The average maternal mortality ration in the EAC is 477 per 100,000 live births; the rate of female genital cutting is as high as 21% and 10% in Kenya and the United Republic of Tanzania respectively; adult HIV prevalence is as high as 7.1% in Uganda yet only 1.3% in Burundi and the proportion of family planning demand satisfied by modern methods is only about 40%. Only half of pregnant mothers in the region attend the recommended 4 Antenatal Care visits and deliver under skilled care.
Although the recommended level of the “package” of physicians, nurses and midwives” and financing required to attain the SRG related SDGs are 44.5 per 10,000 population and US $86 per person per year, the status in the EAC as a whole is only 12 per 10,000 population and US $ 49 per capita per year respectively.
Furthermore, EAC statistics shows that about 10% of children under the age of 15 in the Partner States have had sex, adolescent birth rate averages 100 per 1,000 women aged 15-19 years, young people are the largest age group with the highest incidence of HIV, the effect on low empowerment and intimate partner violence among young girls are key drivers of new infections and 37% of young women aged 20-24 years were married as children. Legal, policy and legislative reforms required to improve SRH needs of the population within the Community.
The East African Community (EAC) Partner States have adopted the strategy of integrating policies, strategies, resources, programme and their monitoring and evaluation with the aim of improving economy, effectiveness and efficiency in service delivery. One of the leading pathfinder areas for integration of healthcare is the integration of Sexual and Reproductive Health - SRH (women’s, children’s and adolescent health) and HIV/AIDS and Sexually Transmitted Infections (STIs).
As a result of which, the EAC Secretariat through the EAC Technical Working Group (TWG) on Reproductive, Maternal, Newborn, Child and Adolescent Health and Nutrition (RMNCAH) has convened several meetings for purposes of drafting the EAC Sexual and Reproductive Health and Rights (SRHR) Bill 2016 whereof EANNASO sits as a Member of TWG and has undertaken several parallel activities to compliment and contribute to the legislative process that the draft Bill is currently undergoing.
Download the reports on SRHR BILL here