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style='position:absolute; width:325px; height:220px; left:0px; top:0px; padding:0px; background-image:url(http://www.caravanmagazine.in/sites/default/files/full_story_popup.gif); border:0px solid #B1470D; z-index: 899;'><div style='height:25px;padding-top: 5px; color:#990000;'><div style='float:right; padding:4px;'><a href='#' style='cursor:hand;' onclick='return floatingMenu.hide()'><img src='https://web.archive.org/web/20150917074148/http://www.caravanmagazine.in/sites/default/files/close.gif' style='border:none;' /></a></div></div><a href='https://web.archive.org/web/20150917074148/http://www.magzter.com/IN/Delhi-Press/The-Caravan/News/' target='_blank' style='cursor:hand;'> <div style='height:190px;'></div></a></div>"); } </script> <div class="subhheading"><a href="/web/20150917074148/http://www.caravanmagazine.in/lede/financial-health-Kenyan-cash-transfer-scheme">A Kenyan cash transfer scheme takes cues from South Asia</a></div><div class="authorndate">By <a href="/web/20150917074148/http://www.caravanmagazine.in/profile/15305">sowmiya ashok</a> | <span class="date-display-single">1 September 2015</span></div><div class="full-image-view"><div class="show-image" style="display:block"><div class="f-image"><a rel="lightbox[lightbox_full_image][According to UNICEF, trained health workers handle only about a quarter of deliveries in Kakamega, a county with an alarmingly high maternal mortality rate.<br /><br /><a class="lb-credit"> nichole sobecki / corbis</a>]" title="According to UNICEF, trained health workers handle only about a quarter of deliveries in Kakamega, a county with an alarmingly high maternal mortality rate." href="https://web.archive.org/web/20150917074148/http://www.caravanmagazine.in/sites/default/files/imagecache/lightbox_full_image/financial-health_the-caravan-magazine_september-2015_05.jpg"><img src="https://web.archive.org/web/20150917074148im_/http://www.caravanmagazine.in/sites/default/files/imagecache/story_carousel/financial-health_the-caravan-magazine_september-2015_05.jpg" alt="" title="" width="652" height="435" class="imagecache imagecache-story_carousel"/></a></div><div class="f-credit">nichole sobecki / corbis</div><div class="f-caption">According to UNICEF, trained health workers handle only about a quarter of deliveries in Kakamega, a county with an alarmingly high maternal mortality rate.</div></div><div class="show-image-10881" style="display:none"><div class="f-image"><a rel="lightbox[lightbox_full_image][According to UNICEF, trained health workers handle only about a quarter of deliveries in Kakamega, a county with an alarmingly high maternal mortality rate.<br /><br /><a class="lb-credit"> nichole sobecki / corbis</a>]" title="According to UNICEF, trained health workers handle only about a quarter of deliveries in Kakamega, a county with an alarmingly high maternal mortality rate." href="https://web.archive.org/web/20150917074148/http://www.caravanmagazine.in/sites/default/files/imagecache/lightbox_full_image/financial-health_the-caravan-magazine_september-2015_05.jpg"><img src="https://web.archive.org/web/20150917074148im_/http://www.caravanmagazine.in/sites/default/files/imagecache/story_carousel/financial-health_the-caravan-magazine_september-2015_05.jpg" alt="" title="" width="652" height="435" class="imagecache imagecache-story_carousel"/></a></div><div class="f-credit">nichole sobecki / corbis</div><div class="f-caption">According to UNICEF, trained health workers handle only about a quarter of deliveries in Kakamega, a county with an alarmingly high maternal mortality rate.