November 2008 East Africa Partnership Los Ranchos Presbytery (Southern California)& Limuru Presbytery (Kenya) Medical Humanitarian Relief Project Also, orphanage development program

1. The Presbytery of Los Ranchos The Presbytery of Limuru East Africa Partnership Project Medical Humanitarian Relief 31 October – 16 November 2008 Hoag Memorial Hospital Presbyterian Kenya USA

2. Project Members 15 - Southern California 13 – Limuru, Kenya Medical, Pastoral and Operations Members Divided Into Three Groups Blue, Green and Yellow Team Usually Assigned To Different Dispensaries At Different Locations Throughout Limuru Presbytery In Southern Kenya This is a Yellow Team perspective

3. Southern California Team Members Filler Dr. Colette Cozean Geneva Presbyterian Church Alison Yamaguchi Pediatric Physical Therapy Grace Presbyterian Church Dr. Annu Sharma Pediatric Physician Dash Cotter Occupational Therapist Jesse Cozean Geneva Presbyterian Church Dr. Jeff McCrory Pastor Geneva Presbyterian Church Myong Rose Registered Nurse Jennifer Okamura Clinical Pharmacist Sharon Silva Registered Dietitian Angie Howell Registered Nurse Mary Palmer Respiratory Therapist Saint Andrews Presbyterian Church Anne Sivley Yorba Linda Presbyterian Church Nicole Vasquez Physical Therapist Terry Belcher Microbiology/Laboratory Paul Arndt

4. Kenyan Partner Team Members Rev. Charles Karanja Moderator, Limuru Presbytery Peter K. Kamweru Partnership Coordinator Duncan Kinuthia Registered Nurse Frida Kool Registered Nurse Patrick Kahara Kuria Ophthalmologist Nahashon K. Mbiu Health Coordinator, Limuru Presbytery Grace Muthoni Mbugua Nurse Rev. John Mbae Muraga Parish Minister Joseph Muiga Mwariri Pharmacist Agnes Nkaribali Registered Nurse Doris Riungu Registered Nurse Amos Thuranira Laboratory Technician Dominic Wairegi Registered Nurse Transportation: Crombic Tours Safaris Drivers and Vehicles

