Podcasts about Moi University

Ruth Tanui is an advocate of the High Court of Kenya and is the Founder and Managing Partner of Ruth Tanui and Company Advocates. She specializes in Land law, Employment and Labour relations law and Family law. Ruth obtained her LLB degree from Moi University and obtained her diploma in law from the Kenya School of Law. Ruth is the author of a book entitled “Simplified Legal Process of Buying Land in Kenya.” She founded a platform called “Lawyers helping each other”, which she started with a focus of assisting lawyers and advocates navigate their journeys in the legal profession.   Follow us on Instagram @sister_in_law_ and @lawyershelpingeachother_2020 --- Send in a voice message: https://podcasters.spotify.com/pod/show/tebello-motshwane/message

In conversation with Chrispin Bosire and Mr Henok Ashagrey Kremte In this episode, Chrispin Bosire, an HRDA alumnus, engages in a thought-provoking conversation with Henok Ashagrey Kremte, a Project Officer with the Expression, Information, and Digital Rights Unit at the Centre for Human Rights, University of Pretoria. Together, they tackle the pressing issue of internet shutdowns and their profound impact on Ethiopia.   Henok provides a comprehensive overview of the current state of internet freedom in Ethiopia, shedding light on the frequency of shutdowns. Drawing on recent events, including a state of emergency and government-imposed shutdowns in the Amhara region, he unravels the alarming persistence of these disruptions. The discussion extends to the situation in Tigray, where Henok explores whether internet services have been restored or remain non-functional.   Venturing into the human impact of these shutdowns, Henok shares poignant case stories, illustrating how individuals in affected areas are directly affected. Beyond personal anecdotes, the episode delves into the legal framework in Ethiopia, examining the rights that could be invoked to contest the government's actions, and discussed the way forward.     Henok Ashagrey is a Project officer with the Centre's Expression, Information and Digital Rights Unit (EIDR), serves as a tutor for the LLM/MPhil in Human Rights and Democratisation in Africa (HRDA) program, and currently pursuing an LLD at the University of Pretoria. Henok has worked previously in various positions in Ethiopia including Lecturer, and Senior Human Rights Researcher.   Chrispin Bosire is an alumnus of the University of Pretoria and holds the LL.M Human Rights and Democratisation in Africa.  He is an Advocate of the High Court of Kenya; a Certified Professional Mediator; and attended the Kenya School of Internet Governance (2021).  He holds a Law Degree (LL.B) from Moi University, a Post Graduate Law Diploma from the Kenya School of Law and is an alumnus of the Young African Leaders Initiative. He is currently a Professional Assistant at the African Court on Human and Peoples' Rights attached to the Head of Legal Department.   This conversation was recorded on 15 December 2023.   Music and news extracts: Inner Peace by Mike Chino https://soundcloud.com/mike-chinoCreative Commons — Attribution-ShareAlike 3.0 Unported — CC BY-SA 3.0 http://creativecommons.org/licenses/b...Music promoted by Audio Library https://youtu.be/0nI6qJeqFcc  limitless https://stock.adobe.com/za/search/audio?k=452592386

A conversation with Commissioner Lawrence Mute and Adv Jared Gekombe On 22 September 2023, the Centre for Human Rights' Expression, Information and Digital Rights Unit (EIDR) hosted Lawrence Murugu Mute in its podcast series, the Africa Rights Talk. Mr Mute was the Research Consultant for the report: ​​Proactive Disclosure of Information During Elections in Kenya (2021 General Elections). This report is part of the Centre for Human Rights assessment of state compliance with the African Commission on Human and Peoples' Rights 2017 Guidelines on Access to Information and Elections in Africa (the Guidelines). The Kenyan assessment was undertaken in partnership with ARTICLE 19 Eastern Africa.  In this episode, Mr. Mute and Jared Gekombe discussed the rationale behind the development of the Guidelines by the African Commission and the main findings and recommendations of the report. Mr. Mute outlined the general legal framework on access to information in Kenya and provided an overview of Kenya's compliance with the Guidelines in the 2021 general elections, through the performance of various stakeholders such as the Independent Electoral and Boundaries Commission (IEBC), the Office of the Registrar of Political Parties (ORPP), the media and the civil society. He also elaborated on the recommendations of the report and lessons that other African countries can learn from Kenya's experience.  The discussion also took place during the commemoration of the 10th anniversary of the adoption of the African Commission's Model Law on Access to Information for Africa and Mute outlined some of the milestones and challenges in the access to information landscape in Africa since its adoption. Lawrence Mute is a lecturer at the University of Nairobi's Faculty of Law. He is a former Vice Chairperson of the African Commission on Human and Peoples' Rights and former Special Rapporteur on Freedom of Expression and Access to Information in Africa. He also served as a Commissioner of Kenya National Commission on Human Rights. He holds a Bachelor of Laws degree from the University of Nairobi and a Master of Laws from the University of Warwick.  Jared Gekombe is an Advocate of the High Court of Kenya and holds a Bachelor of Laws (LL.B) degree from Moi University, a Postgraduate Diploma from Kenya School of Law, and a Master of Laws (LL.M) in Human Rights and Democratisation in Africa from the University of Pretoria. He is a PhD Candidate and Project Officer at the Expression, Information and Digital Rights Unit at the Centre for Human Rights, University of Pretoria. The conversation was recorded on 22 September 2023.   Music and news extracts: Inner Peace by Mike Chino https://soundcloud.com/mike-chinoCreative Commons — Attribution-ShareAlike 3.0 Unported — CC BY-SA 3.0 http://creativecommons.org/licenses/b...Music promoted by Audio Library https://youtu.be/0nI6qJeqFcc  limitless https://stock.adobe.com/za/search/audio?k=452592386

