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My name is Emmanuel Mayakah Onduso and I live in Nairobi, Kenya, where I actively practice and contribute to the advancement of Orthotics and Prosthetics (O&P). I received my foundational training at the Kenya Medical Training College in Kenya and graduated in 2007. I later advanced my education by pursuing a Master’s degree at Makerere University in Uganda and graduated in 2021. These experiences have shaped both my clinical competence and my broader perspective on rehabilitation care in Africa.
I currently work at Circleg as the Regional Service and Training Manager. In this role, I support prosthetists across Africa in improving their patient management approaches, with a strong emphasis on patient-centered care. My work focuses not only on technical excellence but also on enhancing the overall patient experience and outcomes within diverse clinical settings. Prior to this, I served for 14 years at Kenyatta National Hospital, the largest teaching and referral hospital in Kenya, where I gained extensive hands-on experience managing a wide range of cases.
What do you claim is your specialty – your O&P passion?
Earlier in my career, I was deeply passionate about pediatric cases, particularly those involving congenital deformities. Over time, my focus has evolved toward prosthetics, where I now specialize in ischial containment socket manufacturing and prosthetic care in general.
In addition, I have developed a strong passion for teaching and mentorship. I enjoy sharing knowledge, building capacity, and supporting the growth of other practitioners. Looking ahead, I see myself contributing as a faculty member, helping shape the next generation of O&P professionals.
What do you like most about practicing O&P?
What I value most is the impact we create. O&P is not just about fabricating devices—it is about restoring mobility, independence, dignity, and hope. The transformation we witness in patients and their families is profound. Being part of that journey and seeing lives change is the most fulfilling aspect of my work.
What frustrates you about O&P?
There are several systemic challenges that affect the growth and impact of O&P. These include the lack of proper regulation in practice, limited opportunities for advanced and specialized training, and the widespread availability of low-quality products in the market. Additionally, many governments still do not recognize Prosthetics and Orthotics as an essential healthcare service, which limits investment, policy support, and integration into health systems. Other challenges include inadequate insurance coverage, high costs of services, and limited access to care—especially for patients in underserved regions. These barriers continue to prevent many individuals from receiving the services they need.
What is your greatest patient story in O&P?
I have encountered many powerful patient stories throughout my career, and it is difficult to single out just one. Each story is unique and impactful in its own way. These daily experiences give me a strong sense of purpose—they remind me why I exist in this profession and continuously motivate me to keep doing what I do.
How do you build rapport with patients in your care?
Building rapport goes beyond clinical interaction—it is about creating genuine human connection. I take time to listen deeply, understand each patient’s story, and appreciate their fears, expectations, and goals. I involve their families and support systems, recognizing that rehabilitation extends beyond the individual.
I focus on treating the person, not just the condition or the device. This means being present, showing empathy, and ensuring that patients feel respected, heard, and valued at every stage of their journey. By combining technical care with compassion and trust, I create an environment where patients feel confident, empowered, and actively engaged in their own rehabilitation process.
