Transcript Mandera County
Slide 1
Mandera County
Presentation
Current Situation
• Current MMR estimated at 3,795/100,000 live
births (Kenya Population Situation Analysis
Report, 2013),
– Last 6 months 10/3706 live births
• The under-five mortality rate is 80/ 1,000 live
births, higher than the national average of 74
(Kenya National Bureau of Statistics, 2010; DHS,
2009).
• Skilled attendance was 15%, currently at 19%
– Dec 2014 Targets – 25%,
• CPR 4%, with very high fertility rates.
Strategic and Annual target
• Reduce maternal and neonatal mortality by
10% by the end of June 2015
• Increase skilled delivery by 50% by the end of
June 2015
Bottle necks/challenges
Human resources
Moved from 7% (Dec 2013) to 13% (June 2014)
Skills Gap – EMOC, esp newly recruited staffs
Poor health infrastructure
2 CEOC facility,
Old structures
Socio cultural/religious factors
low uptake of FP
Limited Social mobilization effort
Cross border referral – Somalia, Ethiopia
Critical opportunity
• Increased funds allocation - 800 M (7%)
(2013/2014) to 1.2B (12%) (2014/205)
• Strong Commitment from county leadership
• Health partners support – esp. EMOC
Trainings
• Large Numbers of Health workers willing to
take up positions in the county
Key interventions
• Access – all health facilities functional – supplies,
staff, and equipment
• Increase skill birth – recruitment of 60 additional
staff FY 2014/15
• Functional referral systems – Free Ambulance
services
• Maternal waiting home- Target 3
• Maternal and perinatal death surveillance and
response(MPDSR)
• Broad Based Social Mobilization: M- Care
Campaign
Thank you
Thank you
Slide 2
Mandera County
Presentation
Current Situation
• Current MMR estimated at 3,795/100,000 live
births (Kenya Population Situation Analysis
Report, 2013),
– Last 6 months 10/3706 live births
• The under-five mortality rate is 80/ 1,000 live
births, higher than the national average of 74
(Kenya National Bureau of Statistics, 2010; DHS,
2009).
• Skilled attendance was 15%, currently at 19%
– Dec 2014 Targets – 25%,
• CPR 4%, with very high fertility rates.
Strategic and Annual target
• Reduce maternal and neonatal mortality by
10% by the end of June 2015
• Increase skilled delivery by 50% by the end of
June 2015
Bottle necks/challenges
Human resources
Moved from 7% (Dec 2013) to 13% (June 2014)
Skills Gap – EMOC, esp newly recruited staffs
Poor health infrastructure
2 CEOC facility,
Old structures
Socio cultural/religious factors
low uptake of FP
Limited Social mobilization effort
Cross border referral – Somalia, Ethiopia
Critical opportunity
• Increased funds allocation - 800 M (7%)
(2013/2014) to 1.2B (12%) (2014/205)
• Strong Commitment from county leadership
• Health partners support – esp. EMOC
Trainings
• Large Numbers of Health workers willing to
take up positions in the county
Key interventions
• Access – all health facilities functional – supplies,
staff, and equipment
• Increase skill birth – recruitment of 60 additional
staff FY 2014/15
• Functional referral systems – Free Ambulance
services
• Maternal waiting home- Target 3
• Maternal and perinatal death surveillance and
response(MPDSR)
• Broad Based Social Mobilization: M- Care
Campaign
Thank you
Thank you
Slide 3
Mandera County
Presentation
Current Situation
• Current MMR estimated at 3,795/100,000 live
births (Kenya Population Situation Analysis
Report, 2013),
– Last 6 months 10/3706 live births
• The under-five mortality rate is 80/ 1,000 live
births, higher than the national average of 74
(Kenya National Bureau of Statistics, 2010; DHS,
2009).
• Skilled attendance was 15%, currently at 19%
– Dec 2014 Targets – 25%,
• CPR 4%, with very high fertility rates.
