Assessing 50 Years of Amref Health Africa's Intervention in Kajiado District

Amref Health Africa has been implementing health interventions in the largely semi-arid Kajiado District of Kenya, since the early 1960s. The initial rationale was to provide badly needed curative and promotive health services to marginalised nomadic pastoral communities.

Over the years, Amref Health Africa interventions have evolved in response to dynamic demographic and socio-economic transformations resulting in reduced overall significance of nomadism and increased marginalisation of pastoralists. This paper set out to assess the impact of Amref Health Africa’s long interventions on improvements in health status and well-being of the beneficiary communities.

The study employs a combination of different methodologies to present descriptive information and analysis to develop initial stylised observations on Amref Health Africa’s long experience in Kajiado district and its influence on local communities, as well as public policy. The study relies heavily on review of existing project documentation within Amref Health Africa’s archives, embracing specific project and programme designs, progress reports and evaluations.

Findings: While the findings of these reviews are initially discussed separately, a synthesis of the three categories of findings is provided in a final section of the review which is followed by recommendations for future project and programme design in order to facilitate objective impact assessment.