Frontlines of Health

Akiba ya Roho

Reducing premature morbidity caused by chronic diseases in developing countries

Team Lead

Melissa Menke

Solution Summary

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.

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