Strategic and Annual target
• Reduce maternal and neonatal mortality by
10% by the end of June 2015
• Increase skilled delivery by 50% by the end of
June 2015
Bottle necks/challenges
Human resources
Moved from 7% (Dec 2013) to 13% (June 2014)
Skills Gap – EMOC, esp newly recruited staffs
Poor health infrastructure
2 CEOC facility,
Old structures
Socio cultural/religious factors
low uptake of FP
Limited Social mobilization effort
Cross border referral – Somalia, Ethiopia
Critical opportunity
• Increased funds allocation - 800 M (7%)
(2013/2014) to 1.2B (12%) (2014/205)
• Strong Commitment from county leadership
• Health partners support – esp. EMOC
Trainings
• Large Numbers of Health workers willing to
take up positions in the county
Key interventions
• Access – all health facilities functional – supplies,
staff, and equipment
• Increase skill birth – recruitment of 60 additional
staff FY 2014/15
• Functional referral systems – Free Ambulance
services
• Maternal waiting home- Target 3
• Maternal and perinatal death surveillance and
response(MPDSR)
• Broad Based Social Mobilization: M- Care
Campaign
Thank you
Thank you
Slide 4
Mandera County
Presentation
Current Situation
• Current MMR estimated at 3,795/100,000 live
births (Kenya Population Situation Analysis
Report, 2013),
– Last 6 months 10/3706 live births
• The under-five mortality rate is 80/ 1,000 live
births, higher than the national average of 74
(Kenya National Bureau of Statistics, 2010; DHS,
2009).
• Skilled attendance was 15%, currently at 19%
– Dec 2014 Targets – 25%,
• CPR 4%, with very high fertility rates.
Strategic and Annual target
• Reduce maternal and neonatal mortality by
10% by the end of June 2015
• Increase skilled delivery by 50% by the end of
June 2015
Bottle necks/challenges
Human resources
Moved from 7% (Dec 2013) to 13% (June 2014)
Skills Gap – EMOC, esp newly recruited staffs
Poor health infrastructure
2 CEOC facility,
Old structures
Socio cultural/religious factors
low uptake of FP
Limited Social mobilization effort
Cross border referral – Somalia, Ethiopia
Critical opportunity
• Increased funds allocation - 800 M (7%)
(2013/2014) to 1.2B (12%) (2014/205)
• Strong Commitment from county leadership
• Health partners support – esp. EMOC
Trainings
• Large Numbers of Health workers willing to
take up positions in the county
Key interventions
• Access – all health facilities functional – supplies,
staff, and equipment
• Increase skill birth – recruitment of 60 additional
staff FY 2014/15
• Functional referral systems – Free Ambulance
services
• Maternal waiting home- Target 3
• Maternal and perinatal death surveillance and
response(MPDSR)
• Broad Based Social Mobilization: M- Care
Campaign
Thank you
Thank you
Slide 5
Mandera County
Presentation
Current Situation
• Current MMR estimated at 3,795/100,000 live
births (Kenya Population Situation Analysis
Report, 2013),
– Last 6 months 10/3706 live births
• The under-five mortality rate is 80/ 1,000 live
births, higher than the national average of 74
(Kenya National Bureau of Statistics, 2010; DHS,
2009).
• Skilled attendance was 15%, currently at 19%
– Dec 2014 Targets – 25%,
• CPR 4%, with very high fertility rates.
