Mombasa County’s 2,300 Community Health Promoters (CHPs) provide front-line healthcare support at the household level, identifying health concerns and providing referrals to clinics. The IPT-G program, delivered by CHPs within their assigned communities, is intended to provide first-line depression care for people experiencing depression symptoms. CHPS are empowered to screen for depression and run therapy groups. Clear referral pathways link community-level therapy to facility-based services; CHPs escalate severe depression cases, suicidality, or reports of abuse/gender-based violence to psychologists or psychiatrists, creating a continuum from community support to specialized care within the county system.

In Comprehensive Care Clinics, people living with HIV, TB, and other illnesses come together in IPT-G groups to find support. Group members work together to overcome the stigma of living with a chronic infectious disease, the fears of disclosure, and the emotional barriers that may prevent them from sticking to treatment. Integrating IPT-G into clinical health support provides gateways for emotional healing, better treatment adherence, and sustained wellbeing.

Mombasa County is rolling out IPT-G in primary and vocational schools, as well as some colleges to improve classroom dynamics, student performance, and help students overcome personal challenges to reach their educational goals.

Primary schools are reporting dramatic changes, including better behavior, fewer instances of drug abuse, and less fighting among students. Teachers who have received therapy report more confidence and better interpersonal relationships, as well as improved awareness of challenges students may face at home.

Mombasa County Remand Prison holds individuals awaiting trial or serving short sentences for non-violent offenses, creating a constant turnover of inmates and a persistent need for rapid, effective mental health care. IPT-G addresses a crucial gap, supplementing the 1:1 support offered through its counseling office so that more inmates can receive mental health support, faster. By helping incarcerated men articulate their emotions, process trauma and stress, resolve anger, reconnect with families, and reexamine their choices, Mombasa County aims to reduce recidivism, improve safety inside and outside the prison, and strengthen families and communities to which inmates return.

Mombasa County has also ventured into workplace wellness, starting with its own ranks. The County Department of Environment and Governance noticed high degrees of absenteeism and irritability among its 730 staff and requested support from colleagues at the County Health Department. Results of this 2025 initiative are still pending.