My wife and I first traveled to Eldoret in February, 2005. I was the Brown faculty member for the month, primarily responsible for teaching on a general medical ward at Moi Teaching and Referral Hospital (MTRH). Aside from these duties, I began a series of lectures in diabetes and clinical endocrinology for the residents. What struck me the most was the inadequate care of the diabetic patients,...

BACKGROUND Screening of blood and blood products for human immunodeficiency virus (HIV) is routinely performed using the enzyme-linked immunosorbent assay (ELISA), and the results confirmed by Western blot (WB). However, western blot is expensive and mostly performed in developed countries. A technique more superior or comparable to WB and adaptable to developing countries must be sought. In an...

Background Primary healthcare facility managers (PHFMs) occupy a unique position in the primary healthcare system, as the only cadre combining frontline clinical activities with managerial responsibilities. Often serving as ‘street-level bureaucrats,’ their perspectives can provide contextually relevant information about interventions for strengthening primary healthcare delivery, yet suc...

Small Hydro-power Plants (SHP) are an important source of electricity in many countries. However, little is known about SHP in Kenya. This paper reviews the status, challenges in implementation of SHP and prospects for future development of SHP in Kenya. The paper shows that SHP has not yet fully utilized the available hydro-power potential. The challenges associated with SHP development should...