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Targeted Next-generation Sequencing and Bioinformatics Pipeline to Evaluate Genetic Determinants of Constitutional Disease
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Utilization of genomic services among physicians in Kenya
Hillary Sigilai1, Elijah Ogola1, Syokau Ilovi1
1Department of Clinical Medicine and Therapeutics, University of Nairobi, Nairobi, Kenya.
Plos One
|December 10, 2025
Summary
Physicians in Kenya face challenges in providing genetic services due to insufficient training and high costs. Improving genetics education and specialist access is crucial for better patient care.
Area of Science:
- Medical Genomics
- Clinical Genetics
- Physician Education
Background:
- Genomic medicine is increasingly integrated into healthcare.
- Physicians are essential for delivering primary genetic services.
- Technological advancements necessitate physician involvement in genetics.
Purpose of the Study:
- To assess genetic service delivery by physicians in Kenya.
- To identify factors influencing genomic medicine integration.
- To understand physician perspectives on genetic services.
Main Methods:
- Online, descriptive, cross-sectional study.
- Anonymous, self-administered questionnaire used.
- 190 physicians and physicians-in-training participated.
Main Results:
- 87% lacked formal genetics training; 80% evaluated genetic patients.
- Low involvement in genetic testing (31%) and pharmacogenomics (29%).
- Barriers include limited specialist access (80%), lack of guidelines (86%), and high costs (93%).
Conclusions:
- Low uptake of genomic services is linked to inadequate training and high costs.
- Limited genetics specialists and referral guidelines hinder service delivery.
- Addressing these barriers is vital to enhance genetic care access.
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