by April Zhu
“Everybody’s Just Winging It And Other Fly Tales” sounds like the title of a picture book for kids in their twenties and thirties. If there’s a moral to this story, it’s to stop feeling like an imposter. Trust the process. Trust your own hard work. “Blinky” Bill Sellanga’s first solo album is an anthem for the young creative just trying to “do the thing.”
Blinky Bill pulls back the curtain on the performance of celebrity and instead “performs” humility. He goes out of his way to prove that, even when you become a big shot, some things don’t change. The song “Bills to Pay” bypasses the glamour of creative work and instead elevates small and unsexy humiliations like chasing after your own money after you’ve done the job. With a string of sharp puns on PayBill, pay the bills, and “pay Bill to play”—plus that passive-aggressive “my dia”—Blinky Bill drops the ultimata that hustlers want to but can’t always: “Wakati wa kulipa umefika / Toa pesa sasa hivi, sasa hivi.” Louder for the clients in the back, please.
“My dia my dia my dia you do
not know me very well
So let me tell you little something
I am looking for no drama.”
– Blinky Bill, “Bills To Pay,” “Everybody’s Just Winging It And Other Fly Tales”
The whole album toggles between reassurance and desperation. Take “Oh Wah,” which features Nneka and Petite Noir. It’s an internal dialogue, a backdrop to bad news on TV: “Healing is what you need / is what I need is what they need / but my country keeps hurting my soul / I can’t watch the news no more / I can’t watch the news no more.” It’s familiar for any young Kenyan who has witnessed their country fall and sighed, “How now, Kenya.”
Or for any young person, really, who daily processes the rapid reel of the internet, suffering and humor and love and meaninglessness assorted on one feed. Who sees bad things in the world on her screen and feels, at the same time, both incredibly privileged and completely powerless. “Oh Wah” is not pedantic; it’s not even a call to action. It is an honest meditation on injustice that doesn’t shove answers into questions. Running through this album are these kinds of interrogations about where we belong in the world, often with brave uncertainty.
For this reason, the opening track, “Lwanda Magere”—named for the mythical Luo warrior whose invincibility was unraveled by a woman—is at first jarring. A kick drum mimics the forward march of battle-ready hide drums, while bass and talkbox trade off into one another and are all swept into pixelated static: a myth, digitalized. What does it mean that an album that grapples with endless questions—especially the big one, “Where do we come from?”—begins first with some sort of answer? “Lwanda Magere” hangs like a plaque above the door we step inside, a benediction to origin that will frame everything else to follow.
Everyone knows that Blinky Bill has a thing for nostalgia. He trawls up sounds we didn’t know we still remember, like those of the Bata Shoeshine Boys. When asked about his influences, he points backwards: The Mighty Cavaliers, Slim Ali and the Hodi Boys, and many more. Kenyans speak starry-eyed about music of the past—the golden age of immortal zilizopendwa, or genge and kapuka, a time when our sounds were envied. Blinky Bill takes on a quiet resistance to that pessimism. Resistance, because he is deliberate (almost political) about reversing Kenyans’ musical amnesia. Quiet, because he makes it good without having to tell us it’s good. His optimism is stubbornly Nairobi-centric.
“We’re at the most
interesting phase of any art scene, to be honest, in Africa. If you’re looking
at Africa, you’ll take a look at Nairobi. We’re just discovering ourselves and
figuring out how to express ourselves in a way that makes sense to us.”
– Blinky Bill, TED Global Fellows 2014
You won’t find cheap copy-pastes of “traditional” “African” sounds, easy tropes that are vaguely “tribal.” You do, however, get that cold little sparkle of an ongeng’o in “Winner.” Or a thin veil of distant chant in “Oh Wah.” Or the crunchy “chka chka ka chka chka” in “Atenshan” (and his mic tests) you hear in K-South’s “Kapuka This.” In the same way that benga artists, translating nyatiti into guitar, bridged old tunes into a new world, all the while creating something singular, Blinky Bill is certainly a bridge from something to something.
“No one back home considers [The Mighty Cavaliers’] contribution important so, with working with this music, I’m going backwards into Kenyan music history and trying to bring it forth so the new generation that’s listening to Kenyan music—which we’re at the forefront of pushing—are exposed to these musicians and their work.”
– Blinky Bill, TED Global Fellows 2014, referring to Just A Band’s rendition of [The Mighty Cavaliers’ “Dunia Ina Mambo”
But from what to what? “Genre” is deceptively subjective. British artist FKA Twigs described this: “When I first released music and no one knew what I looked like, I would read comments like: ‘I’ve never heard anything like this before, it’s not in a genre. And then my picture came out six months later, now she’s an R&B singer.” The act of “genre”-ing music is intractably political and fraught with questions about gaze.
“One of my least favorite terms is the box of ‘World Music,’ where for years the music from the ‘Other’ places has been lumped together,” Blinky Bill said in an interview with OneBeat. The concept of “world music,” according to journalist Ian Burrell, originated in a north London pub as a means for promoting non-Western artists, but now just puts them in a “ghetto.” Take Nneka, who features in “Oh Wah.” She lives in Berlin and sings in English, says Burrell, “but she hails from Warri, Nigeria, so gets categorised as a world music performer and thus finds it that much harder to get on playlists, get gigs, and get attention.”
This seems to be a conversation that Blinky Bill runs into a lot, especially outside of Africa, where feels he most needs to “explain” himself. (Although maybe this is changing?) As this album rappels down into the rest of the world, it will only become more necessary to “explain” his work in terms of Africanness.
Or not. “I feel sometimes when outsiders look to African music, there’s an expectation of a certain sound,” Blinky Bill said in an interview with OneBeat. “I’d like it to be just music.” He cares about “cooking up” interesting music, and apart from that, people can take it as they will.
Everyone wants to know Blinky Bill’s secret sauce. What’s his process? What “inspires” him? Where does he learn? But there’s no recipe. When interrogated on his process, Blinky Bill gives dry-cut answers with the same few wholesome ingredients: hard work, focus, learning from the masters.
He’s not bluffing. In any art form, intuitive talent can go a long way, but “Everybody’s Just Winging It And Other Fly Tales”—almost all of which Blinky Bill produced himself—demonstrates a grasp of the chemistry and mechanics of sound. Think of how he electrified the gospel number “Mungu Halali” with that groovy, glittering Wurlitzer that slides over the choir. Or how the big brass in “Atenshan” swoon as they crackle on the low notes, dragging a moment behind at the end of a phrase, weighed down by their own wooziness.
Sometimes you can tell when an artist is limited by their lack of control over their own medium. Blinky Bill, especially in this project, has transcended that. He’s mastered the foundations but hasn’t lost his experimental edge.
“What’s inspiring my new
album? Mostly….life. Having that understanding that no one truly has the
answers, but that’s not necessarily a bad thing because the journey is as
interesting as the destiny.”
