Obstetrics and Gynaecology Faculty
Prof Marleen Temmerman, MD, MPH, PhD, MMed (OB/GYN), FAAS
Prof Marleen Temmerman is the Chair of the Department of Obstetrics and Gynaecology and Director of the Center of Excellence in Women and Child Health, Aga Khan University East Africa. She is a well-recognized global leader in women, child & adolescent health. She brings academic, technical, political, governance, management and leadership skills to the table as well as diplomacy, advocacy, fundraising, training and clinical expertise.
Before joining AKU in 2015, she was Director of the Department of Reproductive Health and Research (RHR) at the World Health Organization (Geneva, Switzerland). She is Professor emeritus at the Ghent University in Belgium, and the Founding Director of the International Centre of Reproductive Health (ICRH) at Ghent University with sister research organizations in Kenya and Mozambique, and a large global collaborative academic network of 27 Universities globally. She has a strong academic and scientific background with over 500 publications and books in the area of women's health, with a Hirsch index of 75. She has supervised many PhD students in Europe, Africa, Latin-America and China and received several awards and honours for her research and advocacy work.
She is one of the penholders of the UN Global Strategy for Women's, Children and Adolescents' Health 2016-2030, led by UNSG Ban Ki Moon. She is a Senior Fellow in the Institute for Global Health Diplomacy in Geneva. She is the AKU lead of several women and child health programmes in East-Africa such as the Canadian funded AQCESS (Access to Quality Care through Extending and Strengthening Health Systems) and IMPACT programmes, the PRECISE research platform (UK-MRC) and several smaller research and capacity building programmes. She is the AKU-UNESCO Chair holder on Youth Leadership in Science, Health, Gender and Education. She is also the Chair of the Pumwani Maternity Hospital Board.
1. Temmerman M, Ogbe E, Manguro G, Khandwalla I, Thiongo M, Mandaliya KN, Dierick L, MacGill M, Gichangi P. The gender-based violence and recovery centre at Coast Provincial General Hospital, Mombasa, Kenya: An integrated care model for survivors of sexual violence. PLoS Med. 2019 Aug 2;16(8).
2. Betrán AP, Temmerman M, Kingdon C, Mohiddin A, Opiyo N, Torloni MR, Zhang J, Musana O, Wanyonyi SZ, Gülmezoglu AM, Downe S. Interventions to reduce unnecessary caesarean sections in healthy women and babies. Lancet. 2018 Oct 13;392(10155):1358-1368.
3. Sandall J, Tribe RM, Avery L, Mola G, Visser GH, Homer CS, Gibbons D, Kelly NM, Kennedy HP, Kidanto H, Taylor P, Temmerman M. Short-term and long-term effects of caesarean section on the health of women and children. Lancet. 2018 Oct 13;392(10155):1349-1357.
The peer-reviewed publications of Prof Temmerman are available on the following link: https://www.ncbi.nlm.nih.gov/pubmed/?term=temmerman+m
Dr Mukaindo A. Mwaniki, MBChB, MMed (OB/GYN)
Dr Mukaindo is a consultant Obstetrician and Gynaecologist with over 10 years’ experience in maternal and child health. He has over the last 5 years broadened his interest from clinical obstetrics and gynecology to health systems and their impact on maternal and child health. His particular interest is improvement of the quality of care offered at delivery. He is currently involved in the AQCESS/MERL research project, examining the value of clinical mentorship for midwives in improving quality of delivery care in rural Coastal and Western Kenya.
Dr Mukaindo has worked in both the private and public sectors in Kenya as well as in international research collaborations. He holds a Bachelors of Medicine and Surgery degree and a Masters of Medicine in Obstetrics and gynecology.
He has published widely in peer-reviewed journals and supervised over ten Masters of Medicine dissertations. He is the former vice-chair of the Kenya Obstetrical and Gynecological Society (KOGS).
Mutiso SK, Murage A, Mukaindo AM. Prevalence of positive depression screen among post miscarriage women- A cross sectional study. BMC Psychiatry. 2018;18(1):32
Mukaindo AM, Stones W. The efficacy of Hyoscine-N-butylbromide for the acceleration of labour in primiparous women: a randomised controlled trial. Journal of Obstetrics and Gynaecology of Eastern and Central Africa 2016;28(1)12-17
Macharia WM, Muteshi CM, Wanyonyi SZ, Mukaindo AM, Ismail I, Ekea H, Abdallah A, Tole JM, Ngugi AK. Comparison of the prevalence and characteristics of inpatient adverse events using medical records review and incident reporting. S Afr Med J 2016;106(10):1021-1036.
