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Train Traditional Birth Attendants, Don’t Ban Them

Traditional birth attendants (TBAs) remain the main providers of delivery services, especially in rural and remote areas. Rather than banning them, governments should support them to reduce maternal and child mortality, and ensure that they get adequate training.

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Throughout African history, traditional birth attendants (TBAs) have provided maternity care for women despite having no formal training.

Poverty, cultural practices, and a shortage of primary healthcare services are forcing women to seek the help of untrained traditional birth attendants, despite the serious risks involved.

Last year Kenya recorded a maternal death rate of about 362 per 100,000 live births and an under-five death rate of 52 per 1,000 live births, while in Tanzania, one in every 126 women die due to maternity complications. The story is the same in Uganda and Ghana as well. According to the World Health Organisation (WHO)’s figures for 2016 on maternal mortality, 560 women die per 100,000 births in Nigeria.

Despite these shocking figures, women, even learned ones, are still flocking to unskilled birth attendants’ homes to give birth, putting their lives at risk. Why is this so? Is it is because governments are failing them?

For some women, traditions prevent them from attending hospital. For others, long distances to medical facilities prevent them from reaching a health facility in time to give birth. Some are put off by health workers’ attitudes.

TBAs can provide them with all the care they need, both during and after pregnancy and childbirth, and there is no doubt they are a much-needed resource.

In 2013, the Kenyan government introduced free maternal healthcare. The goal was to encourage more women to give birth in health facilities. However, according to data from the Kenya National Bureau of Statistics (KNBS) released this year, more women are still flocking to TBAs.

It is evident that pregnant women are not satisfied with the quality of care they are given at the hospitals. With the high number of women taking advantage of the free services, combined with the few health care workers to attend to them, some women are giving birth on their own even when they are in hospitals.

In 2013, Kenya had one of the highest maternal mortality rates in the world: 488 maternal deaths per 100,000 live births, according to the Ministry of Health.

In 2013, the Kenyan government introduced free maternal healthcare. The goal was to encourage more women to give birth in health facilities. However, according to data from the Kenya National Bureau of Statistics (KNBS) released this year, more women are still flocking to TBAs.

According to KNBS data for 2015/2016, the findings reveal that three out of ten children were delivered at home in 2018 in Kenya; this is an estimated 31.3 per cent improvement from 53.9 per cent recorded in 2005/06.

The survey showed that in rural areas the proportion of children born at home was 40.7 per cent compared to 13.3 per cent in urban areas.

Childbirth statistics in Kenya
“The county with the lowest proportion of children born at home was Kirinyaga, at 3.8 per cent, while Wajir, Mandera, Samburu and Marsabit had over 70 per cent of children born at home. Kirinyaga, Nyeri and Kisii counties recorded over 90 per cent of children born in a health facility,” KNBS stated.

The proportion of children delivered with the assistance of a traditional birth attendant in rural areas was 25.6 per cent compared to 7.8 per cent in urban areas. Wajir, Mandera and Samburu had over 60 per cent of the births assisted by a traditional birth attendant. Turkana County had the highest proportion of self-assisted births, at 34.5 per cent.

The low hospital births among pastoral communities may be partly linked to inadequate health facilities and personnel in the regions they live in. Families in pastoral counties also tend to be polygamous, which puts a strain on resources such as healthcare.

Nairobi, Kisii, Kiambu, Kirinyaga and Nyeri counties top in childbirths in hospitals, an indication of the success of the safety campaigns. These five counties are the only counties that recorded over 74 per cent of children born in hospitals.

Statistics further show that more deliveries are now handled by trained medical personnel, which is a plus in attaining safer childbirths. However, women in rural areas still prefer to be attended by TBAs, friends, and relatives during delivery.

According to WHO, with the exception of sub-Saharan Africa, where most births in rural areas are conducted by TBAs, rates of births assisted by a medically trained attendant have shown impressive increases over the past 15 to 20 years, Current data indicate that 59 per cent of births in the developing world are assisted by a medically trained professional.

Nairobi, Kisii, Kiambu, Kirinyaga and Nyeri counties top in childbirths in hospitals, an indication of the success of the safety campaigns. These five counties are the only counties that recorded over 74 per cent of children born in hospitals.

