It is early Friday morning at Garissa Referral Hospital, the main COVID-19 vaccination centre in Garissa town, where infection rates have recently been increasing. In an open-air shelter, with a wooden roof to provide shade from the harsh sun, two masked health workers set up a cool box full of vaccine vials and syringes, and a laptop to register people coming for vaccination. There is a long bench for people to sit while waiting for their shots, but it is mostly empty.
It is a brutally hot, dry and dusty day in Garissa town, in the arid region of North-Eastern Kenya, when Kaha Hassan brings her one-year-old son Sudeys to Medina Health Centre. Two consecutive rains have failed in the region and only a few scrubby bushes and skinny animals have survived. Goats with visible ribcages roam the grounds of the health centre, searching for something to eat. The morning sun beats down on the sandy ground, drying it out even more.