Kapsowar
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Kapsowar is a Town in
Elgeyo-Marakwet County Elgeyo-Marakwet County is one of Kenya's 47 counties. Elgeyo Marakwet County is located in the former Rift Valley Province. Its capital and largest town is Iten. It borders the counties of West Pokot to the north, Baringo County to the east, so ...
, Kenya. Prior to March 2013, it was located in the former
Rift Valley Province Rift Valley Province ( sw, Mkoa wa Bonde la Ufa) of Kenya, bordering Uganda, was one of Kenya's eight provinces, before the Kenyan general election, 2013. Rift Valley Province was the largest and one of the most economically important provinces i ...
. In 1994, Kapsowar became the headquarters of the former
Marakwet District Marakwet District is a defunct administrative district in the former Rift Valley Province of Kenya. Its capital town was Kapsowar. The district had a population of 140.629. Local people are predominantly of the Marakwet tribe. The district was cr ...
. Prior to this, the Marakwet and
Keiyo :''Keiyo may also refer to Keiyo, a district in Kenya, ''Keiyo Line'' a railway line in Japan or Elgeyo escarpment'' The Elgeyo (also known as Keiyo) are an ethnic group who are part of the larger Kalenjin ethnic group of Nilotic origin. They l ...
tribes were collectively grouped into the Elgeiyo-Markwet District. In 2010, the two districts were again merged into
Elgeyo-Marakwet County Elgeyo-Marakwet County is one of Kenya's 47 counties. Elgeyo Marakwet County is located in the former Rift Valley Province. Its capital and largest town is Iten. It borders the counties of West Pokot to the north, Baringo County to the east, so ...
. The Marakwet number approximately 200,000 and are a part of the
Kalenjin Kalenjin may refer to: * Kalenjin people The Kalenjin are a group of tribes designated as Highland Nilotes and are descended from Maliri people ''(thus related to Daasanach of Ethiopia.)'' The Kalenjin are cousins with Datooga people of Tan ...
family of tribes, which collectively are the second-largest ethnic group in Kenya. The town is located between the Kerio Valley and the
Cherangani Hills The Cherang'any Hills are a range of hills in the western highlands of Kenya. The hills are one of Kenya's five main forests and catchment areas. The highlands, the large central plateau, is divided by the Mau Escarpment which rises from the bor ...
. The land surrounding Kapsowar is fertile and the elevation creates a mild climate with a temperature range of 70-85 °F (21–29 °C). Kapsowar has a population of 82645 2019 census, total population of Kapsowar town Town). AIC Kapsowar Hospital, established by Africa Inland Mission in 1933, is largely responsible for the degree of development presently seen in the town.


Clans

The original inhabitants of Kapsowar originate from multiple clans, including Kapterik, Talai and Kapswahili. The Kapswahili originally immigrated from Tanzania and were more or less absorbed by the Kapterik clan. Despite high rates of intermarriage most Kapswahili have retained their Swahili names. The Talai and Kapterik are rival clans. The former is predominantly
Protestant Protestantism is a branch of Christianity that follows the theological tenets of the Protestant Reformation, a movement that began seeking to reform the Catholic Church from within in the 16th century against what its followers perceived to b ...
and the latter
Catholic The Catholic Church, also known as the Roman Catholic Church, is the largest Christian church, with 1.3 billion baptized Catholics worldwide . It is among the world's oldest and largest international institutions, and has played a ...
. They tend to support rival candidates in parliamentary and local elections. Cultural, political and religious differences distinguish the Kapterik and the Talai clans. These are understood to predate the arrival of Christian missionaries. The Kapterik are a large clan who have relatives both in Kapsowar and neighbouring areas and extend to the Kerio Valley. Those in the valley migrated to the larger Kapsowar area because of the mild climate and better possibilities of farming and animal husbandry. This displeased the Talai because of resource competition.


