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In order to avoid stillbirths, Kenyan women bribe restructured doctors in Africa

Nairobi, Kenya – After Anne Khasakalla suffered two stillborns in 2014 and 2015, she was looking for a solution that would give her better health care.

Friends said that pregnant women in Kenya had to pay bribes to doctors and nurses to avoid long queues of mothers waiting to deliver their children.

"During my first pregnancy I was excited about my mother, and I couldn't wait to see her newly-born baby in this world," said Al Jazeera.

"I registered to give birth [the government-run] Pumwani Maternity Hospital in Nairobi. I visited all the dates of the prenatal clinic in the hospital, I did an ultrasound scan and my child was healthy.

"I was disappointed at my birthday because some women who came to the hospital after me [and] delivered my children before me. I experienced a long-lasting workforce that lasted 18 hours from the time I was admitted to the maternity department. The final return was a lifeless daughter. "

Khasakalla earns $ 30 a month by selling fruit and vegetables on the streets of Nairobi.

Her second lifeless child was also a girl.

According to the World Health Organization, she represents some 34,000 Kenya women who deliver birthless children every year.

She currently has two healthy children who were both taken to the same hospital.

"After realizing that most women pay bribes to avoid long queues, I approach a well-known gynecologist at the facility and agree to pay 2000 shillings ($ 20) to bring my first child. day after overnight in the maternity department overnight.

"The same was true of my second child. Despite the fact that maternity services are free in government hospitals, I did not want to take more risks." She said.

In recent years, a number of Kenya doctors have been accused of having been accused of working hours and in some cases leading to further injury or death.

Cholera patients receive treatment and care in a special section at Kenyatta National Hospital, Nairobi, Kenya, July 19, 2017 [File: Thomas Mukoya/Reuters]

Since 2013, the Kenyan government has provided free maternity services in state-run hospitals, including prenatal services, until the child reaches the age of five.

It was part of a government program to limit maternal mortality by 400 out of every 100,000 live births in 2017, according to WHO data.

The number of newborn deaths under WHO is 34 out of every 1,000 live births, so Kenya is one of the lowest African sub-Saharan countries for maternal health.

The Pumwani Maternity Hospital, one of the oldest institutions in Kenya, was founded in the 1920s and is currently being studied for medical negligence and child trafficking by the National Council of Doctors and Dentists (MDD).

"Yes, we have received reports of women who pay money if they do not have to do to give life," said Daniel Yumbya, chief legal officer of the board. "As a result, we have lifted some of the doctors' licenses, some 46 of them.

"We will soon send a proposal to the Kenyan Parliament for new measures to punish practitioners who are breaking the law."

Yumbya said some women had lost their lives waiting for the children to be delivered to the various hospitals using the extraordinary cesarea sections.

He said that eight private mother clinics have been closed across the country, overpaying patients for a few months. He also said that doctors have been illegally doing business.

"We are also studying the Catholic Hospital of St Mary to overpay patients who exceed the normal $ 50 amount of normal delivery. It's a disappointment that the missionary hospital can do this," said Yumbya.

He said there is no recent data on bribery, as most cases are not reported. But on the basis of regular complaints, he explained that the trend is worrying.

Overcrowded and underpaid doctors

According to Dr. Chief Executive Officer of the Medical Association of Doctors and Dentists According to Ouma Oluga, the government is to blame for the situation of hospitals, especially public hospitals. He said doctors were overcrowded with limited resources and opportunities.

"You can't blame doctors completely and condemn them. For example, until recently, the Pumwani Maternity Hospital did not have a functioning morgue, and bodies sometimes need to be packed in polyethylene bags. The government is ashamed that doctors and nurses are overstated and underpaid throughout the country."

Al-Jazeera, a Pumwani spokesman, told her that her employees were trying to help patients, although they were exaggerated and that no doctor had ever neglected their duty.

Oluga continued: "They are paid from 15,000 shillings (US $ 150) to 40,000 shillings per month (US $ 400), they are also overcrowded, they work on average between 14 and 20 hours a day, making them ineffective to effectively carry out because of fatigue. "

He added that the Pumwani Maternity Hospital has only six residency gynecologists in approximately 154 pregnant women.

"Many of these malicious activities can be avoided if more attention is paid to doctors and nurses."

Hopefully, higher investment in staff hospitals could result in fewer stillbirths.

Reflecting on her first pregnancy, Khasakalla said, "I cried and thought about suicide. My water was broken just six hours before delivery and doctors ignored my cries."

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