The document discusses maternal and child health in Kenya, noting that 189,000 children under five die there each year. While Kenya has made some progress toward UN Millennium Development Goals for reducing child and maternal mortality, progress has been insufficient or nonexistent. Simple, affordable solutions exist but require political will and implementation of high-impact interventions to expand access to healthcare, clean water, nutrition, and more. World Vision contributes to these efforts through various maternal, newborn, child health and nutrition programs in Kenya.

1. MATERNAL CHILD HEALTH IN KENYA
HEALTH
INEQUALITY FOR MOTHERS AND
CHILDREN

2. Millennium Development Goal #4:
Child Health
Reduce by two-thirds, between 1990 and
2015, the under-five mortality rate.
Millennium Development Goal #5:
Maternal Health
Reduce by three quarters the maternal
mortality ratio.
The Millennium
Development Goals

3. 1990 99/1000
2000 111/1000
2009 74/1000
Assessment of Progress
No progress!
Under 5 Mortality Rate
UNICEF, WHO, World Bank & UNDESA 2011

4. Maternal Mortality
Ratio
1990 400/100,000
2000 490/100,000
2010 360/100,000
Assessment of Progress
Insufficient progress!
WHO, UNICEF, UNFPA & World Bank 2012.

5. 189,000 children under
five die each year in
Kenya
Neonatal Causes
31% of Under 5 mortality
Source: World Health Statistics 2011, WHO

6. 189,000 children under
five die each year in
Kenya
Diarrhea 20%
38,802
Source: World Health Statistics 2011, WHO

7. 189,000 children under
five die each year in
Kenya
Pneumonia 16%
30,406
Diarrhea 20%
38,802
Source: World Health Statistics 2011, WHO

8. 189,000 children under
five die each year in
Kenya
Pneumonia
16% 30,406
Diarrhea
20% Malaria
11%
20,666
Source: World Health Statistics 2011, WHO

9. 189,000 children under
five die each year in
Kenya
Pneumonia
16% 30,406
Diarrhea
20%
Malaria
11%
}malnutrition
lack of basic
health-care
lack of clean
water/sanitation

10. skilled
Attendants
13%
Solutions are simple,
affordable, doable

11. breast-
Feeding 13%
Solutions are simple,
affordable, doable
skilled
attendants

12. bed nets
7%
Solutions are simple,
affordable, doable
breast-
feeding
skilled
attendants

13. water &
sanitation 3%
Solutions are simple,
affordable, doable
breast-
feeding
skilled
attendants

14. immuniz-
Ations 7%
Solutions are simple,
affordable, doable
bed nets
breast-
feeding
skilled
attendants
water &
sanitation

15. Nutrition 20%
Solutions are simple,
affordable, doable
immuniz-
Ations 7%bed nets
7%
breast-
Feeding 13%
skilled
Attendants
13%
water &
sanitation 3%
Source: WHO 2004

16. Promoting and protecting healthy mothers and children
HEALTH RICH
-Best Health Education
- Awareness
-Prevention
-Treatment
HEALTH POOR
-Poor Health Education
- Awareness
-Prevention
-Treatment

17. Promoting and protecting healthy mothers and children
Kenya Achievements in Closing the Gap

18. Promoting and protecting healthy mothers and children
MDG 4
2015
Target
29
Source: Levels and Trends in Child Mortality, UN-IGME Report 2012 _ _ _ _ U5MR _______ NMR
0
25
50
75
100
125
150
1980 1985 1990 1995 2000 2005 2010
U5MR NNMR
If recent trends
continue
To achieve
MDG

19. Promoting and protecting healthy mothers and children
Progress towards MDG4 in WHO African
Region
13 countries are on track
24 countries have made insufficient progress
9 countries have made no progress
2006 2011
5 countries were on track
17 countries had made insufficient progress
24 countries had made no progress
Source: UNICEF, WHO, World Bank, UNDESA. Levels and Trends in Child Mortality: Report 2012 -
Estimates Developed by the United Nations Inter-agency Group for Child Mortality Estimation, New
York, UNICEF 2012
Source: United Nations Children’s Fund, Progress for Children: a world fit for
children statistical review, Number 6, UNICEF, New York, December 2007

20. Change happens when
barriers are removed
1) We don’t need new medicines
2) We don’t need new promises
3) We just need the will to make it
happen

21. How to close the
gap
Change happens when
barriers are removed
1) Political will
2) Promotion of High Impact
Interventions
3) Data collection systems
4) Post 2015 development agenda
5) Efforts to Families in real need

22. Promoting and protecting healthy mothers and children
World Vision’s Contribution
WorldVision
Development
Emergency
Advocacy
ChildWell Being Aspirations
• Enjoy good health
• Educated for life
• Experience God’s love
and from neighbors
• Cared for, protected and
participating
Kenya
Boys and Girls;

23. Promoting and protecting healthy mothers and children
Kenya
Maternal Newborn Child Health (MNCH)
Malaria
Nutrition
HIV/AIDS
Delivery Mode – Community Strategy
* Budget: USD 17,304,789 FY 12 (KES 1.5Billion)
WVK Health Programming

24. Promoting and protecting healthy mothers and children
“Count Me In –
I Want Children to Survive 5!”