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Top Twitter Users Lose Followers After Policy Change

Special Correspondent - July 13, 2018

Twitter Inc policy change to increase the service’s credibility cost its 100 most popular users about 2 per cent of their followers, on average,...

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In the bustling Tushauriane area of Kayole, Embakasi, St. Patrick’s hospital is like an oasis in a desert. The level four hospital attends to thousands of patients in the densely populated Eastlands area. For the last 13 years, Ann Maina, the director and founder of the facility, has aspired to provide only the highest quality of care. Although the facility is widely known for its efficient services, it stands out when it comes to maternity care. From the onset, maternity care has always been dear to Mrs. Maina, a nurse. This was cemented into her heart after coming across debilitating and nerve-wracking experiences when she worked as a nurse in one of the local government hospitals. “The experience really left a bad taste in my mouth. I remember one time working in the maternity department, I witnessed nurses beating up an expectant mother in the delivery room. It was a heartbreaking moment for me and I really didn’t want to be part of that,” she recalls. Early in her career, she says she knew there was a way that mothers could deliver babies in a conducive environment, while receiving the best of care. “I felt that mothers should not suffer.” This prompted her to start a maternity home in her rented one-bedroom house, where she could afford mothers the best care she envisaged. For a start, she had a blood pressure monitoring machine, an examination bed and a drug cabinet. Her plan worked. Within a short time, more mothers visited her house, ready to deliver. “At one point, I had three expectant mothers coming to my house seeking assistance as they were ready for delivery. I handled them expertly. As others waited on the couch, I took in the first mother and she had a safe delivery. Within a short time, I ushered the rest into the delivery room and everything went well,” she shares. After making porridge for them, she discharged them after four hours. “Mothers need respect when giving birth. They need to be handled well.” With a vision, she realized that she was meeting a critical need in her society. Having tested the waters, she knew what needed to be done. “My patients needed to sleep on white sheets and pillows and once they have delivered, they need to be wheeled to their beds, be supported together with their babies, with lots of respect,” Naturally, expansion was in her mind, but there was a big problem; she had no money to expand. “I wanted to expand, but banks couldn’t give me money. Luckily, I had a Merry Go Round Chama that gave me some cash to expand.” Even with the cash injection from her Chama, she quickly found out that she couldn’t do more, especially when it comes to equipping a maternity unit. Seeing the potential of her dream, she decided to make a leap of faith and sold her house. With the proceeds, she then bought land and built structures at the current location. “I build the outpatients and the maternity section before the money ran out.” Despite the meager resources, Ann was motivated to keep going. At that point when she was starting out, she says she drew her motivation from the then president, Mwai Kibaki whose rallying call was to create over 500 000 jobs every year. “ I felt like the former president was talking to me directly, asking me to create jobs. With that I just went out and hired my first batch of professionals, including nurses, clinicians and doctors to help me run the show.” She remembers that the government of the day had made the business environment conducive, enabling businesses to make money. “Money became available to businesses through affordable bank loans”. What followed was a growth spurt that saw the business grow exponentially. Since its inception in 2012, St Patrick’s Hospital has become a household name in Kayole and environs. So phenomenal has been the growth that it has spawned a new branch. “As part of our expansion, we were able to buy land in Kenol, Muranga county and build and equip a fully fledged hospital, serving many people in the environs.” Mrs Maina attributes the hospitals' growth to sheer hard-work and determination. She appreciastes the fact that her husband joined and supported her to run the facility. “He could help from day one when I had to rush a patient to another facility in an ambulance. He was also instrumental in designing and building our facility.” Firstly, she says the hospital obtained favor from the locals, who patronized it. Secondly, the partnership with SafeCare, an international quality assurance and standards organization was a game changer. Once they joined SafeCare in 2012, Mrs Maina and her team were signed up for business and quality management training to improve their skills. The first step is assessment, which was an eye-opener for Mrs Maina. SafeCare found out that Ann and her team were not running the facility the right way. “We had no administration office, no systems. SafeCare helped them isolate the gaps and set in motion interventions in a bid to improve themselves. With this, they were able to streamline their record keeping, have audited accounts and a digitalized patient history. Next to identifying gaps, SafeCare provided St. Patrick’s hospital with practical tools, solutions and technical support, including access to finance. After the SafeCare intervention, Mrs Maina says her facility was able to obtain the first loan from Medical Credit Fund under the PharmAccess umbrella. It’s this experience that opened the doors for her to get credit from other institutions. She says that the impact of SafeCare was felt almost instantaneously. Shortly afterward, her facility was able to attract all the big insurers, as well as NHIF, a move that brought in many patients. “When the National Hospital Insurance Fund (NHIF) used to visit us for an evaluation, we never knew what they were looking for, and we didn’t know how to improve. After we started SafeCare and the NHIF visited us again, it was a whole new story’’. St. Patrick became NHIF accredited, ensuring a bigger client and income flow. Patient visits have risen from almost 600 to more than 2000 a month, especially now that they have also managed to contract corporate clients and private medical insurance companies. There’s no doubt that SafeCare has helped Ann to reposition her facility and increase its market value. Safecare also helped Ann and her team to mitigate risks in the workplace, especially by embracing handwashing and separating waste in color-coded bins. For Ann, running the hospital is not just a passionate endeavor, but one that should impact society. This explains why her facility hosts health campaigns to educate the community about hygiene. Safecare has certified the facility as a Level 4 but Mrs Maina is eager to go for the highest certification as well as be ISO-certified. “We have come a long way, and we are going far. Our aim now is to continue offering the highest quality of care to all patients, with dignity and respect.”

