RURAL AGRARIAN POPULATIONS IN BUNGOMA COUNTY

 

In Kenya, an estimated 22 babies die out of every 1000 live births during their first month of life1.The numbers are even higher in Bungoma, a county located in Western Kenya which is among the 15 counties with the worst reproductive maternal neonatal child and adolescent health in the country.2Barriers to better maternal and new born health outcomes include remoteness of health facilities which makes it hard to retain health workers, lack of specialised skill, gaps in infrastructure among others.

The Reduction of Maternal and Neonatal Mortality Programme (MNH programme) in Bungoma, funded by DFID, is carried out by a consortium of members through the Maternal and New-born Improvement (MANI) project, who work with the Bungoma County Health Management Team (CHMT) to deliver results under two integrated outputs: strengthen core health systems to manage and deliver quality maternal and new-born health services, enabling women and new-borns to receive quality services by ensuring poor women access affordable health care; and Increasing demand for and uptake of MNH services to ensure that mothers and new-borns seek and access the appropriate care.

At the county and sub-county levels, MANI is supporting the CHMT in managing and delivering quality health services for women and new-borns, and to promote the use of health facilities.

At the service delivery level, MANI is supporting installation of green energy solutions, quality improvement committees, SBMR, MPDSR, EmONC functionality, respectful maternity care, and performance based financing.

To generate demand, MANI is strengthening CUs, and implements a mobile CBHMIS, transport vouchers for facility delivery, and a range of SBCC interventions including reorienting TBAs as birth companions, radio programming, community scorecards, and participatory education theatre. DFID also funds LSTM to support HCW training on EmONC.

1 Republic of Kenya (2014), Kenya Demographic and Health Survey

2http://kenya.unfpa.org/news/counties-highest-burden-maternal-mortality

 

Electronic Partograph

Electronic Partograph

Collaborative Newborn Support

Collaborative Newborn Support

Kangaroo Mother Care

Kangaroo Mother Care

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Despite the investments made to date and current MNH activities, there are opportunities for improving MNH outcomes related to the following priority gaps:

Bungoma
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