensure their daughter regains perfect health.” Igdalia’s treatment is ongoing: she recently began chemotherapy for her tumor, and we continue to be by her family’s side.
Next, we visited Beatrice Mayienga, mother of two adult daughters and a telephone operations employee of Kisumu County Referral Hospital. During two trips to Manipal Hospital in Bangalore, India, Beatrice received treatment for a cancerous tumor related to neurofibromatosis.
“She was very happy to see us and she narrated how she enjoyed her stay in India as an A&K Global Health patient,” Mr. Owuor reported. “We were happy that her face was bright and full of smiles. She can now walk with support; before she was in a wheelchair. We were also thrilled that she has resumed her professional duties at the local hospital.”
Beatrice’s healing extends beyond her stable medical reports. “She told us how she made good friends with Kenyan patients in India who were also traveling with A&K Global Health,” Mr. Owuor described. “She was able to intervene with another Kenyan patient who was diagnosed with cancer and had started isolating herself because she had decided she would die. This lady became Beatrice’s best friend…she could not believe the immense improvement Beatrice had in her own condition. Through their relationship, this woman came to believe that she too could be effectively treated and become well.”
Said Joyce Wambugu, A&K Global Health Care Director in Nairobi, “This kind of feedback reminds all of us at A&K Global Health of the tremendous impact our teamwork and dedication have on the lives of our clients and their families.”
Join our community of healthcare successes – contact us today to start the conversation. Whatever your medical needs and wherever your health journey takes you, we at A&K Global Health are with you all the way.
In the photograph above: Our young patient Igdalia Were was excited to see her friend and Care Consultant Jack Owuor again when he visited her family’s home. From left to right are her father, Pastor Eric Were; her sister, Levona; Igdalia herself; and Mr. Owuor.
In the photograph below: Our former patient Beatrice Mayienga, left, had a glowing grin to share with A&K Global Health when some of our staff, including Lencer Misiani, right, paid her a home visit.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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A&K Global Health advocacy heats up, helps patients in west Kenya
A&K Global Health’s western Kenya offices have been busy this summer! Since May, our staff in Kisumu and Eldoret have held a series of health advocacy events, helping you understand your health insurance benefits and access the right medical services and treatment for your unique needs. Here are some of our most recent activities:
On May 19, A&K Global Health Marketing Executive/Care Consultant Lencer Misiani spoke to 40 prison officers at the Kakamega Prison during their afternoon parade. When one of the attendees learned from Lencer’s briefing that his National Hospital Insurance Fund (NHIF) coverage would pay for his child’s kidney failure treatment, Lencer immediately began managing the case – three days later, the child began dialysis, and we are currently helping the family find a suitable donor for kidney transplant. The prison officer in charge asked Lencer to return to address a group of several hundred people on the same urgent topic: how A&K Global Health can connect you with critical, NHIF-funded care, in Kenya or overseas.
On June 8, we presented our services to 70 staff members at Kisumu County Hospital. We were able to immediately begin managing care for several attendees, including two cases of spinal problems and one case of sickle cell anemia requiring bone marrow transplant (BMT). The same day, we had the privilege of sharing our offerings with Aga Khan Hospital in Kisumu for the first time. The staff was so eager to hear our message that even nurses changing shifts made a point of stopping by our talk! And the hospital nursing director, recognizing our track record of success managing complex procedures, invited us to visit the renal unit to specifically advise kidney transplant clients.
On June 22, our Eldoret team visited Kitale GK Prison to sensitize 99 attending officers to the NHIF plan that now provides comprehensive local and overseas medical coverage to them and their dependents. “The officers, who were not aware that such privileges existed for them, were thankful,” said Cornelius Rop, A&K Global Health Marketing Officer. Like many of our clients, our new patients from this engagement are pursuing our services for advanced treatments, including cancer care, BMT, and liver transplant.
On July 2, we were invited to address an audience from various parts of western Kenya and the Rift Valley at the Kenya Medical Training College’s Kisumu Campus. This meeting was organized by former students of the institution who are now employed as local healthcare professionals. Our presentation generated a lively question-and-answer session on everything from how we select our hospital partners to how we handle emergency travel for patients without passports and visas.
