• As Nakuru prepares to enter the co‑creation phase of Project THRIVE, County Executive Committee Member for Health Roselyn Mungai called for sharper focus as reforms move from exchange to implementation.

On February 14, 2026, health teams from across Nakuru County concluded a week‑long learning exchange and finalized the Project THRIVE workplan—a collaborative roadmap designed to strengthen health systems, drive performance, and improve community health outcomes with support from Amref Health Africa.

According to the County Government of Nakuru, the session marked a critical milestone in transforming shared learning into measurable impact on service delivery.

Project THRIVE is a primary healthcare initiative focused on strengthening community-led health systems in Kenya, particularly in Nakuru and Nyeri counties.

Speaking on behalf of the Director of Public Health, County Public Health Officer Caroline Vata underscored the importance of prioritizing sustainability, community engagement, and documentation.

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She emphasized that interventions must be anchored in evidence and rooted in community realities to deliver lasting benefits.

“The finalized workplan reflects joint decisions, clarified roles, and shared commitment to accountability and innovation. With this foundation, Nakuru County is poised to implement strategic actions that will drive better health outcomes for all communities, keeping the voices of residents at the heart of progress as promised by Governor Susan Kihika,” the county government stated.

Learning Across Counties

The engagement brought together health implementers from Nakuru and Nyeri, strengthening systems and refining reforms to ensure service delivery improvements reach communities. Building on earlier collaboration—where Nyeri teams visited Nakuru—this exchange saw Nakuru’s delegation travel to Nyeri for structured learning focused on Primary Care Networks (PCNs).

Discussions centered on:

  • Improving linkages between specialists and community health systems
  • Expanding uptake of social health insurance
  • Advancing quality improvement frameworks

At its core, the initiative seeks to sharpen coordination across facilities and community structures while promoting smarter, data‑driven use of existing systems.

Closing the Feedback Loop

Frontline health workers, community leaders, and Community Health Committees demonstrated tools such as community scorecards and structured problem‑solving approaches. A central lesson emerged: closing the feedback loop between communities and facilities ensures that concerns raised by residents translate into visible improvements in care.

Trust between providers and communities has been underscored as a cornerstone of sustainable PHC reform.

As Nakuru prepares to enter the co‑creation phase of Project THRIVE, County Executive Committee Member for Health Roselyn Mungai called for sharper focus as reforms move from exchange to implementation.

She emphasized the need to move beyond activity‑based programming and ensure lessons gathered translate into meaningful impact where services are accessed and lives are affected.

Officials stressed that learning holds value only if it leads to improved care, stronger systems, and better health outcomes. Nakuru reiterated its commitment to people‑centred Primary Health Care, evidence‑informed programming, and accountable use of existing systems.

What Project THRIVE Represents

Project THRIVE is a strategic investment in Kenya’s primary healthcare future. Implemented by Amref Health Africa in partnership with the Moderna Charitable Foundation, the initiative aims to improve and sustain PHC systems in Nakuru and Nyeri counties.

Key achievements include:

  • Training 1,484 health workers and community health promoters, equipping them with digital tools for data‑driven decision‑making.
  • Reaching over 737,023 people with vital health services and information
  • Supporting integrated outreaches that bring services closer to beneficiaries

In 2024, Dr. Nelson Muriu the Director of Health Services in Nyeri County highlighted the value of partnership.

 “Working with Amref Health Africa through the Moderna‑supported Project THRIVE has been key in ensuring that we achieve our goal of improving and sustaining a primary healthcare program,” said Dr. Nelson Muriu.

Frontline workers echoed the impact. Esther Ngatia, Head Nurse at Gumba Health Centre, noted: “The THRIVE project has impacted patient care. We’ve received training and support to conduct integrated outreaches, taking services closer to beneficiaries.”

By empowering frontline health workers and strengthening community systems, Project THRIVE is fostering healthier communities while building sustainable local healthcare capacity. The collaboration rests on the belief that resilient PHC systems are the foundation of universal health coverage.

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