Strategic and Annual target
• Reduce maternal and neonatal mortality by
10% by the end of June 2015
• Increase skilled delivery by 50% by the end of
June 2015
Bottle necks/challenges
Human resources
Moved from 7% (Dec 2013) to 13% (June 2014)
Skills Gap – EMOC, esp newly recruited staffs
Poor health infrastructure
2 CEOC facility,
Old structures
Socio cultural/religious factors
low uptake of FP
Limited Social mobilization effort
Cross border referral – Somalia, Ethiopia
Critical opportunity
• Increased funds allocation - 800 M (7%)
(2013/2014) to 1.2B (12%) (2014/205)
• Strong Commitment from county leadership
• Health partners support – esp. EMOC
Trainings
• Large Numbers of Health workers willing to
take up positions in the county
Key interventions
• Access – all health facilities functional – supplies,
staff, and equipment
• Increase skill birth – recruitment of 60 additional
staff FY 2014/15
• Functional referral systems – Free Ambulance
services
• Maternal waiting home- Target 3
• Maternal and perinatal death surveillance and
response(MPDSR)
• Broad Based Social Mobilization: M- Care
Campaign
Thank you
Thank you
Slide 6
Mandera County
Presentation
Current Situation
• Current MMR estimated at 3,795/100,000 live
births (Kenya Population Situation Analysis
Report, 2013),
– Last 6 months 10/3706 live births
• The under-five mortality rate is 80/ 1,000 live
births, higher than the national average of 74
(Kenya National Bureau of Statistics, 2010; DHS,
2009).
• Skilled attendance was 15%, currently at 19%
– Dec 2014 Targets – 25%,
• CPR 4%, with very high fertility rates.
Strategic and Annual target
• Reduce maternal and neonatal mortality by
10% by the end of June 2015
• Increase skilled delivery by 50% by the end of
June 2015
Bottle necks/challenges
Human resources
Moved from 7% (Dec 2013) to 13% (June 2014)
Skills Gap – EMOC, esp newly recruited staffs
Poor health infrastructure
2 CEOC facility,
Old structures
Socio cultural/religious factors
low uptake of FP
Limited Social mobilization effort
Cross border referral – Somalia, Ethiopia
Critical opportunity
• Increased funds allocation - 800 M (7%)
(2013/2014) to 1.2B (12%) (2014/205)
• Strong Commitment from county leadership
• Health partners support – esp. EMOC
Trainings
• Large Numbers of Health workers willing to
take up positions in the county
Key interventions
• Access – all health facilities functional – supplies,
staff, and equipment
• Increase skill birth – recruitment of 60 additional
staff FY 2014/15
• Functional referral systems – Free Ambulance
services
• Maternal waiting home- Target 3
• Maternal and perinatal death surveillance and
response(MPDSR)
• Broad Based Social Mobilization: M- Care
Campaign
Thank you
Thank you
Slide 7
Mandera County
Presentation
Current Situation
• Current MMR estimated at 3,795/100,000 live
births (Kenya Population Situation Analysis
Report, 2013),
– Last 6 months 10/3706 live births
• The under-five mortality rate is 80/ 1,000 live
births, higher than the national average of 74
(Kenya National Bureau of Statistics, 2010; DHS,
2009).
• Skilled attendance was 15%, currently at 19%
– Dec 2014 Targets – 25%,
• CPR 4%, with very high fertility rates.
Strategic and Annual target
• Reduce maternal and neonatal mortality by
10% by the end of June 2015
• Increase skilled delivery by 50% by the end of
June 2015
Bottle necks/challenges
Human resources
Moved from 7% (Dec 2013) to 13% (June 2014)
Skills Gap – EMOC, esp newly recruited staffs
Poor health infrastructure
2 CEOC facility,
Old structures
Socio cultural/religious factors
low uptake of FP
Limited Social mobilization effort
Cross border referral – Somalia, Ethiopia
Critical opportunity
• Increased funds allocation - 800 M (7%)
(2013/2014) to 1.2B (12%) (2014/205)
• Strong Commitment from county leadership
• Health partners support – esp. EMOC
Trainings
• Large Numbers of Health workers willing to
take up positions in the county
Key interventions
• Access – all health facilities functional – supplies,
staff, and equipment
• Increase skill birth – recruitment of 60 additional
staff FY 2014/15
• Functional referral systems – Free Ambulance
services
• Maternal waiting home- Target 3
• Maternal and perinatal death surveillance and
response(MPDSR)
• Broad Based Social Mobilization: M- Care
Campaign
Thank you
Thank you
Mandera County
Presentation
Current Situation
• Current MMR estimated at 3,795/100,000 live
births (Kenya Population Situation Analysis
Report, 2013),
– Last 6 months 10/3706 live births
• The under-five mortality rate is 80/ 1,000 live
births, higher than the national average of 74
(Kenya National Bureau of Statistics, 2010; DHS,
2009).
