The rains have been pounding the city relentlessly in the last few weeks. Good things have happened, clouds of dust have disappeared and the city lawns are all green and beautiful. But other untoward things have also happened; the already chaotic city life has worsened with flooding and traffic snarls. And the risk of disease has increased.
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Three years ago marked the first time in human history that the majority of the world's people lived in cities. Nairobi has not been left behind, with the growing population introducing challenges in day to day health.
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This post should be required reading for every physician in this country. A physician finds a document on a chair in his hospital executive’s waiting room and reads through it, then realizes it is a manifesto on how to dis-empower physicians and put hospital administrators in control of patient care. The document’s title: How to Discourage A Doctor While the physician implies that he transcribed the information from memory, the formatting breaks and text errors in the document make it appear as if the document was scanned and then the text pasted.
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The breadth and spread of Nairobi’s healthcare facilities can be daunting to locals, leave alone visitors coming from other counties or even foreigners. Facilities range from expensively equipped and well-resourced private hospitals, to somewhat wanting public facilities.
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The health of mothers has long been acknowledged to be a cornerstone of public health and attention to unacceptably high level of maternal mortality has been a feature of global health and development discussions since the 1980s. However, although a few countries have made remarkable progress in recent years, the reality has not generally followed the rhetoric.
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