Mbogo.

Family. Love. Medicine. Music. Football. Money 💰.

[Yoko @Kibet_bull]

This is so wrong, kwanza the guys work in the office of Felix Kosgei.

[Joel Jirani @JoelJirane]

All level 4, 5 and 6 hospitals should have oxygen plant, it's unfair patient anakufa just because he/she lacked oxygen.

Money allocated for these kind of development huenda wapi?

[Wamutahi @Son_of_Laikipia]

Nyahururu -Gilgil iko na potholes zinaweza toshea Atwoli na ujinga yake😔.

[𝙋𝘼𝙐𝙇. 𝐎. 𝐍𝐄𝐊𝐎 @ouma_neko]

People are dying slowly, quietly, deliberately. Wantam or Tutam William Ruto is killing all of them without mercy.

Not because Kenya is poor.
Not because money is missing.
But because it is being withheld, redirected, weaponized.

SHA owes KNH KSh 5.5 BILLION.

Owes MTRH KSh 2.5 BILLION.
Owes Mathare Hospital KSh 150 MILLION.

KNH owes suppliers KSh 2.3 BILLION.

Yet SHA collects at least KSh 6 BILLION every month from payslip holders people who sweat, struggle, and still believe deductions mean care.
So where does the money go?
Because it is not feeding patients.
It is not paying suppliers.
It is not buying medicine.
It is not saving lives.
@HonAdenDuale Last week, patients missed food.
Not rumours. Not exaggeration.
Patients in Kenya’s biggest public hospital went hungry because suppliers said enough.
Imagine being sick, weak, scared and then starved by your own government.
KNH collects KSh 40–60 million every single day, but that money is hijacked through eCitizen, locked away like stolen goods.

The hospital can’t touch its own blood.
Treasury refuses to remit funds for daily operations.
This is not inefficiency.
This is economic suffocation.
And while patients starve, State House feasts.
Food. Alcohol. Excess. Takeaways.
No shortages there. No unpaid suppliers there.

To those paid to chant kumi bila break .

No politician will ever lie on a KNH bed.
They rush to private hospitals.
They fly to India to die clean.
They give birth in America.
KNH is reserved for the poor
and under William Ruto, poverty is a death warrant.

This is a government that treats healthcare like ATMs and patients like collateral damage.
They loot @MOH_Kenya, then recycle the stolen money as handouts to the same sick and desperate people during campaigns.
They starve hospitals today
so they can “help” tomorrow.
They kill quietly
so they can bribe loudly.
This is not failure. This is policy.
Under @WilliamsRuto, healthcare is not broken it is being cannibalized.
If you are poor, you are disposable.
If you are sick, you are expendable.
If you rely on public healthcare, you are already marked for neglect.
Hospitals drowning in debt.
Patients missing meals.
Suppliers walking away.
Billions flowing just not to care.
This is not a government.
This is a cartel wearing the national flag.

[Mbogo. @jon_njama]

You should be asking why your government thinks denying them services is a good thing.

[Mbogo. @jon_njama]

Rape or not, we should not be discussing antenatal care like it's a favour we are doing the ladies. Every pregnant woman deserves access to quality ante, peri, and postnatal care. Anything less will just worsen our maternal mortality rates.

[Mbogo. @jon_njama]

@adams_kimoni @kipkoecheruiyot I haven't seen a reason there for them to be denied the care they deserve.

[Mbogo. @jon_njama]

@wafula_henri @kipkoecheruiyot So the girls should be denied care?

[Silas Nyanchwani @nyanchwani]

If you come from a low-income family, one day in your adulthood, it will hit you so hard that you are alone in this business of life.

Your parents, by then, are either old or dead. Or too broke to do anything for you. None of your siblings has anything going on for them. Mko tu. Kila mtu ako zake.

This realization usually comes to you on a weekday afternoon—a Tuesday. Rent is due, but you don't even have money for supper. You didn't eat breakfast or lunch either. You have not had a proper meal in weeks. But you are trying to stay alive. A debt here at Mama Mboga. A free meal there at a friend's place. A freebie from a politician passing by. That is how you survive.

Maybe you are a high school dropout. Or a college dropout. Or an unemployed graduate. You live in a slum in a big town with hopes of becoming rich one day. Get out of the block, you know. Or you live in a slum in a small town with no hopes. Or in the village. You may have yet to give up and go the alcohol and drugs way. Or gambling.

Just an upright citizen trying to stay alive. A friend told me he has been broke for the last 8 years.

"Friends stopped lending me money in 2018. If I borrow Sh 10,000 from a close friend, knowing I will pay them next week, he will not lend me the 10k. He will probably give me the 1k he doesn't expect back."

