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Reproductive health-output based aid: Lessons from integration of safe motherhood, family planning and gender-based violence recovery programs in Kenya

Solomon Mumah, National Coordinating Agency for Population and Development, Kenya
Richard Muga, National Coordinating Agency for Population and Development, Kenya
Francis Kundu, National Coordinating Agency for Population and Development, Kenya

In Kenya only 42% of all births are assisted by a health professional while over 400/1000 live-births die during or immediately after delivery. Consequently, the government has embarked on a performance-based RH program that links the goal of improving women's health with incentives to reward service delivery to improve access of the poor to quality RH services. The three-year OBA program is being implemented in three rural districts: Kisumu, Kitui, Kiambu and Korogocho and Viwandani slums in Nairobi. This paper identifies the most effective means of reducing maternal mortality/morbidity by ensuring provision of safe motherhood package for antenatal care and attended delivery. Within the first 6-months, 1798 SMH, 149 FP and 9 GBRV claims had been processed. 1000 cases of normal deliveries had been redeemed while all facilities recorded highest number of claims on FP services. Here lies the secret to turning around the undesired perennial RH trends in Africa.

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Presented in Session 39: Lessons from integration of reproductive health, family planning, and HIV and AIDS programs