(Keynote Address delivered to the University of San Diego Conference: The Catholic Church Moves Towards Nonviolence? Just Peace Just War in Dialogue on October 6, 2107)
Thank you. I’m honored to be amongst so many great scholars, theologians (including Cardinal Turkson and Bishop McElroy) activists, peacebuilders, policymakers and military officers. Thank you to University of San Diego, the Kroc Institute for Peace and Justice, and the Harpst Center for Catholic Thought and Culture for organizing this conference on Just War Just Peace in Dialogue – I can’t think of a better topic for a civil-military conversation. I would like to applaud the members the Catholic Nonviolence Initiative – there are many in this room – for helping to bolster the Church’s thought leadership and practical investment in alternatives to war and violence. Special thanks to Cardinal Turkson for presiding over last April’s Rome conference on Nonviolence and Just Peace, and for being such a tireless proponent of human rights, dignity, and a world without violence.
Tonight I will focus on the power and potential of nonviolent options to prevent, mitigate, and transform violent conflict and advance sustainable peace. I will offer evidence backing the efficacy of these nonviolent options and offer some practical ways the Catholic Church, along with its governmental, military, inter-faith, and non-governmental allies, can strengthen them.
But first, let me share a couple of stories about what brought me to this work and has kept me inspired and hopeful ever since.
Pope John VI famously said, “If you want peace, work for justice.”
I grew up in southern Vermont and my family often attended mass at the Weston Priory, where a hearty group of Benedictine monks live, farm, sing and celebrate the Gospel. Masses take place in a barn overlooking the Green Mountains. The monks welcome everyone – from all faiths, religions, and walks of life – to join in the celebration. The Priory has a great gift shop. After mass I would make a beeline for the books section, which is where I began to collect biographies of Mahatma Gandhi and Dorothy Day, along with books about nonviolent resistance and radical peacemaking. These books introduced me to Oscar Romero, Dolores Huerta, and the Catholic Workers, who became my s/heroes. Somehow my Mom always ended up paying for the books.
Pope John VI famously said, “If you want peace, work for justice.”
After high school I was involved in grassroots restorative justice work. I lived and worked at the Rutland Dismas House, a transitional home for former prisoners and college students. The Dismas motto, “reconciling former prisoners with society and society with former prisoners”, is animated by a community support structure for those transitioning from prison. I observed how members of the community – including those who had initially opposed Dismas House being in their back yard – mobilized to provide home-cooked meals to the residents, offered them jobs, and gave them support. Dismas House has been highly successful: my Dad tells me that the recidivism rate for its residents is about 15 percent, compared to 70 percent nationally – and at less than a third of the cost of incarceration.
Later I had my first rendezvous with the Jesuits at Boston College, where “service to others” is a campus creed. I studied political science and lived in France and Germany while researching European integration, one of the world’s greatest peacebuilding projects. After starting grad school at the Fletcher School of Law and Diplomacy, I attended a Boston film screening of A Force More Powerful, a documentary film about six highly consequential nonviolent struggles. The film highlighted how unarmed civilians stared down the British empire in India, confronted Nazis in Denmark, fought apartheid in South Africa, removed dictators in Chile and Poland, and dismantled Jim Crow in the US using strikes, boycotts, demonstrations, sit-ins, and other forms of nonviolent direct action.
The film was inspiring. I decided to focus my PhD research on the strategic dimensions of nonviolent resistance in self-determination movements. The International Security Studies departments at Fletcher and the Harvard Belfer Center were my strongest backers. Meanwhile, West Point and the Army, Navy, and Air Force war colleges invited me to come talk about civil resistance as a form of nonviolent power and a functional alternative to violence. I attended the Summer Workshop on the Analysis of Military Operations and Strategies (aka “war camp”) and was that “interesting” person talking about people power.
In 2006 while working at the International Center on Nonviolent Conflict, I met Erica Chenoweth – a fellow political scientist and quantitative guru – at a conference in Colorado. She was skeptical about the effectiveness of nonviolent resistance. So were a lot of people, who insisted that nonviolent resistance could “work” but only under certain favorable conditions. In tough contexts, like violent dictatorships, the prevailing wisdom was that violence stood a better chance. Erica and I decided to test these assumptions, by systematically comparing the effectiveness of violent and nonviolent resistance. For the next couple of years we collected data on all known major violent and nonviolent campaigns from 1900-2006. These were campaigns challenging incumbent regimes and vying for territorial self-determination.
During this book-writing time I was in Kabul, Afghanistan with the State Department, at the peak period of insurgency. Occasionally, on nights and Sundays while chapter editing in my hootch, a “duck and cover” siren, signaling incoming rockets or mortar, would interrupt the effort.
After collecting data on 323 major violent and nonviolent campaigns, each with at least 1000 observed participants, we arrived at a surprising conclusion. The nonviolent campaigns were twice as successful as armed insurgencies. They achieved their goals 53% of the time compared to 26% for violent campaigns, a percentage that has remained basically the same through 2015. (“Success” was defined as removal of the incumbent regime or territorial independence.) While there has been a slight dip in the overall effectiveness of nonviolent campaigns recently, violent insurgencies have become even less effective.
Why has civil resistance so dramatically out-performed armed struggle? We found that the most important variable determining the outcome was the size and diversity of participation. Nonviolent campaigns attract on average 11 times the level of participants as the average violent campaign. The moral, physical, informational, and commitment barriers to participation are much lower for nonviolent resistance compared to armed struggle. Whereas armed insurgencies often rely on a relatively small group of young, able-bodied men, nonviolent campaigns attract women and men, youth and elderly, able-bodied and disabled, rich and poor.
She was skeptical about the effectiveness of nonviolent resistance. So were a lot of people, who insisted that nonviolent resistance could “work” but only under certain favorable conditions. In tough contexts, like violent dictatorships, the prevailing wisdom was that violence stood a better chance.
One reason is that the number and range of tactics available to nonviolent resistors is huge. Gene Sharp catalogued 198 methods of nonviolent action in 1973. That number has vastly expanded as the creative limits of the imagination have expanded. Power is fluid and ultimately flows from the consent and cooperation of ordinary people. When large and diverse groups of people remove their consent and cooperation from an oppressive regime or system of power using tactics like boycotts, strikes, and civil disobedience, no ruler, no matter how brutal, can stay in power. Members of security forces (army and police) are also significantly more likely to defect, or to disobey regime orders to use repression, when confronted with large numbers of nonviolent resistors, compared to armed insurgents. When security forces defect, as they did in the Philippines, Serbia, Ukraine, and Tunisia, this is often a decisive variable.
We found that the chances of success are higher when groups maintain nonviolent discipline in the face of repression, when they creatively alternate between methods of concentration (like sit-ins and demonstrations) and methods of dispersion (like consumer boycotts and stayaways) and when they invest in decentralized leadership.
Nonviolent campaigns also contribute to more democratic and peaceful societies. Less than 4 percent of armed rebel victories result in a country becoming democratic within five years. A Congolese bishop reinforced that point to me recently. He counted off the number of insurgent leaders in his country and across the continent who had led successful armed struggles, then became even more tyrannical than their predecessors. On the other hand, the skills associated with nonviolent organizing, negotiating differences, building coalitions, and collective action reinforce democratic norms and behaviors. And they tend to produce more peaceful societies.
Nonviolent civil resistance, then, is a functional alternative to violence with both short and longer-term positive effects. It is a particularly powerful nonviolent channel for marginalized or oppressed people to challenge systems of power – whether they are exploitative corporations, dictatorships, or institutionalized racism – and build more inclusive, just societies.
Pope Francis, in his 2017 World Day of Peace address, a monumental document, noted that “momentous change in the lives of people, nations and states had come about ‘by means of peaceful protest, using only the weapons of truth and justice.”
The Church has played a pivotal role in some of the most significant nonviolent struggles in history. Many will recall the iconic image of the Filipino religious sisters, confronting military forces and a kleptocratic Marcos dictatorship in prayerful resistance during the 1986 “people power” revolution. Across the Philippines priests and nuns, in partnership with the International Fellowship of Reconciliation, trained their communities in nonviolence and nonviolent action. Cardinal Jamie Sin attended one of these workshops. He later joined the Catholic Bishops’ Conference of the Philippines in calling for a “nonviolent struggle for justice”, using Radio Veritas to amplify the message. This preparation, combined with an election-monitoring mission led by local religious leaders, paved the way to Marcos’ nonviolent ouster. Today, Filipino religious leaders, facing another violent dictator, are once again engaged in nonviolent activism.
