All across Korogocho slums, access to functional health systems is not equitable or sustainable. Disparities have always existed, and have gotten worse over time. To access basic healthcare, many patients, especially those who live in slum areas, frequently must travel a great distance. When they arrive at a hospital they are only per- mitted to obtain medical attention if they pay for receive it. Inevitably, many patients may choose not to receive treatment because they are unable to pay for it, and those who do may find the expense prohibitive and the service’s scope severely con- strained.
The significant health issues and diagnoses in Korogocho, as well as the variations in those issues and diagnoses, demonstrate that environmental factors can have a significant impact on health status. In order to improve health status, environmental modifications are crucial. Due to the extremely high prevalence of respiratory ailments and gastrointestinal issues, Korogocho could benefit from changes in waste management, drinking water supply, and air pollution reduction more than from basic treatment.
VPM has been forced to cut down health services to outpatient now that the cost is too high. We offer treatment only during the day and close during the night. We also cannot afford to provide free medical camps. We sadly had to release one member of staff because we could not afford having two at the clinic.