Home Blog Page 52

Melvin Barongo Talks About her Life with Fistula for the Last Ten Years

4

Remember there was a free fistula medical camp being advertised on television a few weeks back in July? The camp was organized and supported by among others, the Flying Doctors Society of Africa, the Freedom from Fistula Foundation, Kenyatta National Hospital and Citizen Television. I went to visit some of the women in hospital during that time and while there, I met one lady called Melvin Barongo and her husband Eric Otieno.

34 year-old Melvin Nyamao Barongo had been living with fistula for the last ten years ever since she delivered her first child in 2004. She told me that after she delivered, she noticed that she was leaking urine but thought it was something normal that all mothers who had given birth naturally go through.

On the few times it really bothered her, she thought to ask other women about it but never did so because it was too embarrassing. Also, she assumed that every other mother suffered in silence just like her so why should she talk about it yet other mothers before her weren’t doing so?

Then, closest person to her –her twin sister had delivered via caesarean section so she knew she couldn’t possibly know anything about it (since remember she thought that only women who deliver naturally are the ones who have a leaking urine problem).

Melvin told me that she kept the issue a secret from her husband until the day he asked her why their newborn son was consuming too many diapers. Eric was worried, thinking his son had a medical problem. What he didn’t know was that both mother and son were using the diapers! And that was when Melvin revealed the truth to her husband.

But she still didn’t seek treatment for it until five years later. Why? Because she was too embarrassed to do so. Melvin and her husband are based in Mombasa, Coast province. She sells clothes while he is a clerk at a bus company.

When she eventually sought treatment at a local health center, Melvin was told to do physical exercises that would help stop her urine leaks. She was told to walk around and do kegel exercises. None of this helped stop the continuous flow of urine.

In 2012, the couple had their second son. The leaking urine problem still persisted. She never mentioned it to any of the nurses who attended to her delivery.

During my interview with her, Melvin showed me the diapers that she had been using for the last ten years. She pulled out a handful of Pampers diapers size 5. Totally broke my heart listening to her and watching her remove those diapers. Those are the size of diapers that my three year old son Kitty uses for the night!

“Maryanne you have no idea the kind of life I have lived for the last ten years. Can you imagine wearing a diaper every day and every single night for the last ten years? My sons outgrow the use of diapers, but yet I still continue using them,” she said.

Melvin told me she’d go through about five diapers in a day. All through the ten years, her husband ensured she had a constant supply of them. The adult diapers would have been too expensive for their family budget, so the kids’ diapers are the best they could do with.

During this time, Melvin stopped visiting friends and relatives because she would always be scared that the diapers would leak. So she just kept to herself. Or even if she really had to visit someone, she would avoid taking any liquid so that her bladder wouldn’t fill up. She would also hold back any laughter and would suppress coughs as any of these activities would make her urine gush out and perhaps cause the diaper to leak –something she couldn’t dare risk. Imagine that.

So one day last month as she and her husband were having dinner while watching tv, they chanced on an advert on Citizen television calling on all women who leaked urine or faeces to make their way to Kenyatta National Hospital for free screening and treatment. And they wasted no time. They quickly packed their things, booked their tickets and came to Nairobi.

On 24 July 2014, Melvin had her successful fistula repair surgery. She did not pay a shilling for it. And her husband was there with her all through her admission in hospital, which was about two weeks. When I met Melvin at KNH’s Ward 42 which is where the fistula patients were kept before being transferred to Ward 1B for recovery, I actually thought Eric was a member of staff because he was always there chatting happily with the nurses and he seemed to know his way around the place so well. Turns out he was her husband, and had never once left her side all through her admission. He reported to her ward every morning and was the last visitor to leave at night, a routine he did for a whole two weeks!

He told me that all through the ten years of his wife’s fistula, he too felt like he had fistula.

“It has been a long journey for both of us and I have walked with her all through it. That is why I am here with her during this final step as well as it has been my journey too. I am so happy because it will be a new beginning for us,” he excitedly told me.

Well, Melvin is one very lucky woman. Many women with fistula have had their husbands leave them because they cannot stand the smell and the general association of urine or leaking faeces.  As you may know, sexual relations with a woman who has fistula can be very challenging and many men do not hang around for long.

But Eric did.