• Skilled attendance was 15%, currently at 19%
– Dec 2014 Targets – 25%,
• CPR 4%, with very high fertility rates.
Strategic and Annual target
• Reduce maternal and neonatal mortality by
10% by the end of June 2015
• Increase skilled delivery by 50% by the end of
June 2015
Bottle necks/challenges
Human resources
Moved from 7% (Dec 2013) to 13% (June 2014)
Skills Gap – EMOC, esp newly recruited staffs
Poor health infrastructure
2 CEOC facility,
Old structures
Socio cultural/religious factors
low uptake of FP
Limited Social mobilization effort
Cross border referral – Somalia, Ethiopia
Critical opportunity
• Increased funds allocation - 800 M (7%)
(2013/2014) to 1.2B (12%) (2014/205)
• Strong Commitment from county leadership
• Health partners support – esp. EMOC
Trainings
• Large Numbers of Health workers willing to
take up positions in the county
Key interventions
• Access – all health facilities functional – supplies,
staff, and equipment
• Increase skill birth – recruitment of 60 additional
staff FY 2014/15
• Functional referral systems – Free Ambulance
services
• Maternal waiting home- Target 3
• Maternal and perinatal death surveillance and
response(MPDSR)
• Broad Based Social Mobilization: M- Care
Campaign
Thank you
Thank you
Slide 2
Mandera County
Presentation
Current Situation
• Current MMR estimated at 3,795/100,000 live
births (Kenya Population Situation Analysis
Report, 2013),
– Last 6 months 10/3706 live births
• The under-five mortality rate is 80/ 1,000 live
births, higher than the national average of 74
(Kenya National Bureau of Statistics, 2010; DHS,
2009).
• Skilled attendance was 15%, currently at 19%
– Dec 2014 Targets – 25%,
• CPR 4%, with very high fertility rates.
Strategic and Annual target
• Reduce maternal and neonatal mortality by
10% by the end of June 2015
• Increase skilled delivery by 50% by the end of
June 2015
Bottle necks/challenges
Human resources
Moved from 7% (Dec 2013) to 13% (June 2014)
Skills Gap – EMOC, esp newly recruited staffs
Poor health infrastructure
2 CEOC facility,
Old structures
Socio cultural/religious factors
low uptake of FP
Limited Social mobilization effort
Cross border referral – Somalia, Ethiopia
Critical opportunity
• Increased funds allocation - 800 M (7%)
(2013/2014) to 1.2B (12%) (2014/205)
• Strong Commitment from county leadership
• Health partners support – esp. EMOC
Trainings
• Large Numbers of Health workers willing to
take up positions in the county
Key interventions
• Access – all health facilities functional – supplies,
staff, and equipment
• Increase skill birth – recruitment of 60 additional
staff FY 2014/15
• Functional referral systems – Free Ambulance
services
• Maternal waiting home- Target 3
• Maternal and perinatal death surveillance and
response(MPDSR)
• Broad Based Social Mobilization: M- Care
Campaign
Thank you
Thank you
Slide 3
Mandera County
Presentation
Current Situation
• Current MMR estimated at 3,795/100,000 live
births (Kenya Population Situation Analysis
Report, 2013),
– Last 6 months 10/3706 live births
• The under-five mortality rate is 80/ 1,000 live
births, higher than the national average of 74
(Kenya National Bureau of Statistics, 2010; DHS,
2009).
• Skilled attendance was 15%, currently at 19%
– Dec 2014 Targets – 25%,
• CPR 4%, with very high fertility rates.
Strategic and Annual target
• Reduce maternal and neonatal mortality by
10% by the end of June 2015
• Increase skilled delivery by 50% by the end of
June 2015
Bottle necks/challenges
Human resources
Moved from 7% (Dec 2013) to 13% (June 2014)
Skills Gap – EMOC, esp newly recruited staffs
Poor health infrastructure
2 CEOC facility,
Old structures
Socio cultural/religious factors
low uptake of FP
Limited Social mobilization effort
Cross border referral – Somalia, Ethiopia
Critical opportunity
• Increased funds allocation - 800 M (7%)
(2013/2014) to 1.2B (12%) (2014/205)
• Strong Commitment from county leadership
• Health partners support – esp. EMOC
Trainings
• Large Numbers of Health workers willing to
take up positions in the county
Key interventions
• Access – all health facilities functional – supplies,
staff, and equipment
• Increase skill birth – recruitment of 60 additional
staff FY 2014/15
• Functional referral systems – Free Ambulance
services
• Maternal waiting home- Target 3
• Maternal and perinatal death surveillance and
response(MPDSR)
• Broad Based Social Mobilization: M- Care
Campaign
Thank you
Thank you
Slide 4
Mandera County
Presentation
Current Situation
• Current MMR estimated at 3,795/100,000 live
births (Kenya Population Situation Analysis
Report, 2013),
– Last 6 months 10/3706 live births
• The under-five mortality rate is 80/ 1,000 live
births, higher than the national average of 74
(Kenya National Bureau of Statistics, 2010; DHS,
2009).
• Skilled attendance was 15%, currently at 19%
– Dec 2014 Targets – 25%,
• CPR 4%, with very high fertility rates.
Strategic and Annual target
• Reduce maternal and neonatal mortality by
10% by the end of June 2015
• Increase skilled delivery by 50% by the end of
June 2015
Bottle necks/challenges
Human resources
Moved from 7% (Dec 2013) to 13% (June 2014)
Skills Gap – EMOC, esp newly recruited staffs
Poor health infrastructure
2 CEOC facility,
Old structures
Socio cultural/religious factors
low uptake of FP
Limited Social mobilization effort
Cross border referral – Somalia, Ethiopia
Critical opportunity
• Increased funds allocation - 800 M (7%)
(2013/2014) to 1.2B (12%) (2014/205)
• Strong Commitment from county leadership
• Health partners support – esp. EMOC
Trainings
• Large Numbers of Health workers willing to
take up positions in the county
Key interventions
• Access – all health facilities functional – supplies,
staff, and equipment
• Increase skill birth – recruitment of 60 additional
staff FY 2014/15
• Functional referral systems – Free Ambulance
services
• Maternal waiting home- Target 3
• Maternal and perinatal death surveillance and
response(MPDSR)
• Broad Based Social Mobilization: M- Care
Campaign
Thank you
Thank you
Slide 5
Mandera County
Presentation
Current Situation
• Current MMR estimated at 3,795/100,000 live
births (Kenya Population Situation Analysis
Report, 2013),
– Last 6 months 10/3706 live births
• The under-five mortality rate is 80/ 1,000 live
births, higher than the national average of 74
(Kenya National Bureau of Statistics, 2010; DHS,
2009).
• Skilled attendance was 15%, currently at 19%
– Dec 2014 Targets – 25%,
• CPR 4%, with very high fertility rates.
