project concept note

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INSERT TITLE OF PROJECT
CONCEPT NOTE
Background
Kenya’s population is rapidly growing at a rate of 2.9% per annum with an estimated 25 percent of the
population [KNBS (2019) Kenya Population and Housing Census Results] being youthful. Statistics
show that Adolescent Sexual Reproductive Health and Rights (ASRHR) remains a priority need in
Kenya, with a teenage pregnancy rate of 18 percent, and an unmet need of family planning —as
measured by the contraceptive prevalence rate among sexually active, unmarried girls aged 15–
19 years—of 49 per cent [Kenya MOH, 2016]. It is estimated that about 13,000 girls drop out of school
annually due to early and unintended pregnancy [Muganda-Onyando, 2008] with some Counties such
as Kilifi emerging as hotspots.
Kilifi County is largely a rural area on the Kenyan Coast with a population of 1,453,787 as of 2019,
with majority (71%) being below the age of 30 [2019 Kenya Population and Housing Census]. Issues
such as religious and cultural beliefs in the County largely affects its Sexual and Reproductive Health
and Rights (SRHR) outcomes. This in turn affects the rate of access to and use of modern contraception
methods especially among young people. Looking at the data on teenage pregnancies as per the Kenya
Health Information System (KHIS), Kilifi recorded 4,909 pregnancies among 15-19-year-old girls
between January 2021 to August 2021. These pregnancies were as a result of: harmful cultural practices
such as early marriages, high poverty levels in the region leading to transactional sex, low levels of
education that contributed to limited knowledge on SRHR, and poor parenting [maarifa.cog.go.ke].
In efforts to address this worrying trend, the County has included the reduction of teenage pregnancies
in the Kilifi County Adolescent and Young People Sexual and Reproductive Health and HIV strategy
(2021-2025) so as to inform, design, plan, implement and evaluate all Sexual Reproductive Health /HIV
programs in the region. The County Government continues to support all its departments to implement
the strategy and calls upon all Partners to align their programming to the same.
However, this is not enough. The National Government and the Kilifi County Government in
collaboration with other key development partners in the region can do more to meet the family planning
needs of its adolescents and young people. A good place to begin would be to continuously strengthen
its Human Resources for Health Capacity. The doctor-patient ratio in Kilifi County stands at 10:100,000
against the recommended World Health Organisation (WHO) standard of 36:100,000[ Kilifi County
Incentive framework for attraction and retention of health workforce, August 2018]. The county
experiences shortage of health workers with skills to respond to adolescents and young people’s SRH
needs. Through strengthened capacity, the health workers will be qualified, trusted and more responsive
to young peoples’ sexual and reproductive health including provision of contraception services.
Additionally, they get motivated and retained in hard to reach areas, thus ensuring that they adequately
meet the SRHR needs of population in the County who are of reproductive age.
Problem Statement and Justification
A qualitative study conducted by Faith to Action Network found that cultural factors (e.g., traditional
dances, beliefs that condon the practice, and erosion of social controls) interact with ignorance on family
planning and poverty coupled with political interference on netted cases to enhance persistence of the
teenage pregnancy malaise. Areas such as Ganze and Magarini are especially hard hit. National Aids
Control Council report indicates that teenage pregnancy is multifaceted, with major drivers varying

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across counties. The trend has been blamed on sexual violence, inadequate reproductive health
information and services, forced early marriage, poverty, lack of parental guidance and peer pressure.
The report notes that ending adolescent pregnancy requires a multi-sectoral approach. Every year, about
13,000 Kenyan girls’ dropout of school due to unplanned pregnancies. Access to maternal healthcare
centres has been a challenge in Kilifi County. According to the latest Kenya Health Information System
(2020 - 2021), the proportion of women attending Anti Natal Care (ANC) who received iron and folic
acid supplementation was higher in Kilifi compared to the national average. At least 90% of women in
Kilifi North, Ganze, Kilifi South, Rabai, and Kaloleni received iron and folic acid supplementation in
FY 2018/19. However, these numbers dropped considerably in Kilifi North (81%) and Kaloleni (67%)
by the end of FY 2019/20.
The county of Kilifi has a population of 1,453,787 people following the 2019 census which covers an
area of 12,245.90 km2 (4,728.17 sq mi) with The National Hospital Insurance Fund (NHIF accrediting
only 185 health facilities. This poses a major challenge for maternal healthcare. In light if this XXX
NGO are proposing the to introduce sInQ hand held medical device which can be used for field medical
operations by doctors holding medical camps, emergency medical technicians, or security forces in
combat where rapid diagnosis and triage of seriously injured patients are critical. With significant bulk
and cost constraints placed on conventional Ultrasound equipment, a battery-powered, handheld
Ultrasound machine and Telehealth solution that allows remote diagnosis would help in contributing
towards achieving Sustainable Development Goal 3 (Good Health and Well-being) and Sustainable
Development Goal 9 (Industry, Innovation and Infrastructure). A portable, easy-to-deploy ultrasound
solution is required for low to middle-income countries like Kenya where access to such services is
hard, especially in rural and low-income areas like Nairobi’s slum dwellings.
Objectives
1. List about 3-4 project objectives
Expected Outcomes
 List about 3 – 4 project outcomes
Expected Outputs
 List about 3 – 4 project outputs
Expected Impacts
 List 3 – 4 project impacts
Timeline
Phase 1: You can add the different phases the project will have and a short description of each
Limitations/Assumptions
Name the assumptions the project will have, the more transparent you are the easier it is to justify the
need for project as you have thought about any obstacles and mitigation measures.
Budget
Attached - separate document.

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