Last month Kenya got a new
president. Whether or not Kenya ELECTED a new president is up
for debate. However, while the voting, tallying, and Supreme
Court case disputing the results were all without a doubt flawed, if
not completely corrupt, Kenya achieved a major victory in that the
entire three-week ordeal ended peacefully and with very little
violence or chaos.
Kenyans vote along tribal lines more than anything else, so
political campaigning makes little, if any difference. But
that doesn’t stop presidential hopefuls from spending millions
flying around the country to make promises they won’t keep.
Some of the big promises our new president made when he was on the
campaign trail were promising to create a million jobs, giving out
free laptops to all first grade elementary school children, and free
maternal healthcare for all Kenyan women. Even in his first
speech as president he reemphasized that within the first 100 days
of his presidency maternal healthcare will be free.
There are two things I would like to say about this seemingly
wonderful promise. One is that it is unlikely that it will be
kept. The second is, with all my heart I hope and pray that it
isn’t.
Apart from the fact that the Kenyan government is notoriously
corrupt and keeps very few of its promises in the first place, the
biggest issue here is that this idea is completely unrealistic and
incredibly dangerous. First of all, waiving fees for the
mother is only the teeniest tiny tip of the iceberg when it comes to
addressing the maternal healthcare nightmare in Kenya. How
will it help maternal health and survival if a mother can go for
free to a clinic that is understaffed; filthy; has outdated,
nonfunctioning equipment; and personnel who are undereducated,
underpaid, and overworked, causing them to unload their ignorance
and frustrations on the women seeking their care? How will it
help a woman to go to a clinic where there are already 3
laboring/birthing women to a single bed so she must deliver on the
floor….by herself, because there is no available staff member to
attend to her. Even if this is free, isn’t driving women to
such a place very likely putting them and their babies MORE at risk?
And that is why I hope this policy completely flops.
Oh how I wish they would put that promised money into better
equipping birth attendants so that the need for a mother to go to
the hospital is very rare in the first place. And the rest
into the hospitals so that in the rare case that an emergency did
arise, the mother and baby would be cared for in a clean, safe, well
equipped environment. Cared for is something that no one is in
Kenyan health facilities. Apart from having enough staff who
are also skillful in providing good medical care, Kenya is in
desperate need of medical personnel who don’t mistreat, humiliate,
or outright abuse their patients, not to mention harm them with
malpractice. There is no accountability in place to address
this issue.
This proposed and promised policy is just another tragic example of
how oh so often, human beings arrogantly try to solve the world’s
problems with selfish ideas of grandeur. Far too often, those
of us trying to develop the undeveloped world invent extravagant,
outrageously expensive “solutions” to problems we haven’t even begun
to understand. Worst of all, in doing so, we more often than
not make things far worse.
One of my favorite things about God is that HIS solutions are so
majestically simple. The more I come to know Him and the more
I work in community development, the more I experience this to be
true. The problem with us is we overcomplicate things and I
think it’s often due to an arrogant desire to display our complex
creativity and brilliance. But that’s just one more place we
get it wrong.
God says the greatest is the least. He is most impressed with
the one who is most humble and simple among us. These are the
ones he uses to shame the wise. (1 Corinthians 1:27&28) Look at how
He sent His Son! Look at how He saved the entire world!
Not in pompous splendor, but in humble simplicity.
I guess the point is, in any case when we are trying to help others,
whether one person or millions, we must be so careful to examine our
motives and seek God for HIS solutions because His thoughts are not
our thoughts and His ways are higher than ours as the Heavens are
above the earth (Isaiah 55:8&9). Any time we help others for selfish
gain or out of our limited carnal understanding the consequences can
be tragic. In the case of the new Kenyan president and all the
precious mothers and babies in this country, the consequences could
be deadly. On the surface his plan seems impressive, generous,
compassionate, and right inline with the international push to lower
maternal – infant death rates. I believe that is the only
reason he has made this promise – because it makes him look good.
But the reality is it was a selfish, arrogant, ignorant promise
which if implemented will turn Kenyan health facilities into more of
a death trap than they already are. Anyone who truly cared
about the well being of mothers and babies would know and understand
this. The Kenyan healthcare system DOES need a total overhaul,
but we must not experiment with and risk the lives of Kenyan mothers
and babies in the process! Before any such policy is put into
place a deconstruction and reconstruction of the entire Kenyan
health system and infrastructure MUST occur. And I believe
this should and must begin with the “least of these”, which I will
share my thoughts on next month.
To be continued….

Three laboring/birthing women to a single bed
so some deliver on the floor
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