By Kinya Kaunjuga
After almost everybody has left the streets, he looks around to make sure no one sees him dig out a bag hidden in a space between the walls of two tin houses. So much had been going on with the flooding. Chaos raged. Everywhere was littered with everything the river had vehemently pushed into land.
Paths that wove through densely packed houses had turned into dark lakes of filthy water. Tin roofs, walls and doors that had withstood months of scorching heat were suddenly reduced to piles of rubble that resembled muddy garbage.
So it wasn’t hard to use a random crack to keep his cardboard box hidden until he retrieved it at night. After a few tries, he had managed to cut it into a shape that fit around the hole of the pit latrine and he could set it up with just one flip to lay on. The smell no longer bothered him because few people still dared to use the toilet that had survived the floods and was teetering precariously on a hill.
When Daniel, a fellow journalist, told me about this man who they called “mzae” (meaning “father” or “elder” in Swahili as a sign of respect to an old man even with no biological relation), I asked him how come he was still living in that place and alone at his age. Where were his children or family? He explained that he had two daughters who were married and he did not want to ask them for help because they were poor too. He had raised them in poverty and it wasn’t fair to ask them for help. He wanted them to go on with their lives. Daniel also explained something I am still trying to understand. He said for men such suffering is endured as “kimwanaume” – it’s hard to translate accurately into English. The closest I can think of to explain it is that being a man means taking on your lot in life and living with it, bravely.
But that must be a different generation. In my conversation with community volunteers who were attending to the needs of flood victims in their slum villages, I was shocked to hear that a significant number of pregnant women had been abandoned by their boyfriends and husbands when the floods washed away their homes. It was a stark contrast to the old man who lived in the toilet. He had raised his two children in abject poverty and because of his persevering nature, was not willing to encroach on their resources but would rather face each daunting challenge of survival daily until further notice.
It becomes increasingly clear that the three years spent writing about the lives of those in the slum ghetto is only a tiny drop in discovering and understanding how living in poverty shapes a person’s ideology. There is no obvious creed to unlock, and what seems so outlandish to an outsider is simply a way to hack life where all the odds are against you.
In this video, a nurse called Balala who works at Uzima White Medical Clinic located inside Mathare slum, less than 50 meters from the Gitathuru river, is the one holding the young boy crossing two rooftops on a sheet of metal.
While rescuing flood victims in his neighborhood, Balala also went in search of the men and women who attend a Bible study on Tuesdays for those addicted to drugs and alcohol in the slum because almost all of them are homeless. (They’re pictured above seated and listening to Balala – in a yellow t-shirt – standing before them). Sadly, he informed me that one of the men was found dead, drowned by the floods.
In the heart of slums and the farthest reaches of rural villages, small medical clinics stand as beacons of hope, treating individuals who endure unimaginable poverty. We’ve built our clinic management system precisely customized to run in clinics with extremely limited operational budgets so they can afford to remain open and use 21st century technology to deliver good healthcare.
It’s our job to consistently build innovative features in our software that, for example, allows the clinic “Mzae” visits to record payments of as little as 10 cents when he goes there for treatment. This ensures uninterrupted medical care in a little clinic right there in his neighborhood and eases the tracking and collection of random cash payments for the clinic.
Thank you for supporting Banda Health as we develop technology solutions for clinics that care for people in some of life’s most vulnerable situations.
Five years ago we set an audacious goal that was slowed down by the COVID pandemic. On our website we announced that goal: “We plan on putting BandaGo in 100 clinics by the end of 2024. That’s 2 million patients that will have access to good healthcare over 5 years, and we won’t stop there.”
As of today, 101 medical clinics are using our technology solution BandaGo to manage their clinics and they have recorded 1.2 million patient visits!
We simply can’t do it without you! Thank you.
Photos and videos in this article are courtesy of Theano Ratcliff, Daniel Irungu and Sheikh Balala and should not be used without permission from Banda Health.
Kinya brings passion, an infectious laugh and 15 years of experience in the corporate and non-profit world to Banda Health. A Texas A&M alumni with a degree in Journalism and Economics, she says, "I love doing things that matter!"
Margaret Gibson is the Director of Development at BLESS.world. She has spent the past 12 years helping build strategic, innovative, mission-minded organizations that impact the most complex problems of our day. Previously, she was Director of Operations at CrowdHealth, a healthcare technology startup. Her prior professional fundraising experience includes Living Water International, The Gospel Coalition, and The Source for Women.
Julie does whatever Steve asks her to do! In the early years before joining Banda Health, Julie put her passion for helping people through technology to use as an education-focused, data systems engineer. After spending a few years volunteering as an NGO Treasurer in Kenya, she returned to the USA and fine-tuned her passion to simply focus on adult learning.
