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Archive for December 21st, 2009

In Kenya, ethnic distrust is as deep as the machete scars

Posted by Administrator on December 21, 2009

By Stephanie McCrummen
Washington Post Foreign Service
Tuesday, December 22, 2009; A10

KIAMBAA, KENYA — Nearly two years after a wave of post-election violence brought this East African nation to the brink of civil war, Joseph Ngaruiya has learned to ride his bike with one leg, the other having never fully healed from machete cuts. He’s learned to tolerate the “sorrys” and small talk of neighbors who he believes hacked him nearly to death and burned a church here, killing 36 people in one the worst days of the ethnic bloodletting.

What he has not managed, he says, is to summon sufficient faith in their apologies or in justice to keep him from buying an AK-47 once he gathers enough money.

“To stay the way we were that time, unarmed, we can’t,” said Ngaruiya, 38, who was among hundreds of thousands of ethnic Kikuyus driven from this western farming region by Kalenjin tribal militias after the disputed December 2007 election. “Next time, it will be much worse.”

Despite a power-sharing deal and a reform agenda intended to rescue this nation from collapse, the situation remains dangerously volatile, troubling U.S. officials who are already juggling other worries in the region. With Kenya’s eastern neighbor, Somalia, at war with al-Qaeda-linked rebels and its northwestern neighbor, Sudan, sliding toward civil war, U.S. officials say a stable Kenya is more crucial than ever.

But the coalition government of President Mwai Kibaki and opposition leader turned prime minister Raila Odinga has remained entrenched in the divisive tribal politics that led to the ethnic violence.

The government has moved slowly on reforms, blocking any domestic judicial process for trying the perpetrators of the violence, who are widely believed to include Kenya’s political elites.

The International Criminal Court recently announced its own investigation, which is likely to focus on a few top leaders alleged to have orchestrated violence.

“Leaders and people are going into their tribal cocoons, where they feel they are safe,” said Ken Wafula, director of the Centre for Human Rights and Democracy, a Kenyan human rights group. “Unless something is done, we are waiting for an explosion that would be very disastrous.”

Rift Valley violence

Perhaps nowhere is the situation more fragile than here in the rolling, green Rift Valley. Some of the worst ethnic violence played out in this western region after Odinga accused Kibaki, who is Kikuyu, of stealing the 2007 presidential election. What followed has been described by investigations as a well-planned bloodbath in which Odinga’s Kalenjin supporters burned houses and farms and otherwise drove Kikuyus out of the Rift Valley with bows, arrows and machetes. Kikuyu gangs soon organized their own ethnically driven retaliation against Odinga supporters. In all, more than 1,000 people were killed.

Though the tribal calculus could change this time, depending on political alliances in Nairobi, the capital, people speak with near certainty of a repeat of that violence, only this time with guns.

According to Wafula and others, Kalenjin and Kikuyu self-defense militias are forming, some of them including retired military commanders. And while reports of people buying guns are difficult to verify — and Kenya’s gun laws are strict — Kenyan police earlier this month intercepted a cache of 100,000 bullets, military-grade weapons and uniforms being smuggled with the assistance of local police, which has lent some credence to the claims.

Sitting in his mud-walled house, Joseph Ngaruiya said that he knows where to get a gun when he’s ready.

“You go near the swamp by the Ugandan border,” said the former shopkeeper, who rescued his wife, daughter and four boys from the burning church. “You can’t miss.”

It was late afternoon, and Ngaruiya ran his fingers absently along the machete scars that divide his face and crease his skull. He was tired from riding his bike to town, where he has tried without luck to find work. Groceries, shops, and bus and truck companies seem interested in hiring only Kalenjin these days, he said, because of the possibility that Kikuyu-dominated businesses will be burned, as they were last time.

When he thought about it, he said, the post-election crisis taught him not that tribalism is a destructive tool of political elites but that his tribe is perhaps his only refuge anymore. The Kalenjin, he figured, have decided the same.

“We Kikuyus, we are uniting,” Ngaruiya said. “And the Kalenjin, they follow their leaders so strongly. We know that. This thing has made tribalism stronger.”

Kiambaa, a mostly Kikuyu community of yellowy fields and shaded red dirt paths, is relatively quiet these days; only about half of its residents have returned from tented displacement camps. Where the church was burned, two rows of low, wooden crosses, already overgrown with weeds, mark the graves of people who died inside, most of whom were women and children.