These are just a few examples of how A&K Global Health is spreading health policy awareness and care access throughout Kenya. If you have questions about medical treatment you need or about your insurance benefits, contact us to learn how we can help.
In the photograph above: A&K Global Health Marketing Executive/Care Consultant Lencer Misiani shares with an attentive audience at Aga Khan Hospital in Kisumu, Kenya about our healthcare management services and how we work with the National Hospital Insurance Fund to ensure all Kenyans receive outstanding care, domestically or abroad. Her presentation to Aga Khan’s staff members on June 8, 2016 marked A&K Global Health’s first visit to the facility.
In the photograph below: Students, faculty, staff and community members at the Kenya Medical Training College’s Kisumu Campus listened with great interest to – and participated with plenty of questions for – A&K Global Health’s presentation on July 2, 2016. We were invited to the campus by former students who now serve this region of Kenya as healthcare professionals.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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A&K Global Health holds first certified CME for Rwandan doctors
A&K Global Health is proud to announce that our services in Rwanda are growing! On April 25th, 2016, we became certified by the Rwanda Medical and Dental Council to conduct continuing medical education (CME) for local healthcare professionals. Less than a month later, we successfully presented our first CME training in Kigali with our partners from Max Super Specialty Hospital in New Delhi, India.
Thirty-four Rwandan doctors attended on May 23rd, 2016, to hear Max Hospital’s visiting specialists address three topics pertinent to their local practices. These included common urological problems, especially in the elderly; recent advancements in neuro and spine surgery; and common cancers in Rwanda.
Along with our nationwide CME debut, A&K Global Health also conducted a two-day medical camp hosted by Baho International Hospital to offer individual consultations with Max’s specialists for local residents. These camps are a critical chance for us to connect you with international healthcare providers for procedures not locally available. From your first consultation through your decision to travel, treatment overseas, and post-procedure follow-up with your home doctor, A&K Global Health skillfully manages all aspects of your experience to ensure ease and peace of mind for you and your family throughout the journey.
We regularly facilitate medical camps throughout East Africa with our various hospital partners – most recently in Mombasa and Eldoret, Kakamega, and Kigali – and whenever possible, we also offer CME for local doctors in conjunction with our camps. Now, we are able to add this service to our medical camps in Rwanda. “In addition to connecting our Rwandan patients to urgent and specialty care overseas, we can now formally contribute to the professional development of Rwandan medical providers,” said Gratien Twizeyimana, A&K Global Health’s Representative and Regional Manager for Rwanda, Burundi, East Congo, and the Democratic Republic of Congo. “This kind of CME training transfers current, crucial medical knowledge to local physicians and builds the capacity that they bring to their daily work.”
Even as we continue to facilitate life-changing and life-saving care abroad for patients who require it, we are using our experience and connections within the healthcare systems of East Africa to augment their growth and advance their development. A&K Global Health is here to help you realize your healthcare goals – whether you’re a patient or a family member, a healthcare provider or a government ministry. Follow this blog to learn what we’re doing in your community!
In the photograph above: Thirty-four local doctors attended A&K Global Health’s first continuing medical education (CME) training event in Rwanda in May. With our new certification from the Rwanda Medical and Dental Council to deliver CME in Rwanda, we look forward to bringing many more professional development opportunities to local healthcare providers.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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A&K Global Health Expands into the United Arab Emirates, Bringing Expert Healthcare Management to Gulf Region
North Carolina, USA – July 27, 2016: A&K Global Health is pleased to announce that we have launched operations in the United Arab Emirates (UAE). Effective June 1, 2016, Arabia Holdings in Dubai, UAE became the newest licensee worldwide to join the A&K Global Health brand.
Arabia Holdings is a group of companies with diverse business activities – including medical services, education, transportation, and hospitality – spread across the Indian subcontinent, the Middle East, Africa, and the Far East. About two years ago, the group began assisting individuals in these markets seeking overseas medical treatment. Like A&K Global Health, Arabia Holdings also began bringing foreign specialists into the advancing health systems where they worked in order to promote quality health services, upgrade local capacity, and to facilitate skill training and knowledge transfer.
