Tuesday, December 27, 2011

Bob finds Charity by Dr. Bjorn!

It’s Christmas Eve and all the TV channels are airing their top ten stories of the year. Here’s one of
my top ten.

I have two friends, actually, probably more than two, but these two play the heroes in my story. R. J.,
friend one, had a chain saw that “up-and-stopped.” He said he had dropped about 120 dollars in
repairs then it up-and-stopped again. “Nilson, you grew up with chain saws, would you take a look at
this piece-a-junk.” Never one to turn down a challenge, I dismembered the chain saw. New plug,
flush out fuel line, new fuel filter-- seemed like a good idea. Well, that piece-a-junk chain saw never
upped, much less stopped.

After a couple of months I screw up the courage to admit my failure to R.J. “Keep it. Tired of fooling
with that piece-a-junk.” Like I need a chain saw for a paper weight.
A couple of months later, it happens I’m having a cup with friend two, Bob, at Starbucks. Bob is the
kind of guy who makes America great. A little overweight, optimistic, always ready to tell a story; a
retired hospital engineer; inveterate tinkerer; he can fix anything. “What do you know about chain
saws?” “Let me take a look at it.”

Next week Bob has the chain running like new and says he’ll drop it by my place. “Bob, I have a big
chain saw. What do I need with another?” He’s says he doesn’t want it, cause his chain saw is even
bigger than mine (man talk). We think a minute and he suggests he puts it on Craig’s List and,
knowing I am going to Africa, why not see what I can do with the proceeds there? That’s how I end
up with four twenties that nobody wants.

Next week I find myself making home visits for Hope Kenya, a preschool in Miwani, a very poor
neighborhood of Machakos, Kenya. Hope Kenya gets kids out of the slum and prepares them to enter
primary school.

One of our worst hardship families is headed by a 19 year old mother with three boys 2, 4 and 6 years
old. Most of the people in this part of Kenya have been given Christian furst names, so to preserve
this young lady’s anonymity I shall call her Charity.

Charity was abandoned by her aunt at age thirteen in another town after both her parents died,
presumably of HIV. All three of her boys are malnourished. She and her children live in an eight foot
square, stick and wattle hut with a dirt floor that turns to mud when the rains come. The rains have
just begun, and their only belongings, a pile of grey, wet rags are heaped in the corner. Charity is being
treated for HIV that she acquired in a gang rape. Fortunately, she is almost well, has found some day
labor and her two older boys are attending Hope Kenya under a “scholarship”.
Bob Finds Charity

Generally, when I work in the developing world I try to teach people how to take care of their own
needs through health education, sanitation, nutrition and self help projects under the “teach a man to
fish...” theory. This time, I justified giving away the two hero’s eighty dollars on the grounds that, one,
it wasn’t really mine and, two, nobody wanted it in the first place. I asked one of the teachers to see
how far she could stretch the money for Charity and her kids.

Close inspection will reveal a new bed, mattress, blanket, mosquito net, two pans, a charcoal brazier
for cooking, a stirring spoon, a big blue plastic tub for washing and Charity’s smile. There was five
dollars left from the two hero's stash. It went for a month’s rent.
Sometimes it’s just better to give fishes. They’ve been said to feed multitudes.
May we all prosper in the coming year and, if you think you might do OK, how about sharing a fish
with the kids at Hope Kenya?
Bjorn

Monday, December 26, 2011

USAFI - Hygiene Water project - Kenya

Kenya Schools are in need of clean water, sanitation and hygiene education! USAFI is a Kiswahili word meaning clean or god hygiene. USAFI programs are being develop across Kenya to help raise awareness of basic health in schools.

Over half the schools in the developing world lack access to clean drinking water and sanitation. You can help change that by choosing a partner school in Kenya. Investigate the global water crisis, and take action by planning and implementing an activity that will raise funds to bring water, sanitation and hygiene education to a school that desperately needs your help.

Kenya is located in East Africa. It is bordered by Somalia to the Northeast, Ethiopia to the North and South Sudan to the northwest, Uganda to the west and Tanzania to the south. The capital city is Nairobi, and Kenya contains numerous wildlife reserves that are a draw for tourism. The country is named after Mount Kenya, the second highest peak in Africa. The British Empire established the East African Protectorate in 1895, and The Independent Republic of Kenya was founded in December, 1963.




Kenya produces renowned coffee and tea, and has become a major exporter of fresh flowers to Europe. Kenya has produced champion marathon runners and also has created a presence in the telecommunications sector.
Most rural areas in Kenya do not have access to adequate water and sanitation. In recent years, most of East Africa, including Kenya, has been experiencing drought conditions. In rural areas, lack of access to safe water and toilets is a problem for schools and school children. Your schools can help a school in need receive USAFI Schools project.

Hope Kenya in collaboration with local health official and public health officers will work with your organization or school to help providing USAFI Schools projects to schools in Kenya. Rainwater catchment, latrines and hand-washing stations will be provided for schools

Wednesday, October 12, 2011

Unfriendly nurses factored into Kenya's high infant mortality rate.Survey conducted by health ministry indicated that women especially in rural areas shy away from delivering in hospitals because of ‘unfriendly language of the nurses’,

By Felix Olick
The US government, in collaboration with the Ministry of Public Health and Sanitation, has launched a campaign seeking to  reduce preventable deaths in Kenya by 50 per cent by December 2012.
The campaign dubbed "Let’s Live" will focus on HIV/Aids, maternal and infant mortality, non-communicable diseases and child health illnesses.