Uganda banned TBAs) in 2010 but they have continued to practise. Eighty per cent of rural women prefer TBAs to skilled attendants, according to officials at the Ministry of Health; 10 per cent of them delivered with the assistance of TBAs.

With TBAs playing such an important role in maternal and newborn healthcare, especially in rural areas, should governments abolish them completely or look for ways of incorporating them into the system as referral agents to hospitals?

One midwife’s experience

The Telegraph, through an informal survey in Kisumu’s Nyalenda Estate in Kenya, established that some mothers delivering in hospitals still relied on traditional birth companions during pregnancy and after giving birth.

Pictures of newborn babies adorn the walls of Margret Owino’s house. They are a treasured decor in the improvised maternity ward in her two-roomed corrugated iron-walled house. Hundreds of women have trekked the dusty and curvy road to Ms Owino’s Kisumu home, judging from the many pictures.

It is at 6 am when we got to her house. Dressed in a blue nylon apron, she is busy attending to a pregnant woman. In a busy month, she delivers over 60 children, according to her well-kept records.

Her small house acts as a labour and delivery room. She is among traditional midwives who assist women at childbirth, mostly in areas that lack infrastructure and trained health personnel.

Even though there are several health facilities in the area, some pregnant women prefer traditional birth attendants. They say they are more comfortable with them than obstetricians and trained midwives.

Ms Owino learned the midwife’s skills at a tender age. When she was 15 her late grandmother, who was a midwife, placed herbs in her right hand and some coins in the left — the traditional way of transferring the skills to her. This has since been her job. She is among Kenya’s 35 registered traditional birth attendants who work with hospitals to ensure safe deliveries.

She has had women who are bleeding profusely brought to her in the middle of the night. She does not attend to them but sends them immediately to the nearby hospital. Some clinics contact her to attend to mothers with breech births and at times they are brought to her “clinic”.

She also refers HIV-positive women to the hospital, but says she knows not all women disclose their status to her. She says it is a constant risk.

Her maternity services are similar to those in health facilities. She records clients’ details in a book and weighs infants on a weighing machine given to her as a token.

One of her clients said that harassment in public hospitals is one of the reasons they still troop to traditional birth attendants’ clinics.

Even though there are several health facilities in the area, some pregnant women prefer traditional birth attendants. They say they are more comfortable with them than obstetricians and trained midwives.

‘‘The midwives harass us, calling us names while we are often left in the hands of inexperienced trainees. The midwife can detect when a woman has the strength to push the baby or not, or if the baby is in the right position,” she says.

She says community midwives pamper and take care of women during and after delivery. She says this helps them give birth with dignity. That is why a lot of women come back to her when they are having another baby

Initially, the government was threatening the TBAs while others were being harassed and their tools were being confiscated. However, this has since changed; they are now being registered and undergo training to ensure safe deliveries.

The Ugandan government has also lifted the ban on TBAs and the focus now is training them. As a result, there has been a shift towards skilled birth attendants capable of averting and managing childbirth complications.

Ms Owino only attends to women who know their HIV status. She ensures that HIV positive clients have antiretroviral (ARVs) drugs given by a doctor, which she gives to the child immediately after tying the umbilical cord.

Benefits of supporting and training TBAs

Rather than educate against the use of TBAs, the United Nations Population Fund (UNFPA) believes that working with them is the best solution. It did a a study on the benefits of supporting and training TBAs across the world. The study was done in the Upper East Region in Ghana, and tracked antenatal visits and deliveries conducted by trained TBAs from 1990 to 1993.

“Antenatal visits increased from 20,000 to 180,000. Deliveries reported by TBAs increased from less than 10,000 to 50,000. Nationally, the percentage of TBA deliveries as a percentage of supervised deliveries increased from 16.4 percent to 22.2 percent between 1992 and 1993. Policymakers and program managers state that TBAs have contributed to: improve prenatal care, increase contraceptive acceptance rate, and decrease neonatal tetanus admissions”.

“The role of traditional birth attendants in the provision of healthcare in resource-poor countries is still important because of the current inadequacy of human resources for health. In developing countries for years to come, TBAs will remain the main providers of child deliveries in rural areas,” it states.

