How Riders Are Positively Changing Health-Seeking Behavior in Central Kenya

Facing a measles outbreak in a vaccine-hesitant community, Shasta County public health officials contained the spread by routing their response through trusted local intermediaries, including school principals, church leaders and clinic managers, rather than just relying on government messaging. The approach combined rapid contact tracing with a non-judgmental communication strategy designed to work with, rather than against, residents skeptical of government authority. Within two and a half months, the outbreak was declared over, with only nine confirmed cases total.

Community health workers are stepping in to deliver essential healthcare services where conflict has destroyed local health facilities. These locally-trusted health workers conduct door-to-door visits to provide immunizations, screen children for malnutrition, refer emergency care and offer mental health support to those who need it, bridging gaps where traditional services can’t operate.

In Bauchi, Nigeria, Community Health Influencers, Promoters and Services (CHIPS) conduct home visits, screen for hypertension, and detect tropical diseases in communities where healthcare is hard to access. In Bauchi alone, the program has screened over 1.2 million people, identified approximately 54,000 hypertensive patients, and treated 67 cases of neglected tropical diseases within a single year.

Kano State's Zero Dose Learning Hub Community of Practice on Immunization is tackling the crisis of over 280,000 unvaccinated children in the state by coordinating across government ministries, the State House of Assembly, and community leaders to ensure immunization commitments translate into actual funding and vaccine delivery. Its effectiveness is reflected in a dramatic rise in immunization budgets. On the ground, Voluntary Community Mobilizers have helped dispel myths about vaccines.

Traditional birth attendants provide maternal care to women in hard to reach areas. With government help through the Mama2Mama program, several TBAs are undergoing training to provide safer, more effective maternal care.

Rwanda has implemented a comprehensive, community-driven cervical cancer prevention program combining door-to-door screening campaigns, free HPV vaccination, and health insurance reforms to cover cancer treatment. Since the initiaives launched, six districts have achieved the World Health Organization’s elimination targets, putting Rwanda on track to become the first African country to eliminate cervical cancer by 2027.

Village Health Teams are groups of community health workers helping rural women access family planning services. They travel from home to home offering counseling, education and connection to the resources women need but struggle to access, including condoms and pills, often all without having to visit a health facility. VHTs have reached several thousand residents, both with short and long-term contraceptive methods.

Over the past several years, Lithuania has implemented a comprehensive national strategy to combat high suicide rates by shifting from a medicalized approach to community-based support. One such strategy is Sidabrinė Linija, or Silver Line, a nonprofit offering free support to isolated seniors by matching them with a “befriender” who shares some of their interests. Since its inception, Silver Line has befriended 6,000 seniors. As a result of combined efforts from multiple initiatives, Lithuania’s suicide rate has dropped from 44 per 100,000 residents in 2004 to 19.5 per 100,000 today.

In 2025, Bauchi State launched the Impact Project to address Nigeria's maternal health crisis by deploying 100 Skilled Birth Attendants across 20 Local Government Areas, alongside free delivery kits and regular salary payments to increase access to professional childbirth care.

The Bauchi State Impact Project aims to improve maternal and newborn health by training 100 people to become skilled birth attendants. Despite infrastructure challenges, the Project not only provides work and purpose to those trained, but also helps make childbirth safer by providing much-needed care.