Quarterly Clinics

Continuous Care. Lives Saved.

At the heart of the Shikuri Project is a simple but powerful model: consistent, high-quality care for the same children over time.

Every three months, Shikuri conducts a dedicated pediatric clinic serving a core group of 30 children in Homa Bay County, Kenya. These are not one-time visits they are part of an ongoing, life-saving continuum of care.
 
Who We Serve
 
* 26 children diagnosed before the age of five (in 2023) through Shikuri-supported early detection
* 3 siblings, ensuring family-centered care and stronger adherence
* All children are enrolled in a longitudinal care program, not episodic treatment
 
From Diagnosis to Survival: A Continuous Care Model
 
Shikuri’s impact begins with early, point-of-care diagnosis.
 
Using rapid diagnostic kits provided by the Shikuri Project, children are identified early—often before symptoms become life-threatening. This allows for immediate enrollment into care and dramatically improves survival outcomes.
 
But diagnosis is only the beginning.
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What Happens Every Quarter

At each clinic, children receive:

Comprehensive medical review by trained clinicians

Thorough health assessments conducted by qualified clinicians to ensure accurate diagnosis and effective care.

Monitoring of disease progression and complications

Continuous tracking of the condition to detect changes early and prevent complications.

Medication management and adherence support

Careful oversight of prescribed treatments with guidance to help patients take medications correctly

Nutritional counseling and caregiver education

Personalized care strategies regularly reviewed and adjusted to meet each patient’s evolving needs.

Updated, individualized care plans

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At the end of each clinic, caregivers are provided with a full three-month supply of essential medications, ensuring that every child leaves with what they need to remain stable until the next visit.

Access to Specialist Care

When more advanced evaluation or treatment is required, children are referred for specialized care at Homa Bay County Hospital, where they receive:

Expert examination by the lead sickle cell specialist

In-depth evaluation by a senior specialist with extensive experience in sickle cell care.

Advanced diagnostic assessment

Use of specialized tests and tools to gain a deeper understanding of the patient’s condition.

Management of complex or high-risk cases

Focused care for severe or complicated cases, with tailored strategies to reduce risks and improve outcomes.

Between Clinics: Care That Continues in the Community

Community Health Workers: The Lifeline Between Visits

Trained community health workers (CHWs):

 Conduct home visits to monitor each child
 Support medication adherence and daily care
 Identify early warning signs and trigger referrals
 Provide ongoing caregiver education and support
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One Year of Continuous Care: The Results

This cohort of children has now received a full year of uninterrupted, quarterly clinical care combined with continuous community monitoring. The results have been remarkable:

Continuous Monitoring That Saves Lives

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This combination of:

* Quarterly clinical care
* Three-month medication coverage
* Specialist referral access
* Community health worker follow-up

ensures that:

* Crises are prevented—not just treated
* Care continues every day—not just clinic day
* Every child is seen, known, and protected
 

Why It Matters

In regions like western Kenya, children with conditions such as sickle cell disease often go undiagnosed—or are diagnosed too late.

Shikuri changes that trajectory:

A Model Designed to Scale
 
Because Shikuri operates within the public health system, this approach is:
 
 Cost-effective
 Replicable at county level
 Sustainable through government integration
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Clinic Days

May 14, we celebrated a powerful milestone for The Shikuri Project! One full year of continuous clinics completed for our inaugural cohort of 30 children in Homa Bay County, Kenya—and the results have been spectacular!

One full year of continuous clinics completed for our inaugural cohort of 30 children in Homa Bay County, Kenya—and the results have been spectacular!

We proudly congratulate our patients, caregivers, community health workers, medical partners, and our generous donors whose commitment made this possible.

Support a Child’s Journey to Survival

Each child in this program represents not just a life saved—but a life followed, protected, and given a chance to thrive.
 
$350 supports one child for an entire year of continuous, life-saving care.
39$ supports one child for an entire month of continuous, life-saving care.