Aid and Inequality in Kenya: British Development Assistance to Kenya

Obudho, Robert A; Holtham, Gerald; Hazlewood, Arthur

doi:10.2307/532275

Cited by 5 publications

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“…Using the 2021 Kenya Poverty report, we found that most patients (74.7%) came from counties that were classified as moderately to severely impoverished (food poverty rates of 32%-68.5%). 28 Despite our rural location, the long distance that patients had to travel, and the persistently high rates of poverty that characterize our setting, we found no significant distances in the age of treatment for any subset of our cohort. We believe that this finding validates the successfulness of our NGO partnership in decreasing the burden of unrepaired CLP in our region and validates the continued support of institutions in rural locations in Sub-Saharan Africa.…”

Section: Discussionmentioning

confidence: 60%

Cleft Lip and Palate Surgery at a Rural African Hospital: A 13-Year Experience From Western Kenya

Rhodes,

Zhang,

Arbuiso

et al. 2024

Journal of Craniofacial Surgery

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Introduction: Most studies on the treatment of cleft lip and palate (CLP) in low-income and middle-income countries have reported on the experience of urban centers or surgical mission trips to rural locations. There is a paucity of literature on the experience of local teams providing orofacial cleft surgery in rural Sub-Saharan Africa. This study reports the efficacy and cost-effectiveness of cleft surgery performed by an all-local team in rural Kenya. Methods: A retrospective chart review was performed on all patients who received CLP repair at Kapsowar Hospital between 2011 and 2023. Information regarding patient age, sex, cleft etiology, surgical management, and home location was retrieved. For the most recent year of study (2023), the authors performed a financial audit of all costs related to the performance of unilateral cleft lip surgery. Descriptive statistics were performed. Results: The authors identified 381 CLP surgeries performed on 311 patients (197 male, 63.3%). The most common etiology of the cleft was left unilateral (28.3%). The average age of primary lip repair decreased from 46.3 months in 2008 to 2009 to 20.2 months in 2022 to 2023 (P<0.001). The average age of primary cleft palate repair decreased from 38.0 months in 2008 to 2009 to 25.3 months in 2022 to 2023 (P<0.001). Patients traveled from 23 districts to receive treatment. Age of treatment was not different when distinguished by sex, county poverty level, or travel time from the hospital. The total costs associated with cleft lip repair was $201.6. Conclusions: Adequately staffed hospitals in rural locations can meaningfully address a regional CLP backlog more cost-effectively than surgical mission trips.

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Section: Discussionmentioning

confidence: 60%

Cleft Lip and Palate Surgery at a Rural African Hospital: A 13-Year Experience From Western Kenya

Rhodes,

Zhang,

Arbuiso

et al. 2024

Journal of Craniofacial Surgery

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The British End of the British Empire

Stockwell

2018

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Kenya: Income Distribution and Poverty–an Unfashionable View

Hazlewood¹

1978

J. Mod. Afr. Stud.

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Kenya has a bad image among those who see themselves as ‘friends of the people’, who for many years must have thought of it as the land where it is always 1788. But although some years ago we were informed by a reliable authority that ‘Africa is ripe for revolution’, in Kenya up till now – though who dares predict what will be in the newspapers tomorrow? – it is still not 1789: the revolution has not arrived.

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Aid and Inequality in Kenya: British Development Assistance to Kenya

Cited by 5 publications

References 0 publications

Cleft Lip and Palate Surgery at a Rural African Hospital: A 13-Year Experience From Western Kenya

Cleft Lip and Palate Surgery at a Rural African Hospital: A 13-Year Experience From Western Kenya

The British End of the British Empire

Kenya: Income Distribution and Poverty–an Unfashionable View

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