The Lancet

2025

Malaria in Kenya’s rural communities;

Kakamega

In rural areas of Kenya, where access to health care and preventive measures is limited, malaria continues to devastate lives, particularly among young children and pregnant women.

Caregiving

Kibera Day care Center for the Elderly

“When others sleep, I watch over my mother,” says Purity, who cares for her mother Lucia inside their home in Kibera, Nairobi. Lucia lives with multiple chronic conditions, including congestive heart failure, diabetes, hypertension, and the effects of a stroke.”

Repurposed mosquito nets

Kakamega

Some families living in rural Kenya have repurposed mosquito nets for fishing or covering crops. Balancing malaria prevention and immediate needs of rural families for food, this image highlights the difficult decisions people can make while trying to survive.

We Have Lived Too Long to Fear Pain

Kibera Day care Center for the Elderly

“We have lived too long to fear pain,” he says, speaking about how many older men in his community quietly endure musculoskeletal conditions and emotional strain in later life.”

2024

Memory and wellbeing

Karika

“Sometimes I forget what day it is. But my body remembers the church songs.” Her comment revealed how spiritual and cultural rituals have a role in cognitive wellness for some people.

Combating Tungiasis Through Community Action

Kakamega

A doctor treats a resident during a community outreach exercise aimed at eradicating tungiasis in a village in Kakamega County, western Kenya. The initiative is led by the African Lumiti Foundation in partnership with LifeStraw, local community health workers, Messengers of Hope, students from Masinde Muliro University of Science and Technology, and the AFC Leopards.

Laughter and connection;

Kibera Day Care Center for the Elderly

“When I laugh here, I forget my pain. This is my medicine”, Zainab told me.

Surviving the Smoke: Youth Livelihoods.

Dandora Dumpsite

Young men sort through piles of waste at the Dandora dumpsite in Nairobi, searching for recyclable materials such as plastic and scrap metal to resell as a source of income. The landfill, which spans approximately 30 acres, receives hundreds of tons of the city’s waste each day.

2023

Childhood on the Edge of Dandora Dumpsite

Dandora Dumpsite

Children play in the early evening near the Dandora dumpsite on the outskirts of Nairobi. The sprawling landfill receives waste from across the city, forming one of the largest open dumping grounds in the region.For residents of nearby neighborhoods, daily life unfolds alongside mounds of refuse and persistent smoke from burning waste.

Community Medicine in Practice

Shining Hope for Communities

Edwin, one of the Doctors at Shining Hope for Communities (SHOFCO), monitors the progress of his patient. Shining Hope for Communities (SHOFCO), is a non-profit organization that provides health services to underserved communities in Nairobi.

After the Long Rains: Flooding in Kibera

Kibera

In early 2024, unusually heavy long rains swept across Kenya, triggering widespread flooding in several regions. In Nairobi, Kibera—one of Africa’s largest informal settlements—was among the hardest hit.By late March, floodwaters had inundated makeshift homes built from mud, corrugated iron sheets, and plastic tarpaulins. Stagnant water pooled in narrow alleyways, leaving some families stranded indoors. With drainage systems either clogged or absent, the water had little means of escape.

Screening Young Hearts

Shining Hope for Communities

A clinician conducts an echocardiogram on a child at Shining Hope for Communities (SHOFCO) in Nairobi. The procedure uses ultrasound waves to produce detailed images of the heart, allowing medical staff to assess its size, structure, and function, and to detect conditions such as valve defects or congenital abnormalities.

2022

A Call to Speak: Public Art Against Sexual Violence

Kibera

A mural painted along a street wall calls for an end to sexual violence, urging survivors of all genders to speak out and outlining the legal process for both victims and alleged perpetrators.

Water for Sale: Urban Communities Face the Cost of Drought

Rongai, Kajiado North

As drought conditions persist across parts of Kenya—driven by below-average rainfall and rising temperatures—urban communities are increasingly experiencing prolonged water shortages.


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