– Blinky Bill, TED Global Fellows 2014
But the whole point of this album—again, if we can call it a storybook for the young creative—is that, when it comes to making good work, there’s no mystique, kids, no winning juice. When you run out of ideas, DJ for some time. Force yourself to keep making, if only for its own sake. “Winner” is a sort of self-hype-talk, one you can imagine giving yourself in front of the bathroom mirror in the morning: affirmations of untouchability, unstoppability, unshrinkability. That it’s okay to doubt yourself and puff out your chest at the same time. Held at another angle, it’s a prayer.
“Let That Go,” featuring the loose-jawed, syrupy verse of Sampa the Great, offers another angle to confidence: a refuge that comes from another way of knowing. This track follows the contrite “Mungu Halali,” and it embodies an underside of faith in God: faith in oneself. I love this one precisely because it’s a woman saying she doesn’t give a fuck.
“I keep the hate up on the dinner
Play it like a lullaby till all the haters simmer
Throw away the throwaways till I discover
To keep the spirit when all my shit come down to winter.”
– Sampa the Great, “Let That Go,” “Everybody’s Just Winging It And Other Fly Tales”
Blinky Bill picks up these ideas of success and turns them around in his hand. Where does success come from? Why is it so hard to reach? Is it wrought out by hard work? The grace of God? What is it even? What do we tell haters? What do we tell our worst critic, our selves?
And then, just like that, in the last line of the last track, one more question—this one from Asa—lifts us off into a bright blue sky: “Why can’t we be happy?”
A question that, if you sing it, sounds more like an answer.
April Zhu is a writer and artist in Nairobi, Kenya
As a Kenyan citizen, only two or three generations removed from independence, the memories of colonialism are far deeper than the pages on history books. The stories of heroes, traitors, the heroes who became traitors and the trauma that the colonizers wantonly imposed on a free people are very much alive in what used to be my idea of a European. I still find it difficult to remove myself from the classical image of a blonde haired frail missionary woman on the one hand and a debonair, yet incredibly violent mustachioed rancher or businessman as the very definitive nature of the European. French, German, British or Belgian it hardly matters, across Africa and in many parts of South America and South-East Asia – this image does ring true almost as the silver thread in the canvas of a vast, diverse and painful history.
I find it strange that this is the image that comes to my mind even though this hasn’t been true of the European existence arguably since the 1950s and certainly not the since the 1970s and 80s. Indeed, Europe, post world war II has been less Christian, more liberal and, on paper, providing the most gallant government efforts in the war on Climate Change.
So why even ask if there is a European identity crisis? As with all things in a Brexit, Trump world it begins with the narrative – particularly with the narrative around immigrants. Currently the narrative on which policies are created a poor blend of cliché stereotypes that started in rural and mid-west America and became a rallying call to the extreme right the world over – They are taking our jobs and they are raping our women.
I would argue that the only reason the European identity crisis comes to the fore front is that the performance of many European economies haven’t rebounded post 2008 recession. In a world with dwindling resources, shifts in geo political power imbalances and the rigidity of the European Union rules set in Brussels, there is little left to point a finger at than the new comers in the neighborhood.
Much like Canada of today, Europe once took pride in welcoming immigrants and refugees. Held in high esteem as a Utopian like kingdom where even the poor and despondent got their chance. It was this dream that lured immigrants, running from unstable political situations or just pursuing their shot.
The one parallel with globalization and music is perhaps best summarized in the line from Dead Prez’s ode to Hip Hop “one thing about good music when it hits, you feel no pain.” Nothing could be truer on the impact of globalization on the changing demographics of the world as we once knew it. Demographics of which, historically, had been synonymous with identity. The effect of globalization on the concentration of capital and eradication of market valued human labor continues to dominate the political conversation the world over.
Europe’s shores had been open and tolerant to immigration well before the fall of the Berlin Wall. It was unnoticed because the economies of these European countries were largely taking off. Shocks in the financial systems were not rare but the spread of capitalism into large swathes of formerly soviet territories occasioned a massive expansion in private purchasing power and a largely prosperous Europe.
A rich neighbor can suffer visitors for so long as there is enough bread and water. Once decisions have to be made between the satisfaction and comfort of the rich man’s family and his visitors, questions are asked.
Why did the visitor really come?
- They could no longer live in their home – it was unsafe, and it would be immoral of me to turn them away (what we now call a refugee)
- Was he looking to live a better life, stay with me until he can find a way to feed himself in my lands (what we now call an immigrant)
- Do we share the same values for our faith, lack thereof, families, education and freedoms? (is he a Muslim?)
That third question only found life in the post 911 world and only comes to bear becomes it has become impossible to separate modern immigration without tying it to persons from Islamic countries.
War has and continues to force millions of refugees from the Middle East (Syria most recently) to seek refuge in Europe. Angela Merkel called for 800,000 refugees and whereas many other European nations declined, refugees made their way through the middle east and into continental Europe on their way to Germany.
In an age of unpredictable political movements, climate change orchestrated droughts and floods, global wealth inequality teetering at the edge of a cliff and automation eroding jobs faster than any economic crisis the world has ever known, immigration will become the new normal. This will mean that the image of the white debonair couple as the face of Europe has and will vanish(the royal wedding anyone?).
A sense of irony befalls the non-European observer of this emerging crisis in Europe. That the descendants of persons whose great grandfathers literally carved nations to fuel their economies and provide unparalleled prosperity to minorities given dominion in those colonies, are now debating on what their heritage means moving forward. An acceptance that the tanning of the European visage is an unavertable course of history since colonialization or a fascist return to the nationalism and anti-Semitism that destroyed Europe in the first half of the 20th Century.
Either choice requires an examination of Europe’s historical choices, we must hope against hope, that the right choice prevails.
Yet globalization has a global face. This is not a European crisis in singularity. What does it look like from the Kenyan perspective?
Our scorecard is low and high. High, historically because Kenya has always been a nation that received neighbors from famine and war-torn nations of Somalia, South Sudan and Ethiopia. This I remember was a matter of pride for our country – the island of peace(at what cost) in a sea of turmoil. This is who we were, and I like to believe who we still are. The concept of borders is a foreign concept designed by the colonizers first above referred. It is natural therefore, if at all there is an “African culture” to welcome and accommodate our neighbors in need.
Yet here again, the Muslim question arises. Kenya’s Islamic population has never been hidden or removed from mainstream society. We have always said that we are a multi-cultural society, albeit under the guise of a predominately Judeo-Christian legal system.
It was us who condemned our brothers and sisters to concentration camps In Kasarani. It was us who called for the police to do random house and in person inspections and arrests. Shamefully, we accepted the fear and chaos from a very tumultuous period between 2013 and 2017 to mask terrorism in the name of Islam and we forgot who we were.
Just like the right-wing European who decries immigrants of Islamic decent, we saw in Kenya, our friends even our families casually make jokes about Somalis and other individuals from Islamic states labelling them by the same terror groups they fled. We distanced ourselves from our neighbors in the name of fear and there hasn’t really been a conversation on what the past 5- 6 years of trauma have meant for these people whom we once cherished.