Dr Elizabeth Ogaja, a health analyst, says that midwives are an integral part of the healthcare system, adding that the reduction of maternal and newborn mortality in developing countries requires rigorous efforts that involve governments and non-governmental organisations in identifying TBAs who are known by the community to be experts.

“Recruitment and training of TBAs using adult learning techniques is important. The programmes should focus on basic primary healthcare, especially on symptoms of risky cases that need to be referred to formal health services and on hygiene to prevent mother and child from infections,” she says.

“Creation of dialogue, trustworthiness, patient, tolerance, willingness to collaborate, transparent and familiarity during training are key when working with TBAs as partners in health care and when sharing experiences,” says Dr Ogaja.

Training, she says, should be followed up by frequent meetings to share feedback and problems TBAs experience.

“We have realised that they are very important. Mothers trust them and we want to integrate them as much as we can. We advise that they bring pregnant mothers to hospitals so that we can take it from there,” she says.

Dr Lawrence Koteng’, the Homa Bay health executive, acknowledges the role played by traditional midwives but encourages expectant women to deliver in health facilities.

He says the county health department is training community health workers to discourage unsafe home deliveries.

“We do not support expectant women to deliver at home or anywhere except at health facilities where there are experts who can help whenever there is a complication,” says Dr Koteng’.

However, Allan Mayi, the deputy project director at Elizabeth Glaser Paediatric Aids Foundation, says the birth attendants should not attend to expectant mothers because they lack the skills needed to offer safe deliveries.

The organisation encourages women to deliver in hospitals and even offers incentives to birth attendants to take them to health facilities.

“Most mother-to-child HIV transmissions are recorded at midwives’ homes,” says Mr Mayi.

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Angela is a prolific and award-winning health writer who has written for the Daily Nation and is currently in a US-sponsored exchange program in Washington DC.

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Revealed: Majority of US Voters Support Patent Waiver on COVID-19 Vaccines

Shock poll reveals majority support for Joe Biden to suspend TRIPS and support global vaccination.

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A new poll finds that 60% of US voters want President Joe Biden to endorse the motion by more than 100 lower- and middle-income countries to temporarily waive patent protections on Covid-19 vaccines at the World Trade Organization. Only 28% disagreed.

The survey, carried out by Data for Progress and the Progressive International, shows a super majority of 72% registered Democrats want Biden to temporarily waive patent barriers to speed vaccine roll out and reduce costs for developing nations. Even registered Republicans support the action by margin of 50% in favor to 36% opposed.

The new polling shows that “there is a popular mandate from the US American people to put human life and economic recovery ahead of corporate profits and a broken intellectual property system,” said David Adler, the general coordinator of the Progressive International. Burcu Kilic, research director of the access to medicines program at Public Citizen and member of Progressive International’s Council, called on Biden to “listen to Americans who put him in power” and “do the right thing.”

Revealed: Majority of US Voters Support Patent Waiver on COVID-19 VaccinesDue to WTO intellectual property rules, countries are barred from producing the current leading approved vaccines, including US-produced Moderna, Pfizer and Johnson & Johnson. In October of 2020, South Africa and India presented the WTO with a proposal to temporarily waive these rules for the duration of the pandemic so that vaccines can be manufactured across different countries, increasing their availability, reducing their cost and ensuring that they are delivered to everyone on earth as quickly as possible.

In the absence of the waiver, the current manufacturing and distribution rates are unlikely to stem the pandemic’s momentum, especially as new variants, which are more infectious and seem to evade the acquired immunity from prior infection or from the current vaccines, continue to emerge. The US under President Trump joined other richer nations to block them.

The shock poll reveals a level of public support for intellectual property waivers that will likely add to growing congressional pressure on Biden to join those pushing to save lives through a global vaccination drive. Congresswoman Jan Schakowsky is working on a letter to the president to which Schakowsky says more than 60 lawmakers have added their signature, including House Speaker Nancy Pelosi.

Senator Bernie Sanders, Chair of the Senate Budget Committee, responded to the poll saying the US should be “leading the global effort to end the coronavirus pandemic.” According to Sanders, “a temporary WTO waiver, which would enable the transfer of vaccine technologies to poorer countries, is a good way to do that.”