The nonviolent campaigns were twice as successful as armed insurgencies. They achieved their goals 53% of the time compared to 26% for violent campaigns, a percentage that has remained basically the same through 2015.
During the Polish Solidarity movement in the 1980s, Pope John Paul II, with local priests and nuns, famously stood shoulder-to-shoulder with the worker-led movement that challenged Communist tyranny with nonviolent resistance. Archbishop Oscar Romero of El Salvador was martyred for showing solidarity with campesinos and other victims of junta brutality. In the US, 4 feisty religious women have taken to the buses and streets to give voice to the poor and undocumented; they have animated Laudato Si through direct action to protect the environment.
I am often asked: what about cases of genocide, ethnic cleansing, or violent extremism? What about protecting innocent people? What are the nonviolent options in these cases?
First, I don’t come at this topic from a pacifist perspective. I’m the first to admit that nonviolent action has not always worked. At the same time, there is little evidence to suggest that armed resistance would have done any better in places where nonviolent resistance failed. Military interventions on humanitarian grounds, as in cases like Rwanda or the protection of Yazidis in Iraq, may save lives in certain cases. But, practically speaking, mustering the political will to support military intervention on Responsibility to Protect (R2P) grounds has become so difficult that it is strategically imperative to develop alternatives.
The second point is that most mass atrocities historically have occurred in the context of armed struggles and civil wars. Very rarely are large numbers of unarmed civilians killed while engaged in mass nonviolent campaigns. New research by Erica Chenoweth and Evan Perkoski found that nonviolent resistance can even decrease the likelihood of mass atrocities. Not surprisingly, armed movements with foreign support are much more likely to elicit mass killings.
It is also worth mentioning that while the WWII ultimately brought the end to the Nazi regime, civil resistance and nonviolent noncooperation saved thousands of lives. Jacques Semelin, in his book, Unarmed Against Hitler, chronicles a number of these examples, including the case of German Aryan women who protected their Jewish husbands from concentration camps through sustained protests outside the SS headquarters in Berlin.
Power is fluid and ultimately flows from the consent and cooperation of ordinary people. When large and diverse groups of people remove their consent and cooperation from an oppressive regime or system of power using tactics like boycotts, strikes, and civil disobedience, no ruler, no matter how brutal, can stay in power.
Nonviolent protests and other forms of collective action have won tactical concessions from extremist groups like ISIS in Iraq and Syria and al Shabaab in East Africa. For example, women’s led protests outside an ISIS headquarters in Raqqa, Syria, led to the release of political activists in 2014. Two years ago in northeastern Kenya, fighters from the al-Shabaab terrorist group ambushed a bus filled with women. The fighters demanded that the Muslim and Christian women separate, a tactic they’d used in the past before slaughtering the Christians. The Muslim women refused to separate, and shielded the Christian women. They said: “You will kill us all or leave us alone.” Their collective stubbornness worked – the al Shabaab fighters left without anyone on the bus being killed.
Oliver Kaplan recently released a book, Resisting War: How Civilians Protect Themselves, which analyzes how unarmed civilians have influenced the behaviors of state and non-state armed groups in civil war contexts. He examines cases in Colombia, with extensions to Afghanistan, Pakistan, Syria, and the Philippines. The study shows how unarmed civilians self-organized and created autonomous, resilient institutions. They carved out peace zones, prevented extra-judicial killings, and deterred violence targeting civilians.
These findings have important implications for the Church and other external actors seeking to prevent mass atrocities. They suggest that supporting local self-organizing and collective action in the midst of violent conflict can help save lives.
There are other ways to deter violence and human rights abuses in conflict zones. Unarmed civilian protection, which is the use of unarmed civilians to do ‘peacekeeping’, has had 5 demonstrable successes. Nonviolent Peaceforce, Christian Peacemakers Teams, Peace Brigades International and Operation Dove have led civilian peacekeeping missions in South Sudan, Sri Lanka, Colombia, Guatemala, the Philippines, Indonesia, Israel-Palestine, and elsewhere. Evaluations of unarmed civilian protection reveal that this activity has saved lives, changed the behavior of armed groups, and made local peace and human rights work more possible.
The UN High Level Independent Panel on UN Peace Operations stated: “unarmed strategies must be at the forefront of UN efforts to protect civilians.” Strategically it makes sense for major military powers, including the United States, to invest in UCP programs as an effective and less costly form of peacekeeping.
Of course, it goes without saying that if you want to prevent mass atrocities, you prevent war. Prevention demands investment, and right now the levels of US and global investment in violence prevention are infinitesimally small compared to the sums dedicated to war fighting. Practically, prevention means supporting inclusive and participatory economic and political processes (recall that institutionalized discrimination against Iraqi Sunnis contributed to the rise and spread of ISIS). It means fostering dialogue and trust between communities and police (justice and security dialogues have done just that in Nepal and Burkina Faso). It means using diplomatic, military, and trade levers to challenge crackdowns on civic space and human rights violations (security force abuses in northern Nigeria fueled the rise of Boko Haram).
Nonviolent campaigns also contribute to more democratic and peaceful societies. Less than 4% of armed rebel victories result in a country becoming democratic within five years.
In the area of violence prevention, our U.S. military colleagues can make particularly valuable contributions. When military leaders, who have been strong proponents of the work of the United States Institute of Peace (USIP), demand greater investment in non-military solutions, when they point out the gross under-resourcing of diplomacy and development – when compared to military hardware and train-and-equip programs – it makes a difference. Military advocacy on Capitol Hill and in the private sector for massively increased investment in violence prevention and peacebuilding is a concrete way to advance just peace around the world.
Relatedly, enlightened military leadership understands that corrupt, undisciplined, rights-violating security forces are unreliable partners. Their practices fuel insurgencies and violent extremism. There is a smart guide written by Admiral Dennis Blair, called Military Engagement: How Armed Forces Can Support Democratic Transitions Worldwide. It instructs on how military relationships and security partnerships can incentivize democratic norms and behaviors and deter security force crackdowns on peaceful opposition. I hope that this guide might one day be fully integrated in military education and training in the US and around the world.
So far I’ve focused a great deal on civil resistance and nonviolent collective action. But we know that this is one set of tools in a much broader nonviolent arsenal. Transforming violent conflict and dissolving its root causes requires a combination of people power and peacebuilding. That means linking nonviolent resistance, which intentionally escalates conflict, and traditional peacebuilding tools like negotiation, dialogue, and mediation, which de-escalate it.
The theory here is that in conflicts marked by great power asymmetries, where groups are intentionally marginalized or excluded from political processes, power needs to shift and an unjust status quo disrupted before conflict resolution become possible. In other words, nonviolent action is often necessary to “ripen” the situation for resolution. As Martin Luther King, Jr. so eloquently wrote in his Letter from a Birmingham Jail in 1963:
“You may well ask: “Why direct action? Why sit-ins, marches and so forth? Isn’t negotiation a better path?” You are quite right in calling for negotiation. Indeed, this is the very purpose of direct action. Nonviolent direct action seeks to create such a crisis and foster such a tension that a community which has constantly refused to negotiate is forced to confront the issue. It seeks to so dramatize the issue that it can no longer be ignored.”
The Polish Solidarity movement combined Gdansk shipyard strikes with formal roundtable negotiations. The Liberian civil war came to end because the government and rebels were pressured – in part by a women’s-led sex strike – to reach a settlement. The Comprehensive Peace Agreement in Nepal was reached when popular nonviolent resistance shifted the power dynamics and incentivized meaningful peace talks. Veronique Dudouet highlights these and other examples in an excellent report, “Powering to Peace: Integrated Civil Resistance and Peacebuilding Strategies”. Anthony Wanis-St. John and Noah Rosen focus on the importance of negotiation in nonviolent resistance in a recently published USIP Peaceworks report.
I am often asked: what about cases of genocide, ethnic cleansing, or violent extremism? What about protecting innocent people? What are the nonviolent options in these cases?
Using and sequencing these dialogical and direct action techniques is both an art and a science. USIP is currently developing a practical guide, called “Synergizing Nonviolent Action and Peacebuilding” (SNAP), which is intended to inform field-based trainings on how, practically, these nonviolent approaches can be used together. We hope that this action guide might be helpful for organizations like Pax Christi, Mercy Corps, Caritas International, Catholic Relief Services, and members of the Alliance for Peacebuilding whose work is grounded in conflict affected communities.
