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A pioneering programme in Vihiga County is challenging the traditional focus on physical survival, integrating mental health support directly into maternal care to combat the unseen struggles of motherhood.

For generations, a safe birth was the sole measure of maternal success in Kenya. A quiet revolution is now arguing that a healthy mother requires more than just a healthy body, shifting focus to the silent battles fought in the mind after childbirth.
This shift is not just timely; it's critical. With Kenya facing a heavy burden of maternal and newborn deaths, the psychological fallout for surviving mothers is immense. A new initiative in Vihiga County is pioneering a national model that treats mental well-being as essential, potentially reshaping the future for thousands of new mothers and their families.
The statistics paint a grim picture of the risks surrounding childbirth in the nation. These figures represent not just clinical outcomes, but profound emotional shocks that ripple through families.
In Vihiga County, the 'Maisha Mothers' programme, run by Thalia Psychotherapy and Mindful Kenya, is demonstrating how to close this gap. An event last week, attended by local leaders like Vihiga Senator Hon. Godfrey Osotsi and former Cabinet Secretary Hon. Eugene Wamalwa, showcased the model in action.
A baby crawling race served as a powerful tool to draw families into health services, creating a stigma-free environment where mothers could access mental health screenings and support. This approach, as noted by Ruth Amoko, Head of Special Projects at Thalia Psychotherapy, is built to be a bridge “from grief to healing, from silence to support.”
The programme's core innovation is its recognition that mental distress is often tied to economic hardship. By linking psychosocial care with practical support, such as access to subsidized household essentials, it treats financial stress as a direct health issue.
The argument for this integrated approach is both moral and financial. Untreated maternal mental health issues can lead to missed clinic visits, poor infant bonding, and higher long-term healthcare costs. Early, community-based intervention is significantly cheaper than managing a crisis later.
The Vihiga event was a window into a new national direction for maternal care—one that moves beyond mere survival to holistic recovery. The next test for policymakers is to scale this model, ensuring mental health checks become as routine as blood pressure screenings for every mother in every county.
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