The Bed Gap Crisis: Why Kenya Still Falls Short on Hospital Infrastructure


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In the push toward Universal Health Coverage, Kenya continues to grapple with a fundamental shortfall: not enough hospital beds to serve its rapidly growing population. Despite strides in technology, policy, and decentralized healthcare access, the numbers on inpatient capacity remain stark—and the consequences are felt daily in maternity wards, emergency units, and post-surgical recovery bays across the country.

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The Bed Gap Crisis: Why Kenya Still Falls Short on Hospital Infrastructure

MuktShabdJournal ISSNNO:2347-3150 Footprint Representations in the Rock Art of Gawilgarh Hills and their Continuity in India HimanshuMoreshwarMahajan1&PrabashSahu2 1. Research Scholar Department ofA.I.H.C. &Archaeology, RashtrasantTukadoji Maharaj Nagpur University, Nagpur, Maharashtra, India. 2. DepartmentofA.I.H.C.&Archaeology,RashtrasantTukadojiMaharajNagpurUniversity, Nagpur, Maharashtra India. Correspondingauthor:[email protected] Abstract: The Gawilgarh Hills rockshelterin centralIndia is renownedfor its rich collection ofprehistoric rock art.Among the diverse motifs in these shelters, human footprints stand out as a particularly intriguingtheme.This studydelves into the analysisofhuman footprint engravingsdiscovered at the Gawilgarh site. These engravings, often associated with ritualistic practices and symbolic meanings, provide valuable insights into prehistoric communities' cultural beliefs and practices. The paper delves into the various forms used to create these paintings and engravings, their potential, interpretations, and their connection to other global rock art traditions. By analyzing these human footprint engravings, we can gain a deeperunderstanding of the beliefs, rituals, and socialstructuresofthepeople whoinhabitedthisregionin thepast.Thepaperalso focusesonthe continuity of footprints in India in ritualistic ceremonies and auspicious occasions. Keywords:Footprint,Pictograph,PetroglyphsandPigmentedFootprint Introduction: Human footprint engravings are a common motif in prehistoric rock art, found across diverse cultures and continents. From the vast landscapes of Patagonia andAustralia to the ancient sites ofEurope,Africa,andAsia,theseengravingsofferaglimpseintothepast.Examplescanbefound in Patagonia, Botswana,Yemen, SouthAfrica, Spain,Australia, the United States (including the "Hoofprint Tradition" of the Plains Indians), northern Eurasia, Nubia, Niger, Chad, Zimbabwe, SaudiArabia, and the Upper Paleolithic sites of Europe (Lenssen-Erz T. et.al 2023). Rock art, a testamenttohumancreat ivi ty , i s foundwor ldwide , except in t h e Arctica n d Antarcticregio ns. VolumeXIV,IssueIV,APRIL/2025 PageNo:1 Some of the earliest known examples of rock art, dating back approximately 75,000 years, were discoveredinBlombosCave,SouthAfrica.Theseancientengravings,etchedontosmallpiecesof ochre, showcase intricate geometric patterns (Henshilwood 2006:82). Another intriguing motif in rock art is the human footprint, which is less common in diverse prehistoric cultures and rock art sites. This suggests the footprint held significant symbolic meaning, representing power, vitality, and perhaps even spiritual significance. Aboutthesite: TheGawilgarhHills,situatedintheBetuldistrictofMadhyaPradesh,India,isauniquegeological formationcharacterizedbyorthoquartziteoutcropsamidsttheDeccanTrapformations.Thesehills are renowned for their numerous rock shelters adorned with prehistoric petroglyphs and pictographs. The shelters are scattered across a vast area, stretching from Bairam Ghat in Maharashtra to Salbuldi, a significant religious site. The Gawilgarh Hills are divided into 22 groups, each named after nearby villages, shrines, or