So we know that nonviolent resistance is important in negotiating a sustainable and just peace. This aligns with the fact that, historically, the most durable peace processes and national dialogues have been inclusive and participatory. Desiree Nilsson’s study of all peace agreements reached in the post-Cold War period found that the involvement of civil society reduced the risk of failure by 64%. Peace accords that include civil society actors – including religious groups, women’s groups, and human rights organizations – are more likely to see peace prevail. The Colombia peace process, which culminated in a landmark peace accord last year, featured the active involvement of victim’s groups, women’s groups, and other civic actors. Other research has found that the presence of skilled negotiators and facilitators at the local level contributed to the success of national dialogue processes. Training mattered.
Women’s participation merits special focus. Multiple studies have found that women’s inclusion in peace processes correlates significantly with their success – Northern Ireland and Liberia are classic examples. Women bring unique identities, perspectives, and a sense of urgency to peace processes. While women often need to fight for a place at the table, it stands to reason that unlocking the leadership potential of women at all levels of an organization or institution, including the Catholic Church, would strengthen its ability to forge peace.
Another nonviolent tool, mediation, has helped resolve some of the most intractable violent conflicts, including the civil wars in El Salvador, Guatemala, Mozambique, Northern Ireland, and Colombia. The Catholic Church, often in partnership with other faith groups, has often been a key mediator. We know the critical role that the Vatican and Pope Francis played in mediating an end to Colombia’s civil war. The Catholic Lay Community of Sant’Egidio played a vital role in ending the devastating Mozambique civil war (1975-1990). Sant’Egidio, a Rome-based organization with some serious mediation skills and a biblical commitment to service, compassion, and peace, developed strong relationships with the two conflict parties, the ruling Frelimo party and 7 RENAMO rebels. It brought them together in Rome for meetings over 2 years that culminated in the signing of the Rome General Peace Accords in 1992.
In northern Uganda, which has endured nearly 3 decades of civil war between the government and the rebel Lord’s Resistance Army (LRA), Archbishop John Baptist Odama of Gulu and his Acholi Religious Leaders’ Peace initiative, an inter-faith conflict transformation organization, has won the trust of all sides, allowing him to carve out spaces for peace. Odama, who I was honored to meet in Rome, has facilitated years of dialogue between government and LRA forces. He famously says, “As long as there is an opportunity for peace talks, I shall pursue it.” While a comprehensive peace settlement in Uganda remains elusive, and the government is currently cracking down hard against nonviolent civic groups, perhaps one day, religiously mediated dialogue combined with citizen-led collective action will achieve a breakthrough.
Transforming violent conflict and dissolving its root causes requires a combination of people power and peacebuilding. That means linking nonviolent resistance, which intentionally escalates conflict, and traditional peacebuilding tools like negotiation, dialogue, and mediation, which de-escalate it.
Similarly, in South Sudan, where post-independence civil war and dictatorship have created a terrible humanitarian crisis, the inter-denominational South Sudan Council of Churches, one of the strongest civil society groups in the young country, has issued an Action Plan for Peace (APP) focused on dialogue and reconciliation. There is also a budding youth-led nonviolent movement in the country, called Ana Taban (“I am tired”) that is using the arts to build bridges, call out abuses on all sides, and mobilize people for peace. Hopefully the wisdom of the elders and youth energy will creatively combine to bring sustained peace to South Sudan.
A core tenet of just peacemaking is addressing and overcoming legacies of gross human rights violations and other historical injustices. Faith groups have historically contributed in significant ways to transitional justice and reconciliation. There are multiple models of truth-telling and reconciliation. In Guatemala, the Catholic Church, under the leadership of Bishop Juan Gerardi, helped initiate, organize, and execute the successful national truth commission, the Recovery of Historical Memory Project, in the mid-1990s. In Chile, the Catholic Church advocated for the country’s Commission on Truth and Reconciliation following Pinochet’s removal from power in 1990 – a core component of that country’s transition to democracy. The Chilean commission helped inspire the South African Truth and Reconciliation Commission shepherded by Archbishop Tutu.
The effectiveness of all these nonviolent techniques – including civil resistance, dialogue, mediation, negotiation, unarmed civilian protection, trauma healing, and transitional justice – are grounded in the skills and legitimacy of those using them. An important role the Church (and all of us) can play in advancing just peace globally is building strategic and tactical bridges between the techniques of grassroots nonviolent action and peacebuilding and investing in them.
Practically, this can be done via education and training, through the diplomatic and policy influencing arms of the Church, through inter-religious initiatives and through field-based programming with conflict-affected communities.
- Catholic universities around the world can educate and train youth and communities in the full menu of nonviolent options and their practical, strategic applications; they can support cutting-edge research on conflict analysis and just peace approaches.
- Catholic leadership from the parish level on up can help integrate just peace and conflict transformation teachings into religious trainings, lay formation, homilies and sermons.
- They can draw on research, films, and training materials on nonviolent action (many translated into dozens of languages) developed by USIP, the International Center on Nonviolent Conflict, Pace-e-Bene, Rhize, and other organizations.
- The Pontifical Council on Inter-religious Dialogue can continue to promote just peace approaches that draw on all the religious traditions.
- Church leaders can communicate with government officials and security forces to deter violent crackdowns against peaceful activists.
- They can take diplomatic action when state/non-state actors are engaged in systematic human rights abuses, high-level corruption and exclusionary policies that fuel violence, and show solidarity with nonviolent activists and peacebuilders on the front lines.
- The Vatican Secretary of State and Holy See missions in NY and Geneva can use existing initiatives, like the UN Sustaining Peace Resolution and the Sustainable Development Goals, to advance just peace approaches and tools.
Logistically, the Church can also provide safe spaces in places like the DRC, South Sudan, Venezuela, and Cambodia, where activists and peacebuilders can meet, strategize, and plan actions. It can offer small resources and transportation support for those forced to operate in restrictive environments, often with little or no money. It can work with Catholic and other private foundations to support grant-giving that aligns with just peace objectives.
I mentioned the military’s role in advocating for greater investment in nonviolent alternatives and peacebuilding. The Church could work with the military to support unarmed peacekeeping pilot initiatives in places like Syria and South Sudan. And encourage it to use military-to-military levers (training, funding, education) to strengthen governance in partner defense institutions, and deter repression and human rights abuses.
Nonviolent direct action seeks to create such a crisis and foster such a tension that a community which has constantly refused to negotiate is forced to confront the issue. It seeks to so dramatize the issue that it can no longer be ignored.
At least one national government, Lithuania, has made civilian-based defense, which involves the use of mass civil resistance and noncooperation to deter and repel foreign attacks, a core component of its national defense strategy. Building up the nonviolent resistance and peacebuilding skills and capacities of citizens, in schools and communities, is a great investment in national and international security. Of course, a papal encyclical on nonviolent action and just peace would help focus Church energy and resources on all of these options. Perhaps one day.
I have a special place in my heart for nonviolent organizers and the work they do – Dorothy Day is atop the list. Let me end with her pragmatically hopeful words:
“People say, what is the sense of our small effort? They cannot see that we must lay one brick at a time, take one step at a time. A pebble cast into a pond causes ripples that spread in all directions. Each one of our thoughts, words and deeds is like that. No one has a right to sit down and feel hopeless. There is too much work to do.”
May this conference create ripples that spread in all directions and inform how we all, individually and collectively, civilian and military, doctrinally and practically, can bolster nonviolent options to advance a more just and peaceful world. Thank you.
By Maria J. Stephan
Maria J. Stephan directs the Program on Nonviolent Action at the U.S. Institute of Peace, which focuses on applied research, training and education and informing policies and practice related to civil resistance, nonviolent action and their roles in transforming violent conflict and advancing just peace. Her Twitter is @MariaJStephan
LOST AND NOT FOUND: What happens when people go missing in Kenya
It could be an empty bed or an untouched room. An automated horoscope on their Twitter account or a dormant Facebook profile. All that remains are memories. A family photo no one talks about anymore. Things left unsaid. Spaces left unfilled. Some choose to keep them that way in the hope that their loved one will walk back through the door.
But they don’t always do.
