Countdown to 2030’s country collaboration in Kenya includes the African Population and Health Research Center, Kemri Wellcome Trust, the Monitoring and Evaluation Department within the Ministry of Health, and WorldPop at the University of Southampton. It aims is to enhance the availability of quality evidence through targeted analysis during national and subnational reviews of overall sector progress, as well as performance review of the country RMNCAH+N plan. The countdown partnerships in Kenya is led by African Population and Health Research Center (APHRC) and the Kenya Medical Research Institute - Wellcome Trust Research Programme (KWTRP) as the lead research institution for the Kenya initiative. As the lead institution, KWTRP will work closely with the Monitoring and Evaluation department in the Ministry of Health and supported by WorldPop at the University of Southampton on geospatial analysis to track RMNCAH+N.
The Kenya Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCAH) Investment Framework has been in place since 2016, and the current Kenya Health Sector Strategic Plan (KHSSP) is dated 2018-2023. Both documents have strong focus on universal health coverage anchored in primary health care and reproductive maternal, neonatal, child and adolescent health, and nutrition (RMNCAH+N). Both documents envision “a Kenya where there are no preventable deaths of women, newborns or children, and no preventable stillbirths; where every pregnancy is wanted, every birth is celebrated and accounted for and where women, babies, children, and adolescents are free of HIV/AIDS, survive, thrive and reach their full social and economic potential.”
The RMNCAH investment framework is focused on addressing (direct quote):
- Disparities in inequitable coverage, through investments in underserved counties and accelerated action for underserved and marginalized populations;
- Prioritized demand-side barriers to increased utilization, coverage, and affordability of RMNCAH services; and
- Prioritized supply-side bottlenecks in the health system to improve access to high impact interventions delivered efficiently and effectively while ensuring financial protection for the poor. (Page 9)
The implementation of the RMNCAH investment framework will help Kenya achieve the sustainable development goal targets on maternal and child health by improving coverage of key indicators. The investment results framework includes targets to increase: skilled deliveries, the number of antenatal visits, full immunization coverage, contraceptive use by currently married women, and the percentage of pregnant women tested for HIV who received results and post-test counseling, and other indicators. It also targets reductions in stunting, teenage pregnancy, and neonatal mortality by 2020.
Outputs, Products, Programs
The Kenya country collaboration will contribute to the following key areas:
- Midterm Review (MTR) of the overall health sector strategic plan: The review will mainly rely on the routine district health information software (DHIS2) data and recent surveys on RMNCAH+N. This work will be guided by the health sector’s monitoring and evaluation plan, outlined key indicators, and universal healthcare as a priority in the investment case. The focus will be on both national and county progress but there may be a need for sub-county-level analyses.
- County-level PHC Performance Initiative (PHC-PI) scorecards: The will leverage the work conducted in collaboration with the Primary Healthcare Performance Initiative to develop county vital signs profiles (CVSPs). Analysis of the PHC performance will be carried out using coverage data.
- Annual reviews report to contribute to the endline review report for RMNCAH+N:These reviews will rely on the DHIS2 and the next Demographic and Health Survey data, if available, focusing on national and county progress and sub-county level analyses.
Additional products will include:
- Analytical workshop reports which will detail progress and performance made towards national and international targets for key indicators at the national and county levels.
- Journal articles on critical topics from the workshop for submission to a peer-reviewed journal
- PHC analytical workshop report will detail the status of the primary health systems including vital statistics coverage at the national and county level.
- Policy briefs