NAIVASHA, Kenya — Nancy Ndirango grimaced in pain as she waited eight hours at a hospital here with a broken right leg, the result of a fall on her way to school. But there was no doctor to see her because they are on strike.
“People can die,” Ndirango, 17, complained. “(The government) should pay them what they’re asking so they can get back to work.”
Ndirango’s plight at the eerily empty hospital in this town, about 50 miles north of the capital, Nairobi, is being felt by millions of Kenyans as a national strike by 5,000 public-sector doctors demanding better pay and work conditions enters its fourth month. They walked off the job Dec. 5 to protest the government’s failure to make good on a 2013 agreement to double salaries and hire thousands of new doctors to fill a severe shortage of physicians.
“Sadly it’s the lower class that’s suffering,”said Judy Karagania, a resident in opthalmology at Nairobi’s largest public hospital. Sometimes, overcrowding in Kenya’s underfunded public hospitals can be a matter of life or death.
Read the full story at USA Today.
One month after Al Jazeera published the story of Dorcas Kiteng’e’s struggle for cancer treatment in a nation whose doctors are on strike, the 25-year-old has died due to lack of proper care.
Some 5,000 public sector doctors walked out on December 5 after Kenya’s leaders failed to make good on a 2013 agreement to raise salaries, hire new physicians and improve conditions in public hospitals. The standoff between the health ministry, which lost $53 million last year due to corruption, and the doctors, continues to drag on. Nobody knows how many hundreds or thousands of Kenyans have died as a result of the government’s refusal to pay and the doctors’ refusal to return to work until that happens.
This is the story of one of those victims – the final days in the life of Dorcas Kiteng’e.
Read the article at Al Jazeera.
Young people across the continent aspire to careers in Africa’s blossoming information and communications technology (ICT) sector. But many encounter major barriers that prevent them from finding jobs in the industry. “We have a lot of young people. But unfortunately they come from neighborhoods that don’t have a lot of opportunities,” says Tim Nderi, the chief executive officer of Mawingu Networks.
“Do people have access to the internet, and is that access afford-able?” asked Microsoft’s Anthony Cook in an interview with Africa Renewal. “As you think about moving towards a knowledge economy, you have to be able to take the bulk of the population with you.”
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.
“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.