The couple has since returned to Mombasa. Last Saturday, Melvin called me to update me on how her life has changed.

“I am so much happier, I keep coughing intentionally just to check if my panty is stained, but it remains dry. Now I can even burst out into laughter without having to worry about a urine gush. I can now go for chama or visit my friend and drink the tea they offer me without any reservations. I cannot believe that I don’t have to wear a diaper at night or during the day. I keep checking myself thinking that I’ve wet my clothes, but I see no stain. I still think that I’m dreaming. You have no idea what that surgery has done for me,” she told me.

Wow. Happy for her too! :)

Seeing how her life has transformed in just those few weeks, you just have to commend those NGO’s that fundraise so that people like Melvin can have a better life.

Are you implementing a community project targeting mothers that you’d like me to write about? Email me on maryanne@mummytales.com and I’ll get back to you.

Introducing Nabubwaya Chambers, a Kenyan Mom (by birth) Raising her Family in the US

0

I’d like to introduce you to a Mummy Tales reader who will be regularly contributing posts here. She is Nabubwaya Chambers, a Kenyan married to an American. Together, the couple has an adorable eight-month old son called Lema. The Chambers family is based in Texas, USA.

Nabubwaya moved to the US three years ago, and she will be giving us a glimpse of how life is raising a child in the US with her Kenyan background. Nabubwaya and I grew up in the same estate (BuruBuru) and so I’m especially keen to see if she’ll pass on any related influences to her son ;) I shall be anxiously looking forward to her posts. I hope you will too.

Here is her first post:

“My husband and I have been blessed to have a beautiful baby boy whom we love to call Lema. He was born eight months ago in the US. Pregnancy for me was a world of firsts. Never been pregnant before, I never knew how things would progress, what to expect or what to do in the event I needed to do anything out of the ordinary.

Everything was all brand new and exciting. Thankfully, I was able to work a full time job at a specialty hospital that required me to juggle 12-16 hour shifts per week, which mostly meant I was on my feet a lot. It was a great challenge but I managed to pull through well. With the many bills that need to be paid in the 21st Century, we just can’t afford to saunter through life without working!

You bet I would put on my baggy scrubs and dash off to work to earn a living despite the back and leg pains associated with pregnancy. I must admit I was scared to face the isolated rooms that required me to suit up. This helped me protect myself and my unborn baby from any lingering infections that existed in that room. Well, if you have never believed in the power of prayer, please entertain the thought that it does work. I would literally say a prayer before the start of my shifts and the end of my shifts. Thankfully, I managed to work right up to the last day of the week before Lema was due.

Shangwe na vigelegele!!!!! accompanied Lema’s birth at the hospital. We imagined a whole gang of Maasai warriors and isikuti dancers performing an unmatched ensemble to welcome our little warrior. Lema was born on 16 November 2013. His was a natural birth after I labored for about 20 hours at the hospital. Though I remember out of great anticipation and excitement, we had tried to make him arrive earlier than he wanted to come…we had tried the reasonable and safe things you have heard works wonders, read the celebrated ‘What to Expect While you are Expecting’ book, listened to wise stories from our mamas, experienced friends, and relatives, and tasted all things nice that may speed up the labor process.:)

Alas, our timing was not baby Lema’s timing. Mama and Baba just had to wait for Lema to jipanga nicely and make his debut when he was ready. You should have seen us perambulating along the hallways of the hospital for hours during the labor.

The numerous lunges and sitting on the birth ball for hours were part of the 20 hours before our ululation moment. We were fortunate to have a doula that gave us her undivided attention and ensured we were well taken care of. I appreciate American healthcare for providing free doulas even weeks before labor officially kicks in. They can be reached at any time and are always willing to help with advice and exercises to help welcome the baby.

After two good days of thorough tests and round the clock visits by our medical team, lactation specialists and friends, we were discharged to go home and start raising Lema the best way we could.

We can say it has been one adventure after the other. Now here in America, we can’t easily afford to hire help or randomly approach a neighbor to come into our home to help us watch over Lema as we catch up with the one million things new parents need to catch up on (cue sleep as number one requirement on this list).