St Patrick’s hospital: An oasis of quality care

November 27, 2025

Meet Teresia, a resilient woman from Kiamuringa village in Gachoka location, Embu County who has defied adversity to secure a brighter future for her family. With five children to care for, Teresia took on the role of the family's sole provider, juggling various income streams from poultry and miraa farming to brick manufacturing. Her determination knew no bounds as she aspired to become a landlady in her community. In Kiamuringa, a semi-arid region, clean water was once a distant dream. Villagers had to trek two kilometers in search of boreholes, which often ran dry. To ensure her children's access to water, Teresia's young ones would wake up at 4 am daily to avoid the long queues, forcing Teresia's children to rise before dawn, braving long queues, their education hanging by a thread. Moreover, the exposed boreholes posed health risks due to waterborne diseases. Frustrated by this situation, Teresia turned to BIMAS microfinance. She had been a loyal member for years, securing loans to nurture her miraa, poultry, and brick businesses. She recognized that hens, miraa, and brickmaking all demanded copious amounts of water for success. In January 2021, a ray of hope emerged as Teresia learnt that BIMAS was offering financing for water tanks to its customers. She seized this opportunity and secured a Ksh 27,000 loan to purchase and install a 4,000-liter water tank in her home. Additionally, BIMAS assisted her in acquiring a water pump worth Ksh 50,000. These investments proved to be game-changers, allowing her to operate her businesses seamlessly even during dry seasons. Today, Teresia's life has undergone an admirable transformation. She is not only a content mother but also a generous neighbor who shares her reservoir's abundance with the community. Her children's education has significantly improved as they can now focus on their studies without the burden of water-fetching. Furthermore, access to clean water has enhanced their health and overall well-being. Teresia's entrepreneurial spirit has thrived with BIMAS's support, leading to the establishment of a rental business on her property. Her success story is a proof to how access to clean water can unlock opportunities and improve lives. With a radiant smile, she expresses her gratitude, saying, "BIMAS has brought joy into my life, and I am delighted to see my neighbors benefit as well. I eagerly look forward to securing financing for another 6,000-liter water tank for my rental premises." Teresia's journey to water prosperity is an inspiration to us all.

