Mwangaza Ulio na Tumaini Clinics are situated in two of the large slums found in Nairobi Kenya.
Learn more about our East African location here.
HISTORY OF THE CLINICSMwangaza Ulio Na Tumaini Clinics is a non-denominational Christian Health Organization that was started by Dr Max Collison in October 1997, as a ministry of Nairobi Chapel. The first clinic was in Korogocho slum, in the north east corner of Nairobi, Kenya. A second was started in 1999 in Kibera.
KIBERA CLINICThe Kibera clinic sees about 15 to 50 patients a day, and presently continues as an outpatient. It is our goal to add immunization services to the Kibera clinic, but the process has a slow and arduous one. We have run a feeding centre from the clinic for some years. Recently another group has started a feeding centre, again, operating from the clinic.
KOROGOCHO CLINICThe initial Korogocho clinic was made from some converted rooms, stick and mud with a cement rendering. It was a dark facility with small, few windows for security purposes and a low ceiling. The clinic became very busy, at times seeing over 100 patients a day, 5 days a week. It was located next to a church run by ‘Tumaini Ministries’ and the 2 worked hand in hand. Local thugs started robbing the clinic soon after it opened, and the robberies became a regular occurrence, until one staff member was shot and killed. This tragedy eventually forcing its closure in October 2004 after 7 years in operation
When starting a new venture, the learning curve is steep. The Korogocho clinic was certainly very much needed as shown by the high numbers of people visiting for treatment. The drawback was that it was in the poorest and most dangerous ‘suburb’ of Korogocho – Grogan Village. The informal system of elders who govern of the area was not really known about, and so not consulted. Consequently, they would even send their sons to rob the clinic, or at least, not stop them. Since they were not involved with the clinic, they had no vested interest in its survival. This attitude is hard to fathom, as the clinic was primarily serving people in their own village of which they were elders.
MATERNITY AT KOROGOCHOIn December 2005, Dr. Joe Radkovic took over from Max, and opened an outpatient clinic at a different, more secure site in Korogocho. Attempts were made to make use of lessons learned at the first Koch clinic. In January 2009, a maternity unit opened as an extension to the Korogocho outpatient clinic.
We conducted a survey of Kibera and Korogocho slums to look at maternity outcomes. We asked women if they had given birth, and if any of their babies had died at or soon after birth. The results were that having a baby in Kibera and staying in Kibera for the delivery using nearby hospitals and services meant you had a 2.5% chance of your baby dying at or soon after birth. Going up country to your extended family for the birth resulted in 4.5% of babies dying. If you lived in Korogcho and went up country for your birth, your baby had a 4.4% chance of dying. But if you stayed in Korogocho your baby had an 8.5% chance of dying. Many women in Korogocho delivered alone in their mud room with no one to help. We couldn’t count maternal mortality, but it must have been high, with an estimated 1-2% of mothers dying at childbirth.
That study pushed us to open the maternity in Korogocho rather than Kibera. We sited the new clinic in Highridge, the ‘best’ and safest of the villages (suburbs) of Korogocho and built in security measures to deter the thugs. We put the cashier booth behind inch thick bullet proof glass with a steel door that was only accessed by a side corridor. Our aim was not to be burglar-proof - the person with a gun always wins! We send someone for banking at a random time each day, and the not the same person or same route each day. We try and keep the community on our side by meeting with the local elders occasionally, and involving the local church pastors in our activities.
OUR CURRENT STATEThe clinics ministry now includes the large Korogocho clinic and maternity hospital, and the smaller Kibera clinic. We seem to always have a number of issues that are causing us grief, especially staffing and finances. We accept that running clinics in slums will always have issues, and we will probably never have a time when there aren’t at least 3 major problems confronting us.
KIBERA CLINIC: The outpatient clinic in Kibera is open 6 days a week, sees about 400 patients a month. We continue to pursue starting immunizations and VCT services.
The outpatient clinic in Korogocho sees about 2,000 patients a month, and runs 7 days a week.
The maternity unit attached to it delivers about 80 babies a month. It also sees about 1,000 pregnant women and mothers with their babies for check ups, routine care and immunizations. We have a staff of about 25 including 10 nurses, a lab technician and general staff. Their work is so good, that we have reduced the perinatal mortality rate from 8.5% to 0.85% - including still births and those we transfer for caesarians and complications after birth. In over 2,000 births, we have had one mother die of those we have looked after, and another who was delivered at home by a birth attendant who died on arriving at our clinic. This is a maternal mortality rate of less than 0.2%, including the second mother. These great results are amazing and some of the best in the country.
Learn about our Financial Structure here .
Everything we do is in line with our 3 Aims:
VIP Care – People in slums, especially one with a bad reputation like Korogocho, are not often treated well by people in government offices or others. The environment in Korogocho further dehumanizes its residents; lots of dirt and rusting iron sheets, and barely any green grassy areas or parks. We, however, try and treat each person in our clinic as a VIP, with dignity & respect because God considers them important. He gave up his own son so they might live with him forever. This may sound like a small thing but it makes a lovely difference.
Medical Care – We can’t do everything, but we can do something. We aim to provide a limited range of basic medical services at the highest quality possible. But no matter how well we treat our clients medically, they will get sick again, and in the end everyone dies. Medical care is a good service to improve their quality of life, but it is limited.
Gospel Care - If someone hears and accepts the Gospel from us, they are completely changed. Its benefits are unlimited. In status they are no longer malfunctioning created beings, but are children of the Creator. In the present they live with God as their Father every day, and have a certain hope for the future that will not disappoint. God as their Father will be generous to them forever, with a measure pressed down and overflowing. None of the hardships they go through today will compare to their glory to be revealed when Jesus returns. Offering the gospel is the most loving thing we can do for someone. It helps a person much more permanently than medical care. We want every one of the 120,000 people in Korogocho to know the Gospel clearly, though it is up to God how many accept it.
If this ministry is something you want to be a part of, your help will be very welcome.