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Kijabe, Kenya – At the bottom of a winding, tree-lined road, a crowd of patients spills out of the entrance of a private hospital waiting room on to a patio and a dirt parking lot.It begins to rain, and a man on crutches tries to hobble into the cramped building for cover.“They sent us to Agha Khan,” says Mutambuki, referring to the private Nairobi hospital that’s regarded as one of the nation’s finest. A quarter-century later, Kakuma hosts more than 150,000 refugees — victims of all manner of East African calamities, from Ugandan homophobia to political unrest in Burundi.“But we know we were not going to be able to afford that.” She fears time is running out to save her sister-in-law: “It’s a matter of life or death.” Two months ago Kenya’s public sector doctors walked out on strike, and millions of Kenyans who normally depend on them are beginning to overwhelm the nation’s private hospitals, particularly in rural areas. Presently, it is filling up once again with people fleeing civil war in South Sudan.They might seem like one big family, except for the fact that they’re all trying to escape. ” yells a young man named Nelson one afternoon, as a dozen housemates file out the door into a small concrete backyard.They stand in line and take turns throwing a ball toward a thin metal rim elevated high on a wooden pole.

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