The availability and quality of cancer care varies in different parts of the globe. Some locations find it difficult to have proper equipment, access to medications or even trained staff on hand. In this ASCO Education podcast we look how a group of doctors are sharing their skills and experience to set up training programs to help improve outcomes for patients with cancer in Kenya. Our guests will explore the creation of a pediatric oncology fellowship program in Kenya (11:48), how a young doctor found herself interested in improving global health (14:30), and discuss lessons learned that are applicable to health care in the United States (21:07).  Speaker Disclosures Dr. David Johnson: Consulting or Advisory Role – Merck, Pfizer, Aileron Therapeutics, Boston University Dr. Patrick Loehrer: Research Funding – Novartis, Lilly Foundation, Taiho Pharmaceutical Dr. Terry Vik: Research Funding Takeda, Bristol Myers Squibb Foundation Dr. Jennifer Morgan: None Resources: Podcast: Oncology, Etc. - Dr. Miriam Mutebi on Improving Cancer Care in Africa Podcast: Oncology, Etc. – Global Cancer Policy Leader Dr. Richard Sullivan (Part 1) Podcast: Oncology, Etc. – Global Cancer Policy Leader Dr. Richard Sullivan Part 2 If you liked this episode, please follow the show. To explore other educational content, including courses, visit education.asco.org. Contact us at education@asco.org. TRANSCRIPT Disclosures for this podcast are listed in the podcast page. Dave Johnson: Welcome, everyone, to a special edition of Oncology, Etc., an oncology educational podcast designed to introduce our listeners to interesting people and topics in and outside the world of Oncology. Today's guest is my co-host, Dr. Pat Loehrer, who is the Joseph and Jackie Cusick Professor of Oncology and Distinguished Professor of Medicine at Indiana University, where he serves as the Director of Global Health and Health Equity. Pat is the Director Emeritus of the Indiana University Simon Comprehensive Cancer Center. Pat has many different accomplishments, and I could spend the next hour listing all of those, but I just want to point out, as many of you know, he is the founder of what formerly was known as the Hoosier Oncology Group, one of the prototypes of community-academic partnerships which have been hugely successful over the years.  He's also the founding director of the Academic Model for Providing Access to Healthcare Oncology Program, which has grown rather dramatically over the last 17 years. This includes the establishment of fellowship programs in GYN oncology, pediatric oncology, and medical oncology through the Moi University School of Medicine in Kenya. Through its partnership with the Moi Teaching and Referral Hospital, over 8000 cancer patients a year are seen, and over 120,000 women from western Kenya have been screened for breast and cervical cancer in the past five years. Pat is also the co-PI of the U-54 grant that focuses on longitudinal HPV screening of women in East Africa. He currently serves as a Senior Consultant of the NCI Cancer for Global Health.  So, Pat, welcome. We have with us today two special guests as well that I will ask Pat to introduce to you. Pat Loehrer: Dave, thanks for the very kind introduction. I'm so pleased today to have my colleagues who are working diligently with us in Kenya. The first is Terry Vik, who is Professor of Pediatrics here at Indiana University and at Riley Hospital. He's been the Director of the Fellowship Program and the Pediatric Hematology-Oncology Program and Director of the Childhood Cancer Survivor Program. He got his medical degree at Johns Hopkins and did his residency at UCLA and his fellowship at Dana-Farber. And he's been, for the last 10 to 15 years, been one of my co-partners in terms of developing our work in Kenya, focusing on the pediatric population, where he helps spearhead the first pediatric oncology fellowship in the country.  And then joining us also is Dr. Jennifer Morgan. Jenny is a new faculty member with us at Indiana University as an Assistant Professor. She, I think, has 16 state championship medals for track and field in high school. I've never met an athlete like that in the past. She ended up going to Northwestern Medical School. She spent time in Rwanda with Partners in Health, and through that, eventually got interested in oncology, where she completed her fellowship at University of North Carolina and has spent a lot of her time in Malawi doing breast cancer research. I don't know of anyone who has spent as much time at such a young age in global oncology.  Dave Johnson: So Pat, obviously, you and I have talked a lot over the years about your work in Kenya, but our listeners may not know about Eldoret. Maybe you can tell us a little bit about the history of the relationship between your institution and that in Kenya. Pat Loehrer: It's really a remarkable story. About 30 some odd years ago, Joe Mamlin and Bob Einterz, and Charlie Kelly decided they wanted to do a partnership in Global Health. And they looked around the world and looked at Nepal and looked at Mexico, and they fell upon Eldoret, which was in Western Kenya. They had the birth of a brand new medical school there, and this partnership developed. In the midst of this came the HIV/AIDS pandemic. And these gentlemen worked with their colleagues in Kenya to develop one of the most impressive programs in the world focused on population health and dealing with the AIDS pandemic. They called it the Academic Model for Prevention and Treatment of HIV/AIDS or AMPATH, and their success has been modeled in many other places. They have many different institutions from North America and Europe that have gone there to serve Western Kenya, which has a catchment area of about 25 million people.  About 15 to 20 years ago, I visited AMPATH, and what they had done with HIV/AIDS was extraordinary. But what we were seeing there in cancer was heartbreaking. It reminded us, Dave, as you remember back in the ‘60s and ‘70s with people coming in with advanced cancers of the head and neck and breast cancers that were untreated. And in addition, we saw these young kids with Burkitt's Lymphomas with huge masses out of their jaws. And seeing that and knowing what was possible, what we saw in the States and what seemed to be impossible in Kenya, spurred me on, as well as a number of other people, to get involved. And so, we have built up this program over the last 15 and 20 years, and I think it's one of the most successful models of global oncology that's in existence.  Dave Johnson: That's awesome. Terry, tell us a little bit about your involvement with the program at Moi University.  Terry Vik: Sure. So, I took an unusual path to get to Eldoret because I started off in work in signal transduction and protein kinases, then morphed into phase I studies of kinase inhibitors that was happening in the early 2000s. But by the end of the decade, Pat was beginning to establish oncology programs in Kenya. And because half the population is children and there were lots of childhood cancers, and many of them can be curable, he mildly twisted my arm to go with him to set up pediatric oncology in Kenya. And through his help and Matt Strother, who is a faculty member on the ground, establishing that, I first went in 2010 just to see how things were running and to see all the things that Pat had recognized as far as things that needed to be done to make Eldoret a center for cancer care.   And so, the last 13 years now, I've been working, going anywhere from one to four times a year to Kenya, mainly helping the Kenyans to develop their medical care system. Not so much seeing patients or taking care of patients, other than talking about best practices and how we do things in the US that can be readily translated to what's going on in Kenya. And so, we've been able to establish a database, keep track of our patients in pediatric oncology, recognize that lots of kids are not coming into care, not being diagnosed. There's a huge gap between numbers who you would expect to have childhood cancer versus the numbers actually coming to the hospital. As the only pediatric treatment center for a catchment area of 25 million, half of whom are under the age of 20, we should be seeing a lot of kids with cancer, but we are probably only seeing 10% of what we would expect.  So, myself, many of my colleagues from Indiana University, as well as colleagues from the Netherlands Princess Maxima Hospital for Pediatric Cancer, we've been partnering for these past 13 years to train Kenyans to recognize cancer, to have treatment protocols that are adapted for the capabilities in Kenya, and now finally starting to show real progress in survival for childhood cancer in Kenya, both in leukemias, lymphomas, and solid tumors, with a fair number of publications in Wilms tumor and Burkitt lymphoma and acute lymphoblastic leukemia. So, it's been really heartening, I think.  I tell people that the reason I go to Kenya studying signal transduction and protein kinase inhibitors in pediatric cancer, I can maybe save a couple of kids over a career by that kind of work. But going to Kenya to show people how to find and treat kids with leukemia, I'm literally seeing the impact of hundreds of kids who are alive today that wouldn't be alive otherwise. So, that's really been the success of pediatric oncology there. Dave Johnson: Is the spectrum of childhood cancer in Kenya reflective of what we see in the States, or are there some differences? Pat Loehrer: It really is surprisingly similar. I think the only thing that– Well, two things that are more common in Kenya because of the so-called ‘malaria belt' and the association with Burkitt Lymphoma, there's a fair number of kids with Burkitt's Lymphoma there. Although, as mosquito control and malaria control has improved, actually, the numbers of cases of Burkitt's have been dropping, and a lot of cancers were sort of hidden, not recognized as leukemia or not recognized as other lymphomas. Just because if Burkitt's is endemic, then every swelling is Burkitt's. And I think that's been shown by looking at pathology retrospectively to say a lot of what they thought was Burkitt's was maybe not necessarily Burkitt's. And then nasopharyngeal carcinoma with Epstein-Barr virus prevalence also is a little bit more common than I'm used to seeing, but otherwise, the spectrum of cancers are pretty similar. So, it's heartening to know that we've been treating childhood cancers with simple medicines, generic medicines, for 50 years in the US. And so I like to tell people, I just want to get us up to the ‘90s, maybe the 2000s in Kenya, and that will really improve the survival quite a bit. Dave Johnson: You mentioned that there were adjustments that you were making in the therapies. Could you give us some examples of what you're talking about? Terry Vik: The biggest adjustments are that the ability to give blood product support, transfusions of platelets is somewhat limited. So, for instance, our ability to treat acute myeloid leukemia, which is heavily dependent on intensive myelosuppressive chemotherapy, we're not so good at that yet because we don't have the support for blood products. Similarly, the recognition and treatment of infections in patients is somewhat limited. Yet, just the cost of doing blood cultures, getting results, we actually have the antibiotics to treat them, but figuring out that there actually is an infection, and we're just beginning to look at resistance patterns in bacteria in Kenya because I think that's an indiscriminate use of antibiotics. In Kenya, there are a lot of resistant organisms that are being identified, and so figuring out how best to manage those are the two biggest things. But now, in Eldoret, we have two linear accelerators that can give contemporary radiation therapy to kids who need it. We have pediatric surgeons who can resect large abdominal tumors. We have orthopedic surgeons and neurosurgeons to assist. All those things are in place in the last three to five years. So, really, the ability to support patients through intensive chemotherapy is still one of the last things that we're working diligently on improving. Dave Johnson: So one thing that I've read that you've done is you're involved heavily in the creation of a pediatric oncology fellowship program. If I read it correctly, it's a faculty of one; is that correct? Terry Vik: Well, now that two have just graduated, it's a faculty of three, plus some guest lecturers. So I feel quite good about that.  Dave Johnson: So tell us about that. That must have been quite the challenge. I mean, that's remarkable. Terry Vik: That goes back to one of my longtime colleagues in Kenya, Festus Njuguna, who is Kenyan. He did his medical school training at Moi University and then did pediatric residency there. They call it a registrar program there. And then he was, since 2009, 2010, he's been the primary pediatric oncologist. Although he always felt he did not have the formal training. He'd spent time in the US and in Amsterdam to get some added training for caring for kids. But it was his vision to create this fellowship program. So Jodi Skiles, one of my colleagues who had spent some time in Kenya and myself and he worked on creating the fellowship document that needs to go through the university to get approved. That finally got approved in 2019. And so the first two fellows…I was on a Fulbright Scholar Award to start that fellowship program for a year right in the middle of the pandemic, but we were able to get it started, and I was able to continue to go back and forth to Kenya quite a bit in the last two years to get through all of the training that was laid out in our curriculum. And two fellows, Festus and another long-standing colleague of mine, Gilbert Olbara, both completed the fellowship and then sat for their final exams at the end of last year and graduated in December. So it really was heartwarming for me to see these guys want to build up the workforce capacity from within Kenya, and being able to support them to do that was a good thing. Pat Loehrer: Parenthetically, Dave, we had the first Gynecology Oncology program in the country, too, led by Barry Rosen from Princess Margaret, and they have 14 graduates, and two of them now are department chairs in Kenya. Jenny's spearheading a medical oncology curriculum now so that we have that opened up this year for the first time. Dave Johnson: It's uncommon to find a junior faculty as accomplished as Jenny. Jenny, tell us a little about your background and how you got interested in global health, and your previous work before moving to IU.  