Mathare Valley Slums

About Mathare valley Slums.


These two blogs provide more information about the Mathare Valley Slum which I visited last week as a guest of MSF. MSF recruit their community workers from the slums. Alphonse and Juma escorted our group through the slum for two hours. Perhaps because we were all wearing MSF tee shirts, we were warmly welcomed and I felt no hostility at all.


Everywhere we went in the slum, there were groups of (paid) volunteers, cleaning up the stinking rubbish in the streets, dredging filth from the Mathare River and planting vegetables in old sacks.


The shacks are made from recycled corrugated iron, wood and plastic sheeting, built on compressed rubbish. Wherever there is a space, someone has built a home. One of the main tracks bisecting the slum is being made into a road. Within a few months, the volunteers should have started laying tarmac to seal it. Along the main tracks there are shops selling essential goods. Many people have set up fast food stalls, using start up funding from microfinance loans. You can buy chapatis, roasted corn on the cob, barbecued meat (mainly intestines) and fruit.


Power cables
Power cables

Electricity power cables are strung across the slum like a gigantic spiderweb. You can buy a month’s supply of power and sublet the connection to a dozen other households as a money-making venture. There are video theatres and sports bars where people can pay to see a film or watch Premier League Football live on big screens. Each zone of the slum has a toilet block, built with funding from Rotary or Swedish Aid. Having a pee is not free, so most people just hunker down in a side alley to relieve themselves.



Down by the river there are illegal stills, producing “vodka” from molasses. Our escorts told us not to take any photographs of this activity as it may trigger a police raid and violence between tribal gangs vying for control of the product. A small bottle of changaa costs 10 Kenya shillings (7p or 10 cents).


Although there are a few government clinics in the slum, many people get their health care from private pharmacies. There are only three government schools. I was surprised by the number of private schools flourishing in the slum. The entrepreneurs setting up these primary schools aim to earn enough money to expand into larger premises, where they can charge higher fees for teaching older pupils.

Private Hospital in Mathare providing in and outpatient care. Easy access via the gap under the wall by the sewerage channel.
Private Hospital in Mathare providing in and outpatient care. Easy access via the gap under the wall by the sewerage channel.

I expected Mathare to be like one of the nine circles of Hell in Dante’s Inferno. It was filthy and it stank, but it was bustling with life and economic activity. I suppose those people who didn’t make money (legally or illegally) did not survive. The people were friendly and smiling, not downhearted and miserable. The school children wanted to practise their English. Shopkeepers were keen to attract you to their stores. The volunteers were proudly cleaning up the rubbish. It was less horrible than I had imagined, but I could not survive living on US $1 per day, sleeping on cardboard in a 2 x 3 metre shack, with no running water or toilet facilities close by.

“The human spirit is indefatigable and that resilience is best nourished through taking action.” Anna Ortega-Williams.

Graffiti by the football pitch
Graffiti by the football pitch

By Dr Alfred Prunesquallor

Maverick doctor with 40 years experience, I reduced my NHS commitment in 2013. I am now enjoying being free lance, working where I am needed overseas. Now I am working in the UK helping with the current coronavirus pandemic.


  1. Ian, you are a noble soul. I accept that you were heartened by the positive attitudes you encountered, but this does still seem to me like one of the Circles of Hell. I am so grateful that I was not born to live somewhere like this and nor were my children.

  2. I’ve just liked this Ian but it that idea doesn’t do justice to how it makes me feel to read this post. Terrible to think that conditions like this persist in our so called enlightened times but good to hear that so many people are finding the energy and drive to better their lot.

  3. Dear Dr. Cross, I’ve used some of your photos about Mathare Valley Slums as a reference in the following composition and I hope you don’t mind. I follow your blog and really admire your work.

    Best Regards

    Rinaldo Mendes

  4. HI,I am a student in Sweden and would kindly request if it is possible to use one of your Mathare slum photo in my thesis work .Kindly let me know if it is okay thank you.

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