This document summarizes the coordination of maternal and child health activities in 10 counties in Kenya through the Right Start Project. It outlines progress made in reducing child mortality and increasing access to skilled birth attendants. However, there are still high rates of preventable morbidity and mortality due to barriers to quality healthcare. The Right Start Project aims to address these challenges through partnership-driven activities like capacity building, health systems strengthening, and high impact interventions. The goal is improving maternal, newborn and child health and nutrition outcomes through coordinated efforts across 10 counties.

1. Coordination of Maternal and Child Health Activities in
10 Selected Counties ( THE RIGHT START).
14th October 2016
By
KIROREI KIPROTICH
County Project Coordinator,
Micronutrient Initiative.
REPUBLIC OF KENYA
MINISTRY OF HEALTH

2. Introduction
 Kenya has made remarkable progress in improving MNH and nutrition
outcomes during the last decade.
 Child mortality has declined by over 20 percent since 2008.
 Total fertility rate of less than four percent.
 Stunting, has started to decline.
 Six out of ten pregnant women now receive skilled care at childbirth and
over half get postnatal care.

3. Introduction
 However, in Kenya today, there is still high morbidity and mortality from
conditions, which are preventable or treatable.
 Access to quality MNCH and nutrition services still remains a challenge
across all levels of care.
 Geographic, population sub-groups, and economic inequities persist due to
supply and demand side barriers.
 Thus justification of Right Start Project.

4.  10 Counties covered:
 Busia
 Bungoma
 Vihiga
 Kakamega
 Kisumu
 Homabay
 Migori
 Nyamira
 Trans Nzoia
 Nandi
Coverage of Right Start in Counties

5. The MNCH and Nutrition Change Model

6. How do we do? We have to
THINK!

7. ….and BRAINSTORM

8. The journey
With guidance of County Project Coordinator by:
 Planning
 Providing leadership
 Timely and consistent Communication
 Capacity building
 Systems strengthening

9. In return we received
Cooperation
Support
Passion for MNCH
nutrition activities
Trust
Right Start Five pillars
• High Impact programmes
• Resources mobilization
• New strategic partnerships
• Technical leadership/Action
• Advocacy

10. ExamplesofPartnershipExamples of Partnership
Mapping out the areas i.e. what exist already.
Implementation Plan
Monthly supervision Visits.
SWOT analysis
Health systems strengthening
Innovations- M-Health interventions
High Impact interventions
Health Promotion activities
County health steering committee, Interagency
coordinating committee, TWGs.
Sharing of key lessons learned.
M and E

11. REFERENCES
 Bhutta ZA, Das JK, Rizvi A, Gaffey MF, Walker N, Horton S, Webb P, Lartey A, Black RE;Lancet
Nutrition Interventions Review Group; Maternal and Child Nutrition Study Group. Evidence-
based interventions for improvement of maternal and child nutrition: what can bedone and
at what cost? Lancet. 2013 Aug 3;382(9890):452-77. doi:10.1016/S0140-6736(13)60996-4.
Epub 2013 Jun 6. Review. Erratum in: Lancet. 2013 Aug 3; 382(9890):396.
 Kenya Demographic and Health Survey (KDHS) 2014 Kenya National Bureau of Statistics
(KDHS).
 Kenya Service Provision Assessment 2010 (NCPD et al), Kenya Service Delivery Indicators,
2013(World Bank), and Service Availability and Readiness Assessment Mapping, SARAM 2014
(MOH).
 Ministry of Health, Kenya, 2016. KENYA REPRODUCTIVE, MATERNAL, NEWBORN, CHILDAND
ADOLESCENT HEALTH (RMNCAH) INVESTMENT FRAMEWORK.