Elizabeth Ngugi
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Elizabeth Ngugi (died 2015) was a
Kenya Kenya, officially the Republic of Kenya, is a country located in East Africa. With an estimated population of more than 52.4 million as of mid-2024, Kenya is the 27th-most-populous country in the world and the 7th most populous in Africa. ...
n professor of
community health Community health refers to non-treatment based health services that are delivered outside Hospital, hospitals and Clinic, clinics. Community health is a subset of public health that is taught to and practiced by Clinician, clinicians as part of th ...
at the
University of Nairobi The University of Nairobi (uonbi or UoN; ) is a college, collegiate research university based in Nairobi and is the largest List of universities and colleges in Kenya, university in Kenya. Although its history as an educational institution dat ...
, and a nurse by training and profession. Her major contributions to her university's program was her research and work with local prostitutes to prevent
HIV/AIDS The HIV, human immunodeficiency virus (HIV) is a retrovirus that attacks the immune system. Without treatment, it can lead to a spectrum of conditions including acquired immunodeficiency syndrome (AIDS). It is a Preventive healthcare, pr ...
transmission. Ngugi is described as the first Kenyan nurse to become a professor.


Early career and education

Ngugi started nursing at the
Kenyatta National Hospital The Kenyatta National Hospital is the oldest hospital in Nairobi, Kenya which was established In 1901 as the Native Civil Hospital but later changed in 1963 to Kenyatta National Hospital. It is a public, tertiary, referral hospital for the Mi ...
in 1960, as the Sister in Charge of paediatric health. In 1979 she was promoted to deputy chief nursing officer at the Ministry of Health. In 1981, while still practicing as a nurse, Ngugi presented a paper about the emerging, new role of nurses in the Kenyan health system. She emphasized that the role of a nurse is not only caring for the patient, but engaging with and caring for the patient's family members as well. Ngugi studied at Columbia Pacific University for her BA and Masters in Nursing Administration from 1983 to 1985, and earned a PhD in
social work Social work is an academic discipline and practice-based profession concerned with meeting the basic needs of individuals, families, groups, communities, and society as a whole to enhance their individual and collective well-being. Social wo ...
in 1989. In 1986 she became a lecturer in the University of Nairobi, School of Public Health and was eventually promoted to the position of Kenyan national AIDS coordinator.


Work against HIV/AIDS

Ngugi was involved in an international collaboration in
Nairobi Nairobi is the Capital city, capital and largest city of Kenya. The city lies in the south-central part of Kenya, at an elevation of . The name is derived from the Maasai language, Maasai phrase , which translates to 'place of cool waters', a ...
to engage with sex workers and help them to tackle sexual transmitted diseases. She joined in 1984 as a nurse, and made efforts to reach out to sex workers instead of stigmatising them. Much of Ngugi's research focused on these vulnerable communities, and she provided them with medical care, advice and free condoms in return for participation. She was involved in research that studied the efficacy of a contraceptive sponge in preventing new HIV infections about Nairobi sex workers. The study found no evidence in the effectiveness of the contraceptive sponge in reducing infections. By helping the sex workers to collectively demand condom use from their clients, their utilisation has soared from 4% to 90%, even though men often offer more money for unprotected sex. Her empowering approach has been praised by public health experts. In 1984, Ngugi in collaboration with
Frank Plummer Francis Allan Plummer (2 December 1952 – 4 February 2020) was a Canadian scientist, academic and HIV/AIDS researcher. He was "a recognized specialist in infectious diseases whose work influenced public health policy in Canada and abroad". He was ...
from the
University of Manitoba The University of Manitoba (U of M, UManitoba, or UM) is a public research university in Winnipeg, Manitoba, Canada. Founded in 1877, it is the first university of Western Canada. Both by total student enrolment and campus area, the University of ...
, helped establish the Majengo Clinic in Majengo, Kenya. The clinic has gone on to serve as a site for a multitude of HIV/AIDS research and as a site for sex workers to receive treatment and prevention services for
sexually transmitted diseases A sexually transmitted infection (STI), also referred to as a sexually transmitted disease (STD) and the older term venereal disease (VD), is an infection that is spread by sexual activity, especially vaginal intercourse, anal sex, oral ...
. Through this clinic, Ngugi worked in the forefront of treating sexually transmitted diseases like gonorrhea and chlamydia. Ngugi and
Frank Plummer Francis Allan Plummer (2 December 1952 – 4 February 2020) was a Canadian scientist, academic and HIV/AIDS researcher. He was "a recognized specialist in infectious diseases whose work influenced public health policy in Canada and abroad". He was ...
from Manitoba published a study indicating levels of long-lived HIV resistance among Kenyan sex workers who work in Majengo, Nairobi. Ngugi decried the fact that these women contribute so much to research but are still living in poverty and must sell their bodies to survive. In 1991 she became director of the collaborative HIV/AIDS effort with the
University of Manitoba The University of Manitoba (U of M, UManitoba, or UM) is a public research university in Winnipeg, Manitoba, Canada. Founded in 1877, it is the first university of Western Canada. Both by total student enrolment and campus area, the University of ...
, a role she held until 2006. Ngugi was promoted to Associate Professor of Community Health Sciences at the University of Manitoba in her final year of directorship. In 1992 Ngugi established HerStory (initially as the Kenya Voluntary Women Rehabilitation Centre) to support sex workers to escape prostitution with training, support and
microfinance Microfinance consists of financial services targeting individuals and small businesses (SMEs) who lack access to conventional banking and related services. Microfinance includes microcredit, the provision of small loans to poor clients; saving ...
. Now HerStory also looks after
AIDS orphans An AIDS orphan is a child who became an orphan because one or both parents died from AIDS. In statistics from the Joint United Nations Programme on HIV/AIDS (UNAIDS), the World Health Organization (WHO) and the United Nations Children's Fund (UN ...
. In 1992, Ngugi with
Peter Piot Sir Peter Karel, Baron Piot (born 17 February 1949) is a Belgian-British microbiologist known for his research into Ebola and AIDS. After helping discover the Ebola virus in 1976 and leading efforts to contain the first-ever recorded Ebola epide ...
, Jonathan Mann, Bila Kapita,
Robert Colebunders Robert Colebunders (born 19 April 1950) is a Belgian clinician and researcher specialising in infectious diseases and epidemiology, particularly in the study and management of emerging pathogens and tropical diseases including Ebola, AIDS, tube ...
co-authored ''AIDS in Africa: a manual for physicians'' and published it through WHO for the purpose of aiding physicians in diagnosis and treatment of HIV/AIDS. The manual also served as an educational material for physicians on what should be expected and on the possible transmission methods of HIV. Ngugi established the University of Nairobi Centre of HIV Prevention and Research in 2006. She also led the implementation of government efforts against HIV/AIDS including the building of ten drop-in centres for vulnerable populations in northern and eastern Kenya.


Awards

For her contributions to public health in Kenya Ngugi has been awarded many accolades, including: * 2004 UN Kenyan of the Year. * 2004–05 Order of the Golden Warrior Presidential Award.


Personal life

Ngugi has a son who practises law in Nairobi.


References

{{DEFAULTSORT:Ngugi, Elizabeth Kenyan nurses 21st-century Kenyan women scientists 21st-century Kenyan scientists Kenyan social scientists Sex worker activists Academic staff of the University of Nairobi Academic staff of the University of Manitoba 2015 deaths HIV/AIDS researchers Women nurses