
How Teaching in Kenya Changed My Career Path
"Sarah spent three months teaching at Ombogu Primary School and returned home with a new purpose in life."
Sarah Mitchell
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"Rachel set up a maternal health clinic in a village that had never had formal healthcare access."
In my seven years as an ICU nurse in London, I'd seen the best of modern medicine — cutting-edge technology, specialist teams, and resources that most of the world can only dream of. I volunteered in rural Kenya because I wanted to understand healthcare without any of those advantages. What I found was both heartbreaking and deeply inspiring.
The village of Nyamira in Siaya County had no clinic, no pharmacy, and no trained healthcare workers. The nearest hospital was a three-hour walk away — a journey that pregnant women in labor sometimes didn't survive. My mission was to establish a basic maternal health clinic and train community health workers to sustain it after I left.
The first month was spent building relationships. Healthcare in rural Kenya is deeply intertwined with traditional beliefs, and I quickly learned that showing up with medical supplies and good intentions wasn't enough. I needed the trust of the village elders and the traditional birth attendants who had been delivering babies for decades.
"You want to help? Then listen first," said Mama Atieno, the village's most respected birth attendant. So I listened. I learned about the herbal remedies they used, the birthing practices they trusted, and the fears they had about Western medicine. Only then could we find common ground and build a clinic that honored both traditions.
We set up the clinic in a renovated community building, equipped with basic supplies: a delivery bed, essential medications, blood pressure monitors, and a solar-powered refrigerator for vaccine storage. I trained eight community health workers in prenatal care, safe delivery assistance, newborn assessment, and danger sign recognition.
The first baby delivered in the clinic was a girl. Her mother, Agnes, had walked an hour in early labor to reach us. When the baby arrived healthy and screaming, the entire room erupted in ululation — a Kenyan celebration cry that still gives me goosebumps. Agnes named her daughter Rachel, after me. I've never received a greater honor.
In three months, we provided prenatal care to forty-seven women, delivered twelve babies safely, and trained health workers who continue to run the clinic today. I still receive WhatsApp photos of baby Rachel — she's walking now and apparently very bossy. The experience didn't just change my career trajectory; it changed my understanding of what healthcare really means. It's not about machines and medications. It's about showing up, listening, and doing what you can with what you have.

"Sarah spent three months teaching at Ombogu Primary School and returned home with a new purpose in life."
Sarah Mitchell

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