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Reflections

We Are Doctors, We Don’t Die: A Damascus Moment on a Kenyan Highway

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“Daktari amesema mulete pesa ya mafuta.” (The doctor says bring money for fuel.) The officer in charge said this in a matter-of-fact way. We knew we had to do what he had requested; he had all the power over the ambulance – the same power we wielded in Siaya.

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The Unkindness of Strangers: Death, Disease and Disillusionment in Siaya
Photo: Vittore Buzzi on Unsplash
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September 18 is my younger brother Kevin’s birthday. I was in Siaya, and I wanted to travel back to Nairobi to celebrate with him. There was not much to do in Siaya after dark. The town turns ghostly after sunset. The local traders in the market slowly wrap up their wares in a choreographed fashion and walk together, mostly as a band of women to their households in the villages. The men stay a little longer on their motorbikes waiting for customers or catching up with the day’s political gossip. The shopkeepers and butchers quickly follow the women, trying to close before the scheduled power blackout. It’s strange, but electricity supply from Kenya Power consistently disappears between 7pm and 9pm. Both of these times are crucial for the few people with televisions who tune in to listen to the local news broadcasts from Nairobi. When there’s power, Siaya residents religiously watch the news broadcast, tuning into both the Kiswahili and English broadcasts, two hours apart, even when it is a repetition of the same broadcast.

In any case, darkness brings most things to a standstill. Siaya hospital, where I worked, is flung into total darkness. The generator often lacks fuel and it takes partners like the organisation I was working for to chip in monthly with some sort of supplementary funding. It was this darkness that we were running away from. I made a few phone calls to my colleagues Vinnie, Christina and Eric and we all huddled in Vinnie’s brand new Toyota and set off for Nairobi. We were in high spirits. We had had a long week of providing care to hundreds of children, and collecting terabytes of data to support licensing of our malaria vaccine study.

Local communities in Siaya are magnets for public health research. A rural community, with basic infrastructure and poor health indicators is fertile ground for local research organisations like the Kenya Medical Research Institute (KEMRI) and Centers for Disease Control and Prevention (CDC) to set up shop, attract funding and conduct research.

The men and women of Siaya are probably more famous than they will ever know, though mostly as statistics in peer-reviewed papers and publications. The educated world of infectious disease probably knows much more about these households through malaria and HIV data than the local chief does. A PhD student at an American university could probably model an accurate predictor of mortality in these villages from the troves of personal data collected from these people.

I had worked in Siaya hospital for a few years. I had very little business going into any wards except the paediatric one, where children participating in our vaccine study were hospitalised. We worked hard to make “our side” (the research side of the ward) live up to the required standards expected by the donor. Five feet away, on the government side, was a sad reminder of what lack of funding and resources looked like. It was cold and uncertain, and had a perennial shortage of essential supplies. The “research side” and “the government side” were on the same floor, yet they were worlds apart in terms of resources and health outcomes.

I wonder what went on in the minds of the mothers in the “government side” when they walked through the “research side” to use the bathrooms. I wonder what they felt when they noticed no one was sleeping on the floor, or sharing beds with strangers. Or that kids on the research side received a better diet, or that the process for discharging patients recruited in research was efficient, and no family would spend an extra day or two detained for not having enough money to cover their hospital bill. On the research side, there was always an ambulance on standby to get participants to Kisumu for specialised care when needed. Our side had the facilities, equipment and adequate staff; the government side had hope as the only sure intervention within crumbling infrastructure. I knew this reality, though it seemed so distant to me outside my privileged life.

My colleague Vinnie was driving that day. We were probably speeding when we lost control and plunged into a huge ditch off the road. We managed to get out with the help of a few well wishers who rushed us to a nearby paramilitary camp for first aid. I had sustained minor head injuries. My colleague Christina had significant back injuries. Vinnie and Eric had minor scratches. The car was extensively damaged.

The clinic at the camp was managed by a nurse, whose first aid box only contained cotton wool and methylated spirit. We were surprised – this was a paramilitary camp after all and we had expected a little bit more. These supplies were too basic to manage our conditions. We had to move to a better facility so that my head could be examined and attended to. Christina was also in excruciating pain and we were worried she had extensive injuries that needed urgent attention.

The reality of our situation started to dawn on us. The only transport option available to us was a Land Rover with a flat, open bed at the back. The officer in charge of the camp was gracious enough to offer us the Land Rover, though we were worried that a ride at the back of it would aggravate the injuries Christina had. We thought of trying our luck stopping random vehicles on the road but it was late, and very few people would have risked stopping for strangers at that time of the night. The camp officer suggested that we reach out to the medical officer in charge of Molo District Hospital for help. The hospital had an ambulance that was better suited for our needs. Besides Christina’s injuries, my head was swollen and throbbing wildly. I feared that I may have extensive head injuries and I knew I needed to get to a hospital fast and get a CT scan. Whatever privilege we had in Siaya was nowhere in sight in Molo. The more helpless we were getting, the more paranoid I was becoming.

***

One of the thoughts that engulfed my swollen head was about a close encounter with a patient from my past. I didn’t know him, but I remember him because he shouted my name from the male ward where I had gone to see a friend. I am not sure how he had come to know my name. I went and sat next to him in the bed, feigned acquaintance and lent him an ear, preparing myself for the usual request for some sort of financial or social help within the hospital. He was quiet for a long time. I noticed there was a thick discharge from his ear; there were stains of discharge on his bed sheet too. I called out to the nurse to alert her about the discharge. She told me that a doctor had already done ward rounds and made plans with him and his family for treatment. He had been a victim of a motorcycle accident and had been brought in a few days ago.