local landmarks (Fig. 1). These groups includeAmbadevi,Agyadoah,Borkap,Gaimukh,Ghorpend,Kund,andmanyothers.Theshelters, located at an altitude of 600 to 800 meters,are accessible from the village of Dharul in theAtner TehsilofBetuldistrict.Therockartfoundinthesesheltersprovidesvaluableinsightsintothelives andb e l i e f s o f prehistoric communities. Thediverse range ofmotifs, includinghumana n d a n i m a l figures, geometric patterns, and abstract symbols, reflects the richculturalh e r i t a g e o f the region. Bystudying theseancient artworks, Fig.1:Locationofthesite researchers can gain a deeper understanding of the artistic, religious, and social practices of pastcivilizations. FootprintsinWorldContext: Namibia is rich in hunter-gatherer rock art from the Later StoneAge (LSA) also, Doro! Nawas MountainsarerenownedfortheirrichcollectionofLaterStoneAgerockart.Asignificantportion of these engravings depict human footprints, particularly those of children. Among the 513 engravings studied, approximately 20% were identified as human footprints, with the majority belongingtonon- adults.Thesizeandmorphologicaldifferencesallowedforthedeterminationof sex,with74identifiedasmaleand32asfemale.Notably,thereisarelativelyequalrepresentation of left and right footprints, with 50 and 56 respectively (Lenssen-Erz T. et.al. 2023). While human footprint engravings are widespread, they are particularly prominent in certain regions. For instance, in Europe, they are found in Scandinavian rock art, such as Leirfall in Norway, and Valcamonica, Italy. In Africa, examples can be seen in Niger, South Africa, and Egypt. The Americas also showcase these engravings, with sites in Mexico and Australia,includingthe famousYalgirockart inAustralia.Thisglobaldistribution highlights thesignificanceof human footprints in prehistoric art (Clottes J. et.al, 2013). Verner (1973) suggested that the eastward orientation of foot/sandal prints in rock art might symbolizeaconnectiontosolardeitiesorfuneraryrituals,representingajourneyintotheafterlife. This interpretation aligns with similar theories proposed by Achrati (2003, 2008), Bertilsson (2013), and Habas (2007). Alternatively, footprints found within campsites and habitation sites may have served as markers or memorials (Khan. 2008). Thepresenceoffoot/sandalprintsinrockarthasbeeninterpretedinvariousways.Somescholars, suchasKaperandWillems(2002),Nash(2005),Rahmani(1980),andVerner(1973),suggestthat these prints may have served as markers of ownership or identity, representing either personalor tribal affiliations. Others, like Habas (2007), propose that they were symbols of good luck and prosperity.Alternatively,theseprintsmighthavebeenassociatedwithpilgrimageorsimplyawish for a safe return, as suggested by Dunbabin (1990), Nevo (1989), and Takacs (2005). It is also possiblethatthelocationoftheseprintsneartraderoutes,suchastheOvdatdryriverbedinEgypt, mighthavehadasignificantculturalorsymbolicmeaning.Someinterpretations, liketho seby Achrati (2003, 2008), suggest a sexual connotation, linking the foot/sandal print to phallic symbolism and fertility. Handprints and hand stencils are associated with most ancient cave art dated in Europe, for example in the Chauvet Cave in France (Clottes (ed.) 2003) or El Castillo Cave in Spain. In El Castillo, the calcite overlaying hand stencils was U-Th dated to 37,630 ± 340 (Pike et al. 2012). As far as we know, this is the oldest date in the world obtained for deliberate hand marks. FootprintsintheIndian RockArt: In India, footprints are found across the country from Ladakh to Kerla and from Rajasthan to Odisha.InIndia,andparticularlyintheregionunderstudy,age-oldtraditionsoffootprint-making are still alive in many places. In certain parts of the State, auspicious footprints are made on the occasionofDurgapuja.Moretothepoint,wehavecollectedevidenceoffootprint-makinginvery