Jennifer Morgan: I was an anthropology major at undergrad at Michigan, and I think I really always liked studying other cultures, understanding different points of view. And so I think part of that spirit when you study anthropology, it really sticks with you, and you become a pretty good observer of people and situations, I think, or the goal is that you become good at it. I think my interest in medicine and science, combined with that desire to learn about different cultures really fueled a lot of my interests, even from undergrad and medical school. I really felt strongly that access to health is a human right, and I wanted to work for Partners in Health when I graduated from residency. I had heard a lot about that organization and really believed in the mission around it.   And so I went to work in Butaro in Rwanda, and I really didn't have any plans to do cancer care, but then I just kind of got thrown into cancer care, and I really loved it. It was a task-shifting model that really where you use internists to deliver oncology care under the supervision of oncologists from North America. So, most of them were from Dana-Farber or a variety of different universities. And so it made me feel like this high-resource field of Oncology was feasible, even when resources and health systems are strained. Because I think a lot of people who are interested in Oncology but also kind of this field of global health or working in underserved settings really struggle to find the way that the two fit sometimes because it can feel impossible with the hyper-expensive drugs, the small PFS benefits that drive the field sometimes. And so I think, Butaro for me, and Partners in Health, and DFCI, that whole group of people and the team there, I think, really showed me that it's feasible, it's possible, and that you can cure people of cancer even in small rural settings. And so that drove me to go to fellowship, to work with Satish Gopal and UNC. And because of COVID, my time in Malawi was a bit limited, but I still went and did mainly projects focused on breast cancer care and implementation science, and they just really have a really nice group of people. And I worked with Tamiwe Tomoka, Shakinah Elmore, Matthew Painschab, really just some great people there, and I learned a lot.  And so, when I was looking for a job after fellowship, I really wanted to focus on building health systems. And to me, that was really congruent with the mission of AMPATH, which is the tripartite mission of advancing education and research and clinical care. And I knew from Pat that the fellowship program would be starting off, and I think to me, having been in Rwanda and Malawi and realizing how essential building an oncology workforce is, being a part of helping build a fellowship as part of an academic partnership was really exciting. And then also doing very necessary clinical outcomes research and trying to do trials and trying to bring access to care in many systems that are very resource constrained. So that's kind of how I ended up here.  Pat Loehrer: That's awesome. So tell us a little bit about your breast cancer work. What exactly are you doing at the moment? Jennifer Morgan: In Malawi, during my fellowship, we looked at the outcomes of women with breast cancer and really looking at late-stage presentations and the fact that in Malawi, we were only equipped with surgery, chemotherapy, and hormone therapy, but not radiation. You see a lot of stage four disease, but you also see a lot of stage three disease that you actually have trouble curing because it's so locally advanced, really bulky disease. And so that first study showed us the challenge of trying to cure patients– They may not have metastatic disease, but it can be really hard to locally even treat the disease, especially without radiation. And so that's kind of what we learned.   And then, using an implementation science framework, we were looking at what are the barriers to accessing care. And I think it was really interesting some of the things that we found. In Malawi, that has a high HIV rate, is that the stigma around cancer can be far more powerful than the stigma around HIV. And so, we are seeing a lot of women who are ostracized by their communities when they were diagnosed with cancer. And really, they had been on, many HIV-positive women, on ARVs for a long time living in their communities with no problem, and so HIV had kind of been destigmatized, but we're seeing the stigma of cancer and the idea that kids are as a death sentence was a really prominent theme that we saw in Malawi.  So some of these themes, not all of them, but some of them are very similar in Kenya, and so what I'm helping work on now is there's been this huge effort with AMPATH called the Breast and Cervical Cancer Screening Program, where around 180,000 women have been screened for breast cancer in a decentralized setting which is so important - so in counties and in communities. We're looking at who showed up to this screening and why did women only get breast cancer screening and why did some of them only get cervical, and why did some get what was intended - both. Because I think many people on the continent and then other LMICs are trying to do breast and cervical cancer co-screening to really reduce the mortality of both of those cancers. And the question is, I think: is mammography a viable screening mechanism in this setting or not? That's a real question in Kenya right now. And so we're going to be looking to do some studies around mammography use and training as well.  Dave Johnson: So, I have a question for all three of you. What lessons have you learned in your work in Kenya or Malawi that you've brought back to the States to improve care in the United States? Pat Loehrer: One is that the cost of care is ever present there. And so one of the things that we need to think about here is how can we deliver care more cheaply and more efficiently. It goes against the drug trials that are going on by industry where they want to use therapy for as long as they can and for greater times. And there are a lot of common things like access to care is a big issue there, and it's a big issue in our country. So we have used in IU some community healthcare workers in rural parts of our state as well as in the urban centers so that they can go to people's houses to deliver care.  Terry was involved with a wonderful project. It was a supplement from the NCI, which looked at barriers to care and abandonment of therapy. And just by giving patients and their families a small stipend that would cover for their travel and their food, the abandonment rate went down substantially, and they were able to improve the cure rate of Burkitt's Lymphoma. It's probably about 60% now. And so those are issues that I think we see here in our state, where people can't come to IU because of the cost of parking, that's $20 a visit. The lesson there is that we really need to get down to the patients and to their families and find out what their obstacles are.  Terry Vik: My favorite example, since I deal with kids and parents, is how striking parents are the same worldwide. They all want the best for their child. They all want anything that can be done to potentially cure them, treatment, they do anything they could. And I think the hardest thing, as Pat said, is the financial burden of that care. And the other thing that I bring back to my fellows in the US is that you don't have to do Q4-hour or Q6-hour labs to follow somebody when they start their therapy. Once a day, every 3 days, works quite well also. And just the realization that things can be done with a lot less stress in the US if you only decide to do it. Dave Johnson: Jenny, any thoughts from you on that? Jennifer Morgan: I think for me, decentralized cancer care is so important. Even being back on the oncology wards in Indiana in December, I saw a couple of really advanced patients who were really unfortunate, and they had tried to go through the system of referrals and getting to cancer care. And unfortunately, I think there are disparities in the US health system, just like in Kenya, and maybe on different scales. But cancer care that's accessible is so important, and accessible versus available, I think we a lot of time talk about therapies that may be available, but they're not accessible to patients. And that's really what we see in Kenya, what we see in rural Indiana. There are a number of grants that talk about reciprocal innovation because some of these things that we do in Kenya to minimize burden on the system are things that can be done in rural Indiana as well. And so, partnership on these issues of trying to improve decentralized care is important everywhere.  Pat Loehrer: And again, from the perspective as a medical oncologist, we see patients with late-stage diseases. We could eradicate the number one cause of cancer in Sub-Saharan Africa, cervical cancer, from the face of the earth just by doing prevention. We don't do enough in our country about prevention. The other dimension I guess I wanted to bring up as far as multidisciplinary care - when we think about that in our country, it's radiation therapy, surgery, medical oncology, but one of the lessons learned there is that the fourth pillar is policy. It's really about cancer policy and working with the government, Ministry of Health to affect better insurance cover and better care and to work with a different discipline in terms of primary care, much more strongly than we do in our country.  Dave Johnson: Are you encountering similar levels of vaccine hesitancy in Kenya as you might see in the States, or is that something that's less of an issue? Pat Loehrer: I'll let Terry and Jenny answer that. Terry Vik: I think there is some degree of vaccine hesitancy, and not so much that it's fear of the vaccine, but it's fear of the people pushing the vaccine. If it's coming from the government or if it's coming from outside drug companies or outside physician recommendations, it's less likely to be taken up. And if it's coming from within their own community or if it's their chiefs and their community leaders they respected, then I think there is less vaccine hesitancy certainly in a lot of things we do in pediatrics. So I think there is hesitancy, but it's coming from a different source than what we see in the US.   Jennifer Morgan: I would agree, and I think also COVID has changed the game on vaccine perceptions everywhere, and I don't think Kenya is spared from that either. So it may take a few years to see really what's going on with that.   Pat Loehrer: Jenny and I were at this conference, it's a Cancer Summit in Nairobi a couple of weeks ago, and we saw this little documentary there. And this notion of misinformation, as we've seen in our country, is also common over there. They were interviewing a number of men and women from Northern Kenya about prostate cancer, which is a very serious problem in Kenya. The notion was that even doing PSA screening caused infertility, and so the men and women didn't want their husbands to get screened for prostate cancer because they would become less fertile by doing that. So, again, there are lessons that we– as Jenny mentioned from the top about anthropology, I think we're all connected, we all have different ways of viewing communications in health, but I do think that we can learn from each other substantially. Dave Johnson: I mean, it's remarkable work. How is it funded?  Pat Loehrer: Well, I've been fortunate to be able to work with some friends who are philanthropists. We've had strong support as we've told our story with various different foundations. And we've been very grateful to Pfizer, who are very helpful to us in the early stages of this - Lilly Foundation, Takeda, Celgene. And I think as we basically share our vision of what we're trying to accomplish, we've been very humbled by the support that we have gotten for us. The U54 helps support some of the research. We have D43 we're doing through Brown University. So we plan to increase our research funding as best as we can. But this is active generosity by some wonderful people. We have a $5.5 million cancer and chronic care building in which a large sum of it came from Indiana University and the Department of Radiation Oncology. Dr. Peter Johnstone helped lead that. There was a Lilly heir that gave us quite a bit of money. An Indian Kenyan named Chandaria also donated money. So it's a matter of presenting the vision and then looking for people that want to invest in this vision.  Well, I just want to say, from my perspective, I am more of a cheerleader than on the field. But Terry, I know you spent a tremendous amount of time on the ground in Kenya, and Jenny, you're living there. I just wanted to say publicly that you guys are my heroes. Dave Johnson: Yeah. I think all of our listeners will be impressed by what they heard today, and we very much appreciate you both taking time to chat with us.  So at this point, I want to thank our listeners of Oncology, Etc., an ASCO Educational Podcast. This is where we'll talk about oncology medicine and beyond. So if you have an idea for a topic or a guest you'd like us to interview, please email us at education@asco.org. To stay up to date with the latest episodes and explore other educational content, please visit education.asco.org.  Pat, before we go, I have an important question to ask you. Pat Loehrer: I can't wait. Dave Johnson: Do you know how snails travel by ship?  Pat Loehrer: As cargo! Dave Johnson: Awesome. You got it. All right. Well, Terry and Jenny, thank you so much for taking time to chat with us. It's been great. I'm very impressed with the work you guys are doing. Really appreciate your efforts. Terry Vik: Great. Thank you. Jennifer Morgan: Thank you. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions.   Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.  