The man was obviously not doing well. I asked the nurse what I could do to help and she told me he needed to get to Kisumu for a CT scan and specialised care. I asked the man what the plan was, but he was lost in thought and I did not want to interrogate him before understanding his situation. I left with plans to return to see him the following day.

The next day, I did not find him. I was told he had sneaked out of the hospital and no one knew where he had gone. Apparently his family had left to go look for money for a CT scan and two days later they had not returned. He had also not received any message from them, so he apparently left to go and find them. In such circumstances, the family needed money for ambulance costs, on top of treatment costs and any other extra costs. A simple accident can have major financial ramifications for poor families. They were probably trying to sell an animal or some property to get him the help he needed. Or they had lost hope and abandoned him. I don’t know. I learned from one of the doctors we worked with that the discharge was from cerebral-spinal fluid forced out by intra-cranial pressure from his head injury. The man was facing imminent death. He left and never came back. So I knew I had to get a CT scan urgently.

While at Siaya, we were privileged to hold senior positions and so we could always put in a request and two SUVs, sometimes three, would be at our disposal for project work. We also had a fully equipped ambulance that responded to emergency needs and facilitated emergency transfers of staff and study participants from Siaya to Kisumu. A few months before this accident, I had received an emergency phone call from one of my staff members in the field requesting for an ambulance to pick up a father of one of children enrolled in our studies and rush him to Siaya Hospital. My colleague had been at the home when the man was hurriedly brought in by his friends. From the commotion in the background, I could discern distress. My staff member’s voice was also strained and heavy with emotion. The father had been bitten by a snake, and his condition was deteriorating rapidly.

There is a lot of pressure that comes with having the responsibility of deciding if a person has access to a service, such as transport to a hospital, which has the potential to save his or her life. We had reached a compromise with the main management of the research study that I could make a call for community use of the ambulance if one of our study participants was in danger and needed urgent rescuing. But technically speaking, this man wasn’t a participant in our study – his child was. We had the ambulance, but the challenge was how to manage urgent requests from the broader community and respond to them while not jeopardising our good relationship with the community.

We had decided that such requests would be escalated to the transport management at the headquarters. This though was a unique call because my colleague was stuck in this situation. He was at the home, at the heart of this emergency. I quickly called the ambulance driver and told him to be on standby. I also reached out to the headquarters and it took me some time to get through with the request. While we were still sifting through the bureaucracies, peeling off one layer after another, there was commotion at the emergency entrance of the hospital. A woman I could faintly recognise was crying her lungs out while others tried to hold her back. It was the man’s wife; she had brought him to hospital but he did not make it. He died on the way to the hospital on the back of a motorcycle where he was precariously balanced, hanging onto dear life.

This particular case woke me up to the reality and complexities of health care and research in rural settings. There was death and chaos hidden behind the quiet grass-thatched houses and one never knew when it would spring out and grasp the next victim. I would later call the field staff to enquire if the wife had said anything about us. A sense of guilt hung over me every time I thought about him. I deliberately started to avoid this particular woman whenever she brought her child for routine check-up at our study clinic.

It came as a relief when I later learned that not much could have been done in this particular case. It was not easy to get anti-venom in this hospital and considering how quickly the man had succumbed to the snake bite, I was told there was little the hospital could have done to save his life. I took comfort in this; any guilt for personal failure was quickly erased by the glaring failures in the health system.

***

The officer in charge of the camp placed a call to the medical doctor at Molo hospital. It was midnight, so there was no guarantee we would find the doctor awake. Luck was on our side though. He picked up the call. The officer in charge explained the situation to him. From this end of the call it seemed that the two were agreeing on a lot of issues. This was a good sign. The call ended and we waited for the good news.

“Daktari amesema mulete pesa ya mafuta.” (The doctor says bring money for fuel.) The officer in charge said this in a matter-of-fact way. We knew we had to do what he had requested; he had all the power over the ambulance – the same power we wielded in Siaya. We also knew we could bargain over the amount, but we could not escape paying for it. But we also had no doubt he actually needed fuel. This was a government hospital; everything is hard to come by and everything costs money. We had some money in our Mpesa accounts in our phones.

However, unbeknownst to us, there had been another development with our belongings at the accident scene. While were worrying about Christina and my swollen head, our friend Eric had made his way back to the car to salvage our belongings. He had encountered two men rummaging through the wreckage of our car. These men had taken our phones and Eric’s efforts at negotiation failed to get back the phones. One of them – he said his name was Biwot – actually sympathetically assured Eric that at a fee, he could come back for the phones the following day after we had received care. There we were, unable to send money to the medical officer in Molo because a stranger called Biwot had stolen our phones. We thought quickly and borrowed the officer’s phone, called a colleague who sent 6,000 shillings to the doctor’s phone number. An ambulance was promptly dispatched. We immobilised Christine and set off for Nakuru.

The next day, all of us, except Christina, were discharged. But I was angry at how callous and soulless this Biwot guy was. How he had robbed Eric when all we needed was help. The thought of him getting away with this act bothered me greatly. My brother Kevin had come to Nakuru to pick us up, and I requested him to drive us to Molo police station to file a report.

