Nosim Medical Centre
Compassionate Oncology Care · Kenya
Born from a nurse's journey through the Maasai communities of Kajiado, Nosim Medical Centre was built to close the gap between illness and access — bringing compassionate oncology care to those who need it most.
In 2017, a nurse serving at a hospital in Kajiado witnessed a pattern that would change everything. Women — mostly of Maasai origin — arrived in critical condition after days of delayed labor. Distance, cost, trust, and broken referral chains were costing lives that could have been saved.
That witness walked out of the operating theatre and into the field — to Tinga, to Kamukuru, to the villages of Losinyai, Leremit, and Naserian — to understand the system at its roots. NOSIM Medical Centre is the answer to what he found there.
Read the Full StoryWe address the three delays that cost lives — the decision to seek care, the journey to reach care, and the quality of care received — at every level.
Born from the villages of Kajiado, we embed care pathways within communities — not only inside hospital walls. Presence precedes protocol.
Our team combines world-class oncology training with deep cultural understanding. Clinical excellence and empathy are never separate priorities.
We treat the whole care pathway — from the first moment a patient recognises illness to recovery — as our collective responsibility.
Gentle, accurate diagnostics led by Dr. Vyionnah Mwangi, ensuring timely insight with compassionate delivery.
Individualised care plans designed by Dr. Paul Gwako, respecting each patient's unique journey and values.
Because healing extends beyond medicine — we nurture the mind and spirit alongside the body.
I was scared when I first came to Nosim. Dr. Gwako spent time explaining everything. The care team made me feel like family. I am now hopeful about my treatment journey.
The lab diagnostics team led by Dr. Vyionnah is thorough and compassionate. As a referring doctor, I trust Nosim with my patients' oncology needs entirely.
Our partnership on community screenings has already made an impact. The team's dedication to reaching underserved areas across Kajiado County is truly inspiring.
Our team is ready to walk with you — from the first conversation to complete recovery. No question is too small.
A nurse walked out of an operating theatre and into the Maasai wilderness to understand why women were dying before they could be saved. This is what he found — and what he built.
The chapters that explain why Nosim Medical Centre exists and what it was built to do.
In 2017, serving as Head of Department in the Operating Theatre at a hospital in Kajiado, a pattern began to emerge. Women — mostly of Maasai origin — arrived in critical condition after four to five days in labour. Obstructed labour. Sepsis. Haemorrhage. Fetal demise. Nearly 90% of these emergency cases carried poor prognoses.
"Inside the theatre, we were about to save her life. Outside, something had already failed her."
One morning, the moment arrived that would change everything. A young woman admitted following a 28-week miscarriage complicated by retained placenta. Her husband — a Member of Parliament — stood in the corridor to pray. A national leader, made wholly vulnerable by a preventable complication.
If someone with influence and resources could still encounter such delays — what chance did the ordinary woman in a remote village have?
Repetition transforms tragedy into pattern — and pattern demands explanation. The same stories repeated: women arriving exhausted after decisions delayed by distance, cost, trust, and cultural dynamics. Each delay was a rational adaptation to a system that did not serve them.
Inside the hospital there was structure — skilled personnel, equipment, protocols. Outside: long distances, limited facilities, informal providers, cultural complexity. And between these two realities, a wide, dangerous gap. Most suffering occurred in the space between illness and access.
Located approximately 90 kilometres from Nairobi's central business district, deep within the semi-arid landscape of Kajiado County, Kamukuru sits in a valley surrounded by scattered settlements — Losinyai, Leremit, Nkaama, Koora, Naserian, Kamukuru Oiti, and more. To reach it is to transition into an entirely different health reality.
"Kamukuru was not just a destination in my journey. It was an explanation."
The nearest formal health facility was a Level 2 dispensary, approximately 2 kilometres away — but operationally limited and not designed for comprehensive maternal emergencies. The next available facility was nearly 10 kilometres further. People do not live next to services here. They live between them.
After weeks in the field, the question changed. Not What is happening here? but What am I going to do about it?
The answer was presence. Sustained, committed, community-rooted presence. A modest structure was rented from Mr. Rakua in Kamukuru. Trust was built through Celestine and community elders. Patients began arriving — not because the system was strong, but because someone had finally shown up.
From that fragile beginning, NOSIM Medical Centre grew into what it is today: a trusted healthcare provider with an expanding presence across Kajiado County, driven by compassion, resilience, and a commitment to the underserved.
To provide comprehensive, compassionate oncology care that combines medical excellence with emotional support — reaching those whom the system has historically left behind.