During episode 2 our special INS season brings together diverse voices on community-centered social justice and neuroethics. Led by guest hosts Dr. Laura Specker Sullivan and Dr. Nicole Martinez, this panel delves into the role of identity and of communities in mental health work and advancing social justice. In this episode, we hear from Dr. Neely Myers, Associate Professor of Anthropology at Southern Methodist University, Dr. Gulamabbas Lakha, DPhil Candidate in Neuroscience, Ethics and Society at the University of Oxford, and Dr. Eunice Kamaara, Professor of Religion at Moi University in Kenya. Ready to learn more about how mental health providers can support individuals in their full identities? Press play, and join the conversation! A special thanks to Rudi Louis Taylor-Bragge - Iowendjeri Boonwurrung Kulin from Birraranga, Naarm (Australia) - for the music especially dedicated to this season of Neuroethics Today. The views expressed in this podcast do not necessarily reflect the views of the International Neuroethics Society (INS) or the INS Board. Useful Links: International Neuroethics Society (INS) website INS Annual Meeting 2021 Recordings Neuroethics Today website Neuroethics Today on Twitter Neuroethics Today on Instagram Neuroethics Today Blog -- Send in a voice message --- Send in a voice message: https://anchor.fm/neuroethicstoday/message

Eunice Kamaara is a professor of Religion at Moi University, Eldoret, Kenya, and International Affiliate of Indiana University Purdue University, Indianapolis (US). She holds MPhil in Religion, MSc. in International Health Research Ethics, and PhD in African Christian Ethics. Her three-in-one public role involves teaching/training, research, and community service. She trains on Advanced Research Methodology including Research Ethics and Integrity; Transformative Teaching and Learning; Gender Mainstreaming; Higher Education Management; Quality Management; Project Planning and Development including Monitoring and Evaluation; Adolescent Sexual/Reproductive Health; and HIV Prevention and Intervention. She conducts trans/multi-disciplinary and community participatory research on gender, character values, and holistic health, and has over 100 publications.  Eunice is passionate about translating research findings into practical development through policy influence and community uptake. She is President of the Eldoret Based Gender and Development Network (EldoGaDNet), a community participatory self-development agent. She enjoys mentoring adolescents and youth.  She has served on the  board of CWS (Church World Service) for several years and is an observer of the CWS Innovation Hub. Her public role overlaps with her private role as mother, daughter, wife, sister, aunt, neighbor, among others. She is Presbyterian by birth, Roman Catholic by marriage, and Christian by choice. Eunice is a Top 30 WHO Africa health innovator: https://www.afro.who.int/news/who-innovation-challenge-announce-30-finalists-africa-health-forum-cabo-verde    For more info about CWS, please check out this website.    We are also making a special Playlist #CWSsongs consisting of songs chosen by our podcast guests.   Please let me/us know via our email innovationhub@cwsglobal.org what you think about this new series. We would love to hear from you.   Please like/follow our Walk Talk Listen podcast and follow @mauricebloem on twitter and instagram.  Or check us out on our website 100mile.org (and find out more about our app (android and iPhone) that enables you to walk and do good at the same time!