The friend wasn't bitter with his friends. He had painfully realized that many adults have to face life alone.

So what do you do?

For men, this is the precise moment you decide to disappear from home. You go to someplace. Too far. If you are from Western Kenya, you end up in a slum in Mombasa, where you are lost and removed from all your relatives.

It is the precise moment you become a conman. Not at once. You borrow money from friends, hoping to return, but before you know it, you have exhausted all college friends, high school friends, and relatives. You have not been able to pay any of them in good time. And then friends talk. Relatives, too.

"I gave Deno some cash, hashiki simu zangu," a classmate tells another classmate.

"Wacha, ata mimi hajanipea ya last time," the other classmate interjects.

Similar calls are made, and a consensus is reached that Denis is a conman. Or he borrows money and doesn't pay it back. And now you are in the bad books of friends. Your social CRB is zero.

Some become a conman at this point. You see a newspaper advert calling for military servicemen, and you sneak a call to a few friends that you have connections with the right folks high up in the military. And the few desperate friends will lose cash like that.

You stop caring about your reputation.

For a woman, it can be complicated. Unlike men, women have time-specific needs. Hair. Nails. Sanitary pads. Beauty products. A girl has to make a choice. You have probably heard of that callous joke from Majengo Slums where a frustrated mother who is a commercial sex worker tells her teenage daughter: "Ata wewe uko na hiyo kitu, uza." A girl must make a choice.

Maybe one day she will sleep with a guy, and a guy will give her fare back home. And then she will borrow cash from the guy for gas. The guy will give her half. And then she will realize she needs another guy to give her half. And like that, she may end up in Luthuli. Or with a furnished apartment with special clients. Maybe with an OnlyFans account catering to the sick fetishes of guys in Eastern Europe. She has to do what she must to put food on the table. Depending on how elastic one's values are, a boy or girl will have to choose which way to live. The boy may pick a gun. The girl may sell her body. It is the circumstances.

Others may become con pastors. The grand old Professor Nyasani(bless his soul) said that we are born into our bodies, and circumstances beyond our control, at best you have to embrace what you are born into, whether a prince or a pauper. You don't choose your life. Life is chosen for you by the time you arrive on Earth.

If your values are elastic, you pick any business. I ran into this young man on a big bike in my hood. A little bird whispered to me that he sells marijuana and related drugs. Business is good. But if you are afraid of DCI, or you are faithful to your religion, you choose the narrow path of survival. You sign up for Vibaruas. Kwa muhindi. At EPZ. You become a tout. You hustle and start selling mayai boiro by the roadside.

If you are a parent, nothing will stretch your will more than the struggle to feed yourself and your child or children. Single mothers, in this regard, are super stretched. Worse if it is two or more children. Education in Kenyan towns is expensive, boy. There are no public schools, and academies are too costly. You pick a job. A waitress. In the supermarket. In a hardware. Anywhere. You endure bad bosses. You endure being groped. You will do anything and everything for the babies.

Often, I leave town very late in the night. The bus is always 90 percent men and a few women who mostly have traveled from the countryside or the few who are out at the weird hours of the night because of business. The men are security guards, garbage collectors, and other assorted menial jobs left for men to scrap a living, especially at night like hawking or any other business where you have running battles with the kanjo 24/7. The men usually are so beat up. Some nap all the way home.

Most don't even have a smartphone for entertainment
or distraction. Collectively, on that bus, we all have hopes. And dreams. For a better tomorrow. That our kids will have it better than us, maybe they will. Maybe not. But we strive to stay alive by any means necessary.

Yesterday, while returning home, around 11.13 p.m., I saw a woman selling vegetable samosas by the roadside. She is in her late 40s or early 50s. She was sleeping, leaning back against her chair, and it didn't look like she had sold a samosa in the last hour as she looked to be in that stage too deep in your sleep; you could be dead. But she is there every day.

That outside aisle in Kitengela, opposite Eastmatt Supermarket around Arusha Butchery, is an interesting social experiment for hustlers. There is a street kitchen where all manner of foods are sold. Mutura. Heads and legs of cows. Chicken legs(not drumsticks) and chicken heads. Unnamable body parts of animals can be anything from a zebra to a monkey. Boiled maize. Nduma, ngwache, and lately, those humongous but tasteless viazi. Hoof eaters like me usually can have a balanced meal on their way home with 50 bob. Mutura ya 20 bob (protein). A slice of watermelon for 20 bob (vitamins) and a kiazi or mahindi (boiro or choma) ya ten bobs ( carbohydrates). There is a soup you buy if you are feeling rich. The buyers are disproportionately male. It is survival at its lowest.

