Kajiado County

Key Facts on Nutrition in Kajiado

Data on stunting (chronic malnutrition)

1 in 4 children in Kenya are stunted (26%) Estimated 2 million children are stunted Selected Counties, have significantly high stunting rates with e.g. 1 in 2 or 3 children stunted
Why it Matters!
  • Stunting has long-term effects: Diminished cognitive (interference with school performance) and physical development (increased disabilities).
  • Overall, reduced productivity and health
  • Children who escape stunting are 33% more likely to escape poverty as adults
  • 39,351 children under five in Baringo are stunted of whom 10,673 are in East Pokot sub-county

Kajiado malnutrition: stunting, wasting, underweight. Inadequate food: this has been brought about by inadequate rainfall, subsequent drought, low food production and loss of livestock. This has led to minimum choices in food availability

Food access: there is a lack of variety of foods in the market, on rare occasions dark green leafy vegetables are in the market, poor road
network making market days once a week, meaning the households ration the meals to fit the week.
Poor infrastructure: long distances, poor road network some communities have to move more than 5 km to health facilities, thus affecting health-seeking behaviours. Thus slow detection of malnutrition and also they more not get information on health.

Data on Obesity

1 in 4 Women in Kenya are overweight

Why it Matters!

  • Overweight people are at an increased risk of non-communicable diseases, premature death and disability
    Healthy eating and physical exercise boosts people’s energy contributing to a more productive society and reduced health costs
  • Kajiado county has 2 types of communities rural (K. West, South and central and part of east) and urban (parts of Kajiado East: Kitengela, Isinya Kajiado West: Kiserian, Kajiado North; Ngong and Rongai.
  • Non-communicable diseases (obesity, hypertension, diabetes)are on the rise due change of lifestyle.

Data on wasting (acute malnutrition)

4% of children in Kenya are wasted
Why it Matters!
Wasting increases the risk of stunted growth, child deaths from infectious diseases, impaired cognitive development and non-communicable diseases in adulthood

Data on Iron Folic Acid Supplements (IFAS)

  • 69.9% KDHS 2014 (regional)
  • DHIS Jan-June 2017 on 87% of mothers who visited ANC in Kajiado County were supplemented with FE/FO
  • KDHS 2014, 46.9%
  • DHIS Jan-June 2017 on 25% 12-59, 6-11 months 58%

Why it Matters!

  • The nutrition department is not sure whether the IFAS is being consumed
    according to KPC feed (done in 2 community units Vengaboys and Ngatatek women who consumed IFAS within 90
    days were 16% and 7% respectively, which means despite supplementation the consumption is very low.)
  • Health seeking behaviour is poor when children reach 18 months age the parents do not revisit clinic for growth hence, the children end up missing some of the nutrition
    essential services, low knowledge by the community on preventive health.
  • DHIS data is low due to poor documentation from the health facilities

Data on Breastfeeding

KDHS 2014

Initiation of breastfeeding -1 hour: 69.4%

Exclusive breastfeeding: 61%

DHIS – Inadequate data reported in the DHIS.

6 IN 10 MOTHERS EXCLUSIVELY BREASTFEED FOR 6 MONTHS

Data on Complementary feeding practices

Breastfeeding 6-23 months
4+ food groups – 34.5%
Meal frequency – 48.8%
Both 4+food groups + right minimum meal frequency – 21.3%
Non breastfed 6-23months
4+ food groups – 48.8 %
Meal frequency – 60.5%
Deworming : 52.6% KDHS
DHIS: 37% Jan – Jun 2017

Why it Matters!

  • Exclusively breastfeeding for 6 months provides the perfect Nutrition and everything they need for healthy growth and brain development
  • Breastmilk protects children from infections, diseases, and obesity
  • Low ANC coverage 46% KDHS 2014, DHIS 2017 30% and skilled delivery KDHS 40.3% DHIS 2017 51%. This means fewer women are seen at the entry points thus few women have taught on maternal child practices, leading to poor MIYCN knowledge and practices,
    Within the 1st and 2nd month pre-lacteal feeds which include cow cream (Nagorno Maasai name). at 4months cows, milk is introduced poor male involvement in support of ANC attendance in terms of financial and social.
  • Fully immunized children 53.6% DHIS 2017 73.8%, during immunization if well-planned health education to mothers can be prioritized to improve their knowledge on maternal health care. MIYCN practices are poor and community unit coverage is at 30%. Very limited programmes are targeting complementary feeding, during CWC clinic where staff are overwhelmed or do not have the capacity to handle complementary feeding issues.
  • Poor dietary diversity and food frequency is low because of low access to the market, less food variety in the market, available
    foods include; rice, ugali, tubers, rare occasions cabbage and tomatoes, a low financial power to purchase the food.
  • In urban setup, mothers prefer leaving children in daycares so that they do work, mostly in daycares the children will be given light porridge and a mixture of rice and potatoes. the mothers also due to being in the low-income range, purchasing power becomes harder due to working overtime for these women less time is given to the <5, malnutrition admissions in Kitengela referral hospital, including children who are <6 months
  • Health seeking behaviour is poor, when children reach 18months age the parents do not revisit clinic for growth hence, the children end up missing some of the nutrition essential services, low knowledge by the community on preventive health.
  • DHIS data is low due to poor documentation from the health facilities

Data on Vitamin A Supplement

53.9% of children 6-59 months are supplemented with vitamin A in East Pokot

Why it Matters!

  • Increases immunity
  • Prevent Blindness
  • About half of children 6-59 months
    are supplemented with vitamin A in
  • Baringo County