recent times -the past decades- in rock art sites of the Madhya Pradesh and Chhattisgarh regions. AtSalbardiwheretheyareassociatedwithnumerousengravedvulvas,theylookratherold,while at Putli Karar and Churna, they could be quite recent but even there no precise date can beforwarded. Human footprints have been discovered in numerousrock sheltersacrossChhattisgarhandM adhya Pradesh. InChhattisgarh, these are found in the form of Painting as well as Engraving in sites such as Ushakothi I, Ushakothi II, Balarao, Jogi Gufa-2, Thakurpara, Singar Pathar, Gidhapath,andSiroliDongri(1, 2, 3, 6, and 7). In Madhya Fig.2:Footprintfrom Ushakothi-I,RaigarhChhattisgarh. Pradesh,n o t a b l e s i t e s i nclude Kathwar,PutliKarar,Jhinjhari-I,Churna,andGurhRewa.Thesefootprintsoffervaluableinsights intotheculturalpracticesandbeliefsofancientpopulations intheseregions. TheSiroliDongri6 rockshelterfeaturesstylizeddepictionsoffootprintswithvaryingnumbersoftoes,suggestingthat the number of toes may not have carried significant symbolic meaning in these representations (Pathak-Dubey Meenakshi. 2019). The human footprint engravings at Ushakothi (Fig. 2) exhibit variations in size, suggesting depictionsofbothadultsandchildren.Someoftheseengravingsareparticularlystriking,featuring intricate details and decorative elements within the footprint outlines.Also, a footprint print was documented from the Thakurpara and Jogi Gufa 2. ImportanceofFootprint Depictionsoffootprintssaidtobelongtoenlightenedteachersanddeitiesarehighlyreveredacross many religious traditions inAsia and beyond. These include the sacred footprints of the Buddha (Buddha-pāda) and Bodhisattvas, as well as those of Hindu gods such as VisnM uM (VisnM uM -pāda) footprintofLordVishnu,particularlytheoneatGaya,isconsideredoneoftheholiest pilgrimage sites. It's believed that touching or seeing this footprint brings blessings and spiritualpurification and Śiva (Śiva-pāda) footprints of Lord Shiva, which are considered sacred and possess divine power.Touchingorseeingthesefootprintsisbelievedtobringblessingsandspiritualpurification. Similarly, the footprints of Christ, his mother Mary, and the Prophet Muhammad are also venerated. In Vīra-Śaivism, devotees honor the wooden sandals of deceased saints, known as pādukās(Hegewald., 2019). Before the Buddha's physical form was depicted in art, he was often represented symbolically through his footprints and the Dharma wheel. These footprints, found across Asia, dating from variousperiods,areoftenmarkedwithaDharmachakraatthecenterofthesole,providingavisual representation of the Buddha's teachings (http://www.edu.gov.mb.ca/k12/).Footprint platforms havebeendiscoveredatvarioussouthernDeccansites,includingAmaravati,Nagarjunakonda,and others. These sites date back to the 1st centuryBCE to the 3rd centuryCE. A notable example is therecentlyexcavatedmonasterysiteofKanaganahalliinKarnataka,India,wheretwelvefootprint platforms and inscriptions mentioning Ashoka were found. These findings are dated to approximately the 1st century BCE. The importance of these footprint platforms lies in their connectiontoBuddhisttraditionsandtheirroleinpilgrimageandreligiouspractices(Huntington, Susan L. 2020). Footprints,particularlyknownaspādukās,aresignificantinJainareligiouspracticesandart.They areemployedbybothŚvetāmbaraandDigambarasects.Interestingly,depictionsoffeetareamong the earliest preserved Jaina artistic representations, dating back to the first centuries BCE. These arereferredtoaspādukās,pādukā-śilas,caranaM ,caranaM -cinha,orcaranaM -pādukāsinJainatextsand practices (Hegewald., 2019). Local beliefs often associate such footprints with divine figures or deities. For instance, the "Laxman Paha" in Odisha is believed to bear the footprints of Laxman, the brother of Rama, a