Tujali Afya Logo

Tujali Afya

Health Alliance

Tujali Afya Health Alliance is a registered Kenyan health organisation working to strengthen community health and primary healthcare, with particular attention to cancer, non-communicable diseases, mental health, and practical systems of support. We work across community mobilisation, service design, patient support, digital tools, and partnership-building so that people are not left alone between awareness campaigns and the care they need.

Our approach is simple: build health work that communities can understand, access, and help sustain. That means strengthening health literacy, linking community screening to real care pathways, supporting people living with the impact of illness, and using technology where it helps make care more reachable, trackable, and humane.

Our Vision

A society where individuals and communities live with greater health, dignity, and agency, supported by systems they can trust and help shape.

Our Mission

To work with communities to strengthen health literacy, improve access to supportive care, and build sustainable, community-rooted responses to cancer, NCDs, mental health, and primary healthcare.

Our collaboration model brings together community health actors, clinical partners, patient support programmes, and digital systems around a shared commitment: that people should be able to access the care they need, navigate it without falling through the gaps, and be supported through the experience of illness and recovery. That applies across cancer, NCDs, mental health, and other priority health areas where community-rooted work can make a practical difference.

Across the health conditions we work on, the challenge is rarely just raising awareness. People need to be able to access care, navigate it without falling through the gaps, and be supported through the experience of illness and recovery. Tujali Afya is built around a structured pathway designed to carry people through every step, from first contact in the community to referral, service access, and follow-up, whether that is for cancer screening, an NCD review, mental health support, or patient dignity needs.

Community Mobilisation & Sensitisation

Community Health Promoters (CHPs) work within their Community Health Units (CHUs) to raise awareness, address fear and stigma, and identify people who may benefit from screening. This is ongoing relational work, not a one-off campaign, and CHU-based case ownership means accountability is explicit from the start.

Structured Pre-Screening & Digital Registration

Eligible individuals are guided through a structured pre-screening questionnaire using our browser-based, mobile-accessible platform. Each person receives a unique identifier linking their community intake to the downstream clinical workflow. Pre-screening data informs prioritisation, booking, and navigation, reducing the randomness of informal referral models.

OCSI Portal (live)

HealthPod: Community-Proximate Service Access Next Phase

OCSI demonstrated that referring people directly to a facility creates losses at every step. The HealthPod model, which TAHA is developing as its next programme phase, addresses this by bringing fixed-cadence, nurse-led screening sessions closer to communities. Rather than relying solely on direct facility referral, prescreened clients will be booked into predictable community-proximate service windows where women can receive clinical breast examination and cervical screening, and men can access prostate and colorectal risk assessment and navigation. Bounded AI-assisted coordination will support booking, documentation, escalation, and follow-up at each step.

Escalation & Referral through the Care Network

Abnormal findings and higher-risk cases are escalated through a structured clinical protocol and referred onward through Kenya's Primary Care Network (PCN) referral system for facility-based review, diagnostic workup, and management. For cancer-related cases, Nazareth Hospital is our current clinical partner providing the closed-loop referral and cancer management link. The digital workflow maintains a traceable record of each referral so that follow-up is trackable rather than assumed.

Follow-Up & Continuity

The pathway does not end at referral. CHPs maintain case ownership and community-level contact. Digital follow-up tasks ensure that people who have been referred are not lost to the system. Continuity, knowing what happened after first contact, is what separates a functional care pathway from a campaign.

All clinical decisions are made by qualified nurses and clinicians. Digital and AI-assisted tools support workflow coordination, documentation, and task management. They do not replace clinical judgement.

Our programmes are built around what communities and patients actually need, not what is easy to deliver. Each programme is connected to the others through the shared pathway logic of community mobilisation, clinical linkage, and continuity support.

October Cancer Screening Initiative (OCSI)

Active

OCSI is our community cancer screening programme, launched in October 2025 in partnership with Nazareth Hospital. It mobilises Community Health Promoters to conduct Sunday pre-screening sessions, guide women through a digital registration pathway, and support access to subsidised screening at Nazareth Hospital. OCSI proved that community mobilisation and referral generation are feasible; the next phase focuses on strengthening continuity, reducing leakage, and broadening the screening platform to include men.