Baba Lema and I took turns sleeping/napping, doing chores, keeping the house afloat, waking up to soothe Lema when he cried, and I woke up every time to breast feed Lema during the wee and normal day time hours. Baba Lema would then proceed to work all day and part of the night long, then head back home to help take care of his pride and joy. I would be left alone at home to take care of our baby with one eye open and the other closed on some occasions. Ah, the good ol’ early days of new parenting.

There really is no excuse out there in the universe that prohibits men from helping raise their own babies. Baba Lema has done it wholeheartedly and continues to do it while we both juggle jobs in this fast paced culture. He holds back complaints and negativity as he continues to help us face everyday life. Thank you, Baba Lema for being a wonderful father and husband time and time again.

Why You’ll Never See Adverts for Infant Formula Milk in Kenya

7

Have you ever seen adverts for infant formula milk, breastfeeding bottles, bottle teats, artificial nipples, pacifiers, powdered milk or complimentary feeds for babies below six months of age?

And when in hospital after you had your newborn, you may have had some marketing people come over to you and promote some baby products such as diapers, but yet you’ve never seen anyone talk to new mums about which formula milk they should buy.

Have you ever wondered why? Well, because it’s against the law to do so.

According to the Kenyan laws, it is illegal to market breastmilk substitutes and related products to pregnant women, mothers or health professionals. While these products can be accessed by a new mum if she so wishes, the issue is that she should not be faced with deceptive messages that portray infant formula as superior to, or equivalent to breastmilk.

There is alot of power in advertising, and apparently, some of the pictures or messages contained in ads promoting breastmilk substitutes may make some mothers less determined to breastfeed their babies if they know that there is a product they can buy that is just as good as breastmilk.

Similarly, pictures of fancy breastmilk bottles may deceive a mother into thinking that they are just as good as her own breast so she doesn’t really need to do the actual breastfeeding (which any mum will tell you requires lots of commitment, hard work, time, effort and energy. And sometimes blood and tears, but every bit worth it).

Aside from that, these substitutes can also put the lives of the infants at risk. The occurrence of diarrheal and other diseases for such children are high because they are not accessing breastmilk (which contains loads of antibodies that help offer the baby immunity from various infections).

A new mum.
A new mum.

Additionally, if the milk is not prepared well (in the correct proportions and with clean water in hygienic conditions) or the feeding equipment sterilized, the baby could easily fall ill.

Kenya’s Ministry of Health’s policy direction with regard to breastfeeding is that babies below six months should be exclusively breastfed –that is giving baby breastmilk alone and nothing else –NOT even sips of water, foods or other liquids aside from medicines prescribed by a doctor. This is because breastmilk contains all the nourishment that a baby needs during that time for its healthy growth and development.

The law about non-promotion of breastmilk substitutes and related products is all contained in the Breastmilk Substitute (Regulation and Control) Act (2012). It includes some of the following main provisions:

  • There should be no advertising of products under the scope of the Act to the public.
  • No free samples should be offered to mothers.
  • There should be no promotion of products in health facilities.
  • Health workers should not be offered these products as gifts.
  • There should be no words or pictures on the labels idealizing artificial feeding, including photos of babies.
  • All information on artificial infant feeding must explain the benefits and superiority of breastfeeding, as well as the costs and hazards of artificial feeding.

And that is why you’ll never see these ads in the newspaper, magazines, on websites, on television or radio or any other form of media. You’ll also never see them being promoted in supermarkets anywhere.

And that is also why new mothers in hospital will never be given tins of formula or breastmilk bottles as gifts to take home with them as they leave the hospital. Or when they go for clinic they will never be given as free samples. You will also never find leaflets, posters or brochures talking about these products in any health facility.

All because all measures need to be undertaken to encourage mothers to breastfeed their babies and not easily consider alternatives. Why? Because breastmilk is best. And by the way infants who are not breastfed are 15 times more likely to die from pneumonia and 11 times more likely to die of diarrhea than those who are exclusively breastfed for the first six months of life (UNICEF). So Kenya is committed to curbing and regulating any efforts that undermine the practice of breastfeeding and the benefits of both breastfeeding and breastmilk.

So there you go. Hope you’ve learnt something new today 🙂

Do you have any comments about this article? You may do so in the comments section below.