The same argument too can be made for Chinese immigration. As more and more skilled and semi-skilled labourers come into the Country, small pockets of Chinese individuals are starting to become concentrated across this country. Will we accept them too? Should we as a people look to the West and say that they should accept those of us who migrate to their shores while at the same time reject people from the East who want to work, live and play in Kenya?
These are tough questions. A poor man can only welcome so many neighbors especially if some of those neighbors are perceived to be richer than he. This is true especially because colonialism, comparatively speaking, only just happened. Are we ready to accept another highly capitalized minority to live and work freely in our Country? It didn’t work out well for us last time and all across the developed world, the undertones of rejection and rebellion to the ideals of an open society for Chinese persons are already getting louder and louder.
Perhaps a conversation, locally, nationwide and globally is required, because unlike music, when the pressure on our finite mounts and globalization hits us, truly hits us, there might be some pain.
by Mukami Githagui
Housing is a fundamental human need. With the rising cost of inflation and other economic drivers making life very expensive, President Uhuru’s focus in affordable housing is a much welcome reprieve. In 2017 the President launched “The Big Four” agenda for economic development in Kenya, focusing onfood and nutrition security, manufacturing, affordable healthcare and affordable housing as his blueprint not only to deliver a legacy government, but also to bring long-term meaningful change to Kenyans.
The government plans to deliver 1 million housing units over the next five years. The president’s ambitious housing plan aims for at least half a million more Kenyans to own homes by the end of his second term. In Nairobi for instance among the areas to be covered include Park Road, Shauri Moyo, Bachelors’ Quarters, Suna Road/Toi Market, Pangani and Mukuru Kwa Njenga. It has also been reported that at least 36 governors have signed agreements with the national government to extend the project to their regions. Can this dream become a reality or is it going to become yet another white elephant?
According to the National Affordable Housing Summit Group of Australia, affordable housing is housing that is reasonably adequate in standard and location for lower or middle-income households and does not cost so much that a household is unlikely to meet other basic needs on a sustainable basis.
The National Housing Corporation, puts the housing deficit at 2 million units cumulatively and it’s growing by 200,000 units per year. With a rapid population growth of 2.6% per annum and the rate of urbanization standing at 4.4% it presents a dire situation. For context, the global average is 1.2% for population growth and 2.1% for urbanization respectively. The supply of housing in Kenya is constrained and the Ministry of Transport, Infrastructure, Housing and Urban Development estimates the total annual supply to be at 50,000 units.
To further underscore the need for affordable housing, the ministry indicates that 83% of the existing housing supply is for the high income and upper-middle-income segments, with only 15% for the lower-middle and 2% for the low-income population. In summary, while 74.4% of Kenya’s working population requires affordable housing, only 17% of housing supply goes into serving this low to lower-middle income segment.
Long story short, it’s not good. But what’s going wrong?
According to a Cytonn Investments report there is an inadequate supply of serviced land at affordable prices due to soaring land prices in urban areas. In Nairobi, for example, land prices have been growing at a 6-year compound annual growth rate of 17.4%. This has led to increased development costs as land costs account for 25% – 40% of development costs in urban areas, which consequently impacts on end-user prices. Even in most of the areas earmarked for this housing land prices are steep, which again begs question.
The report also cites costs of construction. Mid-level construction costs in Kenya range from Ksh44,000 – Ksh64,000 per square metre depending on the level of finishes, height and other related factors, and account for 50% – 70% of development costs.
According to Hass Consult Ltd, in Q3 of 2017 the prices of housing dropped by 5.1% due to the political instability we faced last year. However, the average value of a residential property in the country surged to KES 29.8M in September last year. The same report cites that property purchases in Kenya are purchased cash, mainly because the mortgage industry remains underdeveloped.
What solutions are available?
The government, the Capital Markets Authority, NSSF, Retirement Benefits Authority, Kenya Revenue Authority, private sector finance and development, all have a role to play and the specific solutions need to be wider.
Given the need for funding businesses in a growing economy where SMEs create majority of jobs, private markets such as structured products offer a compelling alternative for developers to seek financing.
Strong government support and strict housing policies are also necessary in order to boost home-ownership. It is necessary to set up and adhere to strict rules and eligibility measures for house-purchase such as minimum occupancy periods and housing to income ceilings, so as to restrict to prospective home-owners only as opposed to speculative buyers.
There’s need for efficient planning to allow the best use of land in a sustainable manner to cater for the growing population with key considerations on the provision of services such as water, power, garbage and sewage disposal. Hand in hand with this is exploring cheaper building technology to lower construction costs. Training of labour on the use of alternative building technology is essential so as to boost its application.
An article in Nairobi Business Monthly, argues that the construction industry needs to embrace technological changes that will result in a mind-shift on the use of innovative products and services whose aggregate effect would be to lower the average cost of building. Despite the emergence of innovative construction materials, building a house in Kenya is still costly.
In Nairobi where land prices have sky-rocketed significantly, we need to make use of land in the neighbouring areas outside the metro region such as; Kitengela, Ruiru, Ngong, Kiserian, among others to put up low-cost houses.
An efficient mass transport system linking the above areas to the city’s central business district will incentivise private sector investments in the greater metro region. Ethiopia is a perfect example where they have built a light rail system that connects Addis Ababa to the neighbouring towns where low-cost houses have been built. Due to the efficient mass transport system, Ethiopians are able to work in cities and towns but put-up kilometers away.
Given the rising cost of land, the cost of construction materials, taxation on these materials and of course corruption which sees title deeds irregularly issued, buildings constructed on riparian land and other irregularities, becoming a property owner is not a walk in the park. Only time will tell whether the government’s ambitious project is feasible or not.
Mukami Githagui is a freelance writer based in Nairobi. Mukami has covered business and written features for two of Kenya’s leading media companies, the Standard Group and Nation Media Group.
by Sheena M
I arrived about 20 minutes early, and already there was a large gathering waiting to see Rafiki. The moment I walked into the waiting area at Prestige Plaza cinemas, I felt the stares. We were all sizing each other up. Who are you? Do I know you? Are you a threat? Do I have to be concerned about your presence?
It was all nerves, muscles tensed and ready to spring into action. It was like we were all doing something we knew our parents would not approve of. This feeling wasn’t unfounded. I mean, you only need to look at Ezekiel Mutua’s tweets about this movie to how bad it is. So being at the cinema waiting to watch a movie about two Kenyan girls falling in love felt like a risk in itself, whatever your sexual orientation.
The movie’s director Wanuri Kahiu has already given various statements in the media about why she chose to go ahead with Rafiki, despite it not being welcome in its own home. She insisted that she wanted to make a love story and “contribute to that language of softness.” I can confidently say that Wanuri accomplished that desire.