</div></div></div> <div class="share-with"> <span class="st_facebook_hcount" displaytext="Facebook"></span> <span class="st_twitter_hcount" displaytext="Tweet"></span>  <script type="text/javascript" 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views-row-first views-row-last"> <div class="views-field-body"> <div class="field-content"><p>In a sparsely decorated mud hut in Matungu, a small town in Kakamega county in western Kenya, 26-year-old Esther Echesa was preparing to feed her family <em>ugali</em>. Clothes for her toddlers, Sheila and Bravine, were strung up on a wire stretched from wall to wall. It was a pleasant March morning, and her husband, Hamisi, dressed in a Manchester United jersey, had just returned from market with a small bagful of sardines, to be sprinkled over the thick maize porridge for flavour. The ugali, a Kenyan staple, was to be the family’s only meal of the day. The Echesas cultivate maize, cassava and sweet potatoes on a small patch of land. In a good month, they make as much as 600 Kenyan shillings—about $6—selling some of their crop.</p> <p>Echesa delivered her firstborn, Sheila, at her parents’ home, assisted by her mother, who had never helped deliver a child before. She told me she had been “afraid to go to the hospital,” because “people say you get beaten up and treated badly.” An international study published in 2014 found that women in labour regularly face rude and violent behaviour—including pinching, slapping and thrashings—from staff at Kenya’s government hospitals. Sheila remained unwell for weeks after the delivery. When Bravine was due, about a year ago, Echesa decided that “I must deliver my second baby in the hospital.” She paid 50 shillings for a ride to the nearest one on a motorcycle taxi.</p> <p> </p> <p><span style="color:#666666;">(Subscribe to <em>The Caravan</em> to read the full story. <u><a href="https://web.archive.org/web/20150917074148/http://www.caravanmagazine.in/digital-subscriptions">Click here</a></u> for a digital subscription or email subscription@delhipress.in for a print subscription.)</span></p> <div>  </div></div> </div> <div class="views-field-phpcode"> <span class="field-content"><div class="shortbioview">Sowmiya Ashok is currently pursuing a graduate degree in journalism at Columbia University. She is a former political reporter for The Hindu, and has also reported for Mint. The reporting for her piece in this issue was facilitated by UNICEF Kenya. </div></span> </div> </div> </div> </div> </div></div><div class="detail-body"><div class="detailBody"><p>In a sparsely decorated mud hut in Matungu, a small town in Kakamega county in western Kenya, 26-year-old Esther Echesa was preparing to feed her family <em>ugali</em>. Clothes for her toddlers, Sheila and Bravine, were strung up on a wire stretched from wall to wall. It was a pleasant March morning, and her husband, Hamisi, dressed in a Manchester United jersey, had just returned from market with a small bagful of sardines, to be sprinkled over the thick maize porridge for flavour. The ugali, a Kenyan staple, was to be the family’s only meal of the day. The Echesas cultivate maize, cassava and sweet potatoes on a small patch of land. In a good month, they make as much as 600 Kenyan shillings—about $6—selling some of their crop.</p> <p>Echesa delivered her firstborn, Sheila, at her parents’ home, assisted by her mother, who had never helped deliver a child before. She told me she had been “afraid to go to the hospital,” because “people say you get beaten up and treated badly.” An international study published in 2014 found that women in labour regularly face rude and violent behaviour—including pinching, slapping and thrashings—from staff at Kenya’s government hospitals. Sheila remained unwell for weeks after the delivery. When Bravine was due, about a year ago, Echesa decided that “I must deliver my second baby in the hospital.” She paid 50 shillings for a ride to the nearest one on a motorcycle taxi.</p> <p> </p> <p><span style="color:#666666;">(Subscribe to <em>The Caravan</em> to read the full story. <u><a href="https://web.archive.org/web/20150917074148/http://www.caravanmagazine.in/digital-subscriptions">Click here</a></u> for a digital subscription or email subscription@delhipress.in for a print subscription.)</span></p> <div>  </div> </div></div> <div class="shortbioview">Sowmiya Ashok is currently pursuing a graduate degree in journalism at Columbia University. She is a former political reporter for The Hindu, and has also reported for Mint. 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