Has Muthama been notified? The go-to clinic owner when kids fall from high-rise balconies.

Has Muthama been notified? The go-to clinic owner when kids fall from high-rise balconies.

By Natalie Walters

Stephen Muthama is a clinical officer who runs a clinic in Pipeline Embakasi on the south side of Nairobi.
Most weeks at the clinic, Stephen sees at least one child who fell from a balcony on the tall residential buildings, pictured here, that are typical of this neighborhood.

A child’s terrified cry rings out at 6 a.m. in the poor, high-rise community of Builders outside Nairobi, Kenya. Residents rush to their laundry-strewn balconies to locate the source of the scream, already knowing what happened: another child has fallen from one of the balconies onto the dirt road below. 

As onlookers stop to help the child, the first thing they ask is whether Stephen Muthama has been notified. He’s their go-to clinic owner for when kids trip or slip from the tall buildings. 

“Has Stephen Muthama been notified?”

“I’ll get a call at 6 a.m. when I haven’t even showered, and I’ll have to run into the clinic because a child was running late for school so they were running and tripped and fell,” Muthama tells us in the office of his tiny three-year-old clinic in the middle of Builders. 

Another scenario that happens more than you’d think possible is that someone will pour water out of their apartment onto the street, where the liquid hits an exposed electrical wire and causes an explosion. Everyone rushes once again to their balconies and leans out to get a good look at the fire and, inevitably, a child ends up leaning out too far and falls. 

Muthama estimates that he cares for a child who has fallen from a balcony at least once a week. Most times, it leads to a fracture. Muthama stabilizes the child as best he can with his limited resources and then refers them to a larger hospital nearby. 

After seeing their child fall from their apartment, you might think a parent would be racing to bring their child to Muthama. But actually, it’s the opposite. They often let an onlooker take their child to the clinic because they don’t have the money to pay Muthama, who they know would never turn a child away. 

“Typically if someone isn’t a senior, I always make them pay,” Muthama says. “But because it’s a child, you can’t refuse service.”  

“I know I won’t go out of stock with Banda.
That used to be a big problem.”

Muthama, who is working toward a degree in public health, is constantly looking for ways to improve the service he provides to his patients. One way he’s doing that is by using Banda Go’s software to help track his inventory. Whenever he has a new bottle of medicine, he enters its information into Banda so that he can keep track of when he will run out of each drug, as well as when each bottle of medicine will expire. 

“Banda made my work easy,” he said. “There’s less paperwork. It’s good for stock control. I know I won’t go out of stock with Banda. That used to be a big problem.”

Muthama said that after noticing how often Banda’s software gets updated to a newer, better version, he’s been inspired to improve himself in the same way. Since he had to set up Internet service at his clinic for the first time to start using Banda, he now utilizes it in his free time to look at medical evaluation websites to stay up-to-date on treatment options. 

“Whenever Banda gets an update, I always try it right away,” he said. “But now I’m learning that I need to update myself too. In between patients, there’s a lot to learn.” 

The street in front of Stephen's clinic stays muddy even when it's not raining, thanks to the leaking green PVC pipes you can see here. These pipes provide water to the residential buildings that line the street.
Pipeline Embakasi has a busy but warm vibe to it. While we were there, the street was filled with the sound of reggae, thanks to the owner of a hardware store (Stephen introduced Thomas to him when he commented on the music). Residents can buy most of what they need day to day without walking more than a few steps from their apartment building. In this photo alone you can see where you might buy propane or a SIM card (on the left), fruits, veggies, pots, pans, shoes or a belt (the market just off center), send money to a relative with Mpesa or pick up a hot meal at the Balozi Hotel. Healthcare, however, would be harder to come by without Builder's Health Care Services.
Stephen works hard to provide his community with the best possible healthcare. Managing his clinic effeciently and effectively is critical to his success, and to the health of his patients. Banda Go has allowed him to keep medicines and supplies in stock at all times.

Take a quick virtual tour of Stephen’s clinic, Builders Health Care Services.

You may not live in Pipeline, but you can still be part of the Banda Health community!

Banda Health exists to help healthcare providers like Stephen provide good healthcare to people who need it, but often cannot access it. 