Dr Patricia Muthaura, MD FACOG
Dr Patricia Muthaura is a consultant obstetrician gynaecologist. She is a graduate of Howard University, College of Medicine, Washington DC, USA. She completed her residency training at the University of Pennsylvania University Health system in Philadelphia, Pennsylvania, USA in 2004. After completion of training, she worked in the United States as an Obstetrician Gynaecologist for 5 years before returning to Kenya in 2009.
She is the current Program Director for the Postgraduate Masters in Medicine Degree Program in Obstetrics and Gynaecology where she is involved in the training and supervision of postgraduate students. Dr Muthaura holds a postgraduate diploma in Medical Education from Cardiff University, UK. She was the module coordinator for the design of the undergraduate curriculum on the Urogenital system.
Dr Muthaura was the Section head for Gynaecology at Aga Khan University Hospital, Nairobi from 2016 to June 2019. Dr Muthaura is a Fellow of the American College of Obstetrics and Gynaecology. She is a member of the Kenya Society of Obstetricians and Gynaecologists. Her primary passion is clinical work and taking care of patients. She runs both antenatal and gynaecology clinics at the hospital. She initiated and implemented the cervical cancer screening program at AKUH, N, the first organized cancer screening program at Aga Khan University Hospital Nairobi. She conducts a colposcopy clinic and performs laparoscopic, hysteroscopic as well as open surgeries.
1. Muthaura Patricia, Khamis Tashmin, Mushtaq Ahmed, Hussein Syeda. Perceptions of the preparedness of medical graduates for internship responsibilities in district hospitals in Kenya: a qualitative study, BMC Medical Education, 15:178 21st October 2015 DOI: 10.1186/s12909-015-0463-6
2. S.K. Nichabe, P.N. Muthaura, C. Murungi, J. Muyoka, E.Omenge and L. Muchiri. Cryotherapy following VIA/VILI in Khwisero Western Kenya. Lesson from the field affecting policy and practice. East African Medical Journal Vol 90 No10 October 2013
3. Muthaura P.N. And Khamis TK. The perception of the preparedness of Medical Graduates to Take on Internship Responsibilities in Low Resource Hospitals in Kenya. Higher Education Studies; Vol. 3, no 1: 2013:1 115-122
Dr Timona Obura, MBChB, MMed (OB/GYN)
Dr Timona Obura is an Assistant Professor, Department of Obstetrics and Gynaecology, Aga Khan University Hospital, Nairobi and is a Consultant Obstetrician & Gynaecologist, with advanced skills in Hysteroscopic & Laparoscopic Gynaecological Surgery. Previously, he served as Director of Postgraduate Medical Education from 2010 to 2013 and was the inaugural Program Director, Department of Obstetrics and Gynaecology from 2005 to 2010 at the Aga Khan University in East Africa. Has also served as interim chair of the department from 2013 to 2015 and as Vice Chair, Clinical from 2016 to 2018.
Dr Obura has a Diploma in Advanced Gynaecological Endoscopy, University of Surrey (UK), attained in 2009, Master of Medicine in Obstetrics and Gynaecology attained in 2003 at the University of Nairobi, and Bachelor of Medicine and Bachelor of Surgery attained in 1994 at the University of Nairobi.
1. Uterine Necrosis after Uterine Artery Embolization for Symptomatic Fibroids. Steve Kyende Mutiso, Felix Mwembi Oindi, Nigel Hacking,and Timona Obura. Case Reports in Obstetrics and Gynecology Volume 2018, Article ID 9621741, 4 pages https://doi.org/10.1155/2018/9621741
2. One year symptom severity and health-related quality of life changes among Black African patients undergoing uterine fibroid embolization. Charles Mariara; Timona Obura; Nigel Hacking; William Stones BMC Research Notes 2017 10:240.
