Verified · Jan 20251 min read
● projectScaled · subnational · 2007
Lwala Community Alliance (community-led community health model)
Organization founded in 2007 by brothers Milton and Fred Ochieng', natives of the village of Lwala (Migori County), after losing their parents to AIDS.
illustrative atlas image · Adam Bezer / UnsplashLCLwala Community AllianceMOMilton Ochieng'JRJoseph R. Starnes
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01 The context
Community-led health model: professionalized and paid community health workers (including retrained traditional birth attendants), community committees, a rural hospital and health policy reform alongside the Ministry of Health. It has scaled to three counties (Migori, Homa Bay, Baringo), going from 600,000 people reached in 2023 to 2.8 million in 2024, with more than 8,300 CHWs supported and skilled birth attendance rates above 90% in its intervention areas.
02 How it works
method · Professionalization and payment of community health workers (incl. traditional midwives)method · Repeated household surveys with comparison areas (quasi-experimental evaluation)method · Community-led community healthtool · Lwala Household Survey (repeated population survey with Vanderbilt, timepoints 2021/2024/2027)
03 What it stands on
Evidence level
Own experience
Grounded in published theory
Documented evidence elsewhere
Independently evaluated here
Peer-reviewed research documents this project: the strongest evidence level in the atlas.
The evidence 2 ›
EvidenceLwala Community Alliance: Reducing Maternal Mortality and HIV RiskBridgespan Group · 2021
EvidenceFactors associated with facility childbirth and skilled birth attendance in Migori County, Kenya and the effect of Lwala Community Alliance intervention: a cross-sectional assessment from the 2019 and 2021 Lwala household surveysFrontiers in Global Women's Health (Lefebvre CH, Starnes JR, Jakubowski A, et al., 5:1426264) · 2024