“Arabia Holdings and A&K Global Health share a common vision,” said Zabi Khan, CEO of Trans Middle East Management Consultancy, the Healthcare Division of Arabia Holdings. “Through our partner hospitals, both organizations eliminate uncertainty in the process of receiving quality, safe and affordable overseas medical treatment. Both aim to provide a one-stop solution to health challenges faced by people in their home countries by bridging access to internationally trained and accredited physicians and facilities around the world. The new partnership with A&K Global Health brings a more comprehensive management approach to Arabia Holdings’ healthcare work, allowing us to most effectively pursue our mutual goals together.”
Morgan Darwin, A&K Global Health CEO, agrees. “A&K Global Health is excited to bring our industry-leading health management and concierge services to the Emirates,” Mr. Darwin said. “Arabia Holdings’ four decades of work across various sectors of the UAE market, combined with A&K Global Health’s unique expertise in the full spectrum of local to global health management activities, makes our partnership in the UAE timely – our association can help support the Ministry of Health as it seeks to improve healthcare quality, strengthen delivery capacity, and streamline patient management, in particular by developing the city of Dubai to better serve Emiratis and to attract regional and international medical travelers.”
In the photograph above: A&K Global Health and Arabia Holdings leaders celebrate their newly signed partnership agreement. From left to right are Huma Sethi, Arabia Holdings Healthcare Division Senior Manager; F. Rawoof Ali, Arabia Holdings Executive Director; P.S.M. Habibulla, Arabia Holdings Vice Chairman & Managing Director; Morgan Darwin, A&K Global Health CEO; Zabi Khan, Arabia Holdings Healthcare Division CEO; and Sridhar Venkatakrishnan, A&K Global Health Business Development Consultant.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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A&K Global Health-managed surgery saves teen from crippling tumor
After several months of unusual weakness and neck stiffness, Mary Orero’s 17-year-old son Edward began experiencing progressive difficulty walking and talking. An MRI at the family’s local hospital in Kisumu, Kenya revealed that a tumor in Edward’s neck was compressing his spine. The recommendation was urgent neurosurgery outside the country – a daunting prospect for Edward’s parents.
“We had never been to India, and together with my husband, we were wondering how we would make ends meet, find the hospital,” Mary recalls, “…but Eucabeth gave us confidence.” “Sister” Eucabeth, as Mary now calls her, was the Care Consultant who welcomed the family when they were referred by the National Hospital Insurance Fund (NHIF) to A&K Global Health, the NHIF’s comprehensive international medical care manager.
Eucabeth handled all of Mary’s concerns, from coordinating with the NHIF to ensure that Edward’s treatment costs were fully covered to referring Edward’s case to the neurosurgery department at BGS Global Hospital in Bangalore, India. She arranged all medical appointments, hotel reservations, travel documents, and air and ground transportation for Edward and Mary, who traveled with Edward as his attendant.
The same day Mary and Edward’s plane landed arrived in Bangalore, A&K Global Health’s Operations Officers took them to meet Edward’s neurosurgeon. The following morning Edward successfully underwent surgery. Within three weeks of surgery, Edward had fully regained his mobility and speech.
“When Eddie was in the ICU, the A&K team kept on calling me, keeping me busy, so that I might not be thinking about him,” Mary smiles. “I was always comfortable because I had my family – A&K Global Health. They really did a lot [for] me while I was in India. I [felt like] all my family was there, because they were [always] with me…anything [needed], if medicine, if advice, they would give [it]! Please, my colleagues…go out, Google about A&K, get in touch when you have any medical issue, they’ll direct you.”
“I’ve stayed in India without any stress because of A&K Global [Health],” Mary asserts. “When you get to India, don’t be scared! The people there, the A&K team, [is] very experienced, very caring, very loving, very – very homely. You feel you are at home. May God bless A&K…it is a real thing, and it has helped me. It will help you.”
Meet Mary and Edward and hear their story in this short video:
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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A&K Global Health Quest for Medical Travel Excellence now certified by Temos
This April, A&K Global Health became the first U.S.-based healthcare manager to earn Temos certification for our medical travel services. “We are very honored to be associated with Temos and I am proud that A&K Global Health will be a Temos partner [going forward],” said Morgan Darwin, A&K Global Health CEO.
