Kiambu County was the first place that Jacaranda Health deployed the first iterations of the digital health tool that would later become PROMPTS. We began working in the county in 2017 in just three facilities, testing an approach to provide pregnant women with timely health information and support through their phones. What started as a small pilot has since grown into a platform that has reached over 3.8 million women across Kenya, and over 700,000 women in 2025 alone.
PROMPTS now supports pregnant and postpartum women by providing them with health information, reminders, and a way to ask questions during pregnancy and after delivery. Women are typically enrolled during their antenatal care (ANC) visits, where nurses register them onto the platform so they receive weekly messages and reach out for advice when concerns arise. Since 70% of Kenyan mothers seek care in the public health system, we have primarily enrolled mothers through public health facilities. This approach helps ensure the program reaches large numbers of mothers, particularly those who face the greatest barriers to accessing health information and care.
In 2025, the Kiambu County Health Management Team (CHMT) took steps to expand the program further. The county approved the onboarding of private facilities and issued an official letter encouraging facilities across the county to enroll mothers onto PROMPTS. The County Director of Nursing Services supported the onboarding of five private facilities that had previously declined to participate.
Between January and August of 2025, Kiambu recorded 41,282 new ANC visits, and 33,059 mothers were enrolled onto PROMPTS, reaching 80.1% of pregnant women in the county. This represents an increase compared to the same period the previous year, when 29,452 mothers were enrolled.
As more mothers enroll onto PROMPTS, the county is also receiving more feedback from mothers through the platform. This feedback is available through the PULSE dashboard, where facility leaders can review client experiences alongside maternal health indicators and use the information to identify areas for improvement.
The expansion to private facilities represents an important step toward greater county ownership of PROMPTS, with Kiambu taking a more active role in ensuring that mothers across the county can access the service. We are excited about the potential of this approach, which could help move PROMPTS closer to near-universal coverage of pregnant women in some counties.