Our history
In 1956, three doctors – Archibald McIndoe, Michael Wood, and Tom Rees – created a groundbreaking plan to provide medical assistance to remote regions of East Africa, where they had all worked for many years as reconstructive surgeons.
Spurred by what they had seen of the combined effects of poverty, tropical disease, and a lack of adequate health services in East Africa, their collective vision was born in the foothills of Mount Kilimanjaro.
At that time, there was one doctor to every 30,000 people in East Africa – compared to the US ratio of about one to every 1,000. Medical facilities were sparse, with rough terrain and often impassable roads making access to medical care difficult for people in rural and remote areas. As this was where the majority of the population lived, Archie, Tom, and Michael saw an air-based service as the only way to get health care to remote communities.
1950s
AMREF was officially founded in 1957 to deliver mobile health services and to provide mission hospitals with surgical support. A medical radio network was developed to coordinate the service and provide communication.
1960s
In the early 1960s, ground-based mobile medical services were added, along with "flight clinics" for the under-served, and remote areas in the Kajiado and Narok districts of Kenya.
1970s
By 1975, training and education for rural health workers were already a major part of AMREF's efforts. This included the development of health learning materials.
During the late 1970s, AMREF continued providing mobile clinical and maternal/child health (MCH) services. We also introduced a focus on community-based health care and to train community health workers to deliver primary health services. Technical support units for community-based health care, maternal and child health, family planning, and environmental health were also set up.
1980s
During the 1980s, AMREF moved into community health development, closer collaboration with the ministries of health in the region, and cooperation with international aid agencies. This set the organization’s course for the next decade.
Greater emphasis was given to strengthening health systems and staff development, with special attention to health needs identified by communities themselves. AMREF staff gained experience in the planning and management of health services at a national level – expertise that has since been shared with several health ministries (the first was Uganda).
1990s
In the early 1990s, AMREF established a unique year-long training course in community health. The 1990s also saw AMREF’s work expand to include disease control initiatives, targeting malaria, HIV/AIDS, and TB.
During the mid 1990s, AMREF increased its focus on HIV/AIDS, a disease that looked set to undo much of the progress made in health during the 20th century and become a major burden to health systems in poor countries.
To meet this increased health care need, AMREF prioritized research, capacity building, and advocacy relating to:
- HIV/AIDS and sexually transmitted infections
- TB
- Malaria
- Safe water and basic sanitation
- Family health
- Clinical services
- Training and health learning materials.
During the same period, in recognition of the need for partnerships at community level, AMREF engaged more with local groups to enable community-based planning, shared identification of issues and priorities, and efficient use of resources.
2000s
In recent years, AMREF has highlighted the fact that despite huge investments by donors in health products and delivery of health services, a large percentage of Africans still have limited access to sufficient, high-quality health care.
AMREF’s current ten-year strategy (2007-2017) focuses on finding ways to link health services to the people that need them by focusing more on people, and less on diseases – making responses tailor-made to specific community needs.
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