LVCT Kenya

To optimize quality of care and achieve sustainability of HIV and TB management, the United States Centers for Disease Control and Prevention CDC on behalf of the The U.S. President's Emergency Plan for AIDS Relief (PEPFAR) conducted a Site Improvement through Monitoring Systems (SIMS) exercise to selected Ministry of Health facilities supported by LVCT Health’s project in County.

The exercise sought to evaluate the integration of HIV and TB services in the Health facilities in the spirit of the journey towards self-reliance and a seamless transitioning of HIV and TB services to the County and enhance the quality of care and treatment for adults and pediatrics.

The team also conducted a practical, evidence-based approach to preventing patients and healthcare workers from being harmed by avoidable infections through an Infection Prevention and Control approach.

The SIMS exercise is a quality assurance methodology used to increase the impact of PEPFAR programs on the HIV epidemic through standardized monitoring of the quality of services at the facility level.

LVCT Health is implementing Vukisha95, a five-year program funded by the Centers for Disease Control and Prevention )CDC) through The U.S. President's Emergency Plan for AIDS Relief (PEPFAR) to support the sustainable implementation of comprehensive, high-quality HIV prevention, care, and treatment interventions in Homa Bay and Kisii Counties.




The Ministry of Health
Division of National AIDS and STI Control Program

🌟 A big thank you to for highlighting our collaborative efforts of empowering vulnerable adolescent girls and young women between the ages of 10 and 24 with the knowledge and skills to make healthy choices and remain HIV-free.

Through The U.S. President's Emergency Plan for AIDS Relief (PEPFAR)'s initiative, young women like Lorine are gaining essential life skills, knowledge about their rights, and information about how to reduce the prevalence of HIV/AIDS.

Together, 🤝 let's us improve methods for finding, treating, and preventing HIV.

Learn more about her inspiring journey: https://pepfarkenya.mypixieset.com/Lorine/?fbclid=IwZXh0bgNhZW0CMTEAAR1eXd80WKlr_2_ZJ3Za57FsTPznsyimi0xv0zQ4gt1SQCA99ctrHe75sNY_aem_iuWQ4zdhiz-ee0CoTZ4Tlg







The Ministry of Health
The U.S. President's Emergency Plan for AIDS Relief (PEPFAR)
CDC
USAID Kenya
Stawisha Pwani
Division of National AIDS and STI Control Program
Elizabeth Glaser Pediatric AIDS Foundation
Frontline AIDS
One2one Kenya
Lilian Otiso Annrita Muchiri

🌍✈️ LVCT Health is thrilled to announce our participation in the International AIDS Society (IAS) Conference in Munich, Germany! 🇩🇪

Our team, led by Executive Director Dr. Lilian Otiso, shared valuable insights on , , and s*xual and reproductive health among adolescents and young people, while also learning from innovative practices worldwide.

👉 Our sharing at the

✅ Develop strong partnerships to hold governments accountable
✅ Leverage partners' strengths for effective , GBV, and programming
✅ Address the unmet needs of marginalized women and girls, including serious SRH complications, HIV, and cervical cancer through integration
✅ Ensure flexible advocacy budgets
✅ Stay adaptable
✅ Focus on key health priorities

Stay tuned for more updates and insights from the conference!



The Ministry of Health
The U.S. President's Emergency Plan for AIDS Relief (PEPFAR)
CDC
USAID Kenya
Stawisha Pwani
Division of National AIDS and STI Control Program
Elizabeth Glaser Pediatric AIDS Foundation
Frontline AIDS
IAS - International AIDS Society
National Institute for Health and Care Research
Liverpool School of Tropical Medicine - LSTM
One2one Kenya
Lilian Otiso Annrita Muchiri Pastor Patriciah J. Babu

Today, our The Ministry of Health , , , and Madagascar gather to discuss tackling FGS at a crucial FIG side event at the International AIDS Conference .

We call for action on FGS to protect marginalised women and girls from serious SRH complications, HIV, and cervical cancer. Learn more about FGS:https://unlimithealth.s3.eu-west-2.amazonaws.com/wp-content/uploads/2024/07/22174751/FGS_Policy_Brief.pdf

Tackling FGS is urgent, yet most SRH providers know little about this disease. Integrating FGS into SRH services is crucial for helping millions of women.

