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From Condemned Walls to a Beacon of Hope: The Story of Marakusi Health Facility



Photo Credit: Kristine Yakhama

Health is a right

There was a time when Marakusi health facility stood like a tired old tree in the middle of a storm—weather-beaten, fragile, and abandoned by hope. Its walls were cracked like dry earth in a prolonged drought, its roof sagging as though it carried the weight of forgotten promises. The windows stared blankly, like hollow eyes that had seen too much suffering and too little care.

When the public health officer finally condemned it, the verdict was not a surprise—it was a confirmation of what the community had silently endured for years. Mothers labored in fear, children cried in spaces that smelled of neglect, and the sick waited on benches that creaked like they might give way at any moment. It was not just a building that had failed; it was a system that had turned its back on its people.

But as the proverb says, “However long the night, the dawn will break.” I refused to let Marakusi remain a symbol of despair.

My advocacy journey began not in an office, but in the dust and pain of lived experience. I had seen too much. I had listened to too many stories of loss—stories that clung to the heart like burrs on clothing. A mother who lost her baby because the facility had no proper delivery room. An elderly man who walked miles only to find no services. A young child treated under conditions that would make even the strongest stomach churn.

Each story was like a spark, and together they lit a fire within me.

I knew that change would not come knocking politely. As another proverb reminds us, “The child who is not embraced by the village will burn it down to feel its warmth.” I chose not to burn anything, but I was determined to make enough noise that the silence around Marakusi could no longer be ignored.

I began by rallying the Members of the Kakamega MNCH Alliance. Advocacy, I knew, is like pushing a heavy boulder uphill—you strain, you slip, and sometimes you feel like giving up. But together, we could move mountains.

We held meetings under the shade of old mango trees, in churches, and even in small village halls, where hope flickered like a candle in the wind. Mothers, youth, and elders all shared their experiences, painting a picture of suffering and neglect that could not be ignored.

I listened deeply, because “Wisdom is like a baobab tree; no one individual can embrace it.” Their stories became the roots of our advocacy. Together, we documented the conditions, gathered testimonies, and transformed whispers of concern into a chorus demanding action.

The breakthrough came when I led a delegation of MNCH Alliance members to meet the Deputy Governor of Kakamega County. We arrived with evidence, stories, and a determination as firm as the iron bars of a prison gate.

Sitting across the table from him, I could feel the weight of the community’s expectations. Every mother’s tear, every child’s cry, every patient’s struggle was in the room with us. I spoke clearly and passionately, sharing the condemned state of Marakusi health facility, its impact on maternal and child health, and the urgent need for intervention.

The Deputy Governor listened intently, his eyes reflecting both concern and responsibility. As the proverb goes, “Even the best cooking pot will not produce food.” Words alone were not enough—he had the authority and resources to act.

And act he did. That meeting became the turning point. With his support, plans for the construction of a new, fully equipped Marakusi health facility were approved. It felt like rain after a long drought—life-giving, refreshing, and full of promise.

Before the breakthrough, resistance was strong. Some officials argued that funds were limited; others dismissed the facility’s needs as secondary. At times, it felt like shouting into a vast canyon—our voices echoed back, but no one seemed to listen.

Yet the proverb reminds us, “Little by little, the bird builds its nest.” Persistence, combined with collective action, slowly started to break down the walls of resistance. Data met stories, evidence met emotion, and the condemned state of the facility could no longer be ignored.

Even in moments of doubt, when bureaucracy seemed impenetrable, I remembered the faces of those we were advocating for—the mothers, the children, the elderly. Their stories became the fuel that kept our advocacy fire burning.

Watching the construction begin was like witnessing a miracle unfold brick by brick. Where there had once been decay, there was now movement and life. The sound of hammers and machinery replaced the silence of neglect.

The new structure rose steadily, strong and proud, like a young tree reaching for the sky. It was more than just a building—it was a symbol of resilience, of what is possible when people refuse to accept the unacceptable.

The community watched with hope in their eyes. Children pointed and smiled. Mothers spoke of safer deliveries. Health workers looked forward to a space where they could truly serve. As the proverb goes, “When spider webs unite, they can tie up a lion.” Our collective effort had achieved what once seemed impossible.

Today, Marakusi health facility stands not as a reminder of failure, but as a beacon of hope.

Mothers now walk in with confidence instead of fear. Children are treated in clean, safe environments. Health workers perform their duties with dignity. The ripple effect is felt across the community—improved health outcomes, restored trust, and renewed belief in the power of advocacy.

But the story does not end here. Advocacy is a continuous journey. There are still gaps to be filled, services to be improved, and voices to be heard.

This journey has taught me that:

Persistence is powerful. Like water shaping stone, consistent effort can overcome even the hardest barriers.

Community is key. Real change happens when people come together with a shared vision.

Stories matter. Data informs, but stories move hearts and inspire action.

Leadership requires courage. Speaking up is not always easy, but it is always necessary.

Above all, I learned that “If you want to go fast, go alone. If you want to go far, go together.”

The story of Marakusi is not just my story—it is a testament to what is possible when advocacy is rooted in truth, driven by passion, and sustained by community.

There are many more Marakusi out there—facilities that are struggling, communities that are waiting, voices that are unheard. Let this story be a reminder that change is possible. That even the most neglected places can rise again. That one voice, when joined by many, can become a force that cannot be ignored.

Because in the end, “Rain does not fall on one roof alone.” The responsibility to build stronger, healthier communities belongs to all of us.

Marakusi now stands tall, a beacon of hope, and a testament to the power of advocacy, leadership, and collective action. And it all began with a condemned building, a delegation of determined people, and a Deputy Governor willing to act.

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