In rural areas, services are provided by health centres and dispensing clinics, though these often lack facilities and trained staff. With many health professionals leaving Kenya to find posts abroad, there is a severe shortage of medical workers across the country. According to the World Health Organization (WHO), Kenya has just one doctor and only 12 nurses/midwives for every 10,000 people.
The lower part is called the lower uterine segment or the isthmus. Then comes the cervix, which is actually a canal. The opening from the cervix into the uterus is called the internal os and the opening into the vagina is the external os..
The uterus is a fibromuscular organ that can be divided into the upper muscular uterine corpus and the lower fibrous cervix, which extends into the vagina. The upper part of the uterus above the insertion of the fallopian tubes is called the fundus. The narrow portion situated between corpus and cervix is known as the isthmus and lies approximately at the level of the course of the uterine artery and the internal os of the cervix.