📢 In Kenya, we're partnering with and on a study in Homa Bay, Kilifi, and Kwale, where urogenital schistosomiasis prevalence among women is 15%-30%.

FGS is a silent threat often undiagnosed. Addressing FGS offers a chance for holistic, integrated, patient-centered healthcare. Learn more and join the call for action: FIG
Frontline AIDS
The Ministry of Health

📢 New Research Brief Alert! 📢📢

We are excited to share our latest research brief, "Voices of the Youth: Addressing Mental Health Gaps for Adolescents and Young People in Kenya." 🧠💬 🇰🇪

This comprehensive study delves into the pressing mental health challenges faced by young people in Kenya, highlighting the urgent need for targeted interventions and support systems for improved mental health outcomes.

🔍 💡 Key Highlights:

🎯 Insights from adolescents and young people on their mental health experiences

🎯 Identification of critical gaps in current mental health services

🎯 Recommendations for effective interventions and policies

Together,💪 let’s promote mental health awareness and positive mental health-seeking behavior among adolescents and young people.

👉 Download the full brief https://lvcthealth.org/wp-content/uploads/2024/07/Research-Brief-Voices-of-the-youth-2024_English-Web.pdf







The Ministry of Health
The U.S. President's Emergency Plan for AIDS Relief (PEPFAR)
One2one Kenya
Stawisha Pwani
CDC
Liverpool School of Tropical Medicine - LSTM
Together for Girls
Frontline AIDS
Lilian Otiso

At the 🇩🇪

Excited to have our Executive Director Dr Lilian Otiso join a distinguished panel to discuss how CSO-led accountability is strengthening prevention approaches at the session.

Together, 💪 we are making significant impacts towards and .

The Ministry of Health
UNAIDS
The U.S. President's Emergency Plan for AIDS Relief (PEPFAR)
USAID Kenya
Stawisha Pwani
CDC
Frontline AIDS
Together for Girls
One2one Kenya

🎉 Exciting News! 🎉

We are thrilled to announce that LVCT Health has been awarded accreditation from Frontline AIDS for its outstanding work in HIV programming!

“This recognition is a testament to our commitment to using appropriate governance and organisational management systems to implement innovative and programming in Kenya and beyond. Today, we are more inspired than ever to continue our mission with renewed passion and unwavering commitment.” Dr. Lilian Otiso, Executive Director, LVCT Health.

Together, let us;
🎯 Improve STI and HIV/TB prevention and treatment for all
📉 Reduce unintended pregnancies
💥 Enhance responses to GBV




Frontline AIDS
The Ministry of Health
The U.S. President's Emergency Plan for AIDS Relief (PEPFAR)
Division of National AIDS and STI Control Program
CDC
Stawisha Pwani
One2one Kenya
Lilian Otiso Annrita Muchiri

LVCT Health’s Key and Vulnerable Population technical leads conduct routine technical assistance and supportive supervision to health facility staff in Homa Bay County to improve their performance and ensure they offer quality and human-centered HIV prevention services to the community.

Continuous supportive supervision and technical assistance are critical for enhanced HIV prevention services to Key and Vulnerable Populations and ensure that HIV/TB services are integrated within the existing health systems.

Key and Vulnerable populations include men who have s*x with men, transgender individuals, s*x workers, people who inject drugs, fisherfolk, and people in prisons and other closed settings.

LVCT Health is implementing Vukisha95, a five-year program funded by the Centers for Disease Control and Prevention to support the sustainable implementation of comprehensive, high-quality HIV prevention, care, and treatment interventions in Homa Bay and Kisii Counties.




The U.S. President's Emergency Plan for AIDS Relief (PEPFAR)
CDC
Division of National AIDS and STI Control Program
The Ministry of Health
County Government Of Homa Bay

Are yoou ready>>>>

Are you attending in person or virtually? Don’t miss 's sessions of interest convened with our co-sponsors & partners🗓️July 22-26.

Learn more⬇️& join us for discussions on how we can to .
https://www.state.gov/pepfar-aids-2024/

Civil society organizations and development partners are uniting to address Violence Against Children (VAC) in Kenya. By innovating our approaches, increasing community engagement, and ensuring accountability, we can create a safer future for every child. 💙👶

📢 At the National Policy Dialogue on Violence Against Children in Kenya, key stakeholders are coming together to discuss and implement effective strategies to combat VAC. This event is crucial in shaping policies and actions that protect our children and uphold their rights.

