Tenwek Community Health & Development (TCHD) was founded in 1983 when hospital staff realized that the majority of their cases could be prevented before they became a problem.

Under the motto, "Bir Mat Ko Loo" - "Prevention is better than Care", TCHD was born. TCHD has evolved to become a holistic ministry that focuses on bringing God's hope to the individuals, families and entire communities.

TCHD has two satellite offices in widely separated parts of Narok West Sub County at Ngito and Naikarra. These offices keep TCHD uniquely positioned and equipped to meet the needs of the region.


To serve Christ by facilitating change through community based health care and appropriate development within needy communities.


Community Capacity Building:

Vision: To see empowered communities who are able to identify and address their needs.

In 2008, TCHD began the Community Capacity Building program. The foundational concept of CCB is that the people of the community are the most equipped to uniquely identify their needs and problems. TCHD uses tools and exercises such as having the people drawing maps of the community and then asking questions to help people realize how things could be better. This allows people to own the processes of development for themselves. This movement toward People Owned Processes (POP) is what makes TCHD and the Community Capacity Building program unique.

CCB works to empower communities to improve livelihoods, promote gender equity and increase citizen capacity for active engagement in leadership and governance.

Food Security:

Many locals would say that food scarcity is their biggest problem. The two ways TCHD has learned to combat this problem is by developing food banks and the use of dairy goats.

  • Food banks: TCHD provides education and assistance to help communities store extra food to keep as surplus for times when there is no food.
  • Dairy Goats: When their cows are not adequately fed, they do not produce enough milk. Alternatively, goats need much less input for the output of milk, TCHD has found success in encouraging communities to use dairy goats as a primary source of milk to maximize their available resources.

HIV/AIDS Preventions and Care: 

  • Provide HIV Testing and Counseling and Prevention of mother to child transmission of HIV which includes HIV testing and continuous counseling to reduce risk of infection to the baby.
  • Train students, teachers and youth leaders in "Why Wait?" program – an abstinence based, biblical, character formation curriculum.
  • Promote "Men as Partners" in HIV prevention.
  • Fight teenage pregnancy and sexual abuse; promoting goal setting and dream building with adolescents.
  • Train parents on "Families Matter" to equip them to communicate with their children about sexuality without fear.

Water, Sanitation and Hygiene (WASH)

  • Provide Biosand Water Filters in specific area schools and communities.
  • Construct rainwater tanks at area schools
  • Facilitate spring capping to help communities protect water springs.
  • Encourage community members to build it latrines outside their homes.
  • All of this work is conducted alongside teaching and training communities and schools about health and how to operate these resources (see Community Capacity Building for more info).

Women in Prostitution (WIP)

The WIP program (Women in Prostitution) falls under the branch of TCHD which works with local churches (Andrew Cheriyot is the head of this branch I think).

We have provided training and resource mobilization for local church leaders interested in ministering to women in prostitution.

The goal is to see local churches reaching out to women in prostitution in order to empower them to leave the streets by providing services which reverse the causes of them ending up on the streets. We also hope to see local churches reaching out to offer prevention for those who are at high risk of entering a lifestyle of prostitution