International
Perfusion Association

Kenya Mission

Perfusion education. Local expertise. Lasting access to cardiac care.

Tenwek Kenya mission team with Every Heart Deserves a Chance banners
The Tenwek team provides perfusion support for Loma Linda University’s Global Health Initiative work in Malawi.

Geography Should Not Be Destiny

Across Africa, many people who need cardiac surgery cannot reach the care they need. Sub-Saharan Africa faces an especially severe shortage of cardiac centers and trained heart surgeons.

A 2023 study led by Dominique Vervoort identified just 92 cardiac surgery centers in sub-Saharan Africa, serving more than one billion people. The regional comparison highlights the unequal distribution of this essential care.

Published in 2018, the Cape Town Declaration on Access to Cardiac Surgery in the Developing World called on cardiac societies, governments, and industry to expand access to surgery for rheumatic heart disease. Its emphasis on sustainable local capacity is central to IPA’s support for education at Tenwek.

Cardiac centers by world region with an arrow and circle highlighting the low median availability in sub-Saharan Africa relative to population and estimated surgical need
Cardiac centers by world region. Vervoort et al., World Journal of Surgery (2023). Arrow and circle highlight sub-Saharan Africa’s low median center availability relative to population and estimated cardiovascular surgical need; annotations added by IPA.

Building Cardiac Care Through Education

AGC Tenwek Hospital in western Kenya is working to expand access to cardiac care by training the people who will deliver it. Its three-year Cardiothoracic Surgery Fellowship prepares heart surgeons to serve communities across Africa.

Bob Groom founded the perfusion education program at Tenwek in 2020. It began as a one-year certificate program and has grown into a two-year program within the Tenwek College of Health Sciences. Accredited by Kenya’s Clinical Officers Council, the program awards a Higher Diploma in Cardiovascular Perfusion to graduates who successfully complete their training.

IPA supports this work through medical equipment donations, shipment funding, and grants for perfusion education—helping local clinicians build skills and services that last.

The Program at a Glance

2 years

Cardiovascular perfusion

A 13-unit curriculum combining classroom study, simulation, and clinical experience.

8 graduates

Working in the region

Seven graduates practice in Kenya and one in Rwanda.

6 students

Currently enrolled

Four second-year and two first-year students; five from Kenya and one from Malawi.

The 13-unit curriculum brings classroom learning, simulation, and supervised clinical experience together. Working alongside Tenwek’s surgical training program, students develop the practical skills and clinical judgment needed to support a cardiac surgical team.

From Observation to Clinical Practice

Students develop their skills in stages, with classroom learning and direct mentorship supporting each step.

01

First two months

Clinical observation and classroom study establish the foundation.

02

From the third month

Simulation adds practical preparation and opportunities to rehearse essential skills.

03

After six months

Clinical training begins under the guidance of a preceptor.

Perfusion simulation training beside a heart-lung machine at Tenwek
Simulation-based perfusion training at Tenwek.
Maxwell Chauwa seated beside a heart-lung machine during perfusion training
Maxwell Chauwa in the simulation lab during perfusion training at Tenwek.
Maxwell Chauwa supporting a cardiac surgical case in Malawi with Tenwek perfusion instructor Anyasuis Rutto
Maxwell Chauwa supporting a cardiac surgical case in his home country, Malawi, proctored by Anyasuis Rutto, a perfusion instructor from Tenwek Hospital.

Training That Reaches Beyond Kenya

Maxwell Chauwa, a clinical officer from Malawi, is preparing to bring these skills to patients in his home country. He is expected to complete the program in September 2027 and return to Blantyre. The photographs show both his simulation training and his participation in a cardiac surgical case in Malawi, proctored by Tenwek perfusion instructor Anyasuis Rutto.

This is the goal of regional education: training that reaches beyond one hospital. Many graduates have completed six-week fellowships at the Magdi Yacoub Heart Center in Egypt. Tenwek staff have supported seven cardiac missions to Malawi and two to Ethiopia, sharing experience with teams building local access to care.

People and Partnerships

Education grows through lasting partnerships: students learning from mentors, colleagues sharing their experience, and communities supporting better access to heart care. By investing in the Tenwek program, donors help prepare clinicians to care for patients in Kenya and across the region.

Dr. Lugano in the Tenwek simulation lab, with yellow labels identifying the patient monitor, heart-lung machine, patient module and instructor panel
Dr. Lugano, a cardiothoracic surgery fellow, in the simulation lab with the training equipment labeled.
Community gathering with participants wearing Every Heart Deserves a Chance shirts
“Every heart deserves a chance.”
Two masked Tenwek team members giving a thumbs-up
Teamwork and shared purpose at Tenwek.

Giving Tuesday: Double Your Impact

In keeping with the Cape Town Declaration’s call to build local cardiac surgical capacity, IPA invites our subscribers and supporters to invest in perfusion education at Tenwek this Giving Tuesday.

From now through Giving Tuesday, December 1, 2026, donations designated for the Kenya Mission will be matched dollar for dollar, up to $10,000 in total matching funds. Your gift can help provide learning materials, computers, simulation resources, conference sponsorship, clinical fellowships, and support for perfusionists serving on regional missions.

Equipment donations and volunteer teaching are also welcome. Current equipment needs include cell savers, such as Autolog or Xtra systems, and an intra-aortic balloon pump. Contact IPA to discuss suitable equipment or educational support.

Select Kenya Mission in the donation form to direct your gift to this program. The button above opens the form with that selection already filled in.

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