📢 Remarks by Mwambi Mungari, Deputy Director DCS: "Change is made by good plans that are implemented." Let's ensure our strategies protect and support every child.

📢 PS Joseph Motari on Social Protection: "Change is made by good plans that are implemented." Let's work together to create a safer, more supportive environment for our children.

📢 Remarks from the State Department of Correctional Services: "We are ensuring our institutions meet the standards to care for our children, as founded on Article 26 - all human life is sacred."

This dialogue emphasizes the need for collective action and commitment. We can make a difference by:

🔹 Innovating our approaches to child protection
🔹 Increasing community engagement and education
🔹 Ensuring accountability at all levels
🔹 Strengthening institutions to meet care standards

Join us in this vital conversation and contribute to a brighter, safer tomorrow for our children. 💙👶🛡️

LVCT Health’s DREAMS program has partnered with Day Africa to train young women in Homa Bay County on farming techniques to maximize productivity on their limited pieces of land. This is done using intensive planting methods, crop rotation, companion planting, and other sustainable farming practices to improve living standards, achieve financial independence, and reduce the risk of acquiring HIV.

Kihoma Young Women Group from South Kasipul Ward has been trained in the entire value chain of goat farming. They now have the skills to construct a goat barn using locally available resources, grow their fodder, and prepare silage. They are optimistic this initiative will enhance food security in their households and the entire community.

LVCT Health through the support of the U.S. Centers for Disease Control and Prevention (CDC) is implementing the Determined, Resilient, Empowered, AIDS-free, Mentored, Safe (DREAMS) program whose main objective is to offer comprehensive and sustainable high-quality combination HIV and Teenage Pregnancy prevention interventions among Adolescent Girls and Young Women in Homa Bay County.








The U.S. President's Emergency Plan for AIDS Relief (PEPFAR)
CDC
County Government Of Homa Bay

The Support and Advocacy for Wellness and Access to HIV Prevention (SAWA) project in partnership with the Department of Health and the community conducted a weeklong co-creation workshop to develop impactful HIV prevention messages that normalize HIV prevention and increase uptake of HIV combination prevention interventions among Adolescent Girls and Young Women (AGYW).

The SAWA project aims to establish HIV prevention knowledge and support system based on an economic empowerment approach, create a conducive environment for Adolescent Girls and Young Women to discuss HIV prevention and use of HIV prevention interventions without fear of stigma, engage boys and men in positive masculinity dialogue and mentorship and influence key stakeholders to support HIV prevention for adolescents and young people.

LVCT Health has sub-granted Activate Action to implement the SAWA project, a 2-year program funded by ViiV Healthcare targeting adolescent girls and young women as primary beneficiaries and adolescent boys and young men, female s*x workers, and people who use drugs as secondary beneficiaries with interventions that create change at the community level by normalizing HIV prevention and increasing uptake of HIV combination prevention interventions in Kosewe Ward, Ndhiwa Sub-County, Homa Bay County.

📢Together, let’s normalize HIV prevention conversations for empowered, healthy, and resilient communities.

County Government Of Homa Bay
Homa Bay County Department of Health and Sanitation
Activate Action Kenya
ViiV Healthcare

💡💡Exciting news from Kisumu County!

We just wrapped up a fantastic workshop with young people, filled with engaging and insightful discussions. Together, we developed impactful messages to empower our youth for an HIV-free future!

"I am excited to be here today to co-develop messages with my peers. As a young person, I want to be in charge of my health for a healthy future," said Sharon, a participant in the workshop.

LVCT Health's Maximizing Options to Advance Informed Choice for HIV Prevention (MOSAIC) project underscores the importance of involving adolescents and young people in developing tailored messages that resonate with the various segments among them, helping to tap into their unique motivators for seeking HIV prevention methods.

Our collective efforts with partners are making significant strides in advancing access to and uptake within a multiproduct approach that includes HIV prevention options such as oral pre-exposure prophylaxis (oral PrEP), the Dapivirine ring (also called PrEP ring), and Long-acting injectable Cabotegravir (CAB PrEP).

MOSAIC is a five-year (2021-2026) global project funded by the U.S. President's Emergency Plan for AIDS Relief (PEPFAR) through the U.S. Agency for International Development (USAID) to help adolescent girls, young women, and other women prevent HIV by accelerating the introduction and scale-up of new and emerging biomedical prevention products.

