1. SIAYA COUNTY MDG5 COSULTATIVE FORUM VENUE: BOMA HOTEL-NAIROBI PRESENTER: DR. G.J. MIDIWO COUNTY OFFICER OF HEALTH Date: 27 th -28 th Aug 2014

3. County Government of Siaya MDG5 and…..

4. Current maternal daeths MD -246 MMR - 691

5. Strategic and annual targets Reduce maternal deaths by 15% by 2015 Increasing skilled deliveries from 62% to 75% The number of expectant women is 37422 per year and Siaya skilled delivery is currently 23202(62%).

6. MAJOR BOTTLENECKS/CHALLENGES Staff shortage especially technical staff in addressingMDG5e.gSurgeon,Gynea/Obstetricians anaesthetist, midwives etc. Inadequate equipment for maternal Health Out of the 155 Health facilities s only 3 can offer Comprehensive Emergency obstetric care i.e Siaya County Referral Hospital, Bondo Sub county Referral& Yala Sub county Hospital. The remaining 152 can only offer the Basic Emergency Obstetric care & some just partially.

7. MOST CRITICAL OPPORTUNITY Active engagement of the 2148 CHWs in the 190 Community units

8. KEY INTERVENTIONS. The County Government of Siaya will pay all the CHWs a Stipend of 2500 per month (Money already allocated) The county has already finalized a referral strategy document and will be launched soon. The Family Planning strategic plan Final draft ready, awaiting publishing and launching County Integrated and investment plan developed and currently on second year of implementation

9. Acknowledgement One of the ambulances procured by the County Government to strengthen referral in Siaya County

10. WAY FOREWARD The county Government intends to recruit and employ 68 critical staff in health Engaging partners in bridging equipment/commodity gap Training of Health staff to offer BEOC/EOC Timely review of maternal deaths and provide mentorship where necessary

11. Structure showing one of the County Hospitals

12. Ongoing projects –water storage at Siaya County Referral Hospital

14. RENOVATION OF MAT/MCH IN MALANGA THE TALKING WALL

15. FACILITY RENOVATIONS RENOVATION OF THE PHARMACY AND LAB IN YALA SUB COUNTY HOSP

16. RENOVATIONS RENOVATION OF MAT/MCH IN MALANGA NEW WATER TANKS AT MALANGA

17. Thank you ! “If you want to walk fast walk alone, if you want to walk far walk together”

18. END THANK YOU