As we were waiting for the officer commanding station (OCS), we started to tell one of the policemen about Biwot and our unpleasant encounter with him. The police officer’s face lit up. It turns out he knew this Biwot. He called his colleague and we quickly set off to find the man. The police officer quickly located Biwot’s house that was not very far from the accident scene. He kicked the door and demanded to see him. A woman who I suspected was some form of acquaintance in the single room that served as a kitchen, a bedroom and a living room, all in one, told us Biwot had left just moments before we arrived. It did not take much persuasion from the policemen for the woman to admit that Biwot was hiding in a neighbour’s house. The two policemen quickly fetched him and used whatever methods they learned in training to coax out our phones. Violence of any form is hard to watch. But it is also hard to understand why anyone would steal the belongings of accident victims in need of desperate help. Biwot produced our phones, which appeared to be damaged. We exchanged glances as the policeman slid them in his pocket. They were now evidence under his care. I was eager to have to have my phone back so this was a bit disheartening.

Back at the police station, my friend Vinnie had already met with the OCS. Vinnie told us that the OCS has generated a small list of items that he wanted Vinnie to “authorise” him to salvage from the wreckage for his personal use. He wanted the tyres, the car battery and the radio. He promised not to charge any of us with careless driving and assured us that the insurance people would receive a great report in exchange. We did not care. Neither Vinnie nor anyone else wanted anything to do with the badly damaged car, but the veiled power play was distasteful – he kept telling us he wasn’t going to charge anyone and reminded us of the powers and options he had at his disposal.

While listening to Vinnie, the policeman who had our phones showed up and requested to talk to me privately. He wanted me to show him some appreciation for getting our phones back. I reached into my pocket and fished out crumbled notes amounting to Ksh300 and gave them to him. He looked a little surprised and quickly demanded for more. He wanted Ksh3,000. My head was aching, and here I was negotiating with a police officer for my phone. Our accident had turned into a huge enterprise for a number of people. I was also surprised by how little charity we had been accorded by these strangers so far. It looked like every corner we turned, someone saw an opportunity to make a quick profit from our circumstances. We were getting introduced to a Kenyan reality that our status had insulated us from for very long.

We eventually made it to Nairobi. The CT scan was performed by a doctor who we exchanged jokes with throughout the process, another privilege afforded to us by our medical insurance cards. A radiologist quickly read through my files. My card was on file so there really was nothing to worry as far as my ability to pay was concerned. I was a little nervous when she looked into my ears, but she smiled and told me she saw no fluids except some need for ear cleaning. She gave me a clean bill of health.

I was ready to go back Siaya. I was also hoping to meet two people. I was hoping to run into the guy who had the fluid flowing from his ear. I knew this was impossible but I was hoping for a miracle of sorts. I learned that no one ever heard from him since he left the hospital. And no one had his contacts either. I wanted to tell him I understood.

I also wanted to meet the mother of our study participant whose husband died from the snake bite. I wanted to let her know I was sorry, and to explain how the system works and that I had followed a protocol I did not believe in.

But first I needed a phone. We all needed new phones. We had paid the policeman three hundred shillings for our phones. The only problem was that the phones had also died.

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Norbert Odero is a Kenyan author, writer and scientist based in the USA.

Reflections

Living on the Edge: From the Favelas of Rio to Life in Mathare

Both Mathare and Alemão are full of human endeavour and misfortune in equal measure, and in both places young men, specifically, are at high risk of coming to a violent end.

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Living on the Edge: From the Favelas of Rio to Life in Mathare
Photo: Flickr/Rachel Strohm
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Lethal violence is fact in Mathare. On the day I first visit the community, tweets hashtagged #CopRashidCorruptDeals appear on my Twitter feed. I already knew of Rashid, having watched the BBC documentary about him and his team. I follow the hashtag and find this tweet from a local journalist:  “Rashid has wiped all thugs around Eastleigh, Mathare and Huruma. To us residents he is a nice guy.” The journalist in question has twenty-three thousand followers.

I’ve only been in Mathare a matter of minutes when an invisible hand runs gently over the dome of my head. It’s a familiar, yet strange, feeling. I quickly realise that this is because it is neither my own hand, nor that of Inés, my wife. The hand actually belongs to a man standing behind me. Feeling vulnerable, I move away quickly, saying “COVID” in justification for my abruptness. “19”, he responds, completing my words. It’s a funny moment and I relax.

My new acquaintance is one of the many addicts who share a rubbish dump with a large number of highly energetic and boisterous children. The children have transformed a corner of the tip into a gymnasium. The gym includes a climbing frame/assault course (improvised from an abandoned wooden structure) and a springboard — a large black tyre — from which the tiny gymnasts gracefully launch themselves. The kids are well organised. They stand in a nice queue. There are fast ones, skilful ones and learners. After a quick sprint they hit the tyre with both feet. It projects them and they spin defiantly, airborne above the garbage for a split second, before landing on the piece of carpet that serves as a crash mat. Fans gathered to watch the spectacle make approving sounds for the best leaps and twists. The contrast between the shiny-eyed bounce of the children and the glazed stagger of the addicts is stark and saddening.

