Mary Muthoni, 33, had worked as an HIV testing counsellor at a health centre in Nairobi, Kenya, for five years when she heard the news. Last year, she was among more than twenty of her colleagues who were made redundant in a single week. She received no letter, no timeline and no answer to the question on everyone's lips: what happens next?
Her story depicts the situation across Kenya. Community health workers, the frontline of health care, found themselves out of work almost overnight when the United States froze most of its foreign aid in January 2025.
