Figo .ƒ. Ustawi Kidney Project Kenya

About a million people live with kidney failure in Kenya. Treatment for kidney failure requires kidney transplant, and when not possible, kidney dialysis. Kidney transplant is an expensive procedure of very limited availability in Kenya.

Kidney dialysis, the next choice, is available only in limited supply. The entire country has less than 100 working dialysis machines to serve the million people with kidney failure.  Most people who need dialysis go without dialysis, receive inadequate dialysis, or receive good dialysis at enormous cost.  

People who go without dialysis at all are those who live in rural areas and small towns in the country. Majority of those who live in larger towns receive one or two dialysis sessions a week at the district, provincial or national hospital. Adequate treatment requires at least four dialysis sessions per week.

In view of these problems, Ustawi intends to build a series of kidney centers. The goal is to build ambulatory renal centers of world-class standard that focus on preventing diseases that cause kidney failure, and treating kidney failure when it occurs by providing best dialysis services.  

Statement of Purpose

 The purpose of Figo is to create a network of franchised world-class renal replacement therapy centers (RRT) centers in Kenya. In this project we will refer to RRT centers as dialysis centers. Kenya is a rapidly growing nation located in East Africa. The general problem is that millions of people with kidney disease die each year in Kenya because of lack of appropriate treatment. 

In general, health service for kidney patients are not available in the nation. People have to travel many miles to seek treatment that is hardly available in large medical centers. Kidney patients and healthcare consumers in general are willing to pay for better care, of high value with improved supply of drugs, better technical quality, better maintained health facilities, and shorter waiting times.

The specific problem is the lack of systematic effort to create an organization that can provide comprehensive kidney care in the country. Such an organization can promote prevention of occurrence of kidney diseases and provide health services of the best quality possible, at the lowest cost, affording the greatest value to consumers of care. 

 URI Fellows for Globalization of Health Care in Figo

The URI Fellowship for Globalization of Health Care is a gathering of people with a passion to render high quality world-class health care services accessible and affordable to all the people of the world. URI Fellows put their minds to work to bring to bear the best knowledge on design, development and implementation of great places for production and delivery of health for humanity. Fellows address such questions:

  • What would it take to create conditions where people have the access to knowledge resources about how to lead a healthy life and how to prevent disease? 
  • What would it take to create conditions where people have access to good quality, affordable medical care?
  • What kinds of resources would it take to build and sustain such places?

How it Works

Fellows work together in groups on a particular project. Each Fellow begins by building a fund of knowledge. A Fellow must study hard to familiarize with the subject matter of the project at hand. A well read Fellow is a good Fellow. A good fund of knowledge enables the Fellow to speak with authority about the project.

The work of designing, developing and implementing a project spans 13 modules.  Fellows work in groups known as kundi. Members of the each kundi collaborate to produce the 13 modules; one module at a time.

 Production of each module takes approximately eight weeks. Each module has approximately eight topics, and therefore approximately eight written assignments. Some modules have more than eight topics, and therefore more than eight assignments. Others have fewer than eight topics, and therefore fewer than eight assignments.  Each Fellow completes approximately one assignment per module. Sometimes each Fellow completes two assignments per module. No Fellow completes more than three assignments in each module.

How to Become a URI Fellow for Globalization of Health Care

The first step is to create free user account at Use a functioning email address for establishing this user account. Check your mailbox to confirm the creation of the user account.  After confirmation, send email to Macharia indicating that you have created a user account. Completing this step will help you to be placed into the first module.  Post your bio to the thread labeled Bios in the module. 

The facilitator of that module will then assign you to a kundi.  The facilitator will have created threads for each module. Read the materials in all threads in each module, including the Module Guide, the kundi policy.  Go to the group forum to meet other members of your kundi. Introduce yourself. Work on the Kundi Charter, and divide the assignments indicated among the members of kundi. Notice the due dates for all assignments.

Value for You

  • You learn to design: design work involves inductive inquiry, and formal qualitative and quantitative research.
  • You learn to develop: development work involves translation of discovered knowledge into prototypes (i.e., prototyping).
  • You learn to implement: implementation involves application of knowledge to create complete products of the manner of a health services organization.
  • You get a certificate.
Last modified: Sunday, 30 June 2013, 9:22 PM