In Kenya, maternal mortality ratio and neonatal mortality rate have marginally declined from 362/100,000 live births (KDHS 2014) to 355/100,000 as per the 2019 Census report. The newborn mortality rate reduced from 31 to 1000 Live Births in 2008/9 to 22/1000 Live Births in 2014 (KDHS 2014). The stillbirth rate was at 29/1000 live births.
These trends are off track to the country’s achievement of the SDG targets - neonatal mortality (10 deaths per 1000 live births), stillbirths (10 per 1000 live births) and maternal mortality (70 deaths per 100,000 live births).
The high institutional maternal and neonatal mortality rates are primarily attributed to low quality health care.
Significant disparities in coverage and outcomes persist within and across counties, with some counties having far higher mortality rates than the National average. Adolescent girls are also a population of focus due to their vulnerabilities. Kenya’s adolescent pregnancy rate of 15% (KDHS 2022) has been rated among the highest in the world. This not only strains the health system as health outcomes for the adolescent mothers are much worse but also threatens survival of the nation's future generations and harnessing of the demographic dividends.
The RMNCAH programme is captured in the Strategic Result 1.2 (People and Planet) of the United Nations Sustainable Development Corporation Framework (2022 – 2026). The corporation framework outlines the value of joint partnership between GoK and UN and among the UN to develop joint programmes to catalyse financing of key interventions in sexual, reproductive, maternal, newborn and child health1
the strategic interventions that will transform lives of the people in Kenya especially those at risk of being left behind – children, women, girls, and generally those living in urban informal settlements and those living with disabilities.
UNFPA therefore seeks a consultant to develop a high-quality proposal that will be used to mobilize resources from potential development partners, private sector, philanthropists and Foundations, etc
The consultant will have technical expertise across the whole spectrum of RMNCAH, drawing the key stakeholders from MoH, UN agencies (WHO, UNFPA UNICEF and IOM) – consolidating inputs and subsequently developing a quality proposal that can be used for resource mobilization
To develop a proposal for UN Joint programme on Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCAH).
The tasks to be performed and expected deliverables include:
Tasks
• Write an Inception Report which outlines a clear understanding of the ToR, Timeline/ Roadmap and Brief on the Methodology of undertaking the assignment
• Draft an outline of the concept of the proposal and Agenda/programme that will be used in a co-creation Technical workshop
• Facilitate a joint/collaborative co-creation workshop with representation from MoH, UN agencies and relevant NGOs and private sector in RMNCAH.
• Write a workshop Report
• Develop the draft RMNCAH proposal based on the above workshop
• Present the draft proposal to key stakeholders
• Finalize and submit the RMNCAH Proposal in soft copy version.
Deliverables
• Inception Report
• Pre-workshop Concept and Timetable
• Draft RMNCAH proposal
• Final RMNCAH Proposal
• Advanced degree in Medicine, Public Health or Epidemiology
• At least 7 years of experience in one or more of the following fields: Reproductive, Maternal, Newborn, Child and Adolescent Health;