  • Community mobilisation and CHP-led prescreening
  • Browser-based digital intake and unique ID registration
  • Subsidised cervical and breast screening at Nazareth Hospital
  • Referral documentation and follow-up tracking
Visit the OCSI Portal

Breast Reconstruction Aid (Bra Project)

Active

The Bra Project provides post-mastectomy bras and prostheses to women recovering from breast cancer surgery, addressing a practical dignity need that is often invisible in formal cancer care. Support is provided through donation or subsidised access, with a structured digital intake process that organises requests and assessments.

  • Post-mastectomy bra and prosthesis provision
  • Digital request and assessment pathway
  • Donation and subsidised access model
  • Community peer support linkage
Visit the Bra Support Portal

HealthPod Model

In Development

OCSI taught us that community mobilisation and digital prescreening are achievable, but also exposed where the pathway leaks: between identification and completed care. People were sensitised and enrolled, but losses occurred at booking, attendance, screening completion, escalation, and follow-up. The HealthPod model is TAHA's direct response to that learning.

HealthPods are planned as fixed-cadence, community-proximate service platforms that bring organised screening and navigation closer to where people live, reducing the transport, time, and system-navigation barriers that cause losses after first contact. Rather than relying on direct referral to a facility, the HealthPod becomes an intermediate, accessible service point with a predictable rhythm, supported by digital tools and bounded AI-assisted coordination at each step of the pathway.

  • Fixed-cadence nurse-led screening sessions in the community
  • CHU-based case ownership and continuity support
  • Women's and men's cancer screening pathways
  • Digital documentation, escalation protocol, and follow-up tracking

Health Technology & Digital Care

Active

Health technology is one of the ways Tujali Afya is maturing from a project platform into an operational care pathway. We have already designed and host browser-based, mobile-accessible tools that support community intake, structured registration, screening navigation, public information, and organised follow-up. The next layer introduces bounded AI-assisted coordination to strengthen documentation, escalation, and continuity at each step of the pathway.

  • OCSI public screening portal with guided pre-screening and pathway information
  • Hosted workflow architecture for unique IDs, data capture, booking support, and follow-up tracking
  • Digital ordering and request pathway for post-mastectomy bra and prosthesis support
  • Foundations for bounded AI-assisted coordination, task support, and clinician-facing summaries

We prefer to present progress in concrete terms: what has been built, what has been piloted, and what programme indicators are being tracked as the work grows.

5 & 12
Community Health Units (CHUs) and Community Health Promoters (CHPs) engaged through the OCSI pathway
759
Women sensitised and prescreened through the 2025 OCSI community pathway
119
Women documented as completing screening at Nazareth Hospital through the pilot pathway
18 + 4
Bras provided through the Bra Project in 2025: 18 donated and 4 accessed on a subsidised basis

Community Reach

Five Community Health Units and twelve Community Health Promoters engaged through the OCSI pathway, with structured prescreening, CHU-based case ownership, and community-level follow-up across Kiambu communities.

Cancer Support & Screening

Bra support and OCSI have created a practical starting point for patient dignity support, screening coordination, referral-linked care, and continuity planning.

Health Technology

Digital tools are already live and being used to support intake, unique identification, information access, ordering, structured documentation, and hosted data workflows.

Continuity Model Development

HealthPods are being developed as community-proximate continuity platforms that reduce losses between prescreening, booking, attendance, referral, and follow-up.

What the pilot taught us

  • Community mobilisation works. Reaching 759 women through CHPs demonstrated that community-level prescreening is operationally feasible with the right structures.
  • Referral completion is the harder problem. Of 759 prescreened, 119 completed screening, revealing real losses between prescreening and completed care that a stronger continuity model must address.
  • Digital registration adds value. Unique IDs and structured digital intake made the pathway more traceable and organised than paper-only approaches.
  • The Bra Project fills a real gap. Demand exceeded initial supply, confirming that post-mastectomy support is an unmet need in the communities we serve.

Our collaboration model brings together community health actors, clinicians, administrators, and strategic supporters around service pathways that communities can actually use.

Nazareth Hospital

Clinical collaboration, screening linkage, oncology-adjacent support, and hospital-community connection through bra support and OCSI. Nazareth is the definitive care partner for escalated and referred cases in the pathway.

Community Health Promoters

Community mobilisation, Sunday pre-screening, referral navigation, and continuity support within the OCSI pathway. CHPs are the human backbone of case ownership within each Community Health Unit.

Public Health Actors

Coordination with local community health structures to support implementation, logistics, and trusted mobilisation across Kiambu County communities.