3. Intravenous tranexamic acid as an adjunct haemostat to ornipressin during open myomectomy. A randomized double blind placebo controlled trial. Sammy Ngichabe; Timona Obura and William Stones. Annals of Surgical Innovation and Research, Vol. 9, 10, 31.10.2015.
Dr Joseph Wangira Musana, MBChB, MMed (OB/GYN)
Dr Musana holds a bachelor of medicine and surgery as well as a Masters of medicine in obstetrics and gynecology from the University of Nairobi. He holds an advanced diploma in sexual and reproductive health and rights from Lund University in Sweden. He further holds an advanced training certificate in clinical research from The University of California San Francisco (UCSF) through the Department of Epidemiology and Biostatistics.
He recently completed a non-accredited 3-year fellowship program in Preterm Birth as part of The Preterm Birth Initiative, a multi-national multi-year translational and implementation research program administered by The University of California San Francisco whose aim is to reduce the global burden of preterm birth. During his fellowship program, Dr Musana launched a research project in Migori County in Kenya whose main objective is to examine and characterize prenatal stress among vulnerable populations of pregnant women using self-report measures of stress and correlating these measures with hair cortisol, an innovative biological marker of stress, in order to predict gestational length hence preterm birth.
His research interest is in Reproductive Health specifically mental health, non-communicable diseases, perinatal HIV and neonatal, infant and child outcomes especially preterm birth. His current areas of teaching and clinical expertise include management of complex pregnancies including non-communicable diseases in pregnancy, labor ward skills, and contraception. He is an assistant professor in the Department of Obstetrics & Gynecology at the Aga Khan University, Nairobi, Kenya.
1. Patience A Afulani, Joseph Musana, Molly Altman and May Sudhinaraset. Conceptualizing Pathways Linking Women's Empowernment and Prematurity in Developing Countries.BMC Pregnancy and Childbirth 2017, 17(Suppl 2):338 DOI 10.1186/s12884-017-1502-6
2. Shahirose S. Premji; Ilona S. Yim; Aliyah Dosani (Mawji); Zeenatkhanu Kanji; Salima Sulaiman; Joseph W. Musana; Pauline Samia; Kiran Shaikh; Nicole Letourneau; and MiGHT Group. Psychobiobehavioral Model for Preterm Birth in Pregnant Women in Low- and Middle-Income Countries. BioMed Research International
Volume 2015, Article ID 450309, 12 pages http://dx.doi.org/10.1155/2015/450309
3. Premji S & MiGHT – Maternal Infant Global Health Team (Global collaborators in Research) (alphabetical order) Amunga DA; Asami Satia DA, Dahinten VS; Ghani F; Jehan I; Kanji Z; King A; Letourneau N; Mawji A; Mohamed A; Musana JW; Naqvi HA; Naugler CT; Okoko CO; Rose MS; Samia P; Shaikh K; Sulaiman S; Wambua J; Wasim S. Perinatal distress in women in low- and middle-income countries: Allostatic load as a framework to examine the effect of perinatal distress on preterm birth and infant health. Maternal and Child Health Journal 2014 Apr 20 (Epub ahead of print) [Impact Factor 2.243]. DOI 10.1007/s10995-014-1479-y
Dr Sikolia Wanyonyi, MBChB, MMed, MRCOG, MMFM
Dr Sikolia Wanyonyi is an assistant Professor and Consultant in Obstetrics, Gynaecology and Fetal Medicine. He holds a Master of Medicine in Obstetrics and Gynaecology, membership of the Royal College of Obstetricians and Gynecologists (MRCOG) of the United Kingdom, an international Master in Maternal and Fetal Medicine from the University of Barcelona and a Diploma in Fetal Medicine from Fetal Medicine- Barcelona
Dr Sikolia undertook a two-and-half year clinical research fellowship in fetal medicine at the University of Oxford Hospitals prior to re-joining the Aga Khan University Hospital in 2014 where he has been keen on introducing fetal medicine services in the region.
He has published over 45 peer-reviewed articles and several books chapters. He is a member of the International Society for Ultrasound in Obstetrics and Gynaecology (ISUOG), the Fetal Medicine Foundation (FMF) and the Kenya Obstetrical and Gynaecological Society (KOGS).
