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For two months I worked with a mobile health clinic that served Northern Kenyan residents with tuberculosis screening, HIV/AIDS testing and counseling and family planning.

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We tried convincing them on the importance of using family planning.

They do not want to be recognized as sex workers or convinced to use family planning because being recognized these are shameful things here.

By bad luck, someone must have recognized one of the nurses as a CHAT worker and word got around fast. Sadly, we had no other choice but to go back to our base.

Eventually a few recognized that they were unable to provide basic needs for their current children – food, clothing, school fees – and that to introduce more children to the family would bring increased hardship.

We made small inroads with the men and that led to larger inroads with the women, who were actually anxious to learn family planning methods. They have no freedom to choose what they want; they have to consult their husbands before making decisions and many even still believe traditional myths.