Country of Operation
Target income level
- Bottom 20%
- Primary care
SummaryAccess Afya is a social enterprise setting up a network of community care points offering basic healthcare services in low-income Kenyan neighborhoods.
Access Afya (Access “Health” in Swahili) exists to lower barriers to healthcare by creating quality, convenient, and affordable health centers in the slums. Many health needs for the extreme poor can be handled through outpatient clinics, although if left untreated they can be life threatening. Getting access to these services for the millions of people living in poverty may not happen through more hospitals, but is possible through replicable, specialized, high-tech mini-clinics.
Key program components
Access Afya is a social enterprise that provides basic clinical and prevention services at two mini-clinics and two field-based school sites in Nairobi’s slums. Access Afya's mini-clinics or "kiosks" are designed for efficiency, which means they fit into small spaces available in the slums, lowering physical and behavioral barriers to consumers of care by integrating the ability to access health information and treatment into a daily routine. Their core offerings include consultation, pharmacy services, rapid diagnostic tests, family planning and immunizations.
Access Afya clinics are staffed by nurses, clinical officers, and community health workers. These medical staff will bring high-quality expertise into communities where most health information is exchanged over-the-counter through informal chemists. The model also relies on employing existing community health workers, who help manage the clinic, link it to the healthcare system, and give legitimacy and localized knowledge.
Follow Up Text Messages:
Mobile phones are ubiquitous in Kenya and Access Afya capitalizes on this, with each patient receiving an SMS follow-up after their visit. SMS also enhances clinical processes through appointment reminders and test result notifications. Special groups, such as teens and mothers, receive targeted health messages.
The price point of an average consultation, diagnosis, and treatment at Access Afya is around US$4.00, about a fifth of the cost at the nearest private clinic.
Between December 2012 and March 2013, Access Afya had about 200 paying customers. It currently serves over 3000 clients (September 2014).
Revenue Sources: Out of pocket payments
On June 9 at the Non-Profit Center of Boston, CHMI co-hosted a two-part panel event on “Sustainab