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

“The second term project was extended to December 2023”

Evolution Based on Experience in the First Term Project　
—Share your story with other mothers

The Second Term Project is underway again together with the international NGO World Vision in Ganze Sub-County, Kilifi County, the Republic of Kenya, where people face various maternal and child health problems. We are now promoting activities such as reconstructing healthcare facilities, educating the local communities, and strengthening the capacity of health professionals. Furthermore, we are working on strengthening the community health system throughout the entire region in collaboration with major regional hospitals that supervise local clinics.

Mothers in Narok County have gained experience and learned various things about 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.

Support project outline

Location	Bamba and Jaribuni, Ganze Sub-County, Kilifi County, Republic of Kenya
Target population	77,506 (direct beneficiaries: 28,196; indirect beneficiaries: 49,310)
Term	April 2020 to March 2023 (three years) April 2023 to December 2023 (Extended due to the drought)
Budget	187 million yen

Project location

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

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.

Healthcare issues for mothers and children in Ganze Sub-County, Kilifi County

Limited access to health services

People who have no health facilities within 5 km from home

Over60％

Shortage of medical professionals and their skills

# of medical professionals at a local health facility

1or2

Limited access to safe and clean water

Usage rate of improved hygiene facilities (toilets)

Lack of knowledge of local residents, drought and the consequent water shortage, and difficulties cultivating crops

Severe malnutrition and a high poverty rate

46.4％

Insufficient commitment of local governments (medical budget/cooperation)

Local government medical budget

26％

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.

Photo of Jaribuni Dispensary in Jaribuni Ward

Table 1: Health data (reference values)

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

Description of activities

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

	Year 1	Year 2	Year 3
	April 2020 to March 2021	April 2021 to March 2022	April 2022 to March 2023
Main activities	Establish a base for medical professionals and systems	Strengthen and expand community activities	Establish a sustainable community health system
Main activities	Conduct a baseline survey Build health facilities (obstetric ward) Deliver basic technical training for medical professionals Train health professionals in the local communities Launch and train advocacy groups	Build health facilities (obstetric ward, clinical lab, etc.) Build water supply facilities Deliver health and nutrition refresher training Monitor health and nutrition activities in the local communities and strengthen guidance on these activities	Monitor health and nutrition activities in the local communities and strengthen the system of guidance on these activities Evaluate activity results and identify issues Strengthen cooperation with government officials

< 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).

Main indicators (KPI)

Prevalence of childbirth complications, Percentage of stunted children under 5, Percentage of wasted children under 5, Prevalence of diarrhea

Collaboration with partners

Collaboration with Panasonic Holdings Corporation -Power supply to healthcare facilities -

In the second term of this project, support is being provided to three local healthcare facilities in Kilifi County.

One such facility, the Rima Ra Pera Dispensary, has no electricity, and vaccines are stored in unstable gas refrigerators. Medical and laboratory equipment is not fully utilized, which limits the healthcare services the facility can provide to mothers and children.

In 2022, the dispensary will be equipped with a solar power generation and storage system with the cooperation of Panasonic Holdings Corporation’s LIGHT UP THE FUTURE Project. Supplying electricity to the dispensary is expected to enable the provision of nighttime healthcare and delivery services at the facility, and the stable use of equipment, making it possible for more people to receive the medical services they need.

Please check out the SDGs magazine, SOTOKOTO, for more information on how this collaboration began.

https://sotokoto-online.jp/sustainability/13368 (External website)

The Mother to Mother SHIONOGI Project will continue to work with companies and NGOs that have a wide range of strengths to find solutions to social issues through collective impact.