Temos stands for Trust, effective medicine, and optimized services. It is a leading, independent organization in Germany with offices in many other countries, including Cyprus, Greece, India, Jordan, Malaysia, Oman, the Philippines, Portugal, Qatar, Saudi Arabia, Spain, Turkey, and the United Arab Emirates. Temos supports medical facilities like hospitals, clinics, dental practices, and rehabilitation centers worldwide in their efforts to improve quality. At the same time, Temos helps patients distinguish the most reliable, best quality healthcare options around the globe through its recognized and trusted certifications.
“When you see the Temos seal of approval on an organization, you can be absolutely confident that any service they provide to you will be of the utmost medical and experiential quality,” explained Mr. Darwin. “That is the peace of mind our current clients know they have when they allow A&K Global Health to manage their healthcare needs. And our new Temos certification will help give many new clients the same assurance that, with A&K Global Health, they are in the best of hands.”
Since 2012, A&K Global Health has helped over 1600 patients from ten countries across East African and the Middle East to identify, access, and benefit from quality healthcare at the right national, regional, or international destination for their individual condition and unique needs. From our first patient to those in our care right now, we have been fully dedicated to providing best quality medical, financial, and experiential outcomes for each client we serve. As Temos launched a quality program for medical travel coordinators in 2015, A&K Global Health was eager to add this certification to our standing as an industry leader.
“It is a great pleasure to welcome A&K Global Health as the first medical travel coordinator from the United States as [a] Temos partner. Congratulations!” said Dr. Claudia Mika, Founder and CEO of Temos International. “It has been a pleasure to understand how A&K Global Health is serving and supporting patients and [their] relatives worldwide.”
The Temos mission to optimize international medical care for travelers and expatriates is naturally aligned with A&K Global Health’s values and our vision for facilitating universal access to quality, affordable, transparent, and comprehensive health management. We are proud to be recognized by Temos for our exceptional commitment to quality in all we do, and we look forward to a productive partnership!
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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Healthcare & continuing medical education events reach over 320
In May, A&K Global Health conducted a series of healthcare awareness and medical screening events across Kenya, in conjunction with local hospitals and visiting specialists from two of our Indian hospital partners. These events connected patients to personal, advanced care consultations, and educated them on their National Hospital Insurance Fund (NHIF) benefits for both local doctors and clinics as well as international medical treatment. A&K Global Health’s advocacy events also strengthened Kenyan healthcare through continuing medical education (CME) and professional exchange between Indian specialists and their Kenyan counterparts.
On May 5th, A&K Global Health’s Mombasa staff addressed Kilifi County hospital heads regarding the new, comprehensive benefits all NHIF members now enjoy, including medical travel coverage. “The 68 participants included our former patients, who were happy to learn of the partnership between A&K Global Health and the NHIF that has now made advanced medical treatment accessible to them,” said Bernard Ademba, a Mombasa Operations Officer. “One of our former beneficiaries also applauded A&K Global Health for the treatment of her daughter, who is now fully recovered.”
Our Mombasa team and the visiting Indian specialists next traveled to Mombasa County, where Pandya Memorial Hospital hosted a medical consultation camp on May 6th and 7th featuring orthopedist Dr. Pradeep Bhosale of Nanavati Hospital in Mumbai and cardiologist Dr. Amit Kumar Malik of BLK Hospital in New Delhi. The doctors advised 62 new and returning patients seeking treatment options for joint and heart conditions. Drs. Bhosale and Malik also took time in Mombasa to share their expertise with the medical community through a CME roundtable for six local physicians on current trends in advanced surgeries.
Following these successful events in eastern Kenya, Drs. Malik and Bhosale traveled to A&K Global Health’s Eldoret office for two days of events in western Kenya. On May 9th and 10th, Reale Hospital hosted the Nanavati, BLK and A&K Global Health team as we conducted a medical camp for 241 orthopedic and cardiology patients. This overwhelming turnout included former A&K Global Health patients whose earlier, successful travel and treatment encouraged them to again take advantage of locally offered, specialty medical consultations to continue pursuing their optimal health.
The week’s travels concluded with a second physicians’ roundtable to familiarize Eldoret doctors with opportunities and best practices for referring patients to India for specialty care, including cutting-edge cardiothoracic and orthopedic surgeries. The 12 local doctors present learned about current surgical advances, and were also keen to access short observership programs in conjunction with BLK Hospital. “This initiative was well received by the BLK team, and A&K Global Health shall coordinate such programs in the coming months,” affirmed Reuben Kangogo, A&K Global Health’s Kenya Operations Director.