By donating to Banda Health, you help make our clinic management tool Banda Go to healthcare providers like Stephen, impacting communities like Pipeline Embakasi across Kenya and beyond with good healthcare. 

Banda Go is our baby, and it’s taking a global village to raise it. Thanks for doing this with us! 

Picture of Natalie Walters

Natalie Walters

A journalist from New York, Natalie is helping write stories about the clinics using Banda Go.

A Young Dentist on a Mission to Establish Herself in Nairobi

A Young Dentist on a Mission to Establish Herself in Nairobi

By Natalie Walters

Linda standing outside of JoLynn Dental Clinic. "JoLynn" comes from her and her husband's names put together. John and Linda: JoLynn. John is also a dentist and currently splits his time between Nairobi and a hospital in northeastern Kenya where he runs a dental office. 
Linda used to work in northeastern Kenya with her husband, John. When they started a family, they worried about raising kids in an area with high levels of terrorism and crime, so Linda moved back to open JoLynn Dental in Nairobi. As the business grows, John hopes to move back full time to Nairobi as well. 

Have you ever been nervous to smile in front of a dentist because you’re worried they might be analyzing your teeth? That’s how I felt talking with Linda, a dentist working in the small bottom floor of a mid-sized building in Nairobi. I could see her watching my teeth as I spoke and decided to mention that my front two teeth are actually crowns, thanks to a middle school cheerleading accident. 

“I could tell as soon as you walked in,” she said matter-of-factly. “I could have done a better job.” 

Linda is curt and smart, but it’s obvious that her patients love and appreciate her. The only thing hanging on the otherwise bare walls in her small two-room office is a plaque above the receptionist’s desk. At first glance, you assume it’s a diploma. But Linda proudly explained that it’s actually a framed letter of appreciation from a young patient she helped a few weeks ago even though he had no money to pay for it.  

“Dental work is never an emergency,” she noted when asked about her close relationship with patients. “With dentists, people want to know you – unlike with doctors.” 

This focus on relationships is important because her reputation has become her main source of advertising. Each week, Linda picks one charity patient to receive a free visit and asks that they refer someone else to her if they’re pleased with her service. 

“For 99% of advertising, I depend on doing a good job on someone, and then they refer me to other people,” she explained. 

A few months into her practice last year, she was noticing the fruits of the word-of-mouth advertising and realized she needed a better way to track patient records and to organize her accounting. That’s when she reached out to Banda and explained what she wanted. 

“I called Banda, and [Banda employee] Michael made it happen,” she said. “The patient record section is perfect. And the finances section is perfect.”  

Linda said she chose Banda over other similar systems because she wanted a company that was new and could grow with her. 

“Other companies approached me about using their software but I liked that Banda was as young as I was when I bought it and thought it was a good opportunity to grow together,” she said. “We can make mistakes and grow together.” 

Linda and Liz, her receptionist. The storefront tagline reads "Your Smile, Our Concern."
Linda is very intentional about developing good relationships with her patients. "With dentists, people want to know you."
Linda and the author in June 2019. Behind them, you can spot the framed letter of appreciation from the young patient she helped for free.

“The patient record section is perfect. And the finances section is perfect.”

Like the rest of our clients, Linda is really happy with how Banda Go enables her to run a better business. Running a better business means financial stability for her family, longterm sustainability for the clinic, and better care for her patients. 

Why do we need donations to get Banda Go into the hands of clinic owners like Linda across Kenya and beyond? The small annual fee we charge clinics covers about 5% of the cost to implement and support Banda Go, and that does not include the much higher costs of product development. Banda Health relies virtually 100% on donors who share our vision to make sure patients in very-low-income communities around the world have access to good healthcare. Which leads us to say, as we often do: 

Banda Go is our baby, and it’s taking a global village to raise it. Thanks for doing this with us! 

Seriously, thanks everyone. We cannot say it enough!

Picture of Natalie Walters

Natalie Walters

A journalist from New York, Natalie is helping write stories about the clinics using Banda Go.

