 The Second Annual Conference on the Partnership for Strengthening Matano new neto child health and nutrition was held in Nairobi, Kenya with an aim to look into undevaluit Kenya situation on matano and child health through learning, sharing and sustaining. The conference, attended by county and national government officials, civil societies and NGOs, raised fundamental concerns that calls for honest action. The Head of Department of Family Health, Ministry of Health, Dr. Ishek Mohamed said that though Kenya has made progress, the targets are still far from being achieved. Trends in matano mortality in Kenya shows that they have reduced from 670 to 362 between 1990 to 2014. Dr. Mohamed said national and county governments need to relook on their coordination since it has been an impediment in consulting efforts to end matano mortality rate. We need to make sure that we have a proper coordination on the county government and our partners in the provision of a product of matano health services. We also need to have a strengthening information system, I think that's in India. That's unfortunately a good work at the county level, at the service provision level. I think it is not going to capture those data, so we just need to prove on that. Addressing the media, matano and child health expert, Ministry of Health, Dr. James Getonga said the leading cause of matano death is postpartum hemorrhage caused by low blood levels. When they bleed, the outcomes are favorable as opposed to those who enter into labor when their HPs are very low. Even minimal bleeding to pass them to severe consequences. Poor nutrition distribution gap in Kenya contributes to a greater extent. In matano deaths, and Dr. Getonga said the Ministry of Health is working on a national program to contain the problem. We have been working together and we have committed to continue that collaboration in the areas of matano, child and newborn health and nutrition. The various actors, the county governments have committed to play their role as a national which will give our role, which is nearly the guidance, which will develop the guidelines as we go towards universal health coverage. We are ensuring that the health that we are going to roll out is quality. We have adopted the quality standards from WHO. We have standards, we have adopted them as a country, which we are rolling out so that it is stored out what is expected. For the mother who goes to every facility, what kind of healthcare is expected. Regading capacity building and service delivery, Dr. Getonga pointed out that the Ministry of Health is working on addressing them. We have developed our plans to gather the counties for now that gaps that have been addressed to capacity assessment gaps, which are rolling out trainings in various areas that have been identified. Some of them images of safety care, there are trainings on that, various areas which are identified, we are working with the counties to address that. Nairobi is one of the regions hit by high maternal mortality rate and Dr. Getonga attributes this to high population density and late complicated referral cases. It's in Nairobi, the population is high. Most of that report was in the absolute numbers. Secondly, Nairobi has a national referral hospital. See, the referral cases are complicated cases and they come late. Most of the outcomes from a referral facility like we find Nairobi and all that because of the more teaching at the referral hospital, most critical matters will be in fact there. And sometimes the probability of losing that mother because of the emergency and the time taken is higher. Nutrition expert world vision Daniel Mohinja said in order to achieve better nutrition and mother and child health care, robust investments thus need to be channeled to community health workers but also consider the ease of solutions available to them. One of the things that as a country we need to invest more in is community health strategy. As you all know, that community health worker is the one who is very close to the people, is the one who is able to visit that mother when she has any problem, is the one who is able to check the mother frequently when she is pregnant and when she gives birth to a child, the same person who is able to visit this mother and see how the child is doing. To achieve universal health coverage as embedded in the jubilee big four agenda and end maternal mortality rate as civil society's national director world vision Lillian Dadzo adds the government to address the following. Enhance access to quality nutrition and health services including family planning through allocation of adequate financial resources to produce supplies and training of health personnel. Improve functionality of health facilities in hard to reach areas for women and children under five years. Improve care seeking behaviors and health referral systems by strengthening community based health systems including support to community health volunteers and health committees. Implement an effective health insurance and financial risk protection. To sustain the gains made, they need to strengthen multi-central approaches, coordination and synergies between stakeholders at national and county levels to ensure effective health system. Social accountability and community participation for better service delivery is also required. We also need to scale up successful interventions on health and nutrition that have improved to have impact such as promotion of bio fortified crops and an example of iron rich beans and orange flesh sweet potatoes among others presented in this conference. It's one of the main mechanisms to promote primary health care. Head of department Corporation Global Affairs Canada Jenny Hill said we need a shifting focus to end maternal mortality rate and improve service delivery. We've heard we've seen great gains in reduced maternal mortality due to the increase in use of skilled birth attendants. But we now need to shift our focus now that we've seen that increase into ensuring the quality of those services which I know is what everyone here, not everyone but a lot of people here are working on. CEO, Council of Governors Jacqueline Mogheni, cold and oil organization present at the conference to put on multi-spectral lenses in design and planning of mother, maternal and newborn child in nutritional intervention. We are the COG and Council of Governors. Remain acutely aware of the gaps occasioned by inequities across the country and we seek all means to address them. So when we seek to support counties, please don't just go where the time mark reaches. There's also counties in places where the time mark doesn't reach. So don't always be coming and saying you've selected, I don't want to mention because I'm a mother of 47, just ensure that you reach where my child is number 47 because it's also my child. While presenting the conference's communiquei, Dr. Stephen Kaliti mentioned that having shared the progress and strategies to end maternal mortality, he affirmed that county and national government's leadership and civil society's partnership are very vital in achieving these fundamental efforts. We affirm that the kind of leadership including the national government, the county government and the civil society is very vital to the success of these efforts so we are talking about partnerships, collaborations and working together to synergize our efforts towards achieving that. Women and children living with disabilities cannot be left behind and we actively acknowledge to make sure that they are incorporated at all levels living no one behind and they participate as equal partners not only at the community level but at all levels in deciding program strategies and policies that affect their lives as well as their health outcomes. In addition, while reading remarks on behalf of the Director General Ministry of Health, Dr. Kaliti said efforts and collaborations have been key in achieving universal health coverage and reducing high maternal mortality rate. You have supported the ministry to say to the Director General that you have my personal support and will be able to move forward for the benefit of Kenya. According to a research, 803 women die every day due to childbirth and about 99% of the world's maternal deaths occur in developing regions with Sub-Saharan Africa accounting for 2 in every 3 deaths which is 66%. Therefore, improving maternal-nunato child health and nutrition is a priority for Kenya in achieving sustainable development goals. In order to strengthen maternal-nunato child health and nutrition financial support, private and public partnership are key elements and thus we shall be achieving the universal health coverage. Reporting for I-254 TV, I'm Dereva Hilawi.