Rafiki is the first Kenyan feature film to be screened at a Cannes Film Festival –it was filmed earlier last year. To have a Kenyan film, about Kenyans, made by Kenyans, showcased at the largest international showcase of cinematic art is a feat to be celebrated. Wanuri is no stranger to the movie scene. Her first feature film, From a Whisper, won awards at the Pan African Film Festival and the African Movie Academy Awards. While that movie was based on the events of the 1998 bombings on the US Embassy in Nairobi, Rafiki’s inspiration was drawn from the 2007 Caine Prize Winning Short Story “Jambula Tree” by Ugandan author Monica Arac de Nyeko.
Watching Rafiki was a reminder that we are really all the same. The 83-minute film was so captivating that I did not want it to end.
Set in a fictional place called Slopes in Kenya, Rafiki tells the story of Kena (played by Samantha Mugatsia), a young tomboy living a regular Kenyan life. As we watch Kena skating along and meeting up with her male friends, it’s clear that she’s been accepted as ‘one of the guys’, even though one of the guys calls her ‘his number one girl’. When Kena’s not hanging out with Blacksta, she’s helping her dad run his shop or making sure her mom’s fed – a good Kenyan girl doing the good Kenyan girl thing.
Then one day, Kena notices a girl noticing her. This girl is obviously different – you can tell from her long, multi-coloured braids and the makeup. Even though this girl is the daughter of Kena’s father’s political opponent, Kena can’t help but be drawn to her. A friendship quickly blossoms between Kena and Ziki (played by Sheila Munyiva) and just as quickly grows into something more.
“The courage that you have when you’re in love is really what I hope resonates.”
~ Wanuri Kahiu
The opening scene of Rafiki is like an ode to all things Kenyan. Kiosks, campaign posters stuck on walls and the noa noa guy sharpening knives at the corner all blend together to paint the picture of a local Kenyan neighbourhood. As soon as the movie started, whatever tension we all had within us began to dissipate. Watching such familiar scenes drew us into a sense of comfort, a feeling of being home, even before we heard anyone speak onscreen.
As an audience, that bound us instantly. Kena may as well have been one of us – going to church with her mother every Sunday, hanging out with her boys at the local spot, eating chapo dondo. It only made the tender moments more tender and the harsh ones more painful, more alive, more real. We laughed as one at the funny parts, held our breaths when we didn’t know what was coming, gasped at the moments that shocked us and cried silently as we watched Kena and Ziki struggle to stay true to themselves.
The music was on point as well. From Kena skating along to the gentle moments between Kena and Ziki, the songs that played throughout the movie matched the mood perfectly. It was no surprise that the artists featured include some of Kenya’s most dynamic musicians. Muthoni the Drummer Queen, Blinky Bill, Mayonde, Chemutai Sage, Mumbi Kasumba, Njoki Karu, Trina Mungai and Jaaz Odongo all lent their musical prowess to the magic of Rafiki.
Wanuri’s directing shines brightest in the use of vivid close ups shots and nothing but facial expressions, showing us a lot of what is said through the unsaid, the sneer, the turn of the check, looking away and so forth. The first time Kena and Ziki share an intense staredown, it lasts long enough to undeniably feel the emotion behind it. It also lasts long enough to deliberately make us uncomfortable.
Not for any other reason other than the guilt of intruding on a moment of intimacy.
The movie tells the story of how Kena and Ziki find love and then face opposition from their family and friends because of it. Wanuri’s creative storytelling and the actors’ in-depth portrayal of their characters pull us in. The mirror image given by Rafiki is such an accurate reflection of our society that it’s impossible not to be moved.
All things 254
The hairstyles, the clothes, the buildings, the boda boda guy with his pimped out ride and even the local neighbourhood gossip were all familiar to anyone who’s lived in Kenya. Seeing all of them in cinema in a high-quality movie was surreal. It made everything seem possible. And the dialogue was so typically Kenyan we couldn’t help but relate. If anything it’s the way we say things that made many of us laugh out loud. Like Ziki saying, “A nurse? You? Why?”
Wanuri was right.
We don’t get to see as many moments of tenderness in cinema as exist in real life. Rafiki removed the veil from things we normally distance from ourselves. It helped us see that we are just as capable of love as we are of everything that is not.
And that is what makes Rafiki a powerful movie.
Sheena M is in love with words and how they shape themselves. That’s why she keeps a blog that’s not as ‘organised’ as most. To see her musings, check out her blog What She Thinks
Ed’s note: On the eve of publishing this piece the governor of Nairobi found 12 bodies of infants hidden in boxes in Pumwani hospital.
Rationally, I think it’s more profitable for this country if I stay breathing. I was – until recently – gainfully employed. A large chunk of that salary went to various government bodies. I file my tax returns on time. I am, by most accounts, good for the economy. If asked on a date and/or job interview, I would say I’m also a good citizen: I read the papers and watch news; I reflect on national politics/gossip, and often argue about it.
And yet, all this considered, I have a sneaking suspicion that Kenya is trying to kill me off.
Certainly, living in Kenya today has its inherent risks: you could die in the hundreds of accidents that happen monthly; your kiosk could be demolished and your entire family uprooted; you could be robbed and killed; you could die in some natural and/or manmade tragedy like your apartment building could collapse with you and your entire family inside, and so on. Let’s think of these as congenital Kenyan problems; if you are born here, perhaps there are some ground assumptions you must* eventually accept.
These congenital dangers are not what I’m talking about right now. I’m talking about what happens when a good samaritan pulls you from the wreckage and rushes you to the nearest hospital. Or when your children are get cholera and you take them to the local clinic. I’m talking about what happens when your wife goes into labour a month before your loan comes through, when your sister has a mental breakdown and must be committed. I’m talking about what happens when you start coughing up blood and need to see a specialist.
Let me explain.
Our national health policy is straightforward: don’t be sick.There is no gesture more characteristic of our medical infrastructure than a silent shrug. Raced over here at 3am with a sick baby but don’t have cash? Shrug. Performed major surgery on the wrong patient, or neglected them? Shrug. Have to travel across the country from your village to access one of the three specialists in Nairobi? Shrug. Raped women who just gave birth in a national medical institution? Shrug. Can’t bury your family until you clear the enormous medical bills? Shrug. Require access to medication or equipment not available in-country? Shrug. Seriously injured in an accident but medical staff on strike? (your guess)
For all the people who have been advocating for better healthcare for decades, this is old news. In fact, it’s in line with what appears to be our broader national ethos: don’t be poor. The difference between our congenital Kenyan problems and the growing urgency of our (lack of) medical infrastructure may not be too large. Both are engineered and sustained for profit. Both are wide-ranging and seemingly intractable. But I do sense a difference, minor perhaps, but enraging. While both problems are stealing Kenyan lives, the health crisis disgusts me primarily because it strikes me as so profoundly preventable as to be malicious. If I survive a car crash only to die in a queue at a referral hospital, hiyo ni uchokozi. If a nurse gives me the wrong name tag and I don’t receive appropriate care, hiyo ni uchokozi. When a pregnant woman dies giving birth in a rural clinic because there was no ultrasound machine, that is preventable.