Responding to the new poll, Representative Ilhan Omar called on Biden to “support a waiver to boost the production of vaccines, treatment and tests worldwide,” arguing that it was “not just an issue of basic morality, but of public health.”

Adler argues, “US Americans know rigged rules to prop up big pharma’s profits are not in their interest. The longer the virus has to spread, the more it can mutate and become vaccine-resistant. Covid-19 anywhere is a threat to public health and economic wellbeing everywhere. If intellectual property restrictions are not lifted, the pandemic will go on for longer, killing more people and damaging more livelihoods.”

The threat to the Global South from vaccine apartheid is a “death sentence for millions around the world—and it is because giant pharmaceutical corporations would rather maximize profit than provide vaccines to people who need it,” according to Omar.

Sanders agrees, saying “the bottom line is, the faster we help vaccinate the global population, the safer we will all be. That should be our number one priority, not maximizing the profits of pharmaceutical companies and their shareholders.”

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Erosion of Civil and Political Rights in Africa: Ibrahim Index (IIAG) 2020 Report

The IIAG report concludes that 2020 was a terrible year for democracy in Sub-Saharan Africa where political freedoms have deteriorated over the last decade, with citizens having less freedom to assemble in 2019 than they did in 2010.

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Erosion of Civil and Political Rights in Africa: Ibrahim Index (IIAG) 2020 Report
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Is there a link between democratic liberties and human rights on one hand, and good governance and economic progress on the other? Ever since the fall of the Berlin wall, a thirty-year orthodoxy has argued that the former are indispensable to the latter. However, a report by the Mo Ibrahim Foundation raises questions about this.

2020 Ibrahim Index of African Governance (IIAG)According to the 2020 Ibrahim Index of African Governance (IIAG), political freedoms across the African continent have continued to deteriorate over the last decade, with citizens having less freedom to assemble in 2019 than they did in 2010, and the trend has accelerated since 2015. On the other hand, countries’ scores in the Human Development and Foundations for Economic Opportunity categories have improved, with the biggest strides being made in infrastructure and health.

And although African countries made progress in overall governance during the last decade, the rate of improvement has slowed down over the last five years which explains the below average score in 2019.

Does this mean that the Chinese model of development—which views human and political rights as a barrier to economic progress—is supplanting the Western model, which proposes that they should go hand-in-hand on the continent?

Andrea Ngombet, a human rights activist and former presidential candidate in the Republic of Congo, says that there is more to it than that.

“To be completely honest, the combination of Chinese money, Western companies’ corruption and African autocrats’ lust for power are the causes of the retreat of democracy. All of them have no interest in a democratic Africa with tax to pay, protected workers and protected environment,” he said.

When asked why democracy is in retreat in African countries, Ngombet explained, “China [reinforces] African autocrats with cheap loans which they use for clientelism and populist projects. As the loans are without any democratic conditions, it allows the autocrats to resist the civil society pressure for democracy and accountability.”

Ngombet also explains that, “When looking at the quality of economic growth, it comes with bad loans over authoritarian regimes and those loans finance unprogressive infrastructure.”

The IIAG report shows that Gambia—the most improved of the 54 African countries—experienced the most changes after 2016 when Yahya Jammeh’s repressive 22-year-reign ended, although the current regime still faces challenges in enforcing environmental policies and in the areas of quality of education, law enforcement and compliance with international health regulations.

Source: 2020 Ibrahim’s Index

Source: 2020 Ibrahim’s Index

 

 

The study, whose goal was to help further the conversation on governance in the continent and assess current and emerging trends, analysed 237 variables from 40 different sources. It revealed that African countries are performing the worst in the Participation, Rights & Inclusion category (with an overall average score of 46.2 in 2019). This decline is caused by a deteriorating security situation and an increasingly “precarious environment for human rights and civic participation”.

Source: 2020 Ibrahim’s Index

Source: 2020 Ibrahim’s Index

Nearly half the countries on the continent had less freedom to associate and assemble and a shrinking space for political pluralism and civil society at the close of the 2010s than they had at the beginning of the decade. This was the continuation of a diminution of civil liberties in the second half of the 2000s following improvements in the first half of that decade.