Betran AP, Temmerman M, Kingdon C, Mohiddin A, Opiyo N, Torlloni MR, Zhang J, Musana O, Wanyonyi SZ, Gulmezoglu AM, Downe S. Interventions to reduce unnecessary caserean sections in healthy women and babies. The Lancet; Vol 392; Issue 10155, P1358-1368, October 2018.
Cavallaro A, Ash ST, Napolitano R, Wanyonyi S, Ohuma EO, Molloholli M, Sande J, Sarris I et al. Quality Control of ultrasound for fetal biometry: results from the INTERGROWTH-21st Project. Ultrasound Obstet Gynecol 2018.
Molloholi M, Napolitano R, Ohuma EO, Ash S, Wanyonyi SZ, Cavallaro A et al. Image scoring systems for umbilical and uterine artery pulsed wave Doppler ultrasound measurement. Ultrasound Obstet Gynecol 2018 May 28. Doi.10.1002/uog.19110.
Dr Khadija Warfa, MBChB, MMed (OB/GYN)
Dr Warfa is Consultant Obstetrician Gynecologist and a Gynecologic Oncologist. She completed a four-year residency in obstetrics and gynecology at Aga Khan University in 2012. On completion, she worked as a clinical instructor in the department for a year and proceeded to the University of Calgary, Canada for a two-year fellowship in Gynecologic Oncology. She is involved in the training and supervision of postgraduate students, she runs various clinics at the hospital with a wide referral base from East and Central Africa.
Dr Warfa is also involved in creating awareness in women’s cancer; she gives talks in various institutions voluntarily to educate women about cervical cancer screening, her objective is to reduce mortality related to Gynecologic Cancers in Kenya. She is a member of the European society of gynecologic oncology (ESGO) and a member of the Kenya society of obstetricians and gynaecologists (KOGS).
Warfa K, Köbel M, Ghatage P, Nelson G. Low-grade serous carcinoma the clinical challenge. Gynecol Obstet Res Open J. 2015; 2(1): 35-40.
Peter F Rambau, Máire A Duggan, Prafull Ghatage, Khadija Warfa, Helen Steed, Renee Perrier, Linda E Kelemen, Martin Köbel Significant frequency of MSH2/MSH6 abnormality in ovarian endometrioid carcinoma supports a histotype-specific Lynch syndrome screening in ovarian carcinomas, Histopathology. 2016 Jan 22.
Menge Kuria, Samuel Gitau, Khadija Warfa. Cervical cancer with bilateral ovarian metastases: case report and review of literature , British Institute of Radiology June 2018.
Dr Charles Muteshi, MBChB, MMed (OB/GYN)
Dr Muteshi completed his training in Obstetrics and Gynaecology from Aga Khan University (2011). He was then awarded and completed a two year Clinical Research Fellowship at Oxford Fertility, Institute of Reproductive Sciences and the Nuffield Department of Obstetrics a nd Gynaecology, University of Oxford with an interest in endometriosis and in vitro fertilisation (IVF/ICSI).
In the summer of 2015 Dr Muteshi became a Fertility Specialist with Oxford Fertility and an honorary fellow of the University of Oxford. In addition to endometriosis he developed interest in infertility preservation for cancer patients and recurrent implantation failure following IVF treatment. Dr Muteshi joined Aga Khan University in the autumn of 2018 where he is involved in research & teaching and management of couples seeking fertility. Dr Muteshi is also an active member of local and international societies.
Muteshi C, Ohuma E, Child T and Fatum M. Ovarian response and follow-up outcomes in women diagnosed with cancer having fertility preservation: Comparison of random start and early follicular phase stimulation - cohort study. European J Obstet & Gynaecol and Reprod Biol 2018 Sept 11; 230: 10- 14.
Muteshi C, Ohuma E, Child T and Becker C. The effect of endometriosis on live birth rate and other reproductive outcomes in ART cycles: a cohort study. Human Reproduction Open 2018, Issue 4, 1 September 2018, hoy016.
Muteshi MC, Githae F. Assisted reproduction services provision in a developing country: time to act? Fertil Steril. 2011 Oct;96(4):966-8.
Dr Felix Oindi, BSc (Hons),MBChB, MMed (OB/GYN)
Dr Felix Oindi is a Consultant Obstetrician and Gynaecologist. He completed a four-year residency in obstetrics and gynaecology at the Aga Khan University.