Mohammed Abdulkarim, popularly known as Czars, has been missing since October 2006. The teen heartthrob was barely a week away from his final high school exams and on the verge of what looked like it would be a wildly successful music career. The skinny, light-skinned 17-year-old was a national sensation for his song “Amka Ukatike.” Yet that day in 2006, he took a walk from their family home and never came back. Last year, on the tenth anniversary of his disappearance, his father voiced that undying hope that he will find his way back, wherever he is. He’d kept his son’s room intact for a decade.
For Abdullahi Boru, those constant reminders are embedded in his career after his best friend and former housemate, Bogonko Bosire, went missing in September 2013. Bogonko was a pioneer blogger who ran a popular and controversial tabloid. He went missing at the height of the International Criminal Court cases against President Uhuru Kenyatta and his Deputy, William Ruto, and from the little we know so far, probably because of them. “I’ve known Bogonko Bosire since 2000 when we joined journalism school. Then after we were done we shared a house as we fit into our first jobs” Boru says. For him, Bosire is still in the present tense, an unsolved disappearance that will one day have a solution. That same year, in December, a senior State House advisor called Albert Muriuki also disappeared. His case too, remains unsolved.
Last year, on the tenth anniversary of his disappearance, his father voiced that undying hope that he will find his way back, wherever he is. He’d kept his son’s room intact for a decade
For the family of independence hero Kung’u Karumba, one of the Kapenguria Six, that has been a 43-year-long wait. The freedom fighter disappeared in 1974 while on a business trip to Uganda and was most likely caught up in political upheaval. But there has never been any proof of his death, so his family has kept hope alive. In 2004, 30 years after he went missing, his youngest wife Esther Wanjiru told The Standard “I am still waiting for him to show up in his pickup van, KPD 304.”
Without a Trace
“The reasons why people go missing are almost as varied as the people themselves,” a tracing investigator who requested anonymity tells me. Outside of extrajudicial killings and conflict, other reasons why people disappear include kidnappings, accidents and suicide. Someone can leave intentionally because they decided to, or drifted away. Someone can be forced to go missing because of disease or an accident. Mental health conditions rank highly here.
A close friend’s family once lost her 80-year-old grandmother, who suffered from dementia, for three weeks. She turned up in Dodoma, Tanzania with no memory of how she got there. In an email conversation, a lady called Sharon Johnston who lives in New Zealand told me about the fruitless search for her father, Dr. Tony Johnston who had lived and worked in Kenya for three decades. She eventually found him in a home for the elderly, living with dementia. His property seemed to have changed hands, and visitation rights were controlled by the same tight knit circle.
In the course of a week, I counted at least nine missing persons’ posters placed in different digital spaces, including several news alerts. Eight were kids below twelve years of age, and the ninth involving a teen, was deemed resolved after she was found at a friend’s house. I also scoured through a Facebook page called Kenya Missing & Unidentified Persons, which was set up to help families find their loved ones. Although it has not been updated since 2015, the page gives a small sample size of the people who go missing in Kenya. Of about 30 cases posted in a period of six months, most of them were relatively young (17-30 years old) and from a cursory glance, from the middle and lower socioeconomic classes. Almost all the cases involving older people, above 60 years of age, mentioned some form of mental illness.
She eventually found him in a home for the elderly, living with dementia. His property seemed to have changed hands, and visitation rights were controlled by the same tight-knit circle.
While Sharon was lucky in a way, most aren’t. Law enforcement agencies do not give priority to missing persons’ cases, and in some of them, are actually complicit. In one recent example, a human rights lawyer called Willie Kimani, his client, and a taxi driver were kidnapped and then killed by police officers. Such extrajudicial killings are at times followed by attempts to hide the bodies, or disfigure them beyond recognition.
Such police brutality and state violence have a long history in Kenya, even before the genocidal ‘50s. In precolonial Kenya, it was not unusual for people to leave and simply never come back. Some died in skirmishes, while others fell sick along the way. Others simply moved and made new homes elsewhere, sometimes leaving even their spouses behind. In the social dynamics of the time, this was not as serious as it is today, but the heartbreak was no less real.
But in that decade of the Mau Mau rebellion, disappearances especially of men from around Mount Kenya became commonplace. This would happen again, in the 2000s as Interior Security Minister John Michuki led a murderous effort to kill off the Mungiki, literally in this case. From hearing one of my grandmothers’ stories about how her dad left to pick rent from a residential building in Nairobi in 1954 and never came back, I moved to listening to one of my neighbors describe the last time she saw her son in 2008. He was a young, skinny lad with shaggy hair, and most likely got caught up in the extrajudicial war on the Mungiki.
If someone you know goes missing today, the process goes something like this. You make a report to a police station where a bored police officer records your complaint. Then forwards it to a police station with an investigator from the Criminal Investigations Department (CID). If it’s a high profile case then it might get priority, and the digital and physical search will begin immediately. If you are absolutely lucky, and this is rare, then you will never get to hear those debilitating words “investigations are still ongoing” and “the file is still open.”
But more often than not, you will be unlucky. There is no national data on missing persons, or any related database to speak of. Everyone is, at the base of it, groping in the dark. Access to a telecom company’s data may provide some answers as to the last place a phone was on, as well as the last people the person talked to. A find such as a car or clothes, as was the case with IEBC manager Chris Msando, may hint at a few things, but mostly say nothing. Add to this the fact that the investigation process is so opaque and complicated that it often feels like law enforcement agencies are not doing enough.
Most families supplement this with either searching for the person themselves or even hiring private investigators. A search of morgues is a common go-to solution, but it is often based on the hope that if the person is dead, they would be in the specific morgues the search party is looking into. The same goes for hospitals and hospices, and the search is grueling. At least one independent missing persons’ investigator was described to me as “…someone who walks into morgues the way he would a coffee shop.”
From hearing one of my grandmothers’ stories about how her dad left to pick rent from a residential building in Nairobi in 1954 and never came back, I moved to listening to one of my neighbors describe the last time she saw her son in 2008.
There are other avenues. The Red Cross has a tracing department in its offices across the world, including Kenya. The project, called “Restoring Family Links” is designed to help people look for their family members or restore contact with them. Their focus though, is on people who’ve gone missing due to conflict, disaster or migration. Without enough resources to expand this to cover all missing persons cases, even their assistance is limited.
Public appeals for information sometimes work. They can yield information about a sighting or identification of places where the family can start looking. But more often than not, each appeal for information is followed by many false leads. In the search for the teenage heartthrob Czars, for example, one of the earliest seemingly credible leads came from an entertainment journalist. He had gotten it from a source he trusted, and it looked promising at the time. Czars, the intel suggested, was living in Eastleigh, likely in the company of an older fling. That singular statement led to a wild-goose chase with journalists and the musician’s father scouring Eastleigh in vain.
Another infamous false lead example is in the days after Nyandarua MP JM Kariuki was killed. After he disappeared in early March 1975, then Vice President Daniel Arap Moi confidently said he had left the country for Zambia. It took a newspaper report to dispute this, and for five whole days, no one knew what had happened to the charismatic MP. His body was eventually found on March 12, 1975, mutilated.
Two decades before, another missing persons case had stood out in a decade of conflict. Mau Mau leader Stanley Mathenge disappeared one night in 1956, and for years the official story was that he had gone to Ethiopia to seek assistance for the cause. It stopped there, never explaining why the freedom army’s most formidable military mind chose to abandon the cause. Years later, in 2003, a stranger from Ethiopia was feted in his place, not only costing taxpayers’ money but also leaving the government embarrassed.
Like JM, its more likely Matheng’e never left Kenya. The most likely scenario was that his compatriot and power rival, Dedan Kimathi, had him killed and then weaved the Ethiopia story to avoid internal strife. Kimathi was himself shot and arrested later that year.
Some leads seem purely coincidental and others outright suspicious. In the case of Bogonko Bosire, that happened to be a terror attack. The last time anyone ever saw the journalist was on 18th September 2013, three days before the Westgate terror attack. Although his family had already been searching for him at that point, the leads suggesting he could have perished there kept coming. So they looked, through the rows upon rows of dead bodies from the mall, to no avail. A few times since, there has been some activity on his social media profiles. The last, at 5:30pm on August 10th 2016, was a new profile picture and name on his Facebook profile. “From time to time I check his Twitter handle to see if he’s back,” Boru tells me as we discuss his hope that his friend is still out there somewhere.
Where do We Go from Here?