You may connect with Mummy Tales on: YOU TUBEFACEBOOK l INSTAGRAM l TWITTER 

My Day at World Breastfeeding Week Launch at Pumwani Maternity Hospital

0

Today marks the start of the World Breastfeeding Week, which runs from 1 – 7 August 2014. As usual, I always attend the launch of the event as I am breastfeeding advocate number one :) (especially exclusive breastfeeding). You can read my last year’s post here.

During this month, you will see me writing alot more breastfeeding posts, in a bid to continue creating awareness on the immense benefits of breastmilk and breastfeeding.

So I have spent today at Pumwani Maternity Hospital where the celebrations were being officially launched. Here are some photos of the event.

This is first time mom Jane Muthoni who I met at the wards. The 21 year old cashier at a hotel was overjoyed as she held her baby. She delivered Falzana Wanjiku who weighed 3.4kg at birth. How cute! And by the way Jane had delivered her baby this morning. #strongwoman

The Community Health Workers in Kamukunji performed an interesting skit. At the end, they invited the audience to dance along with them. This is KBC’s Marie Yambo returning to her seat after doing a jig :)

The event was graced by among others, Rachel Nyamai -Member of Parliament for Kitui South and chair of the Parliamentary Health Committee as well as the wife of Nairobi County’s deputy governer Mrs. Catherine Mueke. They did ward rounds where they had a chat with new moms and talked to them about the importance of breastfeeding.

So that was my day today. I’ve just gotten home, very tired. It was good day, plus it was also nice to board those number 9 matatu’s to Eastleigh which I hadn’t boarded in quite a while!

By the way I took those rickety old ones and I paid 50 bob. I sat next to the driver and in conversation he told me that “you see that manyanga (pointing at one new, souped up, graffiti drawn, sparkling rims, boom-twaf matatu), they would have charged you 100 bob”. And the rickety ones by the way are the ones that fika mwisho of huko Garissa lodge, while the manyanga’s just turn somewhere along the way before the end stage.

So I asked why 100 bob and the told me they charge an extra 50 bob because you get to listen to music in them. Clearly I’m old because I don’t understand how I can pay an extra 50 bob for a distance of about seven minutes. (town to Pumwani Hospital took about 7 minutes and it’s only because we stopped stopped along the way as some people alighted).

A whole 50 shillings extra??? How many banana’s are those I can buy for my boys? Weeeee! No.

Anyway have a lovely weekend, and in your own capacity, try and encourage every new mom to breastfeed. Also let her know that it’s possible to hack exclusive breastfeeding for the first six months. I did it with my first son (when I was employed) and I did it with my second son (when I was self-employed). With determination, all moms can achieve this.

Talk to you next week God willing!

Caroline Kinyanjui: I Have Been With My House girl for Thirteen Years

23

Caroline Kinyanjui, 38, has maintained one housegirl for the last thirteen years. Married with a 14 year old son Trevor, Caroline stands out among many moms I must admit. This is because it is quite difficult to maintain a housegirl for long in many Kenyan households today. Even managing a year is quite an achievement!!!

Nowadays is not like those days when our moms would maintain housegirls for years and years. Something seems to have gone wrong somewhere and I have no idea what it is because there seems to be a very high turnover of them in many homes.

Whether the problem lies with we as employers, or the housegirls as employees, or both – I don’t know. What I know is that I spoke to Caroline because I was curious to know just how she had managed 13 years with the same housegirl. The lady went to work at Caroline’s place when her son was just one year old. I had an interview with her for purposes of picking up any tips and advice on what she’s done (and not done). Here are details of that interview.

 

MT: Thanks Carol for agreeing to share your story. Where did you get your housegirl from?

Ck: I got her from the Salvation Army Girls Centre in Kariokor, Nairobi

MT: How old is she?

CK: She is now 36 years old

MT: How has your experience with her been?

CK: I would say pleasant. She had previously worked in similar settings as my household, so the settling in for her was easy. Besides, she was easy to train around what my requirements were. The Salvation Army Girls’ center also equips them with training on basic things like cooking, cleaning and home management so this made things easier already.

By the way I had no time to train her as my previous housegirl had left for the ‘village’ and not returned as agreed, so I found myself in a very stressful situation one Monday morning.

MT: What qualities does SHE have that you think have enabled her to stay with you that long?