I’m in Mathare to visit members of the Mathare Empire collective. The enterprising young members of this group have recently occupied and redecorated an abandoned building at one end of the trash pile. Their porch provides front-row seats from which to watch the young athletes practice their somersaults. It is fittingly decorated with a painting of a child with huge boxing gloves and a stop-corona mask. This is one of several large and handsome murals depicting faces that gaze patiently over the dump.

Despite the distracting vivacity of the young gymnasts, the garbage heap is treacherous.  It almost swallowed up a little girl recently. The piles and layers of trash hide pools of rainwater, transforming the junk into something akin to a deadly swamp. The girl, running to greet her father, sunk into one such concealed crevice and began to go under. Quick-witted bystanders saved the day, plucking her out before she disappeared.

The purpose of my visit is to present and discuss projects in Rio de Janeiro, where I lived until recently. In Rio I first worked for Amnesty International, documenting and campaigning against human rights violations in some of the city’s 1000+ world-famous and, sadly, ultra-violent favelas. I later became involved in grassroots cultural and youth initiatives aiming to empower and raise the self-esteem of Rio’s young people and communities. This work is documented in a book titled Culture is Our Weapon and included a project by JR — a TED prize-winning French artist — called Women are Heroes. Most recently, in 2019, I helped to organise the construction of a skatepark in Maré, a neighbourhood made up of sixteen favelas originally constructed on swampland.

We have lots to talk about. While sharing ideas and stories with the group, I discover they have recently taken part in a video call with Raull Santiago, a prominent human rights defender from the Alemão (German) complex, one of Rio’s most violence-hit communities. The issues faced by the residents of Mathare and Alemão are similar yet different. Both are very big, but Mathare is much more densely populated and much poorer. While both places suffer violence, Alemão is a war zone. Both are built in a valley and are full of human endeavour and misfortune in equal measure. In both places young men, specifically, are at high risk of coming to a violent end.

We go for a walkabout. My guides show me how and where they have staked out green spaces, planted trees and painted structures with bright murals, (part of their work for the Mathare Green Movement). These actions bring levity and freshness into the often airless and monochromatic environment. I’m struck by their colourful imaginings of other universes on the walls of public toilets. Just one of these strong-smelling units can cater for the needs of five thousand Mathare residents. I also learn that the toilets are centres of socialisation — children’s friendship networks in Mathare are built around who shares the facility nearest your house. Kids playing in front of several of the vibrantly decorated loos that we visit demonstrate this. The pictures on the walls imagine other possibilities — outer space or lush tropical forests — while others remind users of their current terrestrial responsibilities: don’t forget your mask!

I suffer from sensory overload walking around Mathare. As in Rio, there are myriad sights, sounds and smells to take in all at once. Because of COVID-19, school is out when I visit. Children are everywhere. The community is spread across a gentle valley, not the steep escarpments of many favelas in Rio. Corrugated iron shacks — so close together that visually they form a vast iron sheet of rusted red, grey and brown — cover the slopes. The poverty is grinding. Narrow paths zigzag between lean-tos and rank smelling drains. Most of the shacks are low and many look as if they might fall down should you push them.

In contrast, residents are mostly well dressed and clean. Commerce, licit and illicit, crowds the pathways and thoroughfares. Cheap, ripe fruit and vegetables abound. I taste sweet pineapple and see watermelon, avocados, tomatoes, garlic, peppers and onions. Vendors hawk pastries, eggs and sausages. Cooks stir delicious smelling dishes over wood fires. In Rio, obesity in low-income communities is a serious issue. Here I’m impressed — most people in Mathare look healthy and strong.

We pass a wealth of legal, illegal, social, spiritual and commercial activities — khat stalls, illicit hooch making stills, drug dealing areas, NGOs, schools, churches, mosques and markets. Public soap dispensers and water for handwashing remind us that COVID-19 is ever-present, even though social distancing is impossible. Besides the sale of food there is plentiful commerce—mobile phone businesses, hardware shops, beauty salons, charcoal vendors, boda boda riders and stalls selling new and second-hand clothes. Authentic second-hand garments are considered infinitely more stylish than bogus new ones, I am informed. Fake clothes in Mathare = a serious fashion crime! It’s the same in Rio, where favela residents take pride in their appearance. However, Brazil does not have such an abundance of second-hand imports. And so in Rio, the emphasis is more often on an item’s newness, not necessarily its authenticity.

Yet despite the trading, hustle and bustle and a resilient-looking population, the overwhelming sensation I have in Mathare is that of risky living. I can only try and imagine the heat inside the shanties in high summer or what happens during the rains, when sewers flood and the metal shanties become dangerous because of electric shocks from exposed wiring. But although Mathare is economically poorer and less developed than similar communities in Rio, I do not feel suffocated by the inescapable threat of violence. In Rio’s battle-scarred favelas, gun-toting teenagers patrol the alleyways. Bullet holes in the masonry all around inform you that the weapons are not just for show. Violence is real and present and you are constantly reminded of this.

When I ask my guides about the tweet concerning Rashid they tell a very different story from that of the journalist who described him as “hero”. For young men in Mathare, Rashid is the grim reaper in human form and something of a shape shifter, known for his ability to camouflage himself and merge with the surroundings. He carries pictures of targets on his phone. Businesses pay him to go after miscreants. However, innocents, friends, associates or just the unlucky often end up dead.