Many cases remain unsolved because there is no coordinated effort to actually find them. Even well-meaning investigators are hampered by one thing, the lack of dependable data. While some patterns are easy to see, most of them aren’t. A child who disappears from home while in the care of her nanny has most likely been kidnapped, but not always. An aging man with a mental condition who goes missing on his way home probably got lost, but not always. A young man who disappears on his way home could have been shot by the police, but not always.
There is no national data on missing persons, or any related database to speak of. Everyone is, at the base of it, groping in the dark.
What Kenya needs is an integrated system that not only improves information flow between agencies and families, but also provides a support network for both. Part of this could be a searchable DNA and personal profile database for missing persons and unidentified remains. In countries like Scotland, for example, the standard operating procedures of policing give priority and resources to missing persons’ investigations.
There is some hope though. Earlier this year, the National Crime Research Center released a report on kidnappings in Kenya. In it, researchers found that you are most likely to be kidnapped if you are female, under 35 (and especially below 18) by men of around the same age. The report also ranked Kenya number 17 out of 19 in prevalence of kidnappings. It also looked into interventions and found that at least 12 different bodies, most of them government units such as the police and the Office of the Director of Public Prosecutions, are involved in addressing kidnapping cases. Some private organisations include Missing Child Kenya, which provides free resources to search for and rescue missing kids.
Still, there is a long way to go in improving our interventions in finding missing people. In 2008, the US state of New Jersey passed “Patricia’s Law”, a landmark law that describes the investigative process when looking for missing persons. Named after Patricia Viola, a 42-year-old wife and mother who disappeared in February 2001 (her remains were identified via DNA a decade later), the 2008 law was part of a combined effort beginning in 2004 to facilitate communication between agencies to ease the process of finding missing persons. The law not only dictates who should (and must) accept missing persons reports, but also describes stages in the investigation. For example, after 30 days missing, the law enforcement agency is required to take a DNA reference sample from the family. The DNA is run through the Combined DNA Index System for Missing Persons.
Beyond such a legislative backbone, law enforcement agencies also need dedicated resources and personnel. These can form the core structure to coordinate the effort with other agencies as well as stakeholders such as telecom companies. It would also ease communication with the families and friends, and even ease the pressure on morgues, hospitals and hospices.
The last time anyone ever saw the journalist was on 18th September 2013, three days before the Westgate terror attack. Although his family had already been searching for him at that point, the leads suggesting he could have perished there kept coming.
Dependable data will also help researchers identify patterns, and give law enforcement agencies to investigate. As is, beyond their current training and help from telecom agencies and the public, there is little else to go on. No one knows for sure how many people are currently missing, and without that, it is impossible to actually to solve open cases, and even mitigate future ones. Such patterns can be age, gender, risk, and even location. Disappearances of young women in one specific location, or area, could point towards a serial killer, for example. A string of disappearances of kids could point to a human trafficking ring, or even something more sinister.
Anyone can disappear without a trace. Even people in the limelight like Czars, Bogonko Bosire, and Albert Muriuki. All these cases remain unsolved, but their families and friends maintain the hope that that won’t be the case forever. They are only three in an ever-growing list of people who have gone missing without a trace, leaving behind nothing but memories and a never ending worry. The worry that someone is in trouble, or is somewhere lost, is not easy on anyone. Some families simply seek closure, a body to bury even, or just answers. But they are few and far between, and mostly obtained through sheer luck and at times effective policing.
For some those answers never come. As days become months, and then years, and memories fade, the lingering need to find those we love doesn’t dissipate. The worst, Sharon wrote, is in the not knowing.
A NIGERIAN STORY: How Healthcare is the Offspring of Imperialism and Corruption
As a Nigerian, the greatest scorn often finds you when you argue for Nigeria. Other Nigerians will mock you, denounce you as impractical or a dreamer, when you say that Nigeria is where your future lies. But why?
Nigeria as a heritage that separates the Nigerian from the Black American is awarded a loud (though false) superiority. The Nigeria that is evoked in jollof rice debates is praised. Even the Nigeria that must beat Ghana in the football match is supported. Yet, it remains that the Nigeria that will gain a Nigerian’s abuse is the real Nigeria – with its abusive civil servants, its police haggling for bribes and its megachurches auctioning salvation. This real Nigeria is the child of a mean parent called corruption. It’s useful to trace the family tree of this corruption but also useful to think about the way corruption earns Nigeria scorn to the degree that anyone who argues for that Nigeria is unworthy in some way—or should we say, she who argues for Nigeria is worthy of its corruption?
The Nigeria-corruption association has been repeated so often that it has long since become the small talk of world leaders; David Cameron’s aside to Queen Elizabeth II about “fantastically corrupt” Nigeria is but one example. That corruption touches every facet of life in Nigeria is a banality. As Michael Ogbeidi, a history professor at the University of Lagos, put it so accurately in his article, Political Leadership and the Corruption in Nigeria Since 1960, “Indeed, it is difficult to think of any social ill in [Nigeria] that is not traceable to the embezzlement and misappropriation of public funds, particularly as a direct or indirect consequence of the corruption perpetrated by the callous political leadership class since independence”.
Bureaucratic corruption affects healthcare and this is a very old problem both in Nigeria and throughout the formerly colonized world. When Nigeria was incorporated by Imperial Britain, it was conceived of as a repository of natural minerals and riches that could be exported for the benefit of the master race and country. The profits of colonial exploitation are so large they inspire disbelief. For instance, the British Ministry of Food made profits of 11 million pounds sterling in some years, according to Walter Rodney. As Rodney’s seminal text, How Europe Underdeveloped Africa, so clearly explains: this obscene figure of 11 million pounds sterling per annum was the result of artificially low prices set by private capitalist investors in Britain. The British government allowed dummy organizations, like the West African Cocoa Control Board (est. 1938) to lie to and bully African farmers, while pretending to advocate for them. Moreover, farmers were mandated to sell their crops no matter what price they were given. The farmers did not have the might to stand up against the military and political power of the British government. They did not have a choice. They were not economic players in the game, just chess pieces to be thrown around the board. At any rate, 11 million pounds accounts for the profits of just one body, the British Ministry of Food, so we can only imagine the cumulative profits enjoyed by the British Empire.
When Nigeria was incorporated by Imperial Britain, it was conceived of as a repository of natural minerals and riches that could be exported for the benefit of the master race and country.
Whatever the final profits, the people of Nigeria didn’t share in the wealth generated from such exports. The people were simply the machinery of the capitalist endeavor. They were machinery in the sense that the colonial political and economic government had absolutely no consideration for their physical well-being. Instead, by allowing missionaries to overrun the landmass, they rid the country of traditional doctors and what is now referred to as homeopathic medicines. For all the superstition and abuse that occasionally accompanied it, traditional medicine functioned as a rudimentary healthcare infrastructure across the African continent. Aspects of these so-called primitive practices have real and proven benefits.
For instance, West African medical practice is the foundation for inoculation and vaccination. In fact, when inoculation was introduced in colonial Boston during the 1721 smallpox epidemic, the origins of inoculation were so widely known that it was derided as “African” medicine and “Negroish thinking” in the press. Cotton Mather, who is credited with introducing inoculation into North America, wrote extensively about how a West African born slave, Onesimus, told him about inoculation practices. After learning from Onesimus, Mather began interviewing other enslaved Africans who backed up Onesimus’ testimony of being inoculated as children. Mather then tested inoculation on slaves born outside of Africa and when it proved successful, he introduced it to the white population. But as the practice of inoculation became widespread throughout colonial America, and the rest of the West, its origins were conveniently forgotten.
Once the traditional healer was undermined by new religious concepts, Imperial Britain continued to loot the land and exploit the people. Never was there any real investment in an alternative healthcare infrastructure. There are those who quote the 19th century European lie: they brought us civilization; they brought us religion and railways and doctors! But the numbers don’t bear that out. Rodney notes that in the 1930s, the British colonial government maintained a 34-bed hospital for Ibadan when the city had a population of 500,000 people! The colonial government later expanded their medical facilities, but this was only after pressure from nationalist movements set up by people tired of economic and political exploitation.
For instance, West African medical practice is the foundation for inoculation and vaccination. In fact, when inoculation was introduced in colonial Boston during the 1721 smallpox epidemic, the origins of inoculation were so widely known that it was derided as “African” medicine and “Negroish thinking” in the press.
It’s obvious that the dearth of medical and healthcare infrastructure was inherited by the national government in the 1960s. Understanding this history, it can be easy to excuse Nigeria and the Nigerian elite. In fact, this is precisely the hope of the Nigerian political and economic elite.