As a kid, this rich lady from my village market once preached at our church and said; God protects chokoras for they can eat anything without getting stomach upsets. But if you try the food yourself,  you may even die. The food we eat is prepared in the worst sanitary conditions. It is a miracle that we haven't had an outbreak of cholera or something.

But such is life in Oscar Sudi's Republic. You were born. You have to survive. Because, as @chombahiramm said recently, if you think living is hard, try dying.

Whether you cut off your relatives, whether you become a commercial sex worker (both for men and women as men have also opted not just to be Ben 10s but do sell their bodies as well), or you live a narrow path, it all starts the day you realize: "I am on my own. Whether to live or die is my prerogative."

And then you choose the life you want to lead.

Lemme hawk my books.

[Bane @MisterAlbie]

A William Ruto's presidency is what will make Kenyans finally go to the streets and revolt. That's something you can take to the bank.

[Kohl @ogenyajr]

As Medics, we OATH to continue offering our services to all those injured despite being called criminals.
RIP Dr. Margaret
@kot @WaruiJohn2
@gabrieloguda
@Osama_otero
@mbiti_mwondi
@Honeyfarsafi
@amerix
@_CrazyNairobian
@Dr_AustinOmondi
#RejectFinanceBill2024

[Samuel Holyhill @sam_holyhill]

#REJECTFFINANCEBILL2024

[Mbogo. @jon_njama]

@KenyaPower_Care huwa mnareply DMs za watu?

[Mbogo. @jon_njama]

I wonder why people can't see this. Once they cripple the doctors, everyone will be lined up to the chopping board.
#DoctorsStrikeKE
#ImplementCBA2017

[Boni. M. @mosirigwa]

@kmpdu KK wants to hustlize all professionals including doctors. They are unstoppable trying to fit doctors into their famous wheelbarrow. Once they onboard the doctors, the other professions have no defence but join the dance into the KK's "Noah's ark"

[Mbogo. @jon_njama]

6 months after the strike was called off. Ama duress na coercion zilibadilisha meaning after KK took power?

[Infinite Insights @Manyonge12]

@fnoluga The majority think the CBA was drafted and signed during the 100-day strike of 2017 when it was actually done and adopted months later following the strike after intensive deliberations

[Mbogo. @jon_njama]

Labour laws dictate that such a CBA stays in place past its expiration date until a new one is signed and deposed in court.

[👀 @joe_kimachia]

@JamilKigen @fnoluga Dr Ouma should also quote the part that says it has an expiry date and what happens on expiry.

[Mbogo. @jon_njama]

And how is that the fault of a mere 5k doctors?

[karanja charles @karnjcharles40]

@CMwachonda @Mpzuleikahassan He is talking about the nation with the pedestrian thinking...

[Dr. Ouma Oluga, OGW @fnoluga]

Why County Hospitals Don’t Have Drs

In Feb 2014, Counties inherited via secondment 4600 drs. [Transition Authority Gazette Notice]

In April 2024, Counties have 4300 drs in all their hospitals [Their own statistics].

Reduction of 300 drs in 10 years.

In 2014, Counties had 8,000 hospitals. [Their own statistics].

In 2024, Counties have 16,000 hospitals [Their own statistics].

In 2014, population was 45.8M.

In 2024, Population is 55.6M.

10 million more people lining with you for less drs distributed (spread thin) in more hospitals.

How then do you expect to find a doctor in a county hospital?

[Mbogo. @jon_njama]

#DoctorsStrikeKE
#DoctorsDeserveBetter
#ImplementCBA2017

[Mbiti Mwondi Maino,MD @mbiti_mwondi]

Wueh, leo nimeona vifo vya kila aina. Hii career sio ya the faint hearted and I will soon quit the practice that I am sure at least not practice in this country. Hio salary can’t even pay for my two week entertainment expenses or fuel yet you stand the whole day in theatre saving lives of the very same people that will come and call you selfish and money minded.
One of the dilemmas today a lady in her 30s,HB less than 3,has precious scar deliveries,now with twins in labor, no blood to transfuse,no NHIF just Linda mama,no consultant willing to come if 20k is not deposited,no blood bank,no referral center coz of strike. Everyone waits for you to make a decision including the relatives who can’t even raise 5k. What do I do?
Until you have that first hand experience directly or with a relative you won’t appreciate how much doctors and other healthcare providers should be well taken care of.
Today I have every reason to hate this country and every fuckery that comes with the people in it! So many bodies man,we need to stop the count. Fuck this government! So doleful!!

[Mbogo. @jon_njama]

It was signed 6 months after the strike was called off. To which duress are you referring?
#DoctorsStrikeKE
#DoctorsDeserveBetter
#MosesKuriaMustGo

[Nding'uri Muchiri @muchiri_uri]

@fnoluga Also very true,the contested 2017 was signed under duress