Together, let's prevent for everyone, everywhere!🌍 🌍







The Ministry of Health
Division of National AIDS and STI Control Program
The U.S. President's Emergency Plan for AIDS Relief (PEPFAR)
USAID - US Agency for International Development
USAID Kenya
FHI 360
One2one Kenya
Stawisha Pwani

🎓 We're thrilled to announce that approximately 100 children in County have graduated from the HIV Exposed Infants (HEI) program! Over 24 months, these children completed a program designed to protect them from contracting HIV from their mothers.

This milestone ceremony, supported by LVCT Health's project in collaboration with the Ministry of Health (MoH), celebrated mothers who safely breastfed and weaned their babies without transmitting the virus. The event honored these achievements and focused on reducing stigma and discrimination within the community.

Participants learned about the journey to eliminate mother-to-child transmission (eMTCT) through comprehensive maternal and infant care—from preconception and antenatal care to delivery and the breastfeeding period. Local administrators, healthcare professionals, the sub-county Health Management Team, and community members attended the ceremony, applauding the concerted efforts to end pediatric HIV.

💪 LVCT Health continues to implement , a five-year program funded by the United States Centers for Disease Control and Prevention (CDC), aimed at supporting sustainable HIV/AIDS prevention, care, and treatment interventions in and Counties.



The Ministry of Health
Division of National AIDS and STI Control Program
The U.S. President's Emergency Plan for AIDS Relief (PEPFAR)
CDC
Elizabeth Glaser Pediatric AIDS Foundation

🎉 We are thrilled to celebrate Frontline AIDS’s 30th anniversary with our Executive Director, Dr. Lilian Otiso, with our incredible partners!

Together, let’s create a future free from AIDS for everyone, everywhere. 🌍✨

🎙️ Listen to the full podcast here: https://www.youtube.com/watch?v=3z1PtwCGdo8 #𝟑𝟎𝐭𝐡𝐀𝐧𝐧𝐢𝐯𝐞𝐫𝐬𝐚𝐫𝐲

In the spirit of the journey towards self-reliance and sustainability in the management of HIV and TB services in Kisii County, LVCT Health’s Vukisha95 project conducted a stakeholder engagement session with the Kisii County Health Management Team, Sub-Counties Health Management Team, and other local implementing partners ahead of a planned mid-term evaluation of the Vukisha95 project.

The engagement meeting sought to enhance their familiarization with the evaluation, planned activities, timelines, and their role, to ensure the efficiency and effectiveness of the evaluation.

The evaluation seeks to document the milestones realized in transitioning HIV financing, service delivery, Human Resources for Health (HRH), leadership, and governance from PEPFAR/CDC support to full government support towards achieving sustainability of HIV/TB prevention, care, and treatment services in Homa Bay and Kisii counties.

LVCT Health is implementing Vukisha95, a five-year program funded by the U.S. Centres for Disease Control and Prevention (CDC) to support the sustainable implementation of comprehensive high-quality HIV prevention, care, and treatment interventions in Homa Bay and Kisii Counties.




The U.S. President's Emergency Plan for AIDS Relief (PEPFAR)
CDC
Division of National AIDS and STI Control Program
The Ministry of Health
Kisii County Government
AHF Kenya

To enhance the quality of our Vukisha95 Voluntary Medical Male Circumcision (VMMC) program, we recognize the importance of service providers maintaining their skills and knowledge through regular refresher training. Our training reinforces healthcare workers' attitudes, behaviors, skills, and knowledge necessary to deliver safe and person-centered VMMC services.

Voluntary Medical Male Circumcision (VMMC) is a one-time preventive intervention that reduces the risk of heteros*xual HIV transmission from women to men by 60% in high HIV prevalence settings. It offers men substantial lifelong partial protection against HIV and other s*xually transmitted diseases. It also reduces the risk of pe**le cancer and cervical cancer in female partners of circumcised men.

In , our Vukisha95-supported VMMC services provide a comprehensive care package in 8 static sites and 22 outreach sites, focusing on males aged 15 and older. We've reached more than 7,440 males, achieving 103% of our annual target.

LVCT Health will continue to work with VMMC-supported sites to improve the uptake of VMMC services among priority age groups by adopting successful social and behavior change approaches.