Missionary influence

The second and more prominent cause of these rivalries started when the Christian missionaries arrived. Two groups showed up in the pre-colonial period: Protestant English missionaries and Irish Catholic missionaries. These two groups brought animosities with them from Europe. They used two differing methods: the English used an assimilation policy to win followers. This meant convincing the locals to abandon their traditional way of life (
polygamy Crimes Polygamy (from Late Greek (') "state of marriage to many spouses") is the practice of marriage, marrying multiple spouses. When a man is married to more than one wife at the same time, sociologists call this polygyny. When a woman is ...
, traditional alcoholic drinks, traditional weddings, circumcision etc.). Converts were given privileges such as running facilities brought by the missionaries. They established the Kapsowar hospital, schools and many other benefits to convince followers. This convinced the Talai. Reports claimed that non-converts were denied treatment in Kapsowar hospital in the 1970s. The Irish used an integration policy. They converted especially the traditionally conservative Kapterik to Catholicism and did not require them to abandon their traditions. The Kapterik continued to practice a more traditional lifestyle.


Cultural practices

Kapterik boys and girls were circumcised ( female genital mutilation is practiced in the greater Kapsowar area). Traditional circumcision involved an initiation ritual where boys are taught traditions, undergo a bravery test and learn a coded language (understandable only to initiated boys with a word assortment mostly not traceable to the usual Marakwet language but with the usual grammar). With this language, a person speaking fluent Marakwet who has not passed this traditional rite may be present during a conversation in the coded language but would not comprehend it. Those who have not passed this rite and have undergone circumcision in the hospital were referred to as ''kaplinsi'', after white missionary Dr. Robert Stanley Lindsay who worked at Kapsowar mission hospital worked to convince the Talai clan to have their boys circumcised in hospital and not in the bush. The Catholic Church in Marakwet was thereby considered liberal and the Protestant church conservative, a reversal of opinion in Europe.


