Tuesday, 4 September 2012

The key issues in NTV’s Sisters of Death



The key issues in NTV’s Sisters of Death
            By Chrispory Juma
NTV’s Sister’s of Death’s highlight on how illicit brewers in Korogocho slums use ARVs and Fomalin to make liquors that find their way into the Kenyan market not only exposed how porous our laws and society have become but also put focus on policy and governance issues that touch on public health.
It brought to focus all stakeholders engaged in the control of HIV/AIDS and exposed gaps in using ART (Anti Retro-Viral Therapy) as a control model. It has made us, as health professionals, begin to think of what better ways of monitoring the effective administration of ARVs back in the homes where the people for whom they are designed have them. It is unfortunate that, as we fight the pilferage of illegal ARVs in the market, persons living with HIV/AIDs continue to misuse the little ones we have. One thing for sure, as exposed, is that it is not their wish.
A keen look at the investigative feature informs that Kenya’s major problems may not be diseases. But the three interlinked scourges: ignorance, unemployment and poverty. These challenges continue to make Kenyans put money above life.  To ordinary Kenyans, food comes first, drugs come next. Infact, a hungry stomach and drugs are never friends. Without discrimination, as the numbers would confirm, our mothers are the most disadvantaged and therefore resort to such illegal means, just to bring food to the table for us, their children.
This feature also ought to have awakened Public Health Officers, tasked with safeguarding the health of Kenyans and the laws appertaining to this responsibility. We were put to shame over how individuals have continued to abuse The Food, Drugs and Chemical Substances Act (Cap 254-Touching on the ARVs), Public Health Act (Cap 242-The dumpsites from where the bottles are picked, the safety standards of the liquor), Pharmacy, Poisons Act (Cap 244-On chemicals like formalin) and other laws relating to Public Health and Sanitation.
Slums continue to pose challenges to urban health in Kenya.             Policy makers should begin to think of how to ensure that Public Health laws are adhered to in the expanding informal settlements because as evidenced, quality, affordable and adequate housing for all Kenyans has become elusive for the government to provide. As we approach 2030, and with slums becoming increasingly difficult to do away with, the public health and sanitation concerns in these settlements continue to be wider and wider. And of interest here is the administration of laws pertaining to Public Health and sanitation.
Just as Public Health is a communal approach to wellness, addressing challenges facing it must also be inter-sectoral and collaborative of all stakeholders. My concerns here are the policy actors. The media has done its part and will continue to do so. What remains is what is done by others, moreso the public health administrators and animators in this issue. They say evil persists when good men sit and watch without doing anything. We can all act now to make Kenya a safer place to live in.

The writer is a Graduate Public Health Intern with the Ministry of Public Health and Sanitation, Homa Bay County and a Health Rights Advocate (chrisjuma1@yahoo.com)