Coordination of Maternal and Child Health Activities in 10 Selected Counties ( THE RIGHT START).

14th October 2016By

KIROREI KIPROTICHCounty Project Coordinator,

Micronutrient Initiative.

Introduction Kenya has made remarkable progress in improving MNH and

nutrition outcomes during the last decade.

Child mortality has declined by over 20 percent since 2008.

Total fertility rate of less than four percent.

Stunting, has started to decline.

Six out of ten pregnant women now receive skilled care at childbirth and over half get postnatal care.

Introduction However, in Kenya today, there is still high morbidity and

mortality from conditions, which are preventable or treatable.

Access to quality MNCH and nutrition services still remains a challenge across all levels of care.

Geographic, population sub-groups, and economic inequities persist due to supply and demand side barriers.

Thus justification of Right Start Project.

10 Counties covered:

Busia Bungoma Vihiga Kakamega Kisumu Homabay Migori Nyamira Trans Nzoia Nandi

Coverage of Right Start in Counties

Map of Counties covered with red mark.

The MNCH and Nutrition Change Model

How do we do? We have to THINK!

….and BRAINSTORM

The journey

With guidance of County Project Coordinator by: Planning Providing leadership Timely and consistent Communication Capacity building Systems strengthening

In return we received

Cooperation

Support

Passion for MNCH and nutrition activities

Trust

Right Start Five pillars• High Impact programmes• Resources mobilization• New strategic partnerships• Technical leadership/Action• Advocacy

Examples of Partnership

Examples of Partnership

Mapping out the areas i.e. what exist already.Implementation PlanMonthly supervision Visits.SWOT analysisHealth systems strengtheningInnovations- M-Health interventionsHigh Impact interventions Health Promotion activitiesCounty health steering committee, Interagency

coordinating committee, TWGs.Sharing of key lessons learned.M and E

REFERENCES Bhutta ZA, Das JK, Rizvi A, Gaffey MF, Walker N, Horton S, Webb P, Lartey A, Black

RE;Lancet Nutrition Interventions Review Group; Maternal and Child Nutrition Study Group. Evidence-based interventions for improvement of maternal and child nutrition: what can bedone and at what cost? Lancet. 2013 Aug 3;382(9890):452-77. doi:10.1016/S0140-6736(13)60996-4. Epub 2013 Jun 6. Review. Erratum in: Lancet. 2013 Aug 3; 382(9890):396.

Kenya Demographic and Health Survey (KDHS) 2014 Kenya National Bureau of Statistics (KDHS).

Kenya Service Provision Assessment 2010 (NCPD et al), Kenya Service Delivery Indicators, 2013(World Bank), and Service Availability and Readiness Assessment Mapping, SARAM 2014 (MOH).

Ministry of Health, Kenya, 2016. KENYA REPRODUCTIVE, MATERNAL, NEWBORN, CHILDAND ADOLESCENT HEALTH (RMNCAH) INVESTMENT FRAMEWORK.