Sisters Open New Female-Run Clinic in Nairobi to Help the Poor

Sisters Open New Female-Run Clinic in Nairobi to Help the Poor

By Natalie Walters

Lorna and Elizabeth, sisters and owners of St. Catherine of Sienna Medical Center on the south side of Nairobi. Lorna is a clinical officer, and Elizabeth is an OB-GYN resident.

Elizabeth was working part-time in a hospital in Nairobi while completing her gynecology residency when she realized she wanted to do something more to help her community. Over the years, she had grown frustrated by the number of doctors in private practices who ran unnecessary tests to make extra money off of their trusting patients. So she decided to take action on their behalf and work to combat that issue. But to do it right, she needed her sister, Lorna. Together, they opened the new St. Catherine of Sienna medical center just outside of Nairobi.

“It was scary at first,” Elizabeth said about opening the clinic. “Really scary.”

But their mission to put people first instead of money kept them going. Even when people who can’t pay show up to the clinic, St. Catherine’s still helps them. “We don’t feel comfortable turning away people who are ill but can’t pay,” Lorna said.

When you look around the clinic, you can tell it’s new from both how fresh the paint is and from how modern it looks with the minimalist decor of white walls and bright blue trim. And looking around, you will also find two additional employees, who are also female. All four women are quiet, looking to each other to answer questions rather than speaking up first, yet they are all also very lively, laughing hard and often.

Susan, a nurse, and Angela, a lab tech, both work at St. Catherine's

Banda fit right in with the women’s mission to put people over profits. They liked that Banda was new and constantly improving just like them so they could both grow together. One of the most important ways Banda has helped the clinic is by alerting them to which drugs are running low even when they aren’t at the clinic. 

“Before Banda, we didn’t know which drugs to buy more of,” Elizabeth said. “This is important because the pharmacy is where we make most of our money.” 

To advertise their new clinic, the women hosted a medical camp in the slum nearby this past April. At first, people were hesitant to come because they had been tricked into attending other “free” medical camps before, only to be told they had to pay once they had been treated. But after a few people came by and saw that St. Catherine’s clinic was actually free, word quickly spread. In one day, 200 people visited the mobile clinic setup. 

“It was very, very challenging,” Elizabeth said. “I felt like I was back in the hospital.” 

Elizabeth, or "Joka" as friends and family call her, is currently completing her OB-GYN residency in western Kenya. We were fortunate to catch her during one of her breaks, during which she heads back to Nairobi to work at the clinic. After residency, she will come back to work full time at St. Catherine's.
The team at St. Catherine of Sienna Medical Center. We had such a fun time chatting with these women, and we look forward to seeing what they do with their clinic for their community.

But the camp worked. After that day at the medical camp, the number of patients improved to about ten per day. In the future, they hope to own their own hospital with a theatre (operating room), maternity ward, and cancer ward. But they know they have to be diligent and work hard to get there. “Rome wasn’t built in a day,” Elizabeth said. “You have to be patient.” 

Elizabeth sharing the vision for St. Catherine's, and the challenges they anticipate along the way. Chief among those challenges, for St. Catherine's and so many other clinics, is patients' frequent inability to pay. How do you stay in business while providing treatment and services at a cost your patients can actually afford? That's where Banda Go comes in, helping Elizabeth and Lorna run a tight ship at St. Catherine's, so they can keep providing low-cost, high-quality treatment to their patients for years to come.

Make Banda Go available to hundreds of clinics like St. Catherine's

Banda Go is our baby, and it’s taking a global village to raise it. Thanks for doing this with us!

Picture of Natalie Walters

Natalie Walters

A journalist from New York, Natalie is helping write stories about the clinics using Banda Go.

In Maasai Communities, Where Change is Hard but Contentment Abounds

In Maasai Communities, Where Change is Hard but Contentment Abounds

By Natalie Walters

A woman waits on a bench outside Community Health Partners Ewaso Ngiro Health Center

The first thing I noticed at Community Health Partners Health Center in Narok, about three hours outside of Nairobi, was the beautiful Maasai patients sitting on a single, wooden bench outside the clinic. The Maasai people are known for wearing blankets, often red with black stripes, as a cloak around their shoulders. Tourists often buy them as souvenirs and call them the “African blanket.” 