But we can’t let this excuse win the day since the post-1960 era hasn’t seen a marked continual commitment to the healthcare infrastructure system. The initial investment in healthcare wasn’t bad. In fact, as AO Malu, of Benue State Teaching Hospital, points out, when the Ashby Commission on Higher Education recommended the expansion of educational facilities in 1960, the year of Nigeria’s independence, Medical Faculty at the London College of Ibadan (now known as the University of Ibadan) was expanded and new medical schools were established in Lagos and in Northern Nigeria. The newly independent government continued to found and support teaching hospitals, particularly in the southwestern and northwestern region of Nigeria (Malu).
These teaching hospitals were instrumental in educating the vast majority of licensed nurses and doctors in Nigeria. Up until the late 1980s, they were known for professional teaching quality, their rigor, cleanliness and commitment to medically-appropriate technology. There is many a “middle class” Nigerian that can testify to their own birth or treatment in a Nigerian teaching hospital. Graduates in this 25-year span, from 1960 to 1985, also willingly testify to the maintenance of the facilities, which is no small thing since it both reflects and demands pride from the facilities’ users. It also reflects real material investment and demands it as well. But all of these testimonies are historical. The testimonies are about what the teaching hospitals used to be. Neglected by federal and state governments, the hospitals are today decrepit artifacts that are stuck with the technology of the last decade. I know one doctor who cried when she visited her alma mater in Rivers State, such was the state of the place with debris and rats. Another physician I know refused to discuss her medical school; she stammered, shook her head in anger and walked away. When she returned to the subject, she said only, “It was never, never like that before. The standard has really fallen.”
These teaching hospitals were instrumental in educating the vast majority of licensed nurses and doctors in Nigeria. Up until the late 1980s, they were known for professional teaching quality, their rigor, cleanliness and commitment to medically-appropriate technology.
But these “historical” hospitals are still hospitals. They still admit patients and attempt to treat them; they still admit students and attempt to educate them. Their treatment is curtailed by the lack of technological investment, the deteriorating facilities and the stagnated curriculum that Nigerian medical students are afforded. This is not the doing of some late 19th century Briton. It is the result of the rampant and insidious corruption executed by the political elite and their counterparts in the financial sector. As Professor Ogbeidi, notes in his article, citing this 2004 Reuters interview with then anti-graft chief Nuhu Ribadu, “Incontrovertibly, corruption became endemic in the 1990s during the military regimes of Babangida and Abacha, but a culture of impunity spread throughout the political class when democracy returned to Nigeria in 1999. In fact, corruption took over as an engine of the Nigerian society and replaced the rule of law”. In other words, the neglect of healthcare infrastructure is a product of recent and present-day choices that continually disregard the health of the people who are the machinery of the nation.
The teaching hospital model was never capable of nor adequate in caring for Africa’s most populous nation. It was a step in the correct direction, but a step that has been halted. As Professor Ogbeidi puts it: “As a consequence of unparalleled and unrivalled corruption in Nigeria, the healthcare delivery system… [has]become comatose and [is] nearing total collapse.”
So what are Nigerians left with? The vast majority of Nigerians who were never able to access teaching hospitals must rely on book doctors and unlicensed and unregulated pharmacies. A book doctor is a person who has learned about the practice of Western medicine solely from books. This book doctor never attended medical school, never sat for a medical certification or license exam and never completed a residency or rotation under the supervision of more experienced medical practitioner. Book doctors are common in areas outside of the major Nigerian cities. Having been to one myself, I can attest to the fact that they are not clandestine operations, but clearly marked persons with public enterprises. Neither the federal nor state governments make any attempt to investigate them in the interest of the people.
My experience with the book doctor was fine. He was affable. All the materials I observed were clean and unused. His nurses were well-trained and products of nursing schools. Yet the facility did not have electricity from the Nigerian energy grid, running water, nor a toilet. (Outside of major Nigerian cities, it is not rare to go 2 or more months without electricity from the Nigerian energy grid, this is despite the fact that Nigeria sells energy to Togo, Benin, and Niger.) The book doctor instead powered his facility with a generator and bathroom functions were undertaken in a darkened room at the back of the property. The patients brought their own water.
Book doctors are common in areas outside of the major Nigerian cities. Having been to one myself, I can attest to the fact that they are not clandestine operations, but clearly marked persons with public enterprises.
Despite my benign experience, Nigerians die daily from inadequate care from book doctors, just as they die from the inadequate healthcare system throughout Nigeria. Death is the fruit of corruption.
The other fruit of corruption is the bankruptcy of Nigeria’s national wealth.
In making adequate healthcare difficult or impossible to access, the political class is making it an absolute necessity for people to seek medical help outside of Nigeria’s borders. This drives those people who can afford it, to go to African countries like Ghana and South Africa, or ever further to Europe, India, the Middle East or the Americas for medical care. This is an insane situation for a citizen of an oil-rich country.
The Nigerian government acknowledges that sending medical tourists abroad is a real problem that has cost the country at least 1₦ billion –the equivalent of 690 million pounds sterling. This is money that was made in Nigeria but spent elsewhere; money that should be circulating in the Nigerian economy. Bu a real investment of capital into the construction and maintenance of medical infrastructure would not only stem this but also enrich the country, especially if the construction materials were purchased from Nigerian companies and Nigerians were employed in the labor.
But the same government that is legislating against “medical tourism” is led by President Mohammed Buhari who has become the “face of medical tourism.” President Buhari spent 7 weeks, from January to March, in London before offering up a vague explanation about his health. The lack of specificity was an allusion that was meant to be understood in the mind of the Nigerian citizen as you know we no get oyibo (white man) medicine na. Buhari left Nigeria for London again in May. When the Nigerian populace, aided by journalists, demanded that the President return and govern after an absence of more than 3 months, the president reluctantly returned. He has refused to say how much money the Nigerian government spent on his almost 5-month stay in London. No matter. The failing Nigerian healthcare system is implicit in the president’s long stay in high-priced London and the unstated, exorbitant price tag is yet another example of political corruption.
The Nigerian government acknowledges that sending medical tourists abroad is a real problem that has cost the country at least 1₦ billion –the equivalent of 690 million pounds sterling.
This drama, of course, comes after the 2010 death of President Umaru Musa Yar’adua whose 3-month medical stay in Saudi Arabia ended when the Nigerian government sent a delegation to “check on his health.” Yar’adua’s absence was explained to the Nigerian people as medical treatment, but during those 3 months, he was not seen in public and this fueled both rumor and a real leadership crisis in the federal government.
The travels of Yar’adua and Buhari demonstrate in a practical, evidentiary manner that the Nigerian healthcare system has been abandoned by its political elites. They seek their health and medical care elsewhere and as a result, they have left the funding and maintenance of the healthcare infrastructure to the birds.
Yet, still the middle class, takes the political and financial elite as “leaders” and follows them abroad. They are not leaders; they are elites by virtue of being on top of the capitalistic structure and because they are elitist, believing that only those at the top should have access to what are now called “basic human necessities,” including electricity and running water. If they were not elitist, they wouldn’t rob the country to the detriment of the health and very life of the people.
In going abroad, middle-class Nigerians are increasingly identifying service sectors and medical acumen with the West. This is dangerous because such identification alleviates the pressure to improve the facilities within Nigeria. The determination to go abroad should instead be replaced by the determination to improve the healthcare infrastructure at home.
The travels of Yar’adua and Buhari demonstrate in a practical, evidentiary manner that the Nigerian healthcare system has been abandoned by its political elites. They seek their health and medical care elsewhere and as a result, they have left the funding and maintenance of the healthcare infrastructure to the birds.
The portion of the Nigerian middle-class that does utilize the healthcare system have little encouragement. Added to the corruption that robs the system is the dearth of physicians who might otherwise provide superior care and demand attention from the political and financial elites. It is not that Nigerian isn’t training medics, but the problems already noted drive them to ply their trade abroad.
A 2013 article by the Foundation for the Advancement of International Medical Education and Research (FAIMER) is titled “Nigerian Medical School Graduates and the US Physician Workforce” and the title says it all. Despite the corruption and deteriorating conditions, Nigerian-educated medical professionals are skilled physicians who are able to practice throughout the world. This is good for them but bad for Nigeria.
