Elections in Kenya today

Kenya is closed today. Apart from at the polling-stations, there is no activity anywhere. Much is at stake in today’s presidential election, not the least the question if riots and violence will erupt as the election result is published. Last time, in 2008, the country was partly on fire when angry supporters from different parties started to fight and loot. Thousands of people were killed, and the country was momentarily paralysed by inner fights. Today, the country is better prepared and both the military and police are prepared for the worst. When I talk to different persons with insight into the political system about the possibilities of new riots, the answers vary. There are built-in conflicts between the different leading tribes just waiting to explode. In the slums of Nairobi, in the western part of the country, in Rift Valley as well as on the coast, there most certainly will be conflicts.

At the same time, no one really wants fights and riots, as these severely hurt the credibility of the country. Kenya is the leading country in Eastern Africa and a motor for the development in the area, and it’s important to show the world that it is possible to keep law and order.

The 2013 election is the most important event in the area this year, according to several observers. Eight candidates are left, but the real choice stands between Uhuru Kenyatta, son of Kenya’s founding father Jomo Kenyatta, and Raila Odinga. Kenyatta is by the way accused of crime against human rights and is awaiting ICC. Odinga, who lost the last election with the smallest margin, has been expected to win up to now, when new polls point in Kenyatta’s favour. 50 % of the votes are required to win and today both candidates have around 45 % each. If one candidate does not reach 50% of the votes, there will be a re-election at the beginning of April.

Returning from Nairobi Sunday night, we got a glimpse of the forces that can erupt. In the usually calm and peaceful city Karatina,our car came to a total stop during an hour, when thousands of election workers welled into the city from all corners. There was a sudden aggression when a drunk man stood in front of our car. He jammed his fist on the hood and screamed at our driver, and then jammed the hood again, hard and repeatedly. Our taxi-driver responded calmly but the man screamed and hit the car again. Our driver got mad, stood on the gas pedal and drove off, and the man was forced to throw himself to the side. Let’s keep our fingers crossed that no real riots will take place.

New Year’s greetings from Kenya

We have celebrated the holidays without snow and cold temperatures and it’s time to catch up and summarize the past year.

During the last months the executive chores have taken a large amount of our time, both to plan and to implement. Things take a lot longer here; the pace and the priorities are different. A lot more supervision and follow-up activities are needed for things to be implemented at all. As well as clarity, direction and instructions, and sometimes even orders. That’s a new insight for us.

We have completed our market research in the village of Ex-Lewa to understand expectations on the Gundua Health Centre and how our services are perceived today. Some things stand out clearly.

We are seen to be expensive. Consultation, medicine, lab tests are all expensive. Compared with other similar businesses in the neighbourhood, we are not expensive, on the contrary. But the people here are extremely poor. However, we do need to charge at a minimum our purchaseprice-level to keep a sustainable business.

Another insight from the market research is that we need to work faster and with a higher service level. We want Gundua Health Centre to be perceived as the health centre with the highest quality, were the patients are well received and treated in a respectful way and as a place where the service is quick and efficient. Stricter routines for the flow of patients, medicine and payment have been necessary to get tighter control and follow-up.

We have had almost 4000 patients since the opening. The most common illnesses are bronchitis, arthritis, ameba and worms, yeast-infections as well as stomach and intestinal problems. More than 20 babies have been delivered and some of them have been forwarded to the hospital because of different complications. It’s however a positive trend from giving birth at home in the shed to getting proper delivery service. All newborns are given a baby-kit with a fleece blanket, soap, bathing bowl, baby clothes and care instructions. It has been very appreciated.

The teachers have now started to move into their homes, which is very nice. Finally all electricity is in place in the School and internet and computers are about to be installed as well. They are much anticipated by both students and teachers. Handymen in Kenya are the same as in Sweden – they don’t arrive as agreed, they don’t finish their work in time nor with the right quality, they suddenly disappear…

We are waiting for the results from the final exams at both schools as lectures are resuming after the Christmas break. Naturally, there are numerous challenges ahead of us, but the prospect for both the secondary and the primary schools look very good for 2013.

We conducted two big campaigns in late fall; World Aids Day and Cleaning Day.  You can read more about them in my previous postings.

For the spring we have other activities planned, for instance we will have a part time dentist on site.

And finally, I would like to convey that our work here is very inspiring and that it feels very nice to see that the Foundation’s efforts give such concrete results. Nothing of this would be possible without all our donors and sponsors.

A warm and heartfelt thank you to all of you for your kind and generous support during 2012. Looking forward to working together 2013 and onward!

Johan Bååthe, Gundua Foundation Kenya

World AIDS Day

Today, December 1, we celebrate World AIDS Day here on location in Kenya.

At the clinic, we’re running a campaign for this event by offering free HIV testing. Dennis Mutwiri, a VCT-counsellor, is volunteering to make all the tests. Fredrik and I were the first ones out, and we expect a great crowd around lunchtime when people can take a break from work.

Öppen motagning för frivillig HIV provtagning på Gundua Health Center: VCT-counsellor Dennis Mutwiri tar prov på Jessica Jubner Wegbratt, Medical Adviser/pediatric Nurse

In Kenya, it’s common to look up a VCT-counsellor (Volunteering Testing Counselling) when testing oneself for HIV. It’s also possible to do the test while seeking healthcare, either in the hospital or at dispensaries. The tests are free of charge, with the government picking up the cost.

If you test positive for HIV, you are sent to a CCC (Comprehensive Care Centre) for counselling, psychological support and, not least, medication. The government pays for these costs as well.

CCC is the body that registers the number of positive HIV tests and reports to the government. There is a large unrecorded number, however. In Kenya it is estimated that around 6% of the population is affected, i.e. registered. In the area around Gundua, as many as 20% of the population is registered. Many affected patients are so ashamed that they don’t register with a CCC, which is why the total number is probably much higher. Other patients ignore the results, not wanting to believe them, and don’t register for that reason.