Untold success story of the Cash transfer programme in Kenya Author Mugambi Paul

Rising inequality isn’t a new concern. Many countries in the global are facing this phenomenon.
Oliver Stone’s movie “Wall Street,”
with its portrayal of a rising plutocracy insisting that greed is good, was released in 1987. But politicians, intimidated by cries of “class warfare,”
have shied away from making a major issue out of the ever-growing gap between the rich and the rest.
The best argument for putting inequality on the back burner is the depressed state of the economy. Isn’t it
more important
to restore economic growth than to worry about how the gains from growth are distributed?
I will look at the social protection aspects in Kenya and how it has contributed to changing the lives of most vulnerable persons in the society.
Secondly, I will strive to highlight the misgivings of the global commitments.
To begin, the 2019 to 2020 Kenyan Budget raised the issue of implementing a Single Registry for all social protection programmes. This will improve the coordination of social
protection programmes, which have been highly fragmented leading to numerous inefficiencies. According to the social assistance project the ministry of labour and social services will highly improve the outcomes of the social protection programme by having the 3 cash transfer programmes in one registry. This is a great move which will reduce the flows experienced in the systems.
However, the Registry should not only create a data base of
beneficiaries from all programmes but should also track beneficiaries until they are able to graduate. As a public scholar I recommend the Ministry of labour and social services and its partners should develop A strategy for non-labour
constrained households who have the potential to graduate to entrepreneurship and gainful employment. This will help in eliminating increased dependency
on social safety nets.
Secondly, the government of Kenya has scaled up the uptake of the universal health cover though not much has been discussed on the inclusivity of disabled persons to this well intended programme.
However, Today, the risk of childbearing related deaths has become rare among Kenyans mothers. Infant deaths have also declined significantly, while more children
can now live beyond their fifth birthdays than before. Although non-communicable diseases are emerging and threatening the health of many people, the health
system has grown stronger and more resilient to be able to eliminate this threat. The county and national government need to enhance the human resource capacity in the health sector and reduce the cost of health by also adapting a single registry in both public and private hospitals which all the medics can access under privacy laws of the clients with out incurring extra charges as in the current situation. another aspect of promoting well being of citizens is the availability of water supply.
Scaling up urban projects to improve water and sanitation
The state of water and sanitation in Kenya is worryingly poor. Urban areas are prone to water borne diseases that break out almost every year. Recently,
Kenya experienced a Cholera outbreak that claimed more than 56 people, with the majority being Zin Nairobi.
is December 2019 Kirinyaga county is adding to the statistics.
Accordingly, the allocation to water and sanitation in the 2019 budget allocation was increased. in 2019. This is the highest level in five years, and though the nation has fiscal limitations, the allocation is justifiable to address water issues and
prevent disease outbreaks in the country. Despite the usual concerns on disbursements from the national treasury to the counties, the 2019 budget shows improvements, as 45% of the approved budget
was disbursed as of October 2019, compared to 2018 financial year. With such improvements, Kenya will be able to address its water and sanitation
problems in 2020.
On the other hand, the floods experienced in Kenya in November 2019 could have saved Kenyan millions of shillings if the ministry of water and irrigation had proper mechanism of conserving the rainwater.
Instead of the havoc caused and 152 lives lost we would have seen more water reservoirs being put in place.
The more challenging factor on this is that a dry spell will be kicking off and more request for food donation will take place as evidenced by the support by United states of America
https://www.nation.co.ke/news/Kenya-receives-Sh340m-food-aid-from-US/1056-5396952-egea2j/index.html

additionally, Social protection programmes have led to Kenyan households being able to afford more than one meal a day, achieve more diet diversity, afford more shoes
and clothes for their children, attain some level of education, and empower small scale farmers. However, recently there have been concerns among stakeholders
regarding the administration of these programmes, which the Government should aim to adequately address. These efforts should help reinstate donor confidence
in the administration of these programmes.
All in all, the government of Kenya has highly enhanced the development of well-crafted legal frameworks which now need to be executed for the benefit of the most marginalized and vulnerable members of our society.

The views expressed here are for the author and do not represent any agency or organization.
Mugambi Paul is a public policy, diversity, inclusion and sustainability expert.

Joy and pain of raising a child with cerebral palsy By a Guest author: SIMON MBURU

When Susan Nyambura’s son was diagnosed with a developmental disorder immediately after birth, her husband abandoned them. Six years later, she soldiers
on.

“My name is Suzan Nyambura. I am a mother of a six-and a half-year-old boy. I still remember how my then-husband and I had eagerly waited for the birth
of our son, Gabriel Kamonzo.

