First Term Project : Narok South Sub-County, Narok County, the Republic of Kenya 

Project introduction

From Japan to Africa, connecting mothers through health [Mother to Mother SHIONOGI Project]
In Africa, the lack of quality and accessible healthcare, complications during pregnancy and unsafe birth settings have resulted in one of the world’s highest maternal mortality rate, approximately 77 times higher than Japan[*].
Mother to Mother SHIONOGI project in collaboration with international NGO World Vision is committed to improve effective healthcare for mothers and children in Kenya.
  • Retrieved from WHO, “Trends in Maternal Mortality: 1990 to 2013”.

Support project outline

Location Illaramatak, Narok South Sub-County, Narok County, the Republic of Kenya
Goal Improve the health of expectant and breastfeeding mothers and children under five
Target population 14,612 (direct beneficiaries: 5,947; indirect beneficiaries: 8,665人)
Term April 2015 to September 2020 (Five years)
October 2020 to July 2021 (Extended due to COVID-19)

Support area and its issues

Project location:
Ilaramatak, Narok County, Republic of Kenya

Project population:
14,612 people, which includes 2440 children under 5 years old and 3,507 reproductive-age women.

Health indicators Kenya[1] Narok County[1] Ilaramatak[2]
Rate of prenatal care(more than 4 times)(%) 57.6 46.0 22.6
Rate of skilled attendant present during birth (%) 61.8 40.3 9.4
Birth rate in heath facility (%) 61.2 38.6 9.4
Wasting rate (%) 4.0 2.4 10.9
Underweight rate (%) 11.0 11.6 22.9
Various health indicators show that maternal and child health in the project location, Ilaramatak is lower than the entire country’s average.

Causes:

  • Lack of capacity and quality healthcare.
  • Lack of structure and management of community health volunteers and hospital.
  • Lack of training and skills of community health volunteers.
  • Lack of understanding about the importance of health among local residents.
  • Gender inequality, and others
Picture of a child being carried by his family to hospital in a cloth.
Data retrieved from:
  1. ※1
    Kenya Demographic and Health Survey 2014
  2. ※2
    Activity Report by Ilaramatak regional development program based on the data of the local health facility In collaboration with World Vision. (omit Japan, International NGO

Project activities to support maternal and child health

Mother to Mother SHIONGI project aims to foster self-sustainability and contribute to the reduction of maternal and child mortality by increasing access to healthcare, improving quality of healthcare, providing education and advocacy activities. The project is implemented by international NGO World Vision and funded from the portion of the sales from Popon® series and donation from Shionogi employees.

Key Milestones

Improved capacity and access to healthcare services for mothers and children

Construction of healthcare facilities and mobile clinic to improve uptake of maternal and child health services.
Health dispensary
Maternal ward
Staff dormitory constructed near the health facility to improve accessibility of healthcare workers
Mobile clinic

Better quality of healthcare services

Provide education and trainings to community health volunteers on nutrition, water treatment, health and hygiene issues in the community. To ensure sustainability, the project train village and health facility committees on management of health services and support income generating activities.
Trainings and education for community health volunteers about health and hygiene.
Clinical officer monitoring growth of child to determine adequacy of nutrition intake
Community health volunteers educating mother to mother support group on water hygiene and treatment.

Education to local community

Advocacy activities and education to the community about the importance of healthcare services and deliveries in hospitals by healthcare professionals. Mother to Mother support group was established to enhance peer education.
Health and hygiene education conducted in health facility to Mother to Mother support group to enhance peer education on maternal, newborn, and child health (MNCH).

After receiving education, more people in the community became more active and involved during the engagement of the project. In addtion, more men in the community understand the importance of institutional delivery and take their wives to the health facility to be assisted by a skilled birth attendant.

Voices from the community: 
Village chief: “My wife recovers faster after giving birth in health facility compared to giving birth at home.”

Activity Report

Related Links

Photographs courtesy of World Vision Japan