Tensions here remain so high that local Kalenjin leaders objected to building more permanent cement graves or a memorial, saying it would amount to an admission of guilt, or even a curse.

‘It’s taking too long’

One of those objectors is Alfred Kiplamai Bor, an influential Kalenjin elder whose sprawling family farm is just across a barbed wire fence from Kiambaa. He is accused of helping to finance Kalenjin militias, which poured across his farm to attack his neighbors at Kiambaa, a charge he denies. Bor’s sons were recently acquitted in a Kenyan court of charges that they directed the militias and helped burn the church, a trial that many Kikuyu victims said was deeply flawed.

Bor, 88, calls Kikuyu neighbors “thieves” and accuses them of a sordid array of tribal practices that he calls “uncivilized.”

“They are not wanted here,” said the elder, sitting at his home on a little hill, where he’s hosted some of Kenya’s top Kalenjin leaders. “To solve this thing, it’s very difficult.”

Before the election, the Bors bought sugar and other goods from Kikuyus in Kiambaa. Kikuyus walked to Bor’s farm for milk and corn. With few exceptions, those simple gestures of trust have not resumed.

One of Bor’s sons, Emmanuel, said he does not share his father’s views, though he feels in some way captive to them. When the militias arrived at his farm on New Year’s Day — by his count, more than 1,000 young men smeared with mud to disguise their faces — he said he had little choice but to pretend to join them. Had he declined, he said, he might have been killed. When he arrived at the burning church, he said, his conscience told him to help. He said he yelled at the militias to open the church door before the building collapsed. He was there to rescue his neighbors, he said, not to burn them.

“These are people I’ve grown up with here,” Emmanuel Bor said. “I don’t know why they’ve not come back. This reconciliation is worrying. It’s taking too long.”

He walked outside his house then, across his field, under the barbed wire and into Kiambaa. It was getting dark, and the silence of the place was odd.

“This place was so full and busy,” Bor said, walking past burned-out houses. “But listen now — only bats. What keeps people away? I really don’t understand.” There are some Kikuyu neighbors who believe the younger Bor’s story and have been branded traitors for it. Others said that even if they wanted to believe him, they cannot.

“We don’t know what they are planning,” said Regina Muthoni Nyokobi, whose mother died in her wheelchair in the church fire and who sometimes dreams of revenge. “We don’t know their hearts.”

 Source: Washington Post

Posted in Kenya | Comments Off

Study shows young women would rather get Aids than fall pregnant

Posted by Administrator on December 21, 2009

More teenagers are growing up without sex education since schools, parents and religious organisation find the subject a taboo. Left on their own, the young adults rely on information gathered at such discotheques from friends. Photo/ FILE

More teenagers are growing up without sex education since schools, parents and religious organisation find the subject a taboo. Left on their own, the young adults rely on information gathered at such discotheques from friends. Photo/ FILE

By CAROLINE NJUNG’E

When it comes to choosing emergency contraception, young Kenyan women trust their schoolmates. They also trust the chemist, the Internet and their boyfriends.

The only people they don’t trust are their parents

One word explains why a 25-year-old woman we’ll call Jane lowers her face in shame when explaining why she had unprotected sex with a man she had known for only a month.

Trusted him

“I trusted him,” Jane says, averting her eyes and squirming uncomfortably in her seat. The next morning, the enormity of her decision sank in — what if she got pregnant? She was still in college and definitely not equipped to raise a child.

Her new boyfriend came up with the solution — “Just swallow the ‘morning-after pill’ and you will have nothing to worry about,” he advised, even offering to dash to the chemist for her.

For Jane, the suggestion to use emergency contraception proved a “magic bullet” of sorts.

“Since I did not get pregnant that first time, I continued using the E-pill each time I had unprotected sex, which was at least once a week, convinced that I could not get pregnant,” she recalls.

A month later, however, that “magic bullet” took a wrong turn. Jane’s worst fear came to pass — she was pregnant and devastated.

“I just wasn’t ready to handle a pregnancy or worse, become someone’s mother. There was still so much that I wanted to do, so much that I wanted to accomplish…” Jane says, her voice trailing off.

Jane could easily speak for thousands of young women throughout Kenya.