Strategic Supporters

Advisers and board-linked supporters helping strengthen sustainability, legal oversight, programme development, and future scaling of TAHA's model.

Our digital tools are embedded inside the care pathway, not bolted on the outside. Each one serves a specific function in connecting people to care, supporting frontline workers, or maintaining continuity after a referral. What is described below is live and operational, not planned or prototype.

Live

OCSI Screening Portal

A public-facing, mobile-accessible portal through which women learn about cervical and breast cancer screening, complete a structured pre-screening questionnaire, and enter an organised pathway for prioritisation, booking, and subsidised access. Unique participant IDs are generated on registration, linking community intake to the downstream workflow.

Visit Portal
Live

Bra Support Request Portal

A structured digital intake and request system for the post-mastectomy bra and prosthesis support programme. Women can make a request, provide relevant information, and be assessed for donation or subsidised access, reducing the friction of navigating support services after surgery.

Visit Portal
Live

Hosted Workflow & Data Architecture

Behind the public portals sits a hosted workflow layer that manages unique ID generation, structured data capture, booking support, referral documentation, and follow-up task tracking. This is the operational backbone that makes the care pathway traceable end-to-end rather than dependent on paper records and informal memory.

Unique IDs Structured intake Referral tracking Follow-up tasks
Live

Tujali Afya Organisational Platform

This website and the sub-domains that sit beneath it serve as the organisational digital presence: providing transparent information about our work, hosting access points to our tools, and ensuring that partners, community members, and funders can understand and engage with what Tujali Afya does.

tujaliafya.org ocsi.tujaliafya.org bra.tujaliafya.org
In Development

AI-Assisted Coordination Layer

The next layer of our digital infrastructure introduces bounded, role-specific AI support into the care workflow. This includes booking prompts, counseling scripts tailored to known barriers, clinician-facing case summaries, escalation support, documentation assistance, and follow-up task orchestration. The AI layer does not make clinical decisions; it reduces the friction and memory burden on frontline staff so that the care pathway holds together more consistently in practice.

Workflow support Clinician summaries Escalation prompts Human oversight

Our Digital Principles

  • Tools serve the pathway. They exist to reduce losses between community contact and completed care, not to demonstrate technology for its own sake.
  • Clinical decisions stay with clinicians. Digital tools support documentation, coordination, and communication; they do not replace professional judgement.
  • Data captured in our systems is used to improve care quality and programme learning, not shared commercially or used outside the care relationship.
  • Accessibility matters. Our tools are designed to work on modest mobile connections and low-specification devices, reflecting the communities we serve.

Tujali Afya is building practical systems of support: community-linked screening, patient navigation, health technology tools, and continuity platforms that can mature into stronger primary healthcare pathways. Direct support is welcome and helps us sustain patient support, community outreach, digital workflows, and continuity work.

Give by M-PESA

You can support Tujali Afya directly through M-PESA PayBill:

PayBill Number: 542542
Account Number: 100825

Please share your transaction reference with us by email or phone so we can acknowledge your support and keep proper records.

Give by Bank Transfer

Bank: I&M Bank
Account Name: Tujali Afya Health Alliance
Account Number: 04408087126350

For larger gifts, partnership support, or transfers from outside Kenya, please email us so we can confirm receipt and guide the best channel.

info@tujaliafya.org

Partner With Us

Our bras are locally made and custom-fitted, generating community livelihoods rather than importing dependency. That principle guides how we think about all external support: the most valuable partnerships are those that build local capacity, transfer skills, and leave communities more capable than they were before. Where we welcome external contribution is in areas not yet available locally — specialised medical equipment, digital connectivity, research partnerships, and technical expertise in health systems and technology — always in service of a community that is working towards self-reliance, not perpetual need.

Contact us to discuss partnership

Suggested reference: Donation / Support for Tujali Afya. After sending support, you may email or text us your name and transaction reference so that we can acknowledge receipt and keep proper records.

Whether you are a potential partner, donor, clinician, researcher, volunteer, patient advocate, or community group, we would be glad to hear from you.

General Inquiries

info@tujaliafya.org

Administration

admin@tujaliafya.org

Location

Studio 11, Phileo Arcade, Ruiru, Kiambu, Kenya

Stay connected: If you would like to receive occasional updates on our work, programmes, and community health initiatives, send an email to info@tujaliafya.org with the subject line "Updates" and we will add you to our mailing list.