The guys I am with are mostly in their early twenties. Statistically, they are the group most at risk from police violence. The presence of killer cops does not make them safer or protect them from crime. Local thieves, they tell me, refer to after dark as “office hours” and can even rob someone they know because those are “the rules and young thieves will take everything you have—even your girlfriend. They take drugs that make them fearless and immune to pain.” These include pills called “cosmos”, sold by local dealers. Cosmos pills come in different colours according to strength and stain the user’s lips. The tablets are apparently prescription medicine for mental illness, stolen from the public health system.

Law-abiding young men in Mathare live between a rock and a very hard place. When they talk about problems, conversation revolves around work and danger. While dignified employment is scarce, even for the well-educated, the threat of violence is permanent. Rashid — seen as something of an executioner-in-chief — exercises the power of life and death through his actions and their multiplication in the public imagination.

The youth in the favelas of Rio favela suffer from precisely the same issue. Police killings (extrajudicial executions by any other name) in the city are among the highest  — if not the highest — in the world. The slaughter takes place in the context of a so-called drug war whereby society overlooks illegal police action in return for perceived security. Young men in favelas are also at risk from gangs inside their communities who also kill without pity. Fierce and chaotic gun battles between police and lawbreakers very often leave behind victims of stray bullets. By the end of 2019, Rio’s police force had shot and killed 1,810 alleged suspects in supposed confrontations, the highest annual number on record and almost twice the 1,003 victims of police violence for the entire US that year. In 2020 lethal police violence and operations in favelas in Rio continue at full steam; they did not abate even under COVID-19 lockdown.

As in Nairobi, where some locals describe Rashid as a hero, the Brazilian media and public have long tolerated and encouraged extrajudicial executions as purported crime fighting. Typical practice is to execute a victim in a fake shoot-out. In just a few hours in February 2019, during a single operation in a favela, Rio police shot and killed 13 suspects. These included nine young men in a house, who, according to witnesses, were trying to give themselves up. However, sometimes they don’t even try to pretend — as was the case in a Rio suburb in 2005, when off-duty police in cars shot and killed 29 civilians in a single evening.

Widespread public consent for criminal state violence in Brazil is encapsulated in the popular saying “a good thug is a dead thug”, first adopted by police death squads operating in the 1960s at the beginning of the country’s 20-year military dictatorship. In 2018, future president Bolsonaro took the dictum to extremes by pledging to unleash waves of violence across the country when elected, saying, “if a policeman kills 10, 15 or 20 with 30 bullets each he must be decorated, not charged”. Other politicians followed suit, campaigning on explicit platforms of lethal violence. Despite the extremely high numbers of police killings, individual cases of which are rarely scrutinised, Bolsonaro committed to the introduction of new legal mechanisms to further protect killer police from investigation.

In Brazil, killer cops, drug traffickers and death squads have long terrorised low-income communities across the nation. In rural areas, local police and hired gunmen provide such a service. In cities and their peripheries, the absence of the state and lack of regulation in poor neighbourhoods and favelas offer a wealth of illicit opportunity. Whoever provides security in these areas can step in to control the local economy, provision of services and crucially, access to the electorate. Paramilitary groups, known in Rio de Janeiro as militia, have lately appropriated this model — a fusion of traditional politics, organised crime and territorial control. Usually linked to police, prison and fire services, today the militia operate in more than half of the city’s neighbourhoods.

Cameroonian political scientist Achille Mbembe has identified this process — the political management of vulnerable populations through their exposure to death — as “necropolitics”. Necropolitics clearly regulates life in Mathare as much as it governs Rio’s favelas. Police like Rashid are not there to fight crime. They defend a status quo.

When I am about to leave Mathare after my first visit, I have an indication of what the maintenance of this status quo entails. Two very burly policemen brandishing enormous sticks barge their way along the street and disappear behind some huts. People double their speed to get far away from them. Doors close and the street empties. Twilight falls. A palpable tension replaces the relaxed late Saturday afternoon coming and going. Onlookers inform me that the police are there to extort payment from vendors who sell glue and “jet fuel” — ultra-cheap ethanol for inhaling — to the crushed adults who converge on the garbage dump.

***

Thankfully, the next time I visit, there is a much more pleasant atmosphere in this corner of Mathare. The area outside the bungalow, as the Mathare Empire members call their HQ, is swept clean. Local and guest artists perform on a brightly coloured stage, made from pallets painted purple, red, yellow and green, to a hyped crowd who occupy the kids’ gymnasium at the edge of the dump. They talk, sing and rap about police violence and issues of the day, like COVID-19. But the event is not a political lecture and nor is it gloomy. The group had spontaneously decided that what was originally going to be a concert would instead be the first ever “Mathare Futurism Day” – a gathering of local painters, artists and musicians to celebrate community, address current issues and reimagine Mathare. “Moments like this”, Wyban Mwangi says, “remind people about the beauty of self-dignity and the constant need to struggle for a better, healthier and safer place to live”. In communities governed by necropolitics, such resistance provides vital hope, freedom and breathing space.

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Reflections

I’m Black, I’m Proud. Still

You can’t feed into the darkness. You can’t demand anyone to know what you know, to understand what you understand. People come to truth when they come to it and not a second before.

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I'm Black, I'm Proud. Still
Photo: Unsplash/Oladimeji Odunsi
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Growing up down south in the aftermath of the 1960s Negro Revolution in America was truly the best. During that period, three out of every four Black children in America were born in a two-parent home. By the 80s, that number would drop to one in every four.