prominentfigureinHindumythology.Similarly,thelargerfootprints foundintheBhimamandali rock shelter are locally attributed to Bhima, another character from the Mahabharata. Approximately 20% of Odisha's rock shelters feature depictions of human footprints, executed through various techniques such as painting, scraping, and engraving (Garnayak et.al. 2013). FootprintsfromGawilgarhhills TypesofExecutionofFeet InIndia,humanfootprintsaredepictedinrockartusingvarioustechniques,includingpetroglyphs and pictographs. The Gawilgarh rock shelters showcase a range of techniques for creating these footprints.Theseincludedirectpaintingontotherocksurface.Additionally,engravingtechniques were employed to create detailed outlines of the foot. Filling involves adding colour or patterns withinthe outline.Thesediversetechniqueshighlightthecreativityand skilloftheancientartists who left their mark on these rock shelters Salbardigroup The Salbuldi group is situated to the north of the village of the same name on both banks of the MaruRiverandcomprisesthirty-ninedecoratedsheltersthathavebothpetroglyphsandpaintings. This was the largest group of shelters among the Gawilgarh Hills groups. The most noteworthy engravings comprise human feet, stick human figures, a vulva and a fox (in SBD 2 Lat. 2102 5 ’4 3 ”N; Long. 7800 0 ’5 4 ”E ) , b u l l s , s t a g a n d s h a l l o w c u p u l e s ( F i g . 3 a , b ) . Fig.3a,b:EngravedFootPrintfromSalbardi-2 TheSalbardi-2rockshelterisrenownedforitsdepictionsofvulvas,bothinnaturalandpigmented forms. Additionally, the site is arrayed with ten human foot engravings. These engravings showcasevarioustechniques,includingsimpleoutlines,filledoutlines,andcombinationsofboth. Some footprints are depicted with five distinct toes, while others have four connected toes. One particularly striking example is a footprint with four toes filled with red ochre, highlighting the artist's attention to detail. Another intriguing depiction is a footprint with a criss-cross pattern withinitsoutline, accompaniedbysixcircularmotifs (Fig. 4,5,6).These diverse representations ofhuman footprintsprovide valuable insights intothe artistic and culturalpractices ofthe people who inhabited this region. Fig.4: FootprintintheEngraving&Pigmentedfootprint,Salbardi-2 RockShelter Fig.5:Engraved footprint withpigmentationfrom Salbardi-2,RockShelter. Fig.6:Eye-copyofSalbardi-2 RockShelter Gaimukh shallowcupules,engravedanimalfigures,vulvas,and pecked roundels. Painted elements such as human The Gaimukh (GMK) group between latitudes figures, antelope, bull, horse riders, and geometric 21°24'34"Nandlongitudes77°54'57"Eencompasses motifs further enrich the artistic repertoire. Shelter twenty-one decorated rock shelters. These shelters feature GMK20,orientednorth-south,measures10metersin diverse petroglyphs, including deep and lengthand4metersinheight.Itcontains petroglyphs depictingvulvaswithcentraldotsorverticallinesand palmprints.Additionally,asingleengravedfootprint ispresent,thoughthedetailshavebeenobscured due to weathering and the passage of time (Fig. 7). Ghodpend: Fig.7:GaimukhGMK-20Engraved Rock Shelter Agroupof12rocksheltersformedtheGhodpendgroupnamedafterthenearbyvillage.Thisgroup ofsheltersislocatedontherightbankofaperennialriverlocallynamedMaruRiver,whichisthe onlynatural watersource.These rocksheltersarefound right from the bankofthe MaruRiverto the top of the hill. The shelters have a minimum and maximum height of 398 m to 473 m respectively. The lengths of the shelters are ranging from 30.20 m to 3 m. The Ghodpend group hastwelveshelters,ofwhichGPD2islocatedatLat.21°25′21.9″N,Long.78°00′00″ E,hasan altitudeof460 msland faces to west direction.h a s b o t h p e t r o g l y p h s i n t h e f o r m of deep cupules and paintingsofdoe and palmimpressions,Therestof theshelters havepetroglyphs,represented The Ghorpend-2 rock