The Brain and Mind Institute carried out a series of community and health system engagement activities in Kilifi County from August 25–29, 2025, as part of the Africa-FINGERS program. Supported by the UK’s Medical Research Council (MRC) and the FINGERS Brain Health Institute, the initiative seeks to adapt proven dementia prevention strategies to African realities and promote healthier aging.
Led by Dr. Edna Bosire, Medical Anthropologist at BMI, the team met with the Kilifi County Health Management team to align the program with county health priorities and ensure long-term sustainability. A Community Advisory Board (CAB) was also set up in Kaloleni and Rabai sub-counties, bringing together physicians, psychologists, nutritionists, health promoters, and religious leaders to guide and oversee the program.
“Most dementia prevention strategies have been developed in the Global North and often fail to align with local contexts. In Kilifi County, we are applying a community-based approach that involves people with lived experience, local residents, policymakers, and other stakeholders. Together, we aim to co-create strategies that are culturally sensitive, practical, and sustainable,” said Dr. Bosire.
County leaders welcomed the activities as timely support for strengthening healthcare systems. Edward Mumbo, Head of Primary Health Care at Kilifi County, noted that “This study offers us valuable insights on preventing dementia within the community and among healthcare providers. We look forward to strong collaborations with the Brain and Mind Institute to advance dementia and mental health prevention in Kilifi.”
At the grassroots level, Community Health Promoters (CHPs) are playing a key role in raising awareness about dementia. Patronilar Ngala, a CHP from Vishakani, shared, “I did not know much about dementia before. Many people in our community are unaware of this condition and how to prevent it. I have learned that exercise and healthy eating are important for brain health. That is why we are excited about the Africa-FINGERS project.”
Through these community-driven engagements, the Africa-FINGERS program is combining scientific evidence with local knowledge while embedding prevention strategies into county systems, an important step in tackling dementia and promoting healthy aging across Africa.