John Sankok, director of Community Health Partners - a Kenyan nonprofit that operates seven clinics and several community health initiatives in southwest Kenya

The first Maasai man we met was the clinic owner, John Sankok, who had no blanket but was coincidentally wearing a red and black striped shirt. Within the first five minutes, his phone must have rung six times; clearly he was a busy man, yet he acted us though he had all the time in the world for us.

“We’ve been praying for many years about software for the clinic, and God sent Andrew to us,” he said confidently and with a warm smile. He was referring to Andrew Ingram, Steve Letchord’s nephew, who was the one to stop at the clinic as part of Banda’s door-to-door sales calls and tell them about the software.

Felix, Andrew and John. Felix works in administration at CHP, and graciously showed us around during our visit. Andrew connected Banda Health to CHP when he stopped by one of CHP's health centers for an impromptu "sales call" as he was driving somewhere else.

We asked John what was hard about Maasai culture and what he loved about it. 

The difficulty with Maasai culture is their resistance to change, he said. “This is the most rigid community in the world,” he said. “If you’re not patient, you won’t get anything done here.” 

For example, female circumcision is still a big problem in the community,
according to John. But he said that people who went to school, like
himself, are helping to put an end to it because they can explain the
consequences of doing it and the benefits of not doing it. Often, harmful
practices like female circumcision continue simply due to a lack of
knowledge, he said.

Simon, a pharmacist at CHP, dispenses medication to a patient
Patients and their families pay for prescriptions and medical services before walking over to the pharmacy, exam rooms, lab and maternity building. CHP often serves patients with limited ability to pay, and works hard to find ways around financial hardship, even if it means delaying payment or writing off bills entirely. This makes tight management of finances, inventory and accounting a top priority.

On the flip side, his favorite part about being Maasai is their contentment. They are a practical people group, he said. In town, rich people have strong houses with bars over the doors and windows, a wall around their yard, an electric fence, a security guard, and a guard dog. But out in rural Maasai country, people mostly don’t see the need for fancy cars and houses or heavy security. Their homes are simple, and in general no one tends to bother each other.

“In most of our villages, you’ll meet somebody with about 200 cows – but he has no shoes,” John said. “He has no shoes, and his house is not locked. He has no door. That guy is not worried about anything. That’s a rich man, isn’t it? A man that is not worried.”

Cows play an important role in Maasai culture. This one had just sauntered through the walkway between the admin office and the pharmacy, into the waiting area.
Felix, the Monitoring and Evaluation Manager at CHP, in front of *some* of the fairly well-organized but still nightmarish paper files CHP uses to run its clinics - Banda Go feels like a dream come true compared to all that.
The old and the new. CHP was still transitioning to Banda Go when we visited in June. The big paper ledgers on the right, Banda Go on the screen to the left. Amos and the rest of the team were eager to get on Banda Go.

Let's go further.

John showing us where CHP clinics are currently located, and where he envisions expanding to serve other communities in need of healthcare. It’s amazing to be able to partner with visionary, compassionate healthcare providers like John and the CHP team.

If you’d like to find out more about CHP or contribute to their work directly, visit http://chp.or.ke/. To help us continue developing Banda Go and make it available to clinics like CHP, donate to Banda Health!

Banda Go is our baby, and it’s taking a global village to raise it. Thanks for doing this with us!

Picture of Natalie Walters

Natalie Walters

A journalist from New York, Natalie is helping write stories about the clinics using Banda Go.

Two Female Nurses Become ‘Sisters’ in Life and Business in Nairobi

Two Female Nurses Become ‘Sisters’ in Life and Business in Nairobi

By Natalie Walters

Juliette and Elizabeth, nurses and owners of Mid Hill Medical Clinic

Editor’s Note:

Have you been wondering what the clinics that use Banda look like? Or what the owners look like? Or how exactly Banda is helping them in their day-to-day duties? We were too! That’s why we set up a face-to-face meeting in June and July with nine clinics currently using Banda’s software. We knew they’d have lots of interesting things to say, but still came away with more stories than we could have ever predicted going into that first visit a few weeks ago. 

