Access-Afya

Access Afya operates as a social enterprise dedicated to delivering affordable and effective primary healthcare within Nairobi's informal settlements. The company was established in 2012 by Melissa Menke, who leveraged her background in public health and business to address the healthcare gaps she observed in low-income urban communities. Prior to founding the organization, Menke's work in various global health settings informed her perspective on creating sustainable healthcare models. Access Afya's core business involves a network of micro-clinics and pharmacies strategically located in densely populated areas. These facilities are staffed by clinical officers and community health workers, providing a range of services from consultations and diagnostics to chronic disease management and maternal and child health services. The organization integrates digital technology to streamline operations and enhance patient care.

The business model is designed for high-volume, low-cost service delivery, making healthcare accessible to individuals earning less than $2 a day. Revenue is generated primarily from patient fees, which are kept low to ensure affordability. To supplement this, Access Afya engages in partnerships with non-governmental organizations and other institutions. The company utilizes a quality improvement system and a digital health platform called AfyaSmart. This platform manages patient data, inventory, and clinical protocols, enabling standardized, evidence-based care across all its locations. By bundling services like diagnostics, medications, and consultations, the company aims to provide comprehensive care episodes at predictable prices. The target market consists of the millions of residents in Nairobi's slums who lack access to consistent and quality medical services. Through its hybrid model of physical clinics and digital tools, Access Afya seeks to build a scalable and financially sustainable healthcare system for marginalized populations.

Keywords: primary healthcare, social enterprise, micro-clinics, digital health, emerging markets, community health, affordable healthcare, Nairobi, healthcare access, maternal health