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Grace completed specialist training in general paediatrics in 1996 in Nairobi University after which she was recruited as a lecturer in Department of Paediatrics and Child Health, University of Nairobi where she has been working to date. She has been an honorary consultant pediatrician for Kenyatta National Hospital, Nairobi University Medical School teaching hospital and the national referral hospital from 1996 to date. She taught Child Health to undergraduates and postgraduates before sub specializing in pediatric nephrology in 2001, in Phoenix Children Hospital Arizona.
Grace joined KEMRI /Wellcome Trust Research Programme in 2005 as a co-investigator in the Child and Newborn Health project. She participated in developing national, evidenced-based guidelines for the severely ill child and newborn. She also participated in development of the training programme for Emergency Triage Assessment and Treatment plus admission care (ETAT+), a training programme for the guidelines. She has been involved in the scaling up of ETAT+ in Kenya as well as its introduction in the Department of Paediatrics for both undergraduates and postgraduates.
She is currently working on a research project evaluating the uptake of best practice recommendations for management children admitted in Kenyatta National Hospital. This is a longitudinal study employing participatory research in a complex environment. She is registered for the PhD at Open University.