To be Kenya's most trusted centre for compassionate cancer care — nurturing body, mind, and spirit, and closing the gap between illness and access for every Kenyan.
Care that is not accessible is, in practice, care that does not exist. Healing begins not in hospitals alone — but in the roads, decisions, distances, and trust that connect people to care.
With over 12 years of experience in medical oncology across leading hospitals, Dr. Gwako founded Nosim Medical Centre to create a truly patient-centred cancer care experience — rooted in the field realities he witnessed across Kajiado.
Dr. Vyionnah leads our diagnostic laboratory with expertise in oncology pathology, tumour marker analysis, and genetic testing — ensuring accurate, timely diagnostics that guide every personalised treatment plan.
Dr. Ochieng brings expertise in radiotherapy planning and supportive care management. He ensures every patient receives comprehensive, coordinated treatment across all phases of their cancer journey.
The pattern is first recognised. The question that cannot be ignored is born: why are women arriving too late?
Field journeys into Kajiado County. Trust built with community elders. The informal health system understood from the inside.
A modest structure rented from Mr. Rakua. Celestine bridges the gap. The first patients arrive — not because the system is strong, but because someone showed up.
Formally opened in Nairobi with a full oncology team. 3 consultation rooms. Full laboratory services. The mission from the field brought to the institution.
120+ patients, community screenings, and an expanding partner network. The gap between illness and access narrows with each passing week.
A complete continuum of cancer care — from screening and diagnosis, through treatment and recovery, delivered with compassion and clinical precision.
Led by Dr. Vyionnah Mwangi, Oncology Laboratory Specialist
Accurate testing with compassionate delivery. From routine panels to advanced molecular analysis.
Cost Range: KES 5,000 – 40,000
Coordinated imaging referrals through our trusted radiology network for seamless care.
Cost Range: KES 8,000 – 75,000
Preventive care and early intervention — including community outreach to underserved populations.
Cost Range: KES 3,000 – 25,000
Led by Dr. Paul Gwako and Dr. James Ochieng
Comfort-managed chemotherapy and systemic therapies, personalised to each patient's specific diagnosis.
From KES 8,000 per cycle
Precision radiotherapy planning, coordination, and monitoring — guided by Dr. Ochieng's expertise.
From KES 150,000 per course
Compassionate surgical referrals through our trusted network of surgical oncologists.
Consultation: KES 3,000 – 6,000
KES 2,000 – 5,000 per session
KES 1,500 – 4,000 per session
KES 1,000 – 3,000 per session
Partnerships built on shared purpose — closing the gap between illness and access across Kenya.
Partnership Since: March 2026
Our first community partnership. Together, we bring cancer awareness, mobile screening, and patient navigation to rural and underserved communities across Kajiado County and beyond.
We welcome hospitals, CBOs, faith organisations, and corporate partners who share our commitment to accessible cancer care in Kenya.
Stories of hope, healing, and community impact from Nosim Medical Centre.
April 2026 · Dr. Paul Gwako
When Mama Njeri — a 58-year-old grandmother from Nairobi — walked through our doors in our first week, she had just been diagnosed with Stage II breast cancer. Today, she is responding well to chemotherapy and her story represents everything we stand for: being present when it matters most.
Connect With Our Team
A 45-year-old father of four begins his treatment journey with courage and the full support of our team.
Our inaugural free screening event with Iyiook Jiinue CBO identified 3 early-stage cases now receiving care.
A dedicated treatment space designed for patient comfort — natural light, reclining chairs, a calm environment. Completion: June 2026.
Take the first step toward compassionate cancer care. Our team will respond within 24 hours.
12+ years in medical oncology. Leads all treatment plans with compassion and expertise.
8+ years in clinical pathology. Ensures accurate, timely diagnostic results.
6+ years in oncology. Specialises in radiotherapy planning and supportive care.
Please bring any previous medical records, recent test results, a list of current medications, photo ID, and insurance information if applicable.
You will be seen by Dr. Paul Gwako or Dr. James Ochieng. Dr. Vyionnah may also consult if laboratory work is needed. All three are committed to your comfort and clarity.
Yes — we warmly welcome new patients and have availability for timely appointments. Please book or call us to arrange your first visit.
We accept NHIF and are in the process of onboarding major private insurers. Self-pay options with flexible payment plans are available. Please call us to discuss your specific situation.
Absolutely. We encourage patients to bring one or two support persons to all consultations. Healing is a shared journey.
Yes. Our roots are in Kajiado County — Kamukuru, the villages of the Maasai highlands — and we continue to serve and partner with communities across the county and across Kenya. Distance should never be a barrier to care.