CK: I would have a long list but let me zero down to what really matters in any human interaction:

Honesty – she is very honest as when she messes, she will always inform me even if it means calling me when I am at work.

Respect – she respects boundaries. She has never crossed the line I would say.

Responsibility – I can trust her to run my home when I travel. And whenever I give her time or days off, she will always come back on the agreed date without fail.

Taking initiative – when my son Trevor was younger, she would spot issues in good time. I remember she was the first one to notice that he was uncomfortable when he had a condition called phimosis and immediately notified me.  She also notices when my dogs are unwell and alerts me in good time.

MT: What qualities do YOU have that you think have made her stay that long?

CK: I am patient; I don’t dismiss someone without giving them time to prove themselves.

I also respect contracts; I have never paid her late even for one month. Her contract says that she should be paid by the last day of the month, and I pay her by the 27 or 28th day of the month.

People tell me I am diplomatic in the way I approach issues, maybe this has helped on those days when we have to discuss issues of performance or when things going wrong.

MT: Do you allow her to discipline your child?

CK: No – disciplining my child is my sole responsibility.  Her work is to report any wrong doing to me. So my son knows she is an authority in that way.

MT: You mentioned you give her days off…

CK: Sunday is her official off day. Public holidays are free for her as well.  I also allow her to go off during Christmas and Easter Holidays. Her contract allows for an annual leave but she prefers to get a pay instead of taking the days off.

MT: When she falls sick, who takes care of her bills?

CK: I have always paid for medical consultation and cost of medicine whenever she falls sick.

MT: Are there any restrictions on the use of some basic stuff in your house?

CK: In my house there are no restrictions in terms of access to toiletries and food. My store is open so she can access soaps, toothpaste and the like.  I give her some amount over and above her salary or a shopping voucher at the end of the year. I have always done this from the day I employed her, I guess I realized I had a gem from the word go.

MT: Do you treat her like a friend, a sister, or do you have a ‘strictly business’ approach?

CK: I treat her like I would treat a relative, say a cousin. I make sure she is comfortable and I always ask her about the welfare of her family, just to make sure that they are okay. If there are issues she will always tell me and I follow up with her later to show concern and sometimes even offer her my opinion. It makes me understand her better and the issues she could be dealing with. Sometimes when I notice some family issues could be disturbing her, I give her like a weekend off to go and settle them.

MT: What advice would you give fellow moms about how to relate with their nanny?

CK: First of all is to know that you leave them with the most valuable item – your young ones. So don’t be mean to them. Some mistakes are negligible, so save your energy and fights for serious issues. Relate to them as human beings, they could be going through personal issues which by extension may affect their work. In short, get to know your employee.

MT: There are those who say that no matter how well you treat a housegirl, they will still do you bad. What would you say about that?

CK: In all spheres of life relations there are people who will do you bad however well you treat them and it also applies to the world of nannies but not all are bad. It all depends on luck and the relationships you create. Human beings are meant to be social in nature and chances are you will find that when you treat them nicely, you get the same treatment in return. Just treat them well, give them space.  Imagine they are employees just like you might be an employee of an organization.

MT: Thank you Caroline for sharing your experience with us.

So, anyone else who has managed to keep a housegirl for many years and would be willing to share their tips too? Email me on maryanne@mummytales.com so that I can share your tips too with fellow moms.

MT: For all the moms asking, sorry I don’t have the contacts of the Salvation Army Girls Center in Kariokor and neither does Caroline. 

Also See: Why I Took in my House Girl’s Child to Stay with Us

Questions you Need to ask When Interviewing a House Girl

You may Also Like to Read:

12 Questions to ask When Interviewing a House Girl

I’ve Been with my House Girl for 9 Years. Here’s What I’ve Learnt so Far that has Helped us Stay that Long

The Day I Found out my House Girl was HIV Positive 

Mummy Tales is a blog dedicated to empowering its readers on different aspects of maternal and newborn health, as well as various issues surrounding motherhood and women. Read more motherhood experiences of Kenyan moms hereFollow Mummy Tales on: FACEBOOK l INSTAGRAM l TWITTER 

Valentine Wamwangi: I Almost Lost my Baby at Birth

0

About three weeks ago, I ran a competition on the Mummy Tales Facebook page where one lucky winner was to win two packets of Pampers Premium Care diapers containing 44 diapers each. All a mom needed to do to win was upload a photo of herself and her baby, with a comment about the best advice she received when she was a new mum. She then needed to get her friends to like her photo and comment, and the one with the most likes was to be the winner.

