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Of concern, she says, is the ability of men to spend all their money, including digital loans, in secrecy, provided by mobile phones. “Without paper currency, we can no longer follow the trail of money and demand the household share. The children are worse off,” says Natela. In 2007 and 2010, Kenya adopted tough tobacco and alcohol control laws, to reduce the number of deaths and diseases related to the use of the two drugs. Tobacco is blamed for about 8,000 annual deaths in Kenya, while four of every 100 deaths have been linked to use of alcohol. The control strategies have involved a combination of price increases on the two commodities, ban on advertising, health warnings, and reduced access.

Nairobi areaSouth africaRift valleyUniversity of cape townWestern capeEunice natelaDanson mwakuwona mwashakoJudith twalaGladwell gathechaAbel otwori nyagwachiMabel imbugaVictor otwomaKenyatta national hospitalKenya tobacco control allianceGood mission in kawangwareMinistry of health