In particular, compared to the country’s scores in 2010, Kenya’s scores for freedom of association and assembly as well as media freedom fell by over 20 per cent from 2015 while the indicators for transparency and accountability, as well as anti-corruption mechanisms also fell during the same period.

However, the Ibrahim report does indicate that the indicators for digital access, energy access, infrastructure and human resources in the education sector have shown a marked improvement under the current Kenyan regime. This is despite a huge debt burden and numerous unresolved corruption cases.

Increased restrictions have been placed on the establishment and operations of civil society and non-governmental organisations which have also experienced higher cases of repression and persecution in most African countries. Political parties have experienced reduced access to state-owned media and public financing for their campaigns which has curtailed their operations.

Democratic elections, the only indicator that had shown a steady improvement since 2010, took a downward spiral in 2015. Election results in countries such as Uganda, Kenya, Côte d’Ivoire, Central Africa Republic, Gabon and the Democratic Republic of Congo have been consistently disputed as the integrity of the electoral process and the independent functioning of election-monitoring bodies have been compromised.

“You can not have democratic elections in the absence of strong institutions such as Independent judiciary, a parliament that is not completely corrupted, independent press, civil societies to monitor and people to engage citizens ahead of elections and inform them by helping them understand democracy rest on their shoulders, governance rests on their shoulder, and not the person that they’ll vote in for,” Tutu Alicante, executive director at EG Justice in  Equatorial Guinea explains.

“It is us that [create] democracy. It is us that [create] governance and all the security, rule of law and human development and not the person [who] as soon as elected will focus on their pockets and family.”

Countries such as Equatorial Guinea, Eritrea, Chad, DRC, Rwanda and Cameroon that have scored dismally in the participation, rights and inclusion category, have all been under the rule of African leaders who have clung on to power.

These findings resonate with those of the 2020 Economist Intelligence Unit Democracy Index which placed Chad, Central African Republic and Democratic Republic of Congo at the bottom of the rankings in democracy in Africa, measured by electoral process and pluralism, functioning of government, political participation, political culture and civil liberties.

It may be encouraging for citizens of Djibouti, Somalia and Eswatini that although their countries are among those with the least scores in terms of participation, they have registered improvements over the decade.

“Full democratic participation is essential for the development in our society. In Africa if we are thinking about Ubuntu as a basic principle of our society, then clearly democracy is needed in a way in which we all participate in order for us as a society to rise up,” Tutu adds.

Egypt has performed exceedingly well in the score for infrastructure (80/100), and health development indicators (all above 60/100) yet, surprisingly, the country is the third least performing country in Africa, after Burundi and Eritrea—with a score of 7.9/100—when it comes to participation as a principal of good governance.

Egypt has been under dictatorship since the Arab Spring overthrew Hosni Mubarak in 2011. The government has authorised the blocking of close to 500 websites belonging to news outlets, blogs and human rights organisations, and in 2017 blocked the use of internet tools such as VPNs.

Other countries that have experienced drastic internet shutdowns, legal digital restrictions and surveillance include Ethiopia, Zimbabwe, Morocco, Benin, Rwanda, Morocco, DRC and Uganda. This often happens during electioneering periods or citizen protests despite “freedom of expression being a fundamental human right enshrined in Article 19 of the Universal Declaration of Human Rights and the cornerstone of democracy”, according to UNESCO, an organisation to which most of these countries belong.

Countries that have managed to transition from dictatorships or civil wars, such as Sierra Leone, Gambia, Togo, Angola and Sudan manifest increasing improvement in their citizens’ access to the fundamental civil rights.

African governments are slowly becoming more inclusive and equal in the provision of public services and the creation of socioeconomic opportunities.

Kenya and Somalia have seen the most improvements under the Gender indicator. Although Kenya has faced difficulties in passing the two-thirds gender rule (leading former Chief Justice Maraga to direct that the president dissolve parliament), it has made impressive strides in providing social-economic opportunities for women and in the representation of women in the executive even though gender equality in civil rights has declined substantially.

In contrast, women in South Africa, Ghana and Equatorial Guinea are enjoying less protection against gender violence.

