Kenya’s hospitals have almost ground to a halt, with millions facing a third month in a row without healthcare as doctors strike over low pay and poor working conditions.
The public healthcare system has long been overburdened and underfunded, but has now virtually stopped functioning after 5,000 doctors walk out in December after attempts to reach a compromise with the health ministry stalled.
“The machines break down frequently, the doctors are overwhelmed. The patients, they are so many that they are lying on the ground,” said Dr Judy Karagania, an ophthalmology resident at Kenyatta National hospital (KNH) in Nairobi, who is taking part in the industrial action.
Karagania and her colleagues are refusing to return to work until the government makes good on a 2013 agreement to dramatically increase salaries, hire thousands of new doctors and address drug and equipment shortages.
As the standoff drags on, Kenyans are suffering from the lack of care.
“The army doctors are turning away patients,” said Karagania, who normally works as a resident medical officer at KNH. “They’re only handling the emergencies of emergencies.”
Read the full article in The Guardian.
At Kakuma refugee camp in Kenya, workers face few humane options.
From Turkey to Pakistan, from Iran to Ethiopia, refugee workers are being forced to make painful choices regarding the future of more than 21 million refugees, part of a record 65 million displaced persons around the world. They must choose between political and economic refugees, individuals and families, the healthy and the sick, the elderly and unaccompanied children, gay and straight. They try to move those most in need of help to the front of the line for resettlement somewhere safe.
But when it comes to triaging the world’s humanitarian crises, there are few humane choices.
Read the full feature article in the February 27, 2017 edition of The Nation magazine or online.
Kijabe, Kenya – At the bottom of a winding, tree-lined road, a crowd of patients spills out of the entrance of a private hospital waiting room on to a patio and a dirt parking lot. It begins to rain, and a man on crutches tries to hobble into the cramped building for cover.
Sitting in a wheelchair outside the door is Dorcas Kiteng’e, a 25-year-old woman suffering from cancerous growths in her ovaries.
“They’re pressing down on the spine, they’re paralysing her,” says Mwende Mutambuki, Kiteng’e’s sister-in-law. “She can’t walk. Back pain, leg pain – I’m hoping it hasn’t spread.”
Kijabe is the third hospital they’ve visited since they arrived in the Kenyan capital Nairobi last week, looking for an oncologist who could perform the surgery, only to be turned away.
“They sent us to Agha Khan,” says Mutambuki, referring to the private Nairobi hospital that’s regarded as one of the nation’s finest. “But we know we were not going to be able to afford that.”
She fears time is running out to save her sister-in-law: “It’s a matter of life or death.”
Two months ago Kenya’s public sector doctors walked out on strike, and millions of Kenyans who normally depend on them are beginning to overwhelm the nation’s private hospitals, particularly in rural areas.
In 1992, the U.N. formally recognized Kakuma as a refugee camp — a temporary shelter. A quarter-century later, Kakuma hosts more than 150,000 refugees — victims of all manner of East African calamities, from Ugandan homophobia to political unrest in Burundi. Presently, it is filling up once again with people fleeing civil war in South Sudan.
Long before the Syrian civil war, before millions of people began fleeing to camps in Turkey, Jordan, and elsewhere in search of safety, Kakuma was something of an icon in the global refugee crisis. Today, it stands as a solemn reminder of the permanence of humanity’s displaced masses.
NAIROBI, Kenya — On a sunny afternoon in Nairobi, 37-year-old Francis Raymond Adika climbs into the front seat of a matatu, or public transit van, and slides next to the driver.
“I lost my brother in an accident,” says Adika. On August 15, 2001, a matatu was speeding down the wrong side of a two-lane road in Nairobi trying to pass traffic. When it swerved back into the correct lane it slammed headfirst into a truck. Adika discovered his brother’s body in the Nairobi morgue. He was 19, just days away from his high school graduation.
A Jesuit missionary who travels extensively across Africa, Adika says it isn’t just in Kenya where people lose their lives to reckless driving. “I lived in Tanzania, Zimbabwe, Zambia – the carnage was just the same.”
Each year, 1.24 million people die in road accidents worldwide. By 2030 that number is expected to triple to 3.6 million, making road deaths the fifth-largest cause of death in the developing world – worse than AIDS or even malaria, according to the World Health Organization. Africa is the hardest hit, with 26 road deaths for every 100,000 people – nearly 50 percent above the global average.
But a series of scientifically rigorous, randomized control studies by Georgetown University may have found a simple way to dramatically reduce deaths on East African roads. By placing stickers inside buses and matatus that encouraged passengers to tell their driver to slow down, researchers discovered that the number of insurance claims fell by half for long-distance vehicles and by one-third overall.
Read the full article at U.S. News & World Report.
Meet Fathom, the world’s first-ever cruise line for vacationers who don’t just want to do beaches, spas, and shopping, but to do good.
Launched in April, Fathom consists of a 704-person ship, the Adonia, that sets sail every two weeks from Miami to Puerto Plata, where cruisers volunteer to plant trees, build floors, teach English, and otherwise make the Dominican Republic a better place. (On the off-week, the boat heads to Cuba.) But Fathom isn’t the handiwork of some Christian missionary or celebrity NGO. It’s a subsidiary of Carnival, the world’s largest cruise operator, with revenues of $16 billion a year.
Fathom exists to make money, but it also exists to fill a growing demand in the global-tourism industry: volunteering, a trend widely referred to as “voluntourism.” More than 1.5 million people vacation to volunteer, spending about $2 billion annually. Fathom may be the largest single manifestation of that trend to date: In its first year, it claims it could ferry 18,000 passengers who could generate upward of 200,000 volunteer-hours—the equivalent of more than 100 full-time NGO workers. It calls its program “impact+travel.”