Here’s what we know: we don’t have even a third of the required number of medical specialists in the country. The current staff are underpaid and overworked. Those in public hospitals, in particular, are decamping at an alarming rate. All the same, the future workforce – medical graduates – are not finding placements. Of those being placed, the distribution across the counties is uneven despite decentralization; over half of medical specialists are in Nairobi alone. Only a quarter of all Kenyans are covered by health insurance. The National Health Insurance Fund (NHIF) recently downgraded its cover to a maximum of four hospital visits per family for an entire calendar year. In the region, Kenya spends a comparatively small fraction of its GDP (~6%) on healthcare. The entire sector is rapidly becoming privatized, with marked government support for foreign investment. All this is to say: we are nowhere close to achieving universal healthcare. Yes, several other countries are in a similar position. However, given our current resources, and varied happy coincidences of history, our failure is not justified.
But remember, don’t get sick. If you are a patriotic Kenyan, you’ll get malaria, or a bad sore throat. You’ll go to a chemist, pick up coartem or strepsils and be on your way. If you are a rebel, you will break your arm, or contract an STI. You’ll go to a clinic near you, wait, pay, see a GP, get a quick diagnosis, pay again for the medication, and be on your way. If you are at my point or higher then you make it to enemy of the state, and you’ll do something our government seems unwilling to consider but happy to profit from: you will acquire a chronic and/or severe illness.
I used to consider myself lucky. When I first fell ill, I was a consultant and could thankfully afford my own health insurance. In the time I began to worsen, I had shifted to work that provided me with medical cover. Throughout this time, I was still paying monthly for NHIF. Over the past two years, I have been foisted from one doctor to another, crawled from one hospital to another, first trying to get clear diagnoses, and then to find effective treatments, and compassionate care. I’ll spare you the horror of the inbetween. From January to July this year, I accessed over half a million shillings’ worth of healthcare. This does not include the ‘experimental’ or ‘unconventional’ treatments I tried, like additional physiotherapy and testing, that I had to pay for out of pocket.
I have stopped calling myself lucky because I was employed, had insurance, got diagnosed relatively faster than others, received passable care, and responded well to the treatments. Luck should not have to factor here. Let’s go back to the quick maths I started with. Maybe my frame is too narrow. Taxes on my income, and each of my individual purchases may not be enough to earn my keep as a Kenyan citizen. Maybe I’m worth more sick; my being constantly unwell certainly profits a few big clusters: pharmaceutical companies, private hospitals, government official and unofficial coffers. Don’t be sick.
If this country isn’t deliberately trying to kill me, it is, at the very least, not actively trying to keep me alive and healthy. Something has to give. We will continue to be frail humans and if the government insists on not only ignoring but profiting from this fact, then we are playing a fatal game of chicken; whoever blinks first loses. If you don’t get sick, you win. If you don’t get in an accident, you win. If no one in your circle gets ill or injured, you win. Lucky or not, those odds are tough to beat – and no one wins. I did not.
Alexis Teyie is a writer and editor at Enkare Review
by Robert Munuku
When I turn on the television, I am not sure whether I am watching the news or a travesty of the same in the name of a glorified show of beautiful men and women dressed up in dashing tunics and layers of make-up smiling before our screens telling us what we should care about. I fear for journalism in this country, and flinch at the thought that the deterioration of one of society’s key institutions will be to our detriment.
Mainstream media in Kenya is far from politically neutral and this in itself is enough stir concern. A quick recap at the major mainstream media houses in our country: The Nation Media Group (which owns The Nation and NTV, Mediamax Limited (which owns K24), Royal Media Services (which owns Citizen TV and Radio, among other radio stations), the Standard Media Group (which owns The Standard and KTN), and Kenya Broadcasting Corporation (KBC). I am intrigued by the ownership of these media houses, their board constitutions and their implied affiliations.
The Nation Media Group (NMG) is owned by the Aga Khan Foundation, founded in 1959 by his Highness the Aga Khan. At face-value this seems okay, after all, the foundation is more or less an autonomous entity. But when we take a look at the board members of NMG we see some familiar faces; allow me to pick one – Professor Olive Mugenda. Prof. Mugenda served as the Vice Chancellor of Kenyatta University (a public university) and was later appointed by the current President, Uhuru Kenyatta, early this year to the Judicial Service Commission (JSC). This may not mean anything and one could say she was vetted and therefore qualifies for the job. However it is often the case that such nominations are done based on trust and a history of loyalty.
The Kenya Television Network (KTN) was founded by Jared Kangwana, a close ally of retired President Daniel Toroitich arap Moi for years. This affiliation was accentuated in a land donnybrook four years ago where Kangwana stated that the former President had allocated the land to him. Going by the former President’s endorsement of our current President in 1997 as KANU’s (Kenya National Union party) presidential flag-bearer, it would not be a far-fetched assumption that KTN and its mother company, Standard Media Group, leans more towards government. The former Kenya Wildlife Services (KWS) parastatal boss, Dr. Julius Kipng’etich, also sits as a board member of the Standard Media Group.
K24 TV is owned by the Kenyatta family to the best of the public’s knowledge; no need to say where their loyalties lie. The same goes for the Kenya Broadcasting Corporation (KBC) which is not only the pioneer media house in the country, but also a parastatal run by the government. We are left with one more mainstream media house to look to for authentic unbiased journalism – Royal Media Services or, if you prefer, Citizen TV.
In the 2013 general elections in Kenya, the owner of Royal Media Services, Samuel Kamau Macharia (popularly known S.K. Macharia), was seen standing next to the former Prime Minister, Raila Odinga, in a press conference at which the election results were being contested. Moments after the famous press briefing, several articles arose from independent media houses claiming that he was in fact using his media house, Royal Media Services, to support the former Prime Minister’s election bid.
Fast-forward to 2018, Royal Media Services conducted what is arguably the largest poaching drive in the industry’s history, literally milking-dry all their competitors, especially KTN and NTV (Nation TV of Nation Media Group). Among those poached were KTN former Managing Editor, Joe Ageyo, whose new role is not clear yet given we have seen him intermittently reporting features for Citizen. Joe Ageyo was also one of the 2 journalists who moderated the 2017 Presidential Debate alongside the then Nation T.V. Managing Editor, Linus Kaikai. It is worth noting too that Asha Mwilu, an award-winning journalist who worked closely with Joe during his stint as Managing Editor at KTN, was poached together with him to join Royal Media Services. Another personality to note among the poached is Yvonne Okwara-Matole, from KTN. Like Joe Ageyo, she too was a moderator for the running-mates’ debate in the 2017 general elections.
Linus Kaikai, Larry Madowo and Ken Mijungu were summoned to the Criminal Investigations Department (CID) headquarters for allegedly refusing to comply with a directive regarding the airing of the former Prime Minister’s ‘swearing-in’ ceremony. One month later, Larry Madowo resigned from his post at the Nation Media Group. Linus Kaikai, who was accosted with him, also resigned shortly after the summons to CID headquarters. He later moved to Royal Media Services.
It is said that “grand alliances between two great powers are generally the least effective.” Could this apply to the infamous ‘handshake’ between our President and former Prime Minister? Would it be so absurd to entertain the possibility that the shake-up in the media is connected to this?