In fact, the sheer ecstasy that overwhelmed me when I first took a pregnancy test and got positive results in early 2012 is still deeply etched in my mind.

I had a smooth pregnancy up until I went into labour that September. I checked in at a private hospital in Mombasa for delivery.

By then, my water had already broken. I was immediately admitted to the hospital’s maternity wing. Over the next two days, I underwent an extensive and
excruciating labour process.

WORRY, PANIC

The doctors examined my birth canal and concluded that I had not dilated enough. At some point, I requested for a caesarean delivery. But my request was
turned down. The doctors said I was not an emergency case.

I seemed stuck in labour. Painful but unfruitful contractions kept coming and going. But eventually, on September 12, I gave birth to a bouncing baby boy.

Seeing my baby pop out erased all the pain, struggle and shame that the labour and delivery process had bestowed on me. Tears ran freely down my cheeks.
At long last, here was my beautiful God-given son!

This joy, though, did not last. In fact, it ended as soon as the doctors started to examine my son moments after birth.

Instead of a sigh of relief and congratulatory glances, I saw worry and panic on their faces. Their facial expressions betrayed their concern that something
had gone wrong.

EXAMINATION

Then it hit me like a thunderbolt. My son had not cried upon birth! Although I was a new mother, I had heard that newborns were supposed to cry once they
popped out.

Failing to cry was an indicator of a defective birth process. I desperately tried to inquire what was wrong. But I was reassured that all was well.

I was told to stay put and wait for my episiotomy stitches. This was really the least of my concerns.

Later on when I left the delivery room, I was informed that the doctors had taken my son to the nursery, where they were examining him.

They found out that Gabriel’s neck was abnormally weaker. This was compounded by his failure to breastfeed when they brought him to me.

Over the next one week, I fed him on glucose and warm water while the doctors sought for a diagnosis to his problem.

DIAGNOSIS

On October 7, 2012, I was transferred to Coast General Hospital. By then Gabriel was 10 days old.

The doctors recommended that we observe him over the next three months and see if his neck would firm up. But it didn’t.

By the third month, I took him to Kenyatta National Hospital, where he was diagnosed with cerebral palsy. This is a medical condition that affects a child’s
muscle tone, movement or posture.

It is caused by brain damage that occurs before or during a baby’s birth, or during the first three to five years of a baby’s life. This diagnosis left
me utterly terrified and confused.

My baby was so tiny and helpless! Yet, the more I inquired about his condition the more scared for his life I became.

I was afraid that he would develop breathing problems, have no control of his bladder and bowel movement, and drool throughout the rest of his life.

ABANDONED

Perhaps I would not have worried too much if someone had held my hand and told me that it was all going to be okay.

But there was no such person I could have leaned on! Friends kept away, and some of those who reached out claimed that my baby was cursed, and that I needed
to take special prayers and cleansing to cast out whatever spell had befallen him.

The most disheartening of all was the abandonment by my baby daddy. He said Gabriel was not his son.

Although I had named my son after his father, he completely rejected him after the diagnosis.

He claimed that he could not have fathered a child with such a disability. Over the next few years, I tried to reach out to him because I wanted my son
to have a father in his life. But he shut us out completely.

#TOUGH TIMES

It is now six years since my son came into this world. We are still on the recovery journey, but raising him has not been easy at all.

There are some days when his condition becomes too overwhelming for me, especially when he is unwell.

I cry a lot and at times question God on why my little boy has had to suffer so much. It really breaks my heart when I see him struggle to meet basic development
milestones.

His growth is very slow. Today, he can’t sit on his own and relies on a wheelchair. He also can’t talk or even walk.

But perhaps the hardest and most tormenting moment is when I am unable to provide food because I am joblessness.

I remember that I had to start working as mama fua (laundry and cleaning lady) in order to fend for him a few weeks after his birth.

#HEALTHCARE

It was not easy. I was forced to go knocking door-to-door asking for home cleaning jobs with my ailing son strapped on my back.

A few weeks ago, I left my son behind in Nairobi and travelled to Mombasa, where I am currently looking for a job as a bouncer.

I have pegged my hope in God that something will show up and give me the much needed income so that I can sufficiently care for my child.

He is currently not undergoing any medication or therapy, and I would wish to enrol him in a corrective physical, occupational and speech therapies that
will help improve his life.

Above all, I have learnt to keep my head above the water by constantly reminding myself that this is my son, and God had a good purpose for giving him
to me.
Every day, I pray for him. I hope one day he will realise just how much I love him, and how much he means to me.”