Education and opportunity were becoming more accessible to black and brown communities everywhere. It would be the force that would get us out of the hole history had placed us in.

We were moving forward and everybody could feel it, but as much as I liked going to school and learning new things, my favourite memories are of when, after school, I got to spend time with my brothers and cousins. There was just something magical that happened when we were together.

We would meet over at grandma’s house in that part of the city we called the village. The village was a straight, two-block walk from school, down King Street, past the Piggly Wiggly store parking lot and then to the stoplight where you take a right turn onto Rommey Street, and another right on to what looks like a parking lot on the side of the church, and just at the bridge, before you crossed the old train track or you would have missed it, the entrance to the court. Thirty or so homes behind the old Methodist Church on a road invisible from the street laid out in the form of a horseshoe.

I cannot talk about the village without talking about the city and the state. Charleston, South Carolina is a peninsula city located on the South Carolina coastline. It was one of the thirteen original colonies and the very first state to break away from the Union, and one of the founding states of the Confederacy.

The village was a housing initiative following the 1964 Civil Rights Act aimed at breaking the cycle of poverty by moving Black families out of the old housing slums and projects and into new affordable homes.

The difference between the projects in the South and the projects up north is the space and design. In most cases, southern projects were designed to be communal properties, different from the stacked high-rises up north or in the Midwest.

The projects down south were simple properties where people learned to share. They shared the backyard when the sun got too high and the front when people just wanted to be outside and catch a breeze. Everybody knew one another and called each other by name. Family arguments, celebrations and losses spilled into neighbouring apartments causing people to act like one big extended family. And even though everybody was poor, they would have been hard-pressed to admit it. Poverty was a state of mind. The community spirit emphasised generosity and everything was shared. If you were hungry and didn’t have food, you could always ask next door.

Having lived in the projects for decades, my grandparents were one of the very first people to be offered a house in the village. I can remember the move like it was yesterday, everyone was so excited.

The year was 1973, I was eight years old. For the first time Black families in Charleston would have the chance of a normal life.

My grandparents, long into retirement, coupled with our large, extended family of cousins, uncles, aunts and three brothers – two older and one younger – were a great source of pride and joy until I learned that the American egalitarian beliefs which I thought were as perfect a foundation as there could be, were but an illusion, a well thought out scheme. We weren’t freed, we were just moving boxes.

Although everyone got their own private home, some did build fences around theirs but others opted against this, allowing for yards to overlap, creating a more open and vibrant community.

My grandparents had a high chain-linked fence, but there was still this sense of togetherness. When something went wrong in the village, the elders would be the first out to deal with it.

My exploration of the real workings of America would begin from within this village in 1976, the year that America celebrated its 200th anniversary of independence from British rule.

That year, I began to see that the ideals that gave birth to the idea of “We the People,” did not include people like me.

I remember a young militant uncle, oozing Black pride, spilling the beans and pointing out to me that neither he nor I, nor any of the millions of other Blacks had reason to celebrate America’s success.

As my White and Black classmates and a nation prepared for the grand July 4th spectacle that would include a  freedom train,  a scheduled stop in our city,  marching bands,  hotdogs, cotton candy and fireworks, I began my own re-education, reading keenly to understand the origins and the construct of the first Americans.

In the 200 years since the Protestant Christians invaded America they’ve enslaved millions, massacred the Indians, and everything we’ve suffered – the chains, the church bombings, our leaders assassinated, brothers lynched – all of it has been part of an elaborate scheme to keep Blacks subjugated.

In June 1740, the British Parliament passed the Naturalization Act of 1740 – the “Plantation Act” – into law.

In this decree, any White European Protestant alien who had been living in any of the thirteen colonies for seven years without being absent from that colony for more than two months, was deemed to be a natural-born citizen of the United Kingdom.

The Plantation Act of 1740 was a direct response to the September 1739 Stono River Slave Rebellion in South Carolina. The Stono Rebellion was the largest slave insurrection in British North America that culminated in the deaths of 25 colonists and about 50 Africans. It was led by an Angolan known as Jemmy and a band of about twenty slaves, who broke into a store, armed themselves and demanded their freedom. They marshalled a group of 60 slaves in an attempt to reach St Augustine in Florida, where the Spanish guaranteed freedom and land to any fugitive slave. The rebellion was crushed at Edisto River, 80 kms away from where the rebellion had started.

The 1740 law criminalised the Black experience itself, restricting the right of free movement, the right to free assembly, and the right to be educated or to earn money. These punitive and discriminatory laws created by men who claimed to be good Christians, legislated the right of plantations owners to even kill rebellious slaves.

Most colonialists considered themselves British until the year 1776 when resentment began to fester among the settlers. Frustrated by taxation and a lack of representation in the British Parliament, these new Americans declared war on their own government demanding independence.

That same year, the British-born political activist, pamphleteer and immigrant to the colonies, Thomas Paine, published a pamphlet titled Common Sense in which he argued the case for a new “America”.

“Europe, and not England, is the parent country of America. This new world hath been the asylum for the persecuted lovers of civil and religious liberty from every part of Europe.”

The American War of Independence was fought from 1776 to 1783.  Seven years later, the Naturalization Act of 1790, the first naturalization law of the new republic legislating who could be granted United States citizenship, was passed into law.

