ipsnews.net - Kenya Can Lead the Way to Universal Health Care in Africa Siddharth Chatterjee is the UN Resident Coordinator to Kenya.

NAIROBI, Jan 16 2017 (IPS) - Consider this: every year, nearly one million Kenyans are pushed below the poverty line as a result of unaffordable health care expenses.

For many Kenyan families, the cost of health care is as distressing as the onset of illness and access to treatment. A majority of the population at risk can hardly afford the costs associated with basic health care and when faced with life threatening conditions, it is a double tragedy-inability to access health care and lack of resources to pay for the services.

According to the World Health Organisation, a large percentage of poor households in Kenya cannot afford health care without serious financial constraints as most are dependent on out of pocket payments to pay for services. Nearly four out of every five Kenyans have no access to medical insurance, thus a large part of the population is excluded from quality health care services.

Every day, an average of 16 women in Uganda die avoidable deaths during childbirth. And while neighboring Rwanda has decreased similar incidents, Uganda continues to struggle even as it promises free health services to citizens. Resources, salaries and staff training are in short supply, and even without user fees for health services patients are expected to pay out-of-pocket for some services--and are denied or delayed when they can't. It's a recipe that has led to many of the preventable deaths--deaths of infants and mothers that could have been avoided with prompt maternal care. The tragic deaths of two expectant mothers, Sylvia Nalubowa and Jennifer Anguko, are spurring calls for the Ugandan government to take responsibility--and to change the system to ensure meaningful rights to health care for all.

Respecting women's rights as well as the country's constitution and international agreements, the Centre for health, Human Rights and Development argues, includes the right to necessary maternal care.

Click through to follow the progress of this case through Ugandan courts.

venturesafrica.com - When Sylvia Nalubowa went into labour in Uganda’s Mityana district in August 2009, she was taken to a local health centre where she expected to have a normal birth, supervised by a midwife.

After she had delivered her first baby the midwife realised there was a twin on the way. The midwife recommended that Nalubowa be taken to the district hospital where a doctor could handle the second delivery.

But when she arrived at the Mityana District Hospital in Central Uganda, the nurses asked for her maternity kit. This is commonly known as a “mama kit” and contains a plastic sheet, razor blades, cotton wool or gauze pad, soap, gloves, cord ties, and a child health card. All mothers delivering babies in Ugandan hospitals and clinics are expected to bring their own “mama kits” when they go into labour.

But Nalubowa had used her “mama kit” at the first health facility when delivering her first child. The nurses would hear none of her excuses and demanded money to purchase the kit before they could attend to her.

Read more here.