Presentation on theme: "Maternal Mortality Situation in Kenya"— Presentation transcript:
1 Maternal Mortality Situation in Kenya ByProf Alfred AgwandaPopulation Studies and Research InstituteUniversity of Nairobi , KenyaPresentation Made at theCONSULTATIVE MEETING ON ACCELERATING THE ATTAINMENT OF MDG 5 IN KENYA: FOCUS ON THE 15 COUNTIES WITH THE HIGHEST BURDEN OF MATERNAL DEATHSAugust 27-August 28, 2014The Boma Hotel, Nairobi
2 IntroductionReducing maternal deaths have for decades been a focal point of international agreements and a priority for women’s rights and health groups throughout the worldIn Kenya, Slightly over 6000 women die every year due to pregnancy related conditionsThe irony of this cruel death is that almost all is entirely preventable given proper medical surveillance and intervention
3 Trends in maternal mortality and Programme Targets
4 Top 15 Counties with highest Number of Maternal Deaths
5 Top 10 counties Highest Maternal Mortality Ratio
7 Reasons why women don't deliver in facilities Ignorance – e.g. facilities still charge high feesFear of being tested for HIV, fear of bed used – child might fall downPoor quality of careSocial-Cultural factors: Customs/tradition – some women do not want to been seen by male providers, sign of strength, placenta must be buried at homeFacility factors – distance to facility, cost of transport, operating hours, relationship with providers ( cite poor attitude e.g. harassment such as the followingYou know the nurses are harsh so we go to a TBA who treats us well ( Source, KSPA 2010)
8 Challenges Coverage emergency obstetric care services still low Approximate number of deliveries in Kenya is 1.7 million deliveriesOut of these deliveries nearly three 300,000 are likely to require emergency obstetric servicesOnly 35 percent of facilities offer maternity services whileOnly 34 percent can provide newborn care servicesAccess still hampered by structural factorsRoad network – geographySome facilities lack electricity, running waterLack Essential commoditiesStaff training, work load
9 Recommendations Governments and partners should : Scale up and support registration of births, deaths and causes of death.Infrastructure support and public educationSupport the operationalization maternal and perinatal death surveillance (MPDSR)Leaders need data to support decision making – all facility and county officers responsible for routine data collection should ensure quality data to provide evidence on results for interventionsCommission studies to investigate indirect factors that influence maternal deaths especially in counties with high burden.Improve the availability, accessibility, quality and use of services for the treatment of complications that arise during pregnancy and childbirth.
10 MessageTo effectively set up intervention on reduction of maternal and newborn deaths generate data and information at all levels about cause on maternal deaths”Act now
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