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As global carbon markets shift from rule‑setting to real transactions, with Article 6 mechanisms advancing and compliance‑driven demand such as CORSIA coming into sharper focus, attention is turning to where credible supply and policy certainty can be delivered at scale. For Africa, this marks a transition from carbon market readiness to delivery. Against this backdrop, the Carbon Markets Africa Summit (CMAS) 2026 will take place from 13–15 October 2026 in Kigali, Rwanda, bringing together policymakers, investors, buyers, project developers and market enablers at a pivotal moment for global carbon markets. The Summit is delivered with the support of the Ministry of Environment of Rwanda, in partnership with the United Nations Development Programme (UNDP), the African Development Bank (AfDB), the Development Bank of Southern Africa (DBSA) and AUDA‑NEPAD, and with support from private sector partners such as SGS and Anthesis. Rwanda has emerged as one of Africa’s most advanced carbon market jurisdictions, with active engagement under Article 6 of the Paris Agreement and a strong focus on mobilising climate finance. “Rwanda has made a deliberate choice to position carbon markets as a tool for climate action, investment mobilisation and long-term development,” said Dr. Bernadette Arakwiye, Minister of Environment, Rwanda. “Hosting CMAS 2026 reflects our commitment to building credible and investable carbon projects that deliver real value for our economy, communities and climate goals.” At a continental level, carbon markets are increasingly seen as a strategic financing mechanism for development. “The Summit provides a timely platform for African countries to shape the future of carbon markets in line with the continent’s development priorities, and reflects the growing momentum to build credible, high-integrity markets that deliver real value”, said Olufunso Somorin, Regional Principal Officer, Climate Change and Green Growth Programme, African Development Bank. “The Bank remains committed to working with our countries and partners to strengthen the policy, regulatory, and institutional frameworks needed to scale carbon markets, attract investments, and ensure Africa is well-positioned in global carbon markets.” “As Africa transitions to a low‑carbon economy, the mobilisation of private capital is needed at scale to support climate mitigation activities and build climate‑resilient infrastructure,” said Kumesh Naidoo, Carbon Markets Lead at the Development Bank of Southern Africa (DBSA). “As a regional DFI, the DBSA recognises the importance of carbon markets as a climate finance tool and has intentionally stepped forward to support their development through carbon financial instruments, capacitation support and the building of a robust carbon project pipeline. Partnering with CMAS 2026 provides the DBSA with a platform to advance these objectives.” CMAS 2026 is held under the theme: “Africa’s Carbon Markets on the Global Stage: Delivering a Strong Pipeline of Projects, Capital and Transactions at Scale”. As scrutiny on carbon market integrity intensifies, Africa’s carbon assets are increasingly viewed as tools for financing development and strengthening economic sovereignty. “High‑quality carbon markets offer Africa a unique opportunity to translate its vast natural capital into tangible economic value – mobilising finance at scale while empowering countries to pursue development pathways that are both sustainable and sovereign,” said Maxwell Gomera, UNDP Resident Representative in South Africa and Director of the Africa Sustainable Finance Hub. Designed as a market‑enabling platform, CMAS 2026 focuses on alignment between policy, capital and delivery. “We are deliberately shifting the focus from readiness to delivery,” said Emmanuelle Nicholls, Group Director: Green Economy at VUKA Group, the Summit organisers. “CMAS brings policy, capital and projects into the same space to support real transactions and long‑term market credibility.” The programme includes Article 6 and CORSIA workshops, investor and buyer roundtables, curated project presentations, deal rooms and solution‑labs addressing key bottlenecks such as early‑stage finance, MRV capacity and authorisation in practice. Ministerial roundtable and targeted networking formats support coordination and commercial outcomes. Register: https://apo-opa.co/49Kcmpy Get involved: https://apo-opa.co/3R8m6DR

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Top Twitter Users Lose Followers After Policy Change

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