In the photograph above: Reuben Kangogo, A&K Global Health’s Kenya Operations Director, addresses Kilifi County hospital heads in a health policy awareness and care advocacy session, explaining how new NHIF coverage now extends to A&K Global Health’s comprehensive healthcare management and medical travel services that can help their patients heal.
Patients in Eldoret stay comfortable in the shade while they wait for personal consultations with visiting cardiology and orthopedic specialists during the recent A&K Global Health-coordinated medical camp.
Dr. Amit Kumar Malik, Senior Cardiologist with BLK Hospital in New Delhi, India, consults with two of the 21 cardiology patients who attended A&K Global Health’s recent Mombasa medical camp at Pandya Memorial Hospital. Combined, the A&K Global Health-coordinated medical camps in Mombasa and Eldoret provided specialty care consultations to over 300 patients.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you
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A&K Global Health Showcases Opportunities for Healthcare Management Investment and Collaboration in Kenya during State Visit to Belgium
North Carolina, USA – June 29, 2016: Two weeks ago, A&K Global Health’s Kenya National Director, Stephen Masinde, was honored to travel to Belgium with the President of the Republic of Kenya, His Excellency Uhuru Kenyatta, as part of an invited business development delegation.
Mr. Masinde was one of nine business leaders selected nationwide to represent their organizations and the nation of Kenya during a five-day state visit to Brussels focused on balancing the trade deficit between the two countries, following a 2015 decline in Kenyan exports to Belgium.
Kenya and Belgium have a strong history as trading partners, and despite last year’s drop in its own exports, Kenya – the largest economy in the East African Community (EAC) – remains a powerful market for Belgian exports. Medicinal and pharmaceutical products top the list, with annual Kenyan imports from Belgium in this category alone valued at $35.87 million USD. This summit sought to correct the trade imbalance by facilitating increased Belgian investment in Kenya.
“This is a real honor for Mr. Masinde and for A&K Global Health,” said Morgan Darwin, A&K Global Health’s Chief Executive Officer, “to be invited by President Kenyatta to share the story of what A&K Global Health is doing to improve the health of Kenyans, to advance the healthcare system in Kenya, and to further develop Kenya as a medical travel destination within East Africa, as well as to present the compelling business opportunities inherent in this work.”
The conference was coordinated by the Kenya National Chamber of Commerce and Industry (KNCCI), a not-for-profit, autonomous, private sector institution established in 1965 after the amalgamation of three regionally-focused Kenyan Chambers of Commerce – Asian, African, and European – to protect and develop the interests of the business community in a more integrated and global fashion. KNCCI is an affiliate member of the International Chamber of Commerce (ICC), the Common Market for Eastern and Southern Africa (COMESA), and the East African Business Council (EABC), among others. The KNCCI advocates for the creation of a favorable commercial, trade and investment environment that supports enterprise expansion; its membership comprises organizations of all sizes, from micro-enterprises to medium and large corporations, across all economic sectors.
Mr. Masinde participated in four major forums during the conference. The first of these, which was graced by the presence of His Excellency the President of Kenya as well as by the Kenyan Cabinet Secretary for Trade, focused on determining areas for mutual business cooperation. Healthcare management emerged as a promising arena for collaboration: drawing on Belgium’s success building robust public health facilities to strengthen and modernize Kenya’s overcrowded, underequipped public hospitals can help address the intense demand for specialty care, as well as stem the upward pressure on prices for privately-obtained advanced procedures. In the second forum, dedicated to investment, Mr. Masinde along with the Kenyan Minister of Finance engaged strong Belgian interest in building a referral hospital in Nairobi and equipping it with advanced medical technology; a follow-up meeting on this project is set to take place onsite in Kenya. A third forum was devoted to visiting Belgian hospitals and supply production facilities to assess what best practices can be implemented in Kenya to reduce the high cost of medical supplies. And the fourth forum brought together investors and members of the Kenyan diaspora in Europe, resulting in the generous forthcoming donation of several pieces of advanced medical equipment to enhance cancer treatment capabilities in Kenya.