The global refugee system needs transforming in order to meet the demands of the 21st century and to empower displaced people as humans, rather than seeing them as victims. Listen to the story of Bahati, a refugee in Kenya for 25 years and now an advocate for the innovative Labour Mobility Project, which is supported by Refuge Point as a new legal pathway to safety.About Refuge PointUsing private funds, RefugePoint was founded in 2005 to identify refugees who fall through the cracks of humanitarian aid. Initially providing life-saving care to HIV+ refugees in Nairobi, Kenya, the agency grew quickly, adding a range of services to support those with the most urgent needs. Over time, RefugePoint developed a unique, full-service response model for assisting urban refugees and facilitating their self-reliance.--BiographiesBahati ErnestineBahati Ernestine is a Continuing Care Assistant at Glen Haven Manor (GHM) Canada working with a team of healthcare providers to care for residents. Bahati is also a Research Associate at the University of Oxford's Refugee-Led Research Hub (RLRH). At the RLRH, Bahati supports the Academic and research pillars. Previously, Bahati has served as a UNV with the UNHCR Nairobi Branch Office as the Youth Activities Coordinator. She also worked as a nurse at Kenyatta National Hospital in Nairobi during the COVID 19 pandemic. Bahati has a Nursing degree from Moi University in Eldoret Kenya, a certificate in Project Management in Global Health from the University of Washington, and a certificate in the Kenyan Sign Language from the University of Nairobi. Bahati is a former Rwandan refugee currently residing in Nova Scotia, Canada.Sasha ChanoffSasha Chanoff is the founder and executive director of RefugePoint, a humanitarian organization that finds lasting solutions for the world's most at risk refugees. He co-authored a new book titled From Crisis to Calling: Finding Your Moral Center in the Toughest Decisions with a foreword by David Gergen.Sasha is a recipient of the Charles Bronfman Humanitarian Prize, the Harvard Center for Public Leadership Gleitsman International Activist Award, and is an Obama Administration White House Champion of Change. He serves on the steering committee of New England International Donors and is an advisor to the Good Lie Fund, the philanthropic arm of the Warner Bros. film The Good Lie about the resettlement of the Sudanese Lost Boys.Sasha has appeared on 60 Minutes and in other national media outlets, and has received social entrepreneur fellowships from the Draper Richards Kaplan Foundation, Ashoka, and Echoing Green. His book is about defining moral decision points in leadership, and is based on a life and death dilemma Sasha faced during a US rescue operation into the Congo to evacuate massacre survivors. The story is a featured video on the Women in the World / NYT website. Sasha has also told this story on the TEDx stage, for NPR's Moth Radio Hour, and in other forums. He lives in Somerville, Massachusetts with his wife and two children.