When I turn on the news, all I see is tragedy; rape at Moi Girls Secondary School, the recent demolitions by NEMA, hordes of corruption cases from that of the National Youth Service (NYS) to the more recent of supposed misuse of office by the former governor of Nairobi. I know when a dog bites a man it is no news and ‘news’ would only constitute the opposite, but have we taken ‘bad news’ too far? Has our news been reduced to insensitive sensationalism of even the most tragic moments of our times? Do journalists care about telling the truth – about sharing honest stories from the same masses that the media fraternity serves, or is winning an award for a story more important for them?
Has mainstream journalism in our country been co-opted by the political elite?
Robert Mũnũku is a visual artist, writer & filmmaker based in Nairobi. Mũnũku is also the founder of Mau Mau Collective which is an organization that seeks to create a strong network of independent visual artists, filmmakers & performing artists on the continent. Follow him on Twitter @robertmunuku
by Jeff Kinuthia
A blockchain is a digital database or ledger distributed across a network of computers which is protected by coding the data to prevent editing and removal, and blockchain technology is the underlying application that enables all of this. Importantly, a blockchain records and stores all the transactions that occur within the network, essentially eliminating the need for third parties to confirm the validity of the transactions.
Until recently, blockchain technology was largely utilized and associated with cryptocurrencies such as Bitcoin but more and more jurisdictions are slowly opening up to its use in different areas such as financial asset management and in land registration systems.
Which is timely because aggrieved citizens voiced their concerns with the government for years regarding the poor management of the lands registries. In 2016 the Ministry of Lands finally embarked on a digitization exercise of the 57 land registries across the country which have been keeping manual records since 1895. This exercise is ongoing and is aimed at improving the delivery of services through electronic land transactions.
While this effort must be lauded, it came at a period when the developed world appeared to be going one way and Kenya the other. However, the recent announcement by the ICT Cabinet Secretary that blockchain technology will be applied to supplement the digital database is a welcome relief that places Kenya firmly on the forefront of the blockchain revolution.
Blockchain’s advantage over traditional databases (such as the one being implemented by the Ministry) are numerous. First, under blockchain, a central database or settlement system maintained by the Land Registry for example, is replaced by multiple copies. This is great because the problem with a centralized system, especially in a country with endemic corruption, is that ill-intentioned bureaucrats often infiltrate and tamper with the system and a digital database is not be exempt from such tampering.
In a land transaction utilizing blockchain, multiple copies of a blockchain will be held by any number of interested parties such as owners, potential purchasers and agents. These copies continuously and automatically update their contents via a complex consensus mechanism that means that they are always identical. By using hashes to identify every real estate transaction (thus making it publicly available and searchable), proponents argue issues such as who is the legal owner of a property can be remedied.
Secondly, Blockchain technology also underpins ‘smart contracts’, which are programmable contracts that self-execute when certain conditions are met, and offer the possibility that transactions could complete much faster when combined with a blockchain registry. For instance, title to the property could be transferred to the purchaser automatically on receipt of funds into the vendor’s account. The result would also be to speed up the registration process. With the ledger updating immediately, the registration gap would be eliminated. This, in turn, would also lead to greater efficiencies and cost savings for land registries.
Third, nothing on the blockchain can be changed save with the consensus of the network. Any confirmed transactions on the blockchain cannot be changed.
Lastly, what happens on the blockchain stays on the blockchain. A public blockchain will act as a public ledger meaning that as long as the blockchain remains operative, the data on it will remain accessible.
Globally, other countries are already in various stages of exploring blockchain-based land registries:
- In Brazil, the government partnered with a blockchain start up to overhaul the land registrar at two Brazilian municipalities by embedding land possession data into the bitcoin blockchain. The pilot program begun in August 2017 and is ongoing.
- Sweden is the country that’s furthest along in putting land registries on a blockchain. It is a country with an already well-established land registry system and believes blockchain could save the Swedish taxpayer over $100 million by speeding up transactions, reducing paperwork and minimizing fraud.
- Republic of Georgia has already agreed to use blockchain to validate all government related property transactions. Since its launch in February 2017, Georgia’s blockchain provider has helped implement property registration and has registered more than 100,000 documents.
- Closer home, Rwanda recently announced that a Swiss cybersecurity company, in partnership with Microsoft, will soon offer support to the Rwandan Government in adopting blockchain technology in the country’s land registries.
Challenges facing the implementation of blockchain
Regulations have always struggled to keep up with advances in technology and blockchain is no exception. One of blockchain technology’s challenges is that it reduces oversight. There is thus a strong argument for blockchain applications to work within existing regulatory structures not outside of them, but this means that regulators in all industries should understand the technology and its impact on the businesses and consumers in their sector. New regulations will therefore need to be formulated to govern this intergration.
Second, many potential applications of blockchain, such as in land transactions, require smart transactions and contracts to be indisputably linked to known identities and thus raise important questions about privacy and the security of the data stored and accessible on the shared ledger. A key question that will always be raised is who has access to the ledger and how is access controlled?
Further, in Kenya, the current data protection laws we have in place are inadequate and we needed greater legislation with regard to accountability of persons and institutions that hold data. The relevant legislation, the Data Protection Bill (2013), has been stuck in Parliament for years now. Adequate data protection laws will therefore need to be implemented.
Finally, cost. The cost of implementing blockchain technology in a country like Kenya might prove to be a great challenge. This is firstly due to the fact that we are yet to digitize the land registry. Blockchain can only be implemented on a digital platform. The exercise, which begun in 2016 is still ongoing and there is currently no indication as to when the exercise will be completed. Once the digitization is complete, we will then need to set up the infrastructure which will involve acquiring the right software and computers with great computing and storage power.
The announcement by the ICT Cabinet Secretary on blockchain and land registries, and the setting up of a digital ledger and artificial intelligence taskforce by the ICT Ministry is an encouraging sign that the government is open and willing to adopt blockchain technology.
In the private sector, numerous startups have begun already begun implementing blockchain in their businesses. Examples include ‘ChamaPesa’, a blockchain savings application for savings groups set to officially launch in 2018. ‘Land Layby’, a real estate firm, recently announced that the firm is set to roll out an application for a blockchain-powered land registry by April 2018. The initial role of the platform will be to provide a mirror reflection of the Government Land Registry systems.
In the cryptocurrency sector, numerous companies relying on blockchain technology such as ‘L-Pesa’ and ‘Belrifics Global’ have gone a step further by launching Initial Coin Offering (ICO’s). ICO’s are a funding mechanism similar to Initial Public Offerings (IPO’s) in which startups sell their underlying cryptocurrency tokens in exchange for bitcoin.
Such advancements and application of blockchain locally appears to have contributed greatly to the fact that Nairobi was chosen as the host of the 2018 World Blockchain Summit in March.
Blockchain technology is a revolutionary tool that will change the way we do business in a lot of different sectors from the land registry to the financial sector and practically every industry that has great data management needs. The ultimate question therefore is not if, but when will this technology’s application will become widespread in Kenya.