He holds a Bachelor of Medicine and Bachelor of Surgery (MBCh.B) degree from the University of Nairobi. Prior to completion of his undergraduate medical course, he was enrolled for a Bachelor of Science (BSc) degree in Medical Physiology at the University of Nairobi, a one year intercalated degree program offered to a few excellent medical students after the completion of pre-clinical years.
He currently serves as a senior instructor in the department whereby he is actively involved in the training and supervision of postgraduate students. He also runs various outpatient gynaecology and obstetrics clinics alongside offering inpatient care as needed. He is actively involved in research and has published in various peer review journals alongside making presentations in both local and international scientific conferences.
He is a member of various professional bodies including the Kenya Obstetrics and Gynaecological Society (KOGS) and Kenya Society of Endoscopic Specialties (KESES). In addition, he is a certified Instructor in the Advanced Life Support in Obstetrics (ALSO) programme. He has a keen interest in gynaecologic endoscopy (Laparoscopy and Hysteroscopy) and benign gynaecologic conditions like uterine fibroids, endometriosis and Female sexual dysfunction.
Oindi F, Sequeira E, Mutiso S. Takotsubo Cardiomyopathy in Pregnancy: A case report and Literature review. BMC Pregnancy and Childbirth. (2019)19:89. https://doi.org/10.1186/s12884-019-2233-7
Oindi FM, Mutiso SK, Obura T. Port site parasitic Leiomyoma after Laparoscopic myomectomy. BMC Journal of Medical Case Reports. (2018) 12:339.
Oindi FM, Murage A, Lema V, Mukaindo A. Association of Female Sexual dysfunction and fertility among women of reproductive age at the Aga Khan University Hospital, Nairobi (2017). Master of Medicine in Obstetrics and Gynaecology Dissertation.
Dr Steve Mutiso, BSc. (Medical Physiology), MBChB, M.Med (OB/GYN); Cert. MIGS (Minimally Invasive Gynaecological Surgery)
Dr Mutiso is a Consultant Obstetrician and Gynaecologist at the Department. He has a Bachelor’s degree in Medicine and Surgery from the University of Nairobi. He also has a Bachelors in Science in Medical Physiology (Hons.) from the University - a reserve for top performers. He earned his master’s degree in Obstetrics and Gynaecology at the Aga Khan University, Nairobi and has a postgraduate certificate in Minimally Invasive Gynaecological surgery from the European Society of Gynaecological Endoscopy (ESGE).
He currently serves as an assistant professor at the department, a role that involves running of clinical services in reproductive health and training of residents. Moreover, he is a certified faculty in the Advanced Life Support in Obstetrics (ALSO) course and serves in the editorial and review boards of several peer reviewed research journals. He has a keen interest in minimal invasive gynaecological surgery (laparascopy) and research. He has several publications with his research interests being benign gynecological conditions like endometriosis and fibroids, and depressive disorders related to the obstetric spectrum.
Mutiso SK and Owende P. Setting up minimal Access Surgery in LMIC: Lessons from the public and private sector. International Journal of Gynaecology and Obstetrics. Special Issue: Abstracts of the FIGO Africa regional Kigali Congress. IJGO.2020; 152, Issue S2.
Makena D, Obura T, Mutiso SK and Oindi F. Umbilical Endometriosis: A Case Series. Journal of Medical Case Reports. (2020) 14:142.
Mutiso SK, Murage A and Mukaindo AM. Factors associated with a positive depression screen after a miscarriage. BMC Psychiatry 2018; 27; 23-29.
Dr Evan Sequeira, MD, FICOG
Dr Evan Sequeira is a senior lecturer and consultant
gynaecologist at Aga Khan University Hospital, Nairobi. He completed his
post graduate studies from Seth G.S. Medical College and KEM Hospital, Bombay, India in December 1977. In March 1978, he joined Aga Khan Hospital, Nairobi as a Registrar. Thereafter, he rose to be Senior Registrar in April 1979 and Hospital Consultant the following year.
He was appointed Consultant Obstetrician and Gynaecologist in the Department of Obstetrics and Gynaecology at the Aga Khan Hospital, Nairobi in 1994. Dr Sequeira was the Chairman Head of Department of Obstetrics and Gynaecology, Aga Khan Hospital from April 2001 to April 2002. Thereafter, was appointed Clinical Director from June 2002 to February 2007.
