Akiba ya Roho, “save your heart” in Swahili, is a comprehensive diabetes and hypertension management program developed and administered by Access Afya in Nairobi, Kenya.
Access Afya has developed a multi-touchpoint approach that makes it easy for people living in slums, working long days and trying to get healthy on a tight budget, to access new heart-health information and services.
Initial services are delivered by community members who provide education and screening in convenient rotating spaces. A mobile application leads a trained community member through a series of questions for each patient, provides prompts for clinical measurements, and suggests specific education. Mapped to global standards of care, this process is broken down into steps that non-clinicians can do. Those patients with identified risk are referred to an Access Afya Clinic for follow-up.
At the clinics, patients access world-class care. Regular patients get digital vouchers deposited into a mobile savings account to incentivize them to keep it up. Care is affordable because of Access Afya’s lean, data-driven model that combines evidence-based medicine with clinic workflows designed for scale.
- Melissa Menke Founder, Access Afya