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Kenya has three Hand Specialist Surgeons, including Dr. Paul Mwangi, who was supported by MTRH to undertake Hand Surgery training at University of The Witwatersrand, Johannesburg, South Africa in 2015/16. This successful and highly specialized surgery is part of the fruits of MTRH Board & Management (fully supported by Government of Kenya through Ministry of Health and The National Treasury & Economic Planning) long-range goal of developing multi-and sub-specialty surgical & medical skills, continual staff capacity development, huge investments in medical infrastructure and specialized equipment with a high work performance culture. Well done, the MTRH team led by CEO Dr. Wilson K. Aruasa. Keep up the good work.