Over the next 9 weeks we are going to introduce you to nine amazing clinics that are serving the poor across Kenya. Many of these clinics are barely breaking even each month because they continue to give free care to those who can’t pay. Like Banda, their main focus is on helping, not profiting. 

Who’s “we”? That’s referring to Thomas Letchford, Banda’s fundraising coordinator, and Natalie Walters (that’s me!), a journalist from New York. Our families were close friends growing up and I even got the chance to visit them in Zambia about 15 years ago. We had always talked about me visiting Kenya to help with some stories, but didn’t think the timing would ever work out. However, I had a free month off this summer before going to grad school for my masters in investigative journalism this August. The timing couldn’t have been more perfect!  

Natalie Walters, a journalist from New York, is helping write stories about the clinics using Banda Go
The Mid Hill team: Irene, Juliette, Elizabeth and Titus

Our first clinic visit was in Nairobi at Midhill Clinic, which I was excited to see because it was run by two females. I expected to find two type-A females who were blunt, business-minded individuals. But since there’s no way to look their clinic up online or even to find a picture of them on a social media site, I had to wait patiently during the two hour drive from our base in Kijabe to see if my assumptions were correct. 
 
They weren’t. 

Clinical officers like Titus and nurses like Juliette and Elizabeth are the key to primary care in communities where patients can't just drop by the nearest doctor's office.

They were very wrong. The two women who run Midhill, Elizabeth and Juliette, were smiley, warm, and laidback. The only thing that might read “business” about them is their nearly identical buzzcuts they sported along with their professional-looking dresses. But while their outer appearance said “let’s talk business,” everything about their demeanor said “let’s be friends.” 
 
I figured the two women must have been forced to become friends due to business. But again, I was wrong. 
 
The two women met during a hard time in Elizabeth’s life. She was stuck in an abusive marriage, and it was taking a toll on her mentally and physically. She decided to take a chance and walked into Juliette’s clinic to ask for a job. 
 
“She was very down and desperate,” Juliette remembers. “She was very thin and looking to be saved.”

The women talked about their lives and immediately knew they would be lifelong friends due to their similar interests in healthcare and helping the needy. That day, Elizabeth walked out of the clinic with a new job and a new lifelong friend and business partner. 
 
While it’s been 30 years since that day, they still giggle like school girls when they remember it. If you didn’t know any better, you might think they were twins. In fact, patients often think they’re sisters — and they love it. 

Stephen and Michael at Mid Hill Medical Clinic with Juliette and Elizabeth during a visit this June.

Their cheery and positive outlook on life carries over to their clinic, which they are immensely proud of in spite of its modest square footage and equipment. They proudly showed us through the small reception area and the three little rooms for triage, resting, and small procedures like stitching or abscess drainage.

Right now, the women said they see three to four patients on a normal day and five to seven patients on a busy day, also known as “market days” when the Masai people come into town. But that number should start going up when they move to a bigger clinic that can better accommodate maternity patients. At their old clinic, they saw about 40 patients per day.

And of course, since Midhill is one of the clinics using Banda, we asked them how the software is working. Their faces instantly lit up as they led us back to the triage room and showed us the old, dusty record books they used to use for patient’s forms before Banda. They told us it often took them ten to 15 minutes to find a patient’s form when they came for a return visit. But now with Banda, they can instantly locate the form.

And with that compliment to the Banda team, we felt we could leave with a feeling of accomplishment. I reached out to shake their hands, but they laughed and both pulled me into separate, equally long bear hugs. “We have a new sister now,” they said.

"Now, we can get rid of the books."

It’s time to say goodbye to trying to run a clinic with paper ledgers. Juliette deserves better. Her patients deserve better. Ten thousand clinics in sub-Saharan Africa deserve better. With Banda Go, they can have better. Your donations make it possible for Juliette to close that cumbersome book for the last time, and open new doors to better healthcare for her patients. 

The “will to do so”

The "will to do so"

“We believe there is enough wealth in the world to eradicate poverty, we just need to will to do so.” – the Scotts

As a young couple, Sylvia and Stephen Scott left their little home village near Matangwe in rural western Kenya to study and work in Canada. Twenty years later, they came back to a Matangwe they hardly recognized and partnered with local leaders to start the clinic that eventually became Matangwe Hospital.