The U.S. President's Emergency Plan for AIDS Relief (PEPFAR)
CDC
Division of National AIDS and STI Control Program
County Government Of Homa Bay

Today, we celebrate the dedication and hard work of everyone committed to protecting our children. A special shoutout to our esteemed partners at the Directorate of Children Services, Ministry of Labour and Social Protection. 🤝💼

Since 2019, our collaboration has led to several significant achievements:

📊 Conducted the 2nd Violence Against Children (VAC) Survey in Kenya: This essential tool has been crucial in measuring our progress and challenges, helping us direct our efforts effectively.

📑 Successfully launched the VAC Survey Report: The insights gained have been instrumental in shaping our understanding and strategies for combating VAC. The report offers a detailed analysis of current trends and challenges.

📘 Development and Launch of the National Prevention and Response Plan for Ending VAC in Kenya 2019/2023: This comprehensive blueprint guides our collective efforts in safeguarding children's rights and well-being, ensuring a coordinated and systematic approach nationwide.

🚸 Launched the "Spot It, Stop It" Campaign: This behaviour change campaign, launched in Mombasa, Laikipia, Kirinyaga, Taita Taveta, and other counties, raised awareness about violence against children and encouraged reporting through the toll-free Childline 116.

🤝 Engaged in vital stakeholder meetings: Enhancing child protection support across our DREAMS program sites.

📚 Empowering through continuous capacity-building initiatives: Strengthening our community's response to child protection.

Thank you to everyone who plays a part in protecting our children. Your efforts make a world of difference! 🌍❤️

💡💡

Our Fisher Folk program held its quarterly review meeting with the Homa Bay County Health Management Team, the Sub-Counties Health Management Team, and the Beach Management Units.

The meeting aimed to share the successes achieved this year and identify areas for improvement to enhance the quality of HIV prevention services for the fisher folk in Homa Bay County. It also aimed to strengthen partnerships with key stakeholders to ensure program sustainability.

The Fisher Folk Program is being implemented in the five Sub-Counties of Suba West, Suba South, Suba North, Homabay Town, Rangwe, and Rachuonyo North.

LVCT Health’s Vukisha95 project, funded by the U.S. Centers for Disease Control and Prevention (CDC), focuses on implementing comprehensive and sustainable high-quality HIV and TB prevention, care, and treatment services in Homa Bay and Kisii Counties.




The U.S. President's Emergency Plan for AIDS Relief (PEPFAR)
CDC
Division of National AIDS and STI Control Program
County Government Of Homa Bay

💡 To achieve sustainable health services and better health outcomes, our project is supporting a 10-day Workload Indicators of Staffing Need (WISN) activity for Human Resource representatives and sub-county health records managers from County.

🎯 The WISN activity aims to appropriately align human resources within the 220🏥health facilities we support in Homa Bay County.

💪 LVCT Health is implementing , a five-year program funded by the United States Centers for Disease Control and Prevention (CDC), to support the sustainable implementation of comprehensive, high-quality HIV/AIDS prevention, care, and treatment interventions in Homa Bay and Kisii Counties.
The U.S. President's Emergency Plan for AIDS Relief (PEPFAR)
CDC
County Government Of Homa Bay

Today, we held insightful discussions with the MiCARE faculty team, in preparation for the Piloting of Community and Healthcare Providers Mental Health Manuals under the MiCARE initiative this week.

MiCARE is a USAID supported initiative under our USAID Stawisha Pwani project that aims to develop a training package for health care workers working at all USAID-supported drop-in centers (DICEs) and health facilities serving key populations.

The initiative will work across 10 counties in collaboration with Division of National AIDS and STI Control Program and County Governments to increase access to mental health care for the Gender and Sexual Minority (GSM) community.

USAID Kenya
The Ministry of Health
The U.S. President's Emergency Plan for AIDS Relief (PEPFAR)

🌟 Exciting News from the 8th Annual Learning Convening on Preventing Violence Against Children (PVAC)!

LVCT Health participated in an enriching event organized by the Impact and Innovations Development Centre (IIDC) and co-hosted by Investing in Children and their Societies, Kenya, held at the Boma Hotel in Nairobi. The conference was a deep dive into effective strategies for scaling parenting interventions aimed at preventing Violence Against Children.

