Prior to 1980, the Mkomani suburb of Mombasa’s north mainland was a densely populated area with poor access to medical care. The impending closure of the old Nyali Bridge was going to lengthen the distance to the Coast Province General Hospital. Not only was there a need for curative services, but also for comprehensive preventive health care.

Given this need, a small piece of land was donated and the Mkomani Harambee Clinic was founded and registered as a charitable society.

Mkomani then started a network of field workers who provided information, education, and counselling to potential family planning clients in their homes and communities. They demystified the concept of planned families and addressed cultural and religious taboo