Sustainable Development Goal 13: Climate Action, focuses on taking urgent action to combat climate change and its impacts.Dr. Paula Braitstein is an epidemiologist living and working in Kenya since 2007. Most of her research has been oriented around major health and social issues in East Africa including HIV prevention, treatment, and the cascade of HIV care, and high risk children and youth including those who have been orphaned (from HIV and other causes), separated, abandoned, and those who are street-connected. Dr. Braitstein is a CIHR Chair of Applied Public Health Research, and won the 2017 CIHR Institute of Public and Population Health Mid-Career Trail Blazer Award for her work with street-connected and homeless youth in East Africa. In addition to doing her own research, Paula is Co-Field Director of Research for the Academic Model Providing Access to Healthcare (AMPATH) Consortium in which the University of Toronto (Faculty of Medicine and the Dalla Lana School of Public Health) is a partner. Dr. Braitstein is a passionate environmentalist in Kenya and leads a graduate seminar course on planetary health for the DLSPH and Moi University, School of Public Health (Kenya). Victoria Haldane is a PhD candidate at the Institute of Health Policy, Management and Evaluation, she is also a student in the collaborative specialization in global health at the DLSPH. She is co-founder of Emerging Leaders for Environmental Sustainability in Healthcare (ELESH) and a junior fellow with the Centre for Sustainable Health Systems. Her research interests include implementation science to improve quality of care, health systems resilience, and making our health systems better for people and the planet. CREDITS: This podcast is co-hosted by Dr. Erica Di Ruggiero, Director of the Centre for Global Health, and Ophelia Michaelides, Manager of the Centre for Global Health, at the DLSPH, U of T, and produced by Elizabeth Loftus. Audio editing is by Sylvia Lorico. Music is produced by Julien Fortier and Patrick May. It is made with the support of the School of Cities at U of T. 

In this episode, we discuss the process of designing a university course in Global Health and Sustainable Development, together with Helena Frielingsdorf Lundqvist, a psychiatrist with a PhD in neurobiology who is also a resident in social medicine and the chair of the SLS committee of global health. Five years ago Helena and a small group of global health enthusiasts started lobbying for a course in Global Health and Sustainable Development to be offered to medical students at Linköping University in Sweden and it was launched earlier this year. The course is a collaborative elective course between Linköping and Moi University in Eldoret in Kenya. Interviewers were Lotta Velin and Hedda Ottesson, both junior doctors in Sweden.