Pick any 10 in the streets of Nairobi, and at least half admit to having unprotected sex — regularly. They will also tell you they don’t ask their partners about their sexual history, and that they use the E-pill far more often than is recommended.

That’s what the Nation found during an interview for this feature with 10 women between the ages of 19 and 27 years. Far from embodying the non-religious, immoral stereotype, these women were either in college or university, or employed in white-collar jobs.

Overwhelmingly, this group is likely to attribute their risky sexual behaviour to trust — the trust they place on boyfriends to shun sexual partners outside their relationship.

In the same breath, they claim strong awareness of the deadly risk posed by sexually transmitted diseases. These women say they’ve investigated various options for preventing pregnancy, yet place absolute trust in the relatively new E-pill as their contraceptive of choice.

In short, it would seem, these women at the peak of their reproductive years would rather face death, or long term complications of E-pill usage, than the condemnation or rejection from family, church leaders, or community resulting from pregnancy.

“My parents would probably kick me out should they find out that I’m sexually active, so I don’t even want to imagine their reaction should I get pregnant today,” says Sheila, a 22-year-old who is about to graduate from college.

This response confirms past Population Council research findings which indicate that fear of pregnancy outweighs fear of contracting the HIV virus among E-pill users — 79 per cent cited pregnancy as their biggest fear, while only 45 per cent thought they were at risk of contracting HIV through unprotected sex.

Contraception users

A 2007 research by Population Services International (PSI) indicates 69 per cent of E-pill users had either college or university-level education, while 59 per cent were employed.

Overall, 64 per cent of users were married, cohabiting or single but in a steady relationship. These findings dispel the notion that adolescents or the promiscuous are the majority of emergency contraception users.

But is death a less tangible concept for these educated, employed young women than pregnancy? The answer, one expert says, may just shock the people most responsible for moulding a young woman’s sense of self.

According to Wanjiku Gikang’a, a family therapist and university lecturer, parents are largely to blame for the shockingly casual approach young women adopt towards unprotected sex.

“Today’s parents think that their duty is done once they provide material support for their children — but they end up neglecting an even more important area — the emotional well-being of their children.”

“Young unmarried women would rather seek an abortion than let their parents know that they’re pregnant,” says Gikang’a.

She cites a case she is privy to, that of a young woman who took the more drastic step of procuring an abortion than confide in her parents that she was pregnant.

“She was suicidal by the time she sought help since the mental torture she experienced after the abortion was just too much to handle.”

Gikang’a says most parents expect, even demand, that young women make wise sexual choices, with little or no guidance.

The result, she explains, is a generation that grows up devoid of self-esteem, even though highly-educated and self-sufficient. It seems logical that they could be persuaded to have unprotected sex with someone whose sexual history is unknown to them. Parents don’t realise that true self-esteem is fuelled by information.

“A young woman who has been raised with self-esteem would think twice before doing anything that will jeopardise her health; she would be empowered to look beyond just getting pregnant,” Gikang’a says.

Dr. Marsden Solomon, the Reproductive Health Regional Medical Advisor for Family Health International, says that for the sexually uninformed young woman, the social, economic, the psychological and moral repercussions of pregnancy seem easier to dodge.

“Unlike a sexually transmitted disease, pregnancy cannot be hidden; it is a visible consequence and demonstration of a sexual act and for the unmarried girl in our society, the shame that accompanies it is heavy,” says Dr Solomon.

But young woman might be more willing to gamble on hiding symptoms of HIV or STD’s for years. After all, even people who contract HIV can live for decades with ARV’s, proper nutrition and counselling.

Besides trust, the young women interviewed for this feature also cited pressure from their boyfriends to engage in unprotected sex.

“Most men question your faithfulness and love for them if you insist on using a condom, so we end up giving in to unprotected sex to prove that we’re not seeing anyone else,” said Mary, a 21-year-old student at a city college. She has been using the E-pill to prevent pregnancy at least twice a month for the past one year.

“Men also argue that the relationship isn’t close enough when we insist on using protection,” said Christine, a 25-year-old accountant who started having unprotected sex with her current boyfriend three months after they started dating. They have been together for six months but are yet to visit a VCT centre to have their status checked. She, too regularly pops the E-pill to prevent pregnancy.

