One Unbreakable Promise.
A comprehensive system response addressing every dimension of maternal and newborn health — organized around 6 key result areas under the RRI and 10 strategic pillars in the EWENE Acceleration Plan 2026–2028.
10 Strategic Pillars
What We Are Doing Right Now
01
🏛️ Policy & Governance
National policies exist but county implementation is weak. Accountability gaps persist.
- EWENE steering committees in all 26 priority counties
- Fortnightly governor-led MPDSR performance reviews
- Monthly national MNH scorecards published via KHIS dashboard
- County EWENE plans endorsed by county leadership
Target 2028: 100% counties with functional governance
02
🏥 Service Delivery
Women reach facilities, but care fails. Only 37% meet basic EmOC standards.
- 900 health workers trained on EmONC in 26 target counties
- 500 trained on comprehensive newborn care
- 260 skills corners established (10 per county) with monthly emergency drills: PPH, eclampsia, neonatal resuscitation
- CEmONC services at all Level 4–5 hospitals
Target 2027: 80% facilities meet BEmONC (from 37%)
03
⚖️ Gender & Equity
Marginalised women — adolescents, pastoralists, women with disabilities — face extra barriers.
- Gender mainstreamed into all county MNH workplans
- Training on respectful, non-discriminatory care
- Adolescent-friendly MNH services established
- Men engaged as partners in maternal health
Target 2027: 90% women report person-centred care
04
📊 Data & M&E
Data is incomplete, late, or unused for action. Deaths go unreviewed.
- PROMPTS — SMS system for real-time death notification
- Live public MNH scorecard updated weekly
- Digitised MPDSR tools with Action Tracker
- County-level training on data quality and use
Target 2027: 100% counties submit MPDSR monthly
05
💰 Financing
MNH is chronically underfunded. Budgets not ring-fenced. Donor funding unpredictable.
- Ring-fenced MNH budget lines at national & county levels
- KES 5 Billion allocated annually to SHA premiums for indigent/vulnerable mothers
- Counties to allocate at least 30% of health budget to MNH
- Monthly tracking of MNH commodity availability and spending
Target 2027: 30% county health budgets to MNH
06
👩⚕️ Workforce
Severe shortage of midwives and neonatal nurses. Inequitable distribution. Low morale.
- 3 additional maternity nurses & 3 neonatal nurses deployed to top 5 high-volume facilities per county
- Maternity units achieve 24-hour skilled coverage
- Monthly on-site EmONC mentorship at all target facilities
- Simulation-based training hubs established at KMTC campuses
Target 2027: 90% facilities meet staffing norms
07
🚑 Response & Resilience
Referral delays. Non-functional ambulances. Poor emergency coordination.
- Non-functional ambulances rehabilitated with GPS tracking
- County emergency call centres (toll-free) established
- Response time targets: <60 min urban / <90 min rural
- County-level emergency coordination protocols
Target 2027: 100% counties have referral coordination
08
💊 Commodities & Technologies
Stockouts: Oxytocin 40%, MgSO₄ 48%, Benzyl Penicillin 47%. Only 5% of facilities have full obstetric equipment.
- Zero stockouts of tracer MNH commodities — oxytocin, carbetocin, MgSO₄, TXA, Benzyl Penicillin, caffeine citrate
- 1.5 million doses of heat-stable carbetocin procured & distributed
- 1.5 million calibrated vaginal delivery drapes procured
- Monthly regional blood drives targeting 47,000 units/month via KNBTS
Target 2027: 0% stockout — oxytocin, MgSO4, antibiotics
09
📣 Advocacy, Communication & Community Engagement
Women don't recognise danger signs. Cultural barriers delay care-seeking.
- Mass media campaigns via TV, national radio and vernacular stations
- Community dialogues and maternity open days in all 26 priority counties
- Community Health Promoters conducting outreach to underserved populations
- 50 outreach services per county to increase ANC, SBA and SHA registration
Target 2027: 80% women know ≥3 danger signs (from 35%)
10
🔬 Research & Innovation
Promising pilots never scale. Research does not inform policy fast enough.
- National MNH research agenda established
- Repository of proven innovations created
- Annual evidence-to-policy forums hosted
- Successful innovations scaled: PROMPTS, CPAP newborns
Target 2027: 5 proven innovations scaled nationally