a well managed population for quality life Prevention of Maternal Deaths – Role of Family Planning Dr. Josephine Kibaru-Mbae Director General National Council for Population and Development

a well managed population for quality life Outline Family Planning Situation Maternal Health Care Situation Role of FP in Improving Maternal Health Conclusion Role of Leaders

a well managed population for quality life Pillars of Safe motherhood

Kenya’s contraceptive prevalence rate has increased Years Contraceptive Use Among Married Women Years (percent) Source: KDHS AND PROJECTIONS ?

Source: Kenya National Bureau of Statistics and Projections ?

Sources: Kenya National Bureau of Statistics and ICF Macro; 2008/9 Kenya Demographic and Health Survey

a well managed population for quality life Source: Kenya Demographic and Health Survey Maternal Deaths per 100,000 Live Births

a well managed population for quality life What Causes Maternal Mortality? Pregnancies …… Too Early …….. …Too Frequent ………..…Too Late

a well managed population for quality life Maternal Health and FP Every year over 6,000 women die due to pregnancy related complications (equivalent to over 10 KQ 787 Dreamliner planes crushing and killing everybody on board) Risk of death from pregnancy related complication; 1:22 vs. 1:8000 in the developed countries

a well managed population for quality life Maternal Health and FP Cont. Access to safe motherhood and voluntary FP services significantly reduces unintended pregnancies and abortions and saves women’s lives More than a quarter of women (15-49yrs) have an unmet need for family planning.

How does FP Prevent Maternal Deaths? Goal of CPR, unmet need or FP budget Live births averted Adopters of LAPM FP Costs or CPR Abortions averted Costs averted Method effectiveness and comparison pregnancy rate Less miscarriages, abortions, and stillbirths Birth interval (spacing) MMR Abortion rate Costs & coverage of MCH interventions Infant deaths averted Maternal deaths averted Unintended pregnancies averted FP users (by method)

a well managed population for quality life Ripple Effects of Family Planning FP is key to healthy timing of pregnancy ensuring healthy mother and babies With increased birth intervals, risks of deaths and complications to both mothers and child are reduced Longer birth intervals support healthy nutrition for children and mothers. It also empowers women by giving them time to engage in economic activities HIV infected couples can plan for pregnancy when viral load is low

a well managed population for quality life Conclusion Preventing maternal and child deaths requires broad interventions hence;  Investing in FP is a cost effective way of reducing deaths and complications  Increased human resource (especially nurses and midwives) to provide skilled services  Need for Increased resources to the health sector including for FP commodities

a well managed population for quality life Role of Leaders Political commitment to prevent maternal deaths including investing in FP and other strategies (Budget-line for FP ) Resource mobilization at the local level and utilizing available resources to support maternal health initiatives at County Levels Promoting community mobilization for positive health seeking behavior( myths & misconceptions on FP)

a well managed population for quality life I Thank You for your attention