Four moms participated in this, and one of them emerged winner with a total of 160 likes on her comment. The winner was Valentine Cutesmile Wamwangi who posted a photo of her and her baby, and shared the following advice she was given when she was a new mom:

“The best advice ever from my mummy was to use only Pampers and Pampers alone, that other diapers were not good for a baby. We are 3 months and still never changed. I am still following the advice and so far so good!”

Congratulations to Valentine. Here is a little about her:

MT: Is this your first child?

VCW: Yes, it is my first child. he is now sixteen weeks old.

MT: How was your pregnancy with him?

VCW: It was a good pregnancy and I had no complications.

MT: Any cravings you had?

Yes! I used to crave a coke soda, combined with mangoes!

MT: What did you like most about your pregnancy?

VCW: I liked the fact that anytime I was bored I would touch my belly and he would kick so hard!

MT: What was the greatest challenge during the pregnancy?

VCW: This has to be the backache, nausea, vomiting and swollen feet.

MT: What do you feel when now you look at your baby?

I feel so lucky that I have him. After a good pregnancy, I almost lost him at birth and I thank God that he saved both of us.

MT: What happened during delivery?

VCW: I went to hospital the day before my due date, and I was induced. Unfortunately, I started bleeding so much and they told me that I would lose my baby if they didn’t take me to theater. So I ended up having an emergency caesarean section. Thankfully we both survived.

MT: Has motherhood changed you in any way? If yes, how?

VCW: Yes motherhood has changed me alot. I used to be a very outgoing lady, but nowadays I’m just an indoors chilled out woman.:) MT: What advice would you give other new moms?

VCW: Always try and understand your baby, bond with him at any opportunity you get, such as during bathing and feeding. Actually, breastfeeding is the best bonding time ever for mother and baby.

MT: Why do you like Pampers diapers?

VCW: I use Pampers diapers because they are the only ones that have never given my baby any diaper rash!

Thanks Valentine and to all the mother moms who participated.

When the Nurse is on Leave, the Dispensary Remains Closed (Kitui County)

1

I recently travelled to Ukambani, specifically Mwingi district in Kitui County to have a feel of what maternal health there is like. I visited two clinics: Nyaani dispensary and Kakululo dispensary.

My first stop was Nyaani dispensary which is in Nuu location, Mwingi East district.

This dispensary is served by Damaris Wanjiru, a midwife and community nurse who has worked there since 2011. Damaris is the only health provider in the dispensary that serves a population of about 7,400 people.

Damaris sees all the outpatient clients (both male and female, adults and children alike). She also attends to those seeking family planning services and sees pregnant women who come for antenatal services.

Damaris is also the one who single-handedly delivers babies at the facility. She is the one who immunizes children and does routine checkups for babies.

But that’s not all. Damaris is the one who does nutritional counselling and runs the supplementary feeding programme at the facility.

She is the one who undertakes all managerial responsibilities at the facility. Basically, 29 year-old Damaris is a one-stop shop in herself.

Damaris works Monday – Monday from 8am – 5pm for three weeks straight. On the fourth week, she takes a break and travels to see her four year old child back in Nairobi where her family is.

When Damaris is on leave, Nyaani dispensary remains closed until the day she returns. When she falls sick, the dispensary remains closed for the day.

During such times when she is away, patients seeking health services either have to wait for her return, or have to find their way to the nearest health facility, which is about 7 kilometers away. The pathways in Nuu location where Nyaani dispensary is located are rough terrain. The roads are inexistent. All there is are dusty paths, stones and rocks. Combined with the scorching heat and lack of water in the area, the journey for a pregnant woman or a sick person can be quite challenging.

The next health facility I visited was Kakululo dispensary in Nguutani location, Migwani district. There, I met Miriam Macharia, a midwife and community nurse who runs the facility.

Miriam has been working in Kakululo dispensary for the last five years. And just like Damaris, she is the only health worker at the facility which serves a population of about 6,000 people.

Miriam undertakes all tasks that pertain to provision of health services to all patients seeking services there. Just like Damaris, she offers outpatient services, maternity services and child health services including immunization and nutrition services.

