{"id":110706,"date":"2025-12-11T12:01:50","date_gmt":"2025-12-11T09:01:50","guid":{"rendered":"https:\/\/www.capitalfm.co.ke\/business\/?p=110706"},"modified":"2025-12-11T12:01:50","modified_gmt":"2025-12-11T09:01:50","slug":"from-law-to-lives-saved-how-the-maternal-newborn-and-child-health-bill-can-deliver-universal-health-coverage","status":"publish","type":"post","link":"https:\/\/www.capitalfm.co.ke\/business\/2025\/12\/from-law-to-lives-saved-how-the-maternal-newborn-and-child-health-bill-can-deliver-universal-health-coverage\/","title":{"rendered":"From Law to Lives Saved: How the Maternal Newborn and Child Health Bill Can Deliver Universal Health Coverage\u00a0"},"content":{"rendered":"

By Hon. Dr James Nyikal, National Assembly Health Committee Chairperson; Dr. Margaret Lubaale, Executive Director of Health NGO Network (HENNET); Prof Anne-Beatrice Kihara, immediate former President of International Federation of Gynaecology and Obstetrics<\/em><\/p>\n

DEC 11 – For women in labour across Kenya, reaching a health facility, finding skilled health workers, and affording care can be a matter of life and death. These challenges are not rare, but daily realities for many families.<\/strong><\/p>\n

Every year on 12 December, the world observes Universal Health Coverage Day, a chance to renew the promise of health for all. But for this promise to be meaningful, it must reach every woman and child, everywhere in Kenya.<\/p>\n

Slow Progress in Maternal, Newborn, and Child Health<\/h2>\n

While Kenya has made gradual gains in maternal, newborn and child health with improved vaccination and increased antenatal care, progress in maternal survival has been painfully slow.<\/p>\n

Between\u00a02014<\/a>\u00a0and\u00a02019<\/a>, the maternal mortality rate dropped by less than two percent, even as investment increased. United Nations\u00a0data<\/a>\u00a0shows that Kenya\u2019s maternal mortality ratio remains one of the highest in East Africa, exceeding those of Ethiopia, Uganda, and Tanzania.<\/p>\n

Newborn and child deaths have also declined slightly and are severely constrained by\u00a0inequities<\/a>. For example, children born to mothers with only primary education face far\u00a0higher mortality<\/a>\u00a0than those whose mothers have secondary education and beyond.<\/p>\n

Persistent inequalities continue to deny children a healthy start in life.<\/p>\n

The Urgency of the Maternal, Newborn and Child Health Bill<\/h2>\n

Kenya\u2019s MNCH services have suffered from fragmented policies, inconsistent county financing, and short-term funding. Devolution has blurred responsibilities between national and county governments, leading to gaps in planning, poor reporting, and weak accountability.<\/p>\n

The\u00a0Maternal, Newborn and Child Health (MNCH) Bill, 2023,<\/a>\u00a0proposed by Sen. Beatrice Akinyi Ogolla, presents a vital opportunity to change this trajectory.<\/p>\n

The MNCH Bill seeks to establish a clear legal framework guaranteeing the right to maternal, newborn, and child health services. It obliges both national and county governments to respect, protect, and fulfil these rights through enforceable mechanisms.<\/p>\n

At its core, the Bill affirms that every woman and child in Kenya, regardless of location or economic status, deserves timely, affordable, respectful, and high-quality care.<\/p>\n

It embeds service delivery in the principles of universal access, equity, dignity, availability of essential services, and continuous quality improvement.<\/p>\n

How the MNCH Bill Delivers on the Promise of UHC.<\/strong><\/p>\n

    \n
  1. Guarantees the right to the highest attainable health for all mothers and children.<\/li>\n
  2. Ensures access to the full continuum of care, including before pregnancy and through childhood<\/li>\n
  3. Protects marginalised and hard-to-reach communities, such as people living with disabilities or those unable to pay for health services<\/li>\n
  4. Guarantees respectful, dignified and non-discriminatory care, irrespective of identity, such as age, marital status or social background<\/li>\n
  5. Strengthens health financing at the county level through mandated country budget allocation for MNCH<\/li>\n
  6. Improves service availability through infrastructure and supplies such as ambulances, essential medicine and skilled health workers.<\/li>\n
  7. Institutionalizes accountability and reporting, with both the Cabinet Secretary and County Executives mandated to submit annual reports to Parliament and County Assemblies on services, financing, and gaps<\/li>\n<\/ol>\n
      \n
    1. Strengthens monitoring, data, and quality assurance through mandated continuous monitoring, maternal and child death surveillance, with enforcement of quality standards.<\/li>\n<\/ol>\n

      The MNCH Bill is more than a piece of legislation; it is a lifeline and a turning point for millions of Kenyan families.<\/p>\n

      By making essential services enforceable rights, strengthening accountability, and securing sustainable domestic financing, the Bill lays the foundation for people-centred Universal Health Coverage.<\/p>\n

      Political Will and National Commitment<\/h2>\n

      Political leadership is aligning behind reforms for women and children. President Ruto\u2019s involvement with the\u00a0Global Leaders Network<\/a>\u00a0for Women’s, Children’s and Adolescents’ Health and his directive for real-time reporting of maternal and child deaths signal a strong executive commitment.<\/p>\n

      Cabinet Secretary Hon. Aden Duale\u2019s focus on realizing the Social Health Authority and robust county leadership further demonstrates that Kenya is mobilizing on all fronts.<\/p>\n

      With government officials, communities, civil society, and health workers rallying together, Kenya stands ready to turn these commitments into action.<\/p>\n

      Call to Action<\/h2>\n

      As the MNCH Bill reaches its final committee stages, now is a critical moment for public involvement. Citizens are encouraged to contact their Members of Parliament to express support for the Bill.<\/p>\n

      Advocates, experts, donors, and community members must unite and implement strategies to accelerate the reduction of maternal, newborn, and child mortality.<\/p>\n

      The passage of the MNCH Bill will show that \u201chealth for all\u201d is no longer just a slogan, but a binding national pledge.<\/p>\n","protected":false},"excerpt":{"rendered":"

      By Hon. Dr James Nyikal, National Assembly Health Committee Chairperson; Dr. Margaret Lubaale, Executive Director of Health NGO Network (HENNET); Prof Anne-Beatrice Kihara, immediate former President of International Federation of Gynaecology and Obstetrics DEC 11 – For women in labour across Kenya, reaching a health facility, finding skilled health workers, and affording care can be […]<\/p>\n","protected":false},"author":13285,"featured_media":94100,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[943],"tags":[],"coauthors":[701],"class_list":["post-110706","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-opinion"],"yoast_head":"\nFrom Law to Lives Saved: How the Maternal Newborn and Child Health Bill Can Deliver Universal Health Coverage\u00a0 - Capital Business<\/title>\n<meta name=\"description\" content=\"By Hon. 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