Save the Children International;
Save the Children is the world's largest independent organization for children, making a difference to children's lives in over 120 countries.
We have been operational in Kenya for more than 20 years, working on four core thematic areas: right to Health, right to Freedom from Hunger, right to Education and right to Protection delivering immediate and lasting improvements to children's lives. We listen to children, involve them and ensure their views are taken into account. Save the Children secures and protects children's rights - to food, shelter, healthcare, education and freedom from violence, abuse and exploitation.
Our Vision is a world in which every child attains the right to survival, protection, development and participation.
Our Mission is to inspire breakthroughs in the way the world treats children, and to achieve immediate and lasting change in their lives.
Save the children secured a one-year fund ending November 2017 from The U.K. Department for International Development (DFID) to support the Government of Kenya’s (GOK) efforts to reduce maternal and neonatal mortality. The Fund will operate as one part of Component 3 under DFID’s Reducing Maternal and Neonatal Death in Kenya (2013-2018) programme.
DFID has contracted Marie Stopes International (MSI) to deliver component 3. The Contracting Authority, subsidiary and subcontractor of MSI is in charge of delivering the project. The Contracting Authority has contracted KPMG as the CICF Fund Manager and Population Council as the CICF Technical Fund Management Partner. Save the children in this regard is the implementing partner for the Bungoma Fund in developing, testing and implementing a digital mobile-based version of the standard WHO partograph in 15 facilities across Bungoma County.
According to the World Health Organization (WHO), approximately 800 women die every day due to pregnancy and childbirth complications (WHO, 2014). Despite the numbers improving over the past few years, 99% of maternal mortalities still occur in developing countries and most of them are preventable. Prolonged and obstructed delivery is one of the major caused of maternal and newborn mortality. Approximately 73% of all global maternal deaths are because of direct obstetric causes.
The World Health Organization (WHO) developed a paper-based Partograph, which is the single most used tool for monitoring labor and reducing labor complications in developing countries. The Partograph facilitates the tracking of maternal condition, fetal condition and cervical dilation versus the time during labor. If the tool is used correctly, it can be useful in early detection of serious maternal and fetal complications during labor, especially in rural areas, where access to adequate medical facilities is a challenge.
Originally called the Friedman’s curve, the partograph was designed by Friedman in 1954 following a study on a large number of patients in the USA. Philpott and Castle further improved the tool by introducing the alert and action lines to facilitate interventions during labour. Since then several types of Partograph have been developed in various countries to suit local needs as an inexpensive tool designed to provide a continuous pictorial overview of labour and has been shown to improve outcomes when used to monitor and manage labour. The composite Partograph was evaluated in a multicentre trial that involved 35,484 women. The results showed that using the partograph reduced prolonged labour by about half (from 6.4% to 3.4% of labours) and the proportion of labours requiring augmentation from 20.7% to 9.1%. Emergency caesarean sections also reduced from 9.9% to 8.3% and intrapartum stillbirths from 0.5% to 0.3%. The modified WHO partograph currently being used was introduced in 2000.