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John is pragmatic about the challenges he faces: “When it becomes tougher, you become tougher!” But the difficulties are endless and John faces many of them alone. In areas where Merlin is working, nine out of 17 government run health clinics do not have staff. Turkana needs many, many more health workers like John but its sheer isolation and the lack of even basic services means few opt to work there. Keeping staff like John demands proper staff retention programmes, training...