Strategic and Annual target
• Reduce maternal and neonatal mortality by
10% by the end of June 2015
• Increase skilled delivery by 50% by the end of
June 2015
Bottle necks/challenges
Human resources
Moved from 7% (Dec 2013) to 13% (June 2014)
Skills Gap – EMOC, esp newly recruited staffs
Poor health infrastructure
2 CEOC facility,
Old structures
Socio cultural/religious factors
low uptake of FP
Limited Social mobilization effort
Cross border referral – Somalia, Ethiopia
Critical opportunity
• Increased funds allocation - 800 M (7%)
(2013/2014) to 1.2B (12%) (2014/205)
• Strong Commitment from county leadership
• Health partners support – esp. EMOC
Trainings
• Large Numbers of Health workers willing to
take up positions in the county
Key interventions
• Access – all health facilities functional – supplies,
staff, and equipment
• Increase skill birth – recruitment of 60 additional
staff FY 2014/15
• Functional referral systems – Free Ambulance
services
• Maternal waiting home- Target 3
• Maternal and perinatal death surveillance and
response(MPDSR)
• Broad Based Social Mobilization: M- Care
Campaign
Thank you
Thank you
Slide 6
Mandera County
Presentation
Current Situation
• Current MMR estimated at 3,795/100,000 live
births (Kenya Population Situation Analysis
Report, 2013),
– Last 6 months 10/3706 live births
• The under-five mortality rate is 80/ 1,000 live
births, higher than the national average of 74
(Kenya National Bureau of Statistics, 2010; DHS,
2009).
• Skilled attendance was 15%, currently at 19%
– Dec 2014 Targets – 25%,
• CPR 4%, with very high fertility rates.
Strategic and Annual target
• Reduce maternal and neonatal mortality by
10% by the end of June 2015
• Increase skilled delivery by 50% by the end of
June 2015
Bottle necks/challenges
Human resources
Moved from 7% (Dec 2013) to 13% (June 2014)
Skills Gap – EMOC, esp newly recruited staffs
Poor health infrastructure
2 CEOC facility,
Old structures
Socio cultural/religious factors
low uptake of FP
Limited Social mobilization effort
Cross border referral – Somalia, Ethiopia
Critical opportunity
• Increased funds allocation - 800 M (7%)
(2013/2014) to 1.2B (12%) (2014/205)
• Strong Commitment from county leadership
• Health partners support – esp. EMOC
Trainings
• Large Numbers of Health workers willing to
take up positions in the county
Key interventions
• Access – all health facilities functional – supplies,
staff, and equipment
• Increase skill birth – recruitment of 60 additional
staff FY 2014/15
• Functional referral systems – Free Ambulance
services
• Maternal waiting home- Target 3
• Maternal and perinatal death surveillance and
response(MPDSR)
• Broad Based Social Mobilization: M- Care
Campaign
Thank you
Thank you
Slide 7
Mandera County
Presentation
Current Situation
• Current MMR estimated at 3,795/100,000 live
births (Kenya Population Situation Analysis
Report, 2013),
– Last 6 months 10/3706 live births
• The under-five mortality rate is 80/ 1,000 live
births, higher than the national average of 74
(Kenya National Bureau of Statistics, 2010; DHS,
2009).
• Skilled attendance was 15%, currently at 19%
– Dec 2014 Targets – 25%,
• CPR 4%, with very high fertility rates.
Strategic and Annual target
• Reduce maternal and neonatal mortality by
10% by the end of June 2015
• Increase skilled delivery by 50% by the end of
June 2015
Bottle necks/challenges
Human resources
Moved from 7% (Dec 2013) to 13% (June 2014)
Skills Gap – EMOC, esp newly recruited staffs
Poor health infrastructure
2 CEOC facility,
Old structures
Socio cultural/religious factors
low uptake of FP
Limited Social mobilization effort
Cross border referral – Somalia, Ethiopia
Critical opportunity
• Increased funds allocation - 800 M (7%)
(2013/2014) to 1.2B (12%) (2014/205)
• Strong Commitment from county leadership
• Health partners support – esp. EMOC
Trainings
• Large Numbers of Health workers willing to
take up positions in the county
Key interventions
• Access – all health facilities functional – supplies,
staff, and equipment
• Increase skill birth – recruitment of 60 additional
staff FY 2014/15
• Functional referral systems – Free Ambulance
services
• Maternal waiting home- Target 3
• Maternal and perinatal death surveillance and
response(MPDSR)
• Broad Based Social Mobilization: M- Care
Campaign
Thank you
Thank you