According the statistics of the Educational Commission for Foreign Medical Graduates, at least 4300 Nigerian medical graduates were certified to practice in the United States between 1980 and 2012. That is 4,300 doctors who are not practicing in Nigeria. What would Nigeria be like with 4,300 more doctors? Before answering, consider that this is only one type of certification program doctors in the United States and Canada; it does not account for the medical graduates who have emigrated to mainland Europe, the UK, Australia, the Caribbean nations, India, or the increasingly, alluring South American republic of Brazil. Now consider that President of the Healthcare Federation of Nigeria, thinks that the correct estimate of Nigerian doctors practicing abroad is closer to 37,000. This is a real exodus with dangerous ramifications.
With the flight of medical graduates, Nigeria must educate another person to become part of the healthcare infrastructure. With the flight of medical graduates, Nigeria loses another bloc of people capable of putting pressure on the political class to fix the healthcare infrastructure. With the flight of medical graduates, Nigeria loses people who might create real national wealth by buying Nigerian made goods and supporting local industry, rather than the cheaply made, imports – the shine shine – that litter the market stalls of the subsistence worker and the Instagram pages of the so-called middle class. With the flight of the medical graduate, Nigeria is left stagnant.
Now consider that President of the Healthcare Federation of Nigeria, thinks that the correct estimate of Nigerian doctors practicing abroad is closer to 37,000. This is a real exodus with dangerous ramifications.
It is this stagnant Nigeria that earns a Nigerian the ridicule of his countrymen. At home, everyone (or so it seems) wants to travel abroad. Abroad, home is just a green-and-white outfit, a party theme on October 1st. Healthcare in Nigeria is a fatal casualty of continued political corruption. Medical tourism will cease only after the government has demonstrated sustained and responsible investment and maintenance of healthcare schools and facilities. Until then, the middle class will follow its political and economic elites in seeking medical treatment abroad; they will spend their hard-earned money in other countries and continue to wonder why death and bankruptcy follow them home to Nigeria.
THE BLACK SPOT: Why The Kenyan Road System Is Designed To Kill
Two road crashes in the first two weeks of November have robbed Kenya of six lives including that of Nyeri Governor, Wahome Gakuru, and once again brought to the fore the crisis of safety on the country’s roads and highways.
As of November 8, according to statistics released by the National Transport and Safety Authority, 2,387 people had lost their lives on our roads. In its 2015 Global Status Report on Road Safety, the World Health Organisation shows Kenya’s roads are amongst the most dangerous in the world claiming an average of 29.1 lives per 100,000 people. By comparison, Norway, which has significantly more cars on its roads had just a tenth of Kenya’s average fatalities per 100,000. Road crashes are among the top ten killers of Kenyans, account for between 45 and 60 percent of all admissions to surgical wards and cost the country up to 5 percent of GDP.
It’s not all doom and gloom though. While the number of registered vehicles on the roads nearly doubled between 2008 and 2012, from just over 1 million to just under 1.8 million according to the Kenya National Bureau of Statistics, the total number of both accidents and victims actually fell by about half says the 2015 study Analysis of Causes & Response Strategies of Road Traffic Accidents in Kenya. However, what should set off alarm bells is that despite this, the number of deaths barely budged. It may only make the news when crashes either involve large numbers of people or a prominent person is killed, but on average, Kenya has lost a Nissan matatu-load of people every two days for at least the last decade and a half.
In the face of such appalling statistics, it is nothing short of outrageous that the NTSA considers a reduction of 4 percent in the number of pedestrians who have lost their lives on the roads as “drastic”. Though overall deaths were down by a slightly higher 5.8 percent, it speaks to the low expectations the Authority has of itself that the numbers it is celebrating do not even come close its own rather modest target of reducing traffic fatalities by 12 percent.
By comparison, Norway, which has significantly more cars on its roads had just a tenth of Kenya’s average fatalities per 100,000.
The widely trumpeted but almost always short-lived measures that have been taken by the government to address the issue over the last ten years -such the famous “Michuki rules”, the banning of night buses, enforcement of speed limits, introduction of random breathalyzer tests- have barely budged the average annual number of deaths which still hovers stubbornly around the 3000 mark. By contrast Sweden, which has the world’s safest roads managed to slash in half the number of traffic deaths between 2000 and 2014.
What are the Swedes doing right?
Unlike Kenya’s knee-jerk approach, where reactionary legal measures are quickly announced in the aftermath of a particularly horrific crash, with little research, forethought or long-term planning, and just as quickly forgotten, the Swedes have adopted a more systemic, evidence-based method. Unlike their Kenyan counterparts, the Swedish Transport Administration does not believe that deaths and injuries on roads are an inevitable cost of having a functional road network. “We simply do not accept any deaths or injuries on our roads,” says Hans Berg told The Economist in 2014. Matts-Åke Belin, a traffic safety strategist with the same agency in an interview with CityLab calls it a “civil rights thing”, saying that rather than trying to get people to adapt to the traffic system, the Swedes are trying to “create a system for the humans”.
It may only make the news when crashes either involve large numbers of people or a prominent person is killed, but on average, Kenya has lost a Nissan matatu-load of people every two days for at least the last decade and a half.
This focus on building “a system for the humans” is the central pillar of Vision Zero, the radical policy that since 1997, has governed the nation’s approach to transportation. It is even written into their laws. In the same year, the Swedish Parliament passed the Road Traffic Safety Bill which declared that, “the responsibility for every death or loss of health in the road transport system rests with the person responsible for the design of that system”.
Think about that for a minute. Road accidents are not the fault of drunk or crazy drivers, of careless pedestrians or stupid cyclists. Instead, as Dinesh Mohan notes, the Swedes put the blame on “the engineers who build and maintain the road and the police department that manages traffic on that road. Not primarily on the people who use the road because it has been demonstrated that road user behaviour is conditioned by the system design and how it is managed.”
Vision Zero seeks to not just reduce, but to completely eliminate deaths and serious injuries on the roads. But it does so, not primarily on the back of enforcement of punitive legislation as is the preferred approach in Kenya. “We are going much more for engineering than enforcement,” says Belin. “If we can create a system where people are safe, why shouldn’t we? Why should we put the whole responsibility on the individual road user, when we know they will talk on their phones, they will do lots of things that we might not be happy about? So let’s try to build a more human-friendly system instead. And we have the knowledge to do that.”
Enforcement of traffic rules is an important element but rather than merely bullying road users into compliance, the Swedes are building their system around the road users. Safety is not something that is added to the road system; it is an essential component of the system itself. As one analysis of the policy puts it: “Road users are responsible for following the rules for using the system set by the designers. If the users fail to obey the rules … or they obey and injuries occur nonetheless, the system designers must take steps to avoid people being killed or seriously injured.” The road system is thus built in the knowledge that people will break the rules and is structured to both minimize the opportunity for wrongdoing and to mitigate the harm that can result.
Matts-Åke Belin, a traffic safety strategist with the same agency in an interview with CityLab calls it a “civil rights thing”, saying that rather than trying to get people to adapt to the traffic system, the Swedes are trying to “create a system for the humans”.
In Kenya, the approach is diametrically opposite. While the NTSA acknowledges that 80 percent of road crashes are caused by human error, and blames everything from drunk drivers to jaywalking pedestrians, it rarely discusses the design of our road transport systems, the behaviour it incentivizes and how such errors are mitigated beyond arresting people and increasing fines.
Take the two crashes referenced at the beginning of this tale. Both happened at notorious “black spots”, one at Salgaa and the other at Kabati. Murang’a County Commissioner John Elung’ata says of Kabati, where the Governor died, that “motorists lose control whenever it rains”. The 14-kilometre stretch between Salgaa and Sachangwan along the Nakuru-Eldoret highway has been the scene of multiple horrific accidents involving trucks. Yet in 2015, then NTSA Chairman, Lee Kinyanjui, whose agency blamed the crashes on “ignorant drivers” could only promise that “over and above fining those freewheeling, we will be recommending an immediate revocation of their licences and this should go to all the drivers. Reckless driving on our roads will no longer be there.” In these cases, administrators seem to have either resigned themselves to the inevitability of crashes or limited their responses to punishment. There was not talk of redesigning the road to eliminate the “black spot”. Instead Kinyanjui promised to “construct lorry park with a capacity of 200 vehicles where the NTSA officers will be checking lorries”.
But one could perhaps cut Kinyanjui a little slack. While the NTSA can only advise the national government on such design changes and mostly appears to confine itself to patrolling roads to catch errant drivers or chasing down jay-walking pedestrians, STA actually owns, constructs, operates and maintains all state roads in Sweden.
