Photo by Sarah Day

In 1969, Pathfinder partnered with government and organizations in Kenya to establish quality family planning services. Five years later, we opened our country office in Nairobi and have provided continuous service ever since.

Photo by Sala Lewis

Today, in response to Kenya’s high prevalence of HIV, Pathfinder builds the capacity of local partners to integrate critical services—HIV and AIDS services with reproductive health care—through projects like APHIAplus.

Photo by Sala Lewis

In remote villages and urban centers, the provision of health care through outreach services can mean the difference between life or death. That's why Pathfinder is finding innovative ways to reach Kenyans with care they need.

Photo by Sala Lewis

Through initiatives like mHMtaani, we capitalize on the power of mobile technology by equipping community health workers with mobile apps that serve as powerful case management tools to support national maternal and child health goals.

Photo by Sala Lewis

Community health workers help Pathfinder's work go further. As natives of the communities in which they work, these workers foster trust and build relationships with their clients with a greater understanding of local tradition and values.

Pathfinder International is focused on improving health in Kenya by supporting government health entities and communities to integrate and strengthen HIV, family planning, and maternal and child health services.

Why Pathfinder Works in Kenya

Kenya has a long history of providing some of the most successful family planning programs in Africa. Despite Kenya’s significant track record with family planning services, one out of every four married women still report an unmet need for family planning. This unmet need for family planning results in demand for services and access to contraceptives, placing tremendous strain on government health systems. These systems are already stretched to meet the needs of the country's population of people living with HIV and AIDS, which is the fourth largest in the world.

Pathfinder has supported reproductive health and family planning work in Kenya since 1969. By working closely with nongovernmental and community-based organizations, government agencies, and public and private sector institutions, Pathfinder has reached some of Kenya’s poorest communities with reproductive health information and services, including contraceptives and counseling in maternal and child health care.

Recently, Pathfinder’s work in Kenya has responded to the country’s high rate of HIV infection, currently estimated at 6.3 percent among adults and at 8 percent among women. Today, Pathfinder integrates HIV and AIDS prevention and care with quality reproductive health and family planning activities, bringing health services to the most vulnerable women who are least likely to have access to quality care.

Through peer education and school sessions, APHIAplus Nairobi-Coast has reached more than 17,000 young people with information about gender-based violence, reproductive health, and HIV and AIDS.

Evidence for Decision-Making

A key aspect of Pathfinder’s approach to systems’ strengthening is collecting evidence that enables public, private, and community partners to make informed health-related decisions. In Kenya, examples of the kinds of evidence Pathfinder collects range from “the number of counseling visits for family planning and reproductive health services” and “the number of households trained on village savings and loan activities” to “the number of clients with advanced HIV infection newly enrolled in antiretroviral therapy.” The following are results from Pathfinder's APHIAplus Nairobi-Coast project as of 2012:

  • Established 167 community units, each of which includes 50 community health workers who support 1,000 households with essential services and information
  • Surpassed both core prevention of mother-to-child transmission of HIV targets—186,035 women were provided with counseling and testing services during their initial antenatal care visit, and 8,009 pregnant women living with HIV received antiretrovirals.
  • Reached more than 17,000 young people with information about gender-based violence, reproductive health, and HIV and AIDS through peer education and school sessions

Building Capacity, Strengthening Systems

Pathfinder works in close partnership with more than 250 NGOs, community-based organizations, government agencies, and public and private sector institutions to carry out health programming in Kenya. In the past year, Pathfinder has increased the capacity of health workers to provide quality health services while at the same strengthening the government’s community outreach strategy. By encouraging local ownership of project activities, data monitoring, and project evaluation, Pathfinder is supporting the long-term sustainability of integrated programming and services in the communities where we work.

Through the USAID-funded APHIAplus project, Pathfinder supports the development of sustainable health systems to ensure equitable access to a wide range of health services. The project builds capacity of managers, health care providers and community based health workers and provides technical assistance in continuous improvement of service delivery.

expanding our reach

Pathfinder believes in the importance of not only working within existing structures, but also in developing innovative approaches to reach more people. For example, Pathfinder has pioneered community efforts to identify and train male champions who promote family planning and campaign against gender-based violence.

To reach pregnant women and encourage them to attend antenatal clinics and deliver at the hospitals, Pathfinder is working with community health workers and traditional birth attendants to support expectant mothers as birth companions. Pathfinder also trains community health works to provide quality reproductive health and family planning services, including youth and male-friendly services.

Through our activities, Pathfinder is promoting sexual and reproductive health care among women, men, adolescents, as well as key populations such as orphaned and vulnerable children, men who have sex with men, intravenous drug users, and sex workers. The ultimate goal is to ensure access to readily accessible, equitable, and quality health services for all people in Kenya.


Your gift of $25 or $50 can support our work in Kenya to integrate family planning and HIV prevention, care, and treatment.

Our Projects

APHIAplus Nairobi-Coast

Systems Strengthening Adolescent and Youth Sexual and Reproductive Health HIV & AIDS

The APHIAplus (AIDS, Population and Health Integrated Assistance Plus) Nairobi-Coast program is a five-year flagship health services delivery program funded by USAID.

E2A - Evidence to Action thumbnail

Evidence to Action for Strengthened Family Planning and Reproductive Health Services for Women and Girls (E2A)

Burundi, Democratic Republic of the Congo, Ethiopia, Guinea, Haiti, Mozambique, Niger, Nigeria, Tanzania, Uganda
Systems Strengthening Sexual and Reproductive Health and Rights Adolescent and Youth Sexual and Reproductive Health Gender Behavior Change Contraception & Family Planning

The Evidence to Action Project (E2A) is USAID’s global flagship for strengthening family planning and reproductive health service delivery.

Related Publications

December 2014

Change Starts Here: Pathfinder International 2014 Annual Report

We believe change starts with expertly trained providers and pharmacies that never run out of supplies. It starts with open conversations among women, young people, men, religious leaders, mothers-in-law, policymakers, and others, joining to discuss their beliefs and remove barriers to their health and well-being. Our 2014 Annual Report shows a few highlights of how Pathfinder has served as a catalyst for change over the past year.

July 2014

HoPE LVB Energy Efficient Stoves

Bussi Island is located in the Wakiso district, which suffers a deforestation rate of 86.7 percent. To promote hassle-free cooking and a healthy environment for women in their homes, the Health of People and Environment in the Lake Victoria Basin project introduced two types of energy-efficient smokeless stoves.

July 2014

HoPE LVB Model Households

Model households are a key aspect of the Health of People and Environment in the Lake Victoria Basin, an integrated Population, Health, and Environment project with sites in Kenya and Uganda.

July 2014

HoPE LVB Advocacy

Since the launch of the Health of People and Environment in the Lake Victoria Basin project, staff and partners have engaged key district, national, and regional health and environment officials in Kenya and Uganda.

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With Pathfinder International’s mHMtaani project (Swahili for “mobile health for my community”), community health workers in Kenya’s coastal region use a mobile phone application to register clients, provide health services and upload data to the cloud so program managers can monitor and analyze patient care and outcomes. 

Photo Journal: There’s an app for that

Kenya’s mobile incentive program improves the health of mothers and children, while offering secure and reliable payment to frontline health workers.

Supported by the US Agency for International Development through Pathfinder International’s APHIAplus Nairobi-Coast program, the mHMtaani project (Swahili for “mobile health for my community”) enables community health workers like Elizabeth to register clients, provide health services, and record data directly via a mobile phone.

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