Covid-19 in Kenya: Global Health, Human Rights and the State in a Time of Pandemic

Lead Research Organisation: Cardiff University
Department Name: Cardiff School of Law and Politics

Abstract

Covid-19 is a decisive moment for political reform and social progress in Kenya, as in many other African states. The government response to date has mixed scientifically grounded public health interventions, on the one hand, with forthright coercion, on the other. Mass testing, social distancing, and the closure of public facilities, alongside a nationwide curfew, restrictions on movement in and out of, as well as within the cities of Nairobi and Mombasa. These decrees have been implemented by police and state paramilitaries using massive, indiscriminate and, in some cases, lethal force. Quarantine, imposed on new arrivals from abroad, has also been used as an ad hoc form of punishment for curfew violations. Restrictions have had a disproportionately severe economic impact on residents of already marginalized communities, unable to travel to work or procure adequate food for themselves and their dependents.

The crisis is testing the durability of Kenya's constitution of 2010 which re-established the republic as a democratic polity based on the rule of law and is taken as model for reform across Africa. The fruit of popular consultation, the constitution broke with decades of colonial and post-colonial authoritarianism and social exclusion. It embeds Kenya in the international human rights order, guaranteeing civil and social rights, and making them enforceable by individual citizens and civil society groups. These gains are far from secure, however. The dominance of a law and order mentality at all levels of government, routine deployment of unchecked police violence, corruption, and a reluctance to abide by court orders have persisted well beyond 2010.

The project asks whether the pandemic emergency has intensified these tendencies, or whether the new constitutional order will prove to be resilient. The research will take social rights implicated by the crisis (eg. health and access to food) as seriously as civil rights (eg. life and liberty), building on accepted international law that both are interdependent and ultimately indivisible. Consonant with the constitutional value of participation, it will work with community groups, policy makers, and civil society organizations to enable lessons to be learnt from the crisis on strengthening democratic and inclusive institutions and practices. The research will generate a legal and political record of the period by analysing and contextualizing legislative and judicial developments, and through qualitative and participatory research with affected citizens, officials, and professionals working in heath, law and nutrition.

The project privileges a reciprocal process of exchange and learning, with grassroots insights informing legal doctrinal work on the one hand, and the human rights capacity of communities being developed by engagement with scholars and practitioners, on the other. It will generate academic outputs in high quality law, political science and public health journals. A documentary film, co-produced with community journalists will create an accessible, widely shared record of experiences and attitudes to the crisis at different levels of Kenyan society. Through a responsive communication and engagement strategy, including dedicated briefings and webinars, it will disseminate findings to project partners and other key stakeholders enabling them to intervene in a robust and timely fashion to shape the political and legal landscape during and after COVID-19 in ways that favour human rights and human welfare.
 
Description African Population and Health Research Centre 
Organisation African Population and Health Research Center
Country Kenya 
Sector Academic/University 
PI Contribution I initiated and designed the overall shape of the project, bringing together the collaborating partners, and giving the project thematic focus on human rights and the state in Kenya during and after COVID-19. My collaboration with APHRC dates back to my visiting fellowship with them 2012-14.
Collaborator Contribution APHRC are partners in the research. Leading fieldwork on nutrition, human rights and COVID-19 in informal settlements in Nairobi. Leading management and design of project, with particular input of public health expertise.
Impact Project outputs and outcomes in progress
Start Year 2020
 
Description Katiba Institute 
Organisation The Katiba Institute
Country Kenya 
Sector Charity/Non Profit 
PI Contribution I initiated the network, based on my previous collaborations with Katiba (eg in research, and also in human rights teaching and law clinic work at Cardiff). And I designed the overall shape of the project, and the link with APHRC [see previous entry], and research questions.
Collaborator Contribution Katiba Institute is the leading research/ practice CSO on human rights law in East Africa. They are contributing a scholarly review of the imapct of COVID-19 measures on law and human rights in Kenya. And also a qualitative study of the experiences and attitudes of lawyers and policymakers to this period.
Impact Outputs and outcomes in progress.
Start Year 2020
 
Description "Vaccine Diplomacy and the Agency of African States: What Can We Learn from Kenya?." Mambo! Vol. XVIII (5), 2021 (Blog of IFRA - French Institute for Research in Africa) 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact The politics of access to vaccines against COVID-19 has been discussed in terms of vaccine nationalism and imperialism by the Global North. However, the implication of the pandemic on the ability of African states to act internally and externally to protect the health of their citizens has been obscured. In this blog, we share research findings which address that question with a particular focus on Kenya.
Year(s) Of Engagement Activity 2021
URL https://mambo.hypotheses.org/3158
 
Description 'How prepared is Kenya to roll out COVID-19 vaccines?' African Arguments (blog of the Royal African Society) (1000 words) https://africanarguments.org/2021/02/how-prepared-is-kenya-to-roll-out-covid-19-vaccines/ 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact This piece reviews the preparations made by Kenya for procurement, delivery and take up of vaccines. It framed this in terms of international and Kenyan human rights law, especially the right to health. It noted practical challenges (eg religious based vaccine scepticism) and structural obstacles (eg 'vaccine nationalism' in the global north).