Dr Sequeira has a vast experience in the management of complicated Obstetric and Gynaecological cases, which spans over four decades. His areas of expertise are infertility,
gynaecological endocrinology, minimal access surgery, menopause management and urogynaecology / pelvic floor repair. He has attended yearly the Kenya Obstetrical and Gynaecological Society (KOGS) conferences since 1979 and the FIGO World Congress of Gynecology and Obstetrics since 1982.
Dr Sequeira has several publications in peer-reviewed journals. A special mention is the “ Accuracy of angiogenic biomarkers at <20 weeks gestation in predicting the risk of Preeclampsia; A WHO multicentre study in Pregnancy Hypertension: An International Journal of Women’s Cardiovascular Health 5 (2015) 330-338.
Dr Sequeira has been teaching and mentoring post graduate Obs / Gyn students since March 2007. He was awarded Fellowship of the Indian College of Obstetrics & Gynaecology (FICOG) in December 1998. On 10th June 2002, he was conferred with the “Ordem do Infante Dom Henrique” (commendador) by the President of the Republic of Portugal, Dr Jorge Fernando Branco de Sampaio.
Dr Maria Carvalho MB,BS , MD,
FRCOG, MMed (OB/GYN)
Dr Maria Carvalho is an Obstetrician and Gynaecologist with a special interest in Fetal Medicine. She was awarded a Fellowship with the Royal College of Obstetricians & Gynaecologists, London,
United Kingdom in September 2011.
Dr Carvalho worked at the both the Jaslok Hospital and Research Centre and the P D Hinduja Hospital and Research Centres in Mumbai, India and then at the Belfast City Hospital and The Royal Group of Hospitals Trust in Belfast, UK. She spent some time with Prof. K. Nicolaides at the Harris Birthright Centre at Kings College, London to enhance her skills in fetal medicine. Thereafter she worked at the Aga Khan University Hospital, in Nairobi from 2001 to 2003 in the Department of Radiology performing exclusively Obstetric Ultrasonography. She then joined the Department of Obstetrics and Gynaecology and later moved on to Private Practice and also continues to serve within the department as a Part-Time Lecturer.
It was her interest in fetal medicine which prompted Dr Carvalho to take on the role of Principal Investigator (PI) for Kenya for the “International Fetal and Neonatal Growth Standards for the 21st Century” (also called Intergrowth 21st and Interbio 21st ). This global research project commenced in 2009 and concluded early this year. It was
co-ordinated by the University of Oxford, UK, and funded by the Melinda and Bill Gates Foundation. See
www.intergrowth21st.org.uk for more details. She is the co-author of several papers emanating from this study, in International Journals with more publications to come.
Dr Ingrid Helweg Gichere, MBChB, MMed
Dr Ingrid Gichere obtained her undergraduate degree in Medicine from University of Copenhagen, Denmark. After moving to Kenya in 2007 she started working within the public health sector before she proceeded for her postgraduate training in Obstetrics and Gynaecology at Aga Khan University, Nairobi. Since she graduated in 2015 she has been attached to Aga Khan University Hospital running several gynaecological and obstetric outpatient clinics.
Dr. Ingrid Gichere has a special interest in medical complications of pregnancy with focus on lifestyle related diseases including obesity. Her aim is to create awareness about non communicable diseases during pregnancy and to generate knowledge to aid the prevention of short- and long term complications.
Dr Bob Achila, MBChB, MMed (OB/GYN)
Dr Bob Achila is a consultant Obstetrician and Gynaecologist. His subspecialties are Urogynaecology and Minimally Invasive Surgery. He completed a four-year residency training at Aga Khan University. He is fellowship trained in both France and Japan in state of the art advanced laparoscopic surgery for a full range of gynaecologic conditions. He also holds an MSc in clinical research epidemiology from the London School of Hygiene and Tropical Medicine (LSHTM).
Dr Achila's areas of interest include the treatment of bladder problems and urinary incontinence in females. He conducts reconstructive surgery for patient with pelvic organ prolapse. His current role involves training and supervision of postgraduate students. He also runs various clinics both at the main hospital and outreach centres.
He is a member of various international bodies, including the International Urogynecological Association (IUGA) and the International Continence Society (ICS).