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George Ndege provides an examination of the conflicts and compromises between Western biomedicine and African traditional therapies in colonial Kenya.
The African Church and COVID-19: Human Security, the Church, and Society in Kenya is a bold and incisive look at the African Church in light of the COVID-19 pandemic. Throughout the book, contributors explore how the COVID-19 pandemic exposed the fragilities of African society as well as the weaknesses in the Church’s role in helping and serving African communities. The African Church and COVID-19 analyzes the question of how the Church in Kenya should move forward in a post-COVID-19 era to address the vulnerabilities of socio-economic and political structures in Africa.
This volume offers a debate on the role of Christianity in post-colonial Kenya, charting the role of the church, state and society in the transformation of Kenya and the relationship between the three. It shows how the church initiated health, education, and economic activities, showing it to be a major instrument of transformation.
Governments throughout the developing world have witnessed a proliferation of non-governmental, non-profit organizations (NGOs) providing services like education, healthcare and piped drinking water in their territory. In Allies or Adversaries, Jennifer N. Brass explains how these NGOs have changed the nature of service provision, governance, and state development in the early twenty-first century. Analyzing original surveys alongside interviews with public officials, NGOs and citizens, Brass traces street-level government-NGO and state-society relations in rural, town and city settings of Kenya. She examines several case studies of NGOs within Africa in order to demonstrate how the boundary between purely state and non-state actors blurs, resulting in a very slow turn toward more accountable and democratic public service administration. Ideal for scholars, international development practitioners, and students interested in global or international affairs, this detailed analysis provides rich data about NGO-government and citizen-state interactions in an accessible and original manner.
Mental, neurological, and substance use disorders are common, highly disabling, and associated with significant premature mortality. The impact of these disorders on the social and economic well-being of individuals, families, and societies is large, growing, and underestimated. Despite this burden, these disorders have been systematically neglected, particularly in low- and middle-income countries, with pitifully small contributions to scaling up cost-effective prevention and treatment strategies. Systematically compiling the substantial existing knowledge to address this inequity is the central goal of this volume. This evidence-base can help policy makers in resource-constrained settings as they prioritize programs and interventions to address these disorders.
Since independence in 1963, Kenya has been a classic personalised patronage state, run by a corrupt elite for its own benefit, as became tragically evident in December 2007's stolen election and its aftermath. Kenya is also said to be 80 percent Christian. Under the bland label 'Kenyan Christianity', several different overlapping realities can be distinguished, and it is these which Gifford investigates in this book, relating them to the country's politics and public life. The politically engaged form that challenged the dysfunctional one-party state in the early 1990s is given due prominence, but Gifford contends that today the mainline churches, both Catholic and Protestant, are marked less by such political engagement than by their involvement in development, in which foreign missionaries and global networks play a huge role. The theology of Kenya's mainline churches is consciously focused on African culture, as a non-negotiable foundation, and the Catholic church has an additional agenda - to Africanise its religious congregations. Kenya is also noted for its rich variety of African indigenous Churches, all originating in a defence of Kenyan cultures, while in recent decades countless Pentecostal churches have also sprung up. They range from affluent middle class churches to refuges for the poor, but nearly all are characterised by a stress on power, success, achievement and prosperity that prioritises modernity rather than traditional culture. Gifford discusses their deployment of the media, crusades, organisation, theology and use of the Bible, and above all the economics that has made this phenomenon possible. Yet another distinct form is an enchanted Christianity in which demons or spiritual forces are deemed responsible for almost everything
Since independence from Great Britain in 1963, Kenya has survived five decades as a functioning nation-state, holding regular elections; its borders and political system intact and avoiding open war with its neighbours and military rule internally. It has been a favoured site for Western aid, trade, investment and tourism and has remained a close security partner for Western governments. However, Kenya's successive governments have failed to achieve adequate living conditions for most of its citizens; violence, corruption and tribalism have been ever-present, and its politics have failed to transcend its history. The decisions of the early years of independence and the acts of its leaders in the decades since have changed the country's path in unpredictable ways, but key themes of conflicts remain: over land, money, power, economic policy, national autonomy and the distribution of resources between classes and communities.While the country's political institutions have remained stable, the nation has changed, its population increasing nearly five-fold in five decades. But the economic and political elite's struggle for state resources and the exploitation of ethnicity for political purposes still threaten the country's existence. Today, Kenyans are arguing over many of the issues that divided them 50 years ago. The new constitution promulgated in 2010 provides an opportunity for national renewal, but it must confront a heavy legacy of history. This book reveals that history.
In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.
The path towards democracy in Kenya has been long and often tortuous. Though it has been trumpeted as a goal for decades, democratic government has never been fully realised, largely as a result of the authoritarian excesses of the Kenyatta, Moi and Kibaki regimes. This uniquely comprehensive study of Kenya's political trajectory shows how the struggle for democracy has been waged in civil society, through opposition parties, and amongst traditionally marginalised groups like women and the young. It also considers the remaining impediments to democratisation, in the form of a powerful police force and damaging structural adjustment policies. Thus, the authors argue, democratisation in Kenya is a laborious and non-linear process. Kenyans' recent electoral successes, the book concludes, have empowered them and reinvigorated the prospects for democracy, heralding a more autonomous and peaceful twenty-first century.