The world has witnessed a global decline in maternal mortality in recent years, from 380 maternal deaths per 100,000 live births in 2000 to 210 per 100,000 in 2013 (WHO and USAID 2015). The maternal mortality ratio, however, has not improved significantly for some regions. Sub-Saharan Africa, for example, with 13% of the world’s population, accounts for 52% of all maternal deaths, especially among the poor, uneducated, and marginalized rural groups (Warren 2015). ...Read More
The 2014 Kenya Demographic and Health Survey (2014 KDHS) was the first national survey in Kenya to produce county-level indicator estimates. Data from this survey indicate that, nationally, 61% of live births were delivered in a health facility, but with considerable variation across Kenya’s 47 counties. The present study—one of three studies funded by the U.S. Agency for International Development Mission in Kenya (USAID/Kenya) to complement the 2014 KDHS—analyzed qualitative data collected from participants in Baringo, Kisumu, Migori, Nakuru, Samburu, and Turkana Counties. ...Read More
In 2010 Kenya adopted a new constitution, which decentralized the governance structure and service provision, with the establishment of 47 new counties as semi-autonomous governance units. Health care service delivery devolved to the counties. With devolution it was expected that county governments would design innovative interventions in line with contextual realities and community health needs. The national government retained responsibility for health policy, provision of technical assistance to the counties, and the management of national referral health facilities (Republic of Kenya 2010). ...Read More
This brief summarizes a key strategy of Afya Uzazi’s population, health and environment (PHE) intervention in Kuresoi, Nakuru County, Kenya. The project has adopted an approach that builds on community structures to ensure every household becomes a PHE Model home through a participatory process that progressively moves each of them towards the local gold standard for healthy and environmentally sound practices. ...Read More
This brief describes Afya Uzazi’s Champion Community Model, a client-focused behavior and social chance intervention to promote maternal and child health. ...Read More
Infant and young child feeding (IYCF) counselling in the context of COVID-19 remains a critical nutrition intervention for the protection and support of pregnant women, caregivers, and their young children. ...Read More
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