2025 – 2027 Strategic Goal 1: Every child has access to quality health, nutrition, and WASH services to survive and thrive

Kenya and Madagascar both face significant challenges in maternal and child health. In Kenya, the maternal mortality ratio remains high at 530 deaths per 100,000 live births, while the under-5 mortality rate is 41 deaths per 1,000 live births. Neonatal deaths account for a large proportion of infant and under-5 deaths.

Child malnutrition is a concern, with 18% of children under 5 being stunted.
While antenatal care and skilled delivery rates have improved, stark regional disparities exist. Family planning use is at 63% among married women.

In Madagascar, the maternal mortality ratio is 426 per 100,000 live births, and the neonatal mortality rate is 21 per 1,000 live births. Only 46% of births are attended by skilled health providers, and there’s a critical shortage of healthcare workers.