Kapsowar Hospital

Kapsowar Hospital was established by the
Africa Inland Mission Established in 1895, Africa Inland Mission (AIM) is a Christian mission sending agency focused on Africa. Their stated mission is to see "Christ-centered churches established among all African peoples." AIM established the Kapsowar Hospital in 19 ...
(AIM) in 1933 and transferred to the supervision of the
Africa Inland Church Established in 1895, Africa Inland Mission (AIM) is a Christian mission sending agency focused on Africa. Their stated mission is to see "Christ-centered churches established among all African peoples." AIM established the Kapsowar Hospital in 19 ...
Central Health Council. The hospital and its 126 beds serve the Marakwet tribe. It offers four dispensaries that provide essential healthcare. It offers mobile maternal and child health clinics that can travel up to . The hospital offers
antiretroviral therapy The management of HIV/AIDS normally includes the use of multiple antiretroviral drugs as a strategy to control HIV infection. There are several classes of antiretroviral agents that act on different stages of the HIV life-cycle. The use of multi ...
, curative in-patient services, family planning,
HIV The human immunodeficiency viruses (HIV) are two species of ''Lentivirus'' (a subgroup of retrovirus) that infect humans. Over time, they cause acquired immunodeficiency syndrome (AIDS), a condition in which progressive failure of the immune ...
counseling and testing as well as immunizations. Among the approximately 4,000 inpatient admissions and 15,000 outpatient visits per year, the most common diagnoses for children constitute pneumonia, malaria, gastrointestinal infections, meningitis, and injuries/fractures. The majority of the diseases are communicable, including
HIV/AIDS Human immunodeficiency virus infection and acquired immunodeficiency syndrome (HIV/AIDS) is a spectrum of conditions caused by infection with the human immunodeficiency virus (HIV), a retrovirus. Following initial infection an individual ...
, lower
respiratory tract infections Respiratory tract infections (RTIs) are infectious diseases involving the respiratory tract. An infection of this type usually is further classified as an upper respiratory tract infection (URI or URTI) or a lower respiratory tract infection (LRI ...
,
malaria Malaria is a mosquito-borne infectious disease that affects humans and other animals. Malaria causes symptoms that typically include fever, tiredness, vomiting, and headaches. In severe cases, it can cause jaundice, seizures, coma, or death. S ...
, diarrheal diseases, neonatal preterm births, measles and
tuberculosis Tuberculosis (TB) is an infectious disease usually caused by '' Mycobacterium tuberculosis'' (MTB) bacteria. Tuberculosis generally affects the lungs, but it can also affect other parts of the body. Most infections show no symptoms, i ...
. Common emergency cases include child delivery, traumatic injuries, pelvic bleeding, intestinal obstruction, and
peritonitis Peritonitis is inflammation of the localized or generalized peritoneum, the lining of the inner wall of the abdomen and cover of the abdominal organs. Symptoms may include severe pain, swelling of the abdomen, fever, or weight loss. One part o ...
. Surgical procedures include
thyroidectomy A thyroidectomy is an operation that involves the surgical removal of all or part of the thyroid gland. In general surgery, endocrine or head and neck surgeons often perform a thyroidectomy when a patient has thyroid cancer or some other conditio ...
,
tonsillectomy Tonsillectomy is a list of surgical procedures, surgical procedure in which both palatine tonsils are fully removed from the back of the throat. The procedure is mainly performed for recurrent tonsillitis, throat infections and obstructive sleep ...
,
vagotomy A vagotomy is a surgery, surgical procedure that involves segmental resection, removing part of the vagus nerve. Types A plain vagotomy eliminates the parasympathetic supply from the stomach to the left side of the transverse colon. Other techni ...
, pyloroplasty, chronic
osteomyelitis Osteomyelitis (OM) is an infection of bone. Symptoms may include pain in a specific bone with overlying redness, fever, and weakness. The long bones of the arms and legs are most commonly involved in children e.g. the femur and humerus, while the ...
amputation, hysterectomy,
tubal ligation Tubal ligation (commonly known as having one's "tubes tied") is a surgical procedure for female sterilization in which the fallopian tubes are permanently blocked, clipped or removed. This prevents the fertilization of eggs by sperm and thus the ...
,
C-section Caesarean section, also known as C-section or caesarean delivery, is the surgical procedure by which one or more babies are delivered through an incision in the mother's abdomen, often performed because vaginal delivery would put the baby or ...
and eye surgery. The
Africa Inland Mission Established in 1895, Africa Inland Mission (AIM) is a Christian mission sending agency focused on Africa. Their stated mission is to see "Christ-centered churches established among all African peoples." AIM established the Kapsowar Hospital in 19 ...
(AIM) established Kapsowar hospital with the primary goal of spreading the Gospel. The Mission made an agreement with the elders of Talai, Marakwet to purchase the Old Government offices, ‘boma’, for the hospital. This represented a step forward in fostering relations between the church and the inhabitants. On October 19, 1934, the first dispensary opened under the supervision of Reverend Reynolds. In September 1934, Dr. Lee Ashton and his physician wife joined the facility. Near the end of the year, the first Marakwet woman came in for childbirth. Difficulties in finishing the hospital began to arise as the missionaries themselves became patients. In April 1938, Reverend Reynolds and his wife went on leave due to illness. Dr. Ashley had to serve as superintendent of the Mission station and Africa Inland Missions Schools as well as offering medical services. Various missionaries came to substitute for their previous partners: Mr. and Mrs. Powley, Reverend and Mrs. Richardson, Dr. and Mrs. W. B. Young, Dr. Robert Stanley Lindsay, nurse Banks and Dr. Phillip Morris. During the 1939 -1945, some missionaries were instructed to render their services. The Local Native Council was advised to take over the dispensary due irregularities of the missionaries. By the end of 1949, about seven African women, not from Marakwet, were in nurse training along with five male dressers. The missionaries began training the locals to take over their roles. As Dr. Morris noted, “ an African Christian who has received training at Kapsowar Hospital can lead charge of the dispensary. He is encouraged to have his wife and family with him and live in the midst of his tribe; he has the opportunity daily of preaching the word and healing the sick. The success of these very isolated areas depends upon the individual African - his spirituality and his ability.” Kibor, Jacob Z. "The growth and development of the Africa Inland Mission and Africa Inland Church in Marakwet, Kenya." ''Africa Journal of Evangelical Theology'' 24.2 (2005): 107-128. http://biblicalstudies.org.uk/pdf/ajet/24-2_107.pdf


References

{{Coord, 0, 59, N, 35, 34, E, region:KE_type:city, display=title Elgeyo-Marakwet County Populated places in Rift Valley Province