Anchored on UNICEF’s MNH Centres of Excellence (COE) model, the DFID’s MNH program seeks to address both supply and demand side barriers in Garissa and Turkana, and currently implements the following activities in these counties:
- Demand generation by supporting the restructuring of community units in counties like Turkana, to sustainable structures with equitable representation at the village level and linking them to MNH-COE.
- CHW training on technical modules including iCCM, c-MNH, CBHIS and IPC.
- Sustainability mechanisms instituted through group specific IGAs and the power of these units tapped to enhance social accountability through use of Community Score Cards for decision making.
- Upgrading and supporting functionalisation of COEs to provide BEmONC / CEmONC signal functions, strengthen linkages to community units and referral centres.
- Procurement of essential MNH equipment and supplies, support of adjusted birthing positions, support HCW training to get essential lifesaving skills (BEmONC, UBT, KMC); improvement of infrastructure through upgrading of maternities; new born units and green energy installation. In Turkana, establishment of nomadic clinics and maternity shelters and strengthening integration through the MNH one stop shop concept is being implemented.
Health systems strengthening
- Supports leadership and governance; evidence based planning; advocacy for child friendly budgeting; and development of Human Resources for Health (HRH) plan and data base; and Demand side financing strategies
- Supports strengthening of M&E, on the job training, data quality assurance process as well as institutionalisation of MPDSR and RMNCAH Scorecard.
Despite the investments made to date and current MNH activities, there are opportunities for improving MNH outcomes related to the following priority gaps: