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Progress towards the MDGs and Key Interventions to reduce child mortality. World Vision's Kenya.
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MATERNAL CHILD HEALTH IN KENYA
HEALTH
INEQUALITY FOR MOTHERS AND
CHILDREN
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
1990 99/1000 2000 111/1000 2009 74/1000
Assessment of Progress No progress!
Under 5 Mortality Rate
UNICEF, WHO, World Bank & UNDESA 2011
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.
189,000 children under five die each year in
Kenya
Neonatal Causes
31% of Under 5 mortality
Source: World Health Statistics 2011, WHO
189,000 children under five die each year in
Kenya
Diarrhea 20%
38,802
Source: World Health Statistics 2011, WHO
189,000 children under five die each year in
Kenya
Pneumonia 16%
30,406
Diarrhea 20% 38,802
Source: World Health Statistics 2011, WHO
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
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
skilled
Attendants
13%
Solutions are simple, affordable, doable
breast-
Feeding 13%
Solutions are simple, affordable, doable
skilled
attendants
bed nets
7%
Solutions are simple, affordable, doable
breast-
feeding
skilled
attendants
water &
sanitation 3%
Solutions are simple, affordable, doable
breast-
feeding
skilled
attendants
immuniz-
Ations 7%
Solutions are simple, affordable, doable
bed nets
breast-
feeding
skilled
attendants
water &
sanitation
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
Promoting and protecting healthy mothers and children
HEALTH RICH
-Best Health Education
- Awareness
-Prevention
-Treatment
HEALTH POOR
-Poor Health Education
- Awareness
-Prevention
-Treatment
Promoting and protecting healthy mothers and children
Kenya Achievements in Closing the Gap
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
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
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
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
Promoting and protecting healthy mothers and children
World Vision’s Contribution W
orl
d V
isio
n
Development
Emergency
Advocacy
Child Well Being Aspirations
• Enjoy good health
• Educated for life
• Experience God’s love
and from neighbors
• Cared for, protected and
participating
Kenya
Boys and Girls;
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
Promoting and protecting healthy mothers and children
“Count Me In –
I Want Children to Survive 5!”