1. Birthing Healthy
Babies, Mukuru,
Kenya
Alexis Coppola - Kate Jackson - Amihan
Jones - Apostolos Kalantzis

2. MUKURU
○ 600,000-700,000 residents in 8 sub villages
○ Slum area in industrial Nairobi
○ Lack of electricity & water
○ HIV rate is 10%
○ Half the population is under age 15
○ 16 clinics: already working on HIV related initiatives

3. Problem Tree

4. Results Framework

5. Components

6. Community-Level Programmatic
Activities
1. Community Health Worker program (CHW)
○ Design of the CHW curriculum and tools
○ Members of the community and doulas are trained in outreach
services, as well as proper adherence to AZTs
○ Doulas receive Doula kits (birthing kits complete with nutritional
supplements)
2. Community Groups
○ Community mother support, theatre, and radio groups
3. Counselors
○ Community counselors trained
*AZT regiment that we are basing programming around is oral medications 2
weeks before due date and every 3 hours during labor

7. Clinic-Level Programmatic Activities
1. Clinic upgrades
○ Create standards for birthing centers
○ Needs assessment of birthing centers
○ Assess needs with funding and make 3 year plan
2. Create network clinics for collaboration and data sharing
○ Qualitative work
○ Stakeholder engagement and input
○ M & E
○ Sustainability
○ Management training of clinic professionals

8. Cross-Sector
1. SMS mother reminder system:
○ Paper-based registration process
○ CHW's uses a guided questionnaire to be put into a central database
○ Information to be collected: mother , phone , days since last menses
○ Kenyan Gov pays for incoming messages; Safaricom pays for
outgoing messages
○ Mother's receive text messages about proper drug adherence

9. Government-Level Programmatic
Activities
○ Advocate for subsidized cost of AZT drugs
○ Govt distribution of AZT drugs
○ Reduced tax/free incoming SMS messaging
○ Support of central healthcare database system

10. Scale, Sustainability, & Exit
Scale:
1. 3-year pilot for can work in other slums
2. M&E will determine programmatic activities that need redesign
Exit: (Phase Down & Phase Over)
1. Government handover (including server for SMS-entire SMS system at the ministry)
a. Government of Kenya will manage CHWs
b. All programmatic activities will be developed as a collaborative undertaking between
government of Kenya, UNICEF, and Birthing Healthy Babies and USAID (CDC) and
will be handed over to the government after a 3-year period
2. Community handover
a. Training
b. Clinic healthcare network
c. Community groups
Sustainability:
1. Project has been designed with collaboration as a main component
2. Project has been designed to work off of already infrastructure and community resources