MV4 Clinic – where does privacy come from?
There are four health clinics in the Ruhiira village cluster, and the MV4 in Kabayanda is the largest and offers the most services. Like the MV3 in Ruhiira, this facility has a lab, general ward, maternity ward, HIV clinic, a doctor and midwife; it has three times the capacity of the MV3 clinic in Ruhiira and offers surgical procedures (most commonly C-sections). There is more access to electricity and I didn’t see any rain water collection so I am assuming they have a well. There are about eight buildings including the general ward, maternity ward, surgery, registration, two latrines for patients and the AIDS clinic.
We went into the maternity ward – it was packed. Equipped for 12 women – they were in the process of added four mattresses on the floor. Families were outside and inside with the new or new to be mothers along with the newborns. It reminded me a a huge slumber party. I didn’t take photos inside. Privacy, as I mentioned before, isn’t a natural inclination here – I’m becoming more and more interested in the concept. Today I was talking to Marianthi Zikopolous, the assistant provost at Pratt, she said that there isn’t a word for “privacy” in Greek. I think I have found a fascinating thesis topic.
AIDS CLINIC (due to move to main building)
The compound is currently being landscaped and the aids clinic is scheduled to be moved out of the container building into a more appealing building. 
This is also where the cluster’s ambulance resides – on average it gets one call a day – most often for women having a difficulty in birthing. The ambulance is usually called in by a Community Healthcare Worker (CHW) over a cell phone.
Training for CHW’s takes place in a central building. The UNDP cruiser does a loop around the cluster to pick everyone up and brings them to Kabuyanda. 
There is no electricity the training center, and it is not large enough to hold the entire group so many people sit just outside the door. The MV4 services of the clinic are in high demand, although it is suppose to service people from the cluster, people come from as far away as Tanzania, the border of which is about 200 kilometers away. Kabuyanda is a very different town from Ruhiira. Larger, more bustling and slightly more cynical. Where the people in Ruhiira are curious and friendly, here the people want you to give them money. My walk through town had a similar “pied piper” effect – where a group of kids follow behind you in a long trail – but there interest was not about my whiteness but in the shillings in my pocket.
There is a small AIDS clinic in town that offers testing, counseling and educational programming. The walls are covered with homemade posters offering instructions and advice.