shelter features two pictographic representations of human footprints (Fig. 8).Oneofthesefootprints,depictingfivetoes,isincompleteduetotheeffectsofweathering.The fading of the paint, likely caused by environmental factors, has obscured some of the details of this particular depiction. Fig.8:Ghodpend-2Footprint inthe formofPainting Table1:ListrocksheltersshowingFootprintsintheformofPetroglyphs/Pictographs Sr. Pictographs/ Numberof Right/Left Shelter Painting/Engraving No. Petroglyphs footprints 1 Gaimukh-20 Petroglyphs Engraving 1 Left 2 Ghodpend-2 Pictographs Filled 2 BothRight Pigmented 10 BothR i g Engraving, h t Five Outline, Left Five 3 Salbaldi-2 Petroglyphs FilledwithRedochrecolou r, Paintingwithcriss- crossdesigns Table2:footprintsanditsdetails fromtheGawilgarhRockShelter Site/Foot Image Right/ Measuremen Description Print Left t Salbardi- Right Length-21cm Footprint,e n g r a v e d , Outlineda n d 2A Breadth- p r o m i n e n t t o e s 12cm Salbardi- Left Length-25cm Footprinti n t h e f o r m o f e n g r a v i n 2B Breadth- 10 g w i t h O u t l i n e . cm Salbardi- Left Length- Footprinte n g r a v e d , O u t l i n 2C 22cmBreadth- e d , f o u r toes. 10 cm Salbardi- Left Length-25cm Footprint,engraved,fivetoes. 2D Breadth-9cm Salbardi- Left Length-22cm Footprint in the form of Engraving & 2E Breadth-8cm outlines filled with Red Ochre colour Salbardi- Left Length-19cm The footprint, Engraved filled with 2F Breadth-9cm RedOchrecolour,Criss-crossdesigns andsixcirculatesinsidethebody,four toes. Salbardi- Left Length-23cm Footprinti n t h e f o r m o f E n g r a v i n 2G Breadth- g f i l l e d w i t h r e d c o l o u r . 10cm Salbardi- Right Length-26cm Footprint,e n g r a v e d , f i l l e d w i t h r 2H Breadth-8cm e d o c h r e c o l o u r . Salbardi- Right Length-24cm Footprint,e n g r a v e d , e l o n g a t e d , 2I Breadth-8cm f i v e toes. Salbardi- Right Length-23cm Footprint, engravedin broad 2J Breadth- outl ine, f ive toes. 10cm Ghorpend- Right Length-17cm Footprint, painting, broad, filled with 2 Breadth- 13 red ochre colour, five toes. K cm Ghorpend Right Length- Footprint,p a i n t e d , f i l l e d w L 19cmBreadth- i t h r e d o c h r e c o l o u r , 11 f i v e t o e s . cm AnethnoarchaeologicalstudyoffootprintsinIndia In Chhattisgarh and more generally in Central India, where we not only have quite several footprints and foot representations in rock art but also examples of their use during distinct ceremonies and cultural events among local populations, we thus have testimonies and explanations about some of their uses. JhotiorChita ThefolkartofOdishaisboundupwithitssocialandreligiousactivities.InthemonthofMargasira (Nov-Dec), women folk worship the goddess Lakshmi. It is the harvest season when grain is thrashed and stored. During this auspicious occasion, floors are decorated with murals in white ricepasteor(pithau).Theyarecalledjhotiorchitaandaredrawnnotmerelytodecoratethehouse, but to establish a relationship between the mystical and the material, thus being highly symbolic and meaningful. Folic painting in this tradition survives today in all its pristine freshness. Throughoutthe year,thevillage womenperformseveral ritualsforthefulfilmentoftheirdesires. Foreachoccasion,aspecificmotifisdrawnonthefloororthewall.Forinstance,inLakshmipuja a stack of paddy or rice sheaves is drawn on the walls structured like a pyramid. During Durga Puja,whitedotssuperimposedwithredarepaintedonthewalls.Thiscombinationofredandwhite signifiestheworshipofShivaandShakti.TodrawaJhotiorChita,thefingersaredippedintothe rice paste and made to trace out intricate patterns on the floor orwalls.Sometimesa kind of brush is prepared from atwig tooneendofwhicha smallpieceofclothis attached. This is dipped into the white ricep a s t e t o draw patternso n t h e wall. TheC h i t a w a s also