The Coast General Teaching and Referral Hospital (CGTRH), previously known as Coast Province General Hospital, stands as the second-largest hospital in Kenya. CGTRH received inauguration from Lady Mary Baring in 29th March 1958. With a 700-bed capacity, it serves as the tertiary referral center for the entire coastal region, with an estimated catchment population of 3.5 million people. The hospital aims to provide quality affordable healthcare and outreach services, training and research. In a significant step towards advancing healthcare in Mombasa County and the coastal region, internationally renowned Professor of Obstetrics and Gynaecology and Public Health expert, Prof Marleen Temmerman, has been appointed as the new Chairperson of the Board of Directors at the Coast General Teaching and Referral Hospital (CGTRH). The appointment of Prof Marleen is a crucial leap towards achieving these goals.
The original Mombasa Hospital building, dating back to 1891, has benefited from conservation and is now a National monument. 1895 - The newly established East African Protectorate took over the Imperial British East Africa Company and with it the Hospital which catered for a population of 300 Europeans. 1897- Dr. W.H.
Mombasa, Kenya
Comprehensive Services
They provide all services and see a large number of patients. Coast General Hosspital, we believe that every patient deserves not just excellent medical care, but a gentle touch, a listening ear, and a place that feels like home. Whether you’re visiting for a routine check-up or specialized treatment, your health and happiness are our greatest priority. Their services include well-baby clinics, caesarean and normal deliveries, and prenatal and antenatal clinics.
Accident and Emergency Center
Welcome to our main hospital’s new accident and emergency center built with the patient in mind. Our accidents and emergency unit is situated within the OPD building on ground floor. This new facility is equipped and designed to serve the people of Mombasa with efficiency. The unit is fully equipped with patient monitors and all needs for emergency. includes stabilization, pain management, and, if necessary, surgery to treat severe injuries such as fractures, internal bleeding, or head trauma.
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Laboratory and Pharmacy
Our Laboratory operates daily on 24 hour basis and is driven by the vision to attain superior and cost effective services. The hospital pharmacy is open daily on 24 hours basis. For patients convenience the hospital operates separate pharmacy outlets for inpatient and outpatient.
Maternity Services Costs
Here is a breakdown of the costs associated with maternity services at Coast General Hospital:
- Normal delivery: Midwife - Ksh. 15,000, Gynecologist - Ksh. 30,000
- C-section - Ksh. 65,000
- Antenatal - First visit: Ksh. 2,200, subsequent visits: Ksh. 2,000
A comparison of maternity services costs across different hospitals:
| Service | Hospital 1 (Ksh) | Hospital 2 (Ksh) | Hospital 3 (Ksh) |
|---|---|---|---|
| Normal Delivery (General Ward) | 20,000 - 25,000 | 71,000 | 15,000 - 20,000 |
| C-Section | 100,000 - 150,000 | 139,000 | 80,000 |
| Elective C-Section Hospital | 210,000 | ||
| Antenatal (First Visit) | 3,300 + scan | 2,200 | 2,160 (including Antenatal profile) |
Gender-Based Violence Recovery Center (GBVRC)
Sexual violence (SV) is highly prevalent and a major public health problem globally. The availability and accessibility of quality post-SV care is a challenge in all settings, but especially in low- and middle-income countries. In many such settings, management of SV is focused on physical injuries, STIs, and pregnancy. The GBVRC model is a partnership that provides (in addition to emergency healthcare) mental health support, paralegal services, and integrated cooperation with police, judiciary, local leaders, and the wider community.
The GBVRC was set up at the CPGH in 2007 as a collaboration between the Ministry of Health (MoH) and ICRH Kenya, a nongovernmental sexual and reproductive health research organisation founded in 2000. The main aim of the GBVRC is to improve SV management, demonstrate the feasibility of establishing a comprehensive, multisectoral care centre within a public health facility in Kenya, and provide a learning site for best practice. We aim to improve SV management by providing an acceptable model in SV care that would increase the number of survivors who seek care.
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The Mombasa GBVRC has provided post-SV care to 6,575 people reporting SV, of whom 88% were female and over 50% were younger than 16 years. In almost nine out of 10 cases, the SV perpetrator was known to the survivor (whether as an intimate partner or family relation, or as a member of the neighborhood community). The low rate (19%) of attendance by survivors for the second counselling visit suggests a more robust strategy is needed for follow-up-for example, by referring people back to smaller, closer health facilities. A second limitation was a lack of trained staff, although this is an expected issue in sub-Saharan Africa. There was also a low rate of legal resolution to the cases.
