Mother to Mother SHIONOGI Project

Second Term Project: Ganze Sub-County, Kilifi County, Republic of Kenya

Evolution Based on Experience in the First Term Project

The First Term Project has been implemented in collaboration with the international NGO World Vision in Narok County, Republic of Kenya, mainly to construct health facilities and provide local people with healthcare and hygiene education. The project has resulted in a steady increase in the numbers of health facility users and births at health facilities.

Based on experience in First Term Project, the Second Term Project is underway again together with World Vision in Ganze Sub-County, Kilifi County, Kenya. In this area, in addition to activities of reconstructing local clinics, educating the local communities, and helping local health professionals in capacity development,we will strengthen cooperation with the regional hospitals that supervise local clinics. that supervise the local clinics.

Share your story with other mothers

Mothers in Narok County have gained various kinds of experience and learned various lessons in childbirth and childrearing from the First Term Project. The Second Term Project will impart what they have learned, or their “stories,” to mothers in Kilifi County.

From Japan to Africa, connecting mothers through health [Mother to Mother SHIONOGI Project]

Project outline

Location	Bamba and Jaribuni, Ganze Sub-County, Kilifi County, Republic of Kenya
Goal	Improve the health of expectant and breastfeeding mothers and children under five
Target population	77,506 (direct beneficiaries: 28,196; indirect beneficiaries: 49,310)
Term	Three years from April 2020 to March 2023
Budget	180 million yen (60 million yen/year)

Target area (Bamba and Jaribuni)

Ganze Sub-County, Kilifi County, Republic of Kenya. Map.

	Kenya^※1	Bamba^※2	Jaribuni^※2
Population	52 million	42,000	34,000

※1

Kenya Demographic Health Survey 2014
※2

Kilifi CIDP 2018-2022

Introducing the area

Kilifi County is one of the areas with the highest poverty rates in Kenya. Often hit by drought, the area has long suffered from food shortages and poverty, leading to severe malnutrition in children. The area has faced various health-related issues, including a shortage of health facilities and health professionals, limited access to safe and clean water, a high maternal mortality rate, and a high prevalence of malaria.

Table 1: Health data (reference values)

Indicator	Kenya^※1	Bamba^※2	Jaribuni^※2
Antenatal care coverage (four or more times) (%)	57.6	44.1	23.3
Deliveries at health facilities (%)	61.2	77.5	15.4
Full vaccination coverage (%)	74.9	75.0	50.3
Prevalence of diarrhea (%)	15.2	27.6^※3	-
Prevalence of malaria (%)	8.0	22.9	35.7
Access to improved water	Nairobi：83.7	18.7	-

※Table 1 shows reference data. Since these data are from different information sources, they do not help in accurate comparison.

※1

Kenya Demographic Health Survey 2014　
※2

Kilifi CIDP 2018-2022
※3

World Vision Survey 2013

Issues affecting maternal and child health in Ganze Sub-County, Kilifi County

Midoina Dispensary in Bamba.
Only one nurse works on 6 to 10 deliveries per month and with 600 outpatients per month.

Jaribuni Dispensary in Jaribuni Ward.
The construction of a labor room, started by the local community, has been suspended.

Project activities to support maternal and child health

Goal

Improve the health of expectant and breastfeeding mothers and children under five

« Main indicators for progress toward the goal »

The level of goal achievement is assessed based on the following KPIs and the levels of achievement of targets (changes from the baselines).

Major KPIs
Prevalence of childbirth complications (%)
Percentage of stunted children under 5 (%)
Percentage of wasted children under 5 (%)
Prevalence of diarrhea (%)

Three pillars of activities

To develop sustainable community for the well-being of mothers and children.

This project aims not only to improve the environment for pregnancy and childbirth but also to enable local people to manage their own health by educating the local communities, helping local health professionals in capacity development, improving the water hygiene environment, and conducting advocacy activities focusing on government.

Activity 1

Improve access to maternal and child health services for expectant and breastfeeding mothers and children under five

Introduce equipment for maternal and child health services at health facilities
Help medical professionals enhance their knowledge and skills in maternal and child health services
Train health professionals in the local communities

Activity 2

Build community-based systems for improving people’s nutritional and water hygiene habits

Enhance community-based initiatives for nutritional improvement
Upgrade nutritional programs against acute malnutrition
Build water supply facilities
Help spread correct hygiene knowledge and habits across schools and the communities

Activity 3

Enhance health system management

Facilitate the partnership between the communities and government officials
Enhance monitoring and assessment

Jaribuni Dispensary in Jaribuni Ward.
A meeting with government officials, the dispensary staff, and community members