APHIAplus support for RMNCH/FP Services –KAKAMEGA COUNTY County RMNCH/FP Profile Indicator
Geographical location of supported Health Facilities
Status
Outcomes Trends in 4th ANC visits
Women of Reproductive Age 477,412 Maternal Mortality rate
316/100,000 live births
Total Fertility Rate
4.4%
Skilled birth attendance
49%
4+ ANC Visits
45%
Contraceptive Prevalence Rate 60% Fully Immunized Children
62%
Data source: KDHS 2014 & DHIS
Supported RMNCH/FP Health Facilities by Sub-county
Trends in skilled deliveries
Sub County
Number of Health Facilities
Butere
14
Ikolomani
19
Khwisero
21
Likuyani
18
Lugari
25
Lurambi
25
Malava
18
Matungu
11
Mumias East
12
Mumias West
10
Navakholo
16
Shinyalu Total
Best practices/lessons learnt
FP integration into Comprehensive Care Centers Use of immunization appointment diaries improved immunization defaulter tracing RH integrated camps increased uptake of RH services especially Long acting and reversible methods.
19
Monthly outreaches in hard to reach areas of the county
208
ANC mapping and referral ( using the CHVs)
RMNCH/FP Interventions Capacity Building
Oparanya care initiative which has boosted ANC attendance in the county
Training of HCPs– FP, FANC, PNC, EmONC, IPC, IMCI, FP Commodity Management, UBT, CaCx screening, RMC, Chlorhexidine
Training of CHVs– FP, iCCM
Support for CMEs, OJT, CPD
CYP trends
Working with TBAs in referring mothers in labor improved hospital deliveries has improved skilled deliveries. Mapping and referral of pregnant women is key in ensuring early th ANC attendance hence a boost to 4 ANC attendance Defaulter identification and tracing by CHVs improves 4th ANC & Immunization attendance
Equipment, Supplies and Facilities
Delivery sets, fetoscopes, thermometers, handwashing equipment, ORT equipment Repair of EPI equipment
Next steps/ opportunities
Improvement of selected delivery rooms– repairs, painting, curtains Consumables for CaCx screening and RH camps
Quality Improvement
-Supportive supervision by CHMT, S/CHMT and focal persons - Provision of job aids, guidelines, reporting tools
Use of data for decision making at all levels Supporting MPDSR committees
Community
Integrated community outreaches
Referrals by CHVs for services
Active defaulter tracing by CHVs for ANC and immunization services
UBT training of health care workers at Iguhu County hospital
CMEs on UBT and Implanon NXT in facilities
Additional training for EmONC in the sub counties
OJT in facilities.