Julie’s healthcare hero is the on-call ortho surgeon whose name she can’t remember, but whose skills saved her foot after a car accident.
Clinton is a software developer with in-depth experience in software design, development, implementation, and testing. In a nutshell, solving clients’ needs is his specialty. He graduated from Jomo Kenyatta University of Agriculture and Technology with a bachelors in computer technology.
Clinton’s personal healthcare hero is all the doctors and nurses willing to work in low resource areas.
Lawrence markets BandaGo in new areas and onboards clinics who are ready to get started. He joined Banda Health first as an Ambassador, gaining experience in surveying, IT and sales.
His personal healthcare hero is Dr. Steve Letchford at Kijabe Hospital.
Michael helps clinics get started with BandaGo. He joined Banda Health after gaining initial work experience in IT support and data management. He graduated from Jomo Kenyatta University of Agriculture and Technology with a bachelors in mathematics and computer science.
Michael’s personal healthcare hero is Dominic Ngalo, a data analyst at Kenyatta National Hospital in Nairobi.
Jeremy is our on-the-ground man, making sure the pilot sites have what they need to use our software. He previously worked as a systems analyst and team lead after getting his bachelors degree in computer science at Africa Nazarene University.
Jeremy’s personal healthcare hero is Isabella Muturi, a nurse at AIC Marira Clinic in Kenya.
David’s personal healthcare heroes are the doctors, nurses and physical therapists in his own family.
Steve is the visionary behind Banda Health. After two decades working as a doctor and hospital administrator in Africa, he has stories that will convince even the biggest skeptic of the impact that IT can have on African healthcare.
Steve’s personal healthcare hero is Irene Mundia, a licensed practical nurse at Mushima Rural Health Centre in Zambia.
Kevin is a passionate data enthusiast. He ensures that Banda Health can tell a story through their data. His vision is to serve as a gatekeeper for Banda’s data so that stakeholders can understand data and use it to make strategic business decisions. He has a bachelor’s degree in Computer Science from Strathmore University.
Kevin’s personal healthcare hero is all the doctors and nurses giving it their all during the pandemic.
Kinya keeps all of the logistics working at Banda Health with 15 years of experience in the corporate and non-profit world and a lot of energy! A Texas A&M alum (Journalism and Economics), her laugh is infectious. She is passionate about expanding the global digital agenda to include social innovation in healthcare initiatives.
Kinya’s personal healthcare hero is Dr. Shelley Machuta, a Radiation Oncologist in Covington, GA.
Amy is a strategist in the life sciences industry. She currently works for the Life Science business of Merck KGaA, Darmstadt, Germany as the Head of Segments Excellence. She previously held positions as the Head of the CEO office and Associate Director of Global Strategy. Amy also worked for McKinsey & Company and Booz & Company as a management consultant and had served a wide range of clients in the biopharmaceutical industry.
Nelly is our “concepts expert.” She ensures that all the necessary terms for our clinical modules are mapped and submitted to CIEL (concept dictionary). She’s a clinical epidemiologist with a master’s degree in epidemiology and disease control.
Nelly’s personal healthcare hero is Dr. Steve Letchford at Kijabe Hospital.
Kevin is undoubtedly our most outgoing developer! Before joining Banda Health, he spent 5 years in software consulting, working as a developer and manager at Pariveda Solutions. He completed his bachelor’s in aerospace enginnering at the University of Texas.
Kevin’s personal healthcare hero is Kate B., a physical therapist at Evangel VVF Center in Jos, Nigeria.
Jessica keeps the team organized. Whether it’s filing tax forms or preparing board reports, she makes sure it gets done on time! Before joining Banda Health, Jessica used her organization skills at a soccer start-up in Germany. She graduated from Yale University with a bachelor’s in Ethics, Politics and Economics and completed her master’s in International Relations at the Free University of Berlin.
Jessica’s personal healthcare hero is Jairos Fumpa, a cataract surgeon at Mukinge Mission Hospital in Zambia.
Andrew makes sure the Nairobi team stays on track. He may seem quiet, but don’t underestimate his passion and expertise when it comes to health technology. He’s worked with leading businesses both in Kenya and internationally.
Andrew’s personal healthcare hero is Benedetta, a cashier at AIC Marira Clinic in Kenya.
Wes oversees all things technical. If you want a sneak peek at the roadmap, he’s your man! With 15 years of programming experience in the US private sector plus 5 years of technical consulting and team leadership, he definitely knows what he’s doing.
Wes’ personal healthcare heroes are the Christian medical missionaries working around the world.