Progress and priorities for reproductive, maternal, newborn, and child health in Kenya: a Countdown to 2015 country case study Emily C Keats, PhD, Anthony.

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Progress and priorities for reproductive, maternal, newborn, and child health in Kenya: a Countdown to 2015 country case study Emily C Keats, PhD, Anthony Ngugi, PhD, William Macharia, MMed, Nadia Akseer, MSc, Emma Nelima Khaemba, MSc, Zaid Bhatti, MSc, Arjumand Rizvi, MSc, John Tole, MMed, Prof Zulfiqar A Bhutta, PhD The Lancet Global Health Volume 5, Issue 8, Pages e782-e795 (August 2017) DOI: 10.1016/S2214-109X(17)30246-2 Copyright © 2017 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC-BY 4.0 license Terms and Conditions

Figure 1 Trends in mortality rates, 1990–2015 Trends in maternal mortality per 100 000 livebirths. (B) Trends in mortality rates in under-5s and neonates. MMEIG=Maternal Mortality Estimation Inter-agency Group. DHS=Demographic and Health Surveys. IGME=Inter-agency Group for Child Mortality Estimation. The Lancet Global Health 2017 5, e782-e795DOI: (10.1016/S2214-109X(17)30246-2) Copyright © 2017 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC-BY 4.0 license Terms and Conditions

Figure 2 Intervention coverage across counties in 2014 Each dot represents coverage level per county (n=47), and bars indicate median coverage per intervention. ANC=antenatal care. ANC 1+=at least one antenatal care visit. ANC 4+=four or more antenatal care visits. IPTp=intermittent preventive treatment in pregnancy for malaria. ITN=insecticide-treated net. Pentavalent3=three doses of pentavalent vaccine. ORS=oral rehydration salts. DTP3=three doses of combined diphtheria, tetanus, and pertussis vaccine. The Lancet Global Health 2017 5, e782-e795DOI: (10.1016/S2214-109X(17)30246-2) Copyright © 2017 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC-BY 4.0 license Terms and Conditions

Figure 3 Intervention coverage and composite coverage index by wealth quintile for 2003, 2008, and 2014 DHS=Demographic and Health Surveys. ANC=antenatal care. ANC 4+=four or more antenatal care visits. DTP3=three doses of combined diphtheria, tetanus, and pertussis vaccine. The Lancet Global Health 2017 5, e782-e795DOI: (10.1016/S2214-109X(17)30246-2) Copyright © 2017 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC-BY 4.0 license Terms and Conditions

Figure 4 Projections of the number of maternal, neonatal, and post-neonatal deaths averted by specific intervention packages in 2020, 2025, and 2030 A=periconceptual and post-abortion care. B=expanded antenatal care package. C=optimal maternal nutrition during pregnancy. D=childbirth and immediate newborn care. E=postnatal care, including community newborn care. F=Integrated Management of Childhood Illnesses. G=Infant and Young Child Nutrition Package. H=Expanded Immunisation Package. I=water, sanitation, and hygiene interventions. The Lancet Global Health 2017 5, e782-e795DOI: (10.1016/S2214-109X(17)30246-2) Copyright © 2017 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC-BY 4.0 license Terms and Conditions