All Free White Persons of “good character” who had been residing in the United States for two years or longer could apply for US citizenship.  In effect, the law’s use of the phrase, “free white person” excluded blacks and immigrants of other races from being eligible for citizenship, and most importantly, for protection under the laws of the court.

As a child I had drank the Kool-Aid and believed that it was peaceful cooperation between the pilgrims and the native Indians that had established the widely practiced Thanksgiving holiday tradition.

I recall summers spent playing cowboys and Indians with my brothers. We took turns at who got to play the Indian. I felt no shame striking the Indians down with my rifle. They were always the bad guys, raiding the poor settlers’ forts, attacking their caravans. But I was baffled by the contradictions. Why would the Indians save the pilgrims who were dying from the cold and hunger only to try to escape from them later? It just didn’t make much sense.

Then it came to me: the Native Americans were fighting to protect their land. We weren’t playing a game; what we were doing was re-enacting a massacre. Over five million Native Americans were killed before the West was conquered.

Regardless the age at which one arrives at truth and understanding, it is always disorienting and disheartening. I’ve found that whether one accepts it or not, the only thing we can be certain of in this world of uncertainty is change.

I spoke with many people after the first 2020 Presidential Debate between President Trump and the Democratic nominee former Vice President Joe Biden that took place in the midst of heightened racial tensions and the COVID-19 pandemic. I got many mixed views regarding the outcome of the debate; some were shocked by the childish display while others dug in, taking sides and displaying party loyalty like it was a football game. Of the many reactions I got, one zoom call from home with my older brother really got me thinking.

“Can you believe that man?”

My older brother is now 60.

I had noticed him wiping his eyes.

I asked, “What ‘s wrong?”

At first he didn’t (want to) speak, he just kept brushing the tears away, then he began,

“Little brother, we grew up together,” he said.

“We pretty much had the same childhood, but I’ll tell you, I have never had any white person call me a nigger or spit on me like these guys up here in Philadelphia tell me they have. I have had White teachers down south who were some of the nicest people you’d want to meet. But, looking at that debate last night and the President of the United States refusing to denounce white supremacy as racist, I just never, you know, thought White people hated us that much.”

I empathised with him because I knew the pain of sacrifice, service, abandonment, rejection and betrayal.

I joined the US Military at seventeen to prove my allegiance to the ideals that made America great in my mind, but war in a foreign land far away from the ones I loved taught me the truth about service and the value of my life.

My brother and I grew up five years apart in a changing post-civil rights America. We were kids of the Kool-Aid generation, the first of our kind. We had opportunities our parents could only have dreamt of. We were the hope of a brighter future, a brighter America. A post-civil rights America.

In the 1960s, the far right party was a party bent on preserving the privileges of natural-born Whites in America, Jim Crow’s America. However, during the 1960s a new consciousness emerged as young White Americans took to the streets to say that they had seen the attack dogs set on peaceful protesters and wanted a better America. In January 1961, a young President-elect  of Irish descent and a wealthy practicing Catholic would become the embodiment of the American dream and challenge the good American Christians to look into their hearts and minds and begin anew to create a better nation where the rights of every American, White and non-White, were protected under the laws of the land.

With a rousing inauguration day speech, JFK inspired Americans to think better of themselves, to think higher of themselves: “Ask not what your country can do for you, but ask what you can do for your country.” He had spoken and the people spoke back. My parents gave me his middle name because they believed life for Blacks in America would be different.

But, in November of 1963, the 46-year-old president, John Fitzgerald Kennedy, was gunned down by a lone gunmen while out in Texas promoting his ideas of equality to the American people.

This is America

My brother was crying because it was hard for him to accept people could be so calculating and one so naive. He, like so many others, wanted badly to believe in a land blessed by God.

I was twelve years old when my big brother left home. He moved up north straight out of high school, where he built a career and retired as a professional chef.  He found love, family and set up a home up north. But in the Trump years, the scales fell from his eyes.

“I never had a racist moment down south, not like the kind of racist moments these guys tell me they’ve encountered here in Philly. I mean I just never believed White people hated us that much.”

I knew the anguish, the shock.  We Blacks down south don’t complain, we see but at the same time we’ve learnt not to see.

My grandma in the village used to say, “You can’t feed into the darkness. You can’t demand anyone to know what you know, to understand what you understand. People see what they want to see. People come to truth when they come to it and not a second before.”

But what you don’t do is stop living.

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Reflections

Gold and Gemstone Policy in Kenya: The Devil Is in the Detail

Small-scale artisanal gold and gemstone mining is decades-old but lack of knowledge and expertise, and limited support from the government have hampered the sector’s development.

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Gold and Gemstone Policy in KenyA: The Devil Is in the Detail
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The evergreen town of Kakamega is a picture of the hustle and bustle typical of any Kenyan town, with many hundreds of folks going about their daily business. But as you leave the town behind, the environment changes, a lush countryside of cultivated fields and densely planted trees giving no hint of the gold mining taking place in the nearby locality of Ikolomani.

Across the country, 432 miles to the southeast of Kakamega is the beautiful transit town of Voi, the largest town in Taita Taveta County which lies at the foothills of the Sagalla massif. But the much smaller town of Mwatate is the county capital, and the source of gemstones that Kenyans from other parts of the country know little about. Mwatate has rubies, red garnet, emeralds, moonstones, tsavorite, okenorite, and many more.

