Some Lessons in Development Management - Places Visited (Kenya)

Kenya visit - August 2015

 2 weeks' clinical shadowing!  Set at a PCEA Kikuyu district hospital, as well as the Kivuli medical clinic, Miliki Afya clinic, Mid Hills hospital and a health project operating with HIV/AIDS patients.

Health data: Major health problems faced: diarrhoea, malaria, HIV/AIDS (5.6% prevalence), TB, other respiratory problems.  Major exports are coffee / tea / cut flowers / refined petroleum.  There are approx 1 doctor per 10,000 people (compared to 30x that number in the UK), under 5 mortality is 71 per 1000 live births.  User fees have been levied for healthcare, since 1989 ?structural adjustment.  50% of doctors practice in the capital, and only 10% of doctors across the country work in the public sector.  Per capita expenditure on healthcare is $72 (as compared to $3,400 in the UK). 

Health facilities: Vary from the very upmarket (Gertrude's, Aga Khan) through smaller hospitals (including some mission hospitals), to local poorly regulated clinics.  Word of mouth reputation is important as clinical excellence data is not routinely collected.

Kenya is a financial centre for East Africa; strong trade links with India, China, UK as well as its Ugandan / Tanzanian neighbours.