1. Mandera County
Presentation

2. 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.

3. 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

4. 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

5. Critical opportunity
Increased funds allocation 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

6. 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

7. Thank you
Thank you