Obviously, a road system is more than just the state of the road and transport authorities have to coordinate with a wide array of government agencies, non-governmental organizations and road users. That system includes all factors that have a bearing on behaviour on the road. As such, the commitment to safety cannot be simply a matter for one body, but rather a national, even cultural commitment. As Belin says, “Sweden has a long tradition of working with safety. So Vision Zero is also based on a historical context.” It is, after all, the home of Volvo. Kenya, on the other hand, has historically had a rather tenuous relationship with safety and a huge appetite for risk. From our politics to security to our hospitals, being Kenyan is like a constant dicing with death. A national obsession with safety is definitely a bonus. However, even without one, Kenya can make better infrastructural decisions that would reduce the risk of injury and death.
The road system is thus built in the knowledge that people will break the rules and is structured to both minimize the opportunity for wrongdoing and to mitigate the harm that can result.
Take the Thika Superhighway, on which Governor Gakuru died, as an example. The road which rumbles through populated areas is Kenya’s most dangerous road for pedestrians. In 2014, the Senate committee on transport and infrastructure found that over 200 pedestrians had died since the road was inaugurated two years prior. Nearly 300 had been injured. That works out to about 5 people killed or injured every week. The difference between Thika Superhighway and, say, the UK’s M40 is not that Kenyans are congenitally poor drivers and law breakers and the British are not. In fact, the M40 does have its fair share of pile ups. But the reason you do not find pedestrians dashing across it and buses stopping on it is mostly that such problems have been engineered out. People don’t run across it because it is not located where they would need to. We obviously cannot physically move our Superhighway but we can ask questions about how and where our roads are built and about the systems governing the behaviour on them.
We can also ask about emergency responses, or rather, the lack of them. And about the safety of guard rails and whether there are better alternatives. Road accidents, even when they do happen, need not result in grievous injury or death. Why weren’t systems for rescuing trapped people and getting them emergency care factored into the design of the road? How can Kenya fix this? And what rules for other existing and future highways?
Perhaps nowhere would such approach be beneficial than in addressing the safety problems posed by Kenya’s public transport system. According to the WHO, in Kenya “buses and matatus are the vehicles most frequently involved in fatal crashes and passenger in these vehicles account for 38 percent of total road deaths.” Although the 2015 study found that matatus only caused about a third as many accidents as cars and utility vehicles considering that matatus make up only about 5 percent of the about 2 million vehicles on our roads, the fact that they cause around 15 percent of accidents indicates a big problem.
The study found that “Kenyan drivers cause crashes largely because of behavioural and attitudinal problems” and that these problems were more acute in drivers of Public Service Vehicles. “While matatu drivers are viewed as crooks, they regard other drivers as amateurs and always try to show them that they have superior driving skills.”
However, adopting the Swedish approach, one would not just settle for blaming the drivers, as the study, the NTSA and pretty much all of Kenya does. Considering the ecosystem they operate in, the ridiculous and seemingly suicidal behaviour of matatu drivers seems rational, reasonable even.
Kenya, on the other hand, has historically had a rather tenuous relationship with safety and a huge appetite for risk. From our politics to security to our hospitals, being Kenyan is like a constant dicing with death.
The late Donella Meadows, in Thinking in Systems – A Primer described a system as “a set of things—people, cells, molecules, or whatever—interconnected in such a way that they produce their own pattern of behavior over time,” and invited us to consider the implications of the idea that any system, to a large extent, causes its own behavior. Consider the Kenyan public transport system, which is privately owned and dominated by matatus.
Most matatu crews are not salaried. They basically have a deal with the matatu owner where they deliver an agreed sum every day and get to share what is left over. This means that their daily income is directly tied to how many people they carry and how many trips they make. At the same time, as this Africa Uncensored investigation reveals, most traffic policemen on the road are there, not to enforce the rules, but to extort bribes, matatus being a favourite target. In fact, during vetting by the National Police Service Commission last year, many traffic officers were unable to explain the source of their wealth and the many mobile transactions they seemed to be making. Given that it has been reported that most actually pay their superiors for the privilege of being deployed on the roads, it does not take a rocket scientist to figure out where they were sending the money.
The rub of this is that matatu drivers have big incentives to stop anywhere to pick up passengers and to make as many trips as possible, even when this means driving like madmen. The police, on the other hand, have little incentive to enforce the law. And given that many powerful government officials and senior police officers own matatus, there is little incentive to fix the problem.
Looked at from this perspective, it is clear that the problem is less incompetent drivers with an attitude problem, but rather the perverse system of incentives which generates the behaviour. Thus the solutions proposed, such as retraining and recertifying drivers, will have little effect. As US philosopher Robert Pirsig, wrote in his book Zen and the Art of Motorcycle Maintenance, “if a factory is torn down but the rationality which produced it is left standing, then that rationality will simply produce another factory.” Similarly, retraining drivers without changing the underlying system will resolve nothing.
Considering the ecosystem they operate in, the ridiculous and seemingly suicidal behaviour of matatu drivers seems rational, reasonable even.
Changing the system would require the NTSA to confront more powerful forces than lowly matatu crews, but is the true measure of the government’s commitment to dealing with the carnage matatu’s wreak on the road. However, it is not just where matatus are concerned that Kenya could benefit from a serious retooling. Rather than shooting from the hip when confronted with speeding or drinking drivers, the country would do well to adopt a research and evidence-based approach which looks at the problem in all its facets. For example, if, as one study found, “mandatory seat belt use laws and beer taxes may be more effective at reducing drunk driving fatalities than policies aimed at general deterrence,” should Kenya be focusing on those?
An important aspect of ensuring roads are safe is ensuring the road system caters for the needs of all its users, not just a few of them. That requires understanding how the roads are actually used. According to the World Bank’s Kenya State of the Cities Baseline Survey released in March 2014, half the labour force and three-quarters of students walk to work or to school. Another 43 percent and 19 percent respectively use matatus. Only 3 percent actually drive to work. Yet Kenyan roads treat pedestrian traffic as an afterthought and, as detailed above, the public transport system is in a shambles. This inevitably creates conflicts and, as statistics show, it is passengers and pedestrians who bear the brunt of the violence on our roads. Similarly, as the use of motorcycle-taxis, or bodaboda, has increased, so has the number of fatalities and injuries associated with them.
Concepts such as the Dutch-inspired “shared space”, which does not privilege cars and other motorized transport but rather treats the road as a community asset for the use of all traffic, motorized or otherwise, could help reduce the carnage. Well thought-out policies, including pedestrianizing the CBD, have been successfully adopted in cities like Pontevedra in Spain, which eliminated 53 percent of traffic in the city as a whole and 97 percent at its historical centre. “We inverted the pyramid,” its long serving Mayor, Miguel Lores, says, “leaving the pedestrians above, followed by bicycles and public transport, and with the private car at the bottom.” As a result, the city has not had a single traffic fatality in 6 years.
Understanding behaviour on the roads does not require condoning its unsavoury aspects. Rather, it means Kenya can get to grips with the systemic reasons such behaviour is prevalent and why it is destructive. It means, beyond demonizing road users, the NTSA and other stakeholders within and outside the government consider how they contribute to the problem, and what needs to change in order to either eliminate the incentives for that behaviour or to mitigate its effects.
Concepts such as the Dutch-inspired “shared space”, which does not privilege cars and other motorized transport but rather treats the road as a community asset for the use of all traffic, motorized or otherwise, could help reduce the carnage.
In fact, Kenyan roads are a microcosm of the colonially-inspired hierarchies at work in Kenya and the relative values they place on the time, lives as well as the fortunes of the various classes of Kenyans. At the very top is the political class and those riding on their coat tails, from government officials to the wannabe county potentates for whom nothing is allowed to get in the way of their dash to riches. The tiny middle class is next in line and at the very bottom of the pile are the poor, whose presence on the Kenyan road is barely tolerated despite their vastly superior numbers. When, periodically, their anger spills over in riots and “mass action” they can take over the streets entirely. Like the traffic police, the institutions of accountability simply serve to keep everybody in their proper place. They are there to police the citizens, to clear a path for their betters.
Eliminating traffic deaths and injuries is an achievable goal. But to do it, Kenya must change, not just its roads and its drivers, but itself. The country must revolutionize its approach to the problem and start seeing people as the reason the road system, and indeed the entire rubric of government, exists. In short, like Sweden, it must “create a system for the humans”.
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