Small-scale artisanal gold and gemstone mining has been going on for decades in both Kakamega and Taita Taveta counties, undertaken mainly by local artisanal miners and by a few non-locals and foreign nationals.

The Mining Act 2016 recognises three levels of mining rights: artisanal mining permits, small-scale mining permits and large-scale mining licences. The small-scale permits and large-scale mining licences are issued at the national level through the Kenya Mineral Rights Board (MRB), while the artisanal mining permits are issued through the county artisanal mining committees. The Mineral Rights Board and the county Artisanal Mining Committees are administratively governed by the State Department of Mining under the Ministry of Petroleum and Mining. The Director of Mines and his representatives in the various counties are in charge of overseeing the implementation of the ministry’s policy frameworks. The Ministry of Petroleum and Mining has key mining regulations in place to govern this process.

But even though the Mineral Rights Board is in place, the process of setting up the county Artisanal Mining Committees (AMCs) has been long drawn out and there seems to be no hurry to implement the mining regulations that were commissioned in 2017. Kakamega County’s AMC was gazetted on 27 March 2020 and the team commissioned on 20 July 2020. However, the AMC has yet to begin its work as the key governmental mechanisms necessary to run the committee are still pending and so no mining permits have been issued to artisanal miners in Kakamega County since the gazettement.

Artisanal miners in Taita Taveta County are in a different situation altogether. The list of members of the county AMC constituted through their appointing authorities has been forwarded to the Ministry of Petroleum and Mining but the AMC has yet to be gazetted. When contacted on this issue, one of the reasons cited by the ministry officials was that factions within the mining fraternity have disputed the list of people proposed to be part of the AMC.

Applications for small-scale mining permits are submitted to the Mineral Rights Board through the Mining Cadastre Portal. The platform is meant to bring these services close to the miners but they complain of the slow response from the Ministry of Mining. They must travel to the ministry to submit the paperwork even after uploading it onto the portal. Access to a stable internet connection is also a challenge in the remote areas of Taita Taveta and Kakamega while some of the small-scale miners lack the capacity to use the online system. Most have to travel to the Ministry’s offices for assistance or else hire someone with the skills to undertake the work for them, rendering the application process both tedious and time-consuming.

The ministry has not undertaken any capacity building and shows a lack of commitment to make the system more efficient and user-friendly. The biggest hindrance, however, is the low budgetary allocation made to the Ministry of Mining, which leaves the staff with limited options in their efforts to serve small-scale miners.

The stated goal of the Mining Cadastre Portal is “to provide an electronic platform for all stakeholders in the mining sector in Kenya to engage directly with the Ministry of Mining.” Existing mineral rights holders (those with mining permits and licenses for mining) or those with pending applications can download, complete and upload the requisite documents. Prospective mineral rights holders can also submit their particulars and other supporting documents through the portal.

The portal is also a one-stop shop for information on mining activities in Kenya. It has a cadastre map of the key areas with mineral resources, as well as details of licence holders, and on-going applications; a click on any part of the map automatically displays the existing information about that specific geographical location.

For artisanal and small-scale miners (ASMs) in Kakamega and Taita Taveta, the portal has had a significant impact on access to public information on mining in Kenya. But the portal also has its limitations. Mining is a highly skilled sector that requires high levels of expert knowledge. Some of the requirements on the portal are beyond the scope of knowledge of most gold and gemstone miners in Kakamega and Taita Taveta. For instance, the portal requires a miner to take the coordinates of the area for which they are applying for a permit. This requires equipment that is typically used by geologists and land surveyors and that is expensive to hire or purchase. A sketch of the area or locality where the miner intends to undertake extraction is another requirement, a very sophisticated process that miners in general cannot undertake on their own.

Lack of knowledge and expertise coupled with lack of access to the internet, or even computers, therefore leaves the small-scale gold and gemstone miners unable to fully exploit the portal.

Aside from these limitations, however, the Kenya Mining Cadastre Portal has been a game changer when it comes to eliminating brokers from the mining sector and it has proven to be a more efficient system than the manual issuing of permits and licences

For instance, unlike the manual system that had no clear guidelines regarding payments, all fees due to the ministry are clearly indicated on the portal and paid directly to the ministry through a cashless system. Moreover, as the portal has centralised all the country’s mining information, cases of loss or manipulation of files or documents have reduced significantly.

The gold and gemstones that are mined in Kakamega and Taita Taveta are exported out of the country with or without any value addition under the provisions of the Mining Act of 2016 which require an export permit from the Cabinet Secretary the application for which is made on the Mining Cadastre Portal.

But while the law on the issuance of mineral export permits is sufficiently detailed, its implementation is the biggest challenge and I have no doubt at all that gold and gemstones are imported into and exported out of Kenya without any form of declaration. There are many routes along the porous Kenyan boarders through which the minerals can slip in or out of the country.

For instance, most of the gold that is mined in Kakamega is taken to Uganda by road undeclared. How can this be remedied, especially for gold and gemstone miners who want to run a clean business? Also, the process of implementing the gold refinery centre in Kakamega and the gemstone value addition centre in Voi remains pending. If the sector is streamlined, then the issue of traceability of gold and gemstones will be resolved and the mineral export licence will be of value to the artisanal and small-scale miners in the sector.

The article is done with support from Diakonia Kenya Country Office under the Madini Yetu Wajibu Wetu (Our Minerals, Our Responsibility) Project. Views expressed in the article are those of the author.

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