Only two of the women assembled by the Nation had done more than cursory Internet research into the emergency contraception pill. What’s most startling is that those who haven’t had a “failure” — a pregnancy — don’t believe they are abusing the E-pill. They think it is easier to use and safer than other methods of birth control.

But the Ministry of Health’s Family Planning Guidelines for Service Providers, as well as the World Health Organisation, emphasise that emergency contraception should only be used as a backup method in emergencies and not as a regular method of family planning because it is not as reliable. In fact, using the E-pill on a monthly basis points to misuse and heightens the risk of pregnancy.

The E-pill has a pregnancy prevention rate of 88 per cent when taken within 120 hours after unprotected sex, compared to the 99.78 per cent protection that other hormonal methods offer. What’s more, the E-pill’s ability to prevent pregnancy diminishes with regular use because it contains a much higher dose of hormones than regular contraceptive methods.

So far, there are no documented health risks from frequent E-pill usage. But the ripple effects are far-reaching. As Dr. Solomon points out, you might succeed in preventing an unwanted pregnancy for a while, but might repeatedly expose yourself to the HIV virus and STD’s such as gonorrhoea and Chlamydia, which have a devastating effect on a woman’s reproductive organs.

“These two STD’s damage the fallopian tubes where conception takes place, leading to infertility,” Dr. Solomon explains.

In a conservative society like Kenya’s, childlessness attracts harsh social and cultural judgment. Young women should also consider the increased possibility of seeking an unsafe abortion, which could result in long-term complications or death.

Despite these sobering facts, many young women still don’t embrace common family planning contraception methods, due to myriad myths and misinformation.

For instance, a 2008 study by Population Council found that 57 per cent of the women who used the E-pill believed that it was not possible to become pregnant after using the emergency contraceptive.

This group also believes that regular family planning methods, such as the combined oral contraceptive pill, injectables and implants, are for married people who do not want any more children.

“A friend told me that they (implants and injectables) cause infertility and permanent varicose veins when used over a long period,” said 23-year-old Faith, an actress with a local theatre group.

For most of the youngest E-pill users, informal networks (friends and relatives) appear to be the main source of information on emergency contraception. But it’s almost guaranteed that no one in that network is a responsible, informed adult. Ironically, young people themselves are clamouring for change in that regard.

A recent study by the Centre for the Study of Adolescence revealed that, nearly 65 per cent want to receive sex education in school. They also want their parents involved in forums where sexual heath is discussed.

“Our parents know that we’re having sex, but they don’t talk to us about it. Yet when we get pregnant or when a friend does, they are embarrassed and angry and blame us for not-knowing better,” says Beatrice, a 22-year-old who was 16 when she first heard about the E-pill.

And 26-year-old Angela, who became pregnant in her second year in college, wished that parents could open up and talk to them about sex candidly, instead of cautioning them about “playing with boys” or flatly condemning sex.

Taboo subject

“Right from our homes, to learning institutions as well as the church, sex is a taboo subject, and when young people talk about it, they’re branded immoral,” echoes 21-year-old Sylvia.

In short, the women who spoke to the Nation painted a clear picture of why it’s frighteningly easy to trust a man you met a month ago, who advises you to take a pill you really don’t know much about, to prevent a situation that will force a painful conversation with the very people who should have your best interest at heart.

And there is only one remedy, family therapist Gikang’a says. Accurate, thorough information — from the very first people we trust in life.

“Sex is still taboo in our society, yet the irony is that we cannot divorce it from our daily lives — the fact is that our children are having it. Let’s empower them to make the right choices by talking to them about it and let’s let them know that they can confide in us about anything because we’ll support them — this is what unconditional love is all about.”

Source: Daily Nation

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Hundreds of nurses to lose practicing licenses in Botswana

Posted by Administrator on December 21, 2009

NMCB is at an advanced stage in instituting actions to de- register close to fifty nurses and further demote hundreds of them, especially those from Kenya, Tanzania and Zimbabwe.

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by Gowenius Toka
A recent meeting of the Nursing and Midwifery Council of Botswana (NMCB) has resolved to withdraw practicing licenses of hundreds of nurses after it was discovered that they are under qualified.

Following intense discussions, the meeting adopted decisive measures aimed at asserting NMCB‘s authority and restoring dignity to the nursing profession.

Withdrawal of practicing licenses is topmost in the NMCB agenda, which is a result of a benchmarking exercise that has been going on for the past three years.