Miriam is responsible for all the operations of the health facility. When she goes on leave or when she falls sick, Kakululo dispensary remains closed, meaning that those who wish to access health services either have to postpone their visit, or find their way to the next health facility, which is about 6 kilometres away.

Mr. Paul Musai, a Public Health Officer in Kitui County where Nyaani and Kakululo dispensaries are told me that while Kitui County has a good number of health facilities, the problem is that there are not enough health workers.

“We have more than 20 well-constructed dispensaries that can serve the population adequately. The problem is there are no health workers to serve people. What is the point of having beautiful structures that have no patients because there is no one to serve them?” he asked.

At the time of talking to him (July 2014), Musai informed me that three dispensaries were at that very moment shut because the nurses, who single-handedly operate the facilities, were on maternity leave.

The irony, according to Mr. Musai, is that there are plenty of professionally trained health workers in Kitui County who are unemployed because they cannot find jobs. Yet dispensaries remain closed because there are no health workers.

The fact that a health facility can remain closed because someone is on leave is very sad. Even if patients are advised to seek services at the nearest health facility where walking is the only form of mobility, it is highly unlikely someone will do so if the nearest health facility is more than 5km away. Now imagine the case of a pregnant woman, especially one in labor. Will she really make it?

Now, considering that over 70% of Kenya’s population lives in the rural areas, I believe that Nyaani and Kakululo dispensaries are representative of the situation in many parts of the country.

But Musai tells me he knows where exactly the problem is.

“There have been lots of challenges because of devolution. There is alot of confusion between the roles of the central government versus those of the county governments about matters of hiring and deployment of public personnel, as well as issues to do with their salaries.

The way I understand it is that the county government is the one that is supposed to recruit and deploy personnel, with the national government taking care of their salaries. So in my opinion, the Kitui county government is the one that is lagging behind, since it is over a year now and they have not even began the process of advertising the jobs, let alone interviewing candidates. Meanwhile, our sick men, pregnant women and children continue to suffer,” he says.

Following the adoption of a new Constitution in 2010 and subsequent devolution in 2013, Kenyans were hopeful that there would be improved services in many sectors, including health. They knew that they would have access to better services provided for them by their county governments.

Today though, many Kenyans are disappointed. Access to quality health services still remains a huge challenge for them –as devolution of health services continues to be a huge teething problem.

The issue of health worker shortages is really a serious one. This problem is more heavily felt in the rural areas than urban areas.

Wherein lies the problem? Are there no incentives for health professionals to work in rural areas? And if so, what are are the plans of both the Central and County governments to attract and retain healthworkers, in a bid to curb their exit to the private sector?

In the meantime, who will serve the people in areas such as Kitui when nurses such as Damaris and Miriam go on leave? What are the missed opportunities when this happens?

What happens when a woman goes for family planning services but finds the facility shut down? Will she be motivated enough to trek to the nearest health facility kilometers away yet she has pending houeshold chores, or will she decide to postpone sex until the day the nurse returns and will her husband be as understanding?

What happens when a pregnant woman goes to deliver and finds the facility closed? She is likely to deliver with the assistance of an unskilled attendant. And we all know the risks this has for both mother and her baby.

Lately, I have visited a number of public health facilities, and I do commend the government for its work. I do know that the central government does a lot in terms of offering health services to it’s people.

However, a lot more needs to be done. Even though there is assistance provided from the private sector in some health programmes (AMREF Health Africa has trained several midwives and community health workers in Kitui), the onus is on the governments (both Central and County) to do more to ensure that quality health services are accessible to Kenyans at anytime they need them. That issue of a facility being closed down because of someone being on maternity leave is unacceptable.

So that marked my first debut assignment to health facilities outside Nairobi to write about maternal health. I hope there will be more of these in days to come.

Are you implementing a community project targeting mothers that you’d like me to write about? Email me on maryanne@mummytales.com and I’ll get back to you.

