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In 2016 I worked in a district hospital in Kenya through the Royal College of Paediatrics and Child Health (RCPCH) Global Links programme. While I was there, there was a national strike of all government-employed doctors and nurses as a result of years of discontent about pay and conditions. The effects were devastating.
The Kenyan healthcare system consists of government, mission and private hospitals—all charge user fees. There is a national health insurance system, but it is unaffordable to most and only 20% of Kenyans have any health insurance.1 16% of people do not seek care when they require it due to financial constraints and 38% must borrow money …
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