Jeff Kinuthia is a lawyer specializing in corporate and commercial law. He can be reached on firstname.lastname@example.org
by Wangari Kibanya
Conversations around the word millennial make me wonder, why would we need to contextualize our social and economic shifts from a very US American lens yet our nation is only 53 years old and did not undergo some of the shifts that mark the demographic markers on that end? What happens when the word millennial is deployed in the larger Kenyan discussion? When we label young people and how they act or contribute to society?
When we discuss the different generations, we use the terms – Baby Boomer. Generation X, Generation Y or Millennials and Generation Z /iGen (yet to be crystallized.) This illustration shows what characteristics have been assigned to each of these demographic groups, and the language we currently use to describe people within our workspaces. It shows US American centric culture dynamics. What makes each generation unique? According to US Americans, it is differences in technology use, work ethic, values, intelligence, among others.
The thinking behind all the demographic labels we use to define our workforce dynamics are informed by the United States. Maybe it is time to localize these labels and develop the language and apply a different context for the Kenyan workspace (which may also hold true for a lot of African countries).
The recent history of Africa can be defined as pre-colonial, colonial and post-colonial. How has the Kenyan workforce morphed from independence to post-independence? What are the demographic characteristics that we can use to shift the conversation around how we develop strategies for understanding context and the role it plays?
Kenya gained independence from Great Britain’s colonial rule in 1963, and this ushered in the Africanisation policy. Pre-independence dynamics saw colonial Kenya define and demarcate drastic social shifts in systems of production, culture, religion and economies. Different communities that were merged to make the Kenyan project moved from agricultural, pastoral and gatherer means of sustenance to a money economy – new crops, language, religion and vocations.
This is the starting point of a change that brought Kenya into the world. The different markers for each generation also determine expression, how ideas spread, their conversations and world views. A person born in a certain time period may have more privilege that one born in another time. This privilege is rarely acknowledged. Maybe this is why talk of younger generations having it easy crops up in conversations about the good old times. According to many, younger generations are “spoilt”.
How can we think about the Kenyan workforce in a new way? What are the educational, political, and social markers of each generation? Within each of these broad categories, you can also map and expand different sub- groups and cultures to get more nuances on each demographic label. The main consideration for the social, cultural and political characteristics what happened around them as they made the leap from childhood to adulthood.
1963 – 1978: Uhuru generation
This generation came up during the Africanisation of labor market, and took up jobs in the civil service, leading to rapid expansion of formal economy. Africanisation ensured that new jobs were created in Kenya’s post-independence economy. They had (and still have) jobs for life in the civil service, and there were limited education opportunities. This led to the wide availability of jobs. Public services were functional in their time.
First and second generation Kenyans were able to get through formal education system, from 3R (reading, writing, arithmetic) to university education. There were airlifts to the United States and Soviet bloc countries to train a professional class, as well as expansion of education facilities in Kenya, and Kenyan music (Benga especially) dominated the airwaves with influences from the Congo – they even had global recording studios such as Polygram set up shop here.
1978 -1982: Early Generation
This generation was born into a constitutionally embedded one party state, and witnessed succession from the first president of Kenya as well as a coup attempt, which radically shifted Kenya’s character.
1982 – 2002: Nyayo Generation
This generation experienced a change of education system from 7-4-2-3 to 8-4-4. We have experienced state repression, currency controls and price controls. Structural Adjustment Programmes (SAPs) have had a great impact on our experiences of public services such as education, health and infrastructure. We saw the liberalization of the Kenyan economy, including the free market, privatization of public services, and a public service hire freeze.
We have witnessed the rise of Information Technology as an industry, boosted by computerization and dial up internet access. There was increased uptake of opportunities abroad by Kenyan students and professionals (which led to “brain drain”) due to political and economic conditions. We experienced news from a monopoly broadcaster (KBC), and Congolese and vernacular Kenyan music defined our audio experience.
2002 – 2010: Children of democracy
This generation has witnessed the expansion of democratic space. Freedom of expression and creativity in the film industry, art and music was burgeoning at this time. The Kenyan Hip Hop scene grew due to the presence of labels such as Ogopa DJs and Calif Records, and there was an increase in literary output from collectives such as Kwani? TV and radio frequencies were liberalized, leading to a rise in independent/commercial media houses.
There was a geopolitical shift to engage more with the East, leading to the entry of China in megaproject infrastructure funding. This generation has experienced the enhanced use of technology for everyday life, as well as increased global connections due to internet use (due to the landing of fiber optic cable on Kenyan coast.) This led to better connectedness of Kenya to the outside world – more Kenyans got online as the cost of internet significantly reduced. Mobile telephony grew rapidly with the entry of KenCell Safaricom.
There were many diaspora returnees at this time, and new constitution was promulgated at this time. There were also curriculum changes in primary and secondary schools, with a reduction of examinable subjects.
2010 – Current: Digital natives (Generation Z/iGen)
This generation is experiencing an even greater merge of Kenya with the global space on the digital frontier. They have grown up using mobile devices, high speed internet and broadband. There is an immediacy in the adoption of global trends, making it to almost every part of the country. There has been a screen shift to mobile rather than legacy media, and a change in news dissemination and cultural trends in the age of viral news and trends on Kenyan Facebook and Twitter (#KOT.)
This generation is coming up in a time of unemployment and underemployment, leading to a growing gig economy and the emergence of the “hustler.” There has been a demographic shift in the makeup of our population, and an expansion in the creative economy (we have photographers, videographers, writers, actors, poets, fashion influencers, Instagram and Facebook popup shops.) This generation has seen a rise in self-publishing on platforms like WordPress, and self-promoting created content on platforms like YouTube. There has been more privatization of services, and the rollout of a new curriculum in 2017.
With this basic frame of the different slices of the demographic shifts and labels, perhaps we can reimagine and develop strategies that blend both global thinking and local dynamics that underpin our interactions with Kenyan youth, and understand why it is important to contextualize demographic labels.
by Robert Munuku
It is expected for governments to be corrupt. This is a reality, not a vindication – of course corruption is wrong. But at the very least no one gets a heart-attack from surprise upon hearing that government is corrupt.
The most injurious things are those that are an unexpected, because they go unseen then untreated as they operate from the shadows. Corruption in Kenya is not a government phenomenon, but a nationwide one, pervasive in social life and hence all institutions. To deal with corruption we have to deal with many things, preferably at a micro-sociological level. To attempt to deal with it (as we are now) at a macro-level would be futile because at the macro-economic/political levels, corruption is guarded by the very same people/institutions with the power to do something about it. It’s like going to a Kenyan police station to report police brutality and expect results
We as the Kenyan population are also not organized enough, willing enough & politically neutral enough to unite and mobilize towards a fight to end corruption. The middle-class is busy trying to get richer so that they can join the elite upper class, so any malcontent with corruption is often a front to show they care, when they really only care about upward social mobility. Likewise, the elite is more concerned with protecting their already acquired wealth.