Fig.9:JhotifromLalitpurvillageJajpurDistrict,Odisha drawn on grain bins, on small pavilions for household deities, on the threshold of homes, on earthen pots used during marriage, and on other auspicious occasions. Ritualof the Bride'sArrival During the wedding ceremony, the act of making red footprints holds significant symbolic meaning.A t thetimeoftheGrihapraveshceremonyofthenewlywedbride,thebride'smother-in- lawwelcomesherwithawarmreception,ofteninvolvingaplateofredliquidattheentrance.The bride dips herbare feetin this liquid (Kumkum), leaving a trailof red footprints asshe entersher new home. This act is believed to bring prosperity and good fortune to the couple.Additionally, she dips her palms in turmeric paste and makes handprints on both sides of the entrance, further symbolizingblessingsandprosperity.Themother-in-lawthenperformsanAarti,aHinduritualof worship, for the newlywed couple. Fig.10FootprintofBride ChildBirthRituals: particularly popular in the states of Maharashtra andKarnataka. In India, the birth of a newborn is celebrated with a special ritualinvolvinghandandfootimprints.Thebaby'stinyhands and feet are dipped in a mixture of vermilion and turmeric and pressed onto a white Lakshmipuja cloth. This practice is believed to bringprosperityandgoodfortunetothefamily.Thisritualis Fig.11Footprintofsmallchild During the Diwali festival, particularly in Maharashtra, the practice of drawing Goddess Lakshmi'sfootprints,knownas"Padas"or"Padukas,"isasignificantritualonthedayofLakshmi Puja. These footprints are traditionally drawn at the entrance of homes using rice flour paste, vermilion, or other auspicious materials. The footprints are believed to symbolize the divine presenceofGoddessLakshmientering thehome,bringingprosperity,wealth, andgoodfortune.Itisthoughtthatthe Fig12:FootprintintheformofRangoliduring footprints channel positive Lakshmi puja. energyi n t o thehome,drivingaway negative influences. Fig.12Footprint inthe formofRangoli Conclusion The footprints reported from the rockshelters at Gawilgarh Hills areof various shapes and sizes, they are executed in pictographs as well as in petroglyphs. The shelters Salbardi and Ghorpend have given evidence of footprint.T h e u n i q u e f e a t u r e w h i c h i s o b s e r v e d i s t h e e n g r a v i n g s f i l l e d w i t h ochrecolour. Footprintrepresentationisanage-oldpracticeinthe world. InIndia,footprint- makingisalivingtraditionthatisstillpracticedbyfamiliesonauspiciousoccasionsandfestivals. Auspicious prints are madeon the floorof the houseentrance andsometimes on the wall.On the occasionofDiwali,theentranceofthehouserepresentsthefeetofLakshmi,thegoddessofwealth andprosperity.ThecontinuityofrepresentingfootprintcanbeseenintherockartoftheGawilgarh hills, right as well as left foot are executed on the wall as well as the ceiling of the Shelter. The probable reason behind it could be to ward off the shelter from the evil spirits. The other reason could be the number of members residing in the shelter or the entry of a new member into the family.Thediversetechniquesemployedincreatingthesefootprints,rangingfromdirectpainting to pigmented engraving, demonstrate ancient artists' artistic skill and ingenuity. The size, style, and symbolism variations suggest a rich tapestry of cultural beliefs and practices. The study of footprints gives us valuable insights into prehistoric society's social, religious, and ritualistic aspects. They may have served as markers of territory, symbols of identity, or representations of spiritual beliefs. Further research and analysis of these engravings can help us unravel the mysteries of our past and deepen our understanding of human history. References Journal Achrati,A., 2003. Hand and foot symbolism: from rock art to the Qur’an.Arabica50 (4), 464-500. 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