One peaceful night in 2002 while in form two at St Georges High School in Nairobi, Ruth Makena Mugaa woke up to a painfully dislocated arm. So painful was the arm that she was rushed to Nairobi Hospital in the middle of the night where she was injected with a strong pain killer, pethidine, to relieve the pain and later the shoulder was snapped in to its position.
"I could not tell how it came about because l was alright the whole of that day and also that evening as l went to bed," she recalls. Some doctors thought the problem was caused by a weaker shoulder ligament.