5. Visiting The Limuru Presbytery Orphanages

11. Playing Soccer At Orphanage

12. Wearing Best Dresses For Visitors

13. Eating Ugali With Girls At Orphanage

14. New Boys Orphanage

18. Preparing To Deploy From Brackenhurst Missionary Center

23. Work Days In Dispensaries

25. Preparing To Treat Patients

26. Admissions Chaos

28. Pharmacy Set-up

29. Electrical Power …… Bring Your Own

30. Young Mother

32. Overload …. All Day

33. Blessed To Serve …. Happy To Receive

34. Yellow Team In Narok

35. Dispensary In A Church

36. Pharmacy Set-up

37. Taa Daaah! Lab!!! Note the electrical power cord!! Generator That-a-way

38. Admissions

39. Pharmacy Helper

44. Some Need To Be Referred To Regional Hospitals

45. Angie At Work

46. Making Lunch

47. Hey!! No Hands!!!

50. Team In Transit

51. Local kids offer assistance through the door window

52. Can’t Get To Everyone

53. Epileptic Seizure

54. Group Physical Therapy

57. People Waiting

58. Pack It Up And Do It Again

59. They Appear From The Maasai Mara

60. Work Off The Ground

61. Not A Lot Of Privacy!!!

63. Frida Figuring Out Who Is Next

67. Pharmacy On The Ground

68. 75 More ….. One Hour To Dark

71. They Return To The Maasai Mara

72. Today, We Have A Table

76. Dr. Cozean With Grace and Owen

77. We Treat God Heals

80. There Will Be Mud!!!

81. Often, No Road Just Accelerate Across The Plain In The End, All Get Stuck

82. Who Needs 24 Hour Fitness?

83. All Of Our 4X4 Vehicles Stuck In The Mud

84. If You Go Off Of Track, You May Drop In Sink Holes If You Stay On Track, You Will Get Stuck

85. I’d Love To Be On The Newport Freeway At 5pm

86. Frank … Good Guy….. Working In Africa Since 1979 Presbyterian Missionary

87. Stuck In This Bog For 5 Hours

88. Working From Bog To Bog

89. Main Tool Is A Machete

92. Women Carry The Water

93. Two Non-work Days Maasai Mara Reserve & Then On To Amboseli National Park ……… . By DC-3

95. Snooze Before Dinner

99. Africa Inland Mission (AIM) … Nice People

101. Curt … Good Guy….. AIM Pilot Working In Africa Since 1985

102. Tim … Good Guy….. AIM Pilot Working In Africa Since 1985

103. Jim … Good Guy….. AIM Pilot Working In Africa Since 1985

110. They’re kinda hoggin’ the water!!

118. Zebras And Wildebeest Migrate Together

120. Stragglers Become Dinner For Predators

122. The baby rides upside down holding on to Momma’s underside.

123. Come On In!!! The Marsh Mud Feels Great Between Your Toes!!! And The Grass Just Floats Up To Your Nose

125. The Way Nature Works The Hunter And The Hunted

129. Vultures & Hyenas Eat Well!!!

130. Attending Limuru Presbytery Church Services

138. Regional Medical Contacts

139. Meeting With Local Government Health Officials To Discuss Cooperation And Issues

140. Women’s Ward At Regional Hospital

141. This Is It

143. Regional Hospital Ambulance Fleet

144. Hot Water Severe Burn Injuries

146. Hospital Gift Shop And Family Accommodations

147. Things You See

148. Cows Heading Home At Dusk

149. Nairobi And Kenya National Newspapers On 4 November Before Polls Have Opened In The US

153. The Great Rift Valley

154. Cheap Thrills

157. We Asked This Rat To Leave The Dispensary

158. One Person Taxis

161. Local Missionary Children

162. Elder Maasi Greetings

163. Rest Stop

165. Dorm At Acacia Grove Mission

167. Corral For Livestock

168. Toilet

169. Nice Toilet

170. Typical

171. Walls Made From Woven Sticks Filled With Mud and Cow Dung

172. Morning Devotional

173. Tight Ride

174. Roadside Shops And Houses

176. Fresh Water Supply Rain Gutter Tank

177. Tents Were The Best

180. Kenya/Tanzania Border Marker

183. East Africa Project November 2008 Over 3,000 people treated Over $250,000 in medicine distributed A Humanitarian Cooperation

185. Nahashon Mbiu, Our Guide, Planner and Coordinator Working Hard …. Staying Connected

187. Republic of Kenya Background Gained independence from the UK in 1963 following the Mau Mau Uprising (1952-1960) Government type: Republic; unicameral National Assembly or Bunge (224 seats; 210 members elected by popular vote to serve five-year terms Current power sharing leadership: President Mwai Kibaki and Prime Minister Raila Odinga Area: 582,650 sq km or a little more than twice the size of Nevada Coastline: 536 km Climate: Varies from tropical along coast to arid in interior Population: 37,953,840 Ethnic groups: Kikuyu 22%, Luhya 14%, Luo 13%, Kalenjin 12%, Kamba 11%, Kisii 6%, Meru 6%, other African 15%, non-African (Asian, European, and Arab) 1% Religions: Protestant 45%, Roman Catholic 33%, Muslim 10%, indigenous beliefs 10%, other 2% Languages: English (official), Kiswahili (official), numerous indigenous languages Literacy: definition: age 15 and over can read and write; total population: 85.1%, male: 90.6%, female: 79.7% Economy - overview: The regional hub for trade and finance in East Africa, Kenya has been hampered by corruption and by reliance upon several primary goods whose prices have remained low. GDP (purchasing power parity): $61.22 billion (2007 est.) GDP - real growth rate: 7% (2007 est.) GDP - per capita (PPP): $1,700 (2007 est.) GDP - composition by sector: agriculture: 23.8%, industry: 16.7%, services: 59.5% (2007 est.) Labor force: 11.85 million (2005 est.) Life expectancy at birth: total population: 56.64 years; male: 56.42 years; female: 56.87 years (2008 est.) HIV/AIDS Adult prevalence rate: 6.7% (2003 est.) People living with HIV/AIDS: 1.2 million (2003 est.) HIV/AIDS deaths: 150,000 (2003 est.) Major infectious diseases: degree of risk: high Food or waterborne diseases: bacterial and protozoal diarrhea, hepatitis A, and typhoid fever Vectorborne disease: malaria Water contact disease: schistosomiasis (2008) (Source: CIA World Factbook last updated 12/18/2008)