It’s a bold claim.
Read the full article at VICE.com or in the November 2016 issue of VICE Magazine.
The death toll from Hurricane Matthew in Haiti—now officially at 336, though likely far higher—is a big part of why the world is paying attention to Haiti right now. It’s in the headlines, it’s in the ledes. It’s the reason news agencies continuously hunt for the highest figures: The higher your death toll, the more fresh, the more ominous your reporting appears, and the more likely it is that TV news stations, newspapers and news websites will choose your story over your competitor’s.
We should care that hundreds of people have died. But we shouldn’t only care when a storm hits. More than 9,000 Haitians have died from cholera in the six years since the United Nations introduced the disease there. Diarrhoeal diseases kill at least 4,600 Haitians each year. Those diseases are usually brought on by lack of clean water and sanitation — things with relatively simple and low-cost fixes that neither Haiti’s government nor the international aid community has invested in sufficiently to fix.
A friend of mine who works for a major aid organization in Haiti messaged me last week that “it’s awful trying to get to the south with the bridge down, blocked roads, etc. So sad.” She’s talking about a bridge on the same road I traveled back in 2010 to cover hurricane Thomas as it struck Haiti’s south. Indeed, bridges in Haiti fall frequently when storms hit. Without them, aid workers can’t get to the affected areas easily, or at all.
How many of us have opened our wallets in the past five years to donate to the construction of bridges in Haiti — or roads?
More to the point, how many news outlets that are gaining clicks and ad revenue by reporting on the current death toll in Haiti bothered to report on any solutions to Haiti’s chronic infrastructure or health problems in the past? Absent any solutions-oriented coverage, the recent barrage of news about the tragic toll of Hurricane Matthew feels an awful lot like disaster porn.
“We have a bad, bad story,” begins Gloria Ibara, a refugee from Burundi and the mother of four. Sitting on a mattress in a simple Nairobi apartment, she tells me of her problem: “They want to kill our family.”
Gloria, whose bright smile accents her worn face, was born in rural Gitega province to a family of farmers. As her children grew, Gloria came to realize her son Eric was gay. (The names of the family members have been changed out of concern for their safety.)
At first “I told him to stop, that it’s not good,” Gloria says. But over time she decided that “that’s the way he was, and he couldn’t change it.” So she went on loving and caring for him just the same.
In many parts of East and Central Africa where homophobia is rife, parents react harshly on learning that a child is gay. Parents feel enormous pressure to either “fix” their gay kids or disown them. I’ve met dozens of LGBT refugees who have fled their home countries and escaped to Kenya, and only one—a woman, also from Burundi—wasn’t disowned by her family. So when Gloria learned that her son Eric was gay, it was extraordinary for her not to reject them. Stunned as she was when she later found out that her older son, Claude, then well into his teens, too was gay, she supported him too. It’s for that reason that they are now a family on the run.
Randomized controlled trials are the popular centerpiece of an emerging data-driven approach to figuring out precisely the best way to end poverty. Can a return to the scientific method fix the global aid industry?
For too long, “accountability” in the aid industry has meant nothing more than ensuring that a donor’s money was spent the way an agency said it would be. Rarely did organizations examine whether their spending achieved a positive impact (improved access to water, for example), much less one that stood the test of time (meaning the well didn’t dry up).
But recently, many aid organizations, including theInternational Rescue Committee, a New York humanitarian aid group specializing in refugee assistance, have used RCTs to, among other things, evaluate methods for nudging parents in Liberia toward more effective parenting techniques and tocreate highly effective community savings-and-loan programs to combat poverty in Burundi. It’s easy to see why charities are attracted to RCTs: They can make an aid agency’s work more efficient and generate solid evidence of progress to show funders.
As organizations continue to conduct more of them, RCTs are disproving many myths upon which we’ve designed development aid for years, not least of which is our longtime preference for projects over cash. If the data shows, as the RCT of GiveDirectly’s Kenya program did, that it’s most effective to hand a family $1,000 with no strings attached, then that’s precisely what we should do.
Read the full article in the July/August print edition of Pacific Standard or online.
Where is Chinese Money invested in the DRC?
Sébastien Le Belzic, Le Monde
“The problem is the carelessness of the Congolese government,” says Jacob Kushner, an American journalist who has long worked on Chinese investment in Congo. In its investigation, which began in 2013, it already highlighted the gap between the enormity of Chinese investment in Congo with the poverty of the local population. “Chinese investment in Congo has always been very important with big contracts traded from state to state. Infrastructure projects, mining, as well as small restaurants and shops created by Chinese migrants–these are two different worlds that I wanted to study to see how the Chinese investments have changed Congo,” he says. “But what has really changed is the crisis and the great fear for Africa that these Chinese investments are decreasing … Africa depends heavily on China, too much perhaps. ”
“The question everyone asks is: how have Congolese politicians used the money invested by China in their country?” Jacob Kushner asks. “There needs to be more transparency on these mega-projects and the debts they generate.”
“You can see that in this country we have a lot of resources,” lawyer, opposition party senator and prominent critic of the government’s dealings with China Emery Kabamba told Kushner for his eBook. “But where is the proof that we are really enjoying it? Go ten meters from here, you will see the situation. Five minutes from my office you will see people who don’t have electricity.”
Read the full article at LeMonde.fr/Afrique