👶 Key Takeaways:
✅ Evidence-Based Approaches: We gained valuable insights into the importance of evidence-based parenting programs as fundamental strategies for VAC prevention.

✅ Capacity Building: We're inspired by new methods to design, adapt, and implement parenting programs that align with global and regional standards.

🚀 Looking Ahead:
As we move forward, the knowledge acquired will:
✅ Enhance our interventions, making them stronger and more impactful.
✅ Foster stronger collaborations with both governmental and non-governmental entities.
✅ Strengthen our advocacy for comprehensive child protection policies

🤝 Our Commitment:
We are more committed than ever to refine our strategies and ensure a safe environment for children's growth and development. LVCT Health is dedicated to applying these insights and intensifying our efforts to prevent violence against children.

📅Stay Tuned:
We will continue to share updates on our progress and more insights from our ongoing projects. Your support and engagement in our journey towards a safer future for all children are invaluable.





The Ministry of Health
Department Of Children Services Kenya
Together for Girls

This week, the Department of Health Homa Bay County through the support of the project and in collaboration with other local implementing partners held a two-day County Orphans and Vulnerable Children (OVC) clinical and (Determined Resilient Empowered AIDS-free Mentored and Safe) DREAMS integration meeting in County.

The meeting sought to evaluate and monitor the performance and status of the OVC/DREAMS clinical integration through the local implementing partners across the nine sub-counties in the County.

LVCT Health is implementing , a five-year program funded by The U.S. President's Emergency Plan for AIDS Relief (PEPFAR) through the Centers for Disease Control and Prevention CDC to support the sustainable implementation of comprehensive, high-quality HIV/AIDS prevention, care and treatment interventions in and Counties.

County Government Of Homa Bay

Today, our C-it DU-it study, in partnership with the Homa Bay County Health Management Team, distributed buffer stock containing antenatal (ANC) service medication and test kits to health facilities in the project's study sites. This buffer stock will support continued ANC service delivery at these sites and help accurately measure ANC uptake.

The C-it DU-it study, a collaborative effort supported by the
National Institute for Health and Care Research (NIHR), aims to strengthen community health systems by enhancing community and facility components to improve antenatal care (ANC) outcomes.

Together with our partners Liverpool School of Tropical Medicine, KEMRI, and GiND, we pooling our expertise and resources to conduct the study.

Read more about the project: https://lvcthealth.org/c-it-du-it/



National Institute for Health and Care Research
Liverpool School of Tropical Medicine - LSTM
Kenya Medical Research Institute
County Government Of Homa Bay

Today marks the end of hashtag , but our conversations continue. Join our webinar from 11am-12pm. If you need support, call or SMS One2One at 1190 or WEMA: Nairobi 0704726845, Kisumu 0704726516, Mombasa 0704726616.
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Join our webinar today from 11am-12pm to continue the conversation on men's mental health. Let’s keep supporting each other! Join Webinar
https://teams.microsoft.com/l/meetup-join/19%3ameeting_YjVkNmU2MWEtZThmZS00MGRjLThlNjgtNjhmYWFkNjIwZmRk%40thread.v2/0?context=%7b%22Tid%22%3a%22cfbaaac3-3007-40be-9cf4-1ce7b0bc84ba%22%2c%22Oid%22%3a%229c2d742a-ea0b-493e-ac78-dc14394c3f33%22%7d

hashtag hashtag

To enhance digital referrals from the community to healthcare facilities and strengthen antenatal care uptake and patient follow-up, LVCT Health’s C-it DU-it study, in collaboration with GiND and KEMRI, conducted a high-level Trainer of Trainers session linking Electronic Community Health Information System (eCHIS) and Kenya Electronic Medical Records (KenyaEMR).

Participants included Community Health Assistants (CHAs), Antenatal Care (ANC) nurses, and Health Records Information Officers (HRIOs) in Homa Bay County.

The training equipped participants with knowledge and skills to integrate the newly rolled-out digital community health service delivery (eCHIS) with EMR, focusing on the Maternal and Child Health (MCH) module.

Supported by the National Institute for Health and Care Research, the C-It DU-it study by LVCT Health, Liverpool School of Tropical Medicine - LSTM Kenya Medical Research Institute
aims to strengthen community health systems by enhancing both community and facility components to improve ANC outcomes.





The Ministry of Health
County Government Of Homa Bay