A man walks past a small, tin-roof shop in the Kibera slum, near to MSF’s Kibera South Health Centre, in Nairobi, Kenya. About 500 patients visit the clinic every day for medical care that is provided free of charge.
A lady walks through the waiting area of MSF’s Kibera South Health Centre. The clinic provides comprehensive care including outpatient services, 24-hour maternity and delivery care as well as ongoing treatment for HIV, TB and chronic diseases such as hypertension and diabetes. The clinic also provides medical and psychological treatment for victims of sexual violence. Children receive their essential vaccinations and nutrition screening and counseling services are also offered. Top
In the past year around half of Kibera’s residents have come to MSF’s clinic for medical care. The team see large number of patients who need treatment for respiratory infections, diarrhoeal diseases and skin diseases that are caused by the poor hygiene and sanitation conditions of the slum.
Caroline Ajiambo, 26, “I have come to bring my child for immunisation. As a mother living with HIV since 2008, the clinic has played a big role in testing me, counselling me and helping me to deliver HIV negative children. I have learnt from the staff here that being HIV positive is not the end of my life, I can live longer, give birth and bring up my children in a healthy way.” Top
Dolphin Makori, an MSF nurse at the Kibera South Health Centre, sits at her desk in the triage room. Each day around 280 people will come through the triage room, with the majority seeking treatment for upper and lower respiratory tract infections, diarrhoeal diseases, skin infections, diabetes and hypertension. Top
Emily Adhiambo Orao, 24, on treatment for multidrug-resistant tuberculosis (MDR-TB) “I first came to this clinic last December. I was frequently getting sick with a headache or flu and was losing weight every day. When I was told I had MDR I thought I was going to die but the clinic has treated me, given me medication, given me food. The advice they offered me meant that I could feel hopeful of being cured.” Top
MSF midwives Nancy Thairu (left) and Grace Kinyua (right) consult with Mary Wambui (35) who has just given birth to her fifth child, John Mutua, in the post-natal ward. John was born in the maternity unit and will receive follow-up care in the health centre. Midwives check that babies are breastfeeding well, and appear to be in good health before discharging mothers, who then regularly return for post-natal care and immunisation for their babies. Top
Mercy Oluya, a lab technician, checks for immunity levels in blood in the centre’s lab. The centre is equipped with a fully functioning lab, able to do blood analysis and tests for tuberculosis. The laboratory allows people to get tested for HIV and TB and to start on treatment as soon as possible. The earlier that people receive the correct diagnosis and treatment for TB, the better their chance of cure and the sooner they stop being infectious.
After more than twenty years of working in Kibera, MSF is planning to hand the clinic and its medical activities over to the local health authorities in 2017, and is already working together with them to make sure that the medical services can keep on running.