For decades, residents like Mary Nyawira, 42, a resident of Kagio town, had to carry a 32-page exercise book containing her medical history every time she sought medical services at Kerugoya Level IV hospital.
As was the case for millions of other patients in Kirinyaga County and some other parts of Kenya, the exercise book was the only existing record of her history. It carried prescriptions and doctors' notes from one facility to the next.