GBVRC Model
People reporting SV are either self-referred, referred from police stations, or referred from other health facilities. Because of the long-standing partnerships, clear guidance at the point of referral, and the centre’s reputation in the region, police referrals and referrals from health facilities proceed straight to the centre once they get to the hospital. Police referrals are often accompanied by a gender desk police officer, especially for minors. Some self-referrals are first seen at the outpatient department, especially if they do not report SV as the chief complaint. However, clinical staff in outpatients are trained to probe for pointers towards a history of SV. For cases in which they suspect SV, they offer basic medical care as well as treatment for physical injuries according to clinical guidelines and protocols, and then they refer the survivors to the GBVRC.
When a survivor of SV declines immediate examination because of trauma or discomfort, they receive medical care and counselling. After obtaining informed consent, the SV nurse collects data on the survivor’s sociodemographics, the circumstances of the incident, and the perpetrator’s characteristics using a standardised MoH post-rape care form, including for psychological assessment (MoH 363). Data collected using the forms are entered contemporaneously into a secure database developed by ICRH and are used to generate reports, conduct research, and provide evidence-based feedback to all stakeholders.
Pregnancy, HIV, and other STIs are explained and tested for at the GBVRC. Rapid HIV test kits are used. When the survivor tests negative, HIV postexposure prophylaxis (PEP) is provided. Survivors who test positive during the initial visit or who seroconvert are referred for immediate ART at the HIV comprehensive care clinic within the hospital. STI prophylactic treatment and emergency contraception are also offered to eligible survivors.
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Following clinical management, survivors receive trauma counselling and psychosocial support. Based on the national guidelines, each survivor should undergo five counselling sessions, at 2-week intervals. Subsequent sessions can either be one-on-one or group. When necessary, the counsellor visits the survivor for home counselling. Counsellors employed at the GBVRC have training in nursing or clinical medicine and must be accredited by the Kenya Association of Professional Counsellors or recognised as SV trauma counsellors by Public Health and Sanitation or the Ministry of Medical Services.
After medical and psychological care, survivors who present directly to the hospital and have not reported to the police must be referred to the nearest station. They are accompanied by a paralegal if requested. If the survivor is a minor, the GBVRC counsellor will call for the police to come to the centre; this is also the practice if there is suspicion that the person accompanying may be the perpetrator.
The paralegals are recruited from the community to provide legal advice, counselling, and court preparation. They undergo an intensive 6-month training in SV and on the relevant basic laws and procedures based on a national curriculum. Working voluntarily, with a modest stipend for transport, they serve as focal persons for community education. They conduct community dialogues to educate the community, identify SV survivors, and engage them to seek post-SV services and report to the police.
Between 2007 and December 2018, 6,575 survivors of SV have received clinical, psychosocial, and legal support. Three full-time counsellors and 35 paralegals are engaged by ICRH Kenya to provide services during the day.
Comprehensive data on referral sources were available from 2013, when referral source data were included in the data-collection forms. In the 5 years between 2013 and 2018, 75% of the survivors who received care were referred from a police station. The remaining proportion were either self-referred or referred from peripheral health facilities. There was no significant change in the proportion referred from the police over the years.
Data on survivor follow-up were available from 2013, after revision of the data-collection tool. Of 3,973 survivors who received care in these 5 years, 19% (746) came back for the second counselling visit, and 10.8% came for the third. Only 57 (1.4%) came for all five visits.
Data on the follow-up of cases in court (Table 4) were available from 2015, when the centre started recording these data. Between 2015 and 2018, 2,719 survivors received care and were referred for legal services. Of these cases, 360 progressed to court, and 31 convictions have been secured, plus three acquittals, whereas all other cases are ongoing.
Follow-up for subsequent trauma counselling is suboptimal, and only 19% came back for subsequent counselling after the initial session. These data highlight the need to tailor SV services to a generally young population.
Dr. Yakub Ahmed, Clinical Pharmacist at Coast General Hospital
Contact Information
- +254 777 672 090
- +254 769 546 206
- +254 112 341 923
Booking an appointment at our hospital is quick and convenient! Our friendly staff are ready to assist you in finding the perfect time slot that fits your schedule.
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