From
surviving
to
thriving.
Advancing newborn and child healthcare across Africa through clinical care and clinician training, helping children move from surviving to thriving.
90%+
NICU
Survival
1000+
Clinicians
Trained
240+
Hospitals
Reached
HOW WE PURSUE OUR MISSION
- Provision of care
- Education & training
- Research & advocacy
THREE INTERCONNECTED INITIATIVES
Creating lasting impact by combining specialized care, clinical education, and practical tools that empower healthcare teams across Africa.
01
NICU at ALMC
Low-cost, high-impact neonatology services for premature and hospitalised newborns at the Arusha Lutheran Medical Centre — where 90%+ of babies survive to go home.
02
Tiny Feet, Big Steps
Hands-on neonatal training uniquely bringing physicians and nurses together — combining lectures, simulation, and workshops designed for low-resource settings.
03
APMC Outpatient Care
Specialised outpatient care for mothers and children from birth through adolescence at the Arusha Pediatric & Maternal Care Centre.
IMPACT STORIES
Catalysts for Change
Stories of innovation, and impact inspired by Tiny Feet Big Steps
- Ghana – Dr Josephine
- Ghana – Neonatal Jaundice Seminar
- Nigeria – Bingham Teaching Hospital
- Nigeria – SALSA with Dr John
- Zimbabwe – Sodium Management
Children who moved
from surviving to thriving
FROM THE FIELD
What clinicians are saying
“Where survival was once unlikely, there is now real hope. The Tiny Feet, Big Steps Conference is more than an event—it is a catalyst for change, equipping healthcare providers to turn fragile beginnings into thriving futures.”
Dr. Jack Stutner
Internal Medicine and Pediatrics
Kaposwar Mission Hospital, Kenya
“In our society and culture in Tanzania—especially in the Maasai culture – if a mother is not able to go home with her baby, the social welfare of the mother is going to be damaged, because the woman may become dispensable to the husband. Not only is there the emotional loss experienced by the mother, but also there are consequences in her marriage as well—and her social and economic status. With this awareness, we are compelled to put forth our best efforts to help all infants that come to the hospital.”
Dr. Godbless Philipo
NICU Doctor
“It has been a great opportunity to be part of the Tiny Feet Big Steps team that shares knowledge with others. We at Kijabe Hospital have strengthened our ability to care for extremely preterm babies, including those as early as 25 weeks and as small as 500 grams, who are now able to thrive and be discharged home.”
Pauline Gathoni
Kijabe Hospital, Kenya
Tiny Feet, Big Steps Instructor
ICHA PUBLICATION
Every Breath Counts
Manual of Neonatal Care & Drug Doses
A practical 440-page neonatal care manual developed from real-world experience by our ICHA team caring for critically ill newborns in resource-limited hospitals, designed as a bedside reference for healthcare providers working in neonatal care.
This practical reference guide equips physicians and nurses with essential knowledge in neonatal care, drug dosing, and NICU procedures—helping hospitals across Africa improve survival for their most vulnerable patients.
FROM OUR WORK
ICHA in the field
ICHA staff at work in the NICU, the Arusha Pediatric & Maternal Care Centre and at Tiny Feet, Big Steps Neonatology Conferences.