Once we accept that corruption in Kenya is not unique to government, we also need to remember that the institutions that traditionally had more muscle than the individual to fight corruption are themselves corrupt – this is what some call the civil society. Civil society in Kenya has been tainted by the commercialization of activism. It is marred with self-interest often hinging on foreign funding. Cartels now too exist in civil society because they need to keep securing funds to keep their NGOs functional, and what better way than to ensure that there’s a constant state of chaos?
Civil society may come in to support a fight against corruption, but this is because their interests shift with the tide that pays their bills. Today it’s climate change, tomorrow it’s the girl-child, the next day it’s water and sanitation, and the next week its poverty reduction. Those who fund civil society from outside the country don’t do so because they love Kenya so much, but because they too want to front foreign agenda to African states like ours, which is a form of neo-colonialism.
The media have one of the most powerful tools – voice, and distribution channels of the same. However, journalists often also fall victim to corruption themselves, being paid off to steer conversations in a certain way (brown envelopes) or to outright kill stories. This is not surprising, because the media houses are owned by individuals who are often politically aligned. Perhaps non-mainstream media & independent journalists are the ones we can count on
Religious institutions are also participants and beneficiaries, because political leaders are usually aligned with one (or more) of the religious denominations in the country, leading them to shy away from harsh criticism.
I believe that the fight against corruption is a one we all need to deal with at first as individuals. But that can only happen if we truly believe it’s wrong. But do we? Or do we wish we were privy to the same wealth that it brings, and only fight it out of spite?
Robert Mũnũku is a visual artist, writer & filmmaker based in Nairobi. Mũnũku is also the founder of Mau Mau Collective which is an organization that seeks to create a strong network of independent visual artists, filmmakers & performing artists on the continent. Follow him on Twitter @robertmunuku
by Dr. Sakulen A. Hargura
Universal health care is a noble idea that is long overdue. For it to bear fruits and build a permanent home in our system, certain fundamental pillars that must be erected. The most important are sound healthcare policies, and adequate expertise to execute the plan contained in those policies.
Kenya has never been short on laws and policies (our constitution attests to our ability to formulate laws and policies). However acceptance, implementation and execution of these laws and policies has always been our weakness. Health is a basic human right. The post independence regime, and subsequent ones as well, laid the foundation for self sufficiency in health. The walk to self sufficiency, however, has been painstakingly slow. So much so that 55 years after independence, we do not have a fully functioning health care system (the kind of which Cuba is renowned for).
Kenya has had shortage of doctors since independence because for a very long time, it relied on only one institution (the University of Nairobi) to train both general physicians and specialists. This hampered the efforts to attain sustainable health care and ensured a constant injection of a low number of doctors into the system, which tried to maintain the distribution of specialists and general medical officers to all corners of the country.
Through remuneration that was commensurate with work environment, for example hardship allowances, and prioritization of doctors in hardship areas for masters study scholarships, the government gave doctors an incentive to move to the far off areas. These scholarships were systematic and deliberate so as to ensure not just constant supply of specialists, but to give the government the leverage to post the new graduate specialists to areas of need as well, be it in the major cities or rural areas. All the original blue print needed was expansion of capacity by giving more universities the resources and mandate to open medical schools in order to expand the inadequate human resource.
The change the Kenya’s public health care system needed to thrive finally arrived at the turn of the millennium with “parallel” degree programs. Medical degrees are long and expensive, and most public universities opened Schools of Medicine to benefit financially. Just as the first batch of these new graduate doctors joined the system, devolution happened. While devolution was meant to attain equity in resource sharing, it was mired by political hogwash that resulted in decisions that were not entirely aligned with the spirit of our constitution. Health was earmarked for devolution, but how to do it without deflation of the existing weak healthcare infrastructure and systems hadn’t been well thought out.
Kenya’s health care was a casualty in the territorial wars pitting Uhuru Kenyatta’s national government against the 47 county governments. To devolve health in its entirety, including human resource, without first holding forums to educate the governors and county health executives on the internal workings of Kenya’s health system was a wrong move. What county government needed was the control and management of the health facilities and infrastructure, as well as the health workers sent to their hospitals by the central government. The core hiring, distribution and training of health workers should, however, have been left at the Ministry of Health until such a time when devolution had been tested and matured.
Right after the hasty devolution of health, many doctors (especially specialists) exited public health care. Many of the counties affected have yet to attract them back despite concerted efforts. The chaos that followed resulted in a disgruntled work force as salaries delayed, the state of health facilities worsened, and the agreements signed with central government prior to devolution were disowned. The county governments not only failed to absorb new graduate doctors churned out by our universities but also refused to release those selected for masters study scholarships. The result was unnecessarily long strikes as central and county governments quarreled over who was responsible
At the moment, we are in a debate about the Cuban doctors joining our healthcare systems. While their credentials and proficiency are not in question, does Kenya need the Cuban doctors or does it need their healthcare system?
Kenya has a shortage of doctors, yet governors have persistently failed to absorb new graduate doctors who have completed their internships leaving them jobless. The same governors have refused to release countless doctors who have been given scholarships to study for their masters to add to the dwindling specialist numbers, with the excuse that they will be absentee employees. This not only denies citizens access to health care, but also derails Kenya’s ability to reach sufficient specialist numbers in the future. The system borne of hurried devolution is gutting Kenya’s public health care.
The Cuban doctors may be appealing, but their presence will not contribute to Kenya’s long term plans of sustainable universal health care. According to the government, they will serve at the grassroots level. This means they will not contribute to systemic education of new specialists in the country, nor will they help drive national policy at the helm. What happens after two years when the Cuban doctors bid us farewell? Do we then have the same program with India?
To bring in Cuban doctors with our existing system, or lack there of, is to transplant a branch of a flourishing tree onto a dry tree. Moreover, to base Kenya’s universal health coverage on a borrowed work force is to throw the seeds of a noble idea on to the rocks.
I believe that Kenya needs to restore the pre-devolution health care system in terms of training and distribution (posting) of doctors so as not to leave the fate of Kenyans in the hands of individual governors. Only then will we see the fruits of the increased numbers of doctors in the country. A body like the Health Service Commission (HSC) could be put in place as a bridge between the county and central governments to enable smooth movement of doctors through the two arms of government for training and posting.
We also need to borrow Cuban health policies, and some of their policy-makers, to duplicate their health care system. If at all their specialists are also brought in, they should be posted to universities and teaching hospitals to help train our doctors, not just to counties where upon the expiry of their tenure they will leave little in terms of long term impact.
Uhuru Kenyatta’s intent and will to implement his big four agenda should be well-informed and concerted. Instead of this public relations exercise, those entrusted with the duty of implementing this agenda should dig deep and consult concerned stakeholders so as to bring holistic and sustainable policies that will see us through another half a century.
Sakulen Hargura is a medical doctor presently pursuing masters in surgery in Turkey. He loves to read, and writes poetry as well as a weekly opinion piece for the Marsabit Times.