Is it a question of striking a delicate balance between good overall governance and maintaining the economic growth and security of a country? Or might too much freedom lead to coups and mutiny?

The EUI Democracy report ranked Mali and Burkina Faso—both of which do not have full control over their territories and experience rampant insecurity precipitated by jihadist insurgents—as the worst performing countries in West Africa in terms of democracy. They were downgraded from “hybrid regime” to “authoritarian regime”. The report concludes that overall it was a terrible year for democracy in Sub-Saharan Africa, where 31 countries were downgraded, eight stagnated and only five improved their scores.

It is an interesting phenomenon that, despite low scores in civil and political rights, the best scores are to be found in the Foundations for Economic Opportunity and Human Development categories with 20 countries having improved their governance score in these two areas, albeit at a slowed rate in the last five years. The biggest strides have been made in the Infrastructure and Health indicators, complemented by improvements in Environmental Sustainability.

More often than not, infrastructure and health projects are marred by allegations of corruption and lack of transparency. Yet, a correlation model run by the Mo Ibrahim Foundation shows that there is a strong and positive correlation between the overall governance score and specific indicators such as rule of law and justice, inclusion and equality, anti-corruption, transparency and accountability and business environment. Even though statisticians agree that “correlation does not imply causation”, this model indicates that countries with higher scores in those indicators also have higher overall governance scores.

Yuen Ang argues that “the idea that economic growth needs good governance and good governance needs economic growth takes us to a perennial chicken-and-egg debate” whereas Meles Zenawi has claimed “There is no direct relationship between economic growth and democracy historically or theoretically. Democracy is a good thing in and of itself irrespective of its impact on economic growth and my view is that in Africa most of our countries are extremely diverse that maybe the only option of keeping relationships within nations sane. Democracy may be the only viable option of keeping these diverse nations together, we need to democratise but not in order to grow, we need to democratise in order to survive as a united same nation.”

The 2020 IIAG report paints a picture of a continent that had long embarked on the road to decline in rights, civil society space and participation before it was hit by COVID-19. Even though Africa accounts for 3.5 per cent of the global reported COVID-19 deaths, the pandemic is now threatening hard-won gains in areas such as foundations for economic opportunity and human development.

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The Music of the Nyayo Era

Perhaps, we argue, that if we listen to the popular music of his twenty four year rule can we observe the fingerprint and maybe get a glimpse of the Man and his legacy.

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The Music of the Moi Years
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This week marks the first anniversary since the death of the second president of Kenya, Daniel Torotich Arap Moi. Indeed, much has been written and said about Daniel arap Moi, and his death uncorked a litany of previously hidden details and insights into the Shakespearian drama he presided over while in office.

But how do we evaluate the legacy of Moi’s agency during his time in office?

Is it through the memoirs that will and have been written, the popular slogans that were created by his regime and sang by his supporters or is it the “official” narrative peddled by the state? Or is it, perhaps, the pain his detractors and critics faced or the scars of the victims who suffered his heavy hand?

Popular music reflects the culture of our day. Through it, we can observe the blueprint of an age in the lyrics and sound of that time.

Perhaps, we argue, that if we listen to the popular music of Moi’s twenty four year rule can we observe the fingerprint and maybe get a glimpse of the Man and his legacy.

The following is a chronological account of the sounds and hits that defined the twenty four year rule of Daniel Torotich Arap Moi.

1978: The Kenya scene is just coming off of Daudi Kabaka’s African Twist. But we must start with that style Msichana wa Elimu, a song that advises about marriage. Daudi Kabaka was born in 1939 and died in 2001, was a popular Kenyan vocalist, known by his fans as the undisputed King of twist. Jomo Kenyatta died on August 27th of 1978 and President Daniel Torotich took over as the second president of Kenya.

 

1979: Nico Mbarga has taken over Africa with Sweet Mother. Locally Slim Ali and The Hodi Boys Band are all the rave, playing in hotel lounges and clubs across the Middle East and North Africa and ended up in Kenya Slim Ali is from Mombasa. Here, President Moi is still loved and respected by many people. He enjoys popular support from the people. A pull-out from the Nation describes him as a humble and accessible president.