Since then, Sylvia and Stephen Scott have bridged communities separated by oceans, language and culture to invest in the community that raised them. 

Caring Partners Global, a nonprofit founded by the Scotts, runs Matangwe Hospital as part of its holistic approach to community development that also includes a scholarship program and agricultural and vocational training.

Photos courtesy of the Scotts.

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Matangwe Hospital

Matangwe Hospital: holistic approach to sustainability

Matangwe Hospital serves a largely rural community inland from Lake Victoria in western Kenya. To provide the best care possible to a community that has endured economic depression, a devastating HIV/AIDs epidemic, and environmental decline, Matangwe often ends up subsidizing the cost of medications and services. To deal with this financial pressure, Matangwe Hospital and its parent organization Caring Partners Global employ a holistic approach to sustainability that includes water infrastructure development, agricultural training, vocational training and a scholarship program. 

This is a long-term approach to sustainability – helping the community flourish through higher crop yields, water security and access to good healthcare, and open new economic opportunities through education. 

Banda Go fills a critical need by addressing resource management at the healthcare level – making long-term sustainability more achievable, but also helping to close that gap immediately by helping Matangwe get the absolute most out of their limited resources. 

Stephen and Sylvia Scott

Connecting through a 4th cousin

We connected with Matangwe Hospital and CPG through Steve’s 4th cousin Bryan Gordon (I’m still a bit hazy on what a fourth cousin actually is – it’s not every day you bump into them! In any case here he is with Michael, Kelly and Andrew at our Nairobi office).

Bryan’s longtime friends Stephen and Sylvia Scott started Matangwe Hospital in 1998, and then Caring Partners Global in 2002 to facilitate sustainable development in the region. But it was back in 1994 that the Scotts found themselves in a position to be the catalyst for change in Matangwe.

20 years after leaving home, a very different Matangwe

Stephen and Sylvia got married in Kenya, and two weeks after their wedding moved worlds away to Canada to study and to work. At the time, Sylvia says, “I don’t think we ever talked about it – whether Canada would be our home for a long while.”

Twenty years – bachelor’s degrees, master’s degrees, jobs, promotions, moves, and four beautiful children – later, Sylvia found herself making the long journey back to her home village to take care of her mom, who was sick.

She hardly recognized the place. The HIV/AIDS epidemic had ripped through the community, which still did not have a local clinic to turn to. Decades of intense pressure on the land from farming and charcoal production had severely degraded the environment, and was taking a heavy toll on crop yields and water availability.

At the end of her stay, her brother-in-law approached her with a proposition: community members had raised the $50 needed to purchase land for the community’s first clinic. Would she and Stephen help them actually build it?

Matangwe Hospital team

Banda Go helps Matangwe address long-term and immediate sustainability challenges

Stephen and Sylvia will tell you that they never pictured themselves coming back and opening a clinic. Now that clinic has become a small hospital. Since its beginning, providing healthcare to the Matangwe hospital has meant subsidizing the cost of treatment – Caring Partners Global oversees fundraising and finances.

Rather than back down in the face of serious obstacles in paying for healthcare long-term in Matangwe, Caring Partners Global set out a bold long-term strategy for sustainability that addresses the community’s inability to pay by investing in education, infrastructure and the local economy. 

Banda Go plays an important role in this strategy by making sure that every available resource at Matangwe Hospital goes as far as it possibly can. With Banda Go, Matangwe is able to cut back on waste, improve financial decision making, and reduce purchasing costs. These improvements certainly go a long way over time, but right now they are critical to CPGs sustainability strategy because they make a difference right away

We're inspired by our partners

We love getting to work alongside people like Stephen and Sylvia. We’re inspired by their ambitious dream to partner with the community that raised them for a bright future. 

If you want to learn more about Matangwe and Caring Partners Global, check out their website www.caringpartners.ca – and you can donate to CPG here.

As always, thank you for doing this with us. Banda Go is our baby, and it’s taking a global village to raise it. Thanks for being a part of that village.