...There is a little building, in the middle of the Kenyan bush, along this bumpy and terrible road
leaving the coastal city of Mombasa towards the immense center of Nairobi. Most people,
even local Kenyans, don't even give it a glance as they pass by, they are too busy avoiding
the giant potholes and swerving matatus. Guaranteed, if you Googled it, you couldn't find it,
and that is a rare thing indeed. Its name is the Kokotoni Self-Help Clinic...

Note: to read our ideas that were presented during Grand Nursing Rounds at Duke Hospital, please click here. To download this paper as a Word document, please click here.

Sometimes it takes the most improbable places or people or things to jolt us into inspiration, and into action. In our case, it took a tiny clinic somewhere in the bush of Kenya, a little place of medical refuge in an environment detrimental to the health of many of the locals, to inspire us. This clinic offers hope to people who are desperate for just that, who are willing to walk long distances while ill if only to have a chance at being healed. It tries so hard to fill a need so great that it cannot be completely successful, and yet it still tries. Seven weeks spent with the staff of this clinic showed how they struggle on a daily basis to keep afloat, to keep the doors open and the pharmacy stocked. It is a struggle very likely shared by thousands and thousands of other tiny clinics from the US to Kenya to Indonesia and back again.

Kid Standing

Kid Standing

The need is so great that first impressions spell premature failure of any effort, a need so overwhelming it is difficult to know where to start. Yet this is it, the beginning of that giant effort, this little building in the middle of nowhere, a place where the seeds of hope and healing and building have already been sown. Starting here, there is the prospect of success, the chance that a few people might actually make a big difference. This is the foot in the door; anything is possible from here. Knowing that an impact can be made in this one place is a catalyst for continuing the work; if you can change lives here, why not other clinics in the area? Why not hospitals in nearby Mombasa? Why not all over Kenya?

That is our goal. That is our inspiration. This is the Kokotoni Project. Welcome.

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