Kenya: The Eye Focus Project (ingl.)

The Eye Focus Project aims to improve access to quality, affordable eye health services for Kenyans in rural and peri-urban areas, thereby enhancing health outcomes and overall productivity. The project strengthens local health markets and establishes sustainable public-private delivery partnerships within the eye health sector to achieve this.
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Kilifi
-3.622383199999999
39.8484317
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Kiambu
-1.1749722
36.8342727
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Makueni
-2.2558734
37.8936663
Duración del proyecto
2025 - 2027
Financiado por
  • Novartis
  • The Fred Hollows Foundation

Avoidable blindness and visual impairment are widespread in Kenya. However, urban and rural Kenyans often delay seeking treatment due to a lack of awareness and limited access to services. The unequal distribution of, and critical shortage of, eye health personnel, paired with poorly equipped public facilities, exacerbates low service uptake. This situation leads to over-reliance on out-of-pocket payments, creating inequity and leaving underserved rural populations highly vulnerable to economic shocks and lower productivity.

The project

The project's primary objective is to strengthen the eye health system in Kenya.

The Eye Focus project uses a Market Systems Development (MSD) approach to tackle the high cost and limited access to eye healthcare in Kenya. According to the Theory of Change, if the private sector is incentivised to invest in last-mile services and partners with the public sector, more people will have access to affordable, quality eye care, reducing avoidable blindness. Rather than creating new, temporary structures, the core innovation is the systemic facilitation of existing market actors, such as optical shops and pharmacies.

The three most important activities of the project are:

  1. Demand creation: Co-financing awareness campaigns.
  2. Supply strengthening: Providing blended financing to private sector partners to expand services into rural areas.
  3. Integration: Formalising public–private delivery partnerships (PPDPs) by equipping sub-county hospitals as demonstration and referral hubs.

Key stakeholders include private health providers and the Ministry of Health, and the ultimate beneficiaries are the underserved rural and peri-urban populations who will gain access to treatment.

The project will provide compelling evidence in support of national and county-level policy changes, particularly with regard to eye health budgeting.

Expected Results

  • Increased rural access to quality eye care through private-sector investment and private mobile outreach, targeting 18 new sectors offering comprehensive eye health diagnosis and treatment.
  • Improving community awareness of eye health services so that at least 500,000 people have access to information about eye care services, leading to increased uptake in both public and private facilities.
  • Reduced travel and cost burdens for patients through decentralised services and stronger referral completion rates via one digital referral system in one demonstration hub.
  • Generating an evidence base to influence county and national eye health policies and catalyse budget allocation for permanent eye care staff.

Financing Partners

The project is funded by The Fred Hollows Foundation and Novartis Foundation. It is part of the Swisscontact Development Programme, which is co-financed by the Swiss Agency for Development and Cooperation (SDC), Federal Department of Foreign Affairs FDFA.