Isiolo’s district hospital is calm and orderly, with wide breezy corridors that connect different departments and spacious patient waiting areas. And at every service point the hospital has large, freshly painted walls which spell out the rights and entitlements due to every patient.
But there is one problem. Over the two hours we spent at the hospital one afternoon in May 2013, we spoke with about twenty patients. None of them appeared to find the signs helpful, even though the official rules of service were often not followed; for example, free drugs are often not available and have to be purchased from a nearby pharmacy. Despite their bright colors and large size (several over 8 x 10 feet), some patients appeared not to have even noticed the signs.