• Health
Start Date:
Aug 2020

Transfer Facility Maintenance Responsibilities to the Government

Assure longevity of Karimu investment and community benefit


Part of Karimu’s agreements with the community to perform construction projects is the requirement to maintain the investments. We see the transfer of this responsibility in three phases: 

  • Phase 1: Karimu leads the monthly management and maintenance of the project and members of the community join us. In the case of the medical buildings, we work with the medical staff to help them understand what to look for, how to record the incidents for tracking, and who to contact to resolve the issues. Costs of maintenance come out of the clinic budget provided by the government. 

  • Phase 2: As the community becomes comfortable with the process, we move to phase 2 where members of the community lead the management and maintenance and Karimu supports them and oversees the process. We gradually reduce our maintenance checks while ensuring the work is being done well and providing feedback to them. 

  • Phase 3: When it becomes clear that the members don't need our involvement anymore, we move to phase 3. In phase 3, Karimu has transferred all maintenance to the community and Karimu is not involved at all. 


To date Karimu has completed these medical construction projects in Ayalagaya ward.


Aerial view of Dareda Kati Health Center


Karimu has developed a health dashboard for tracking health statistics at the dispensaries. It includes a high level summary of the medical building maintenance issues


The medical building maintenance is in phase 2.


August 2022 Update: We continue to be very happy with the maintenance of the medical buildings. A persistent problem with bees was difficult to solve and extended resolution time, but that is now resolved. At this time there are no open issues!

December 2022 Update: We ended the year with zero open issues. For the entire year there were 9 maintenance issues opened and all were resolved in roughly 1 month. The community and staff are really taking pride in their facilities.



  • Grants full ownership of all investments to the community itself

  • Guarantees longevity of donor contribution value to the community



  • Karimu: $500 

  • Government: Pays for all maintenance