NOMADIC PASTORALIST COMMUNITIES IN TURKANA COUNTY

 

Situated in the north-western part of Kenya, Turkana is the largest county with 77, 000 square kilometres of land. Access to health care in this vastly and less populous county is hampered by both physical and economic factors1.Distances to health facilities are very far, the terrain is difficult to navigate, and transportation is not widely available. These facilities at the periphery mostly suffer from severe shortage of medicine and medical supplies. It results in facilities not being able to offer basic emergency obstetric care (BEMOC) leading to referral of cases to the county hospital creating pressure on the already overburdened referral points. Furthermore, lack of ambulances and poor road network complicates referral systems resulting in delay or even loss of life2.

The Centre for Maternal and Newborn Health-Liverpool School of Tropical Medicine (CMNH-LSTM) partnered with the Kenyan Ministry of Health, DFID and UNICEF to increase the availability and improve the quality of Skilled Birth Attendance and Emergency Obstetric and Newborn Care (EmONC). LSTM does this through competency based EMONC training for maternity care and training of maternity care providers on quality improvement and strengthening MNH data gathering.

UNICEF and its implementing partners implemented the MNH programme with specific interventions aimed at increasing access and utilisation of basic maternal and new-born services targeting women of reproductive age. These included:

  • Demand side financing and human resource for health;
  • Strengthened M&E and data quality assurance;
  • Upgrade and functionalise the centres of excellence to provide EmONC and CEmONC; and
  • Demand generation – strengthening community health system and social accountability process.

 

1 MOPH & S.2008 ‐ 2012 Strategic plan. Nation Health Sector Strategic plan II   available at: http:// www.health.go.ke / available in Hard copy. Kenya Government printer’s service

2 Maulana, A. Ngoye, B. Juma, M. (2008). Baseline Survey on Sexual and Reproductive Health in Conflict settings in Kenya by Kenya Red Cross Society (unpublished report)

 

CEmONC

CEmONC

Ubuntu Digital Collaboration

Ubuntu Digital Collaboration

n-REM

n-REM

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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:

Turkana
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