Alumni Spotlight: Rachel Nyameyo, MPH ’24

Nyameyo puts her online MPH training into action through Lulu-Afrika, the nonprofit organization she founded to address food insecurity, women’s health and safety and the well-being of orphans and prisoners throughout Kenya, Tanzania and South Sudan.

Last year, Rachel Nyameyo, MPH’24 completed her online master’s of public health at Brown while founding and establishing Lulu-Afrika, a nonprofit organization that responds to public health needs in multiple African countries. 

Lulu-Afrika celebrated its one-year anniversary on April 12. In just twelve months, Nyameyo and her team have built partnerships with key governmental and religious organizations and have secured over 200 acres of land for the purposes of building community-health centers and sanctuaries for people displaced by floods, hunger and sexual violence. 

Nyameyo took an unconventional route to establish Lulu-Afrika. Seventeen years ago, she moved to the U.S. from the city of Kisumu, near Lake Victoria in western Kenya. She majored in biology at Texas Southern University and was accepted into pharmacy school. Tuition was expensive, however, and an encounter with a military recruiter—who was looking for conscripts who could speak Swahili—led her to pause her studies and join the U.S. Army.

Nyameyo served four years at Fort Bragg, North Carolina, and another four years in the reserve service in Houston, Texas. Holding the rank of E-5 Sergeant, she is currently in the Individual Ready Reserve.

We spoke with Rachel about some of her accomplishments over the past year.

What inspired you to found Lulu-Afrika?

Nyameyo: It was born out of a personal experience that goes back to my childhood. My father is originally from Tanzania, and every holiday season, we would travel there to visit his family. His community lives among the Kurya ethnic group. While we’re from the Luo tribe—which doesn’t practice circumcision at all, not even among men—we lived in an area where the Kurya community practiced both male and female circumcision.

As a child, I was shocked to learn that girls were also circumcised. I had never been exposed to the practice, so it felt completely foreign and disturbing to me. During the December holidays, which coincide with the circumcision season, I would see public ceremonies in the streets—people dancing, their faces painted. I’d ask my father what was going on, and he explained the tradition.

But it didn’t sit right with me, especially knowing that girls—some very young—were going through this. Some would bleed to death or get infections. On top of that, circumcision was seen as a rite of passage into marriage, often to older men. Even as a child, I knew it was wrong.

As I grew older and pursued education in biology and later public health, I gained more knowledge about the consequences of this practice. That only fueled my passion to fight it. So I started Lulu-Afrika and partnered with others already working in this space. Together, we aim to end this harmful tradition.

What are the biggest challenges your team faces?

The biggest challenges are lack of education and resistance from the community. Many people don’t understand the dangers of female genital mutilation, and because it’s seen as tradition, it’s very difficult to challenge. It’s also a source of income for circumcisers—known locally as Ngaribas—so they have a financial stake in continuing the practice.

That said, we do receive support from local law enforcement, which helps ensure our work on the ground is secure. We collaborate closely with the Gender Desk of the local law enforcement to protect both our team and the girls we assist.

How do you manage to respond to multiple issues across different regions?

We respond based on need. In Tanzania, our focus is primarily on female genital mutilation and related injustices—child marriage, gender-based violence, domestic violence and rape. The girls we shelter are often escaping multiple forms of abuse.

In Kenya, we focus more on homelessness. We support street children and families by visiting children’s homes and responding to their specific needs. We’ve also begun working with prisons, starting with Naivasha Maximum Security Men’s and Women’s Prisons. We spoke with inmates and learned that many of them have nowhere to go after release. Their families might have disowned them, or they’ve been incarcerated for so long that reintegration is difficult. We’re exploring solutions like halfway houses modeled on systems in the U.S.

In South Sudan, we conducted a joint outreach with a local partner, Hope Restoration South Sudan. We visited four counties in Unity State—Rubkona, Leer, Mayendit and Norkur. Many of the women there are internally displaced due to protracted flooding from 2020, and they’re still dealing with the aftermath. 

We sat down with them, asked what they needed, and worked toward solutions based on their input. We found that their challenges are very similar to those faced by women in Tanzania: hunger, early marriage and sexual violence. When the women requested relocation to higher ground, we brought their concerns to the governor. He allocated to us 200 acres of land—both for agriculture and for the relocation of displaced women. It was an incredible gesture of support.

As Lulu-Afrika celebrates its first year, what are the key lessons you’ve learned, and what are your plans for the future?

We’ve learned so much. This first year was focused on visibility, and I think we’ve done really well. We’ve formed strong partnerships across South Sudan, Kenya and Tanzania.

In Tanzania, we work with Hope for Girls and Women, which operates two safe houses. During the December circumcision season, girls flee to these safe houses and stay there until it’s safe to return home. We also partner with the Roman Catholic Diocese of Musoma. The bishop graciously donated 10 acres of land, where we plan to build a comprehensive community center. It will include a school, library, dormitories, a health center, staff quarters and safe space for girls during circumcision season. Off-season, it will serve the broader community.

In South Sudan, we’re looking to secure agricultural equipment—tractors, seeds—so we can fully utilize the land we were given. Moving forward, we plan to continue expanding our outreach, education and mentorship programs, and to keep responding to needs as they arise.

How did the training you received through the Online MPH program influence your professional work? 

It gave me a different lens through which I now look at public health issues and a framework for community-centered sustainable solutions; for instance, we emphasize the use of participatory approaches in the communities where we work. 

And I now think beyond traditional health care models because I was challenged by my professors to always consider the social, cultural and economic factors that contribute to health outcomes.