You may also like to read:

Kala Azar Disease in Turkana

Melvin Barongo Talks About her Life with Fistula for the Last Ten Years

Sodomy: a Kenyan Mother Recounts her Son’s Path to Justice

Spending a ‘Mother’s Day’ at Kawangware

Mummy Tales is a platform dedicated to empowering its readers on different aspects of womanhood and motherhood. Read more motherhood experiences of Kenyan moms hereConnect with Mummy Tales on: FACEBOOK l YOU TUBE l INSTAGRAM l TWITTER

Spending a ‘Mother’s Day’ at Kawangware

2

Yesterday, I was in Kawangware where I spent the day with new moms and a few pregnant women. This was at FreMo clinic where every three months, they hold a ‘Mother’s Day’,  which is a day to celebrate new moms and those just about to become new moms. What happens is that the women share their experiences and learn from each other. They also receive information from midwives about taking care of their pregnancies, family planning, and how to take care of the newborns. Well, I’m not quite a new mom, but I just enjoy participating in motherhood forums where we can all learn from each other.

So what did we do?

We talked about our experiences during antenatal visits, about labor and delivery, and also how we are now taking care of our babies.

Seeing as most of the moms present were new moms, the main discussions revolved around their antenatal clinic experiences, as well as the interesting labor experiences. The pregnant moms got to learn alot from this.

Now, there was this one particular lady called Sylvia whose experience particularly stood out. She talked of the importance for pregnant women, especially first time moms, to take time to understand, beforehand, about the birthing process. This is why:

“When I was in labor with my first child, I went to deliver in this health facility that looked good, but I don’t think it had competent staff. During labor, the nurses attending to me were unsure of what to do, and they kept second-guessing themselves. I didn’t know what to do either, so we were both lost. They were confused and kept asking each other what was supposed to happen next, and I figured they were new to the whole birthing process. I ended up having prolonged labor and I had to go in for a caesarean section which I believe could have been prevented had the nurses known to do during the early stages of labor. My advice is don’t just go to any hospital, go to a hospital that you are sure has qualified personnel. Also make sure you have a fair understanding of the birth process by reading up on it, or talking to fellow mothers who can advice you as they share their experiences,” she said.

The second time round, Sylvia, who just a few weeks ago delivered her second baby was much wiser, and delivered at a hospital where she went on to have a natural delivery (dispelling the myth that once you have a CS, you can’t deliver normally after that). So yesterday she was advising pregnant moms to ensure they attend all their antenatal clinics and during that time, ask all questions they may have about pregnancy and birth. The good thing is that FreMo offers free Lamaze classes to women and their partners in their last trimester (those of us who have done Lamaze classes have paid a pretty penny for this).

The midwives also gave the new moms information about breastfeeding and proper nutrition for themselves and their babies. They also shared about vaccines and routine immunizations for their babies. It also happened to be the day that Rotavirus was being officially launched in Machakos by the First Lady Margaret Kenyatta, and the new moms got to be given this information by the midwives. Most moms had no idea that the Rotavirus vaccine was now being offered for free in all health facilities –both public and private.

So that was my yesterday, a day well spent. The weather by the way was quite chilly, and I salute the moms who turned up for the session. Thankfully, we got served some hot tea and bread which helped take some of the chills away. Plus it was also good to see most of the babies dressed in boshori’s and wrapped in layers of warm blankets.

Have a lovely day.

Event: Early Intervention Consultation for Children with Special Needs

0

Does your child have difficulties with: walking, school, talking, playing, concentration, behavior, feeding or looking after self? Or do you know of any child who fits any of that description?

Special Education Professionals will be conducting an early intervention consultation on Saturday 19 July 2014 at Gertrude’s Hosptial Muthaiga. Parents and guardians of children with special needs are encouraged to attend.

On that day, advice on how to help such a child while at home will be given by physiotherapists, speech and language therapists, occupational therapists, special needs teachers, psychologists and other specialists if need be.

Charges are Ksh 300 /=

 Share this with any parent you think would benefit from this information.

How Babies are Sold in Kayole, Nairobi

5

Society amazes me everyday. Like now, did you catch the news item yesterday on Citizen TV about the sale of babies in Kayole?

For about 150,000 shillings, you can get yourself a bouncing baby boy or girl –though the cost for a baby boy may be abit higher coz they ‘sell like hotcake’ -literally. And no need to worry, the dealers have enough ‘stock’. Shocking.

Let me not talk much. Watch this news item.

Advertisement

POPULAR POSTS

error: Not Allowed