1980: Fadhili Williams re-releases Malaika. The song was first recorded by a Tanzanian musician Adam Salim in 1945. Fadhili was born in Taita Taveta in 1938 and died in 2001.

1981:  Maroon Commandos and Habel Kifoto produce Charonyi Ni Wasi.

1982: The August 1st coup, a failed attempt to overthrow President Daniel Arap Moi’s government so musicians are under pressure to release unity and praise songs. The biggest hits come from Jambo Bwana by Them Mushrooms which was featured in Cheetah, a Disney film that had the phrase Hakuna Matata which became very popular when Disney released The Lion King later.

1983: Safari Sounds Band releases are recorded That’s Certified Gold. Among the biggest hits were Mama lea mtoto wangu.

1984: Moi has banned Congolese music. But he changes his mind after the release of Mbilia Bel – Nakei Naïrobi (“El Alambre”).

1985:  By now the Nairobi live scene has suffered because of the effects of  the 1982 coup and Moi’s informal censorship. The dark days of the Nyayo era at a crescendo. Detention without trial of many political prisoners and others flee the country at risk of facing the heavy hand of the regime. Still, a rebirth happens in the music scene led by Sal Davis and The Establishment The music isn’t politically conscious however.

1986:  The many detentions of the Nyayo era has also killed the vernacular live scene. State operatives at the time saw these spaces as points of political mobilisation, but Joseph Kamaru leads a little uprising popularising Kikuyu vernacular hits.

1987:  D.O Misiani and Orch come to the scene. And Shirati Band releases some seditious tracks among them Safari Ya Musoma.

1988:  Mombasa Roots Band arrived on the scene with Disco Chakacha – originally released in 1986.

1989: Ten years after it was founded Muungano Choir finally created a pop smash hit Safari Ya Bamba. The following year they released Missa Luba recorded in Germany after the Berlin wall came down, ending the cold war era and the triumphant of liberal democracy.

1990: Les Wanyika released an earthshaking album. One of the biggest hits was Sina Makosa

1991: Albert Gacheru makes his way through Kikuyu Pop music. His biggest hit Mariru – Kikuyu Mugithi Songs

1992: JB Maina releases Mwanake. And Japheth Kassanga, Mary Wambui, Helen Akoth and Mary Atieno are redefining gospel music with the shows Joy Bringers and Sing and Shine.

1993:  Diversification happens in Kenya’s music industry. Many acts like Sheila Tett, Musically Speaking – later Zanaziki and a boy band called 5 Alive change the music scene. Among the many tracks released by Zanaziki is a popular hit. Also, Okatch Biggy and not to forget Princess Julie who create the soundtrack to the Moi government response to HIV in Kenya Dunia Mbaya.

Mid-90s: Urban Music is now bigger than was ever expected. Another boy band Swahili Nation Mpenzi makes their way into the music scene. The opening up of Kenya’s democratic space after the repeal of section 2a in 1991, the import of American culture and growth of local media outlets drastically shifted Kenya’s music scene.

Ted Josiah brings out a  guy called Hardstone – Uhiki who is loved by the growing young urban population.

Jimmi Gathu and others organise for a musician called Eric Wainaina to do the first version of a new national anthem dubbed Kenya Only

Shadez O Black are challenging Hardstone for the artiste of the year award with this smash hit: Serengeti Groove.

Still in the mid 90s there’s a cultural earthquake that changed the music scene in Kenya. Kalamashaka’s hit –Tafsiri Hii. A culmination of  poor governance by the Nyayo era, the structural adjustment programs of the 80’s and 90’s and new young urban generation raised by a staple of America’s hip hop culture and Nairobi’s budding urban culture produces a socially and politically conscious movement of artists who go by the moniker Ukoo fulani.

Eric Wainaina later drops Nchi ya Kitu kidogo. The song that Moi’s government truly hated.

2000s: The music scene expands dramatically and is ungovernable A growing sign that the years of Moi were coming to an end and that he could not hold on any longer to power. Ogopa Deejays arrive in the music scene. The biggest song of those first two years, the soundtrack to the Exit if Moi. All the way from Okok Primary school Gidigidi Majimaji – Unbwogable. This song was used as a slogan by the coalition government that removed Moi from power.

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