Despite the overall improvements in maternal and child health in Kenya, several sub-counties of Baringo and Nakuru have experienced minimal improvements in maternal and child mortality, skilled birth attendance, child immunization, or contraceptive prevalence. For example, rates of pregnant women attending at least four antenatal care visits are substantially low in several sub-counties, with rates as low as 14 percent in both East Pokot and Kuresoi North (DHIS2, 2015).

Afya Uzazi Nakuru-Baringo Program aims to help address these disparities by working with counties to improve access to quality family planning/reproductive, maternal, neonatal, child, and adolescent health (FP/RMNCAH) in the two counties. The project name, Afya Uzazi, which means “healthy parenthood” in Kiswahili, reflects the program’s aim to increase the impact of health services through safe deliveries, healthy babies and children, and planned and well-timed pregnancies. FP/RMNCAH interventions are integrated with water, health and sanitation (WASH) and nutrition activities. Key cross-cutting elements in the project include an emphasis on youth and gender interventions, community action, data-driven decision-making and sustainability.