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