Serving as a member of the presidential delegation “was a transformative experience,” said Mr. Masinde, “allowing A&K Global Health to form new international partnerships and collaborations with strong global brands.” Immediately following the state visit, Kenya’s Principal Secretary of Health seized the opportunity to implore all Kenyans to join the National Hospital Insurance Fund (NHIF) – Kenya’s universal health insurance program for complete medical coverage, especially chronic disease treatment – whose membership benefits now include medical travel managed by A&K Global Health. “Through the Principal Secretary’s appeal and the follow-up actions established during these meetings, A&K Global Health’s engagement in this state visit is generating expanded opportunities for us to share and apply our expertise in the complex clinical, financial, and technological aspects of comprehensive healthcare management.”
In the photograph above: Representatives of Kenya’s private sector alliance pose together just following a meeting with their Belgian counterparts during the recent Kenyan state visit to Brussels. From right to left are Stephen Masinde, A&K Global Health’s Kenya National Director; Dr. Swarup Ranjan Mishra, Founder and Chairman of the Mediheal Group of Hospitals; Richard Ngatia, Managing Director of Megascope Health, Ltd.; Joseph Gesora, Managing Director of Duke’s International Investments, Ltd.; and Winnie Mwai, Director, Piccalilly International, Ltd.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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A&K Global Health addresses national gathering of Kenyan nurses
Last month, A&K Global Health had the honor of addressing the National Nurses Association of Kenya (NNA-K) during its culminating celebration for International Nurses Week. On May 12th, 2016, our National Director Mr. Stephen Masinde gave remarks to an audience of over 300 nurses and healthcare professionals, assembled from all 47 counties across Kenya at the Mnarani Beach Club in Kilifi County.
Established in 1968, the NNA-K is a professional association representing all cadres of nurses in Kenya drawn from practice settings, educational institutions, and research backgrounds. The association exists to promote excellence in nursing and midwifery – critical health system functions that are readily aligned with A&K Global Health’s dedication to improving the quality, availability, and procedural diversity of healthcare in Kenya, as well as to showcasing outstanding and advancing Kenyan health providers to support the country’s continued development as a regional medical travel destination.
This year’s International Nurses Week events kicked off on May 5th in Kisii County and concluded with this final session in Kilifi County to which A&K Global Health was specially invited. The theme for this year’s week was Nurses as a Force for Change: Improving Health Systems’ Resilience.
Mr. Masinde echoed this focus in his comments, introducing A&K Global Health to the audience and explaining how our expertise in comprehensive healthcare management streamlines healthcare delivery for service providers, optimizes health objectives and financing for government ministries and medical organizations, and enhances healthcare access, affordability, and quality for patients. “In our experience managing care for over 1,600 patients around the world to date, we as A&K Global Health have repeatedly witnessed the crucial role that nurses play not just in our patients’ healing, but also in their overall medical experience,” Mr. Bernard Ademba, an A&K Global Health Operations Officer in Mombasa, noted in an interview following Mr. Masinde’s address. “Nurses truly are the backbone of a resilient health system, and as such it was Mr. Masinde’s great privilege to be invited to this gathering of Kenya’s talented, committed nurses and their associates to acknowledge their achievements.”
In his presentation, Mr. Masinde also shared one specific and current way in which A&K Global Health serves as a resource and partner to Kenyan nurses: through our new contract with the National Hospital Insurance Fund (NHIF) to manage medical travel benefits for its members nationwide. This exciting news was in fact already familiar information to some in the audience, as several of our satisfied clients were among the event’s attendees! These individuals personally attested to A&K Global Health’s life-changing impact on their health and well-being through our superior medical travel services and expert healthcare management. “By creating awareness among the care delivery community that NHIF coverage can help Kenyans access essential services – even outside the country, through A&K Global Health – we are able to empower these professionals with one more avenue for providing the best care to their patients and the best service to their employing institutions,” Mr. Ademba explained.
In the photograph above: A&K Global Health’s Kenya National Director Stephen Masinde addresses members of the National Nurses Association, and other Kenyan healthcare professionals in attendance, at the final session of the organization’s annual International Nurses Week celebration in May.
