For many families in rural Kenya, the distance to a health facility is measured not in kilometres, but in missed opportunities. A screening appointment can mean a day away from work, a fare that is hard to find, and a choice between a health check and a meal.
Hepatitis B is one of the infections that quietly takes advantage of that distance. It often shows no symptoms for years, and by the time it is discovered, the liver may already be damaged. Yet it is preventable with a vaccine and manageable when detected early.
Why we took screening to the community
HOYWIK PROGRAMMES decided to remove the distance altogether. Instead of asking people to travel to health facilities, we worked with county health teams, local leaders and community health volunteers to bring screening, vaccination, health education and referrals to the places where people already gather — markets, churches, mosques, chief's barazas and village halls.
The approach was simple: meet people where they are, answer their questions in a language they trust, and make the next step as easy as possible.
Universal health coverage is the single most powerful concept that public health has to offer.
Dr. Margaret ChanFormer Director-General, World Health Organization
What the campaign involved
- Free Hepatitis B screening for anyone who walked up — no appointment, no queue, no cost.
- Vaccination for those who were eligible, delivered on the same day wherever possible.
- Health education sessions on how the virus spreads and why early testing matters.
- Referral pathways for anyone who screened positive, linking them to county facilities.
- Training for community health volunteers, so awareness continues after the campaign team leaves.
What changed
Across five counties, more than 1,200 people received screening and health information, and over 800 were vaccinated. But the numbers only tell part of the story. People had wanted to get tested for years but never knew where to start. By the end of each outreach day, the conversations had shifted — from fear to questions, and from questions to action.
Do your little bit of good where you are; it's those little bits of good put together that overwhelm the world.
Archbishop Desmond TutuNobel Peace Prize Laureate
What comes next
Our next steps are to strengthen referral follow-up so that nobody is lost between a positive screening and treatment, to expand the model into more counties, and to keep investing in the community health volunteers who make this work possible.