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

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

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.

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.

Target area (Bamba and Jaribuni)

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

Maternal and child health support 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)

Project activities to support maternal and child health

Goal

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

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.

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

  • Build health facilities
  • Help health professionals in capacity development
  • Provide mobile clinic services

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

  • Build water supply facilities
  • Provide nutrition and hygiene education
  • Implement nutrition programs
  • Help spread correct hygiene knowledge and habits across schools and the communities

Enhance health system management

  • Promote advocacy group activities
  • Facilitate the partnership between the communities and government officials
  • Enhance monitoring and assessment

< Three-year activity plan >

  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 health professionals and systems Strengthen and expand community activities Establish a sustainable community health system
  • 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

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.
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. ※1
    Kenya Demographic Health Survey 2014 
  2. ※2
    Kilifi CIDP 2018-2022
  3. ※3
    World Vision Survey 2013
Jaribuni Dispensary in Jaribuni Ward.
A meeting with government officials, the dispensary staff, and community members
Second Term Project Concept Image