Abstract
In November 2010, I spent 3 weeks volunteering as a midwife in a community health and development centre, which will shortly be acquiring a maternity wing, in rural western Kenya. The aim of my trip was to identify and suggest areas for improvement at Osani Community Health and Development Centre (OCHDC), teach the community health workers, traditional birth attendants and local childbearing women, and encourage women to attend OCHDC. During my visit, I discovered many problems facing the community of Osani and the charities supporting OCHDC, including a limited number of skilled birth attendants, a lack of antenatal and postnatal care resulting in problems going undetected, scarce availability of resources and complications involved in transporting people to alternative health care facilities. The purpose of this reflective account is to convey these difficulties, alongside the highlights of my experience.
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