Kenya has made steady progress in improving reproductive, maternal and child health outcomes in the last decade. Child mortality has declined by over 20 percent since 2008 and the country achieved a total fertility rate of less than four. Stunting, which remained stubbornly high over the past two decades, has started to decline. Six out of ten pregnant women now receive skilled care at childbirth and over half receive postnatal care. However, despite this progress, Kenya could not achieve maternal and child health Millennium Development Goals (MDGs). In Kenya today, many women, neonates, children, and adolescents continue to experience morbidity or die from preventable conditions that have proven and cost effective interventions. Access to quality Reproductive Maternal Newborn Child and Adolescent Health (RMNCAH) services remains a challenge across all levels of care, and inequities continue to persist among population subgroups, and between rich and the poor.

An ambitious investment framework is, therefore, required to accelerate the scale-up of RMNCAH services through enhanced domestic and external resources, and align all stakeholders around prioritized investments that generate progress and results as Kenya marches towards universal health coverage (UHC) and sustainable health financing.

This document presents Kenya’s RMNCAH investment framework, which has evolved through a Ministry of Health (MOH) led consultative process involving a wide range of stakeholders and prioritization informed by triangulation of available data from different sources. The investment framework envisions 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.

Read the Investment Case