Dr Edward Mungai is a global thought leader in sustainability. An author, researcher, advisor, entrepreneur, and authority on corporate responsibility and sustainable development, he is acclaimed for championing environmental excellence, sustainable consumerism and production, and the triple bottom line. Currently, Edward is CEO of Kenya Climate Innovation Centre (KCIC) Group, a transformation agency working at the intersection of sustainability, entrepreneurship, and innovation. He is co-founder of KCIC Consulting, a consultancy, and think – tank-helping clients to integrate sustainability into their businesses also founder of Inspire leadership that helps people unlock their potential. He has authored several books, the latest being Impact Investing in Africa: A guide to Sustainability for Investors, Institutions, and Entrepreneurs. He teaches Corporate Sustainability and innovation to executives at Strathmore Business School and sits on several boards. A health and fitness enthusiast, he has participated in numerous global marathons such as Boston, Chicago, New York, and Berlin marathons but also bagged over 21 medals so far including the Abbot Marathon Majors. Edward holds a PhD in Sustainability from Strathmore University Business School; MBA from Scandinavian International Management Institute (SIMI) in Copenhagen, Denmark and undergraduate degree in business management from Moi University, Kenya Dr. Edward Mungai joins Brigit and Don to discuss his experience in accessing the potential of social enterprises to solve challenges across Africa, the challenges that social entrepreneurs are facing and possible solutions, COVID 19's impact on the social enterprise sector in Kenya, key lessons he's learned during his time as the CEO of the Kenya Climate Innovation Centre (KCIC) Group for the last 9 years, and the mismatch between the supply and demand of capital.

Jyune Thuna graduated from Moi University with a Bachelor of Arts degree in Social Sciences, with a major in Psychology. She did her internship with Karen Hospital's Psychiatric Clinic and Asumbi Treatment Centre, an in-house alcohol and drug rehabilitation centre. She is deeply passionate about mental health. She has been an Associate in the Management Consulting department at KPMG and a trainer in Change Management. She is also a gifted entrepreneur and a creative artist in diverse fields not limited to but including carpentry, tailoring (registered as Jyune's Collections), advertising, online publishing and baking. *Trigger Warning: This episode contains a discussion about depression and suicide. Please note, this episode contains poor audio due to a faulty microphone setting used by Carol, which we hope to rectify in the coming weeks. Thank you for your patience! Msingi Talks is a podcast hosted by Msingi Trust that ventures deeper and makes connections in the world of faith advocacy activism. To support the work of Msingi Trust and the production of this podcast, please consider making a donation to us via Paypal: msingikenya@gmail.com Patreon:www.patreon.com/msingitrust Mpesa: +254 792 176 030 --- Send in a voice message: https://anchor.fm/msingitalks/message

Jyune Thuna graduated from Moi University with a Bachelor of Arts degree in Social Sciences, with a major in Psychology. She did her internship with Karen Hospital's Psychiatric Clinic and Asumbi Treatment Centre, an in-house alcohol and drug rehabilitation centre. She is deeply passionate about mental health. She has been an Associate in the Management Consulting department at KPMG and a trainer in Change Management. She is also a gifted entrepreneur and a creative artist in diverse fields not limited to but including carpentry, tailoring (registered as Jyune's Collections), advertising, online publishing and baking. *Trigger Warning: This episode contains a discussion about depression and suicide. Please note, this episode contains poor audio due to a faulty microphone used by Carol, which we hope to rectify in the coming weeks. Thank you for your patience! Msingi Talks is a podcast hosted by Msingi Trust that ventures deeper and makes connections in the world of faith advocacy activism. To support the work of Msingi Trust and the production of this podcast, please consider making a donation to us via Paypal: msingikenya@gmail.com Patreon:www.patreon.com/msingitrust Mpesa: +254 792 176 030 --- Send in a voice message: https://anchor.fm/msingitalks/message

In this episode we feature a guest, Arthur Adinder, who shares in a two part series his first time in college. He talks about his 4 “first-times” in college. In this episode he talks about his journey to Moi University and University of Nairobi, where he found himself out of inevitable circumstances.

In this episode, I had the pleasure of interviewing Professor Christopher Odhiambo Joseph, a professor of Literature and Applied Drama/Theatre as well as the Dean School of Post Graduate Studies in Moi University. Together we spoke about Theatre as a development strategy in Kenya, and everything which led to this implementation of it into their society. --- Support this podcast: https://anchor.fm/assiya-kruss/support

The FINAL episode - since we're over in the clinical side of the house, we wanted to reach out to a NEW TO THE SHOW guest, Edye Edens, to find out how clinical research has been rolling during #COVID19. Bio: Joining First Class Solutions, Inc. in 2017, Edye T. Edens serves as Senior Research Compliance Consultant focusing on research compliance and life sciences. Edye is a licensed attorney with an international human rights, ethics, and health law background. Her legal consulting services include, but are not limited to, research administration, healthcare compliance, grants/contracts to IRB, COI, education, privacy, HIPAA, FDA, AAHRPP, misconduct and site-level compliance work as it relates to QA, monitoring, and auditing (particularly oncology). Services provided include education and training, program creation and management, organizational change management, or even as a complete outsourcing solution. Additionally, Ms. Edens regularly publishes articles and speaks at regional and national professional research and compliance association meetings, including HCCA, SCCE, PRIM&R, MAGI, AAHRPP, SPARC, RAPS, and AHLA. Previously, while in-house for a decade at Indiana University, she focused on the role of human rights in health and worked at the Human Subject Offices on both the Bloomington and Indianapolis campuses, the Indianapolis Grant Services office, Clinical Research Compliance Office and the Research Integrity Office aiding in quality assurance and compliance matters including managing accreditations, internal auditing, education and managing consultation projects involving outside entities. In 2016, she became the first Quality and Compliance Manager for the IU Simon Cancer Center over all aspects of compliance related to all clinical trials performed at IUSCC, before departing for the consulting world. Educationally, she completed her MA in International Research Ethics in 2012, and was the program manager for a NIH grant to aid in creating a joint international institutional review board (IRB) in conjunction with IU’s existing Moi University medical school partnership in Kenya and the IU Center for Bioethics, which expanded her ability to consult in compliance matters globally. She is also a Certified IRB Professional (CIP), Certified Clinical Research Professional (CCRP), and holds a green belt certification in Lean Six Sigma. Additionally, she teaches at IU’s McKinney School of Law and Fairbanks School of Public Health in Indianapolis, and oversees the Hall Center for Law and Health’s Externship Program. BTW - here's my interview with Edye on The Point Podcast at Apex Benefits - about COVID-19 Vaccine development: https://www.youtube.com/watch?v=gaVPi9DQwrA Thanks to ALL #TheNewNormal guests for the month of April!

George Makaye is the president of two Dallas-Ft Worth-based companies; GXA, an IT consulting firm specializing in managed technology solutions, and Makaye InfoSec, a Managed Security Services Provider specializing in IT risk assessment, compliance and managed cyber security.Born and raised in Kenya, George studied electrical engineering at Moi University.. Near the end of his education, he discovered that his father had entered him, along with his five brothers and sisters, in the newly created US green card lottery, also known as the Diversity Immigrant Visa Lottery, a 1990 program created to benefit educated immigrants from countries that send few nationals to the US. George was one of the 50,000 lottery winners randomly chosen worldwide to receive a green card and a chance at the American dream.George moved to the US and settled in Dallas landing a job at HBR Technologies as a printer technician, working his way up to senior system engineer within a year. He met his future wife, Alicia, and the pair’s shared passion for service led to missionary work locally and across the world during their time off.On a return trip to Kenya, George was reminded of the stark differences between resources of his homeland and those of his adopted country, cementing his resolve to do everything in his power to share the wealth and benefits of the incredible opportunity given to him.With this goal in mind, George and Alicia quit their jobs and started their first company, GXA, with the dual mission of providing best-in-class IT services while using the revenue and resources provided by the success of the business to do good works that will empower the next generation, create a better world and ensure brighter future for us all.The Makaye’s philanthropic projects are both local and international. Alongside their network of volunteers, they’ve developed schools and health clinics, coordinated clothing donations, empowered low-income communities, built computer centers, supported food distribution networks and organized local cleanups.George and Alicia live in Allen, Texas with their two children, Zack (11) and Sania (3.)For more information visit:http://www.minfosec.com/Twitter link: https://twitter.com/GeorgeMakayeFacebook link: https://www.facebook.com/georgemakayeLinkedIn Profile: https://www.linkedin.com/in/georgemakaye/

Janet Machuka is a Kenyan girl who is an undergraduate in Media Science in Moi University and a Digital Marketing Strategist. I have founded #AfricatweetChat which is a platform that seeks to expand marketing possibilities in Africa by Africans for Africa. Additionally, I am a brand influencer and a digital trainer. Connect with Janet on Twitter: https://twitter.com/janetmachuka_ Learn more about her at her website: https://janetmachuka.com/ Don't forget to checkout the hashtag #AfricatweetChat

This episode focuses on our first year experience in University. From getting our calling letters to Moi University, to living the hostel life, to moving to a totally new county, our first loves and anything and everything that came with our first year.

Winning Equation — In this episode, we talk to Nelson Amenya, co-founder of Patahao app in Nairobi, Kenya. He started his career when he designed his first website in varsity that led him to web design; he then graduated with Bachelor of Graphic Communication and Advertising from MOI University. He’s worked as a web developer, multimedia designer, creative director and digital content developer. In this podcast he shares his journey and how they came up with a property portal that’s changing the property landscape in Kenya. Listen and please share with friends. Give us your feedback on social media. Music Title : Calluses Artist : William Rosati

This Episode features Job Mwaura, Kenyan PhD Student at Wits University, Johannesburg, South Africa. He is a Teaching Assistant and a PhD student of Media Studies at Wits University. His current role includes teaching and researching on digital Media in Africa and to perform other administrative in my department . He has won a number of awards such as the Postgraduate Merit Award at Wits University and he is also a Next Generation of Social Science Researchers (SSRC) fellow. Previously, he taught Journalism, and Public Relations at Moi University and also worked as a Media Researcher at European Research Council and NCIC-Kenya. He has authored and co-authored a number of peer reviewed journal articles, book chapters conference papers and other research papers and reports. He is passionate about music and I also love to travel.  Twitter - @jobmwaura #kenya #1000AfricanVoices

On this episode, I Zoom in Janet Machuka and we chat about social media strategy. Janet Machuka is a Kenyan girl who is an undergraduate in Media Science in Moi University and a Digital Marketing Strategist. I have founded #AfricatweetChat which is a platform that seeks to expand marketing possibilities in Africa by Africans for Africa. Additionally, I am a brand influencer and a digital trainer. Connect with Janet on Twitter: https://twitter.com/janetmachuka_ Learn more about her at her website: https://janetmachuka.com/ Don't forget to checkout the hashtag #AfricatweetChat

A conversation with physician, epidemiologist, and public health researcher Diana Menya from Moi University in Eldoret, Kenya, School of Public Health. Diana participated in the "Climate Change" Institute at BIARI. She came to BIARI with a specific idea for a new community-based research project.

Dr Patrick Loehrer discusses the difficulties faced improving the standard of cancer care across Africa. Cancer in Africa is predominantly caused by viruses and there are high mortalities from easily curable disease such as cervical cancer. Dr Loehrer explains how the work Indiana University carried out in collaboration with Moi University and Moi Teaching and Referral Hospital in Kenya has been extended from concentrating solely on HIV/AIDS to promoting oncology education, services and research and sharing professional expertise in order to increase cancer prevention, treatment and palliative care.

Emily Choge is a lecturer in religious studies at Moi University in Eldoret, Kenya, a Langham Scholar with a Ph.D. from Fuller Seminary, and a contributor to the Africa Bible Commentary. She is an advocate for the needs of refugees displaced by war.