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journey. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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Kidney transplant offers nun life anew: Sister Kankindi‘s Story
Sister Marie Beatrice Kankindi, a nun in the congregation of Benebikira in Rwanda, first began experiencing weakness in August 2014. On October 11th, having felt run down for two months, she was admitted to King Faisal Hospital in Kigali. Clinical investigations determined that her persistent fatigue was the result of kidney failure. “My kidneys were no longer working and [the] only solution was transplant. I needed a kidney donor…it was not easy for me,” Sister Kankindi recalls.
A fellow sister in the Benebikira order was willing to donate a healthy kidney. Once doctors in Kigali confirmed that she was an appropriate donor match for Sister Kankindi, they sought a hospital capable of performing the complex nephrectomy and transplant surgeries. This was a lengthy process. Finally, in February 2015, they met and engaged Gratien Twizeyimana, A&K Global Health’s Representative and Regional Manager for Rwanda, Burundi and the Democratic Republic of the Congo. “My superiors were doing all the running around to help me,” Sister Kankindi recounts. “They met Mr. Gratien from A&K Global Health. He helped them with all the necessary documents and to locate the hospital for surgery.” Within the same month, Mr. Twizeyimana facilitated the transfer of Sister Kankindi’s complicated case – including all medical records for her and her donor, all necessary travel visas, and all required legal documentation specific to a transplant – to Artemis Health Institute in Gurgaon, India.
“What impressed me about A&K Global Health was that their people put all their heart in their work,” says Sister Kankindi. “While we were still in Rwanda, they were coordinating with us. They scheduled the hospital and the appointments with the doctor. They even booked a hotel for us. When we reached [the] Delhi airport, we found a person from A&K Global Health waiting for us. We received a warm welcome and were taken to the guesthouse…we found everything ready for us.”
Before the end of February 2015, Sister Kankindi and her donor began regular pre-surgery consults at Artemis Health Institute with Dr. Manju Aggarwal, Director and Head, Department of Nephrology and Kidney Transplantation. “A&K Global Health arranged for a car to take us from the guesthouse to Artemis Hospital every day. At the hospital she [Dr. Manju] started investigations and administering tests to [my donor and me.] [She] wanted to make sure we were ready for the operation.”
Thanks to such thorough and meticulous preoperative preparation, Sister Kankindi experienced a rapid and successful surgical process and a prompt, smooth transition to postoperative care. She spent just nine days in the hospital as an inpatient: “On the eighth day after the operation, I was able to walk and attend to my daily activities. I was discharged from the hospital.”
Sister Kankindi stayed in Dr. Manju’s watchful outpatient care for six additional weeks as she fully recuperated from the surgery. “I still [went] to the hospital regularly,” Sister Kankindi remembers, for evaluations to ensure that her body showed no sign of rejecting the new kidney. “The results were fine. [They] meant that the kidney was functioning well.”
“This was possible because of the efforts of A&K Global Health,” Sister Kankindi emphasizes. “I request [of] everyone watching this video, if you have a health problem, please get in touch with your doctor. They will help you. Even if you need to go abroad for treatment, A&K Global Health is there to help you. They will guide you.”
International medical travel is indeed a daunting prospect for many – but for patients with access to A&K Global Health, it need not be. While the advance clinical, legal and logistical arrangements required for live organ transplant are complex, our experience to date facilitating 231 bone marrow transplants, 109 kidney transplants and 15 liver transplants (in addition to 216 oncological procedures, 80 cardiology procedures, and 124 neurosurgeries) evidences our strong capability for managing such specialized procedures.
“I thank everyone who has continued in making my life better and made this surgery successful. God bless you all!”
You can hear Sister Kankindi share her full story in this short video:
A&K Global Health
A&K Global Health is a worldwide leader in realizing transparent, affordable, effective and innovative solutions to complex health challenges. We connect you with the right care for your needs, from coordinating international medical travel to facilitating quality local and regional treatment. We also optimize the impact of health institutions by introducing transparency, control and customization to the medical, financial and experiential aspects of your journeys. A&K Global Health is dedicated to empowering you to reach your highest health. Contact us today to learn how we can support you.
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A&K Global Health enhances patient care with advocacy for attendants
When you’re sick, who do you turn to for assistance and caretaking? Chances are it’s a family member or friend. Whether suffering from a standard case of the flu or a chronic condition or debilitating injury, relatives and other close relationships are critical sources of support for all of us when we face health challenges.
The role of these trusted companions is perhaps even more es
