Pentecostal intimacies: women and intimate citizenship in the ministry of repentance and holiness in Kenya

This article explores the intersections of gender, sexuality and citizenship in the context of one prominent neo-Pentecostal movement in Kenya, the Ministry of Repentance and Holiness (MRH) led by the charismatic Prophet David Owuor. Employing the concept of intimate citizenship, the article analyses, first, how MRH engages in a contestation of intimate citizenship in the contemporary Kenyan public sphere, especially in relation to women’s bodies. Second, it examines how MRH simultaneously configures, through a range of highly intimate beliefs, practices and techniques, an alternative form of intimate citizenship defined by moral purity and concerned with a political project of moral regeneration. Coining the notion of ‘Pentecostal intimacies’, the article provides insight into the reasons why so many people, especially women, are attracted to MRH, and hence it interrogates the liberal frame in which intimate citizenship is usually conceptualised

Circumventing 'free care' and 'shouting louder':Using a health systems approach to study eye health system sustainability in government & mission facilities of north-west Tanzania.

BACKGROUND: Little is known about the contributions of faith-based organisations (FBOs) to health systems in Africa. In the specialist area of eye health, international and domestic Christian FBOs have been important contributors as service providers and donors, but they are also commonly critiqued as having developed eye health systems parallel to government structures which are unsustainable. METHODS: In this study, we use a health systems approach (quarterly interviews, a participatory sustainability analysis exercise and a social network analysis) to describe the strategies used by eye care practitioners in four hospitals of north-west Tanzania to navigate the government, church mission and donor rules that govern eye services delivery there. RESULTS: Practitioners in this region felt eye care was systemically neglected by government and therefore was 'all under the NGOs', but support from international donors was also precarious. Practitioners therefore adopted four main strategies to improve the sustainability of their services: (1) maintain 'sustainability funds' to retain financial autonomy over income; (2) avoid granting government user fee exemptions to elderly patients who are the majority of service users; (3) expand or contract outreach services as financial circumstances change; and (4) access peer support for problem-solving and advocacy. Mission-based eye teams had greater freedom to increase their income from user fees by not implementing government policies for 'free care'. Teams in all hospitals, however, found similar strategies to manage their programmes even when their management structures were unique, suggesting the importance of informal rules shared through a peer network in governing eye care in this pluralistic health system. CONCLUSIONS: Health systems research can generate new evidence on the social dynamics that cross public and private sectors within a local health system. In this area of Tanzania, Christian FBOs' investments are important, not only in terms of the population health outcomes achieved by teams they support, but also in the diversity of organisational models they contribute to in the wider eye health system, which facilitates innovation

Survival into sixth decade of untreated pulmonary atresia with ventricular septal defect and major aorto-pulmonary collaterals: a magnetic resonance imaging study.

A 56-year-old male with a history of untreated pulmonary atresia with ventricular septal defect diagnosed during childhood was referred to our institution for congestive heart failure. We describe the MR imaging findings that documented the presence of multiple aorto-pulmonary collaterals arising from the abdominal aorta and from the internal mammary artery supplying both pulmonary arteries. This is the oldest known surviving case documented in medical literature