IMPACT Update is an occasional newsletter that highlights the major accomplishments of the FHI IMPACT Project and its implementing partners in Kenya.  This fourth issue covers exciting accomplishments and events throughout 2004, such as the opening of the Rift Valley Comprehensive Care Center in Nakuru, the annual meeting of the FHI Board of Directors held in Nairobi, and profiles of FHI's partnerships with Pharm Access Africa Limited and the National Organization of Peer Educators (NOPE).