The piece was widely retweeted and viewed. It led to a request for permission to translate into Danish [see next entry] and also an interview with the New York Times correspondent in East Africa, Mr Abdi Latif Dahir (not yet published).
Year(s) Of Engagement Activity 2021
 
Description 'Some Nations Could Wait Years for Covid Shots. That's Bad for Everyone', New York Times, 22nd March 2021 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact PDRA, Ngira, was interviewed by Abdi Latif, New York Times correspondent, for a lengthy piece on East African states' difficulties in procuring adequate vaccine supply. He is quoted directly in the piece.
Year(s) Of Engagement Activity 2021
URL https://www.nytimes.com/2021/03/22/world/africa/africa-vaccine-inequality-covid.html
 
Description BBC Radio Scotland - Good Morning Scotland Weekend Edition 12 June 2021 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact Harrington (PI) was interviewed in relation to the ability of African states to secure adequate supply of vaccines, with reference to the commitment made by G7 leaders at their summit in the UK massively to increase donations to the Third World. The interview addresses global intellectual property issues, and the growing intention of African states to meet their own needs.
Year(s) Of Engagement Activity 2021
URL https://www.bbc.co.uk/sounds/play/p09l9bkx
 
Description COVID and Human Rights in Nairobi - Three Digital Stories 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Short documentary made with participation of residents in informal settlements in Nairobi, by African Population and Health Research Centre
Year(s) Of Engagement Activity 2021
URL https://www.youtube.com/playlist?list=PLjRAZX_rZsW0lDf-Ull2Vcqpx13dLMc-J
 
Description COVID-19 & Human Rights: Perspectives and lived experiences with regard to government COVID-19 response measures in Kenya - 16th June 2021 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Led by Dr Elizabeth Kimani, APHRC, this workshop showcased project findings on the implications of the pandemic and official responses, for human right of access to food in Nairoibi's informal settlement.
Year(s) Of Engagement Activity 2021
 
Description COVID-19 & the Right to Food: Perspectives and lived experiences among vulnerable populations in Kenya - presentation to IUSSP Annual Conference - 8th December 2021 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Dr Elizabeth Kimani, APHRC, sharing project findings at conference of International Union for the Scientific Study of Population.
Year(s) Of Engagement Activity 2021
URL https://drive.google.com/file/d/1Zs_J-kBpLGHyunZm_OVj4F2IJzEEMZ97/view
 
Description COVID-19 Vaccine Safety and Compensation: The Case of Sputnik V 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact How effective is Kenya's system for regulating new medicines and compensating citizens who suffer side-effects from taking them? Since March 2021, Kenya has been using the AstraZeneca vaccine supplied through COVAX to inoculate its frontline workers and the older population. This is available to the public free of charge, according to a priority list drafted by the Ministry of Health (MOH). The Pharmacy and Poisons Board (PPB) also approved the importation of the Sputnik V vaccine from Russia, which was initially available through private health facilities only at a cost of KSh8,000 per jab, before the MOH banned it altogether. However, there were reports in the media that the vaccine continued to be administered secretary even after the ban.
Year(s) Of Engagement Activity 2021
URL https://www.theelephant.info/op-eds/2021/06/18/covid-19-vaccine-safety-and-compensation-the-case-of-...
 
Description COVID-19 in Nairobi: Police Brutality, Access to Medicines, Demolitions, Effect on Small Businesses - Five Short Documentaries 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Documentaries developed and produced by project partners Tazama Africa, a community journalism initiative in Nairobi.
Year(s) Of Engagement Activity 2021
URL https://www.youtube.com/playlist?list=PLjRAZX_rZsW11zsoWfoc8ZlEI_90AM3F5
 
Description Covid-19 and the Rule of Law in Kenya - 23rd June 2021 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact An Assessment of the Resilience of Constitutional and Human Rights Imperatives against the Government's Response to Covid-19. Workshop led by Ruth Nyaberi and Christine Nkonge of the Katiba Institute, Nairoibi.
Year(s) Of Engagement Activity 2021
URL https://static1.squarespace.com/static/58e3a760e58c623a90cf18c6/t/60e6bd83b0852528b5c19120/162573453...
 
Description Hvor forberedt er Kenya på at udrulle Covid-19-vacciner? [Danish translation of 'How prepared is Kenya to roll out COVID-19 vaccines?'] published in Globalnyt [Danish development assistance blog] https://globalnyt.dk/content/hvor-forberedt-er-kenya-paa-udrulle-covid-19-vacciner 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Permission to translate the African Arguments blog [as per previous reference] was sought by the editor of Globalynyt Mr Gerd Kieffer. The blog is read by development professionals, scholars and policymakers in Denmark.
Year(s) Of Engagement Activity 2021
 
Description Vaccine Diplomacy and COVID-19 in Kenya - 29th June 2021 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Presented by Professor John Harrington and Dr David Ngira of Cardiff Law and Global Justice, with responses from Dr L Muthoni Wanyeki, Africa Regional Director, Open Society Foundation, and Dr Mercy Kaburu, United States International University. It addressed the successes and challenges of Kenya's 'vaccine diplomacy' during COVID-19, looking to draw lessons for future foreign policy in health and more generally.
Year(s) Of Engagement Activity 2021
URL https://www.lawandglobaljustice.com/new-events/2021/6/29/vaccine-diplomacy-and-covid-19-in-kenya