Nancy Modisaotsile, Chairperson of NMCB, confirmed in an earlier interview that the Council met on December 15th.
“Issues pertaining to international best nursing practices, as well as reviewing of nurses’ competencies are certainly of paramount importance, and they must be seen in the context of the regular business of the council,” said Modisaotsile.

In a previous address to the health fraternity, former Minister of Health, Lesego Motsumi, told a closed workshop meant for nurses and midwifery leaders that, “NMCB and the International Council of Nurses (ICN) have benefitted enormously from the benchmarking process, and a number of countries in the region have begun to effect measures to enhance service delivery to its customers.”

The decentralization of renewal of registration to eight strategic facilities across the country was cited as one the achievements of the benchmarking process. In addition, the waiting period between the time of submission of applications for registration and the point of approval or rejection have been reduced from six to three months.

Motsumi added that the benchmarking process has enabled NMCB to compare, and to determine more accurately, those who qualify to register and practice in Botswana.

“I am informed that measures have been taken to register some of our employees, after benchmarking with regional bodies and appropriate consultation with their respective countries. As a developing nation our education and practice standards must not be compromised on account of political convenience,” said Motsumi.

The registrar of NMCB, Khumo Modisaemang, was at pains to refute allegations that the NMCB is at an advanced stage in instituting actions to de- register close to fifty nurses and further demote hundreds of them, especially those from Kenya, Tanzania and Zimbabwe.

It has also been established that a number of graduates from South African institutions who have only done their first degree have already been either barred from practicing as midwives or struck off the midwifery roll, rather being recruited as general nurses, largely because they are viewed to be of a standard that is below that which Botswana appreciates.

NMCB insiders have, however, revealed that the matter has legal ramifications which, they say, government should avoid as much as possible.

Meanwhile, the ongoing exodus of nurses to the private sector and foreign health institutions continues unabated.

Posted in Africa | 1 Comment »

Kenyan man in Ohio collecting books for hometown

Posted by Administrator on December 21, 2009

Lucas resident Aloys Kamwithi wants to start a library in his hometown of Kyeni Embu, Kenya. (Submitted)

Lucas resident Aloys Kamwithi wants to start a library in his hometown of Kyeni Embu, Kenya. (Submitted)

MANSFIELD — His goal is to provide the children of Kyeni Embu the same educational opportunities he had growing up. But he needs help from a community far away from his Kenyan home.

Aloys Kamwithi, a child therapist at Richland County’s Center for Individual and Family Services and a Kyeni Embu native, is collecting books to start the first library in his hometown.

The Lucas resident moved to Ohio in 1996 to complete his graduate studies at Ashland University.

“Initially, I was not planning on staying but I fell in love, got married and became a citizen,” Kamwithi said.

Through it all, he never forgot his hometown.

In 1998, Kamwithi began with working with and sponsoring several Embu orphans. On a recent trip back, he was struck with an idea he believes will help even more.

“For the last five years, academic performance has very much been declining,” Kamwithi said. “Last year, only one student out of 50 went on to high school. The rest of them failed. I decided providing books for the kids is essential.”

Kamwithi said lessons are taught in English.

“You have to learn English to do math and every other subject,” he said. “The kids in my village don’t make it because their reading and English skills are not strong — so the library is the best facility I could give.”

Kamwithi said HIV also is a very serious problem for teens.

“The girls and boys are not going to school, so instead they’re abusing drugs and alcohol and then doing other things they shouldn’t be doing,” he said. “We have the highest death rate in Kenya from AIDS, and I think education will help curb this.”

Through generous donations from the Korean United Methodist Church in Mansfield as well as some private donors, Kamwithi has already purchased about 2,500 books.

“Right now, I’m storing them in a crate, which I’m trying to fill before I send it off to them,” he said. “The crate could hold about 20,000 books.”

He’s seeking any type of books appropriate for students in kindergarten through eighth grade.

“I’m doing this because I’m passionate about helping,” he said. “I was helped when my father died when I was 4. I was able to go to school with the help of people I never even knew. When I remember what people did for me, I want to pay it forward. Plus, I want to show the kids from my village that they, too, can have a future.”

For more information, visit www.huruma.org/index.html or call Kamwithi at 216-403-3767.

jkinton@nncogannett.com
419-521-7220

Posted in Diaspora News | 3 Comments »

 
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