Speaking during the launch at Windsor Hotel in Nairobi yesterday, US Ambassador Scott Gration said the campaign is in support of Kenya health priorities.
The US envoy was confident that most killer diseases in Kenya are preventable especially if health facilities are made accessible and affordable.

Gration said they have narrowed to the four leading killer diseases and expressed confidence that reduction of mortality by 50 per cent is not far-fetched.

Shy away"Kenya has ambitious plans to try and tackle high mortality diseases. Lets Live campaign will complement and expand these plans," said Scott.

Public Health Minister Beth Mugo, who spoke at the forum, blamed the increasing number of women delivering at home on unfriendly nurses.

Mugo said a survey conducted by the ministry indicated that women especially in rural areas shy away from delivering in hospitals because of ‘unfriendly language of the nurses’, which is dangerous.
"I wanted to know why these women go for prenatal care but eventually do not go to hospitals to deliver. But the results indicated that they feel harassed by the nurses," said the minister.
Medical workers
Earlier, Dr Juliana Otieno from Nyanza Provincial Hospital had blamed the increasing number of traditional birth attendants in Nyanza on unfriendly health workers.
"Traditional health workers thrive in Nyanza because of unfriendly medical workers. Sometimes they are quarrelled on why they failed to come for ante-natal clinics," said Otieno.

The Health minister attributed the behaviour to too much work for the nurses but noted that they have embarked on sensitising health workers on the benefits of good relationship with the patients.
Prime Minister Raila Odinga’s wife Ida said educating girls is the gateway to solving most of health problems.
Ida said that the hype on social media could be translated to address health issues.
She said that social networks could enable communication, information collaboration, information collection and sharing for health care purposes.

Wednesday, September 7, 2011

Handouts & Innovation in Kenya

Our experience working with the poor in Kenya has taught us that handouts are an enemy of innovation. When handouts are offered without structure and exclusively as acts of kindness, they tend to deny the poor the opportunity to develop survival strategies, making them dependents. If unchecked, this type of dependency could continue indefinitely.

The difference between an intervention and a handout is not easy to grasp. Interventions are handouts that lack strategies for long-term sustainability. These types of handouts are also referred to as acts of kindness.


Before acts of kindness are offered, the benefactors ought to ask the following questions:

1. How could we leverage resources to help the poor to rethink their consumption, utility and their markets.
2. How could we help create competencies and products from within the poor communities that have not yet been imagined?
3. How could we help create sustainability in the long term with our acts of kindness?

People that have been blessed with wealth find it fulfilling to invest in poor communities, enabling them a fresh start at life. Those investments disappear very quickly if not structure well to be sustainable.

Human behavior is complicated. Helping the poor and influencing others' life is no different. Unless you have a plan for self sustenance, you could either withhold your handout or partner with organizations that are able to connect the dots, multiply your handout and provide opportunities for the poor to help themselves in the long-term

Hope Kenya is focused on strategies that develop and deliver food, health and education to local communities in
Kenya.

Wednesday, August 17, 2011

"...But when you find something like this that speaks to your heart, it gives you the courage to look beyond your own problems..." - Drew Barrymore in Kenya

I thought the comments by Drew Barrymore on her recent trip to Kenya were very encouraging. For movie stars to 'forget self' and take time to do something real and impactful to the world around them is something commendable!

"I didn't want to be on a soapbox, this Westerner living in a bubble, so on the first trip I was a little nervous. I asked questions and listened a lot..."  Read more on Drew's visit to Kenya on the link below...
http://www.popsugar.com/Drew-Barrymore-Kenya-Conde-Nast-Traveler-Pictures-18782368

Friday, July 8, 2011

Hunger Demonstration - Hope Kenya dedicated to sustainable means to solve hunger. In some cases, we recommend a short-term intervention with an end in mind. Contact us if you'd like to help!

Kenya police tear-gas hunger demonstrations

A civil rights activist says police have tear gassed several hundred protesters marching toward the offices of Kenya's president and prime minister to demand action over a growing hunger crisis.
Dinah Awuor Agar, the president of a group of low-wage workers known as the People's Parliament, said Thursday that the demonstrators were holding a peaceful procession when riot police confronted them.
Agar said police chased down demonstrators, beat them with batons and arrested them despite the fact Kenya's new constitution allows peaceful demonstrations.
Charles Owino, a police spokesman, says police dispersed the protesters because the demonstration is illegal. East Africa has been hard hit by drought a rising food prices.


Read more at the Washington Examiner: http://washingtonexaminer.com/news/2011/07/kenya-police-tear-gas-hunger-demonstrations#ixzz1RYbg3UVA

Monday, June 27, 2011

Message to INMED - Sustainable health systems for the poor!

Last week at the INMED class and at the INMED conference, it was an honor for me to engage you in a conversation about sustainable health systems for the 'under-served/forgotten' communities that live 'here' with us. I hope you've had time to reflect and perhaps start thinking about how your journed into health sustainability would look like.

It is important to keep in mind the three critical things that we learned including,

  • Complexity of health systems' sustainability especially in cases of extreme poverty
  • Clinical approach is critical in our ability to problem solving and develop solutions
  • Integrated systems work well. Independently, we are limited but as a collective group, with skill, committment and passion, we can impact change - anywhere!

I have heard from some of you and I am glad that you have proactively taken the first step in your journey. I would encourage you to become a part of an integrated system that is working in rythmn to impact change and sustainability in a health system for the under-served.

I would prefer you join the Hope Kenya Medical Mission Team but if you are not able to, I encourage you to join a team! 

Below is the email address and phone number for our director of medical missions. She is one of your peers in the medical field and she joined the Hope Kenya team after our encounter last year at the INMED conference.

It is such a thrill to work with you and I look forward to our journey together